Medical Malpractice Insurance for orthopaedic surgeons

Grade II Open Tibial Fractures

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>- See: a href=”/bones/tibia-fibula/gustilo-classification-of-open-tibial-frxs/”>Gustilo Classification/a>:br/> br/> strong>- Treatment Options:/strong>br/>      – a href=”/bones/tibia-fibula/external-fixators-for-tibial-frx/”>external fixation/a>:br/>      – a href=”/bones/tibia-fibula/tibial-fractures-technique-of-im-nailing/”>intra-medullary nail/a>;br/>            – IM devices control length and rotation as effectively as a href=”/bones/tibia-fibula/external-fixators-for-tibial-frx/”>Ex Fix/a>   (w/o complications of soft tissue inpalement & pin tract infection)br/>     … Read more

Grade III A

– See: Gustilo Classification – Discussion:     – wound less than 10 cm w/ crushed tissue and contamination;      – soft tissue coverage of bone is usually possible;      – w/ IM nailing, average time to union is 30-35 weeks;      – is frx in which there is limited stripping of the periosteum and soft tissues from bone, and bone … Read more

GLYCERIN SUPPOSITORY

– For constipation, stimulates peristalisis;  – Adult: 1 adult suppository PR, prn;  – Peds: 1 infant suppository PR, qd-bid prn

Glycosaminoglycans

Discussion glycosaminoglycans are linear polysaccharides composed of repeating disaccharides units, usually more than 20 per chain; glycosaminoglycans attach to a protein core forming a proteoglycan; two major glycosaminoglycans w/ in cartilage ground substance consist of chondroitin sulfate and keratan sulfate; shared characteristics include: straight chains with no branching; disaccharide repeating units of glycosamino-glycans are composed … Read more

Gold

– useful in patients with RA, especially those in early progressive arthritis;  – Toxic Side Effects:  – nephrotoxicity, proteinuria, dermatitis, stomatitis, thrombocytopenia, aplastic anemia, and erythematous maculopapular rash  Comparison of auranofin, methotrexate, and the combination of both in the treatment of rheumatoid arthritis. A controlled clinical trial.

Goldner Four Quadrant Approach

– Discussion:     – plantar, medial, posterior, and lateral, modifying the extent of release according to the severity of the deformity;     – plantar quadrant includes the plantar fascia, the short toe flexors, and the long and short plantar ligaments.     – medial quadrant involves talonavicular and subtalar release, lengthening of the posterior tibial tendon … Read more

Motivation for Soft tissue resurfacing / Enhanced microfracture technique

Background:           By way of background, I performed eight autologous hamstring resurfacing arthroplasties during the later  half of 2007 at Franklin Regional Medical Center.  This procedure involves harvesting the gracilis and  semitendinosus tendons and oppossing them to the medial femoral condyle using knotless absorbable bone  anchors.  The drill holes for the bone anchors serve as a source for hematopoetic … Read more

Gluteus Medius

– Anatomy:     – origin:          – outer surface of ilium from iliac crest and posterior gluteal line above to the anterior gluteal line below, gluteal aponeurosis;          – note that posterior border of the gluteus medius is almost in line w/ femoral shaft; the anterior border fans anteriorly;   … Read more

Gluteus Minimus

– origin:       – outer surface of ilium between anterior and inferior gluteal lines and margin of greater sciatic notch; – insertion: anterior border of greater trochanter; – action:       – abducts femur at the hip and rotates it medially;         – lateral pelvic stabilizer;       … Read more