Medical Malpractice Insurance for orthopaedic surgeons

Hip

Antibiotic Prophylaxis

– See:       – Antibiotic Menu       – Osteomyelitis – Perioperative Prophylactic Antibiotics:     – the main question we need to ask is what are we trying to accomplish?     – obviously we want a strategy that prevents the infection of MRSA, MSSA, staph epi, and anaerobic infections;     – giving ancef alone, … Read more

Anterolateral Approach to Hip Joint: (Watson Jones)

– See: Smith Peterson Approach – Discussion:     – major problems with the Watson Jones technique are dealing w/ gluteus medius & minimus, which lie over anteior capsule and              must be damaged or cut to obtain adequate exposure;     – original Charnely technique used anterolateral approach w/ pt supine, osteotomy of greater troch, … Read more

Anterolateral Rotatory Instability

Discussion defined as excessive forward rotation of tibial plateau w/ excessive lateral opening of the joint; there is excessive internal rotation of tibia on femur in flexion; as knee extends, subluxation is reduced by the bony stability, and a jerk is  noted which is basis for the pivot shift test; disrupted structures disruption of ACL disruption … Read more

Classification of Anterior Posterior Compression Injuries

– Seee: Anterior Pelvic Injuries – Discussion:     – symphyseal diastasis and/or longitudinal rami fractures;     – these injuries result from relatively anterior or posterior forces applied to the anterior or posterior superior iliac spine areas;     – this gives rise to forces that tend to disrupt anterior pelvis, either by fracturing … Read more

Anterior Shoulder Reconstruction

– See: – Arthroscopic Reconstruction – Historic Operations – Revision Bankart Procedure – Bankart Repair: – reattachment of the capsule and glenoid labrum to the glenoid lip; – subscapularis is carefully divided to expose the capsule, and is reapproximated without any overlap or shortening; – PreOp Eval: – rotatory stress test for anterior instability; – … Read more

Anterior Wall Fractures

– Discussion:     – anterior wall frx involve central portion of anterior column & involves iliopectineal line is involved;     – associated injury: anterior hip dislocation; – Technique of Fixation:     – anterior wall fractures are approached thru Ilioinguinal Approach w/ supine positioning;     – traction removes femoral head from the … Read more

Anterior Dislocations of Hip

– Discussion:     – see frx dislocations of the hip     – comprise 10-15% of traumatic dislocations of hip;     – occur when knee strikes dashboard w/ thigh abducted, falls from ht, or from a blow to the back of pt while in squatted position;     – neck of femur or greater trochanter impinges … Read more