(see also tibial fracture menu / general principles of debridement) Debridement of Acute Fractures goal is to avoid tibial infection; timing: (is emergent debridement necessary?) references: The Effect of Surgical Delay on Acute Infection Following 554 Open Fractures in Children. Outcomes in open tibia fractures: relationship between delay in treatment and infection. Treatment of isolated … Read more
– Discussion: – Pavlik harness is usually not successful in children > 6 months (crawling age); – this is mainly due to increased activity levels of the child as well as the fact that these children begin to learn how to remove the harness; – reduction of … Read more
– See: Total Hip Replacement Menu: – total hip in DDH – acetabular component menu: – crowe classification – Non Anatomic Positioning of the Acetabulum in DDH: (high hip center) – advantages: – technically easier than anatomic placement; – surgeon can … Read more
Co-Authors: Milford H. Marchant Jr., M.D.; Thomas P. Vail, M.D.; Steven A. Olson, M.D. July 2006 Femoroacetabular Impingement (FAI) – Descriptive Diagnosis characterized by a combination of clinical signs, symptoms, and pathology that may be responsible for the progression of degenerative changes in patients with osteoarthritis of the hip – … Read more
– Discussion: – second generation ceph – cefuroxime is effective in therapy of cases of community-acquired pneumonia in which ampicillin-resistant H. influenzae is a possible etiologic agent cefoxitin; – adult dose: – 0.75-1.5gm q6-8hr IV or 3gm q8hr IV w/ meningitis; … Read more
(See: Radiographic Features of DDH) Discussion CE angle provides useful information after the age of 5 years (may be used in adults); angle formed by a line drawn from the center of the femoral head to the outer edge of the acetabular roof, and a verticle line drawn through the center of the femoral head; angle … Read more
– See: Laboratory Menu – CPK: – normal values: – men: less than 174 Units/liter – women: less than 140 Units/liter – isoenzymes: MM 100%, MB (cardiac) and BB (brain) normally comprise 0%; … Read more
– Indications for Closed Reduction and Fixation: – indications for closed reduction and fixation: – physiologically young patient: age < 65, working patient, good bone stock; – demented elderly patient that requires total care; – adequate closed reduction w/ no frx comminution or femoral neck defects; – patient should be aware that with an inadequate … Read more
– Discussion: – dense vertically oriented bone that originates in posteromedial portion of femoral shaft under lesser trochanter; – it radiates laterally toward posterior aspect of greater trochanter; – it reinforces the femoral neck posteroinferiorly; – calcar femorale fuses w/ posterior aspect of femoral … Read more
– Discussion: – windshield wiper effect (distal toggle); – this really only happens w/ non cemented component with large collar; – distal portion of the stem loosens and begins to pivot around collar; – frequently seen w/ Moore prosthesis that does not fill medullary canal; … Read more