– See: TKR Infection Menu – debridement w/o component removal: – see debridement and washout of infected THR – IV antibiotic therapy has limited success in treatment of infected TKR; managed with wound debridement, polyethyene exchange, application of temporary antibiotic beads, and IV antibiotics; – acute hematogenous infection: – early acute hematogenous infection … Read more
– Discussion: (see osteochondral injury) – these injuries are distinct from degenerative arthritic lesions and management of these lesions should remain distinct as well; – theory is that penetration of subchondral bone causes bleeding from underlying vessels which allows clot formation in the cartilaginous defect and subsequent formation of fibrocartilage; – some argue that subchondral drilling … Read more
– Second Generation Ceph – Semisynthetic broad spectrum cephalosporin – Gen II. – Adult:500mg-1gm IV/IM q4-6hr to max dose of 12gm/day (2gm q4hr); – usual dose is 1gm q6hr; – Peds: 50-100 mg/kg/day q6hr; – Good diffusion from blood into CSF only with inflammation; Ratio of CSF to Blood Level (%): Normal Meninges: nil; … Read more
Discussion pathoanatomy whole foot is in extreme supination, however, the fore part of the foot is pronated with respect to the hindfoot, as a result of the cavus deformity (the first metatarsal is more plantar flexed than the fifth metatarsal); navicular and the cuboid are rotated medially in relation to the talus, and are held in … Read more
– Indication for Closed Treatment: – indications — These are based on “personality” of the fracture as described by Nicoll EA (1964) – he listed factors favoring union: – displacement: if the fracture fragments on are or can be opposed to 25% in a transverse fracture, casting or bracing is permissible – more than 50% initial frx … Read more
Articular Cartilage Chondrocyte Chondroitin and Keratan Sulfate Chondral and Osteochondral Injuries of the Knee Chondromalacia Development of Bone from a Cartilage Model Epiphyseal Artery Epiphyseal Plate Fibrocartilage Friction and Lubrication of Joint Growth Glycosaminoglycans Biologic Joint Reconstruction – Alternatives to Arthroplasty CARTILAGE AND BONE BIOCHEMISTRY AND PHYSIOLOGY
– Discussion: – type of tarsal coalition: – calcaneonavicular bar is most common, followed by middle facet of the talocalcaneal joint; – ossification occurs between 8 and 12 years; – coalition between calcaneus & navicular is usually seen in pts between 8-12 years of age when cartilaginous … Read more
– Discussion: – AKA – NSNA, Cat-Cam, with a narrower medial – lateral designs will share load w/ gluteal structures & greater trochanteric; – ischium and the ramus are contained within the socket of these newer, more anatomic, and more functional designs; – narrow medial-lateral above knee … Read more
– See: – Septic Knee: – Synovium of the Knee: – Anatomy: – four bursae around knee are susecptible to and inflammatory response from direct or indirect trauma; – prepatellar bursae is most commonly affected area (housemaids knee); – may show significant degree of … Read more
– Dose: – maximum single doses should not > 150-175 mg w/o Epi; – Local Anesthesia: – 5 ml to the maximal recommended dose (25 milligrams to maximal dosage) w/ 0.5% solution, which produces moderate to complete motor blockade; – Arthroscopic surgery: – 30 mL of 0.75% bupivacaine was injected … Read more