Kristofer Chenard

[Kristofer Chenard @KrisChenardMD]

@sportsdoc2016 @InvictaOrtho @orthotraumamd @traumaticum Can compress it mega

[Kristofer Chenard @KrisChenardMD]

@orthotraumamd Taking the clamp off when you think you’re done and then immediately clamping it back to put blocking screws 😂

[Kristofer Chenard @KrisChenardMD]

@fulfillms @philippilk Im gonna have to say his physique suggests he may be a real expert on langos

[Kristofer Chenard @KrisChenardMD]

@DrDiGiorgio @neoavatara This

[Kristofer Chenard @KrisChenardMD]

@OfficialJAAOS Probably a lot if you fix them like those pictures

[Kristofer Chenard @KrisChenardMD]

@fuqekgs Answer the questions then. If you have solutions, no one has to be tired. Scarcity of resources: financial and skilled personnel
Just because “being tired is bad” and it makes you feel better to say it’s bad doesn’t make it practical.

[Kristofer Chenard @KrisChenardMD]

@NathaliaLeHen @OGdukeneurosurg don’t miss the left acetabulum fracture

[Kristofer Chenard @KrisChenardMD]

@traumaticum @Gnomelover1970 @drrogervanriet You say smashed I say smushed and they are different

[Kristofer Chenard @KrisChenardMD]

@pavelny2011 @generalorthomd @jeremiahaa1 Targeter definitely gets in the way if you use the plate to assist in reduction (giant washer for periarticular clamp) which for me is most cases

[Kristofer Chenard @KrisChenardMD]

@pavelny2011 @generalorthomd @jeremiahaa1 Not talking about locking screws

[Kristofer Chenard @KrisChenardMD]

@generalorthomd @jeremiahaa1 Oh you liked to perc your plates with a locking tower? Not anymore you don’t

[Kristofer Chenard @KrisChenardMD]

@InvictaOrtho @VuMedi Only two reasons to operate on proximal humerus : risk of malunion / risk of nonunion. Nonunion much more important and the paper clearly and reliably stratifies this risk. PROFHER a pretty useless paper for well discussed reasons

[Kristofer Chenard @KrisChenardMD]

@orthotraumamd @orthobullets @CedarsSinai @lisacannada @MilanSenMD @DrFraneNicholas @FractureDoc @itius @eric_novack @bonesmith_ @schulte_ss @solimanibra92 @stevemchale Not me

[Kristofer Chenard @KrisChenardMD]

@Drlyndonmason @DrBakr90 @orthobullets @UHhospitals @eric_novack @anklefootmd @FootAndAnkleMD @sebcyc @DrAJ26001405 @DrFraneNicholas @clareau @schulte_ss Anterior partial articular is a pilon because of both mechanism and outcome. Posterior mal is not because of mechanism and outcome in the majority of cases

[Kristofer Chenard @KrisChenardMD]

@Drlyndonmason @DrBakr90 @orthobullets @UHhospitals @eric_novack @anklefootmd @FootAndAnkleMD @sebcyc @DrAJ26001405 @DrFraneNicholas @clareau @schulte_ss It’s a partial articular fracture. Whether you call it a pilon or not depends on semantics. For me it’s mechanism when I talk to orthopedic surgeons (axial load) and prognosis when I talk to patients - the expected outcome of the injury

[Kristofer Chenard @KrisChenardMD]

@orthobullets @UHhospitals @eric_novack @anklefootmd @FootAndAnkleMD @sebcyc @Drlyndonmason @DrAJ26001405 @DrFraneNicholas @clareau @schulte_ss More ink has been spilled in this case than blood
It’s an ankle fracture not a pilon.
Nice job on the fixation.
Seeing Lyndon on all these posts is making me think harder about who should be getting formal posterior fixation and if so from what approach

[Kristofer Chenard @KrisChenardMD]

@yoon_rs @orthotraumamd @rkh_md @orthobullets @huddleston_md @centerofhip @stevemchale @Hassan_Mir_MD @ChrisWi19030624 @traumaticum @EauClaireOrtho @IMNailR Absolutely agree with this statement

[Kristofer Chenard @KrisChenardMD]

@orthotraumamd @orthobullets @Drlyndonmason @Liverpool_Ortho @BostonFootAnkle @TheFootAnkleDoc @jamesablairMD @sebcyc @itius @anklefootmd @FootAndAnkleMD @traumaticum @rkh_md @bonesmith_ Fibular nails are still very big implants not zero profile and usually require some amount of open exposure if you actually want to reduce it.

[Kristofer Chenard @KrisChenardMD]

@orthotraumamd @orthobullets @Drlyndonmason @Liverpool_Ortho @BostonFootAnkle @TheFootAnkleDoc @jamesablairMD @sebcyc @itius @anklefootmd @FootAndAnkleMD @traumaticum @rkh_md @bonesmith_ Personally more a fan of 110 3.5 screw when the situation is right for it