1 This article appeared originally in the September 1965 issue of the Orthopedic and Prosthetic Appliance Journal, having been prepared at the request of the Committee on Advances in Prosthetics and Orthotics of the American Orthotic and Prosthetic Association. It is being republished in Artificial Limbs in the belief that the device and procedure described will be of interest to our readers. T...

Methemoglobinemia is a potential negative side effect associated with the use of benzocaine for topical anesthesia. A healthy patient admitted for an outpatient orthopedic procedure developed the clinical symptomatology of methemoglobinemia after topicalization of the airway with benzocaine. The patient subsequently responded to appropriate treatment and was fit for discharge the same day. Meth...

A 21-year-old male (body mass index: 28.3) with a history of asthma and reactive airway disease since childhood underwent left shoulder arthroscopy and labral repair surgery under monitored anesthesia care. Because the procedure was performed in the beach chair position, access to the patient's airway was limited throughout. To avoid general anesthesia and to limit potential complications assoc...

Orthopedic surgeons resurface the patella during total knee arthroplasty to avoid complications such as pain, patello-femoral arthritis, and patellar maltracking and to reduce the risk for reoperation. However, many complications, such as decreased range of motion, increased fractures, and polyethylene wear, have been described with this procedure. One determinant when resurfacing a patella is ...

Unicondylar knee replacement is a relatively common elective orthopedic procedure but is not often seen in the Emergency Department setting. Familiarity with normal clinical and radiological appearances is difficult to gain. Dislocation of the mobile bearing component "spacer" is a known complication of unicondylar knee replacements, and these patients will initially present to the accident and...

There is increased interest of the orthopedic surgeons in treating the pathology of long head of biceps. Although there is some clarity in the result of biceps tenotomy, it is not so clear concerning tenodesis. An open keyhole tenodesis of biceps is shrouded with concerns of primary stability, use of deltopectoral incision, operative pain, technical difficulty to access biceps tendon in case of...

USING transesophageal echocardiography, echogenic material can be shown in the right ventricle during many orthopedic procedures. Recently, transcranial Doppler–recorded microembolic signals have been described during femoral fracture fixation, suggesting that medullary pressurization may be associated with systemic microembolism and pulmonary fat and marrow emboli. Although reamed, locked intr...

The goal of arthroscopic partial meniscectomy is to preserve a stable rim of meniscal cartilage, removing only unstable, diseased tissue. As one of the most common orthopedic procedures performed in the United States, arthroscopic partial meniscectomy developed as an alternative to open total meniscectomy that leads to degenerative changes in the knee over time. The short-term results of this m...

Orthopedic surgery is a specialty of surgery dedicated to the prevention, diagnosis, and treatment of diseases and injuries of the musculoskeletal system in all age groups. Careers in orthopedic surgery span the spectrum from general orthopedics to those of subspecialty expertise in orthopedic trauma, hand, pediatrics, total joint, foot and ankle, sports medicine, and oncology to name a few.

Morbid obesity is a relatively common and vastly increasing condition that can have a profound impact on morbidity and mortality during the administration and maintenance of general and regional anesthesia. Physiological derangements, difficult airway management, and biological augmentation in pharmacokinetics are some of the clinical challenges involved with this particular patient population....