Joe Moskal

[Joe Moskal @JoeMoskalMD]

@orthobullets @IMACx_anterior @rkh_md @drsebheaven @schulte_ss @djschuett @Dr_Stambough @tdd340 @BrianChalmersMD @dr_a_s_prasad @jointdocShields @melharrington @drtedmanson @stefankreuzermd 7) With regards to femoral fixation: dealer's choice. In this situation, I would lean toward cementless as a) PPFx is unlikely with all the residual hardware and b) for concern for occult infection (would make certain to send cultures at time of surgery)
8) WBAT

(4/4)

[Joe Moskal @JoeMoskalMD]

@orthobullets @IMACx_anterior @rkh_md @drsebheaven @schulte_ss @djschuett @Dr_Stambough @tdd340 @BrianChalmersMD @dr_a_s_prasad @jointdocShields @melharrington @drtedmanson @stefankreuzermd 5) Remove the proximal three screws in the plate
6) Would use a press-fit uncemented cup with or without screws depending on fixation of the cup

(3/4)

[Joe Moskal @JoeMoskalMD]

@drsebheaven @jointdocShields @orthobullets @UMMC @rkh_md @moreyraortho @schulte_ss @jaimelbellamyDO @Dr_Stambough @tdd340 @BrianChalmersMD @dr_a_s_prasad @ExeterHipUnit @drsebheaven (10/10) These averages, I would submit, are on the low end of the ranges seen in the West. These populations may be different.

[Joe Moskal @JoeMoskalMD]

@drsebheaven @jointdocShields @orthobullets @UMMC @rkh_md @moreyraortho @schulte_ss @jaimelbellamyDO @Dr_Stambough @tdd340 @BrianChalmersMD @dr_a_s_prasad @ExeterHipUnit @drsebheaven (9/10) preparation.

As an aside, I noticed that in the three references you mentioned in your Twitter post and LinkedIn posts, that the median BMIs reported ranged from 24 to 26...

[Joe Moskal @JoeMoskalMD]

@drsebheaven @orthobullets @UMMC @jointdocShields @rkh_md @moreyraortho @schulte_ss @jaimelbellamyDO @Dr_Stambough @tdd340 @BrianChalmersMD @dr_a_s_prasad ...(3/3) which may compromise the long-term survivorship of a cemented femoral stem.

[Joe Moskal @JoeMoskalMD]

@drsebheaven @orthobullets @UMMC @jointdocShields @rkh_md @moreyraortho @schulte_ss @jaimelbellamyDO @Dr_Stambough @tdd340 @BrianChalmersMD @dr_a_s_prasad ...(2/3) Cementing a femoral stem after the removal of an intramedullary device may not be ideal, as there may not be as much cancellous bone for adequate cement interdigitation or pressurization after the intramedullary device and neo-cortex is removed, (continued)

[Orthobullets @orthobullets]

Here is a new case by Dr. Ted Manson and University of Maryland Medical Center (@UMMC).

HIP PAIN WITH PRIOR CEPHALOMEDULLARY NAIL IN 82F

This case will be debated at the 2023 International Masters Anterior Course in Houston, Texas, Sep 28-30, 2023.

How would you manage this #orthotwitter?

Vote on this case for CME: https://t.co/Jr2xwa9ETz