Medical Malpractice Insurance for orthopaedic surgeons

Femoral Neck Frx: Techniques of Closed Reduction

– See: Accetable Reduction Parameters – Discussion:     – always attempt closed reduction before open reduction;     – evaluation of the lateral x-ray after reduction to evaluate posterior comminution of the femoral neck is critical;     – posterior comminution leads to the loss of a butressing effect posteriorly, w/ subsequent loss of reduction … Read more

Femoral Artery

– See:       – Anastomoses of Lower Limb Arteries       – Femoral Arteriogram:       – Lower Limb: anatomy of arteries and bones with 3D pictures and angiographic radiological images – Anatomy:     – common iliac bifurcates at the L5-S1 disc;     – internal iliac:               – courses anterior and adjacent to … Read more

Femoral Component

– See: Total Hip Replacement Menu – Discussion:     – design considerations      – femoral stem collar     – cemented femoral stems (radiology of cemented femoral stems)      – press fit femoral stems      – femoral component offset             – modular neck:                    – … Read more

Femoral Anteversion in Children:

– See: adult femoral and acetabular anteversion – Discussion:     – femoral version is defined as the angular difference between axis of femoral neck and transcondylar axis of the knee;     – excessive femoral anteversion (medial femoral torsion) is most common cause of in-toeing that first presents in early childhood;     – … Read more

Femoral Anteversion

– Discussion:     – femoral version is defined as the angular difference between axis of femoral neck and the transcondylar axis of the knee;     – excessive femoral anteversion (medial femoral torsion) is most common cause of in-toeing that first presents in early childhood;     – it is twice as common in girls as … Read more

Femoral Arteriogram

– Discussion:     – perform arteriography for any projectile that passes thru anteromedial quadrant of the thigh;     – because of the size of common femoral artery, the femoral arteriogram is the easiest to obtain;     – when placing the Cournand needle in common femoral artery in groin, placement into a tributary must be avoided; … Read more

Fat Embolism Syndrome

– Discussion:     – FES results when embolic marrow fat macroglobules damage small vessel perfusion leading to endothelial damage in pulmonary            capillary beds leading to respiratory failure and ARDS like picture;            – ref: Early-Onset Fat Embolism Syndrome. A Case Report     – risk factors for FES:            – … Read more