– See: – Defects of the Fibula: – Van Nes Rotational Plasty: – Discussion: – a development defect of the proximal femur recongnizable at birth; – 3rd most common longitudinal deficiency of lower extremity; – abnormality ranges from hypoplasia of entire femur to … Read more
– Discussion: – protein polysaccharides account for approx 4.4% of organic components of bone and may be defined as compounds of carbohydrate and protein in which carbohydrate is a polysaccharide attached to a protein by covalent bonds; – principle polysaccharide (mucopolysaccharide) of bone is chondroitin-4-sulfate (chondroitin sulfate A); – … Read more
Reduction in fatal pulmonary embolism and venous thrombosis by perioperative administration of subcutaneous heparin. Overview of results of randomized trials in general, orthopedic, and urologic surgery. Use of the Greenfield filter to prevent fatal pulmonary embolism associated with total hip and knee arthroplasty. Randomized controlled study of heparin and low molecular weight heparin for prevention of … Read more
– See: Total Hip Replacement Menu: – Insertion of Cementless Femoral Stem: – Radiology of Press Fit Stems: – Removal of Cementless Stems: – Discussion: – indications: – younger patients (less than … Read more
– Antibiotics: – prophylactic antibiotics – local antibiotic delivery – antibiotic beads – addition of antibiotics to cement – Skin Preparation: – topical agents: – skin prep agents – topical antimicrobials – Reduction in OR Contamination: … Read more
– Discussion: – this is the earliest clinical manifestation of the syndrome; – most common symptom, seen in 50% of cases, is sudden pain in groin; – this may be progressive, & be associated with radiation to thigh, which is often worse at night; – exam of hip … Read more
– Surgical Considerations for Specific Diseases and Conditions: – Medical Assesment: – surgical risk assessment – risk factors for infection: are taken into consideration; – anesthesia consult and posting – anesthesia, medical consderations, and timing for … Read more
– See: TKR Menu – Checklist: – surgical risk assessment – preop cardiology, dental, GI, and urological consults – risk factors for infection: are taken into consideration; – tranexamic acid – anesthesia consult and posting – Pulmonary embolism prophylaxis in more than 30,000 total knee arthroplasty patients: is there a best choice? – autologous blood / … Read more
– See: Radiology of the Hip: – Discussion: – obtain view w/ 15 deg of internal rotation; – draw a line at level of, & parallel to, ischial tuberosities and intersecting the lesser trochanter on each side; – compare 2 points of intersection & measure difference to determine the amount of … Read more
– Anatomy: – radiographic teardrop: – true floor of acetabulum corresponds to the radiographic teardrop; – teardrop lies in the inferomedial portion of the acetabulum, just above the obturator foramen; – the lateral and medial lips corresponds to … Read more