Medical Malpractice Insurance for orthopaedic surgeons

Type I Supracondylar Frx of the Humerus

– Discussion:     – undisplaced or minally displaced frx;     – lateral view: anterior humeral line remains intact but a posterior fat pad sign may be present;     – frx may be seen on oblique x-ray;     – treatment:           – treated w/ immobilization in long arm … Read more

Triceps Reflecting Approach to the Elbow

– See: Posterior Approach to the Humerus; – Positioning:     – patient is in lateral position w/ arm brought across the chest;     – plan on adusting flexion of elbow inorder to increase or decrease tension;     – sterile tourniquet is required; – Technique:     – straight longitudinal incision beginning 7-10 … Read more

Treatment of Hemophilia

– Discussion:     – replacement of missing clotting factor remains the essential method of treatment;     – many hemorrhages are treated w/ home infusions;           – this allows bleeding to be controlled earlier;           – major hemorrhagic emergencies are reduced; – Activity of Tranfused Factor … Read more

Transverse Fractures

– See:       – Avulsion Fracture       – Comminuted Fractures       – Fracture Dislocations       – Oblique Fractures       – Surgical Approach: – Discussion:     – transverse frx enters semilunar notch, & amount of separation of is influenced by the pull of triceps muscle … Read more

Transcondylar fractures

– Discussion:       – type of supracondylar fractures that occurs within joint capsule;       – most commonly occurs w/ osteoporotic bone; – Treatment:       – nondisplaced frxs are treated w/ splinting or percutaneous pinning;       – displaced frx will require ORIF;       – consider molding … Read more

Olecranon Fracture

See: Surgical Approach Tension Band Theory Discussion transverse frx involving less than 50% of proximal sigmoid notch are suited to stable internal fixation by tension band; Weber modification provides improved frx rigidity; may also use T.B.W. along with a 6.5 mm cancellous screw, 7.0 mm screws, or 7.3 mm screw; surgical consent: patient should understand, … Read more

Throwing Injuries

– See:       – Throwing Elbow:                – MCL of elbow:               – Diff Dx Pediatric Throwing Elbow       – Throwing Shoulder: Throwing Guidelines:     – 8-10 year olds: 37 to 67 pitches in approximately 1.5 to 2.5 games per week.     – 11-12 year olds: 50 to 86 pitches in approximately 1.5 to 2.5 games … Read more