– See: Addition of Antibiotics to Cement – Discussion: – full discussion of technique for cementing femoral stems – mixing under vacuum reduces retained air & incr cement strength; – typically 2 bags are needed; – slower mixing of cement over a shorter time decreases air voids within cement and … Read more
– Discussion: – once femoral and acetabular components have been removed, residual cement can be removed from the femoral canal; – it is better to move onto to the acetabular revision prior to cement removal since the cement will prevent blood loss from the canal; – … Read more
– See: Total Hip Replacement Menu: – Cemented Femoral Component: Loosening: – Collar: in THR – Optimal Cementing Technique – Removal of Cemented Femoral Stems: – Indications: – cemented femoral stems probably remain gold standard for total … Read more
– 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
– See: – C1 / C2 – AtlantoAxial Rotatory Subluxation in Down’s Syndrome: – Atlantooccipital Disassociation: – Atlantoaxial Rotatory Fixation: – Atlantoaxial Subluxation in R.A.: – Cross Table Lateral: – Occipital-Atlanto-Axial Anomalies: … Read more
– See: – Atlantoaxial Rotary Subluxation- Discussion: – Transverse Ligament Rupture: – Discussion: – subluxation can occur in up to 70% of patients with rheumatoid arthritis, but frank dislocation occurs in about 25%; – approximately 11% of rheumatoid arthritis patients will develop … 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
– 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: – 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 elbow can be entered either ulnarly or radially, but radial approach is preferred inorder to avoid ulnar nerve injury; radial nerve is lies anterior to the elbow joint, and may be moved even more anteriorly by supinating the forearm; landmarks for aspiration of the elbow joint are the radial head, lateral epicondyle, and tip of the … Read more