– Discussion: – sacral, ischial, trochanteric, and heel ulcerations are most common; – preventative measures: – turning the patient ever 5 min q 2 hrs of relief may prevent pressure ulceration; – a shift of weight in the wheelchair … Read more
– See: – Coagulation Cascade – Pulmonary Embolus – DVT in Hip Frx and Surgery: – DVT Following THR: – DVT Following TKR: – DVT / PE arising from Trauma and Fractures – Discussion: – thromboembolism is amoung the most serious … Read more
– See: DCP 3.5 mm Applied as Self Compression Plate w/ Lag Screw Thru Plate – Discussion: – effect of self compression is used for axial compression of short oblique, or transverse frxs of for example, the forearm, clavicle, and pelvis (tension band plating); – Prerequisites: – plate is contoured to the … Read more
– Discussion: – Pavlik harness is usually not successful in children > 6 months (crawling age); – this is mainly due to increased activity levels of the child as well as the fact that these children begin to learn how to remove the harness; – reduction of … Read more
– See: Total Hip Replacement Menu: – total hip in DDH – acetabular component menu: – crowe classification – Non Anatomic Positioning of the Acetabulum in DDH: (high hip center) – advantages: – technically easier than anatomic placement; – surgeon can … Read more
Co-Authors: Milford H. Marchant Jr., M.D.; Thomas P. Vail, M.D.; Steven A. Olson, M.D. July 2006 Femoroacetabular Impingement (FAI) – Descriptive Diagnosis characterized by a combination of clinical signs, symptoms, and pathology that may be responsible for the progression of degenerative changes in patients with osteoarthritis of the hip – … Read more
(See: Radiographic Features of DDH) Discussion CE angle provides useful information after the age of 5 years (may be used in adults); angle formed by a line drawn from the center of the femoral head to the outer edge of the acetabular roof, and a verticle line drawn through the center of the femoral head; angle … 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
– Discussion: – fall from a height, landing on one’s feet, is typical of this fracture; – burst frx involve only compressive failure of vertebral body both anteriorly & posteriorly, w/ failure of both anterior & middle columns; – axial loading applied to intravertebral disc results in increased nuclear pressure and … Read more
Discussion based on the assessment of stability; lesions are graded as Type I, Type II, or Type III depending on degree of instability; Bucholz noted that on postmortem dissection of pts w/ pelvic fractures that all injuries to pelvic ring had some injury to both anterior and posterior portions of the pelvis; Type I injuries for which the … Read more