– See: – topical antimicrobials – skin prep agents – High Pressure Irrigation: – irrigation can remove enough wound bacteria to cross the threshold to non-infected states, but only if the irrigant is delivered with sufficiently high pressure to mechanically disrupt bacterial adherance to the wound surface; – to be clinically … 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
– 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
– 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
– Discussion: – is apparent when with stress testing lateral tibial plateau rotates posteriorly in relation to the femur with lateral opening of joint; – atraumatic type: – presents as chronic laxity, often with a varus knee deformity; – this ligamentous laxity often … Read more
– Discussion: – unlike anterolateral bowing, this disorder is not assoc w/ other anomalies (like neurofibromatosis) nor is it associated w/ tibial frxs or pseudarthrosis, such as congenital pseudarthrosis of tibia; – clinical findings: – posteromedial bowing – calcaneal valgus … Read more
– Discussion: – arises from disruption of the lateral collateral and annular ligaments; – associated conditions: elbow dislocation, radial head excision, coronoid fracture; – diff dx: lateral epicondylitis – LCL anatomy: – lateral collateral ligament consists of a ligamentous expansion proceding down from lateral … Read more
– Anatomy: – anterior compartment – lateral compartment – deep posterior compartment – superfical posterior – Anatomy: – position: either prone or on side, with the affected extremity uppermost; – incision: – incision is made just posterior to the … Read more