Medical Malpractice Insurance for orthopaedic surgeons

Sucralfate/Carafate

 – Discussion:  – for short term treatment of duodenal ulcers, gastric ulcers,  – provides local acid resistant barrier, inhibits pepsin;  – constipation may be a frequent side effect;  – may be of benefit in intubated patients  – does not increase gastric pH  – because of risk of aluminum toxicity, (released when compound ionizes), sucralfate is … Read more

Subluxation / Dislocation of the Patella

– Discussion – Examination of Patellofemoral Joint – exam considerations: – generalized hyperlaxity – femoral anteversion – vastus medialis obliquus atrophy – genu valgum – external tibial torsion – patellar dysplasia – trochlear dysplasia – patella alta – pes planus – Radiographic Features: (see: radiographic evaluation of the knee) – lateral view – look for … Read more

Subclavian Artery

– See:       – arteries of the upper limb       – subclavian vein       – thoracic outlet syndrome; – Discussion:     – injuries are rare because of overlying bony skeleton;     – right subclavian artery originates from innominate artery & passes into neck behind the right SC … Read more

Osteochondral Lesions of the Talus – Allograft Repair

Co-Authors:  Milford H. Marchant Jr., M.D.; Mark E. Easley, M.D.; James A. Nunley II., M.D. Osteochondral Lesions of the Talus Review Etiology – Primary Causes – Trauma – Ischemic Necrosis – Embolic phenomenon – Ossification Defects – Predisposing Factors – Endocrine Disorders – Peripheral vascular disease – Genetic Predisposition? – 10-25% Bilateral Lesions Evaluation – … Read more

Sternoclavicular Joint Injury

– See: Adolescent SC Joint Injury – Anterior SC Dislocation:     – more common than posterior dislocation;     – closed reduction is usually not successful;     – persistent prominence is usually present but not of functional significance;     – atraumatic dislocation:            – no specific treatment is … Read more

Statistics for Orthopaedists

– Accuracy of a Test:     – percentage of patients in which the test gives a correct answer;     – the following equation is used to calculate accuracy:  (true positives + true negatives) / (true positives + true negatives + false positives and false negatives); – Sensitivity:     – refers to the ability … Read more

Staph aureus

  – Discussion:     – is a coagulase positive, gram positive organism (as opposed to coag neg s. epidermidis)     – has a strong propensity to invade traumatized tissue;     – often responsible for toxic shock syndrome and necrotizing fascitis;            – serious infection that spreads rapidly along fascial planes and … Read more