A review of negligence reports, detailing 227 complaints from the practices of two orthopedic surgeons, was undertaken. There were demonstrable differences in the number of complaints over leg-length discrepancy; femoral fracture and cup malposition when cemented versus uncemented implants were compared. Surgeons must appreciate the less forgiving nature of uncemented hip implants and the importance of preoperative planning particularly in the presence of abnormal anatomy.
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References
1.
National Joint Registry for England and Wales, Annual Report 2011.
2.
AtreyA, GupteCM, CorbettSA. Review of successful litigation against English health trusts in the treatment of adults with orthopaedic pathology: clinical governance lessons learned. JBJS Am2010; 92: e36.
3.
BhuttaMA, ArshadMS, HendersonJJ. Trends in joint arthoplasty litigation over five years: the British experience. Ann R Coll Surg Engl2011; 93: 460–4.
4.
McWilliamsAB, DouglasS, RedmondA. Litigation for total hip replacement within the NHS - why are we being sued? presented to the British Hip Society, 2011.
5.
UpadhyayA, YorkS, MacaulayWMedical malpractice in hip and knee arthrolpasty.J Arthroplasty2007; 22(Suppl. 2): 2–7.
6.
GoreDM. Ethical, professional, and legal obligations in clinical practice: a series of discussion topics for postgraduate medical education. Introduction and topic 1: informed consent. Postgrad Med J2001; 77: 238–9.
7.
ChawdaM, HuckerP, WhitehouseS, CrawfordRW, EnglishH, DonnellyWJ. Comparison of cemented vs uncemented acetabular component positioning using an imageless navigation system. J Arthroplasty2009; 24: 1170–3.
8.
Increased rate of dislocation of total hip arthroplasty with cementless implants: accuracy Of acetabular inclination Roberts & Garlick. Internet Jl Orthop Surg2010; 17: 1.
9.
HaddadFS, ThakrarRR, HartAJ. Metal-on-metal bearings: the evidence so far. J Bone Joint Surg Br2011; 93-B:572–9.