Medical Malpractice Insurance for orthopaedic surgeons

Knee Fusion following TKR

– See: Arthrodesis Menu: / PreOp Planning – Discussion:    – arthrodesis remains a treatment option for patients who have recurrent infection, or who are poor candidates for reimplantation;     – problems inherent in the performance of knee arthrodesis following a total knee arthroplasty complicated by infection are bone loss,            shortening, gait disturbance, & … Read more

Klippel Feil Syndrome

– History:    -Maurice Klippel and Andre Feil first to describe syndrome in 1912    -Characterized by patients with:              Short neck              Low hairline              Decreased cervical motion    -Fewer than 50% with congenital defects of cervical spine have … Read more

Knee Arthroplasty: Polyethylene Wear

    – See:        – Polyethylene Wear: Discussion        – Total Knee Replacement Menu: – Resistance to Wear:     – conformation of the bearing surfaces is important because it is factor in the determination of contact stress;     – increases in material strength, will usually result in increases … Read more

QY – Claim

Incidence of hardware-related pain and its effect on functional outcomes after open reduction and internal fixation of ankle fractures. Isolated fracture of the lateral malleolus requires no treatment. 49 prospective cases of supination-eversion type II ankle fractures. Examination of the pathologic anatomy of ankle fractures Stable lateral malleolar fractures treated with aircast ankle brace and … Read more

Kinematics of Wrist

– See: Carpal Instability – Discussion:     – scaphoid normally tends to flex under compressive load, and exerts a similar influence on lunate due to ligamentous attachments;     – triquetrum tends to extend w/ compressive loading & will tend to move the lunate into extension;     – hence lunate is in a … Read more

King Type I Scoliosis

(based on classification of King et al) assistance provided by Ben Allen Jr. M.D. – See: Selection of Fusion Level:  – Discussion  – S thoracolumbar curve crosses midline;  – flexibility: lumbar < thoracic – lumbar curve is larger;  – treatment: fuse lumbar and thoracic vertebrae;  – treatment:  – the goal w/ this type of curve … Read more

King Type II Scoliosis

(based on classification of King et al) assistance provided by Ben Allen Jr. M.D. – See: Selection of Fusion Level:  – Discussion:  – “S” shaped thoracolumbar curve crosses midline;  – thoracic curve is larger and stiffer than lumbar curve;  – selective arthrodesis of the thoracic curve in King type II curves may lead to larger … Read more

King Type III Scoliosis

(based on classification of King et al) assistance provided by Ben Allen Jr. M.D. – See: Selection of Fusion Level:  – Discussion:  – consists of a major thoracic curve (does not cross mid-line) and a flexible secondary lumbar curve;  – treatment:  – distraction is the primary form of treatment;  – fusions should not end at … Read more