Orthopedic Surgery Malpractice: Red Flags Every Patient Should Know

Orthopedic surgery is meant to restore mobility, relieve pain, and help people get their lives back. But when something goes wrong during or after orthopedic care—especially when the harm was preventable—it can leave a patient worse off than before. At Hendrickson Law, we represent patients who’ve suffered avoidable injuries at the hands of orthopedic surgeons, hospitals, and surgical centers.

Not every complication is malpractice. But when an orthopedic provider fails to meet the standard of care and causes harm, that’s where legal accountability begins.

In this post, we break down the most common types of orthopedic malpractice, warning signs patients should watch for, and what to do if you suspect your surgical outcome isn’t what it should be.


What Is Orthopedic Malpractice?

Orthopedic malpractice occurs when a doctor or other provider specializing in bones, joints, or muscles deviates from the accepted standard of care, and the patient suffers significant injury or loss as a result. These cases are common in:

  • Joint replacement surgeries (hips, knees, shoulders)

  • Spinal procedures

  • Fracture treatment and hardware installation

  • Compartment syndrome diagnosis and treatment


Most Common Orthopedic Errors That Lead to Lawsuits

1. Failure to Diagnose or Treat Compartment Syndrome

Compartment syndrome is a surgical emergency. It occurs when swelling or bleeding within a closed muscle compartment increases pressure to dangerous levels, cutting off blood flow and nerve supply. If not treated quickly with a fasciotomy, it can lead to:

  • Permanent muscle and nerve damage

  • Amputation

  • Death

Red Flag: Severe pain out of proportion to the injury, especially following surgery or fracture repair.

2. Improper Surgical Technique

Orthopedic surgery requires precision. A mistake in drilling, screwing, or implant placement can cause:

  • Nerve injury

  • Misalignment

  • Prosthetic dislocation or loosening

  • Need for early revision surgery

We often see cases where tools were misused, the anatomy was misidentified, or the surgical field wasn’t properly visualized.

3. Failure to Timely Treat Fractures or Dislocations

Delays in treating serious fractures—especially of the hip, femur, or spine—can lead to complications such as:

  • Avascular necrosis (bone death)

  • Chronic pain or deformity

  • Neurologic deficits

In elderly patients, delay in hip fracture surgery is a well-known cause of increased morbidity and mortality.

4. Inadequate Post-Operative Monitoring

Even if surgery is successful, poor post-op care can undo it:

  • Missed infections or blood clots

  • Poor wound care

  • Ignored signs of hardware failure

A patient might return with worsening symptoms and get brushed off until the damage becomes irreversible.

5. Operating on the Wrong Site

Yes, it still happens: knees replaced on the wrong side, wrong-level spine surgeries, or rods placed in unbroken bones. These are so-called "never events"—but orthopedic surgery remains a high-risk specialty for this kind of devastating error.


Who Is Most at Risk?

We see orthopedic malpractice most frequently in:

  • Elderly patients undergoing joint replacements

  • Trauma patients with complex fractures

  • Athletes or active adults needing surgical repair

  • Diabetics or immunocompromised patients (infection risk)

  • Post-op patients sent home too early or with unclear discharge instructions

These patients are more likely to be ignored when they report pain or complications—especially when providers rely on templates, assistants, or electronic records instead of patient-specific judgment.


When Is It Malpractice—Not Just a Complication?

Complications can happen even when the surgeon does everything right. But when the harm was:

  • Preventable,

  • Caused by delay, inattention, or poor technique, and

  • Not disclosed or adequately addressed,

…it may rise to the level of negligence.

Some key indicators:

  • You needed an unplanned revision surgery within weeks or months

  • Your symptoms were dismissed or ignored

  • You were discharged with worsening pain, numbness, or signs of infection

  • Imaging shows misalignment, retained hardware, or unhealed fractures


What to Do If You Suspect Orthopedic Malpractice

If you think your orthopedic care went wrong, here are immediate steps to take:

  1. Request Your Records
    Get the full surgical report, imaging studies, and follow-up notes.

  2. Get a Second Opinion
    Have another orthopedic surgeon review your case.

  3. Keep a Symptom Journal
    Track your pain, limited movement, or functional losses.

  4. Contact an Experienced Malpractice Attorney
    We consult with orthopedic experts to review your records and assess whether the standard of care was violated.


Why Choose Hendrickson Law?

We don’t dabble in medical malpractice—we focus on it. We’ve handled orthopedic error cases involving:

  • Missed compartment syndrome

  • Failed joint replacements

  • Intraoperative nerve damage

  • Botched spine surgeries

  • Wrong-site orthopedic procedures

We don’t take every case—but if we take yours, it’s because we believe in it, and we’re prepared to fight.

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