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Ethics in Practice   |    
“Doctor, Was This Surgery Done Wrong?”Ethical Issues in Providing Second Opinions
Timothy Bhattacharyya, MD1; Howard Yeon, MD, JD1
1 Partners Orthopaedic Trauma Service, Massachusetts General Hospital and Brigham and Women's Hospital, 55 Fruit Street, Yawkey 3600, Boston, MA 02114. E-mail address for T. Bhattacharyya: tbhattacharyya@partners.org
The Journal of Bone & Joint Surgery.  2005; 87:223-225  doi:10.2106/JBJS.D.02119
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Extract

Despite advances in medical knowledge and technology, complications of surgery do occur. While the vast majority of adverse events occur without negligence or error, approximately 28% of complications are due to negligence1. Orthopaedic surgery has a unique place in the field of medical error for two reasons: first, complications in the musculoskeletal system are rarely life-threatening but can result in substantial disability; second, radiographs often provide an open window into past events that is rarely available in other fields. Thus, orthopaedic surgeons are often called upon to review adverse results after operative intervention, and they should have a solid ethical framework and knowledge of relevant law to discuss appropriate issues with patients.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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    Timothy Bhattacharyya, M.D.
    Posted on January 21, 2005
    NULL
    Massachusetts General Hospital, 55 Fruit Street, Yawkey 3600, Boston, MA 02114

    To The Editor:

    With regard to Figure 2 in our “Ethics in Practice” article “Doctor, Was This Surgery Done Wrong?” (2005;87:223-5), please note that Dr. Herbert O. Bote was not the primary surgeon in this case but rather the surgeon who provided the second opinion. The limb was successfully revised by Dr. Bote, and it healed in anatomic alignment without complications. I regret any misunderstanding.

    Timothy Bhattacharyya, M.D., Massachusetts General Hospital, 55 Fruit Street, Yawkey 3600, Boston, MA 02114,

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