Ortho Oracle - orthopaedic operative atlas

Release of Elbow Flexion Contracture Thru Kocher Approach

– See:       – Kocher Approach:       – Elbow Flexion Contracture: – Discussion:     – goal of procedure is elevation of common extensor tendon and transection of the anterior joint capsule;     – indicated for significant flexion contractures (more than 30 deg) which arise from soft tissue (capsular contracture);   … 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 the Talus

    – References: Fractures and Dislocations of the Talus  Talectomy for equinovarus deformity in myelodysplasia.  Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain.  Subtalar fusion for isolated subtalar disorders. Preliminary report.  Subtalar dislocation of the foot.  Tarsal tunnel syndrome: an electrodiagnostic and surgical correlation.  … 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

References for Renal Failure

The role of reperfusion-induced injury in the pathogenesis of the crush syndrome.  Medical Progress: Renal Syndromes Associated with Nonsteroidal Antiinflammatory Drugs. Acute renal failure after total hip replacement. Tendinitis and tendon ruptures in successful renal transplant recipients. Femoral neck fractures in patients receiving long-term dialysis. Nephrotoxicity of high-osmolality versus low-osmolality contrast media: randomized clinical trial. Tendinitis–a … Read more

References for Respiratory Failure / Ventilators

[Sinusitis in long-term intubated, intensive care patients: nasal versus oral intubation]  High-dose corticosteroids in patients with the adult respiratory distress syndrome. Blunt multiple trauma (ISS 36), femur traction, and the pulmonary failure-septic state.  A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation Nosocomial maxillary sinusitis during mechanical ventilation: a … Read more

References for Fluid Requirements

Post-traumatic changes in, and effect of colloid osmotic pressure on the distribution of body water. Role of solute in the early restitution of blood volume after hemorrhage. Colloid or crystalloid in the resuscitation of hemorrhagic shock: a controlled clinical trial. Crystalloid vs colloid in the etiology of pulmonary failure after trauma: a randomized trial in man. … Read more

References for Arterial Injuries

Papers of the Society for Clinical Vascular Surgery: Scientific Papers: Management Strategy of Complex Extremity Injuries. Amputations and Artificial Limbs–Symposium: Limb Salvage Versus Amputation. Preliminary Results of the Mangled Extremity Severity Score. Aortography in children with myelomeningocele and lumbar kyphosis. The aetiology of vein graft strictures: a prospective marker study. Arterial embolization: problems of source, … Read more