Medical Malpractice Insurance for orthopaedic surgeons

Types of Hemiarthroplasty Stems

                    – See: – Austin Moore Prosthesis:      – only true calcar support prosthesis is the old Moore implant, whose stem was too small to provide canal fill in most cases;      – designed for patients w/ 1/2 to 3/4 inches of remaining femoral … Read more

Types of Knees for AKA Prosthesis

– Constant Friction Knee:     – simply a hinge that is designed to dampen knee swing via a screw or rubber pad that applies friction to the knee bolt;     – it is a general utility knee, and may be used on uneven terrain;     – it is the most common knee … Read more

Types of Meniscal Tears

– Bucket Handle Meniscus Tear – Horizontal Tear – Longitudinal Tear – Posterior Horn Tears of Medial Meniscus – Radial Meniscus Tear – Flap Tear:      – one of most commmon meniscal tears and is believed to propagate from either the radial or Bucket Handle Tears;      – separating the base of this … Read more

Types of Orthopaedic Infections

– Orthopaedic Infection Menu     – bacterial menu     – infectious tenosynovitis     – diabetic foot infections     – hand infections     – THR infections     – TKR Infections     – septic arthritis     – necrotizing soft tissue infections:     – osteomyelitis (Cierney Classification)     – spinal infection / osteomyelitis … Read more

Type III: Pilon Frx

– Discussion:     – severe articular comminution and articular impaction frx;     – reduce fibula then perform plate & lag screw fixation;     – restores length of fractured distal tibia:     – reduce articular surface     – carried out & maintained by temporarily stabilizing it with K wires;     … Read more

Type III Supracondylar Frx

– Discussion:     – posterior cortex is disrupted w/ no cortical contact;     – distal fragment is displaced posteriorly and proximally (by pull of triceps);     – w/ medial displacement, the medial periosteal hinge is intact;     – w/ lateral displacement, the lateral periosteal hinge is intact; – Physical Exam:   … Read more

Type III Tibial Plateau Frx

    – See: Tibial Plateau Frx Menu, Local Compression Frx – Discussion:     – involves central or peripheral depression of frx of lateral plateau w/o associated lateral wedge fracture;     – it usually occurs from minimal impact on weak osteoporotic bone;     – commonly affects older age groups (55-60 yrs) w/ marked osteoporosis; … Read more

Type-IV Intertrochanteric Fractures

  – See: Unstable Intertrochanteric Fractures – Discussion:     – consist of an intertrochanteric frx w/ a subtroch component;     – constitutes 15% of intertroch frx; – Treatment Options:     – sliding hip-screw or 2nd-generation locking nail may be used in rx of intertroch-subtroch frx that have femoral shaft extension;     … Read more

Type IV (Medial) Tibial Plateau Fractures

– See:         – Tibial Plateau Frx Menu:    Bicondylar Fractures and Type V Frx, Type IV Fractures, Total Depression Fracture – Discussion:     – frx of medial tibial plateau (see total depression frx):     – carries worst prognosis of all tibial plateau fractures;     – 2 subsets of injury:   … Read more

Type V

– Discussion:     – type V growth plate injuries are due to severe axial loading;     – some or all of the physis is so severely compressed that growth potential is destroyed;     – angulation and limb length inequality may be long term complications