The Hip

Tibio-Talar-Calcaneus Arthrodesis

– Discussion:     – surgical indications include diabetic neuropathy, osteoarthritis, posttraumatic injury, talar AVN, and RA involving            ankle and subtalar joints;     – position for pantalar arthrodesis:            – 0-5 deg of calcaneus (not equinus) and 5 deg of valgus;     – in the report by Chou, et al, the authors … Read more

Internet Driven Form Generator for Brief Op note, Orders, Prescriptions, and Patient Education Sheet.

Problem:  1) The busy surgeon is faced with a mounting amount of documentation challenges which interferes with already hardpressed time constraints. (Any surgeon that disputes the increasing amount of documentation is probably not aware of current CMS guidelines).  Most surgeons are probably not aware of what CMS requires and does not require (and has not felt … Read more

TKR – Posterior Cruciate Ligament Retaining Prosthesis

– See: – TKR Menu – Joint Line Position: – Posterior Stabilized Prosthesis: – Function of Posterior Cruciate Ligament: (see PCL) – as the knee flexes, eccentric postion of the PCL femoral orgin prodecues a tensile force in the ligament; – because of nonconforming low friction articlation, this tensile force is converted into a translatory … Read more

TKR: Valgus Deformity

– See: – TKR Menu: – Collateral ligaments: – Medial Collateral Ligament – Lateral Collateral Ligament – Discussion: – more common in females; – in valgus knee, ligament balancing is more difficult to fix; – the anatomic deformity is usually larger in valgus than in varus, and it is on the femoral side; – femur … Read more

Total Knee Replacement – Patient Saftey Packet

How We Are Committed to Protecting Your Safety:          How We Protect You From Infection          How We Protect You From  Blood Clots: What you should know before your surgery?         your laboratory results                 your hematocrit should be between 30 and 45%                         – if your hematocrit drops below 25-26% during your surgery, we may recommend a … Read more

Total Knee Replacement – Day 1

           blood draw: A blood drawing technician will draw your blood at 6 AM (will test for your red blood cell level          – hematocrit – and possibly chemitry level).  Ask your nurse about your hematocrit (should be above 30 and if          the hematocrit is below 26 we may recommend a transfusion)          vitals … Read more