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Splinting Method For Preventing Thermal Injuries In Patients With Malleolar Fractures Of The Ankle After Operative Treatment Performed Under Regional Anesthesia, Alex Telis, Katherine J. Gavin, Heather M. Menzer, E Brooke Baker, Richard A. Miller
Splinting Method For Preventing Thermal Injuries In Patients With Malleolar Fractures Of The Ankle After Operative Treatment Performed Under Regional Anesthesia, Alex Telis, Katherine J. Gavin, Heather M. Menzer, E Brooke Baker, Richard A. Miller
UNM Orthopaedic Research Journal
After performing open reduction and internal fixation (ORIF) for treating malleolar fractures of the ankle, surgeons typically use plaster splints during postoperative recovery of patients. Use of regional anesthesia during ORIF has been noted as a risk factor for burns in patients using plaster splints, possibly owing to inability to feel pain after undergoing regional block. We describe a successful postoperative splinting technique used for preventing thermal injuries in this patient population. We reviewed medical records of patients between 2011 and 2013 at our institution with malleolar ankle fractures who had underwent ORIF under general anesthesia, peripheral nerve block, or …
Postoperative Deep Vein Thrombosis And Pulmonary Embolism After Ankle Fusion In A Patient With Hemophilia A: A Case Report, Christopher P. Bankhead, Michael J. Hopson, Richard A. Miller
Postoperative Deep Vein Thrombosis And Pulmonary Embolism After Ankle Fusion In A Patient With Hemophilia A: A Case Report, Christopher P. Bankhead, Michael J. Hopson, Richard A. Miller
UNM Orthopaedic Research Journal
Deep vein thrombosis (DVT) and subsequent pulmonary embolism (PE) are uncommon postoperative complications of operative procedures for treating injuries of the foot and ankle. Because the disorder of hemophilia A prevents blood clotting and increases bleeding, patients with this condition have been even less likely to develop DVT and PE. We present a 36-year-old man with hemophilia A in whom operative ankle fusion for treating hemophilic arthropathy of the left ankle led to DVT and PE. After decreasing dosage of antihemophilic medication and administering enoxaparin, the symptoms improved and the patient was discharged from the hospital on postoperative day 5. …