The Hip - book

Removal of Cementless Stems

– Pre Op Planning:      – exam for THR loosening:      – radiology of press fit stems            – note degree of porous coating around the stem;            – note any migration or subsidence of component which may indicate presence of fibrous membrane and poor … Read more

Renal Osteodystrophy

– See:          – Calcitriol          – Hyperparathyroidism          – Renal Failure: (Orders for the CRF Patient)          – Renal Spondyloarthropathy          – Vit D – Effects on Adult Bone:     – abnormalities of renal function can produce profound bone disease;     … Read more

Renal Spondyloarthropathy

– See: Renal Osteodystrophy – Discussion:     – seen in hemodialysis patients with chronic renal failure and typically invovles three adjacent vertebrae with intervening discs;     – changes include subluxation, degeneration, and narrowing of disc ht;     – although the process may resemble infection, it probably represents crystal or amyloid deposition;     – … Read more

Reflex Sympathetic Dystrophy / Complex Regional Pain Syndrome

– Definition:        – “RSD” is an imprecisely used term; has been used to describe changes in soft tissue and bone;        – RSD may not involve the sympathetic nervous system and may not be the consequence of a reflex;        – 1995: IASP Consensus Conference: “Complex regional pain … Read more

References for Thromboembolic Rx in Hip Frx

Compression ultrasonography for the detection of deep venous thrombosis in patients who have a fracture of the hip. A prospective study. Low-molecular-weight heparinoid compared with warfarin for prophylaxis of deep-vein thrombosis in patients who are operated on for fracture of the hip. A prospective, randomized trial. Prevention of DVT after elective hip surgery. A randomized trial comparing low … Read more

References for Warfarin

Current Concepts Review. Prophylaxis of Venous Thromboembolic Disease Following Hip and Knee Surgery. Low-molecular-weight heparinoid compared with warfarin for prophylaxis of deep vein thrombosis in patients who are operated on for fracture of the hip. Intermittent pneumatic compression to prevent proximal deep vein thrombosis during and after total hip replacement. A prospective, randomized study of compression alone, compression and aspirin, and … Read more

References for Wound Infection / Healing

Assessment of perfusion in postoperative patients using tissue oxygen measurements. Local heat increases blood flow and oxygen tension in wounds. Effect of electrocautery on wound healing in midline laparotomy incisions. Factors affecting the incidence of postoperative wound infection. Nutritional status: importance in predicting wound-healing after amputation. Doppler-determined segmental pressures and wound-healing in amputations for vascular … Read more

References for Sickle Cell Anemia

Osteomyelitis in Patients Who Have Sickle-Cell Disease. Diagnosis and Management. Systemic salmonella infections in sickle cell anaemia. Use of the tourniquet during surgery in patients with sickle cell hemoglobinopathies. Acute surgical illness in patients with sickle cell anemia. Osteonecrosis of the humeral head in sickle cell disease. Augmentation by erythropoietin of the fetal-hemoglobin response to hydroxyurea … Read more

References for Slipped Capital Femoral Epiphysis

Slipped capital femoral epiphysis. The case for internal fixation in situ. Slipped capital femoral epiphysis. A quantitative analysis of motion, gait, and femoral remodeling after in situ fixation. Femoral neck fracture secondary to in situ pinning of slipped capital femoral epiphysis: a previously unreported complication. Hazards of internal fixation  in the treatment of slipped capital femoral epiphysis.  Iliac crest … Read more

References for the Spine

– See:    – Cervical Spine Ref:    – Scoliosis References    – Spondylolysis / Spondylolisthesis    – Spinal Cord Injury:    – Spinal Fracture Serum creatine kinase and lactate dehydrogenase changes after anterior approaches to the thoracic and lumbar spine. Reliability of indications for cervical spine films in trauma patients. Vertebral body resection for … Read more