_ : Wheeless' Textbook of Orthopaedics

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p>span class="callout">Important Safety Information
LOVENOX® (enoxaparin sodium injection) cannot
be used interchangeably with other low-molecular-weight
heparins or unfractionated heparin, as they differ
in their manufacturing process, molecular weight
distribution, anti-Xa and anti-IIa activities,
units, and dosage. When epidural/spinal anesthesia
or spinal puncture is employed, patients anticoagulated
or scheduled to be anticoagulated with low-molecular-weight
heparins or heparinoids are at risk of developing
an epidural or spinal hematoma, which can result
in long-term or permanent paralysis. The risk
of these events is increased by the use of postoperative
indwelling epidural catheters or by the concomitant
use of drugs affecting hemostasis. Patients should
be frequently monitored for signs and symptoms
of neurological impairment. (See boxed WARNING.)
As with other anticoagulants, use with extreme
caution in patients with conditions that increase
the risk of hemorrhage. Dosage adjustment is
recommended in patients with severe renal impairment.
Unless otherwise indicated, agents that may affect
hemostasis should be discontinued prior to LOVENOX
therapy. Bleeding can occur at any site during
LOVENOX therapy. An unexplained fall in hematocrit
or blood pressure should lead to a search for
a bleeding site. (See WARNINGS and PRECAUTIONS.)
Thrombocytopenia can occur with LOVENOX®.
In patients with a history of heparin-induced
thrombocytopenia, LOVENOX® should be used
with extreme caution. Thrombocytopenia of any
degree should be monitored closely. If the platelet
count falls below 100,000/mm³, LOVENOX® should
be discontinued. Cases of heparin-induced thrombocytopenia
have been observed in clinical practice. (See
WARNINGS.) The use of LOVENOX® has not been
adequately studied for thromboprophylaxis in
pregnant women with mechanical prosthetic heart
values. (See WARNINGS.) LOVENOX® is contraindicated
in patients with hypersensitivity to enoxaparin
sodium, heparin, or pork products, and in patients
with active major bleeding. Please see full prescribing
information, including boxed WARNING./span> br/>
/p>
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td class="sectionheader">a name="14" href="/">Total Hip Arthroplasty:/a>/td>
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li> span class="leftnav">a href="/joints/hip/preop-planning-for-thr/" class="leftnav">PreOp
Planning/a>/span>/li>
li>a href="/joints/hip/post-operative-radiographic-evaulation-of-thr/" class="leftnav">Post Operative Evaulation
of THR:/a>/li>
li> span class="leftnav">a href="/joints/hip/thr-posterolateral-approach/" class="leftnav">Surgical
Technique/a>/span>/li>
/ul>
ul>
li>a href="/joints/hip/thr-acetabular-component-anteversion/" class="leftnav">Acetabular Component/a> /li>
li>a href="/joints/hip/planning-for-thr-considerations-for-acetabular-fracture/" class="leftnav">Acetabular
Fracture and THR/a> /li>
/ul>
p class="header">Approach:/p>
ul>
li>a href="/joints/hip/anterolateral-approach-to-hip-joint-watson-jones/" class="leftnav">anterolateral
approach to hip joint/a> /li>
li>a href="/joints/hip/modified-hardinge-anterolateral-approach-to-the-hip/" class="leftnav">direct lateral
approach:/a> /li>
li>a href="/joints/hip/thr-posterolateral-approach/" class="leftnav">posterior
approach to the hip joint/a> /li>
li>a href="/bones/pelvic/arterial-injuries-in-thr/" class="leftnav">Arterial Injuries:
in THR:/a> /li>
li>a href="/joints/hip/arthrogram-following-thr/" class="leftnav">Arthrogram/a> /li>
li>a href="/joints/antibiotic-prophylaxis/" class="leftnav">Antibiotic
Prophylaxis: Infection/a> /li>
li>a href="/joints/hip/hip-arthrodesis/" class="leftnav">Arthrodesis/a> /li>
li class="leftnav">(a href="/joints/hip/conversion-of-fused-hip-to-thr/" class="leftnav">conversion
of fused hip to THR/a>): /li>
li>a href="/joints/hip/bipolar-arthroplasty/" class="leftnav">Bipolar Arthroplasty/a> /li>
li class="leftnav">Bone Grafting:
ul>
li>a href="/orthopaedics-related-topics/orthobiologics/classification-of-acetabular-defects-and-bone-grafting-options/" class="leftnav">acetabular bone
grafting in THR:/a> /li>
li>a href="/orthopaedics-related-topics/orthobiologics/femoral-bone-grafting-in-thr/" class="leftnav">reconstruction
of femoral bone defects/a>/li>
/ul>
/li>
li>a href="/joints/hip/bone-scan-in-thr/" class="leftnav">Bone Scan/a> /li>
