Chronic Regional Pain Syndrome (Algodystrophy) in Patients After Knee Replacement

Oct 18, 2016 by in ORTHOPEDIC Comments Off on Chronic Regional Pain Syndrome (Algodystrophy) in Patients After Knee Replacement

Sensory changes  Spontaneous pain  Mechanical hyperalgesia  Thermal hyperalgesia  Deep somatic hyperalgesia Vascular-related changes  Vasodilatation  Vasoconstriction  Difference in skin temperature  Changes in skin color Edema, hyperhidrosis  Swelling  Hyperhidrosis  Hypohidrosis Motor function…

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Allergy and Hypersensitivity to Implant Materials

Oct 18, 2016 by in ORTHOPEDIC Comments Off on Allergy and Hypersensitivity to Implant Materials

Implant alloys Metal Approximate (%) 316 L stainless steel Nickel 8.3–35 Chromium 20 Manganese 2 Molybdenum 2–3 Nitrogen 0.1 Carbon 0.03 Sulfur 0.03 Silicon 0.75 Phosphorus 0.045 Iron Balance Cobalt-chromium-molybdenum…

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Periprosthetic Joint Infection After TKR

Oct 18, 2016 by in ORTHOPEDIC Comments Off on Periprosthetic Joint Infection After TKR

Type Onset Definition Treatment 1 Positive intraoperative culture Two or more positive intraoperativecultures Antibiotics 2 Acute postoperativeinfection Infection less than 4 weekspostoperatively Debridement with component retention and antibiotics 3 Acute…

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Transmetatarsal and Lisfranc Amputation

Oct 18, 2016 by in ORTHOPEDIC Comments Off on Transmetatarsal and Lisfranc Amputation

Fig. 19.1 Levels of foot amputation. Digital amputation (green line), transmetatarsal amputation (orange line), Lisfranc (tarsometatarsal) amputation (red line), and Chopart’s amputation (blue line) Careful attention to surgical principles specifically…

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First Ray Osteomyelitis

Oct 18, 2016 by in ORTHOPEDIC Comments Off on First Ray Osteomyelitis

Fig. 15.1 First ray osteomyelitis is most commonly associated with contiguous spread of infection from adjacent neuropathic ulcers. Neuropathic ulcers are classically located over points of boney prominence or excessive…

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