Stage II Osteointegration Implant (OI) Skin Coupling Procedure (Continuation from Case Report September 2013)
DOI:
https://doi.org/10.15438/rr.v3i4.51Abstract
Patient’s over health was unchanged following stage I procedure, 8/17/2013, 123 days post surgery.
The patient had been followed closely since the time of the stage I procedure. The patient was 65 years of age at the time of the Stage II procedure, 12/18/2013. Her wounds at the residual limb had completely healed without any problems by 14 days after the Stage I surgery. Her pain medication requirement was completely resolved by day 21 after the Stage I surgery. She had worn a stump shrinking compressive stalking for the majority of the time leading up to the Stage II procedure; the patient reported that the pressure on the residual limb was comforting. The scar was tender over the lateral aspect of the residual limb with a positive Tinel’s Sign [1] and no palpable mass or swelling.
A planning full length standing radiograph of both limbs on a long image cassette was obtained (see figure 1). All imaging studies showed the femoral implant positioned as it had been on the day of the Stage I procedure with progressive evidence of boney in-growth as demonstrated by the plain film images.
References
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http://www.carefusion.com/medical-products/infection-prevention/skin-preparation/ accessed 12/19/2013.
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http://www.drugs.com/pro/duramorph.html accessed 12/19/2013.
http://en.wikipedia.org/wiki/Ketorolac accessed 12/19/2013.
http://en.wikipedia.org/wiki/Ropivacaine accessed 12/19/2013.
http://silverlon.com/advanced-wound-care-dressings accessed 12/19/2013.
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Copyright (c) 2014 Ronald Hillock, MD, John Keggi, MD, Robert Kennon, MD, Edward McPherson, MD, Terry Clyburn, MD, Declan Brazil, PhD, Timothy McTighe, Dr. HS
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