Ortho Oracle - orthopaedic operative atlas

GUANETHIDINE/ISMELIN

for HTN;  – Adult:  – initially 10mg/24hr PO;  – increase by 12.5mg/24 hr q5-7 days to 100mg/24 hr;  – max dose of 300mg/24hr based on response;  – Peds: 0.2 mg/kg/24hr PO initially; increase by 0.2 mg/kg/24hr increments q7-10 days; max dose of 3 mg/kg/24hr;  – Precautions:  – beware may produce profound orthostatic hypotension, esp w/ … Read more

4. Fasciotomy

CPT Brendan Masini, MD   I. Onset of Tissue Injury             A. Muscle and nerves may survive up to 4 hours of ischemia without development of irreversible damage             B. Nerves may have neuropraxic damage at 4 hours, however greater ischemic time will produce irreversible injury including axonotmesis at 8 hours II. Indications for Fasciotomy in Austere … Read more

Human Bite Wounds

– Discussion:       – clenched fist injury        – infections of the hand              – bacteriology of hand infections:              – bites distal to the wrist are at higher risk for malignant infections due to the proximity of superficial spaces, flexor tendons, and joints;               … Read more

III. Extremity Soft Tissue Care and Amputation in an Austere Environment

MAJ Travis Burns, M.D.     A. Understand the factors that affect the care options for different patient groups (locals, detainees, foreigners/soldiers and those with evacuation options)   I. Introduction             A. Patient categories in an austere setting                         1. host-nation civilians                         2. foreign noncombatants (third country nationals)                         3. detainees/enemy combatants                         4. … Read more

Handbook of Lower Extremity Infections, 3rd EditionHandbook of Lower Extremity Infections, 3rd Edition

div class=”mh-row clearfix”> h1>Handbook of Lower Extremity Infections, 3rd Editionh1 style=”margin: 0in 0in 0pt” align=”center”>font color=”#993300″>Handbook of Lower Extremity Infections, 3rd Edition/font>/h1>/h1> div class=”bodycopy”>div style=”margin: 0in 0in 0pt”>a href=”http://www.datatrace.com/medical/lei_order.htm”>img height=”263″ width=”160″ align=”left” border=”1″ alt=”” src=”http://www.datatrace.com/email/images/small-LEI.gif”/>/a>Data Trace Publishing Company is pleased to announce the publication of em>Handbook of Lower Extremity Infections, 3sup>rd/sup>/em> em>Edition/em>. Warren S. Joseph, author … Read more

How to Reduce the Cost of Hindfoot Fusion

Foot Ankle Int. 1998 Nov;19(11):735-737   Luber MJ, Nunley JA ABSTRACT  BACKGROUND: The purpose of this study was to determine whether modification of a surgical practice by using regional anesthesia and local bone grafting would yield the same surgical results as traditional anesthesia and iliac crest bone graft, with a cost reduction.   METHODS: All … Read more

Group II Clavicle Frx – Distal Third Frx

– Discussion:       – comprise 12-15% of clavicular frx & are subclassified according to location of CC ligaments relative to fracture fragments;       – distal clavicle fractures may have a high incidence of non union but most of these are asymptomatic, and of these only a small number will be severe enough to require surgery; – … Read more

Growth of Proximal Tibial Epiphysis

– See: Proximal Tibial Physeal Frx – Discussion:     – tibial tuberosity forms at about 13 wks of gestation, as cartilaginous extension of proximal tibial epiphysis;     – epiphyseal ossification center of proximal end of tibia appears at 1-3 months;     – primary ossification center:           – center … Read more