Nickolas Garbis, MD

Associate Professor, Loyola University Dept of Orthopaedic Surgery, Shoulder and Elbow Surgery.

[Nickolas Garbis, MD @NickGarbis]

@orthobullets If there is still some cartilage left on the reverse Hill Sachs I’ve had some luck with doing a humeral head osteoplasty. I’ll use allograft chips or cement to backfill the defect after I tamp up articular surface and then try to get everything repaired especially in young pts

[Nickolas Garbis, MD @NickGarbis]

@MikeKnudsenMD @orthobullets @OrthoColumbia @EauClaireOrtho @Shoulder2LeanOn @PeterCoffaro @shoulder_nerd @shoulderMD @DrBryanSaltzman @H2O_SportsMD @SZaildar294488 @AntonLambers I’m not templating fractures either @MikeKnudsenMD. I will also skip simple early irreparable RTC without bony deformity. I do template in some of my smaller women with osteoporosis even w/o bony deformity to help me understand things I can do to try to minimize acromial stress

[Nickolas Garbis, MD @NickGarbis]

@orthotraumamd @MikeKnudsenMD @orthobullets @OrthoColumbia @EauClaireOrtho @Shoulder2LeanOn @PeterCoffaro @shoulder_nerd @shoulderMD @DrBryanSaltzman @H2O_SportsMD @SZaildar294488 @AntonLambers I think the most important thing is to look at glenoid version, percentage backside contact, lateralization of the joint line using different baseplate thicknesses and glenospheres. Different implants use varied methodologies for fixation and that should also be considered

[Nickolas Garbis, MD @NickGarbis]

@DrNickColyvas @orthobullets @PEvansMDPhD @CleveClinicFL @Grant_Garrigues @MDiPaolaMD @londonarmdoc @dave_cloke @DrRobHartzler @CowlingSurgeon @surg4shoulders @Shoulder2LeanOn Yes for sure, you can get it out with a tiny little transverse counter incision at or above the antecubital crease. It makes it easier to suture as well.

[Nickolas Garbis, MD @NickGarbis]

@robgraymd 💪that’s awesome!!

[Nickolas Garbis, MD @NickGarbis]

@robgraymd I can’t tell you how true this is. I’ve been doing this over the past year and a half and it’s a game changer!

[Nickolas Garbis, MD @NickGarbis]

@orthobullets @generalorthomd @itius @JSanchezSotelo @lpcsmd @pmacdonald16 @JacobKirschMD @DrNMaassen @CowlingSurgeon @BrentMorrisMD Nice work! Always challenging cases but can be very satisfying once they clear. How do you manage the deltoid on these long exposures?

[Nickolas Garbis, MD @NickGarbis]

@BrettLevineMD Congrats Brett!

[Nickolas Garbis, MD @NickGarbis]

@generalorthomd A couple years ago I had a similar reviewer deny rotator cuff surgery to a patient who had undergone physical therapy, cortisone shot, and close to a year of conservative care because the full thickness tear on the report was “too small“

[Nickolas Garbis, MD @NickGarbis]

@orthobullets @RothmanOrtho @shoulder360 @PaulSethiMD @rish_parmar @DrRobHartzler @OrthoStrelzow @AnthonyRomeoMD @H2O_SportsMD @EauClaireOrtho @pmacdonald16 @umasrikumaran @shoulderMD Great case Joe. I find that these post-capsullorhaphy patients have very stiff soft tissue anterior and even if it looks intact sometimes it’s very hard to get a mobile subscapularis MT unit despite all the usual releases. Some cuff atrophy on sag CT. This is a reverse for me.

[Nickolas Garbis, MD @NickGarbis]

@orthotraumamd @orthobullets @OrthoShah @BannerHealth @RachelFrankMD @EauClaireOrtho @AnthonyRomeoMD @OrthoStrelzow @kburnsmd @DrRobHartzler @rish_parmar @PaulSethiMD I usually wait three to six months and make sure I open communication with the neurology team about optimization. The fact that his previous seizure was seven years prior to this incident makes me feel a little bit better.

[Nickolas Garbis, MD @NickGarbis]

@drgazihuri Opa reeee

[Nickolas Garbis, MD @NickGarbis]

@generalorthomd Had this exact same guy about six months ago. I love replacing shoulders but my trauma partner had just done his hip and we elected to see how it goes. I have to say that he did pretty well. Not as good IMO as a good reverse, but certainly better than a bad one.

[Nickolas Garbis, MD @NickGarbis]

An arthroscope is actually the name of a small camera that fits into the incision to help the surgeon examine and repair tendons in your shoulder. https://t.co/MVYIhWN8aG

#arthroscopy #arthroscopicsurgery #surgeon #meniscus #shouldersurgery #sportsmed #arthroscopysurgery

[Nickolas Garbis, MD @NickGarbis]

Consider your clothing needs before your surgery. You'll want loose-fitting, button-up shirts that you can get into easily. Don't plan on over-the-head t-shirts for a while. https://t.co/MVYIhWN8aG

[Nickolas Garbis, MD @NickGarbis]

General anesthesia, as well as regional anesthesia, could be used in arthroscopic surgery depending on your medical background. https://t.co/MVYIhX4J2e

[Nickolas Garbis, MD @NickGarbis]

Patients can expect arthroscopic surgery to last usually anywhere from 30 minutes to 2 hours. Plan on resting in a recovery room for a few hours before having someone drive you home. https://t.co/MVYIhWN8aG