Medical Malpractice Insurance for orthopaedic surgeons

Acetaminophren/Tylenol

for mild pain, HA, F, Nonnarcotic analgesic, Antipyretic, Adult: 350-650-1000mg PO q4-6hr; Max: 3.2 gm per 24hr; OD may cause hepatoxicity (often delayed), antidote is N-acetylcystiene; No antiplatlet activity; No antiinflamitory property Caution with patients with Glucose 6 Phos defficiency; Contraindications: Acetominophren hypersensitivity; overdosage presents early as Nausea, Vomiting, and malaise, and presents late as clinical and … Read more

Above the Knee Amputation

  (see also: AKA Prosthesis, Amputations in the Diabetic Patient Discussion average AK amputee walks 43% slower and expends 89% more kcal/min than the normal person; if proximal circulation is adequate, a longer anterior muscle flap may be left and the combination myodesis- myoplasty technique is used; ability to ambulate with a prosthesis depends heavily … Read more

Above Knee Amputation Prosthesis

Discussion it is important that knee joint is extended throughout stance phase; this means that the components are assembled so that a straight line extended fromthe "trochanter" will pass anterior to the knee and through the ankle; friction is adjusted to help control the amount of knee flexion and to help decelerate the shank; mechanical … Read more

Hemophilia

Discussion classic disease results from deficiency of factor VIII clotting activity; hemophilia A is not caused by an absolute deficiency of factor VIII, but from an abnormal molecule making up part of the VIII clotting factor; hemophilic arthropathy: pathologic changes (coag pathway / coag labs); inheritance pattern: sex-linked recessive; affected male will have normal sons … Read more

Hyaluronic Acid

(see also: osteoarthritis of the knee) Discussion hyaluronic acid is a glycosaminoglycan found in synovial fluid & cartilage; complex sugar (not a protein) ancient molecule, highly conserved- identical function acts as lubricant and shock absorber; acts as barrier permitting metabolites to pass thru it by diffusion but resists penetration by bacteria and other infectious agents; … Read more