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

Gout and Pseudogout in the Painful TKR:

– Discussion:       – consideration of gout or pseudogout is appropriate if cultures are negative and yet symptoms are consistent with TKR infection;       – in some cases, the sed rate and/or the CRP may not be elevated as much as would be seen with infection;       – see work up of painful knee replacment … 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

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

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.

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

GLYCERIN SUPPOSITORY

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

Glyburide/Diabeta/Micronase

– See: Antidiabetic agents  – for type II diabetes; long acting sulfonylurea; – Adult: 2.5-10mg PO qd, titrated to response;  – Precautions:  – reduce dose in elderly; disulfiram rxn; – contraindicated w/ DKA, use w/ caution in patients w/ renal or hepatic dz;  – hypoglycemic action of glipizide may be potentiated by drugs that are … 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