Michael Maxted, MD

Board Certified Orthopedic Surgeon | Arthroscopy and Sports Medicine | UTSW Med | @OrthoOU | @MSMOCfellowship |

[Michael Maxted, MD @Maximus_MD]

@kcrehabguy Have thought about this before. My suspicion is ins co may drive some decisions about timing/staging. (Ex. Do the osteotomy planning to stage but then denied subsequent procedures. Or paid to rehab the first procedure but not others) No firsthand experience with that though. 🤷‍♂️

[Michael Maxted, MD @Maximus_MD]

@robgraymd His mercies are new each day.

[Pastor Rich Bitterman @w_bitterman]

One day, a man discusses the future of countries. The next, the country discusses him in the past tense. He was gone between two sunsets.

A dead man’s calendar can still look busy. Meetings remain written in their squares. Unanswered messages wait inside a glowing screen, each one addressed to someone who can no longer reply. Death does not clear the desk before it enters the room. It simply comes.

Lindsey Graham’s sudden death still places a cold hand upon every living shoulder. It reminds us that tomorrow has never signed a promise to return. We build our lives upon the quiet assumption that another day waits nearby. Forgiveness is saved for later and hard conversations remain buried beneath the hope of a better hour. Christians sit across from people they love, talk about weather, politics, ball games, grandchildren, and supper, then swallow the name of Jesus because the moment feels uncomfortable.

Meanwhile, the clock keeps moving toward an appointment written on a calendar we cannot see, “It is appointed for men to die once and after this comes judgment” (Hebrews 9:27).

That word, appointed, removes death from the realm of chance. God knows the hour when each heart will beat for the last time. We often reschedule dentists, cancel lunches and move meetings into next week. This appointment remains fixed. Our ignorance of the date never changes its certainty and scripture refuses to paint death with soft colors. Death entered the world through sin. God formed Adam from the dust, breathed life into him and placed him beneath the goodness of His rule. Adam rebelled, and then humanity followed. Every grave now carries us back to Eden, where the creature reached for God’s throne and found dust waiting beneath his feet.

Death feels unnatural because it is an intruder. It tears souls from bodies, husbands from wives, parents from children and voices from rooms that still remember their sound. Beneath every funeral lies a greater terror. After death comes judgment.

Power cannot bribe that court. Reputation cannot sway its verdict. Religion cannot hide the stains we carried beneath our Sunday clothes. Every secret enters the light, where excuses fall silent. The holy God before whom angels cover their faces will judge us with perfect righteousness.

Our need reaches far deeper than a longer life. We need a Savior. Jesus entered our world of hospital rooms, funeral clothes and sealed tombs. Outside the grave of Lazarus, He heard the broken voices of two grieving sisters. He saw tears running down familiar faces. Then the One who knew He would soon raise the dead stood beside them and wept. Those tears reveal the heart of Christ. He never treats human sorrow as a lesson to be delivered from a safe distance. Christ steps close enough to feel the ache. Yet compassion alone could not rescue us. Guilt required payment. Death required a conqueror.

So Jesus turned His face toward Jerusalem. Soldiers drove iron through the hands that had touched lepers and lifted children. The mouth that spoke peace to storms tasted sour wine. Darkness covered the land while the sinless Son of God stood in the place of sinners. The lies we defended, the pride we fed, the lust we concealed and the worship we withheld were laid upon Him. All of it was ours. The sentence fell upon Christ.

At Calvary, God did more than show us love. He satisfied His justice. Jesus bore the wrath our rebellion deserved and offered His righteous life for guilty people who possessed none of their own. His blood purchased forgiveness. Through His death, the way home opened.

A criminal hung beside Him with minutes left to live. The thief could repair nothing. His hands were fastened open. That stained record could never be rewritten. He could climb down from the cross neither to repay his victims nor to prove that his repentance was sincere. All he carried into those final breaths was guilt.

He turned his dying face toward Jesus and asked to be remembered. Christ gave him far more, “Today you shall be with Me in Paradise” (Luke 23:43).

