Medical Malpractice Insurance for orthopaedic surgeons

Cortisone Acetate

– Cortone:     – for IM injection only (NOT for IV use)           – initial dose varies from 20 mg to 300 mg / day depending on disease           – daily dosage may be given via single IM injection           – slow … Read more

Cornybacterium

Corynebacterium species isolated from bone and joint infections identified by 16S rRNA gene sequence analysis.

Cotrel-Dubousset

– See: Multisegmented Hook Instrumentation – Discussion:     – are excellent for the treatment of thoracic or thoracolumbar frx;     – these rods can be used with hooks and/or screws;     – if hooks are used, do not place them adjacent to any area of canal comprimise;     – because rods … Read more

Coracobrachialis

Origin: tip of coracoid process on scapula; Insertion: middle of medial border of humerus, opposite deltoid tuberosity; action: horizontal flexion and adduction of the humerus at the shoulder; synergists: pectoralis major, biceps brachi, and anterior deltoid; nerve supply: musculocutaneous, C6, C7; – Surgical Hazards:     – profunda gives off muscular branches, usually gives rise to … Read more

Coracoid Process / CA Ligament

Anatomy: coracoid process can be palpated thru anterior deltoid muscle one to two finger breadths below outer portion of clavicle; one finger breadth lateral to coracoid is the GHJ; provides a palpable guide to deltopectoral groove; serves as an anchor for coracoid muscles (coracobrachialis & short head of biceps) that separate lateral safe side from medial … Read more

Corona Mortis

– Discussion:      – refers to retropubic vascular communication between either the external iliac (or deep epigastric vessels) and the obturator artery;       – medial window (of ilioinguinal approach) is used to identify any possible communication between obturator system and external             iliac or inferior epigastric system (instead of the internal iliac artery);               – inferior epigastic artery:                      – … Read more

Controlled Mechanical Ventilation: (CMV)

– Discussion:  – Delivers preset tidal volume at preset rate.  – No allowance is made for gas flow upon spontaneous effort by patient;  – Usually reserved for intraoperative use with anesthesia  – Requires heavy sedation or paralysis;  – Assist controlled mechanical ventilation: (ACMV)  – Ventilator delivers a preset tidal volume each time the patient makes … Read more

Conversion of Hemiarthroplasty to THR

– Discussion:     – hemiarthroplasty menu – Complications:     – acetabular ingrowth may be difficult because of osteoporotic bone;     – dislocation:            – Dislocation Rate After Conversion from Hip Hemiarthroplasty to Total Hip Arthroplasty    References:   – Conversion from failed hemiarthroplasty to total hip arthroplasty: a Norwegian Arthroplasty Register analysis of 595 hips with previous … Read more