Medical Malpractice Insurance for orthopaedic surgeons

Sliding Screw Fixation in Subtroch Frx

– See:      – Sliding Screw Insertion Technique      – Sliding Hip Screw w/ Unstable Intertroch Frx      – Subtrochanteric Fractures – Discussion:     – sliding screw plate devices have proved to be more successful for subtroch frx than earlier implants for proimal femur;     – sliding permits sl medial displacement of shaft in relationship … Read more

Sliding Screw-Plate Angle

– See:       – High Angle Plates       – Low Plate Angle       – Nail Placement in Femoral Head and Neck       – Screw Length       – Unstable Intertrochanteric Fractures – Discussion:     – sliding device w/ screw plate angle closest to combined force … Read more

Scapholunate Interosseous Ligament and Anatomy of SLD:

– Discussion: (see ligaments of the wrist and SLD)    – three main ligamentous structures which bind the scaphoid to lunate;              – volar radioscapholunate ligament (largest);              – radiocapitolunate ligament;              – scapholunate interosseous ligament (consists of dorsal, proximal, and palmar segments bridging the scaphoid and lunate);                        – dorsal portion:                                 – 2-3 mm thick with transversely oriented … Read more

Slipped Vertebral Apophysis

– Discussion:     – slipped vertebral apophysis usually occurs in lower lumbar spine;     – limbus vertebral frx occur when fusion between vertebral ring apophysis and central cartilage is incomplete or delayed;            – ring apophysis w/ adjacent disc is displaced into vertebral canal;     – apophysis remain suseptible … Read more

Sliding Trochanteric Osteotomy

– Discussion:     – osteotomy is made in a manner which leaves the vastus lateralis and gluteus medius muscles are left attached to the osteotomy fragment;     – has a lower incidence of abductor dysfunction and proximal migration of trochanter;     – presence of an intact vastus helps not only to preserve … Read more

Sliding Hip Screws: Low Plate Angle

– Discussion:     – device that is placed at lower angle has less force working parallel to sliding axis & more force working perpendicular to sliding axis.             – this perpendicular force acts to jam or bend the device, thereby preventing impaction.     – device that is placed at lower … Read more

SLD: Acute Ligament Tear – Repair Technique

– See: Ligaments of the Wrist – Discussion: – dorsal incision is centered of Lister’s tubercle; – dorsal capsule is reflected in line with the skin incision; – radial capsule is reflected from the scaphoid to its waist; – reduce lunate and scaphoid w/ K wire; – joysticks inserted in a dorsal to palmar direction; … Read more

Sliding Hip Screw w/ Unstable Frx

– See:        – Sliding Screw Insertion Technique         – Sliding Screw Fixation in Subtroch Frx – Discussion:     – treatment of unstable intertrochanteric frxs w/ sliding screw device w/o obtaining necessary bony stability, risks hardware failure;           – if device impinges, it will act as a fixed angle nail … Read more

Sliding Compression Screw Devices

             – Biomechanics of Screw-Plate Angle     – Checklist     – Sliding Hip Screw w/ Unstable Frx     – High Angle Plates     – Low Plate Angle     – Nail Placement in Femoral Head and Neck     – Screw Length     – Sliding Screw Fixation in Femoral Neck Frx     – Sliding Screw Fixation … Read more