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Common Complications in Orthopedics, An Issue of Orthopedic Clinics, E-Book

Common Complications in Orthopedics, An Issue of Orthopedic Clinics, E-Book

James H. Calandruccio | Benjamin J. Grear | Benjamin M. Mauck | Jeffrey R. Sawyer | Patrick C. Toy | John C. Weinlein

(2016)

Additional Information

Book Details

Abstract

This issue of Orthopedic Clinics will focus on the most common complications that arise in orthopedic surgery. Articles to be included will cover pediatrics, trauma, upper extremity, adult reconstruction, and foot and ankle.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Common Complicationsin Orthopedics i
Copyright\r ii
CME Accreditation Page iii
PROGRAM OBJECTIVE iii
TARGET AUDIENCE iii
LEARNING OBJECTIVES iii
ACCREDITATION iii
DISCLOSURE OF CONFLICTS OF INTEREST iii
UNAPPROVED/OFF-LABEL USE DISCLOSURE iii
TO ENROLL iv
METHOD OF PARTICIPATION iv
CME INQUIRIES/SPECIAL NEEDS iv
Editorial Board v
Contributors vii
AUTHORS vii
Contents xi
Adult Reconstruction\r xi
Proprioception and Knee Arthroplasty: A Literature Review\r xi
Instability After Total Knee Arthroplasty\r xi
The Painful Total Knee Arthroplasty\r xi
Avoiding Hip Instability and Limb Length Discrepancy After Total Hip Arthroplasty\r xii
Trauma\r xii
Thromboembolic Disease After Orthopedic Trauma\r xii
Arthrofibrosis After Periarticular Fracture Fixation\r xii
Impact of Infection on Fracture Fixation\r xii
Nonunion of the Femur and Tibia: An Update\r xiii
Pediatrics xiii
Complications of Pediatric Elbow Fractures\r xiii
Surgical Site Infections After Pediatric Spine Surgery\r xiii
Complications After Surgical Treatment of Adolescent Idiopathic Scoliosis\r xiii
Complications Related to the Treatment of Slipped Capital Femoral Epiphysis\r xiv
Upper Extremity xiv
Complications of Distal Radius Fixation\r xiv
Complications of Carpal Tunnel Release\r xiv
Complications of Distal Biceps Repair\r xiv
Complications of Lateral Epicondylar Release\r xv
Foot and Ankle xv
Deep Vein Thrombosis in Foot and Ankle Surgery\r xv
ORTHOPEDIC CLINICS OF NORTH AMERICA xvi
FORTHCOMING ISSUES xvi
July 2016 xvi
October 2016 xvi
January 2017 xvi
Note from the Publisher xvii
Preface:\rCommon Complications in Orthopedics xix
Proprioception and Knee Arthroplasty 301
Key points 301
INTRODUCTION 301
BASIC SCIENCE OF PROPRIOCEPTION 301
MECHANORECEPTORS 302
EFFECT OF THE POSTERIOR CRUCIATE LIGAMENT 302
QUADRICEPS AND PATELLAR TENDON 302
BALANCE, AGING, AND TOTAL KNEE ARTHROPLASTY 302
PROPRIOCEPTION, OSTEOARTHRITIS, AND TOTAL KNEE ARTHROPLASTY 303
PROPRIOCEPTION AND TOTAL KNEE ARTHROPLASTY 304
STRATEGIES FOR MAINTAINING PROPRIOCEPTION AFTER TOTAL KNEE ARTHROPLASTY 304
Physical Therapy 304
Surgical Factors 305
SPECIAL TYPES OF KNEE ARTHROPLASTY 306
Anterior Cruciate Ligament Retention 306
Unicompartmental Arthroplasty 306
Bicruciate-Retaining Total Knee Arthroplasty 306
REFERENCES 307
Instability After Total Knee Arthroplasty 311
Key points 311
INTRODUCTION 311
EVALUATION 311
IMAGING ANALYSIS 312
FLEXION INSTABILITY 312
GENU RECURVATUM 313
EXTENSION INSTABILITY 313
SUMMARY 315
REFERENCES 315
The Painful Total Knee Arthroplasty 317
Key points 317
INTRODUCTION 317
DEFINITION AND MECHANISM OF PAIN 317
Nociceptive Pain 317
Neuropathic Pain 318
EVALUATION OF PAINFUL TOTAL KNEE ARTHROPLASTY 318
Differential Diagnosis 319
History 319
Physical Examination 320
Imaging 321
Additional Imaging 321
Laboratory Analysis 322
Diagnostic Injections 324
MANAGEMENT 324
SUMMARY 324
REFERENCES 324