Grace reached a man at the edge of eternity. Paradise opened to empty hands because the Savior beside him was paying the cost. The thief brought his sin. Jesus supplied everything else. Then Christ died. His body was wrapped in linen and carried into a borrowed grave. A stone closed the entrance. Saturday passed beneath a terrible silence. His disciples hid behind locked doors while grieving women prepared spices for a corpse. Early Sunday morning, they walked toward the tomb expecting death to remain where they had left it. The stone had moved.

Mary later heard her name spoken by the voice she thought had been silenced forever. Hands pierced by nails were warm with life. From the mouth that cried, “It is finished,” came words of peace for frightened disciples. Jesus rose bodily from the grave. He did not survive as an idea, a memory, or a cause. The crucified Christ stood alive.

History’s great shock came from an empty tomb. Death entered certain of another victory and came out carrying its own defeat. Christ lives and everyone joined to Him through faith will live with Him. This is the gospel. You have sinned against the God who made you. Judgment waits beyond your final breath. Jesus lived the righteous life you have failed to live, carried the guilt you could never remove, died beneath the sentence you deserved and rose in triumph from the grave.

Turn from sin and lay down the right to rule your own life. Rest the full weight of your soul upon Christ, His blood, His righteousness, and His resurrection. He receives ruined people. A filthy past cannot exhaust His mercy. An accusing conscience cannot overpower His promise. The Savior who welcomed a dying thief still welcomes sinners who come with empty hands.

Perhaps years remain before your appointment. Your name may be spoken in the past tense before another sunset. Come today. Then think of the people whose names live in your phone. Picture the chair they occupy at your table. Hear the voice you would give anything to hear again if death entered tonight.

Love them enough to speak. Speak of the cross. Point them to the empty grave. Tell them Christ saves.

Someone you love is a wisp of smoke passing through a keyhole.

Speak before the room is empty.

[Michael Maxted, MD @Maximus_MD]

@DrNickColyvas What % of time do you find it necessary to perform a little notchplasty for access?

[Chad Bird @birdchadlouis]

Bible in One Year...the rest of the story.

If you are doing Bible in One Year with me, welcome to day one! I began this annual study of the Bible in 2023. It has been a blessing to me as well as the thousands of fellow Christians who make this journey from Genesis to Revelation together.

Here are some recommendations as we begin.

First, some basics. To sign up, visit https://t.co/XxNvEtNH7e and scroll down to where it says, "Join the 2026 Bible in One Year and track your progress through Scripture." This is the landing page for all things Bible in One Year.

Second, there is more than one way to read these chapters. You can do it the old-fashioned way of simply opening up your Bible and reading. You can read the chapters on a Bible app or directly from the Bible in One Year page. Or you can listen to the audio version of the chapters on that same page or the YouVersion Bible app. Personally, I love audio Bibles, so I ordinarily listen to the chapters on my morning walks. You do what works best for you.

Third, what if you fall behind? Do not let that be a stumbling block. If you miss a day, it's usually not too big of a deal to double up on the next day. If you miss multiple days, don't worry about it. Just pick up where we are now. This is not a law-driven journey. If you miss a few days, so what? The chapters will be there for you to cover next year.

Fourth, if you read something in the chapters and want to dive a bit deeper into the topic, we have you covered. @1517 has two podcasts that give verse-by-verse commentary on the Bible: "40 Minutes in the Old Testament" (hosted by Dan Price and me) and "30 Minutes in the New Testament" (hosted by Dan Price and Erick Sorensen). Also check out the resources on the Bible in One Year landing page. Under the Bible readings, you will see tabs like "View all Genesis 1 Resources." That tab will take you to articles, podcasts, and videos that deal with material in the chapters we cover that day.

Finally, here is a longer and shorter prayer that you can use to begin your study of the Word each day.

"O Lord, open my eyes that I may behold wonderful things in your Word" (see Psalm 119:18).

"Blessed Lord, who has caused all holy Scriptures to be written for our learning; Grant that we may in such wise hear them, read, mark, learn, and inwardly digest them, that by patience and comfort of your holy Word, we may embrace, and ever hold fast, the blessed hope of everlasting life, which you have given us in our Saviour Jesus Christ" (Book of Common Prayer).

