Medical Malpractice Insurance for orthopaedic surgeons

Safe Zone for Tibial Pin Insertion

    – General Considerations:     – safe zones for pin insertion imply that pins will avoid major neurovascular structures;     – besides avoiding neurovascular strucutures, it is important that pins be inserted in subcutaneous locations;           – subcutaneous insertion avoids muscular impalment which decreases pain and increases function; … Read more

Sacrum and Sacral Fractures

– See:      – Posterior Pelvic Injury:      – Sacroiliac Fracture Dislocations:      – Sacral Stress Fractures: – Anatomy of Sacrum: – Classification:     – zone I:            – frx across sacral ala can cause L5 nerve root impingement;            – about 6% … Read more

Safe Zone for Radial Head Frx

    – Safe zone for implant insertion: (from Caputo A)         – note that the posterolateral portion of the radial head does not articulate with the ulna, and this is termed the safe zone (since hardware                  placed here will not enter the articulation); … Read more

Sacro-Iliac Joint

– SI Joint Frx Dislocation – SI Joint Sepsis:     – ref:           – The Prevalence of Sacroiliac Joint Degeneration in Asymptomatic Adults           – Pyogenic arthritis of the sacro-iliac joint. Long-term follow-up.           – Disorders of the sacro-iliac joint in children.         … Read more

Sacroiliac Fracture – Dislocations

– See:        – Posterior Pelvic Injuries         – Sacral Fractures        – cresent fracture: (iliac fracture)  – Fixation Techniques:     – SI joint dislocation: posterior screw fixation:           – Kellum et al 1987, unstable SI joint dislocations can produce long term pain in 60% that are treated non operatively  … Read more

Rx of Hypernatremia

– See:  – Diff Dx:  – Diff Dx:  – may result from spinal fusion;  – most often results from ECF volume depletion due to hypotonic fluid loss (Vomiting, Diarrhea, Sweating, Osmotic diuress)

Rx of Seizure

    – Anticonvulsant Meds     – Flight Surgeon Manual – Approach to New Onset Seizures – Flight Surgeon Manual – Approach to Status Epilepticus – Flight Surgeon Manual – Seizures – GMO Manual  – Hospital Corpsman 1&C  – Hospital Corpsman 3&2  – Standard First Aid Course  – Columbia Complete Home Medical Guide  – Iowa Family … Read more

Rx of CDH: Ages 3 years to 8 years

– See: Chiari osteotomy – Discussion:     – most of these pts will require open reduction;     – usually involves open reduction combined with femoral shortening;     – femoral shortening:           – aids in reduction;           – decreases potential complications;         … Read more