Avoiding Hip Instability and Limb Length Discrepancy After Total Hip Arthroplasty 327
Key points 327
BACKGROUND 327
CLINICAL PATIENT EVALUATION 328
PATIENTS AT RISK FOR DISLOCATION 328
PATIENTS AT RISK FOR TRUE OR PERCEIVED POSTOPERATIVE LIMB LENGTH DISCREPANCY 328
KEY PHYSICAL EXAMINATION FINDINGS 328
LIMB LENGTH ASSESSMENT 328
PREOPERATIVE TEMPLATING AND RADIOGRAPHIC MEASUREMENTS 328
PREOPERATIVE TEMPLATING 329
Tips for Preoperative Templating 329
SURGICAL TECHNIQUE 330
Acetabular Component 330
Femoral Component 330
INTRAOPERATIVE ASSESSMENT OF LIMB LENGTH AND HIP STABILITY 330
Soft Tissue Trialing 330
IMPLANT DESIGN 331
Implant Options to Improve Hip Stability 331
MANAGEMENT OF INSTABILITY 331
CLINICAL WORKUP FOR INSTABILITY 331
Key Elements of History and Physical Examination 331
REOPERATION FOR INSTABILITY 332
Surgical Treatment 332
MANAGEMENT OF LEG LENGTH INEQUALITY 332
Overview 333
REFERENCES 333
Thromboembolic Disease After Orthopedic Trauma 335
Key points 335
PHYSIOLOGY AND EPIDEMIOLOGY OF VENOUS THROMBOEMBOLISM IN TRAUMA 335
Basic Science and Physiology of Trauma and Coagulation 335
Venous Thromboembolism Following Major Trauma 335
Thromboprophylaxis for Venous Thromboembolism in Trauma Patients 336
VENOUS THROMBOEMBOLISM AND ORTHOPEDIC TRAUMA 336
Epidemiology and Risk Factors 336
Thromboprophylaxis 336
Anticoagulation Agents 337
Complications of Anticoagulation 337
Timing of Anticoagulation 337
Duration of Thromboprophylaxis 337
Inferior Vena Cava Filters 341
SPECIFIC FRACTURE PATTERNS 341
Pelvic and Acetabular Fractures 341
Fractures Below the Knee 341
Upper Extremity Fractures 342
HEALTH POLICY AND ECONOMIC CONSIDERATIONS 342
SUMMARY 342
REFERENCES 342
Arthrofibrosis After Periarticular Fracture Fixation 345
Key points 345
BASIC SCIENCE 346
ARTHROFIBROSIS AROUND THE SHOULDER 346
Proximal Humerus Fractures 346
ARTHROFIBROSIS AROUND THE ELBOW 347
Distal Humerus Fracture 347
Terrible Triad Injury 347
Olecranon Fractures 348
MANAGEMENT 348
ARTHROFIBROSIS AROUND THE KNEE 349
Evaluation of Range of Motion 350
Supracondylar Femur Fractures 351
Tibial Plateau Fractures 352
Manipulation Under Anesthesia 352
Continuous Passive Motion 352
Open Surgical Debridement and Judet Quadricepsplasty 353
SUMMARY 353
REFERENCES 353
Impact of Infection on Fracture Fixation 357
Key points 357
INTRODUCTION 357
TYPE AND TIMING OF PROPHYLACTIC ANTIBIOTICS IN FRACTURE SURGERY 358
RATES OF INFECTION IN COMMON FRACTURE FIXATION PROCEDURES 359
PERIOPERATIVE CONTRIBUTIONS TO SURGICAL SITE INFECTION 360
HOST CHARACTERISTICS THAT AFFECT INFECTION RISK 360
DIAGNOSIS OF SURGICAL SITE INFECTION 361
SURGICAL TECHNIQUE IN MANAGEMENT OF INFECTION 362
IMPLICATION OF SURGICAL SITE INFECTION FOR PATIENT OUTCOMES 362
SUMMARY 362
REFERENCES 363
Nonunion of the Femur and Tibia 365
Key points 365
DEMOGRAPHICS AND ECONOMIC IMPACT 365
DEFINITION 365
CLASSIFICATION 366
FRACTURE-SPECIFIC AND TREATMENT-RELATED RISK FACTORS 366
PATIENT-RELATED RISK FACTORS 366
Metabolic, Endocrine, and Other Systemic Factors 366
Tobacco 367
Medications (Nonsteroidal Anti-inflammatory Drugs) 367
TREATMENT 367
Nonsurgical Treatment Adjuncts 367
Ultrasound 367
Teriparatide 367
Preoperative Assessment 367
Infection 368
Diagnosis of infection 368
Inflammatory laboratory values 368
Tissue culture 368
Polymerase Chain Reaction 368
Treatment of Infected Nonunions 368
Bone grafting: iliac crest bone graft versus reamer irrigator aspirator 369
Bone grafting: bone morphogenetic protein 369
Specific Treatment of Tibial Shaft Fractures 370
