Ortho Preferred Malpractice Insurance

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

Classification of Anterior Posterior Compression Injuries

– Seee: Anterior Pelvic Injuries – Discussion:     – symphyseal diastasis and/or longitudinal rami fractures;     – these injuries result from relatively anterior or posterior forces applied to the anterior or posterior superior iliac spine areas;     – this gives rise to forces that tend to disrupt anterior pelvis, either by fracturing … Read more

Anterior Shoulder Reconstruction

– See:        – Arthroscopic Reconstruction        – Historic Operations        – Revision Bankart Procedure – Bankart Repair:     – reattachment of the capsule and glenoid labrum to the glenoid lip;     – subscapularis is carefully divided to expose the capsule, and is reapproximated without any overlap … Read more

Anterior Tibial / Dorsalis Pedis Arteries

– See posterior tibial artery – Anatomy:     – anterior tibial artery passes from behind through gap above interosseous membrane to enter anterior compartment of leg and supply its muscles;     – as it crosses membrane, it gives off a  recurrent branch;             – ref: The risk of injury to anterior tibial artery in posterolateral approach to … Read more

Anterior Pelvic Injuries: Open Surgical Approach w/ Plates

  – See: Anterior Plate Fixation Methods – Indications:     – open book pelvis injury w/ greater than a 2.5 cm pubic diastasis;     – note that fixation of pubic rami fractures can be much more complex than the fixation of a             simple diastasis;     – controversies:             – posterior injury and need for … Read more

Anterior Impingement Syndrome of the Ankle

    – Bony Impingement:     – pts who have persistent pain in anterior aspect of ankle & who have anterior tibiotalar spur evident on a lateral roentgenogram need additional diagnostic evaluation and management;     – extreme dorsiflexion required by the demiplie position in ballet can lead to impingement of anterior lip of … Read more