– See: – Coag Pathway – Pulmonary Embolus – DVT in Hip Frx and Surgery: – DVT Following THR: – DVT Following TKR: – DVT / PE arising from Trauma and Fractures – Prophylatic Measures – specific agents for risk reduction: – aspirin: – thrombolytic therapy: – SQ heparin – low molecular wt heparins – … Read more
– See: Pediatric Pelvic Fractures – Discussion: – disruption of acetabular triradiate cartilage in patient > age 12 will result in minimal subsequent growth disturbance; – in younger pts acetabular growth abnormality is frequent complication; – may result in shallow acetabulum & progressive subluxation of hip; … Read more
– Disadvantages of Laparotomy: – ligation of specific bleeding vessels in pelvic hematomas may not be technically feasible – extensive collateral flow of hypogastric system with in pelvis prevents hypogastric artery ligation from being effective; – ligation of both hypogastric arteries reduces mean arterial pressure in distal arteries by < 25%; – laparotomy breaches peritoneum, which … Read more
– Discussion: – frx consist of frxs of both pubic rami plus posterior frx of SI complex or sacrum: – there is vertically oriented frx thru anterior and posterior pelvis together w/ superior displacement of lateral “acetabulum-containing” fragment of pelvis; – this injury is characterized by rupture of entire … Read more
– See: Total Hip Replacement Menu – Heterotopic Ossification – Discussion: – typically develops on x-ray 3-8 wks postop in pericapsular area of the affected hip joint; – over all incidence is 50% (1/3 of these are clinically significant); – risk factors: … Read more
– PreOp Management: – medical conditions, anesthesia, and timing of surgery – etiology of fracture: – arrhythmia, osteoporosis, pathologic hip fractures, seizure, stroke – ref: Osteoporosis and proximal femoral fractures in the female elderly of Jerusalem. – fall producing a direct … Read more
Open Fractures / Frx Healing Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar Fractures (of elbow) Coronoid Process Frx Cuboid Frx Den’s Fracture … Read more
– X-ray schedule and Office visits: Office visits are scheduled at the time of discharge from the hospital and at subsequent office visits. If interval visits are required they can be scheduled by the appointment office at (919)684-4007 or if a problem arises that will require you to be seen on an emergency basis call … Read more
– Discussion: – in the report by Nowotarski PJ, et al, the authors examined the role of external fixation of femoral shaft fractures in multipling injured patients; – out of 1507 fractures of the shaft of the femur were treated with IM nailing 59 (4%) of those fractures were treated with … Read more
– See: Penicillin Family / Ampicillin / Aumentin – Discussion: – for beta lactamase producing Staph aereus, Eneterococcus, H. influenza, Klebsiella, Proteus mirablis, Bacteroides – adult: 1.5-3 gm IM/IV q6hr (2:1 ampicillin sodium:sulbactam) adjust w/ Renal failure; – good diffusion from blood into CSF only with inflammation; – inflammed … Read more