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

Exposure of Nail Matrix and Proximal Nail Fold

– Discussion:     – insert the freer elevator under the nail fold for nail protection;     – make two full thickness tangential incisions laterally and proximally starting and the proximal-lateral borders of the nail fold;     – retract the flap w/ skin hooks, to expose the matrix;     – note: this … 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

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