The Hip book

Stainless Steel

– Discussion:      – Characteristics of Metals and Implants:      – has best mechanical properties, as it is strong and has good fatigue resistance;      – it is easily worked and cheap to manufacture;      – serious draw back is the tendency to corrode;      – forged stainless steel has greater yield strength than … Read more

Rotator Cuff Repair Techniques

    – Discussion:         – rotator cuff repair (menu)         – mobilization of rotator cuff         – convergence repair         – restoration of footprint         – knot tying techniques – Considerations for Arthroscopic Repair:          – required steps: there are several steps for arthroscopic cuff repair and each step needs to be optimally performed w/o interfering w/ other steps; … Read more

Selection of Implant for Acetabular Revision

– See: – Acetabular Component Loosening: – Bone Grafting for Acetabular Defects: – Press Fit Acetabular Components: – if possible, probably most primary and revision components should have press fit components; – contained acetabular defects can generally be treated by grafting and insertion of a hemispherical acetabular component with use of screws; – generally only 70% … Read more

References for Diabetes and Infection

Medical Intelligence: Drug Therapy — The Physiologic Replacement of Insulin: An Elusive Goal.  Original Articles: Role of Insulin in Management of Surgical Patients with Diabetes Mellitus.  Original Articles: Perioperative Management of Diabetic Subjects: Subcutaneous Versus Intravenous Insulin Administration During Glucose-Potassium Infusion.  The influence of diabetes mellitus on the healing of closed fractures.  Diabetic foot infections. … Read more

References for Ankle Fractures

Fractures of the distal part of the fibula with associated disruption of the deltoid ligament. Treatment without repair of the deltoid ligament. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures. Examination of the pathologic anatomy of ankle fractures. Ankle fractures. A clinical and roentgenographic stereophotogrammetric study. Operative treatment of ankle fracture-dislocations. … Read more

Primary Flexor Tendon Grafting

– See:       – Excursion, of Tendons       – Staged Flexor Tendon Repair       – Tendon Repair Technique       – Pulley Reconstruction       – Tendon Sheath Anatomy – Anatomy:     – on volar aspect of finger, FDP passes thru FDS to insert on distal phalanx;     – both long flexor tendons … Read more

Percutaneous Fixation of Scaphoid Fractures:

– Percutaneous Fixation:     – in the report by Bond CD, et al (2001), the authors evaluated 25 patients with acute nondisplaced fracture of scaphoid waist that consented to be            randomized to either cast immobilization or fixation with a percutaneous cannulated screw fixation;            – 11 patients were randomized to percutaneous … Read more