– 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
– 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: TKR Menu: (Function and Activity after TKR) – Natural History of Painful TKR: – references: – Pain and Depression Influence Outcome 5 Years after Knee Replacement Surgery. – Impact of Psychological Distress on Pain and Function Following Knee Arthroplasty – Potential Causes of TKR failure: – early failures: … Read more
– History and Physical: – time of injury and symptoms; – exact position of hand (finger flexion) during the injury – kanavel’s signs: – used to distinguish deep infectious tenosynovitis from superficial cellulitis; – pain w/ finger extension may … Read more
– Discussion: – tap pins through soft tissues until they meet bone, and once the wire emerges from the far cortex, it is driven through the soft tissues w/ a mallet; – periarticular insertion – avoid impaling synovium; – in the knee, insert the wire 1 cm below articular surface … Read more
– Exam: – skin abrasion and contussions from direct blows; – r/o compartment syndrome; – ligamentous instability – peroneal nerve function; – Radiographs: – Indications for treatment: – Open Plateau Frx or Frx w/ compartment syndrome; – Articular Surface … Read more
– Type I: – comminution is minimal or there is no comminution at frx site – Type II: – comminution involves a fragment larger than that in type I but has at least 50% of the circumference of the cortices of two major frx fragments intact; … Read more
– See: brachial plexus – Discussion: – hx: persistant pain > 6 months: (poor prognosis); – diff dx: – breast cancer (lower plexus and painful) – radiation therapy (upper plexus and painless) – … 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
Interaction between permanent cardiac pacing and electrocautery: the significance of electrode position. Effects of method of hemostasis on wound-infection rate. The contaminated skin-knife–fact or fiction. Recovery of skeletal muscle after laceration and repair. Studies in the management of the contaminated wound. IV. Resistance to infection of surgical wounds made by knife, electrosurgery, and laser.