for mild pain, HA, F, Nonnarcotic analgesic, Antipyretic, Adult: 350-650-1000mg PO q4-6hr; Max: 3.2 gm per 24hr; OD may cause hepatoxicity (often delayed), antidote is N-acetylcystiene; No antiplatlet activity; No antiinflamitory property Caution with patients with Glucose 6 Phos defficiency; Contraindications: Acetominophren hypersensitivity; overdosage presents early as Nausea, Vomiting, and malaise, and presents late as clinical and … Read more
Acetabular Component Abduction / Inclination: (see also: acetabular component position) when cup is abducted < 30 degrees, impingement occurrs in flexion; when cup is abducted > 50 deg, head tended to sublux out of acetabulum by “climbing the wall” note that the abduction angle of the cup is an important technical factor contributing to the … Read more
Discussion note whether the acetabular component is same size or 1-2 mm > reamers; it is essential to obtain a tight metal to bone fit at the time of surgery, inorder to avoid subsequent loosening; the surgeon should not expect that residual metal – bone gaps will fill in w/ bone; it has also been … Read more
(see also: Bone Grafting for Acetabular Defects) Discussion it is probably the result of remodeling of weak, medial acetabular bone after multiple, recurring stress fractures. intrapelvic protrussion of the acetabulum may be primary or secondary; protrusio acetabuli is not found only in inflammatory arthritides; most cases are in patients with osteoarthritis. primary protrusio: Otto Pelvis … Read more
EXPAREL web site Educational Presentations AAHKS 2015: Effective Functional Postsurgical Pain Control with an Opioid-Reducing Regimen. Iorio R, Kelly MA, Huddleston III JI, McAllister C. Duration – 8:55 minutes CCJR 2015: Postsurgical Pain Control with an Opioid-Reducing Regimen: A Focus on the Patient and Functional Outcomes. Mont MA, Kelly MA Kirschenbaum, IH Duration – 9:29 … Read more
CBS New York — 8/8/16 Time Release Pain Killer ‘EXPAREL’ Designed to Reduce Patients’ Exposure to Opioids Plano Orthopedic — 4/1/15 Dr. Barrington Talks Benefits of EXPAREL for Postsurgical Pain PharmiWeb.com — 3/23/15 New Data Demonstrate Reduced Opioid Requirements Following Use of EXPAREL in Hysterectomy and Mastectomy Procedures MarketWatch — 3/23/15 New Data Demonstrate Reduced … Read more
2016 Femoral nerve block versus long-acting wound infilitration in total knee arthroplasty. Emerson, Barrington, Olugbode et al. Orthopedics. 2016. (article link) Liposomal bupivacaine as an adjunct to postoperative pain control in total hip arthroplasty. Yu, Szulc, Walton, Davidovitch, Bosco, Iorio. J Arthroplasty. 2016. (article link) Reducing opioid adverse events: a safe way to improve outcomes. … Read more
Hip and Knee Infiltration Technique Local Analgesia Infiltration Techniques – Hip and Knee Arthroplasty Spine Infiltration Techniques Anterior/Posterior Lumbar Interbody Fusion L2/3-3/4, L4/5 Lateral Interbody Fusion Followed by Posterior Spinal Fusion L2-L5 with Instrumentation and Laminectomy L3/4-L4/5 Lumbar Laminectomy and Discectomy Right L4-L5 Posterior Cervical Fusion C4/5, C5/6
Discussion arises from median nerve, 5 cm above medial epicondyle; runs on volar surface of FDP and along interosseous membrane between ulna & radius; supplies FPL, lateral half of FDP, & pronator quadratus; may supply sensory branches to distal ru and carpal joints; variations: martin gruber anastomosis occurs in 10-15% of all forearms and in … Read more
Myopathic Disorders » Muscle Fiber Types » Biochemistry of Skeletal Muscle Contraction Muscle Contraction Depolarization Metabolic Sequence Calcium Regulation of Muscle Contraction Histology of Skeletal Muscle Chemistry of Skeletal Muscle Muscle Cramps » Extra cellular Matrix composed of many different molecular components, consisting mostly of collagens, proteoglycans, and glycosaminoglycans Matrix metalloproteinases enzymes that digest collagen … Read more