– See: diabetic foot menu – Diabetic Charcot Foot and Ankle: – originally described in the 1860s by the neurologist Jean-Martin Charcot; – may occur w or w/o neuropathic ulceration (mal perforant): – typically appears in 5th and 6th decades; – often occurs in the face of a relatively “normal vascular exam;” – neuropathic ulcerations are … Read more
– See: Total Hip Replacement Menu: – Addition of Antibiotics to Cement: – Cemented Femoral Component Loosening: – Insertion of Cemented Femoral Stems: – Discussion: – first generation technique: – finger packing … Read more
– Discussion: – central frx/dislocation is crippling injury with a poor prognosis; – extensive degree of concomitant articular injury occurs; – 22% incidence of sciatic nerve injury; – distal and occassionally, lateral traction of proximal femur may be necessary to effect and maintain reduction of the femoral head; – total … Read more
Discussion use similar stratedgy as one would use for posterior wall frx w/ distraction of the femoral head, removal of all intra-articular fragments & correction of femoral head depressions; Approach use Kocher Langenbeck approach w/ prone positioning of patient, unless frx is remote, in which case, use extended iliofemoral approach; femoral head is distracted and incarcerated … Read more
– See: Frx Dislocations of the Hip – Discussion: – because of associated high energy trauma: look for other injuries – vast majority of patients sustained a hip dislocation will have associated injuries; – assoc ligamentous injuries to ipsilateral knee; – associated posterior wall fractures, femoral head, … Read more
– See: Brachial Plexus Injury – Indications: – shoulder paralysis: – may include paralytic dislocation or combined rotator cuff / deltoid paralysis (in which case shoulder arthroplasty would be contra-indicated); – as a requirement for shoulder fusion, the muscles of forearm and hand need to be functional as do the serratus anterior and trapezius; – the … Read more
– See: – Arteriography / angiographic 3D view – Arterio-venous malformations – Arterial Trauma – Development – Fractures associated with Arterial Injuries – Intimal Injuries – Microanastomosis – Pharmocological Agents in Vascular Surgery – Prosthetic … Read more
– See: – Total Hip Replacement Menu: – Anastomosis of Lower Limb Arteries – Nerve Injuries in THR: – Acetabular Screw Placement: – Discussion: – arterial injuries have been reported in 0.1% to 0.2% of all total hip replacements; … Read more
– Discussion: – involves tearing of both anterior SI ligaments of floor of pelvis (sacrotuberous and sacrospinous); – involves a widened anterior SI joint & injury to anterior ring (usually a symphysis diastasis) best seen on the Inlet view; – may be bilateral or unilateral; – this … Read more
– Discusison: – w/ application of severe AP force, hemipelvis rotates externally until posterior iliac wing contacts posteior sacrum; – continued force rips posterior SI ligaments, completely dissconecting hemipelvis from the sacrum; – APC III have highest rate of assoc injury, including retroperitoneal bleeding; – by definition then, an … Read more