Femoral osteotomy (VDRO)
Clinical Procedure
 
Aliases:
Varus derotation osteotomy (VDRO)
VDRO
Varus derotation osteotomy

Topic aliases are alternate phrasings for a particular topic.


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Limb torniquet may be used when additional lower leg procedures will be performed.

Consider the physiological consequences of torniquet pain and eventual release of blood from the ischemic limb.

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Administer antibiotics as per surgeons before the limb torniquet is inflated.

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Prone position is commonly used

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Jan 07, 2013
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Clonidine in epidural may reduce the risk of spasm in CP patients

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Nov 05, 2011
1-2mcg/kg? (RB MMC)
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Consider administering ketamine intraoperatively for analgesia

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0.25mg/kg hourly intraop (RB)
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Consider an L1/2 epidural for intra and postoperative analgesia.

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Epidural anesthesia.
In adults it is generally accepted that placement occur prior to induction, whereas in children it may be acceptable to insert after induction. #ref

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If a postoperative epidural is not desirable consider performing a caudal anaesthetic

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See SEMLS for anaesthesia considerations specifically for multi-level procedures

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Spasm is a common perioperative complication in patients with cerebral palsy. Have postoperative management plan in place if this happens.

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Feb 04, 2013
Diazepam 0.1mg/kg po PRN 4hrly
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Surgeon may prefer to avoid regional techniques in patients at risk of compartment syndrome.

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Victorian surgical consultative council advise against regional in lower limb bone surgery? #review Ask Minoo Patel
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Expected blood loss 5% per side per site

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