Medical Malpractice Insurance for orthopaedic surgeons

Oxygen

  – mitotic rate of regenerating epidermal cells increased 5-10 fold in moist, O2 rich environment as compared to desiccated wound environment; – in experimental wounds the local pO2 is 0-20 as compared to 30-60 mm in the normal tissues;  – pCO2 in the wound is 60 mm with a pH of 7.1;  – Methods … Read more

Osteosarcoma of Spine

Osteosarcoma of the spine Anterior decompression of vertebral osteosarcomas to relieve paraparesis. Report of two cases .

Otitis media

Note: Low grade fever and mild otalgia can frequently persist for up to 48hrs following the initiation of antimicrobiol therapy; If during the treatment, the patient has severe pain, a marked febrile course, or bulging of the tympanic membranes, then change of anti- microbiol therapy is appropriate; Note: Ampicillin (Amoxicillin) is the single most useful … Read more

Over Distraction of Distal Radius Frx

– Discussion:      – distraction (or ligamentotaxis) is used to facilitate reduction of distal radius frx;      – overdistraction will cause increased mid & proximal carpal joint space widening & resistance to  passive flexion of finger tips to distal palm;              – look for over distraction when proximal … Read more

Osteomyelitis/Infection in the Sickle Cell Patient

– See: Osteomyelitis – Osteomyelitis: – look for OM in multiple areas and in the diaphisis of long bones as compared to the metaphysis in unaffected children; – diagnosis of osteomyelitis: in patients with sickle cell anemia is complicated by the difficulty in distinguishing the syptoms from those of acute bone crisis (bone infarction); – fever, localized … Read more

Osteonics TKR

  – Distal Femoral Cutting Jig:   – Femoral Sizing Guide:  – Anterior-Posterior Cutting Jig:     – Proximal Tibial Cutting Guide:   – Tibial Keel Punch Guides:    – Misc.:   – Trial Femoral Component:  – Patellar Components:     Thanks to Dr. Dimmig and Triangle Orthopaedics for their assistance.

Osteopetrosis

– Discussion: – osteopetrosis is failure of osteoclastic and chondroclastic resorption; – bones become exceedingly dense; – marrow space is filled w/ unresorbed dense bone; – disease results from lack of osteoclastic resorption, leading to thickened bones & exclusion of marrow cavity; – there is absence of marrow elements & these patients are susceptible to … Read more