The Hip book

Data Trace Editor

Acetic Acid

has been used on wounds for many years and has been reported recently to be effective in treating cultured epidermal autografts after the first week of placement; it is effective against a variety of gram-negative and gram-positive agents and is usually employed as a one-fourth strength solution.

Acetazolamide/Diamox

See: Diuretics For diuresis, glaucoma, alkalinization of urine; Is a carbonic anhydrase inhibitor; Adult: 250-375mg IV/PO q24hr in divided doses; Contraindicated w/ Renal failure, hepatic failure, hyperchloremic acidosis, hyponatremia, hypokalemia, chronic noncongestive angle closure glaucoma, supra renal gland failure; and sulfahypersensitivity, watch Sodium and Peds: Epilepsy: 8-30 mg/kg/24hr PO in 4 DD; Diuretic: 5 mg/kg/24hr … Read more

Acetaminophren/Tylenol

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 Inclination

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

Acetabular Protrusio

(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

Acetabular Exposure and Preparation for Reaming

(see also: acetabular component) Discussion it is essential to have optimal acetabular exposure; once acetabular exposure is achieved, then note native acetabular anteversion; Exposure for hips w/ severe osteoarthritis (or w/ heavily scarred hips) it may be necessary to fully release the quadratus femoris, and a portion of the gluteal sling; because the majority of … Read more

Acetabular Cup Insertion

(see also: Acetabular Component Menu) Acetabular Component press fit components » note whether acetabular component is hemispheric or non-hemispheric; non hemispheric components (ie over sized components or components with a peripheral flare) may be more appropriate for protrusio or for situations where acetabulum will be medialized where as hemisperic components may be more appropriate for … Read more

Acetabular Component Revision w/ Gap Cup

Total Hip Replacement Menu » Acetabular Component Revision » Discussion indications: salvage device for use in cases of pelvic discontinuity where a stable socket cannot be wedged between the anterior and posterior columns; classification of bone defects and bone grafting options: in almost every case, bone graft is morcelized and placed behind the cup; in … Read more