Medical Malpractice Insurance for orthopaedic surgeons

Arthroplasty of the Shoulder

– Discussion: – Total Shoulder Arthroplasty:    (considerations: hemiarthroplasty vs TSA) – Reverse arthroplasty   – Indications: – indicated for end stage DJD or RA shoulder involvement; – contra-indications to shoulder arthroplasty include combined rotator cuff / deltoid paralysis and recent joint infection; – in these rare circumstances, arthrodesis may be considered; – may occur as … Read more

Artery Menu

– See:       – Arteriography / angiographic 3D view       – Arterio-venous malformations       – Arterial Trauma       – Development       – Fractures associated with Arterial Injuries       – Intimal Injuries       – Microanastomosis       – Pharmocological Agents in Vascular Surgery       – Prosthetic … Read more

Arthrodesis of the First MP Joint

– Discussion: – this is probably an under rated procedure in terms of its indications; – surgical indications: – hallux valgus + 2nd toe amputation: – great toe is stabilized in part by the presence of 2nd toe; – when it is absent, a hallux valgus valgus deformity is best treated by arthrodesis of first … Read more

Arterialized Venous Skin Flaps

– Discussion:     – consist of subQ vein along w/ skin, & usually are taken from flexor side of distal forearm or the dorsal aspect of foot;     – vein is interposed between missing segments of the distal artery;     – this restores circulation and covers the skin defect;     – … Read more

Arteries of the Upper Limb

– See: – Arterial Development of the Limbs : – Upper Extremity Arteriogram of the Limbs : Subclavian Artery Axillary Artery Supreme Thoracic Artery Thoracoacromial Artery Lateral Thoracic Artery Subscapular Artery Anterior Humeral Circumflex Artery Posterior Humeral Circumflex Artery Brachial Artery Profunda Brachi Median Artery Radial Artery Ulnar Artery – Upper Extremity Emboli: – upper … Read more

Arterio-venous malformations

– See: venous malformations – Discussion:     – high flow lesion     – may start small in childhood and be triggered to enlarge after trauma     – spontaneous bleeding may occur     – associated conditions:           – Klippel-Trénaunay syndrome: capillary, lymphatic, and venous malforma-tions with skeletal overgrowth; … Read more

Arteriography in Vascular Trauma

– See:      – Arterial Injuries Assoc. w/ Fractures:      – Arterial Trauma:      – Femoral Arteriogram:      – Upper Extremity Arteriogram of the Limbs  – Discussion:     – pts w/ obvious signs of vascular injury, such as rapid external bleeding, an expanding hematoma, signs of distal ischemia, or palpable           thrill, … Read more

Open Tibia Fractures: Type C – (Arterial Injuries)

– Discussion:      – these fractures by definition are associated w/ vascular trauma, and have a high prevalence of infection:       – its important to assess viability of the limb, both w/ common sense, as well as w/ objective criteria such as the MESS;       – main controversy is whether tp procede on with vascular repair, frx … Read more

Arterial Injuries: in THR

– See:         – Total Hip Replacement Menu:         – Anastomosis of Lower Limb Arteries         – Nerve Injuries in THR:         – Acetabular Screw Placement: – Discussion:     – arterial injuries have been reported in 0.1% to 0.2% of all total hip replacements;   … Read more