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Orthopedic prostheses

J Kaplan1, R W Wilson

  • 1Joint Military Medical Centers, Brooke Army Medical Center, Fort Sam Houston, Texas.

Emergency Medicine Clinics of North America
|August 1, 1994
PubMed
Summary
This summary is machine-generated.

Emergency physicians manage complications from joint replacements and fixation devices. Prompt recognition of deep infections, blood clots, and compartment syndrome is crucial for patient outcomes.

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Area of Science:

  • Orthopedic Surgery
  • Emergency Medicine
  • Trauma Management

Background:

  • Complications following total joint arthroplasties and orthopedic fixation procedures are common.
  • Effective management requires understanding diverse potential issues, from infections to vascular compromise.

Purpose of the Study:

  • To outline the emergency department's role in managing complications of total joint arthroplasties.
  • To highlight key complications associated with intramedullary, internal, and external fixation devices.

Main Methods:

  • Review of common complications in orthopedic surgery.
  • Emphasis on emergency physician's diagnostic and initial management strategies.
  • Discussion of critical conditions requiring immediate intervention.

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Main Results:

  • Deep infections pose a significant risk after joint arthroplasty.
  • Thromboembolic events are a concern with orthopedic implants and trauma.
  • Compartment syndrome necessitates urgent surgical decompression.

Conclusions:

  • Emergency physicians play a vital role in the timely diagnosis and management of orthopedic complications.
  • Early identification and treatment of deep infections, thromboembolic events, and compartment syndromes improve patient prognosis.
  • This review underscores the importance of a multidisciplinary approach in managing these complex cases.