– See: Total Hip Replacement Menu: – Addition of Antibiotics to Cement: – Cemented Femoral Component Loosening: – Insertion of Cemented Femoral Stems: – Discussion: – first generation technique: – finger packing … Read more
– Discussion: – central frx/dislocation is crippling injury with a poor prognosis; – extensive degree of concomitant articular injury occurs; – 22% incidence of sciatic nerve injury; – distal and occassionally, lateral traction of proximal femur may be necessary to effect and maintain reduction of the femoral head; – total … Read more
– See: Atlanto-axial Subluxation: – Discussion: – a condition in which there is fixed rotation of C1 on C2; – fixation may occur with in the range of normal rotation, may occur w/subluxation, or may occur w/ dislocation; – clinically patients will have ipsilateral rotation and contralateral tilt of … Read more
ATB Index: M Mafenide Methenamine Methicillin Metronidazole Mezlocillin Miconazole Minocycline Moxalactam Moxifloxacin Mupirocin ATB Index: N Nafcillin Neomycin Norfloxacin Nystatin
– Discussion: – for mild pain, inflamation, RA, and prevention of stroke and DVT; – dosage: – adult: w/ pain and fever: 325-650mg q4hr PO, PR; – rhuematoid arthritis: 3-12gm/day; – check serum levels, therapeutic = 20-30 mg/dl; … Read more
– See: Frx Dislocations of the Hip – Discussion: – because of associated high energy trauma: look for other injuries – vast majority of patients sustained a hip dislocation will have associated injuries; – assoc ligamentous injuries to ipsilateral knee; – associated posterior wall fractures, femoral head, … Read more
Discussion use similar stratedgy as one would use for posterior wall frx w/ distraction of the femoral head, removal of all intra-articular fragments & correction of femoral head depressions; Approach use Kocher Langenbeck approach w/ prone positioning of patient, unless frx is remote, in which case, use extended iliofemoral approach; femoral head is distracted and incarcerated … Read more
– Discussion: – Steroid Menu: – Relative Potency of Various Steroids: – Triamcinolone: is the most common choice for joint injection (see knee osteoarthritis) – Cautions for Intra-Articular Injection: – local complications: – may cause fat necrosis and loss of skin pigmentation in blacks; … Read more
Discussion ascending cervical branches arise from extracapsular arterial ring; anteriorly, they penetrate capsule of hip joint at intertrochanteric line; posteriorly, they pass beneath the orbicular fibers of capsule; ascending cervical branches may be divided into 4 br; anterial, medial, lateral, posterior; of these lateral provides most of blood supply to femoral head; at margin of … Read more
– Discussion: – anterior approach: – femoral artery may be palpated in femoral triangle, & may be used as a guide in aspirating the hip joint; – palpate the femoral pulse just as it exits the inguinal ligament; – entry point is one inch lateral to the artery (at the inguinal ligament) and one inch … Read more