Medical Malpractice Insurance for orthopaedic surgeons

Examination of the Patellofemoral Joint

– See:       – Knee Exam       – Patellar Malalignment – Exam:     – hemarthrosis     – ligamentous laxity:          – persons at risk for patellar instability may exhibit generalized ligamentous laxity & poorly developed vastus medialis;          – if hyperlaxity is present, consider collagen disorder … Read more

ACL Epidemiology

Female soccer and basketball players have the highest rates of ACL injuries Female soccer players have more non contact ACL injuries than male soccer players Male and female basketball players have similar rates of contact and non contact ACL injuries The rates of ACL injuries can be reported as injuries/1000 hrs of exposure or injuries/exposure … Read more

DVT/PE Prophylaxis in THR

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> – See strong>a href=”/joints/hip/total-hip-arthroplasty/”>Total Hip Replacement Menu:/a>/strong> br/> br/> strong>- Discussion:/strong> (strong>a href=”/ortho/deep_venous_thrombosis”>general discussion of DVT/a>/strong>) br/>     – 40-60% of THR patients who do not receive prophylaxis will get a DVT (dependment on imaging method); br/>            – ref: Significance of deep … Read more

DVT/PE Ref

Current Concepts Review. Prevention of Venous Thromboembolism after Total Hip and Knee Arthroplasty. Current Concepts Review.  Prophylaxis of Venous Thromboembolic Disease Following Hip and Knee Surgery. Original Articles: Deep-Vein Thrombosis And The Incidence Of Subsequent Symptomatic Cancer. Deep venous thrombosis and pulmonary embolism after major reconstructive operations on the spine. A prospective analysis of three … Read more

DVT: Intermittent Compression Stockings

– Discussion:     – advantages include relatively low cost, efficacy when worn properly, and safety;     – disadvantages: compliance is not guaranteed;     – if possible, patients should be placed in the intermittent compression stockings, prior to the operative procedure Pneumatic sequential-compression boots compared with aspirin prophylaxis of deep-vein thrombosis after total … Read more

DVT & PE arising from Trauma, Pelvic Fractures, and Extremity Fractures

– See: DVT Discussion: – Discussion:     – 30-50 % occurance of DVT in trauma pts w/ lower extremity fractures;     – preexisting conditions such as heart disease, obesity, carcinoma, diabetes, and hypertension could theoretically push the numbers even             higher;     – mortality for pulmonary embolism may approach 10%;     – ref: … Read more

DVT/PE in TKR

– See:       – DVT: General Discussion:       – TKR menu: – Discusion:     – prevalence of deep-vein thrombosis after primary total knee arthroplasty has been reported to be higher than that after primary THR;           – calf-vein thrombosis in patients treated with total knee arthroplasty … Read more