The patient had a distal open reduction internal fixation on her left and right wrist. She explained to me that she sustained the injury from a fall. According to her, “ both of her wrists broke from that fall”; which I don’t buy. The patient admitted that she has a history of falls, but what I think is that she was getting abused by someone close to her. There’s no logical reason why she should have sustained so many injuries from frequent falls, without a severe medical condition to support them at a young, but what do I know? She has complication on the left side of her head; because of the many falls, she endured in the past. It seems like she falls decreased when her husband passed, not to be cruel or anything. Arthroplasty was also
.) SP is an 84-year-old widow recently admitted to an orthopedic ward for a total hip replacement from the anterior approach. She is widowed, but has two adult children living nearby. SP has a familial history of cancer and heart disease, and she herself has experienced several different medical issues. When discussing cares, procedure options, and having general conversations with SP the health care team needs to be especially aware of her hardness of hearing, and need to use hearing aides. A communication barrier exists between the patient and the care team. This barrier exists because of both her hearing issues and her advancing age. Safety risks from improper communication related to these barriers can greatly increase her chances of experiencing undue harm from her hospitalization. An example of how this could occur would be improper communication of what hip needs to be operated on. At all times, the health
During the weeks of February 7 through February 17, I observed a total hip arthroplasty on a 56-year-old Caucasian female patient who suffered from a femoral neck fracture and damage to the acetabulum. The fracture was a result from a car accident where the patient's knees collided with the dashboard, forcing the femur into the hip and breaking the femur.
Mr. ___ [NAME] is a 49-year-old white male, a patient of Dr. ___ [NAME], with a history of right knee replacement x 4, secondary to a gunshot wound in ___ [DATE]. Left knee, he has had multiple surgeries, primarily on the ligaments and I understand the meniscus. Also has right hip pain. The hip is probably related to his difficulty with the right knee. He has chronic pain in the knees. He has a need for testosterone as his labs are very low. PTSD, (___) anxiety. Really here today to follow up on the testosterone. Lab was drawn; other results are not yet available. His non-fasting glucose today was 106 and the hemoglobin A1c that was done was 5.9. He does have some history of hyperglycemia, but I think there were primarily non-fasting, he may just have some glucose intolerance. Complains primarily of knee pain and right hip pain. He is having erectile dysfunction, was given Viagra, and when he saw the urologist he was told that he needed testosterone, as it was quite low at 1.8.
Total knee arthroplasty are also known as total knee replacement. It is used as one of the option to relive the pain and to restore the function to an arthritic knee. Total knee arthroplasty or total knee replacement is used when other methods such as weight loss, physical therapy, medical or injections have failed to relive arthritis- associated knee pain. Knee replacement implant is remove of damaged cartilage and bones from surface of knee joint and followed by implantation of an artificial knee joint made with biomaterials. Femoral components and tibial component are made with metal alloy. Between the Femoral component and tibal component there is a Polyethylene layer. Inflammatory response is Phagocytes which is cells that are able to
Introduction: Unicompartmental knee arthroplasty (UKA) is gaining popularity due to its less invasiveness and quicker recovery than total knee arthroplasty (TKA). However, incidence of tibia-related complications such as tibial component subsidence and fracture has been increased. These may be due to improper surgical technique selection such as excessive removal of tibia plateau, including excessive posterior slope, exposing soft metaphyseal bone prone to fracture and implant subsidence. Mobile-bearing UKA allows minimal tibial bone resection because thinner polyethylene bearing can be used since there are less concerns about polyethylene wear.
Introduction: In case of advanced knee arthritis, Total Knee Arthroplasty (TKA) represents an effective and reproducible surgical technique. In the last decade, Computer-Assisted Systems (CAS) have been introduced in TKA to allow more accurate prosthesis component implantation via intra-operative anatomy-based data tracking of the tibio-femoral joint (TFJ). Particularly, these systems were expected to result in better post-operative clinical outcomes under loading conditions and longer implant survivorship than Conventional Instrumentation (CI). This is generally due to more precise targeted bone cuts and Mechanical Axis (MA) using CAS. Unfortunately, only a few studies have compared so far TKA via CAS and CI at a long term follow-up in terms of clinical outcomes, MA alignment and implant survivorship.
HISTORY OF PRESENT ILLNESS: Cynthia is about two weeks and a half to three weeks out from left hip hemiarthroplasty. She is doing very well. She is in a nursing home at this point. No complaints. She is walking daily. The pain is minimal. She is doing well.
Through a debilitating scoliosis resultant of poliomyelitis, my grandmother found herself in need of a total hip arthroplasty. Following her journey and meeting the doctors, surgeons and nurses responsible for her procedure and recovery offered my first insight into the medical profession. All members of the team displayed vital interpersonal skills I have since developed in myself, through work experience and volunteering. They presented information in a clear, understandable fashion, and were compassionate and attentive; listening to everything she said.
UNDER the palm of one hand the child became aware of the scab of an old cut on his
As a new graduate working on the Medical/Surgical floor the use of a Continuous Passive Motion Machines (CPM) in post total knee arthroplasty (TKA) patients was essential. Seasoned nurses drilled onto graduate nurses that the patient had to wear the CPM for a minimum of eight hours per day. As a new nurse, I did not question the why, nor did I ask if there was data supporting the importance of using CPM machines.
The claimant had a physical therapy evaluation on 10/23/2017. It was noted that the claimant had complaints of right shoulder pain after he lifted a tire. He heard and felt a pop on his shoulder. He did have an immediate pain and continued to work. He reported that the pain had decreased and only had minimal discomfort with reaching movements or laying on his shoulder. Objective findings showed a normal active range of motion of the shoulder. There was tenderness in the right distal supraspinatus tendon attachment. He was diagnosed with a right supraspinatus tendonitis.
medication within 24 hours were excluded from the study. Patients enrolled in the study were divided
A surgeon is a type of doctor that helps cure and prevent sickness through surgery. There are many types of surgeons such as a general surgeon who focuses mainly on the abdomen. After that there is the orthopedic surgeon who focuses mainly on injuries affecting muscles, bones, joints, and nerves. Another surgeon is a neurological surgeon who focuses on the nervous system and diseases that effect it. In addition, there is the cosmetic or plastic surgeon who focuses on reconstruction, replacing, and repairing damaged and defective tissue. Additionally, there is the ophthalmologists who mainly focus on the eye and vision. In addition, there is the thoracic surgeon who treat conditions effecting organs inside the chest such as the heart and lungs. Another example of a surgeon is the vascular surgeon whom focus mainly on unblocking arteries and managing aneurysms. Then there is the urologist which treats and diagnoses patients that have urinary and genital organ disorders. Finally, there is the pediatric surgeon which focuses on children and newborns.
It all started with a wrestling accident. As the bell rang, signifying the end of the match, my opponent ripped his arm from my now relaxed grip, freeing himself from my hold. I stood and extended my hand to help him up, but he hesitated to take it, his focus transfixed on my hand. I adjusted my gaze to what he was fixated on - my now grossly malpositioned ring finger. With my adrenaline quickly wearing off, my brain was now able to fully process the full extent of my injury, allowing the pain to reach my consciousness. I needed to visit the emergency room.
People undergo total knee replacement when arthritis or injury erodes the joint's natural cushioning to the point where it's hard to walk even short distances without severe pain.