Orthopaedic Anesthesia
– See: – Anesthesia and Timing for Femoral Neck Fractures: – Anesthesia in the Spinal Cord Injured Patient: – Cardiac Orders / Meds: – Malignant Hyperthermia: – Risk Assessment: – Anesthetic Agents: – Lidocaine: … Read more
Hand
Orthopaedic CPT Codes
Note: it is the responsibility of the physician to ensure that these codes are correct. Debridement Excision of Skin Lesions / Ulcers Excision of Foreign Body or Superficial Tumors Spinal Procedures (and rib) Shoulder, Clavicle, and Humerus Procedures Elbow, Wrist, and Hand Procedures Hip, Femur and Knee Procedures … Read more
Orthopaedic Index: A
Artery Menu Arthritis Absent Thumb Accessory Bones of the Foot … Read more
Orthopaedic Index P
Pagets Disease Panner’s Disease Parathyroid hormone Parsonage-Turner Syndrome Paronychia: Parosteal Osteosarcoma Patella / Patello-Femoral Function … Read more
Orthopaedic Aspects of Leprosy
– Discussion: – causative organism of leprosy is M. leprae; – acid-fast, obligate, intracellular gram-positive bacillus that reproduces maximally at 27°C to 30°C; – frequent subacute polyarthritis involving the small joints of the hands and feet; – organism infects the skin and cutaneous nerves, … Read more
ORIF of Hand Frx w/ Screws
– Indications: – displaced long oblique fractures, spiral frxs, or articlar fractures (> 25%) of metacarpals or phalanges; – screw fixation used w/o a plate, requires that the frx length will be at least twice diameter of the metacarpal; (lag screw theory) – a minimum of 2 screws are … Read more
ORIF of Dorsally Displaced Distal Radius Frx
– See: dorsal barton’s frx and dorsal approach to the wrist: – Surgical Approach: – patient is supine w/ wrist slightly flexed & placed on arm board; – perform a provisional reduction before the incision is made; – Z or S shaped incision from base of second metacarpal over wrist … Read more
ORIF of Hand Frx w/ K Wires
– Discussion: – K wires should never cross at the fracture site, since this will cause rigid distraction; – K wires should cross either proximal or distal to the fracture and gain firm anchorage in the proximal and distal metaphysis; – Holding Power of the Wires: – increased penetrating ability and … Read more
ORIF of Calcaneal Frx: Fixation of Tuberosity and Sustentacular Fragments
– Discussion: – restoration of heel width / height requires reduction of tuberosity fragment to sustentacular fragment; – generally the tuberosity fragment needs to be brought out of varus and a medially displaced position; – key toreduction of sustentaculum talus fragment, which is almost … Read more