Medical Malpractice Insurance for orthopaedic surgeons

Cemented Femoral Stems

– See: Total Hip Replacement Menu:          – Cemented Femoral Component: Loosening:          – Collar: in THR          – Optimal Cementing Technique          – Removal of Cemented Femoral Stems: – Indications:     – cemented femoral stems probably remain gold standard for total … Read more

Aspirin/Bayer

– Discussion:     – for mild pain, inflamation, RA, and prevention of stroke and DVT;     – dosage:            – adult: w/ pain and fever: 325-650mg q4hr PO, PR;            – rhuematoid arthritis: 3-12gm/day;     – check serum levels, therapeutic = 20-30 mg/dl;   … Read more

Associated Injuries w/ Posterior Hip Dislocations

– See: Frx Dislocations of the Hip – Discussion:     – because of associated high energy trauma: look for other injuries     – vast majority of patients sustained a hip dislocation will have associated injuries;     – assoc ligamentous injuries to ipsilateral knee;     – associated posterior wall fractures, femoral head, … Read more

Articular Steroid Injections

– Discussion:       – Steroid Menu:      – Relative Potency of Various Steroids:      – Triamcinolone: is the most common choice for joint injection (see knee osteoarthritis)      – Cautions for Intra-Articular Injection:           – local complications:                  – may cause fat necrosis and loss of skin pigmentation in blacks;                  … Read more

Articular Cartilage

– See:        – Chondral and Osteochondral Injuries of the Knee / Articular Cartilage: Injury and Potential for Repair: / Osteoarthritis         – Enchondral Ossification  – Discussion:     – hyaline cartilage caps ends of bones that form synovial joints;      – in other hyaline cartilage structures, surrounding perichondrium contains both capillaries for nutrition and the cells that become … Read more

Joint Arthroscopy:

ankle arthroscopy elbow arthroscopy hip arthroscopy arthroscopy of the knee joint shoulder arthroscopy – arthroscopic rotator cuff repair wrist arthroscopy                   Additional Informaton The Effect of Irrigation Solution at Different Temperatures on Articular Cartilage Metabolism Supraphysiologic Temperature Enhances Cytotoxic Effects of Bupivacaine on Bovine Articular Chondrocytes in … Read more

Arthroscopy of the Osteoarthritic Knee

– See:       – Knee Joint Menu:                – Chondral and Osteochondral Injuries of the Knee and Meniscal Tears  – Discussion:     – arthroscopic lavage alone may be of some benefit;     – debridement has little value for long-standing or severe osteoarthritis of knee              – where as, in the recent … Read more

Arthrodesis of the Shoulder

– See: Brachial Plexus Injury – Indications: – shoulder paralysis: – may include paralytic dislocation or combined rotator cuff / deltoid paralysis (in which case shoulder arthroplasty would be contra-indicated); – as a requirement for shoulder fusion, the muscles of forearm and hand need to be functional as do the serratus anterior and trapezius; – the … Read more