– Discussion: – treatment is directed at stabilizing hip that has positive Ortolani or Barlow test or to reducing dislocated hip w/ mild to moderate adduction contracture; – implications of positive Ortolani & Barlow’s Test are different; – Barlow’s Test identifies unstable hip that requires dynamic … Read more
– See: DDH – Clinical Presentation: – widened perineum, shortened lower extremity, & hyperlordosis of lower spine; – Treatment Considerations: – after 2 years of age, there is increased risk of AVN & closed reduction is more likely to fail; – open reduction: – … Read more
– See: – DDH – Impediments to Reduction in DDH – Medial Approach to Hip – Open Reduction – Pelvic Osteotomy – Treatment Goals: – goal is to achieve and manitain a concentric reduction of hip joint; – concave acetabulum cannot develop without concentric force … Read more
(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more
– Advanced Cardiac Life Support (ACLS) – ACLS – Iowa Family Practice Handbook – AHCPR Guidelines – eMedicine Online Text – Advanced Trauma Life Support (ATLS) – Assessment of Perfusion/Shock: damage control orthopaedics – blood pressure (systolic), heart rate, urine output (30 mL/hr) body temperature; – labs: … Read more
I. Combat/Disaster Injuries II. Battlefield/Austere Environment Trauma Systems III. Extremity Soft Tissue Care and Amputation in an Austere Environment – ATLS Assessment: (General Approach to Trauma) – ref: Evolution and Development of the Advanced Trauma Life Support (ATLS) Protocol: A Historical Perspective – airway protection: – anesthesia menu: virtual anesthesia textbook / intubation menu – anesthesia consideration for … Read more
– See: – Associated Transverse & Posterior Wall Fracture – T Shaped Fractures – AO Foundation Transverse Fracture – Discussion: – transverse frxs extend across both the anterior and posterior columns; – frx divides the innominate bone into superior segment containing acetabular roof … Read more
Presence of Shock Inspection Palplation: symphysis, pubic rami, iliac crests, sacroiliac; bimanual compression & distraction of the iliac wings, & abduction & adduction of the hip should be done to detect instability; manual traction can aid in the determination of vertical instability grasp both legs and pull one caudad while pushing the other cephalad Neurologic Injury … Read more
(See also: Total Hip Replacement Menu) Discussion evaluation of the painful THR indications for revision evaluation for loosening outcomes: references: Why revision total hip arthroplasty fails. Revision Hip Arthroplasty: Infection is the Most Common Cause of Failure Examination examination for loosening: previoius incisions; contracture of the flexors and adductors (adds to complexity of the case); … Read more
– see: anesthesia menu – Discussion: – assessment of perfusion: damage control orthopaedics – the most common situation is how to manage the femur fracture in the brain injured patient; – some authors have expressed concern that intraoperative hypoxia and hypotension may commonly occur w/ early IM nail stabilization; … Read more