May the Lord Jesus bless you all!

[Michael Maxted, MD @Maximus_MD]

@DrNickColyvas What drill guide are you using? Have had issues with the more flat guide. Pointed guide awkward to get in between…

[Michael Maxted, MD @Maximus_MD]

@hjluks Very cool! How do you like to manage the MCL?

[Michael Maxted, MD @Maximus_MD]

@EricKnauerMD @rbarbosa91 @VNikolian @CPark_MD @FilipinoSurgeon @EzraTeitelbaum @RScott571 @SAGES_Updates @OMGhanemMD @ElliotServaisMD Disclaimer: Arthroscopist here. We use Arthrex 4k towers - they are also coming out with a new technology called Panoscope. Combined wide viewing with 30 and 70 degree options. Unsure if it would work for/add anything to laparoscopy but check it out! (No COI)

[Michael Maxted, MD @Maximus_MD]

@DrNickColyvas What size suture?

[Michael Maxted, MD @Maximus_MD]

@InvictaOrtho @orthotraumamd @sportsdoc2016 @traumaticum @generalorthomd Assuming perhaps a less comminuted pattern, if the screw engages the head and generates some compression through an intact lateral wall, would it do something to provide some anti-rotation with the screw is put up through the nail? (Maybe on a left hip)

[Michael Maxted, MD @Maximus_MD]

@orthotraumamd @sportsdoc2016 @traumaticum @InvictaOrtho @generalorthomd Do you have any X-rays or a paper on this? I’ve seen posts about 2 mm k-wires for provisional fixation. Would this negatively impact any controlled collapse? Assuming this functions like an anti-rotation screw but I’m ignorant, Thnx!

[Michael Maxted, MD @Maximus_MD]

@orthopedicpearl @Davembmd

[Michael Maxted, MD @Maximus_MD]

@KentonPanas @DrNickColyvas @KostasEcono13 @ArthroscopyJ @mayoclinicsport @MayoClinic I’ve had a couple tolerate it poorly. Wondered if that subset have a little more posteromedial laxity or had an undiagnosed PMC injury (stretched out) at time of meniscal tear. Exam highly “subjective” but I always try to figure out if there more Ant drawer laxity or +AMRI.

[Michael Maxted, MD @Maximus_MD]

@carversportsmed @darrenjohnsonmd Genuinely curious, what is actually the prevailing wisdom about what’s responsible for tunnel widening? Graft reaction (allograft), biocomp screw reaction, windshield wiper effect, graft micro motion? Any good review papers?

[Michael Maxted, MD @Maximus_MD]

@ChrisTuckerMD @ArthroscopyJ @drprovencher @WalterReedOrtho @MikeBairdMD The paper linked has some reference to Judet approaches but I’m looking for details on deltoid split instead of take down.

[Michael Maxted, MD @Maximus_MD]

@ChrisTuckerMD @ArthroscopyJ @drprovencher @WalterReedOrtho @MikeBairdMD Do you have a good paper on this approach? Looking to approach a large Hill-Sachs for grafting.

[Michael Maxted, MD @Maximus_MD]

@northwoods1980 Tough problem for “younger” patients with massive irreparable tears without arthritis. Have you seen any post op MRI studies come through to evaluate healing after biologic tuberoplasty?

[Michael Maxted, MD @Maximus_MD]

@DrJN_SportsMed Curious, where does the POCUS fit in the “clinic flow”? You U/S before XR I’d assume on this patient. When do you order the formal XR? If the OA is advanced, are you looking just to look or injecting at that time? Thnx

[Michael Maxted, MD @Maximus_MD]

@KirollosGendi @InvictaOrtho @generalorthomd @traumaticum @DrMarecek Have flipped the boot before for a BKA patient. Still will need to dodge the bar, depends on flexion angle, and can’t do long nail. Not ideal but could work.

[Michael Maxted, MD @Maximus_MD]

@kneedoclond Curious - did that patient have a + dial? If they have sig AMRI, do you think the MAT alone sufficient or do you address posteromedial corner somehow? Assuming it’s got to be all stretched out. Great teaching, thank you!