Medical Malpractice Insurance for orthopaedic surgeons

Repair of the Torn Meniscus

– Meniscal Anatomy and Physiology: – medial meniscus – bucket handle meniscus tear – posterior horn tears of medial meniscus – lateral meniscus – discoid meniscus – indications for repair: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area … Read more

Repairs of the Lateral Meniscus

– See: Lateral Meniscus /  General Discussion of Meniscal Repair – Indications: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area 3-5 mm from periphery is grey zone, & > 5 mm from periphery is considered avascular; (see vascularity of … Read more

Salvage of Pseudoarthrosis after Tibiotalar Arthrodesis

Foot Ankle Int. 1997 Sep;18(9):580-585   Levine SE, Myerson MS, Lucas P, Schon LC   ABSTRACT   BACKGROUND: We retrospectively reviewed the treatment of a selected group of 23 patients with pseudoarthrosis after ankle arthrodesis who underwent revision arthrodesis at an average of 1.7 years (range, 0.3-17.0 years) after the initial, unsuccessful procedure.   METHODS: … Read more

Renal Toxins: associated with Oliguria

      Aminoglycosides       Bacitracin       IV contrast       Chemotherapy       Myoglobulin       Uric Acid       Oxalate       Amyloid       Bence Jones Protein       Amphotericin B Acute renal failure after total hip replacement.

Short-Term Results of our First 49 Scandinavian Total Ankle Replacements (STAR)

Foot Ankle Int. 2008 Feb;29(2):124-127   Schutte BG, Louwerens JW ABSTRACT BACKGROUND: Forty-seven consecutive patients treated for ankle arthritis with a Scandinavian total ankle replacement (STAR) by one surgeon were investigated retrospectively.  METHODS: A modification of the Foot Function Index (FFI), which scores pain and task difficulties, was followed prospectively. Patients were assessed clinically and radiologically. … Read more

Semiextended position for IM Nailing of Tibia Fractures:

– Discussion:             – extended medial parapatellar incision: (from Tornetta and Collins (1996)).                      – utilize extended medial parapatellar incision, which allow lateral subluxation of patella, and which allows more                                  proximal and lateral starting hole;           … Read more

Salvage of Tibial Pilon Fractures Using Fusion of the Ankle with a 90 Degrees Cannulated Blade-Plate: A Preliminary Report

Foot Ankle Int. 1999 Jun;20(6):375-378   Morgan SJ, Thordarson DB, Shepherd LE   ABSTRACT   BACKGROUND: Six patients with ankle joint destruction and delayed metaphyseal union after tibial plafond fracture were surgically treated with tibiotalar arthrodesis and metaphyseal reconstruction, using a fixed-angle cannulated blade-plate.   METHODS: The procedure was performed through a posterior approach in … Read more

Renal Trauma / Urogenital Trauma

– See:      – Bleeding from Pelvic Frx      – Urogenital Trauma from Pelvic Frx      – Diff Dx of Hematuria – Discussion:     – pts w/ high probability for genito-urinary trauma include those w/ gross hematuria (or microscopic) associated w/ shock;           – most severe injuries tend to occur w/ … Read more