Medical Malpractice Insurance for orthopaedic surgeons

Klippel Feil Syndrome

– History:    -Maurice Klippel and Andre Feil first to describe syndrome in 1912    -Characterized by patients with:              Short neck              Low hairline              Decreased cervical motion    -Fewer than 50% with congenital defects of cervical spine have … Read more

Joint Index

Joint Topics: Friction and Lubrication Neurogenic joint Open Joint Injuries Septic Joint Specific Joints / Regions: Acromioclavicular Joint Ankle Joint Cervical Spine CMC Joint of Thumb Elbow Joint Foot Hand Hip Joint Knee Joint MP joint Phalangeal Joints Radial Ulnar Joints Sacro-iliac Joint Shoulder joint Spine Sternoclavicular Joint: Sub-Talar Joint Thumb CMC and MP Joints … Read more

Orthopaedic Journals

JPO Journal of Orthopaedic Trauma Journal of Trauma Acta Orthop Orthopedics American Journal of Orthopaedics Injury Orthopaedic Links JBJS Acta Orthopaedica Scandinavica American Journal of Orthopedics American Journal of Sports Medicine Archives of Orthopaedic and Trauma Surgery Archives of Physical Medicine and Rehabilitation Arthritis Research and Therapy Arthroscopy Arthroskopie Atlas of the Hand Clinics Biomaterials … Read more

Iron Overload / Hemochromatosis

Discussion – rare disorder manifested by tissue accumulation of iron affecting liver, pancreas, heart, and gonads; – approx 1.7% of men & 0.6 percent of women are homozygotes; – hereditary disorder of iron metabolism – diabetes is common (bronze diabetes) – 20% develop joint involvement; – most pts are male between ages of 40-60 yrs; – … Read more

Intrinsic Tightness and the Intrinsic Plus Hand

– See:     – Intrinsic Muscles: – Discussion:     – results from intrisic stiffness (contracture);     – specific causes:            – truama:                – posttraumatic intrinsic contractures may occur after severe injuries to hand that have resulted in considerable                        edema or … Read more

Intramedullary Hip Screw for Intertrochanteric Fractures

 – Discussion: (see IM Nailing of subtrochanteric fractures)     – a type of intramedullary device (designed for intertrochanteric and subtrochanteric fractures) which allows               controled sliding of the femoral head screw within the IM nail glidign hole;     – advantages of IM device:               – IM nail with interlocking reconstruction … Read more

Inhibition of Tumor Necrosis Factor

– Discussion:     – these agents bind TNF and block inflammation by inhibiting the subsequent effects of this cytokine;     – infliximab:           – a chimeric monoclonal antibody against TNF-(alpha)           – variable region of a murine antibody grafted to the constant region of a … Read more

Inflammatory Bowel Disease

– See: Spondyloarthropathies – Discussion:     – associated with a peripheral arthritis, which reflects activity of bowel disease;     – frequently associated with erythema nodosum;     – large joint oligoarthritis occurs in 10 to 20 % of pts, usually during flares of the bowel disease;     – fevers, synovitis, & vesiculopustular … Read more

Risk Factors for Infection in TKR:

– Discussion:           – methods to prevent infection           – report by by Peersman G, et al .                   – comorbidities that were statistically significant in increasing the risk of infection were prior open surgical                               procedures, immunosuppressive therapy, poor nutrition, hypokalemia, diabetes mellitus, obesity, and                               a history of smoking.           – prevalence of infection after … Read more