摘要:

The article presents an overview of evaluating and treating the infected joint replacement, focusing on the hip and knee. Current principles employed to minimize infection are discussed. An emphasis is placed on gathering information from several sources—history, examination, wound appearance, plain radiographs, hematologic studies, tissue cultures, and nuclear medicine imaging—to arrive at the most accurate diagnosis. The importance of aggressive surgical debridement to reach definitive cure is reviewed. Finally, the need for a multidisciplinary approach to minimize this devastating complication is emphasized.

ISSN:0164-2340    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Compartment syndrome is a surgical emergency. Delays in fasciotomy lead to muscle ischemia, neurologic injury, and potentially crush syndrome and death. The signs of compartment syndrome are pain out of proportion to injury and, on physical examination, tense swelling of the compartment, weakness of the involved muscles, pain with passive stretching of the involved muscles, and numbness in the distribution of the involved nerves.

ISSN:0164-2340    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The patient presenting to the emergency department with signs and symptoms suggestive of pulmonary embolism often represents a diagnostic challenge. Many conditions may mimic the signs and symptoms of acute pulmonary embolism. A combination of studies to evaluate both the pulmonary vascular bed (ventilation perfusion scan and pulmonary angiogram) and the deep venous system of the lower extremities (impedance plethysmography, Doppler ultrasound, and venography) can be used to evaluate a patient with suspected pulmonary embolism. Once the diagnosis has been confirmed, secondary preventive therapy (unfractionated heparin and inferior vena cava interruption) or primary therapy (thrombolytic agents and embolectomy) can be instituted. Newer management strategies for the diagnosis and treatment for pulmonary embolism are on the horizon.

ISSN:0164-2340    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Arterial injuries associated with orthopedic trauma are not common. Understanding the nature of these injuries and their management is essential to preventing both the acute and the chronic effects of ischemia on an extremity. The article discusses the importance of physical examination, diagnostic modalities, and management of these potentially limb-threatening injuries.

ISSN:0164-2340    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Internal fixation devices for fractures and the operations required to place them have certain complication rates as well. In many well-conceived operations, the rate of problems is identifiable and controllable.

ISSN:0164-2340    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Arthroscopy has been utilized since the late 1800s to evaluate and treat joint pathology. With advances in technology, the number of procedures and the specific joints on which these are performed have also increased. As with other advancements in medicine, complications are associated with arthroscopy. The article discusses general and joint-specific complications associated with arthroscopy.

ISSN:0164-2340    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Surgery of the lower extremity in patients older than 65 years is often complicated by high morbidity and mortality. The article discusses the most common postsurgical complications in this patient population: death, deep venous thrombosis and pulmonary embolism, infection, delerium, and pressure ulceration. Proper planning in the emergency setting can minimize or prevent many of these complications.

ISSN:0164-2340    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Primary hip dislocations usually occur after the flexed femur sustains a significant amount of force, usually after a motor vehicle accident, and can be associated with concomitant fractures. Prosthetic hip dislocations, on the other hand, are common and occur with the routine motions associated with activities of daily living after total hip arthroplasty. Periprosthetic fractures associated with total joint arthroplasties of the hip and knee are becoming more prevalent. With more than 300,000 arthroplasties being performed each year in an aging population, the incidence will continue to increase. The article reviews the evaluation and management of these orthopedic challenges.

ISSN:0164-2340    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0164-2340    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0164-2340    

出版商:OVID    

年代:1998

数据来源: OVID