– Discussion: – traction is often required for Pavlik harness treatment failures or for lately diagnosed cases; – reduction of hip may be difficult in infants w/ delayed diagnosis of DDH; – in children < 3 years of age, preop traction may decrease avascular necrosis, and may improve chances … Read more
– Discussion: – up to 80 % of patients w/ traumatic DJD may expect a good to excellent result at 5 years; – up to 30 % of patients will sustain a major complication over 5 years, which often will require and additional operation; – indications: – end stage rheumatoid arthritis; – severe intractable pain … Read more
– Discussion: – synovial fluid should be cultured if there is any suggestion of infection. – normal synovial fluid: – contains < 60 to 180 cells per ml, most of which should be mononuclear; – fluid is considered to be “noninflammatory” if it … Read more
– Discussion: – torus is derived from Latin (tori) meaning a swelling or protuberance; – failure of cortex on compression side, 2-3 cm proximal to physis; – torus (buckle) frxs of distal metaphysis of radius & ulna is most common frx in lower forearm in young children; … Read more
– See: aminoglycosides and addition of aminoglyocides to cement – Discussion: – adult dose w/ normal renal F(x) & serious infection: 1mg/kg q8hr; – peds: 7.5 mb/kg/day q8hr (Levels: trough <2; peak: 4-8 hr) – for life threatening infection may use 1.66mg/kg q8hr (reduce dose as soon as possible); … Read more
Discussion results from fibrosis of sternal head; can result from unilateral shortening of sternocleidomastoid, commonly associated with fibrosis of the muscle; may also involve the platysma and scalene muscles; birth trauma, occlussion of venous flow, or hematoma results in fibrosis of muscle & palpable mass noted w/in first 4 wks of life; nontender enlargement may … Read more
– Discussion: – it has long been recognized that following any significant trauma or elective surgery, the body undergoes a catabolic state, which means that the body’s ability to withstand further stress (such as additional surgery) diminishes with time; – add to this, the effect of immobilization due to pain (pressure sores, atelectasis, poor diet) and … Read more
– see: anesthesia menu – Discussion: – assessment of perfusion: damage control orthopaedics – the most common situation is how to manage the femur fracture in the brain injured patient; – some authors have expressed concern that intraoperative hypoxia and hypotension may commonly occur w/ early IM nail stabilization; … Read more
– See: – Tibial Plateau Frx Menu, Rim fractures: – Discussion: – frx dislocations of tibial plateau will have assoc: – knee dislocations, and ligamentous injuries; – meniscal injuries, which are usually not repairable; – N/V injuries, increasing from 2% for type … Read more