Ortho Preferred Malpractice Insurance

AO/Weber: Type A Malleolar Fractures

– Discussion:     – usually involves a supination-adduction injury;     – frequently does well w/ closed reduction;     – if frx in fibula is transverse, it is type I avulsion fibular frx;     – since syndesmotic ligaments are intact, ankle mortise is also stable;     – type A:  fibula fracture … Read more

AP of Ankle

  – Discussion: – is taken in line with the long axis of the foot; – entire fibula should be included if there is lateral joint tenderness above the joint line; – this view is used to evaluate medial & lateral malleolus anterolateral tibia and proximal fibula; – osteochondral frx of distal tibia and talus; … Read more

AVN and Salvage of Talus Fractures

– See: – Radiographic Evaluation – Blood Supply to Talus – Discussion: – may occur following talar neck fractures or may be atraumatic (from SLE, diabetes, MS ect); – absence of subchondral bone atrophy in talar dome on x-ray after 6 weeks following fracture implies AVN (see Hawkins Sign); – however,  there is not direct correlation between development of AVN … Read more

Anti-Fungal Agents

– Amphotericin B/Fungizone – Clotrimazole/Lotrimin – Econazole/Spectazole – Griseofulvin – Fluconazole – Ketoconazole/Nizoral – Miconazole/Monistat – Nystatin/Mycostatin Pyogenic and fungal vertebral osteomyelitis with paralysis. A randomized trial comparing fluconazole with amphotericin B for the treatment of candidemia in patients without neutropenia. Candidemia Study Group and the National Institute.

Antibiotic Prophylaxis

– See:       – Antibiotic Menu       – Osteomyelitis – Perioperative Prophylactic Antibiotics:     – the main question we need to ask is what are we trying to accomplish?     – obviously we want a strategy that prevents the infection of MRSA, MSSA, staph epi, and anaerobic infections;     – giving ancef alone, … Read more

Anterolateral Approach to the Ankle

    – Discussion: – allows acces to ankle joint, talus, & other tarsal bones and joints; – it does not allow access to the navicular and 2nd and 1st cuniforms; – avoids all of the important vessels and nerves; – dissection procedes between the peroneus tertius (deep peroneal nerve) and the peroneus brevis (superficial peroneal … Read more