Medical Malpractice Insurance for orthopaedic surgeons

Tibial Fractures: Technique of IM Nailing

– General Discussion of IM Nails – PreOp Planning – positioning – note rotational alignment of the opposite non injured side. – cautions:          – proximal tibial fractures  (high complication rate w/ IM nailing) – distal tibia fracture – IM nailing of open tibial fractures – segmental tibia fractures: / treatment methods for tibial … Read more

Tibial Fracture References

Current Concepts Review. Treatment of Unstable Fractures of the Shaft of the Tibia. Current Concepts Review.  Timing of Operative Treatment of Fractures in Patients Who Have Multiple Injuries. Pelvic and Lower Extremity Trauma–Symposium: Intramedullary Devices for Tibial Fracture Stabilization. The use of a tourniquet when plating tibial fractures. Conservative management or closed nailing for tibial shaft fractures. … Read more

Tibial, Ankle, and Foot Procedures

   27705     OSTEOTOMY TIBIA    27707     OSTEOTOMY FIBULA    27709     OSTEOTOMY TIBIA/FIBULA    27712     MULT OSTEOTOMIES LEG/ANKL    27715     LENGTHENING TIBIA/FIBULA    27720     REPAIR NONUNION TIBIA    27722     SLIDING BONE GRAFT TIBIA    27722     TRIMALLE FX W/OR W/OUT FI   … Read more

Tibia Fractures: Ilizarov / Circular Wire Fixators

– See:       – Enhancement of Fixator Stability        – Ilizarov Menu        – Ring characteristics        – Safe Zone of Pin Insertion        – Foot Inclusion        – Synthes Hybrid Fixator       – Wire Insertion Technique – Discussion:     – in the report by Paley D and Maar DC (2000), … Read more

Thyroxine / Synthroid / Levothyroid

– Discussion:      – for hypothyroidism (otherwise healthy): 100ug/day, initially,      – maintenance dose: 100-200ug/day over 3 week period;      – in elderly: 25ug/day initially, increasing by25ug/day at 4 week intervals; – Labs: thyroid panel __________________________________ Wound complications in thyroxine-supplemented patients following foot and ankle surgery.