– Post Op Care: – consider keeping the knee in 45-60 deg flexion; – for the first 5 postop days, the pts leg is maintained in a CPM machine, and the ROM is increased to a range of 15 to 70 deg; – POD #3: active assisted ROM exercises … Read more
– Considerations: – pin care: – tissue motion impairs tissue resistance to infection; – excess motion at pin skin interface can be reduced by wrapping sterile gauze between the pin clamp and skin; – surgical sponges around pins … Read more
Current Concepts Review. Treatment of Unstable Fractures of the Shaft of the Tibia. Current Concepts Review. Timing of Operative Treatment of Fractures in Patients Who Have Multiple Injuries. Pelvic and Lower Extremity Trauma–Symposium: Intramedullary Devices for Tibial Fracture Stabilization. The use of a tourniquet when plating tibial fractures. Conservative management or closed nailing for tibial shaft fractures. … Read more
– General Discussion of IM Nails – PreOp Planning – positioning – note rotational alignment of the opposite non injured side. – cautions: – proximal tibial fractures (high complication rate w/ IM nailing) – distal tibia fracture – IM nailing of open tibial fractures – segmental tibia fractures: / treatment methods for tibial … Read more
– Discussion: – based on available data, the results of external fixation is comparable to IM nailing when the frx ends can be keyed together (maximal bone loading), in which case there will be minimal loss of reduction and minimal frx site motion w/ wt bearing; – proximal tibial frx: (see IM … Read more
– Discussion: – look for fever, severe tachycardia, dehydration, & mental abnormalities; – thyroid storm is rare and precipitated by infection, trauma, surgery, labor and delivery, or radiation thyroiditis; dz procedes to death; – Treatment: – immediate therapuetic approach: propanolol; – propanolol also blocks the conversion of T4-to- T3; – will … Read more
– Discussion: – mangled extremity severity score: – main controversy is whether tibial defect reconstruction and soft tissue reconstruction are indicated; – indications: – high velocity open tibia frx, w/ concomitant nerve, artery, &/or massive soft tissue disruption; – types IIIB … Read more
– Anatomy of CMC joint – Sesamoid Bones of the Thumb – Radiographs – AP view taken w/ hand in maximum pronation (Robert View); – Types of Injuries and Treatment: – Mallet Fracture of Thumb – Gamekeeper’s Thumb – Frx Dislocations of the Thumb MP Joint – … Read more
– See: CMC Joint Arthritis CMC Instability in the Metacarpals Dislocations of the Thumb MP Joint – Discussion: – dorsal instability is usually due to disruption of the dorsal radial ligament; – dorsal-radial ligaments connects the trapezium to the dorsal radial side of the … Read more
– See: throwing injuries: and elbow throwing injuries – Phases of Throwing: – wind up – early cocking: deltoid and rotator cuff are active; – late cocking phase: – muscle activity: – shoulder is placed in … Read more