– Discussion: – function of the PTFJ – accept 1/6 the axial load of the leg – resist torsional stresses originating from the ankle – resist tensile forces created with weight bearing – resists lateral bending forces – subluxation is common in preadolescent … Read more
– See: – Humeral Shaft Fractures in Children – Throwing Shoulder – Discussion: – most of these injuries are either Salter I or II fractures; – frx separations of proximal humeral epiphysis occur most often between ages of 11 and 15 years; – 80% of longitudinal growth of humerus occurs in proximal physis; – large … Read more
– Discussion: – frx of proximal tibial metaphysis are rare; – valgus greenstick fractures usually occur between 3-6 yrs of age; – cortex is slightly opened on the medial side; – distal fragment is angulated lateralward; – Non Operative Treatment: – usually treated with closed … Read more
Prosthetic grafts in vascular trauma: a controversy. Five-year experience with PTFE grafts in vascular wounds. Polytetrafluoroethylene grafts in the rapid reconstruction of acute contaminated peripheral vascular injuries.
Reduction in fatal pulmonary embolism and venous thrombosis by perioperative administration of subcutaneous heparin. Overview of results of randomized trials in general, orthopedic, and urologic surgery. Use of the Greenfield filter to prevent fatal pulmonary embolism associated with total hip and knee arthroplasty. Randomized controlled study of heparin and low molecular weight heparin for prevention of … Read more
– Discussion: – largest branch of femoral artery in femoral triangle; – arises on lateral side of femoral artery, 3-5 cm below inguinal lig; – passes on surface of pectineus & adductor brevis; – passes posteriorly, lying behind femoral artery & vein on medial … Read more
– See: Tibial Non Unions / treatment methods for tibial defects – Discussion: determinants in prognosis: – infection: (see: tibial infections) – worst prognostic feature of tibial fractures is infection; – infection is most frequent after high velocity, open injuries w/ skin necrosis; … Read more
– See: Criteria for Extubation – Decrease FiO2 to less than toxic levels ( < 50%) – Use PEEP to wean FiO2; – Maintain Hb Sat > 90% – Decrease mechanical rate: from IMV of 8 to 4 & check ABG – Reduces mean intrathoracic pressure and frequency of exposure to Peak Inspiratory Pressure (PIP); … Read more
– Antibiotics: – prophylactic antibiotics – local antibiotic delivery – antibiotic beads – addition of antibiotics to cement – Skin Preparation: – topical agents: – skin prep agents – topical antimicrobials – Reduction in OR Contamination: … Read more
– Discussion: – soft tissue swelling is indirect indicator of significant trauma, esp when the soft tissue swelling is above the epiglottis; – retropharyngeal soft tissue swelling should not exceed: – anterior to C3 should not exceed 3 mm. – if > than 5 … Read more