Medical Malpractice Insurance for orthopaedic surgeons

One-Third Tubular Plates

– See:       – One Third Tubular Plate Applied as a Neutralisation Plate:       – One Third Tubular Plate Applied as a Tension Band Plate: – Discussion:     – these Plates have the form of 1/3 of the circumferance of a cylinder;     – they have low rigidity since … Read more

Ollier Approach

– Discussion:     – is excellent for triple arthrodesis and for resection of a calcaneonavicular bar;     – incision may be extended to expose the subtalar, calcaneocuboid, and talonavicular joints;     – wound usually heals well because the proximal flap is dissected full thickness and the skin edges are protected during retraction; … Read more

Omerprazole / Prilosec

– See: Rx of PUD  – Discussion: – gastric acid pump inhibitor;  – used for severe erosive esophagitis;  – high doses may lead to hypergastrinemia, enterochromaffinlike cell hyperplasia, and gastric carcinoid formation.  – therefore use lower doses if possible.  – Adult Dosing:  – 20 mg PO qd; Hypersecretory: 60mg PO qd

One Incision Technique for Femoral Tunnel

div class=”mh-row clearfix”> h1>a href=”/image7/accll10.jpg”>img alt=”” align=”middle” src=”/image7/accll10a.jpg”/>/a> a href=”/image7/accll11.jpg”>img alt=”” align=”middle” src=”/image7/accll11a.jpg”/>/a>hr size=”3″/>/h1> div class=”bodycopy”>- See: a href=”/muscles-tendons/notchplasty/”>Notchplasty/a>: br/> br/> hr size=”3″/> strong>- Technique:/strong> br/>     – strong>a href=”/bones/tibia-fibula/tibial-tunnel-for-acl-reconstruction/”>preparation – tibial tunnel/a>:/strong> br/>            – tibial tunnel is created prior to femoral tunnel; br/>           … Read more

One Part Proximal Humeral Fracture

  – See: Classification of Proximal Humeral Fractures:  – Discussion:  – by definition has less than 1 cm of displacement and less than 45 deg of fracture angulation;  – ideally patients should be immobilized in a sling for no more than one week, and then should be started on supervised assisted passive shoulder ROM exercises … Read more

Ofloxacin / Floxin

– Dosing:     – usual dose is 200 mg to 400 mg q 12 hr;     – 30-40% of drug will be excreted in to urine;     – there is some evidence for higher tissue concentrations than seen with other antibiotics, and with a 800 mg dose the tissue concentrations are at … Read more

Olecranon Osteotomy

– Discussion:     – used in conjunction w/ a posterior approach: for fixation of condylar fractures, as well as exposure of distal humeral non unions;     – olecranon osteotomy can be either non-articularl or trans-articular;            – usually the non-articular olecranon osteotomy is used for non-articular condylar fractures;     … Read more