Tibial nail dynamization and exchange nailing 370
Specific Treatment of Femoral Shaft Fractures 370
Femoral Exchange Nailing 370
Plating/Bone Grafting over a Nail 371
Atypical Femoral Fractures and Bisphosphonates 371
SUMMARY 372
REFERENCES 372
Complications of Pediatric Elbow Fractures 377
Key points 377
INTRODUCTION 377
SUPRACONDYLAR HUMERUS FRACTURES 377
Malunion 377
LATERAL CONDYLE FRACTURES 379
Nonunion and Malunion 379
MEDIAL EPICONDYLE FRACTURES 380
Nonunion 380
STIFFNESS 381
MISSED INJURIES AND DELAYED DIAGNOSIS 381
REFERENCES 383
Surgical Site Infections After Pediatric Spine Surgery 387
Key points 387
INTRODUCTION 387
INCIDENCE 387
RISK FACTORS 388
PREVENTATIVE STRATEGIES 388
ANTIBIOTIC PROPHYLAXIS 390
VANCOMYCIN POWDER 390
DIAGNOSIS 390
CAUSATIVE ORGANISMS 391
DELAYED INFECTION 391
TREATMENT 391
SUMMARY 392
REFERENCES 392
Complications After Surgical Treatment of Adolescent Idiopathic Scoliosis 395
Key points 395
NEUROLOGIC COMPLICATIONS 395
NONNEUROLOGIC COMPLICATIONS 396
Infection 396
Pseudarthrosis 398
Curve Progression 398
Crankshaft Phenomenon 399
Decompensation and Sagittal Deformity (Flatback Deformity) 399
Proximal Junctional Kyphosis 401
SUMMARY 401
REFERENCES 401
Complications Related to the Treatment of Slipped Capital Femoral Epiphysis 405
Key points 405
INTRODUCTION 405
OSTEONECROSIS 406
CHONDROLYSIS 407
SLIPPED CAPITAL FEMORAL EPIPHYSIS–INDUCED IMPINGEMENT 407
FIXATION FAILURE AND SLIP PROGRESSION 408
GROWTH ARREST 409
DEVELOPMENT OF BILATERAL DISEASE 409
SUMMARY 411
REFERENCES 411
Complications of Distal Radius Fixation 415
Key points 415
BACKGROUND 415
POSTOPERATIVE INFECTION 416
EXTENSOR TENDON INJURY 416
Percutaneous Pinning and External Fixation 416
Volar Plating 416
Dorsal Plating 417
Dorsal Bridge Plating 417
Nonoperative Treatment 417
FLEXOR TENDON INJURY 418
CARPAL TUNNEL SYNDROME AND MEDIAN NEUROPATHY 418
SUPERFICIAL RADIAL NERVE INJURY 419
COMPLEX REGIONAL PAIN SYNDROME 419
LOSS OF REDUCTION 420
NONUNION 420
POSTTRAUMATIC ARTHRITIS 421
SUMMARY 421
REFERENCES 421
Complications of Carpal Tunnel Release 425
Key points 425
INTRODUCTION 425
REVIEW OF ANATOMY 425
INTRAOPERATIVE COMPLICATIONS 426
POSTOPERATIVE COMPLICATIONS 427
TREATMENT FAILURE 428
EVALUATION 429
TREATMENT 429
OUTCOMES 431
SUMMARY 432
REFERENCES 432
Complications of Distal Biceps Repair 435
Key points 435
ANATOMY 435
BACKGROUND 435
NONOPERATIVE TREATMENT 435
OPERATIVE TREATMENT 436
RESULTS 436
GENERAL COMPLICATIONS 436
LATERAL ANTEBRACHIAL CUTANEOUS NERVE 437
POSTERIOR INTEROSSEOUS NERVE 437
SUPERFICIAL RADIAL NERVE 438
MEDIAN NERVE 438
ULNAR NERVE 439
STIFFNESS 439
WEAKNESS 439
HETEROTOPIC OSSIFICATION 440
RERUPTURE 440
VASCULAR INJURIES 441
PROXIMAL RADIAL FRACTURES 441
CHRONIC REGIONAL PAIN SYNDROME 441
WOUND COMPLICATIONS 441
TECHNIQUE-SPECIFIC COMPLICATIONS 442
SUMMARY 442
REFERENCES 442
Complications of Lateral Epicondylar Release 445
Key points 445
INTRODUCTION 445
ANATOMY 445
LATERAL EPICONDYLITIS PROCEDURES 447
Open Approach 447
Percutaneous Approach 447
Arthroscopic Approach 448
METHODS 448
RESULTS 449
DISCUSSION 462
SUMMARY 465
REFERENCES 465
Deep Vein Thrombosis in Foot and Ankle Surgery 471
Key points 471
INTRODUCTION 471
VENOUS THROMBOEMBOLISM PROPHYLAXIS 471
RISKS OF THROMBOPROPHYLAXIS 472
RISKS FOR VENOUS THROMBOEMBOLISM 472
TOURNIQUET 472
CHEST Guidelines 472
Foot and Ankle Surgery 472
Surveys of Practice 472
TRAUMA 473
ANKLE FRACTURES 474
METATARSAL FRACTURES 474
HALLUX VALGUS 474
Achilles Tendon Rupture 474
SUMMARY/DISCUSSION 474
REFERENCES 475
Index 477