Medical Malpractice Insurance for orthopaedic surgeons

Central Acetabular Fracture Dislocations

– Discussion:      – central frx/dislocation is crippling injury with a poor prognosis;      – extensive degree of concomitant articular injury occurs;      – 22% incidence of sciatic nerve injury;      – distal and occassionally, lateral traction of proximal femur may be necessary to effect and maintain reduction of the femoral head;      – total … Read more

Cigarette Smoking and Nonunion after Ankle Arthrodesis

Foot Ankle Int. 1994 Feb;15(2):64-67   Cobb TK, Gabrielsen TA, Campbell DC 2nd, Wallrichs SL, Ilstrup DM   ABSTRACT   BACKGROUND: The relative risk of nonunion in smokers versus nonsmokers after ankle arthrodesis was determined in a case control study.   METHODS: Twenty-two patients were matched to 22 controls by age, sex, surgeon, surgical technique, … Read more

SOMOS Core Curriculum and Critical Skills List

The Society of Military Orthopaedic Surgeons (SOMOS) teaches the “Combat Extremity Surgical Course” (CESC) to military surgeons prior to deployment. The SOMOS Core Curriculum and Critical Skills List are derived from the CESC objectives and are presented as part of the Orthopaedic Disaster Preparedness and Trauma Care Tool Box initiative. Core Curriculum I. Combat/Disaster Injuries             A. Define … Read more

Complications Following Arthroscopic Ankle Arthrodesis

Foot Ankle Int. 1996 Jun;17(6):340-342   Crosby LA, Yee TC, Formanek TS, Fitzgibbons TC   ABSTRACT   BACKGROUND/METHODS: Forty-two patients underwent an arthroscopic ankle arthrodesis utilizing a bi-framed distraction technique and demineralized bone matrix-bone marrow slurry as a graft substitute. The average follow-up was 27 months (range, 12-64 months).   RESULTS: The overall complication rate … Read more

Heparin Induced Thrombocytopenia

– Discussion:  (see thrombocytopenia)     – antibody mediated reaction: PF4–heparin antibodies.       – incidence is approximately 3 to 5 percent;     – mild thrombocytopenia:            – occurs 2-15 days after initiation of full dose heparin therapy;            – platlet count usually is > … Read more

Clinical Comparison of Two Total Ankle Replacements

Foot Ankle Int. 2000 Jul;21(7):546-550   Wood PLR, Clough TM, Jari S ABSTRACT   BACKGROUND: We compared the outcome of the cemented Thompson Parkridge Richards (TPR) ankle prosthesis with that of the cementless Scandinavian Total Ankle Replacement (STAR) ankle prosthesis in a demographically similar group of patients.   METHODS: These were 14 consecutive arthroplasties in … Read more

Clinical Outcome of Arthrodesis of the Ankle Using Rigid Internal Fixation with Cancellous Screws

Foot Ankle Int. 1999 Apr;20(4):227-231   Monroe MT, Beals TC, Manoli A 2nd   ABSTRACT   BACKGROUND/METHODS: Thirty consecutive patients underwent arthrodesis of the ankle using rigid internal fixation with cancellous screws between 1992 and 1996.   RESULTS: One patient died of causes unrelated to the surgery before bony union. Primary fusion occurred in 27 … Read more

Clinical Outcome of Tibiotalar Arthrodesis Utilizing the Chevron Technique

Foot Ankle Int. 2004 Apr;25(4):225-230   Kopp FJ, Banks MA, Marcus RE   ABSTRACT   BACKGROUND: Tibiotalar arthrodesis remains the gold standard reconstructive procedure for the treatment of disabling ankle arthritis. The purpose of this study was to review the clinical results of tibiotalar arthrodesis utilizing the chevron fusion technique.   METHODS: The results of … Read more