Medical Malpractice Insurance for orthopaedic surgeons

Enchondral Ossification

– See: – Limb Development – Longitudinal Growth: – Pediatric Bone Circulation – Salter Harris – Epiphyseal Physis: – Discussion: – cartilage model includes three elements, – articular cartilage: – formation of articular cartilage depends on: – interzone formation – resorption of the interzone – intersitial growth of the articular cartilage and underlying epiphyseal cartilage … Read more

DVT/PE Prophylaxis in THR

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> – See strong>a href=”/joints/hip/total-hip-arthroplasty/”>Total Hip Replacement Menu:/a>/strong> br/> br/> strong>- Discussion:/strong> (strong>a href=”/ortho/deep_venous_thrombosis”>general discussion of DVT/a>/strong>) br/>     – 40-60% of THR patients who do not receive prophylaxis will get a DVT (dependment on imaging method); br/>            – ref: Significance of deep … Read more

DVT/PE Ref

Current Concepts Review. Prevention of Venous Thromboembolism after Total Hip and Knee Arthroplasty. Current Concepts Review.  Prophylaxis of Venous Thromboembolic Disease Following Hip and Knee Surgery. Original Articles: Deep-Vein Thrombosis And The Incidence Of Subsequent Symptomatic Cancer. Deep venous thrombosis and pulmonary embolism after major reconstructive operations on the spine. A prospective analysis of three … Read more

DVT: Intermittent Compression Stockings

– Discussion:     – advantages include relatively low cost, efficacy when worn properly, and safety;     – disadvantages: compliance is not guaranteed;     – if possible, patients should be placed in the intermittent compression stockings, prior to the operative procedure Pneumatic sequential-compression boots compared with aspirin prophylaxis of deep-vein thrombosis after total … Read more

DVT/PE in TKR

– See:       – DVT: General Discussion:       – TKR menu: – Discusion:     – prevalence of deep-vein thrombosis after primary total knee arthroplasty has been reported to be higher than that after primary THR;           – calf-vein thrombosis in patients treated with total knee arthroplasty … Read more

Dual Photon Absorptiometry

– Discussion:     – this technology allows subtraction of soft tissue density from bone density of bone mass of the hip, pelvis, and spine;     – dual-photon absorptiometry uses transmission scanning w/ isotope source that emits two photoelectric peaks;           – it allows(bone density to be measured independently of … Read more

Dual X-ray Absorptiometry

– Discussion:     – is the newest and the most precise technique for evaluating osteoporosis, and has emerged as the successor to DPA; – anatomic sites for DXA measurement include: – lumbar spine, proximal femur, forearm and calcaneus; – advantages of an x-ray system over a DPA radionuclide system include: – shortened examination time … Read more

Down’s Syndrome: Orthopaedic Considerations

– Associated Conditions:     – ligament laxity     – hypotonia     – mental impairment     – heart disease (50%)     – endocrine disorders (hypothyroidism and diabetes)     – premature aging     – spinal abnormalities:            – atlantoaxial rotatory subluxation in Down’s syndrome                  – evaluated … Read more

Dorsal Dislocation of the PIP joint

– See:        – Differential Dx of PIP Injuries        – Fracture Dislocations of the PIP Joint        – Phalangeal Injury – Discussion:     – anatomy of the injury:          – volar plate is always detached (usually  from middle phalanx) in PIP dorsal dislocations;               … Read more