By Kim Hargreaves
AMBER A iciness amassing assortment is an excellent ebook by way of Kim Hargreaves. A winter's assortment worn to dramatic influence comprises 21 clothing & add-ons, all utilizing attractive Rowan yarns.
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Extra resources for Amber: A Winter Gathering
Debridement (see pp. 47, 48) 2. Fracture fixation (see p. 46) 3. Wound care after 1 + 2 I Definitive I Non - defi nitive see algorithm pp. 44. 45 Bead pouch, porcine allograft. topical, wound vacuum 44 Principles of Treatment and Management Fractures Fractures without bone loss Fractures with bone loss Immediate repair - one stage Delayed repair - two stage I I Internal fixation using plates screws K- wires External fixation - Comminuted Contaminated Margina l skin perfusion Conservative treatment Primary external fixation Secondary internal reconstruction Reduction: casting, splint, buddy taping, etc.
52 Principles of Treatment and Management Contractu res I Skin Wide scar Linear scar Joint area involved Joint area involved Yes No No Yes L J Excision First attempt at correction Yes No Skin graft Flap coverage Excision Excision Flap coverage Z-plasty First attempt at correction Yes Z-plasty V-Y plasty Butterfly plasty No Flap coverage Z-plasty I Extensive contractu res will require all limbs of the algorithm Early rehabilitation program after healing of surgical intervention General Strategy 53 Contractu res II Joints Stiffness Tendons Ankylosis Heterotopic ossification Arthrolysis Tenolysis Two-stage Tenodesis?
Carpal instability non-dissociative (CINO) A. Radiocarpal B. Midcarpal C. Ulnar translocation III. Carpal instability complex (CIC) A. Perilunate dislocation 1. Dorsal perilunate/volar lunate 2. Trans-scaphoid perilunate IV. Carpal instability longitudinal A. Axial ulnar (AU) 1. Capitate - hamate diastasis B. Axial radial C. Axial ulnar-radial (AUR) combined Severity grade: I. Dynamic instability (Normal plain x-rays, diagnosis made on the basis of stress or motion studies and/or cineradiographs) II.