For GSWs with trans-abdominal trajectories, the laparotomy takes precedence over arthrotomy. Knee osteoarthritis is degenerative disease of the knee joint that causes progressive loss of articular cartilage. Evaluation of saline load test for simulated traumatic arthrotomies of the ankle. PMID: Konda SR et al. Bariteau JT et al. endobj Sensitivity of the saline load test with and without methylene blue dye in the diagnosis of artificial traumatic knee arthrotomies. Evaluation of periarticular traumatic wounds for joint penetration is a common clinical concern for orthopaedic surgeons. Asi-oqua Bassey Follow. may extend to distal two thirds of femur; incise between rectus femoris and vastus medialis; split underlying vastus intermedius to expose femur; Variations . gentamycin), If concern for fecal or clostridial infection, add high dose penicillin (i.e. 0000001774 00000 n The Effectiveness of Saline Load Test in Detecting Simulated Traumatic Elbow Arthrotomies: A Cadaveric Investigation. Knee Medial Parapatellar Approach - Approaches - Orthobullets /T1_2 1 Tf Bulletin of the Hospital for Joint Diseases 2014; 72: 61-9. Distal Radial Ulnar Joint (DRUJ) Injuries endstream Springer, Cham, Metzger et al. -9.58399 0 Td Tornetta and Collins 1 (1996) reported 25 patients in whom a partial medial parapatellar arthrotomy was performed with the knee in a semi-extended position (15-degree bend of the knee joint), with two-thirds of the the retinaculum split. PMID: Your email address will not be published. Split Anterior Tibial Tendon Transfer. 0000071241 00000 n PMID: 27979366. Hip Anterior Approach (Smith-Petersen) Hip Anterolateral Approach (Watson-Jones) Hip Medial Approach. 2021 Feb 01;35(2):e61-e63. Additionally, open knee joint injuries have a high rate of associated periarticular fractures (51%). (J Bone Joint Surg Am. +v1x30d0``]A`6 IX0Q!A\1A@L 1 hb```e``z Bl@hOOKe_ %fAG=&=t348[9KwjIa|,oQZK]btA]}~ Required fields are marked *. endobj 0 g subvastus (Southern) parapatellar approach. Periarticular wound equivalent to no traumatic arthrotomy (pw = (-TAK)) was defined as OR evaluation revealing no arthrotomy or -iaCT (and -SLT if performed) with follow-up revealing no septic knee. Physician votes on our clinical treatment polls. Moreover, in the absence of IA pathology, IA gunshot injuries do not appear to necessitate surgical debridement to decrease the risk of infection. endobj ET Understanding the anatomic landmarks and capsular extensions of the major joints is key to proper evaluation. Administration of intravenous antibiotics without arthrotomy for a bullet lodged in the iliac wing after passing through the left hip with no intra-abdominal injury, Administration of intravenous antibiotics and local wound care for a retained intra-articular bullet of the hip, Administration of intravenous antibiotics without arthrotomy for a trans-abdominal GSW with the bullet lodged in the femoral neck, Arthrotomy for a bullet lodged in the iliac wing after passing through the left hip with no intra-abdominal injury, Local wound care with primary closure of a GSW through the forearm musculature with no fractures or neurovascular injury.
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