(see also: Penicillin Family / Ampicillin / Aumentin) Discussion for beta lactamase producing Staph aereus, Eneterococcus, H. influenza, Klebsiella, Proteus mirablis, Bacteroides adult: 1.5-3 gm IM/IV q6hr (2:1 ampicillin sodium:sulbactam) adjust w/ Renal failure; good diffusion from blood into CSF only with inflammation; inflammed meninges: 5-10; peds: Dosed as Ampicillin; supplied: Powder for Injection 1.5 gm, 3.0 … Read more
– Discussion: – w/ Young-Burgess system, stability or lack of stability can be judged fracture pattern, direction of the force of injury, and by knowledge of pelvic ligamentous anatomy; – in Lateral Compression frx, force of injury is from side & is assoc w/ horizontally oriented pubic frx; – Lateral Compression Classification: … Read more
– See: – Calcar Femorale: – Garden I & II: – Garden III & IV: – Garden’s Alignment Index: – Pathologic Hip Fractures: – Radiology of the Hip: – Sigh Index – Radiographs: … Read more
– Trauma Workup – assessment of perfusion: damage control orthopaedics – timing of surgery in orthopaedic patients with brain injury – surgical timing and prevention of pulmonary complications in patients with femur frx – PreOp Planning for IM Nailing: (IM Nailing Technique) – Fracture Classification – Open Femur Frx – Comminuted Frx – Proximal Frx – … Read more
– Trauma Management: – damage control resusitation – ref: Damage-Control Orthopedics Versus Early Total Care in the Treatment of Borderline High-Energy Pelvic Fractures – fluid management – hypotension is associated with an increased risk of mortality, ARDS, and multiple organ failure; – IV access is secured with at least … Read more
– See: Trauma Menu – Discussion: – note that with acetabular fracture associated with major trauma that there will be 50% chance of at least one other major injury; – neuro and head injury (see Glasgow) – abdominal and chest injury (pulmonary … Read more
Journal of Bone and Joint Surgery Long-Term Results of Treatment of Fractures of the Medial Humeral Epicondyle in Children Operative Treatment of Interdigital Neuroma. A Long-Term Follow-up Study The Effects of Tibial Rotation on Posterior Translation in Knees in Which the Posterior Cruciate Ligament Has Been Cut Patellar Resurfacing in Total Knee Arthroplasty. A Prospective, … Read more
– Discussion: – see: stability of weber b fractures: – isolated Weber B fractures (no medial injury) can be treated w/ a cast if there is upto 3 mm of fibular displacement; – it has been observed that x-rays tend to over-estimate displacement (as compared to … Read more
– Venous Anastomosis: – Discussion: – thickest layer in the vein is the adventitia and cannot be stripped away from vessel as it can in the artery & therefore need to use gentle technique in teasing away the excess adventia and trimming it with scissors; – vessel walls are not as self supporting … Read more
– Discussion: – pelvic fracture menu / arterial anatomy of lower limbs – massive retroperitoneal hemorrhage may result from bony fragments and lacerated blood vessels, leading to coagulopathy and exsanguination; – associated injuries: – up to 40% of pts who have a pelvic fracture will … Read more