Medical Malpractice Insurance for orthopaedic surgeons

Arthritis

RA: Medical Management

– See:        – Anti-inflammatory agents        – Corticosteroids        – Cyclosporin A        – Sulfasalazine (anti folate activity) – Remittive Agents:     – salicylates     – gold             – gold salts (inhibit monocyte function)             – side effects … Read more

Pyoderma Gangrenosum

– Discusison:     – not to be confused w/ pyogenic granuloma     – poorly understood papulovesicular skin disorder involving ulcerations and necrosis which usually occurs along w/ an             underlying systemic disease;     – concomitant ulcerative colitis occurs in 30 – 60% of infected patients;            – other … Read more

Psoas Muscle

– Anatomy:       – origin: anterior surface of transverse process, lateral border of vertebral bodies and corresponding                intervertebral discs of T12-L5;        – at the 3 o’clock position, the iliopsoas is composed of 45% tendon and 55% muscle;       – tendon is located directly anterior to the anterior superior capsulolabral complex at the 2-3 … Read more

Proximal Row Carpectomy

– Discussion: – coverts a complex link joint to a simple hinge by creating a radiocarpal articulation; – motion between the radius and capitate is both translational and rotational, which has the effect of dissipating forces on the radius; – expect 60-80% of contralateral motion (w/ about an 80% flexion-extension arc); – expect preservation of … Read more

Pseudoachondroplasia

– See: Achondroplasia – Discussion:     – autosomal dominant disorder which occurs as a result of a mutation of a calmodulin like calcium binding protein;     – result is abnormal proteoglycan accumulation in the chondrocyte rough endoplasmic reticulum;     – there are moderate to severe epiphyseal, metaphyseal, and physeal abnormalities in long … Read more

Press Fit Femoral Stems

– See: Total Hip Replacement Menu:              – Insertion of Cementless Femoral Stem:              – Radiology of Press Fit Stems:              – Removal of Cementless Stems:  – Discussion:     – indications:            – younger patients (less than … Read more

PreOp Planning for THR

– Surgical Considerations for Specific Diseases and Conditions: – Medical Assesment:      – surgical risk assessment             – risk factors for infection: are taken into consideration;             – anesthesia consult and posting                      – anesthesia, medical consderations, and timing for … Read more

PreOp Planning for TKR

– See: TKR Menu – Checklist: – surgical risk assessment – preop cardiology, dental, GI, and urological consults – risk factors for infection: are taken into consideration; – tranexamic acid – anesthesia consult and posting – Pulmonary embolism prophylaxis in more than 30,000 total knee arthroplasty patients: is there a best choice? – autologous blood / … Read more