The Hip - book

Trauma and Fractures Menu

(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more

Trauma Management:

– Advanced Cardiac Life Support (ACLS)     – ACLS     – Iowa Family Practice Handbook     – AHCPR Guidelines     – eMedicine Online Text – Advanced Trauma Life Support (ATLS)       – Assessment of Perfusion/Shock: damage control orthopaedics               – blood pressure (systolic), heart rate, urine output (30 mL/hr) body temperature;               – labs: … Read more

Trauma Workup

I. Combat/Disaster Injuries II. Battlefield/Austere Environment Trauma Systems III. Extremity Soft Tissue Care and Amputation in an Austere Environment – ATLS Assessment:  (General Approach to Trauma) – ref: Evolution and Development of the Advanced Trauma Life Support (ATLS) Protocol: A Historical Perspective – airway protection: – anesthesia menu:  virtual anesthesia textbook / intubation menu – anesthesia consideration for … Read more

Trapezium

– See:       – Blood Supply to the Wrist       – Thumb Deformities in Rheumatoid Arthritis       – Thumb Fractures – Discussion:     – articulates w/ thumb;     – move distal to snuff box to snuffbox to palpate trapezium-thumb articulation;     – trapezium-thumb articulation is saddle … Read more

Transmetatarsal Amputation

– Discussion:     – popularized by McKittrick et al. (1949) and by Pedersen and Day (1954)     – indicated for trauma, tissue loss, infection, and gangrene (limited to toes and not the web space in diabetics);     – TMA requires shoe modifications & inserts w/ forefoot space replacement.     – indicated for … Read more

Transfusion Therapy

      – Blood Product Menu:       – pRBC’s / Fresh Frozen Plasma / Platlets / Cryoprecipitate / Transfusion Therapy / Coag Pathway – Indications for Blood Transfusion: – Methods to Decrease Transfusion:     – erythropoietin             – The effects of recombinant human erythropoietin on perioperative transfusion requirements in patients having a major orthopaedic operation.             … Read more

Toxic Shock Syndrome

– Discussion:     – toxic shock is an acute febrile syndrome that was originally described in association with the use of highly absorbent tampons but is now recognized to occur as a postoperative complication of many different surgical procedures;     – toxins produced by staphylococcus aureus (or streptococcus) are probably responsible for this syndrome; … Read more