The Hip - book

Traumatic Dislocations of the Knee

  – Discussion:     – mechanism of injury:            – distinguish between high velocity injuries verus low velocity injuries (as this reflects incidence of vascular and nerve injuries);            – w/ low-velocity knee dislocations occurance of vascular injury is about 5% and nerve injury is about … Read more

Tibia Fracture Infections

– See: tibia fracture menu (open tibia fractures); – Discussion:     – worst prognostic feature for healing of tibial frxs is infection;     – osteomyelitis of tibia & infected non unions are among the most severe complications after tibial frx, & may lead to amputation;     – probability of infection is related … Read more

Deep Venous Thrombosis (DVT) – Treatment

Indications for treatment proximal DVT proximal propagation of a distal DVT some authors advocate that isolated asymptomatic distal DVT can be followed on serial Duplex Ultra-sound, and does not require treatment distal DVT will propagate proximally in less than 10-20% of cases, and has a low risk of PE serial ultrasound can be performed on … Read more

Trauma Management:

– Advanced Cardiac Life Support (ACLS)     – ACLS     – Iowa Family Practice Handbook     – AHCPR Guidelines     – eMedicine Online Text – Advanced Trauma Life Support (ATLS)       – Assessment of Perfusion/Shock: damage control orthopaedics               – blood pressure (systolic), heart rate, urine output (30 mL/hr) body temperature;               – labs: … Read more

Trauma Workup

I. Combat/Disaster Injuries II. Battlefield/Austere Environment Trauma Systems III. Extremity Soft Tissue Care and Amputation in an Austere Environment – ATLS Assessment:  (General Approach to Trauma) – ref: Evolution and Development of the Advanced Trauma Life Support (ATLS) Protocol: A Historical Perspective – airway protection: – anesthesia menu:  virtual anesthesia textbook / intubation menu – anesthesia consideration for … Read more

Trauma and Fractures Menu

(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) 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 … Read more

Transverse Fracture of Acetabulum

– See:       – Associated Transverse & Posterior Wall Fracture        – T Shaped Fractures       – AO Foundation Transverse Fracture – Discussion:     – transverse frxs extend across both the anterior and posterior columns;            – frx divides the innominate bone into superior segment containing acetabular                     roof … Read more

Transient Synovitis

– Discussion:     – relatively short lived acute inflammatory process;     – usually seen in boys aged 2 to 10 years;     – frequently follows an upper respiratory tract infection;     – most common cause of painful hips in childhood;     – is a diagnosis of exclusion;     – … Read more

Transfusion Therapy

      – Blood Product Menu:       – pRBC’s / Fresh Frozen Plasma / Platlets / Cryoprecipitate / Transfusion Therapy / Coag Pathway – Indications for Blood Transfusion: – Methods to Decrease Transfusion:     – erythropoietin             – The effects of recombinant human erythropoietin on perioperative transfusion requirements in patients having a major orthopaedic operation.             … Read more

Transfusion Therapy – Aprotinin

               – Aprotinin: – hemostatic agent which regulates the following: – regulates fibrinolysis – intrinsic coagulation pathway – stabilizes platelet function – exhibits anti-inflammatory properties through inhibition of serine proteases; – in the report by JM Murkin MD et al (JBJS May 2000, Vol 82-A, No 5 Page 675), the … Read more