Medical Malpractice Insurance for orthopaedic surgeons

Second Toe Transfer

– See:       – Digit Reimplantation / Reconstruction       – Thumb Soft Tissue Defects / Amputations – Indications: selective thumb reconstruction – Technique:     – second metatarsal may be removed along with 2nd toe with little functional impairment;    – toe is taken from contralateral foot to facilitate anastomosis;    – dorsal … Read more

Calcaneus Fracture – Secondary Fracture Line

– Discussion:      – includes the tounge frx and joint depression frx;      – results from axial force that is maintained after the primary frx line occurs;      – posterolateral aspect of talus impacts on posterior facet resulting in explosion of lateral wall that may extend as far laterally as the calcaneocuboid joint;      – … Read more

Sedatives/Hypnotics

    Aprazolam     Chloral Hydrate     Chlordiazepoxide     Clorazepate     Diazepam     Diphenhydramine     Flurazepam     Halazepam     Hydroxyzine     Lorazepam     Midazolam     Oxazepam     Pentobarbital     Prazepam     Secobarbital     Temazepam     Triazolam     Ambien … Read more

Sed Rate in THR

– Discussion:     – General Discussion: Erythrocyte Sedimentation Rate     – elevation of sed rate can be a reliable test for diagnosis of infected THR;     – greater than 85% of pts w/ infection about THR have elevated sed rate & 79 % have a rate of more than 50 mm / hour;   … Read more

Sed Rate: Osteomyelitis of the Spine

– See:     – Erythrocyte Sedimentation Rate     – Osteomyeltis of the Spine – Discussion:     – sed rate is useful in diagnosis of vertebral osteomyelitis & to monitor progression of or recovery from infection;     – w/ diskitis, sed rate will be elevated in 85-100 % of both adults & … Read more

Seever’s Diease / Calcaneal Apophysitis

– Discussion:     – classically described as causing heel pain in older children, just prior to fusion of the calcaneal apophysis (between ages 12-15 yrs);     – diff dx: seronegative arthritis     – often associated with tight heel cord;     – it has been argued in the past that the radiographic fragmentation of … Read more

Second Degree Burns

– See:       – Burn Management:       – Chemical Burns:       – Electrical Burns:       – Frost Bite:     – 2nd degree / superficial:            – partial thickness which involves the dermis and a portion of the dermis;         … Read more

Second Generation Ceph

      Cefamandole (Mandol)       Cefoxitin (Mefoxin)       Cefuroxime (Zinacef)       Ceforanide (Precef)       Cefonicid (Monocid)       Cefaclor (Ceclor)       * None of the second-generation cephalosporins are active against P. aeruginosa.

Scoliosis in the CP Child

– See: Cerebral Palsy: – Non Operative Treatment:     – many patients can achieve functional sitting with body jackets or molded wheelchair inserts; – Surgical Treatment:      – spine is instrumented from upper thoracic area to the sacrum;      – rods may be secured to the pelvis using the Galveston technique;     … Read more

Scoliosis in Juveniles

– Discussion:     – by definition juvenile scoliosis develops before age 10;     – majority of idiopathic curvatures are right thoracic curves;     – left thoracic scoliosis is unusual;     – clinically, juvenile scoliosis shows slow progression prior to age 10, but after age 10 rapid progression may be found;     … Read more