– Skin Incision and Initial Exposure: – as noted by Keating, et al (1997), 77% of patients who had a mid-patellar tendon splitting incision had significant knee pain; – in the report by Toivanen JA, et al (2002), the authors evaluated anterior knee pain in patients … Read more
Co-authored by Dr. Mangal Parihar – Fixator Characteristics: – ring characteristics: – wire insertion technique: – half pin insertion techniques: – Specific Uses: – circular wire fixators for tibial frx: (foot inclusion); – circular wire fixators for knee fusion: – limb … Read more
Dr. Mangal Parihar – Discussion: Proper limb positioning taught early on minimizes the chances of contractures developing later. The commonest cause of a flexion deformity is the tendency to keep a pillow lengthwise under a tibial frame. This causes flexion at the knee. This should be prevented by repeatedly correcting the tendency and keeping an … Read more
Dr. Mangal Parihar – Discussion: Pain relief is very often not given due importance in our (Indian) circumstances. The importance of keeping the patient free of pain, during the entire length of treatment cannot be overemphasized. This is even more vital in the early post-op period, because the patient with pain is not going to … Read more
– See: Watson Jones Approach – Discussion: – frx of anterior column & some anterior column-posterior hemitransverse frx are approached using ilioinguinal approach; – ilioinguinal approach can give simultaneous access to both anterior & posterior portions of the pelvic ring; – medial portion of this approach … Read more
– Discussion: – an overuse phenomenon which is common in runners (more common w/ downhill running); (see running injuries) – pts usually have pain over lateral femoral epicondyle, which is caused by inflammation resulting from friction as iliotibial band slides over condylar prominence; – syndrome may be more common in … Read more
Dr. Mangal Parihar – Discussion: Practically every patient needs to be taught weight bearing ambulation after the fixator is put on. It is not enough to tell them to bear full weight. There is a natural wariness to bear full weight on a limb that has just been operated, which is compounded by the pain … Read more
– Discussion: – for RA, OA, MSK pain, dysmenorrhea – NSAIA – – supplied: tabs: 200mg (OTC), 300mg, 400mg, 600mg, and 800mg; – Adult: – 300, 400, 600, or 800 milligrams three times daily to four times daily – 1,200-3200 mg per day in divided doses (titrated … Read more
– See: Rickets: – Discussion: – this is the most frequently encountered form of rickets and consists of a genetic or acquired fault in the handling of phosphate in the proximal tubule; – patholophysiology: – decreased reabsorpion of phosphate by the renal tubule (causing hypophosphatemia) (otherwise the … Read more
– Discussion: – hyperpronation refers to the inward rotation of the foot during gait; – the term is vague and probably should be replaced by precise descriptions of the relative positions of the hindfoot and forefoot during gait; – w/ hyper-pronation, there is an inability of the foot to supination … Read more