Medical Malpractice Insurance for orthopaedic surgeons

Revision THR: Cementless Femoral Stem

– See:        – Removal of Cemented Femoral Stems:        – Removal of Press Fit Stems: – Discussion:      – stem considerations:          – calcar replacment:  bone loss at the lower limit of the lesser trochanter may requires a 30-mm calcar replacement;            – length: stems that are longer than 175 mm long … Read more

Repair of the Torn Meniscus

– Meniscal Anatomy and Physiology: – medial meniscus – bucket handle meniscus tear – posterior horn tears of medial meniscus – lateral meniscus – discoid meniscus – indications for repair: – any peripheral nondegenerative longitudinal tears < 3 cm; – if tear is w/in 3 mm of the periphery, it is considered vascular; – area … Read more

Reflex Sympathetic Dystrophy / Complex Regional Pain Syndrome

– Definition:        – “RSD” is an imprecisely used term; has been used to describe changes in soft tissue and bone;        – RSD may not involve the sympathetic nervous system and may not be the consequence of a reflex;        – 1995: IASP Consensus Conference: “Complex regional pain … Read more

References for Rheumatoid Arthritis

Advances in The Federal Republic of Germany–Symposium: Recent Advances in the Surgical Treatment of Rheumatoid Arthritis. Newest Knowledge of Rheumatoid Arthritis–Symposium: Advances in Imaging of Rheumatoid Arthritis. Newest Knowledge of Rheumatoid Arthritis–Symposium: Diagnosis of  Rheumatoid Arthritis: Medical and Laboratory Aspects. Rheumatoid Arthritis — Pathophysiology and Implications for Therapy. Long-term results of synovectomy in rheumatoid patients. Synovectomy of the rheumatoid … Read more

References for Colles Fracture

Current Concepts Review.  Fractures of the Distal End of the Radius. External fixation or plaster cast for severely displaced Colles’ fractures? Prospective 1-year study of 46 patients. The treatment of Colles’ fracture. Immobilisation with the wrist dorsiflexed. Unstable Colles’ fractures in elderly patients. A randomised trial of external fixation for redisplacement. Regional anesthesia preferable for Colles’ … Read more

Reduction of Anterior Dislocation

  – Discussion:                                                                                                                                                                       – From Hippocrates to the Eskimo – a history of techniques used to reduce anterior dislocation of the shoulder.     – w/ a witnessed dislocation, consider immediate relocation on field;     – this consists of initial slight abduction and internal derotation of affected arm;                                                                         – this can be done … Read more

Recurrent Atraumatic Anterior Instability

– See: anterior instability – Discussion:     – characterized by dislocation occuring after minor trauma, relative ease of relocation, and evidence of multidirectional instability;     – this condition is often present in overhead throwing athletes;     – it may lead to thoracic outlet syndrome (dead arm syndrome);     – causes:               … Read more

Reconstructive Surgery / Flaps / Grafts

– See:       – Arteriography, Microanastomosis, Pharmocological Agents in Vascular Surgery       – Vaccum Assisted Wound Closure Device – Discussion:     – w/ severe extremity wounds, early radical debridement combined with early soft tissue coverage (regional or free flap) will             decrease wound infection, flap loss, & delayed bone healing;     – early coverage … Read more