– Discussion: – standard forearm flap is vascularized by a pedicle that consists of the radial artery and two vena comitantes that are ligated proximally and turned distally toward the defect in the hand; – it provides a thin, vascularized wound cover and a vascular bed for skin grafting; – … Read more
– Discussion: – radial styloid frxs most commonly occur from tension forces sustained during ulnar deviation and supination of the wrist; – strong radiocarpal ligament, particularly radioscaphocapitate ligament, avulse radial styloid from metaphysis of the radius; – ligamentous attachments maintains alignment radial styloid to carpus, but styloid may be markedly displaced from … Read more
– Anesthesia: – GEA if possible (a neurological exam is often required at the end of the case); – Equipement: – bipolar cautery – hand tray – bone reduction clamps – small Homans – small fragment set (Synthes – Allen Burrus – # … Read more
– See: – Radiographic Changes of Cervical Spine in JRA: – Rheumatoid Arthritis: – Transverse Ligament Rupture: – Discussion: – cerival spine involvement is common in RA (up to 90%) & is more common w/ long standing disease and multiple joint involvement; … Read more
– Discussion: – pattern of hip deformity in cerebral palsy depends on type and extent of neurologic impairment; – non progressive neuromuscular disorder w/ onset before 2 yr resulting from injury to the immature brain; – etiology includes: perinatal infections (TORCH), prematurity (most common), anoxic injuries, … Read more
– See: first generation ceph – Discussion: – adult: 1-4 gm/day PO given in 4-6 hr intervals; Max 4gm per 24 hrs; – 250 to 500mg PO q6hr for UTI; t1/2=1hr; – may give with Probenicid w/ osteomylitis for 2-4wks IV; – contra with cephalo allergy; … Read more
– Discussion: – most common incomplete cord lesion – frequently associated w/ extension injury to osteoarthritic spine (cervical spondylosis) in middle aged person who sustains hyperextension injury; – cord is injured in central gray matter, & results in proportionally greater loss of motor function to upper extremities than lower extremities w/ variable sensory sparing; – Anatomy: – fibers responsible … Read more
– Discussion: – once femoral and acetabular components have been removed, residual cement can be removed from the femoral canal; – it is better to move onto to the acetabular revision prior to cement removal since the cement will prevent blood loss from the canal; – … Read more
– See: Total Hip Replacement Menu: – Cemented Femoral Component: Loosening: – Collar: in THR – Optimal Cementing Technique – Removal of Cemented Femoral Stems: – Indications: – cemented femoral stems probably remain gold standard for total … Read more
– See: Total Hip Replacement Menu: – Addition of Antibiotics to Cement: – Cemented Femoral Component Loosening: – Insertion of Cemented Femoral Stems: – Discussion: – first generation technique: – finger packing … Read more