Medical Malpractice Insurance for orthopaedic surgeons

Glasgow Coma Scale

        Eye Opening     Spontaneous 4   To Voice 3   To Pain 2   None 1 Verbal Oriented 5   Confused 4   Inappropriate Words 3   Incomprehensible Words 2   None 1 Motor Obeys Command 6   Localizes Pain 5   Withdraw (pain) 4   Flexion (pain) 3   Extension (pain) … Read more

Girdlestone Taylor Procedure

– Discussion:        – this procedure allows long toe flexors to behave like intrinsic muscles producing active plantar flexion at MP joints & extension at IP joint;        – indicated for flexible hammer toes and claw toes;        – inform pt that toe ischemia sometimes follows correction of this … Read more

Girdlestone Arthroplasty

– Girdlestone:   – references:       – Treatment of chronic infected hip arthroplasty wounds by radical debridement and obliteration with pedicled and free muscle flaps.       – Management of the Recalcitrant Total-Hip Arthroplasty Wound.      – Resection arthroplasty of the hip

Genu Valgum

– Discussion:     – bilateral angular deformity: common and is most often physiologic;          – normal knee alignment progresses from 10-15 deg of varus at birth to maximal valgus angulation of 10-15 deg at age of 3-3.5 yrs;          – neutral alignment:               … Read more

Gentamicin in the Renal Failure Patient

– dosage must be adjusted in pts with impaired renal failure to assure adequate, but not excessive, blood levels; – one method of dosage adjustment is to increase the interval between administration of the usual dosages; – the interval between doses (in hrs) may be approximated by multiplying the serum creatinine level (mg/100 ml) by 8;   … Read more

Gentamicin/Garamycin

– See: Aminoglycocides – Discussion:     – indicated for serious Gm Neg infections caused by suseptable Pseudomonas, Proteus,  E. coli, Klebsiella, Enterobacter sp., Serratia, and Gm Neg Sepsis;     – as with all aminoglycocides, gentamicin binds to bacterial ribosomes and inhibits protein synthesis;     – tobramycin is more active than gentamicin against Pseudomonas, including … Read more

Genital Femoral Nerve

– Discussion:     – arises from L1  and L2;     – in abdomen, it descends on anterior surface of Psoas and then divides into genital and femoral branches;     – genital branch innervates cremaster muscle and gives twigs to scrotum and adjacent thigh;     – femoral branch passes under inguinal ligament & … Read more