li>a href="/total-ankle-replacement/basic-science/" class="leftnav">Bone Ingrowth and
Histology/a> /li>
li>a href="/joints/hip/cementing-technique-for-thr/" class="leftnav">Cementing Technique/a> /li>
li>a href="/joints/hip/cemented-femoral-stems/" class="leftnav">Cemented Femoral Stems/a> /li>
li>a href="/joints/hip/collar-in-thr/" class="leftnav">Collar: in THR/a> /li>
li>a href="/arthritis/adult-differential-diagnosis/" class="leftnav">Differential
Diagnosis: Adult Arthritis/a> /li>
li>a href="/joints/hip/dislocation-of-tha/" class="leftnav">Dislocation of THA:/a> /li>
li>a href="/joints/hip/dvt-pe-prophylaxis-in-thr/" class="leftnav">DVT/PE Prophylaxis/a> /li>
li>a href="/joints/hip/thr-in-the-dysplasic-hip/" class="leftnav">Dysplastic Hip/a> /li>
li>a href="/joints/hip/femoral-component/" class="leftnav">Femoral Component/a> /li>
li>a href="/joints/hip/thr-periprosthetic-femur-fractures/" class="leftnav">Femoral Fractures
from THR/a> /li>
li>a href="/joints/hip/forces-acting-on-the-hip-joint/" class="leftnav">Forces acting
on the Hip Joint/a> /li>
li>a href="/ortho/resection_arthroplasty_of_the_hip" class="leftnav">Girdlestone
Taylor Resection Arthroplasty/a> /li>
li>a href="/joints/hemiarthroplasty-of-the-hip/" class="leftnav">Hemiarthroplasty /
Bipolar Arthroplasty/a>/li>
li>a href="/joints/hip/heterotopic-ossification-of-the-hip/" class="leftnav">Heterotopic
Ossification/a> /li>
li>a href="/joints/hip/cemented-femoral-stems/" class="leftnav">Hybrid Hip Replacement/a> /li>
li>a href="/joints/hip/types-of-femoral-stem-loosening/" class="leftnav">Loosening of Implants:/a> /li>
li>a href="/joints/hip/infected-septic-thr/" class="leftnav">Infected / Septic
THR:/a> /li>
li>a href="/joints/hip/misc-thr-articles/" class="leftnav">Misc. THR Articles/a> /li>
li>a href="/nerves/nerve-injuries-in-thr/" class="leftnav">Neurovascular Injuries
in THR/a>/li>
li>a href="/joints/hip/thr-osteolysis/" class="leftnav">Osteolysis/a> /li>
li>a href="/joints/hip/polyethylene-and-polyethylene-wear/" class="leftnav">Polyethylene/a>/li>
li>a href="/joints/hip/press-fit-femoral-stems/" class="leftnav">Press Fit Femoral
Stems/a>/li>
li>a href="/joints/hip/acetabular-protrusio/" class="leftnav">Protrusio/a>: /li>
li>a href="/joints/hip/radiology-of-the-hip/" class="leftnav">Radiology of
the Hip:/a> /li>
li>a href="/joints/hip/revision-total-hip-arthroplasty/" class="leftnav">Revision THR/a> /li>
li>a href="/joints/hip/stress-shielding-from-femoral-components/" class="leftnav">Stress Shielding/a>; /li>
li>a href="/bones/femur/greater-trochanteric-osteotomy/" class="leftnav">Trochanteric Osteotomy/a> /li>
li>a href="/joints/hip/radiology-of-the-hip/" class="leftnav">X-rays for
THR and PreOp Planning:/a> /li>
/ul>
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area shape="rect" coords="141,2,209,39" href="../o16/42.htm" alt="Head Injury"/>
area shape="rect" coords="143,42,209,67" href="../o16/37.htm" alt="Cranio-Maxillary-Facial Injuries"/>
area shape="rect" coords="158,69,182,91" href="../o11/109.htm" alt="Cervical Spine"/>
area shape="rect" coords="101,88,238,100" href="../orthoo/51.htm" alt="Clavicle Fractures"/>
area shape="rect" coords="80,100,119,124" href="../orthoo/43.htm" alt="Shoulder"/>
area shape="rect" coords="216,101,255,126" href="../orthoo/43.htm" alt="Shoulder"/>
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area shape="rect" coords="-1,165,32,197" href="../o2/223.htm" alt="Elbow Joint"/>
area shape="rect" coords="227,207,269,244" href="../o2/223.htm" alt="Elbow Joint"/>
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area shape="poly" coords="256,247,268,272,281,303,296,297,279,267,270,247,255,246" href="../orthoo/105.htm" alt="Radius"/>
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area shape="poly" coords="253,246,242,248,272,307,278,303,252,245" href="../orthoo/126.htm" alt="Ulna / Ulnar Shaft"/>
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area shape="poly" coords="317,307,279,326,284,360,311,373,331,343,317,309" href="../ooa1/105.htm" alt="Hand"/>
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area shape="poly" coords="146,264,126,263,111,277,111,296,134,299,145,265" href="../oo4/558.htm" alt="Hip Joint"/>
area shape="poly" coords="200,266,192,270,199,288,205,299,230,302,228,274,201,265" href="../oo4/558.htm" alt="Hip Joint"/>
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area shape="poly" coords="112,392,103,409,98,427,198,436,202,393,140,421" href="../oo4/184.htm" alt="Knee Joint"/>
