Data Trace Editor – Discussion: – joint is entered dorsally; – if there is any difficulty in entering Wrist Joint, hand can be suspended in Chinese finger traps to help open the joint space; – there are 2 main entry sites, 3-4 & 4-5 sites; … Read more
by Ben L. Allen, Jr. M.D. About WRIGHTLOCK and the Outboard Correction System Instrumentation Surgical Technique for King-Moe Type III Scoliosis Surgical Technique for King-Moe Type I or II Scoliosis
– Discussion: – wrist disarticulation: include the removal of the radius and ulna to styloid processes; – shape of stump remains bulbous, thus permitting prosthetic attachment, leaving the elbow free and preserving full pronation & supination; – wrist disarticulation retains distal radio-ulnar joint preserves more forearm rotation, & retaining distal radial flare dramatically … Read more
– Discussion: – KCI Vacuum Assisted Closure Device: (Company Web Site) and V.A.C.® Therapy Indications and Safety Information – Soft Tissue Coverage (Austere Environment) – Flaps and Vacuum-Assisted Closure (VAC) – technique: – debride all devitalized tissue and contaminated material; – sterile reticulated … Read more
– Management of Complications: – see open debridement and retention of components; – wound complications: (Dennis, ICLS 1997) (see contaminated wound care) – wound complications include prolonged post-operative drainage, superficial soft tissue necrosis, and full thickness soft tissue necrosis; – wound drainage and hematoma: … Read more
– regular rhythm; – PR <0.12 sec / QRS >0.11 sec; – Delta wave; – May cause SVT/ – May cause severe A. fib/atrial flutter – May have q waves depending on the tract: (Non MI q waves); Management: – quinidine 200 to 400 mg PO tid/qid is useful; – Propanolol / Procainamide may also … Read more
– Discussion: – Should Subcuticular Sutures be Avoided in TKR? – references: – Modality of wound closure after total knee replacement: are staples as safe as sutures? A retrospective study of 181 patients. – Wound complications in joint arthroplasty: comparing traditional and modern methods of skin closure – Staple vs. … Read more
– See: Wound Management Menu / Dressings.org – Optimization of Wound Dressing: – purpose of a dressing is to protect the wound from diseccation and prevent postoperative contamination; – normal dry skin contains up 10 to 1000 bacteria per gram of tissue while skin in exposed and moist areas contains up … Read more
– Menu: – Antibiotic Beads – Antibiotic Prophylaxis – Carrier State – Contaminated Wound Care – Debridement of Muscle: (debridement of open tibia fractures); – Decubitus Ulceration – Drains and Closure of Wounds – Fracture Blisters – Gun Shot Wounds – Pressure Irrigation … Read more
– See: TKR Menu: (Function and Activity after TKR) – Natural History of Painful TKR: – references: – Pain and Depression Influence Outcome 5 Years after Knee Replacement Surgery. – Impact of Psychological Distress on Pain and Function Following Knee Arthroplasty – Potential Causes of TKR failure: – early failures: … Read more