Medical Malpractice Insurance for orthopaedic surgeons

Dislocation of THA

  – See: Total Hip Replacement Menu:                – acetabular components                 – acetabular component position: – Discussion:     – occurs in 1-4% of primary THA and upto 16% in revision cases;            – about 74% of THR dislocations are posterior, 16% anterior, and 8% lateral; (from                      Cobb TK, et … Read more

Discussion of Sliding Hip Screw Devices

– See:     – Screw-Plate Angle     – High Angle Plates     – Low Plate Angle     – Nail Placement in Femoral Head and Neck     – Screw Length     – Sliding Screw Fixation in Subtroch Frx – Discussion:     – sliding screw fixation allows for improved fracture … Read more

Discussion of IM Nails for Tibial Fracture

– Discussion:      – history: Intramedullary nailing in fracture treatment: History, science and Küntscher’s revolutionary influence in Vienna, Austria      – healing and prognosis of tibia fracture   – PreOp Planning:      – Contra-indications:              – open growth plates; (pediatric tibial frx);              – … Read more

Differential Diagnosis: of Limb Length Deformity

  – Avascular Necrosis  – Congenital angulation shortening   – Congenital coxa vara  – Congenital short femur   – DDH  – Diaphyseal fractures   – Hemiatrophy  – Hemiparetic cerebral palsy  – Hemiatrophy (anisomelia)  – Hemihypertrophy:  – Hemangioma  – Neurofibromatosis  – Lipomatosis   – Lymphangioma  – Infantile septic arthritis of the hip  – Juvenile Rheumatoid Arthritis:  – Legg-Perthes disease  – … Read more

Dextran 40

– low mol. wt. dextran; – adjunct in peripheral vascular surgery;  – works by expanding plasma volume and decrease blood viscosity;  – prophylaxis of DVT and thromboembolism: 10 ml/kg IV on day of surgery followed by 500 ml IV daily for 2-3 days;  – then 500ml IV every 2-3 days based on patient risk factors … Read more