Medical Malpractice Insurance for orthopaedic surgeons

Extension Type Supracondylar Fractures

– Discussion:     – extension type accounts for 95% of cases, & is caused by a fall on outstretched hand with hyperextension of the elbow;     – anterior periosteum is torn;     – there may be a significant amount of local bleeding and swelling;     – nerves & blood vessels are contused, compressed, … Read more

Extension Teardrop Fracture of C2

– Discussion:    – anterior longitudinal ligament inserts on anteroinferior portion of the C2 body;    – w/ extreme hyperextension, ligament may remain intact but may avulse from its insertion, pulling a corner of C2 body with it;    – vertical ht of the fracture fragment is > than its horizontal width;    – hyperextension … Read more

Extension Gap

– Discussion:     – see flexion gap     – is space between transverse cut on distal femur & transverse proximal tibial cut while the knee is in complete extension;     – while minor loss of knee flexion or mild instability in flexion can be tolerated, priority is always be given to extension gap               adjustments; … Read more

Extension Block Casting

        – See: Phalangeal Injury – Discussion:     – takes advantage of stabilizing forces of flexor & intrinsic on phalanges with the MP joint held in 90 deg flexion;     – intact dorsal extensor mechanism functions as  “tension band” to palmar cortex, and helps maintain the reduction;     – digital rotation … Read more

Extended Trochanteric Osteotomy

– Discussion:      – indications:            – well fixed femoral components (fully coated press fit stems;            – for revision of femoral stems placed in significant varus;            – expose the lateral femur by diving the insertion of the lateralis off the vastus tubercle and then elevating the vastus lateralis off the linea aspera;       – … Read more