ABSTRACT
Introduction: Professional indemnity (PI) or medical malpractice insurance (MMI) has been a hot topic considering the increasing number of medical negligence cases rising worldwide. However, there is a palpable difference in understanding and usage of this tool in developed countries and regions such as India. Aim: This study aimed to analyze the general understanding of resident doctors and consultants about MMI and knowledge about its technical jargon. Materials and Methods: We distributed short Google Form questionnaires about various aspects of MMI. We recorded the data from 141 resident doctors and 42 consultants in the Navi Mumbai area of India. As it was a survey, we required no ethical review. Results: As consultants’ experience grew, so did their understanding of medical indemnity. Approximately 90%, 64%, and 22% of consultants with 10 years, 5–10 years, and 5 years of experience had acquired PI. The AOY:AOT (any one year:anyone time) ratio was known to just 35% of these specialists. About half of the resident doctors were aware of PI and the effects of medical specialization on PI. Around a fifth of the individuals had only acquired the PI. Conclusion: There needs to be more clarity between the need and knowledge of MMI in India. This needs to be addressed by teaching medical postgraduates about it during training. “There should be special emphasis on medical indemnity in terms of its need, clauses, and cost during postgraduate medical training.”
ABSTRACT
Introduction: Fractures of shaft of femur are among themost common fractures encountered in orthopaedic practice.The femur is the largest and strongest bone in the bodyarticulating with hip joint proximally forming knee joint withtibia at its distal end. As industrialization and urbanizationare progressing year to year with rapid increase in traffic,incidence of high energy trauma increasing with samespeed. Hence, the aim of the present study was to assess thetreatment of unstable diaphyseal fracture femur with femurintramedullary interlocking nailing.Material and methods: The present study was done among40 patients where skin traction or upper tibial traction forskeletal traction was given with the link supported in a BohlerBraun splint. All routine investigation and surgical fitnesswere asked for intramedullary nailing was chosen for fracturebelow the lesser trochanter and distally fracture within 8 cmfrom the femoral articular surface were chosen.Results: About 60% fractures involved upper 3rd as the site offracture. The pattern of fracture was found to be comminutedwhich was around 35%. The oblique pattern was around32.5% and transverse pattern of fracture was observed to be22.5%.The complications included were implant bending andbreaking, infection,delayed and nonunion,rotational deformityand shortening.Conclusion: Unstable diaphyseal fractures with femurintramedullary interlocking nailing gives excellent result withthis system there are minimal complications which help earlyreturn of patients to activity and work.