ABSTRACT
Aseptic control of organisms in the operating arena has long been a major goal of surgeons. The purpose of this study was to assess the facial skin flora of operating room personnel and its relationship to contamination adjacent to the surgical site. The authors found that, in spite of all attempts at aseptic control, operating room personnel have numerous organisms on the exposed facial areas, and the same organisms appear on the operating room table adjacent to the surgical site of about one in five patients.
Subject(s)
Antisepsis , Operating Rooms , Skin Physiological Phenomena , Surgical Wound Infection/etiology , Face , Humans , Skin/microbiologyABSTRACT
Gonococcal arthritis is a frequently occurring clinical entity that should be included routinely in a differential diagnosis of pedal joint pain. Unfortunately, the lack of specificity in the presentation makes gonococcal arthritis difficult to diagnose. Indices of suspicion should rise with any sexually active patient, particularly when septic arthritis is suspected without a detectable portal of entry. The authors emphasize again the importance of carefully choosing empiric antibiotic coverage for gonococcal arthritis. Three factors that should be considered are regional epidemiology, the anatomical site of the primary infection, and the possible coexistence of other infectious agents. Understanding the clinical staging of this condition will help to achieve a timely diagnosis and successful treatment.
Subject(s)
Arthritis, Infectious/physiopathology , Gonorrhea/physiopathology , Adult , Anti-Bacterial Agents/therapeutic use , Arthritis, Infectious/diagnosis , Arthritis, Infectious/drug therapy , Calcaneus , Female , Gonorrhea/diagnosis , Gonorrhea/drug therapy , Humans , MaleABSTRACT
The original Austin bunionectomy is reviewed, as well as modifications of this procedure. The various procedures that can be done in conjunction with this procedure are examined from the surgeon's point of view. The modifications of this osteotomy are discussed.
Subject(s)
Hallux Valgus/surgery , Bone Screws , Bone Wires , Humans , Osteotomy/adverse effects , Osteotomy/methods , Postoperative ComplicationsABSTRACT
Tibial sesamoid afflictions have been subject to various methods of treatment. A review of current concepts was challenged by a retrospective study involving patients in whom surgical intervention was performed. Data was collected from pre- and postoperative radiographs to determine if a change in the osseous relationships around the first metatarsophalangeal joint had occurred, thereby necessitating adjunctive procedures to compensate. The results obtained from our patient population substantiate the fact that a need does exist to evaluate these surgical candidates adequately in order to include additional procedures necessary to decrease morbidity.
