Journal of orthopaedic trauma
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Because every orthopaedic traumatologist will interact with the legal system during their career--either as a treating physician of a patient involved in legal action, an expert witness, or as a defendant in a lawsuit--a basic understanding of the legal process is paramount to successfully serve in these roles. Common truths and misperceptions about medicolegal risk, expectations of care and documentation in the trauma setting, and information about being deposed and giving expert testimony will be discussed.
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To determine whether negative pressure wound therapy (NPWT) affects antibiotic elution in simulated femur fractures treated with antibiotic impregnated polymethylmethacrylate (PMMA) beads and whether fascial closure between beads and sponge affects the outcome. ⋯ Concurrent application of NPWT with antibiotic impregnated PMMA beads to simulated open femur fractures in pigs did not decrease local antibiotic concentrations but did decrease the total amount of eluted vancomycin and tobramycin locally available when the fascia was left open.