Samuel Carter

Orthopaedic Surgeon specializing in Hip, Knee, & Shoulder Arthroscopy; Sports Medicine. Team Physician for Male HS, Bellarmine University in Louisville, KY

[Samuel Carter @SamCarterMD]

@northwoods1980 whoa

[Samuel Carter @SamCarterMD]

@DrPJVDK @generalorthomd @stevemchale I’ve only had 2 dislocations in over 700 Oxfords, both were solved with poly exchange and removal of impinging bone. Loosening is by far my biggest issue leading to revision. I also have been eagerly awaiting approval of the press fit Oxford for over 10 years now.

[Samuel Carter @SamCarterMD]

@generalorthomd @stevemchale That’s surprising, poly instability is very unusual in Oxfords from my experience. I assume they were having a lot of medial pain?

[Samuel Carter @SamCarterMD]

@dieworkwear I love this thread but disagree with this one, the four-in-hand looks lazy, give me a Shelby any day with some symmetry and a dimple.

[Samuel Carter @SamCarterMD]

@doctorboudreaux sorry to hear, but we’re not all the same!

[Samuel Carter @SamCarterMD]

@northwoods1980 Agreed, these are challenging cases. My feeling is at least correcting the cam deformity and saving the labrum if possible is helpful but isn’t always enough. I’m unsure if more than that is the answer, as the next steps start to involve fairly morbid procedures. Tough.

[Samuel Carter @SamCarterMD]

@injuryexpert @JRudd_Scout It is worth 15.21 wRVUs, so depending on the surgeon’s contract could get anywhere from $40-$90 per wRVU, so a range from $600-$1350

[Jay Bilas @JayBilas]

The NCAA needs to allow Bellarmine full access and rights in Division I, and do so immediately. Denying it is discriminatory and flat-out wrong. So much for “athlete welfare.”

[Samuel Carter @SamCarterMD]

@jointdocShields As a sports surgeon, I am referred so many of these (native and post-arthroplasty) and many are very symptomatic, however some are so chronic that repair can’t always fix the limp but pain typically is improved. I don’t do THA but I would assume there is a significant % >70 yo

[Samuel Carter @SamCarterMD]

@Bloch_ortho If it solved a gluteus medius/minimus deficient hip, it would be useful. However, I see no indication that it would solve that problem.

[Samuel Carter @SamCarterMD]

@DrAmyGarner @MSkLab1 @ICBiomechanics @orthorobodoc @OliDandridge very interesting paper, I anticipate having a hard time getting my hospital to pay for both implants though!

[Samuel Carter @SamCarterMD]

@DrAmyGarner @generalorthomd @jointdocShields @OrthoCurryMD @kneedoclond @CenterRotation @NuelleSportsMD Oxford polys don’t really wear much, at least not enough to cause loosening. It may have been undersized or balancing wasn’t perfect, but I doubt it’s a wear issue.

[Samuel Carter @SamCarterMD]

@jointdocShields @pentffive @generalorthomd be really careful using the Bovie, I have seen wet cement catch fire with an accidental button strike

[Samuel Carter @SamCarterMD]

@bonebrokemefix post a review when you’re finished!

[Samuel Carter @SamCarterMD]

@DGlaucomflecken You have a surgeon’s lounge???

[Samuel Carter @SamCarterMD]

@CenterRotation @jointdocShields @BrianChalmersMD @FractureDoc @kate_wynne @generalorthomd sports 40/40 for me, bump to 50/50 for TKA

[Samuel Carter @SamCarterMD]

@FixnBones I see so many of these now, chronic bursitis that doesn’t respond to injections really raises my suspicion for these tears. I do them open as well, even though I do a lot of hip arthroscopy. Unfortunately I also see many chronic tears with muscle atrophy that don’t do well.

[Samuel Carter @SamCarterMD]

@DrDerekOchiai What are your thoughts on the psoas tendon itself causing the impingement in these tears? I used to release them more often but now almost never.

[Samuel Carter @SamCarterMD]

@DrDerekOchiai I agree that placing from the articular side is key for these, I now use a 1.4mm all suture anchor and can often use a straight drill guide but curved is available.

[Samuel Carter @SamCarterMD]

@winstongwathmey @rwwesty Yup, I made the switch about 18 months ago, never looked back!