Medical Malpractice Insurance for orthopaedic surgeons

Disorders Producing Osteopenia

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>br/> hr size=”3″/>br/> br/> b>   Disorder     Serum Ca     Serum Phos     Serum AP     Urine/b>br/> a href=”/joints/hip/osteoporosis/”>Osteoporosis/a>     Normal       Normal         Normal       Normal Cabr/> a href=”/bones/spine/osteomalacia/”>Osteomalacia/a>       ”       … Read more

Displaced Dome Fractures

– Displaced Triangular Dome Fractures:     – typical large triangular fragment involving the dome portion of articlar cartilage may be displaced and rotated;     – ORIF is necessary with these fractures; – High Transverse or T fractures:     – these shearing type injuries involving the superior portion of dome are extremely difficult to reduce … Read more

Cervical Total Disc Replacement

Jeffrey Watts, DO Richard D. Guyer, MD Texas Back Institute and Texas Back Institute Research Foundation Plano, Texas Rationale The gold standard for symptomatic cervical degenerative disease is fusion.  Cervical total disc replacement (CTDR) is intended to remove the degenerated tissues and replace them with motion-preserving implants. Many studies have found CTDR to be non-inferior … Read more

Diskectomy

– See:       – Percutaneous Discectomy:       – Postop Orders for Diskectomy – Positioning:     – position patient in modified kneeling position to allow abdomen to hang free, which minimizes epidural venous dilation and bleeding;     – identify the spinous processes of L3, L4, L5, and S1; – Standard Posterior … Read more

Dislocation Menu

   CarpoMetaCarpal    Elbow    Hand and Fingers:          CMC Instability in the Metacarpals:          MP joint dislocation:          PIP dislocation::          Thumb CMC Joint:          Thumb MP Joint:    Hip    Knee    Patellar Dislocation:;    Perilunate Dislocation;    Radial … Read more

Dislocation of THA

  – See: Total Hip Replacement Menu:                – acetabular components                 – acetabular component position: – Discussion:     – occurs in 1-4% of primary THA and upto 16% in revision cases;            – about 74% of THR dislocations are posterior, 16% anterior, and 8% lateral; (from                      Cobb TK, et … Read more

Discussion of SVT

– See WPW / PAT  – Atrial Rate: 150-214: average 187 – when P waves are seen they are:  – inverted in inferior leads;  – follow the QRS complex;  – often P waves are difficult to discern Review Article: Drug Therapy: Adenosine And Supraventricular Tachycardia.  

Discussion of TPN

– References – Lab studies – TPN formula compositions;      – will vary w/ Renal, Hepatic, or Cardiac failure; – Lipids in the TPN patient – TPN Complications – Discussion:     – ensure that catheter is in the SVC and NOT in Rt Atrium or Subclavian;     – begin infusion at 30-50 … Read more