– Discussion: – arthrography may be used in diagnosis of carpal instability because it is technically easy & is only minimally invasive; – normally there should be no communication between the radiocarpal, mid-carpal, and distal radial-ulnar joints; – it is noteworthy that in normal wrists there may be communications … Read more
– Discussion: – wrist disarticulation: include the removal of the radius and ulna to styloid processes; – shape of stump remains bulbous, thus permitting prosthetic attachment, leaving the elbow free and preserving full pronation & supination; – wrist disarticulation retains distal radio-ulnar joint preserves more forearm rotation, & retaining distal radial flare dramatically … Read more
– Management of Complications: – see open debridement and retention of components; – wound complications: (Dennis, ICLS 1997) (see contaminated wound care) – wound complications include prolonged post-operative drainage, superficial soft tissue necrosis, and full thickness soft tissue necrosis; – wound drainage and hematoma: … Read more
– Discussion: – KCI Vacuum Assisted Closure Device: (Company Web Site) and V.A.C.® Therapy Indications and Safety Information – Soft Tissue Coverage (Austere Environment) – Flaps and Vacuum-Assisted Closure (VAC) – technique: – debride all devitalized tissue and contaminated material; – sterile reticulated … Read more
– Menu: – Antibiotic Beads – Antibiotic Prophylaxis – Carrier State – Contaminated Wound Care – Debridement of Muscle: (debridement of open tibia fractures); – Decubitus Ulceration – Drains and Closure of Wounds – Fracture Blisters – Gun Shot Wounds – Pressure Irrigation … Read more
– See: Wound Management Menu / Dressings.org – Optimization of Wound Dressing: – purpose of a dressing is to protect the wound from diseccation and prevent postoperative contamination; – normal dry skin contains up 10 to 1000 bacteria per gram of tissue while skin in exposed and moist areas contains up … Read more
– regular rhythm; – PR <0.12 sec / QRS >0.11 sec; – Delta wave; – May cause SVT/ – May cause severe A. fib/atrial flutter – May have q waves depending on the tract: (Non MI q waves); Management: – quinidine 200 to 400 mg PO tid/qid is useful; – Propanolol / Procainamide may also … Read more
– Discussion: – Should Subcuticular Sutures be Avoided in TKR? – references: – Modality of wound closure after total knee replacement: are staples as safe as sutures? A retrospective study of 181 patients. – Wound complications in joint arthroplasty: comparing traditional and modern methods of skin closure – Staple vs. … 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 … Read more
– Discussion: – consequences of anterior instability include Bankart lesion, Hill Sachs lesion, erosion of the anterior glenoid, loose body formation, and stretching of the joint capsule; – features: – degree of trauma involved – distinguish between traumatic dislocations and recurrent … Read more