– See: Foot Selection for AKA Prosthesis: – Discussion: – excessive heel softness: causes knee hyper-extension; – excessive heel stiffness: knee tends to hyper-flex at heel strike; – Types of Prosthetic Feet: – SACH foot: – single axis foot: – used since … Read more
– See: Tibial Non Unions / treatment methods for tibial defects – Discussion: determinants in prognosis: – infection: (see: tibial infections) – worst prognostic feature of tibial fractures is infection; – infection is most frequent after high velocity, open injuries w/ skin necrosis; … Read more
– See: Knee Joint Menu – Patient Positioning and Preparation: – positioning: – opposite limb is well padded to prevent potential pressure problems; – operative thigh is placed against an arthroscopy post or is placed in a circular thigh immobilizer; … Read more
– Discussion: – telescoping tibial alignment device has proximal platform that conforms to the curved shape of the anterior cortex of the tibia; – this allows the cutting platform to fit snugly up against the tibial cortex and improve the accuracy of the resection; – cylinder of stylus assembly is inserted into its receptable on … 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: Position of Subtalar Fusion – Discussion: – knee deformities should be corrected prior to any forefoot fusions; – varus hindfoot may have compensatory forefoot valgus w/ plantarflexed 1st ray; – look for cavus type deformity – hammer toes may also be present; … Read more
– Frx – Menu (See: Post Op Orders) – Axial Skeleton – C-spine – Spine – Pelvis – Upper Extremity – Shoulder – Humerus – Elbow – Wrist – Hand – Lower Extremity – Hip – Femur – Knee – Tibia – Ankle – Foot – Systems – Neuro – Cranio-Maxillo-Facial – Spine – Cardiac … Read more
– Debridement: – all foreign material must be removed from the knee; – retained frags of cement can act as nidus for residual infection; – infected granulation tissue & scar tissue should be excised to provide healthy vascularized soft tissue surrounding the knee. – number of debridements needed before wound closure depends … Read more
– IM Nailing Technique – Open Femur Frx – Radiographs: – look for evidence of a pathologic lesion on x-ray, noting that it would be disasterous if a nail were driven through an occult osteosarcoma or chondroscaroma; – AP pelvis: (rule out concomitant injuries) – Hip Dislocation … Read more