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2.1
Other Complications due to Internal Joint Prosthesis

Presentation

Views and opinion expressed in this presentation are personal. Depending upon the x-rays and clinical presentations viewers can make their own opinion. For any confusion please contact the sole author for clarification. [slideshare.net]

Patients presenting with this deformity often report inability to extend the fingers. [symbiosisonlinepublishing.com]

Pain was present on the anterior and lateral aspect of left hip and upper thigh region. It was constant in nature, was present even at rest, dull aching type, severe in intensity and aggravated by hip movements. [ncbi.nlm.nih.gov]

However, some metals (including cobalt) can cause soft-tissue inflammation directly without the hypersensitivity response. [1] Presentation The clinical presentation of patients with metal implant reactions is often nonspecific. [emedicine.medscape.com]

Nursing care was aimed at reducing pain based on Marjorie Gordon's theory using NANDA NIC NOC Conclusions: The present clinical case study aims to apply the Nursing Care Process in a 41-year-old patient with diagnosis of tibial pseudoarthrosis. [atenaeditora.com.br]

Entire Body System

  • Pain

    It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged. [icdlist.com]

    April 2009 Persistent pain at hip and knee Sonography hip ? Small collection Aspiration – culture negative 41. Sept 2009 Removal of prosthesis due to pain 42. [slideshare.net]

  • Swelling

    It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged. [icdlist.com]

    Signs of infection include a fever, redness, swelling, bleeding, draining, or an increase in pain around the area of the operation. [medicalnewstoday.com]

Musculoskeletal

  • Knee Pain

    Learn more about the causes of severe knee pain here. [medicalnewstoday.com]

    After a total knee replacement, you can look forward to moving more easily and without pain. Most people gain all the following benefits... Stops or greatly reduces knee pain. [orthosports.com.au]

    If hip or knee pain is making you live life on pause, it may be time to talk with a doctor about treatment options. Because life is a lot more fun when you Hit Play! [jnjmedicaldevices.com]

    View Article PubMed Google Scholar Keating JF, Orfaly R, O'Brien PJ: Knee pain after tibial nailing. J Orthop Trauma. 1997, 11: 10-13. 10.1097/00005131-199701000-00004. [bmcmusculoskeletdisord.biomedcentral.com]

    If the knee joint is too loose, it can cause unsteadiness and pain. If the joint is too tight, the knee is usually painful and doesn’t have a good range of motion. [eorthopod.com]

  • Hip Pain

    […] with complain of the typical broken hip symptoms of hip pain, inability to walk and perhaps a shortened leg. [thephysiotherapysite.co.uk]

    The goals of surgery are to minimize pain, restore hip function, and allow you to return to your everyday routine. Orthopedic doctors at NYU Langone have specialized expertise in hip surgery. [nyulangone.org]

    Patients with joint replacements have symptoms of loosening, including pain and instability. (For example, with a total hip replacement, the patient often has groin pain radiating to the medial thigh.) [emedicine.medscape.com]

  • Joint Swelling

    It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged. [icdlist.com]

Neurologic

  • Abnormal Gait

    These maneuvers lead to an abnormal gait and require extra effort and concentration. Aetna’s policy on standard lower limb prostheses is based on Medicare DME MAC criteria. [aetna.com]

Workup

Workup The increasing frequency of metal allergies in the general population implies the potential need for prescreeing of surgical patients to prevent possible implant allergy reactions. [1] There is no indication for workup of asymptomatic patients [emedicine.medscape.com]

Subtle infections are frequently more difficult to diagnose and require a detailed workup, and the presence of infection may only be presumptive. [podiatrytoday.com]

Therefore, it must be the radiologist who monitors the imaging workup and suggests the most efficacious and cost-effective followup imaging studies for each patient. Another important role of the radiologists is film quality control. [rad.washington.edu]

Treatment

Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery. [icdlist.com]

Examples of active treatment are surgical treatment, emergency department encounter, and evaluation and continuing treatment by the same or a different physician. [fortherecordmag.com]

Prognosis

Fracture healing, infection, and amputation rates correlate with the degree of soft tissue injury by Gustilo and helps determine the prognosis. [bok.ahima.org]

Prognosis A good outcome and a favorable prognosis are expected if the surgeon restores the biomechanical function of the limb. [emedicine.medscape.com]

The strategies for treatment and prognosis often are very different. Fortunately, most people who break hips and are treated surgically do well. However, this isn’t the case for everyone and there are a variety of reasons for poor outcomes. [holycrossleonecenter.com]

Etiology

Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

Etiology of osteoarthritis of the hip. Clin Orthop Relat Res. 1986; (213):20–33. Haverkamp D, de Jong PT, Marti RK. Intertrochanteric osteotomies do not impair long-term outcome of subsequent cemented total hip arthroplasties. [healio.com]

The etiology of dislocations after total hip arthroplasty is often multifactorial. [medsci.org]

Epidemiology

The text was organized as follows: Pathophysiology of tibial nonunion, epidemiology, risk factors, drug therapy and the development of a clinical case. [atenaeditora.com.br]

The epidemiology of intertrochanteric fractures is similar to that of femoral neck fractures. Per 100,000 person years, intertrochanteric breaks occur in 34 men and 63 women. [hopkinsmedicine.org]

Epidemiology of periprosthetic femoral fractures in 5417 revision total hip arthroplasties: a 40-year experience. Bone Joint J. 2016 Apr. 98-B (4):468-74. [Medline]. Koval KJ, Frankel VH, Kummer F, Green S. [emedicine.medscape.com]

A combined American and Canadian study produced 90 cases with sufficient information to provide both epidemiologic data and some specific recommendations for management. [oandplibrary.org]

Pathophysiology

The text was organized as follows: Pathophysiology of tibial nonunion, epidemiology, risk factors, drug therapy and the development of a clinical case. [atenaeditora.com.br]

Pathophysiology Treatment of periprosthetic fractures requires strict adherence to the basic principles of treating any fracture. The surgeon must restore the biomechanical integrity of the bone. [emedicine.medscape.com]

Prevention

Again, prevention is the key. [oandplibrary.org]

Surgeons use two methods of prevention for infections. One is to give the patient antibiotics just before the procedure. The other is to use cement that has antibiotic in it. [morephysicaltherapy.com]

Your individual programme will depend on: what is available in your local primary care trust (PCT) what exercises are most suited to you Prevention It may be possible to prevent hip fractures by taking steps to prevent falls and by treating osteoporosis [your.md]

There are a few preventative measures that you and your doctor can discuss: Blood thinning medications. [healthline.com]

Two other commonly used preventative measures include pressure stockings to keep the blood in the legs moving medications that thin the blood and prevent blood clots from forming Infection Infection can be a very serious complication following an artificial [eorthopod.com]

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2.1
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