Matthew D. Riedel; Ian T. Watkins; Johnathon R. McCormick; Hans P. Van Lancker
Volume 8, Issue 3 , May 2020, , Pages 457-460
Abstract
Article Highlights: 1) This article provides a full anticoagulant reference for the practicing orthopaedic surgeon which can be used in any clinical scenario, whether urgent or elective surgical intervention is required 2) A comprehensive list of anticoagulant reversal agents and drugs with short half-lives ...
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Article Highlights: 1) This article provides a full anticoagulant reference for the practicing orthopaedic surgeon which can be used in any clinical scenario, whether urgent or elective surgical intervention is required 2) A comprehensive list of anticoagulant reversal agents and drugs with short half-lives (for bridging) are described with the intention to provide the data needed to safely manage a patient peri-operatively during urgent orthopaedic surgical care (i.e. fracture or infection) 3) Half-life and method of excretion for all drugs are included with the intention to accurately guide decisions regarding the appropriate timing of scheduling elective orthopaedic surgical care with regards to anticoagulant metabolism and effect 4) The practicing orthopaedic surgeon using this guide should always consider medical co-management of these complex patients as their medical co-morbidities may not be amenable to anticoagulant reversal or peri-operative cessation of therapy, even for a short period 5) The data contained in this article stands to serve as a foundation upon which institution-specific guidelines regarding the peri-operative management of orthopedic patients on long-term anticoagulation can be developed
Upper Extrimity
Patrick K. Cronin; Ian T. Watkins; Matthew Riedel; Philip B. Kaiser; John Y. Kwon
Volume 8, Issue 1 , January 2020, , Pages 99-111
Abstract
Orthopedic implant removal is a commonly performed procedure. While implant removal can be associated withimproved symptoms, risks of the surgery are notable. Stripped screws, broken and retained hardware, and morbidityassociated with soft tissue compromise during difficult removal are all common. Familiarity ...
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Orthopedic implant removal is a commonly performed procedure. While implant removal can be associated withimproved symptoms, risks of the surgery are notable. Stripped screws, broken and retained hardware, and morbidityassociated with soft tissue compromise during difficult removal are all common. Familiarity with the instruments iscritical to procedure success. The purpose of this study is to assist removal of unfamiliar screws in upper extremitysurgery by offering a reference for screw and driver compatibility across manufacturers.Inclusion of device manufacturers was determined by market share. Screw size, drive configuration, and screw removalsystem compatibility data was collected and recorded. Screw, guide-wire, and screwdriver compatibility was assessedand compared to two commonly utilized universal implant-removal sets.Eight upper extremity implant vendors were included. The data was compiled in table format according to manufacturerand sub-categorized to facilitate screw identification according to radiographically identifiable characteristics.The diversity of orthopaedic implants in upper extremity surgery requires careful preoperative planning to identify theappropriate equipment for implant removal.The goal of this work is to provide a centralized reference of commonly implanted screws, guide-wires, and drivers forthe upper extremity to facilitate removal.Level of evidence: V