Ortho Preferred Malpractice Insurance

Closed Reduction of Distal Radius Fractures

– Discussion: (distal radius fracture menu)      – closed reduction & immobilization in plaster cast remains accepted method of treatment for majority of stable distal radius frx;             – unstable fractures will often lose reduction in the cast and will slip back to the pre-reduction position;      – patients should … Read more

Cervical Disc Herniation

– See:       – Cervical Spondylosis:       – SCIWORA Syndrome – Discussion:     – are most frequent at C 6-7 level but also occur at C 5-6 & to a lesser extent at C4-5 & other levels;     – in relatively younger persons soft disk protrussion is more common … Read more

ATB Index: C, D

ATB Index: C                                              Carbenicillin                        Cefaclor                        Cefadroxil           … Read more

Anesthesia, Medical Considerations, and Timing for Femoral Neck Frx

– Considerations:     – assessment of risk:     – operative timing:     – anesthesia:           – in elective hip surgery there is 3-fold decrease in thromboembolic complications from the use of regional anesthesia and SCDs (COOR 1989 Oct (247): 163-7)          – in the study by Koval, et al (1999), there was similar mortality … Read more

Amyotrophic Lateral Sclerosis

– See: – El Escorial Revisited: Revised Criteria for the Diagnosis of Amyotrophic Lateral Sclerosis       – Disorders of Nerves:       – Anterior Horn Cell Disorders:       – ALS Society Homepage – Discussion:     – amyotrophic lateral sclerosis is a syndrome characterized by both upper and lower motor neuron … Read more

Tibio-Talar-Calcaneus Arthrodesis

– Discussion:     – surgical indications include diabetic neuropathy, osteoarthritis, posttraumatic injury, talar AVN, and RA involving            ankle and subtalar joints;     – position for pantalar arthrodesis:            – 0-5 deg of calcaneus (not equinus) and 5 deg of valgus;     – in the report by Chou, et al, the authors … Read more

TKR: Valgus Deformity

– See: – TKR Menu: – Collateral ligaments: – Medial Collateral Ligament – Lateral Collateral Ligament – Discussion: – more common in females; – in valgus knee, ligament balancing is more difficult to fix; – the anatomic deformity is usually larger in valgus than in varus, and it is on the femoral side; – femur … Read more