Medical Malpractice Insurance for orthopaedic surgeons

Tumors of the Proximal Tibia

– Osteochondroma – Osteosarcoma – Giant Cell Tumor of Bone – Ewing’s sarcoma: (diaphyseal region); – Chondroblastoma – Chondromyxoid fibroma – Fibrous Dysplasia – Eosinophilic granuloma – Aneurysmal bone cyst – Simple bone cyst – Giant cell sarcoma – Fibrous Histiocytoma – Fibrosarcoma of bone; – Adamantinoma – Osteoma: middle 1/3 (rare) – Pearls: – … Read more

Tuberculosis

Discussion although the disease is generally more likely to be chronic, acute mycobacterial arthritis has been reported; periarticular bone lesions may accompany the synovial involvement; pulmonary tuberculosis is evident in only half the patients with skeletal involvement; pulmonary TB signs vary with stage of dz, few early on; later high fever, wt loss, prolonged, productive … Read more

Triple Arthrodesis: Intra-Op Positioning

– Positioning of the Forefoot:      – if there is a tendency to err in one plane, err to place medial forefoot more plantarward than the lateral aspect of the foot;      – forefoot should be in about 3-5 deg of valgus when ankle is in a neutral position;      – this … Read more

Triple Arthrodesis: PreOp Planning and X-rays

– PreOp Planning:  – knee deformities should be corrected prior to any forefoot fusions;  – stability of talus in mortise is necessary for successful arthrodesis;  – determine if flexibility of forefoot and hindfoot;  – if foot can be reduced to a satisfactory position then an in situ type of arthrodesis may be considered;  – if … Read more

Triamcinolone

– See: Steroids Menu – Preparations for Intra-articular Injection:     – triamcinolone hexacetonide (Aristospan)             – used for large joints;             – has a tendency to cause skin atrophy and hypopigmentation;             – has a long lasting effect;   … Read more

Treatment of DVT and PE

Clinical Cardiology: Diagnosis, Treatment, and Prevention of Pulmonary Embolism: Report of the WHO/International Society and Federation of Cardiology Task Force. Subcutaneous low-molecular-weight heparin compared with continuous intravenous heparin in the treatment of proximal-vein thrombosis. Heparin for 5 days as compared with 10 days in the initial treatment of proximal venous thrombosis. Is anticoagulation indicated for asymptomatic postoperative … Read more

Treatment of ACL Disruption

– Bone Patellar Bone Repair:     – Femoral Tunnel:     – Tibial Tunnel: – Tendon Graft:     – according to Noyes et. al., strength of 14 mm-wide graft of patellar tendon is approximately 175% the strength of normal          Anterior Cruciate Ligament;     – semitendinosus graft is approx 75%, gracilis tendon is approx 25%, … Read more