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/div>/td>
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tr>
td>p class="contentcopy">a href="/ortho/review_article_medical_progress_total_hip_and_total_knee_replacement_1" class="contentcopy">Review
Article: Medical Progress: Total Hip And Total Knee/a> Replacement
(First of Two Parts). /p>
p class="contentcopy">a href="/ortho/1990_proceedings_of_the_hip_society_symposium_dislocation_after" class="contentcopy">1990
Proceedings of The Hip Society-Symposium: Dislocation After/a> Total
Hip Arthroplasty: Causes and Prevention. /p>
p class="contentcopy">a href="/ortho/current_concepts_review_the_clinical_results_and_basic_science_of" class="contentcopy">Current
Concepts Review. The Clinical Results and Basic Science
of/a> Total Hip Arthroplasty with Porous-Coated Prostheses./p>
p class="contentcopy">a href="/ortho/the_first_32_years_of_total_hip_arthroplasty_one_surgeons_perspective" class="contentcopy">The
first 32 years of total hip arthroplasty. One surgeon's
perspective./a> /p>
p class="contentcopy">a href="/ortho/operative_correction_of_an_unstable_total_hip_arthroplasty" class="contentcopy">Operative
correction of an unstable total hip arthroplasty./a>/p>
p class="contentcopy">a href="/ortho/current_concepts_review_antibiotic_impregnated_cement_in_total" class="contentcopy">Current
Concepts Review. Antibiotic-Impregnated Cement in Total/a> Joint
Arthroplasty. /p>
p class="contentcopy">a href="/ortho/the_trochanteric_approach_to_the_hip_for_prosthetic_replacement" class="contentcopy">The
trochanteric approach to the hip for prosthetic replacement./a> /p>
p class="contentcopy">a href="/joints/hip/total-hip-arthroplasty/_in_juvenile_rheumatoid_arthritis" class="contentcopy">Total
hip arthroplasty in juvenile rheumatoid arthritis./a> /p>
p class="contentcopy">a href="/ortho/a_comparison_of_the_perioperative_morbidity_in_total_joint_arthroplasty" class="contentcopy">A
comparison of the perioperative morbidity in total joint
arthroplasty/a> in the obese and nonobese patient./p>
p class="contentcopy"> a href="/ortho/the_outcome_of_charnley_total_hip_arthroplasty_with_cement_after_a_minimum" class="contentcopy">The
outcome of Charnley total hip arthroplasty with cement
after a minimum/a> twenty-year follow-up. The results
of one surgeon. /p>
p class="contentcopy">a href="/ortho/total_hip_replacement_lower_limb_blood_flow_and_venous_thrombogenesis" class="contentcopy">Total
hip replacement, lower limb blood flow and venous thrombogenesis./a> /p>
p class="contentcopy">a href="/ortho/long_term_results_of_charnley_low_friction_arthroplasty_in_young_patients" class="contentcopy">Long-term
results of Charnley low-friction arthroplasty in young
patients./a> /p>
p class="contentcopy">a href="/ortho/the_validity_and_reliability_of_a_total_hip_arthroplasty_outcome_evaluation" class="contentcopy">The
validity and reliability of a Total Hip Arthroplasty Outcome
Evaluation/a> Questionnaire. /p>
p class="contentcopy">a href="/ortho/hip_arthroplasty_in_hemophilic_arthropathy" class="contentcopy">Hip
arthroplasty in hemophilic arthropathy./a> /p>
p class="contentcopy">a href="/ortho/minor_anatomic_abnormalities_of_the_hip_joint_persisting_from_childhood_and_their" class="contentcopy">Minor
anatomic abnormalities of the hip joint persisting from
childhood and their/a> possible relationship to idiopathic
osteoarthrosis. Metal release in pateints who have had
a primary total hip arthroplasaty. A prospective controlled
longitudinal study. JJ Jacobs. MD et al. /p>
hr size="3"/>
p>span class="header">Charnely/span>: a href="/image7/charn1.jpg">img src="/image7/charn1a.jpg"/>/a> a href="/image7/charn2.jpg">img src="/image7/charn2a.jpg"/>/a> a href="/image7/charn3.jpg">img src="/image7/charn3a.jpg"/>/a> /p>
p>span class="header">Charnely-Muller:/span> a href="/image7/tthr11.jpg">img src="/image7/tthr11a.jpg" align="middle"/>/a> /p>
p>span class="header">Girdlestone:/span> a href="/image7/girdle1.jpg">img src="/image7/girdle1a.jpg"/>/a> a href="/image7/girdle2.jpg">img src="/image7/girdle2a.jpg"/>/a> /p>
p class="contentcopy"> /p>
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td>table width="100%" border="0" cellspacing="0" cellpadding="0">
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td>font size="2">a href="/ortho/wheeless_textbook_of_orthopaedics_9" class="leftnav">©1996,
C.R. Wheeless MD / Duke University Medical Center/a>/font>/td>
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