Medical Malpractice Insurance for orthopaedic surgeons

High Anterolateral Portal

– Discussion:  – w/ the knee flexed 70 deg, the patella apex is palpated, and a longitudinal stab incision is made just lateral to the border of the patellar tendon using a No. 11 or 15 knife blade;  – placing the incision close to the lateral border of the patellar ligament facilitates inspection of the … Read more

High Median Nerve Lesions

– See:       – Entrapment of Median nerve  at the Elbow and Forearm:       – Combined Injuries of the Median and Ulnar Nerves:       – Median Nerve       – Nerve Repair – Deficit:     – loss of pronation of forearm, wrist flexors, index & long finger … Read more

High Tibial Osteotomy

 – See: TKR following HTO: – Discussion: – indications for HTO: – associated conditions: – posterolateral corner deficiency – osteoarthritis of the knee: – motivation for procedure: – narrowed medial cartilaginous space may regenerate (and associated degenerative features may reverse) if weight bearing stresses are partially shifted from the medial to the lateral side of the … Read more

HEPATITIS B IMMUNE GLOBIN

– For exposure to HBsAg positive materials such as blood contact;  – Adult: 0.06ml/kg IM to maximum of 5ml;  – w/in 24 hr of needle stick exposure;  – w/in 14 days of sexual contact;  – Repeat at 1 and 6 months after exposure;  – Administered in gluteal or deltoid muscle;  – Supplied in vial of … Read more

Herbert Screw Fixation of Scaphoid Frx

    – Discussion:     – screw is threaded at both ends and can be countersunk beneath articular surface, obviating the need for             removal after frx has healed;     – it is designed to achieve compression by use of a differential thread-pitch between its proximal & distal ends,             and it has guiding jig that maintains … Read more

Herniated Disc in the Child

– Diff Dx: slipped vertebral apophysis – Discussion:     – disc herniation is uncommon in children;     – herniations are most common at the disc spaces between the fourth and fifth lumbar vertebrae & between 5th lumbar and 1st sacral            vertebrae; – Clinical Findings:     – children experience little or no back … Read more

Herpes Simplex Finger Infections

– See: Diff Dx of Hand Infections – Discussion:       – most often involves the tip of the digit;       – occurs from contact w/ oral tracheal secretions and self inoculation (common w/ dentists);       – incubation period from two to 14 days;       – characterized by … Read more

Hetastarch/Hespan

  – plasma volume expander, for treatment of shock, – Discussion: – synthetic colloid with actions similar to Albumin;  – can be safelly used to a total volume of 1.5 liters;  – its available as 6% solution in normal saline w/ osmolarity of 310 mOsm/l;  – it generally provides plasma volume expansion for more than … Read more