Medical Malpractice Offer

Tibio-Talar-Calcaneus Arthrodesis

– Discussion:     – surgical indications include diabetic neuropathy, osteoarthritis, posttraumatic injury, talar AVN, and RA involving            ankle and subtalar joints;     – position for pantalar arthrodesis:            – 0-5 deg of calcaneus (not equinus) and 5 deg of valgus;     – in the report by Chou, et al, the authors … Read more

Tumors of Hand and Distal radius

– Adamantinoma – Basal Cell Carcinoma: – Calcinosis – Chondrosarcoma: – the most common bony malignancy in the hand; – CMC Boss: bony growth at bases of second and third metacarpals; – special radiographs can demonstrate the osteophytes, which may be resected if symptoms warrent; – associated with ganglia at least 30% of the time, … Read more

Wheeless’ Textbook of Orthopaedics – Ortho Links

Anyone interested in posting orthopaedic educational links should send e-mail to: crwmd@msn.com Orthopaedic Links Page Orthopaedic Network Slack Inc. Orthopaedic Mailing List Doctor’s Guide to the Internet Prosthetic Research Study American Academy of Orthopaedic Surgeons TraumaNet Ruth Jackson Orthopaedic Society: Southern California Orthopedic Institute: University of Texas Southwestern, Department of Orthopaedics University of Washington Department … Read more

Zone II Flexor Injuries

    – Discussion: – see flexor tendon repair     – see FDP lacerations: FDS and FDP     – almost all tendon injuries in zone 2 are due to lacerations; – this is where 2 tendons enter fibro-osseuous tunnel at mid-palm level; – once the FDS and FDP tendons enter flexor tendon sheath, the FDS separates into 2 … Read more

Zone 1 Flexor Injuries

– See:       – FDP Avulsion       – FDP Lacerations       – tendon pull thru technique         – Anatomy:       – in zone 1, FDP has emerged from between & beneath decussating FDS and travels to its insertion in the distal phalanx;       – zone 1 contains: A4, C3, … Read more

Wrist Arthrodesis

– Indications:     – painful or unstable wrist joint w/ advanced destruction due to OA, RA, post traumatic arthritis, SLAC wrist, spastic flexion               contracture, degenerative scaphoid non-union, unsuccessful wrist arthroplasty, and Keinbock’s dz;     – this procedure is more beneficial for young, active pts or middle aged pts, but not for elderly pts; … Read more

Wrist Arthrography

– Discussion:     – arthrography may be used in diagnosis of carpal instability because it is technically easy & is only minimally invasive;     – normally there should be no communication between the radiocarpal, mid-carpal, and distal radial-ulnar joints;     – it is noteworthy that in normal wrists there may be communications … Read more

Wound Vac

– Discussion:       – KCI Vacuum Assisted Closure Device: (Company Web Site) and V.A.C.® Therapy Indications and Safety Information      – Soft Tissue Coverage (Austere Environment) – Flaps and Vacuum-Assisted Closure (VAC)       – technique:             – debride all devitalized tissue and contaminated material;             – sterile reticulated … Read more

Work Up for Pelvic Fracture

– Trauma Management:     – damage control resusitation             – ref:  Damage-Control Orthopedics Versus Early Total Care in the Treatment of Borderline High-Energy Pelvic Fractures     – fluid management             – hypotension is associated with an increased risk of mortality, ARDS, and multiple organ failure;             – IV access is secured with at least … Read more