Medical Malpractice Insurance for orthopaedic surgeons

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

Excision of Foreign Body or Superficial Tumors

    20520     EXCISION FOREIGN BODY MUSCLE     20525     EXCISION FOREIGN BODY MUSCLE     20650     WIRE/PIN FOR TRACTION     20670     REMOVE IMPLANT(eg WIRE)     20680     REMOVE IMPLANT DEEP     21555     EXCISION BENIGN TUMOR     21556     EXCISION … Read more

Excision of Olecranon

– Discussion:     – in elderly pts w/ comminuted frx, excision of up to 50% of olecranon can be well tolerated (no instability)             – if distal surface of semilunar notch of ulna & coronoid are not injured upto 80% of olecranon may be excised w/o producing instability; – … Read more

Excision of Skin Lesions / Ulcers

    11100     SKIN BIOPSY     11200     EXCISE SKIN TAG UP TO 15     11400     EXCISION LESION TRUNK     11420     EXCISION LESION HEAD HAND FT.     11600     EXCISION MALIGNANT LESION TRUNK     15100     SPLIT GRAFT TRUNK SCALP     … Read more

Examination for Posterolateral Rotary Instability of the Knee

– Clinical Findings:     – history: patient may complain of a subjective knee hyperextension sensation, and twisting or pivoting are also difficult;     – lack of contained effusion is suggestive of posterolateral capsular injury;     – look for diffuse tenderness over the posterolateral joint region, fibular head, and joint line;     … Read more

Examination of Knee

– Discussion:     – serial diagnostic exam should take into consideration static deformities of the lower extremities, gait, ROM, tenderness, and knee             stability;     – in the child w/ a painful knee, it is essential to closely examine the hip as hip pathology can refer pain to the hip; – Examination:     – Gait: … Read more

Examination of the Patellofemoral Joint

– See:       – Knee Exam       – Patellar Malalignment – Exam:     – hemarthrosis     – ligamentous laxity:          – persons at risk for patellar instability may exhibit generalized ligamentous laxity & poorly developed vastus medialis;          – if hyperlaxity is present, consider collagen disorder … Read more