Eric T Basler

Mile High Joint Replacements | Do it right or do it twice | Evidence Based Medicine | #orthotwitter | Adult Recon | AAHKS | OpWalkLA | FightOn! ✌️

[Eric T Basler @baslerMD]

@DevanSinha @northwoods1980 agree, my most pedantic orthopaedic trauma surgery attendings would always say "if the fracture is non-displaced, how can you see it on XR?"

[Eric T Basler @baslerMD]

@northwoods1980 1st set of images - doomed to fail DHS from wrong implant choice. 2nd set of images. Has a chance to heal with the short nail - watch it.

[Eric T Basler @baslerMD]

@DrHBurstein Epic dot phrase templates remain king. All hail the king.

[Eric T Basler @baslerMD]

@jointdocShields titanium tibia. CoCr femur. Everyone is half right.

[Eric T Basler @baslerMD]

@northwoods1980 Pressfit knee fine in all cohorts with good intraop bone quality as long as its technically well done. They probably airballed their anterior chamfer cut a little which is fine as long as you have good AP and distal fit which they do. Patella is dealers choice.

[Eric T Basler @baslerMD]

@hjluks

[Eric T Basler @baslerMD]

@orthobullets @HipSurgeryNYC @HSpecialSurgery Looks like primary surgery was posterior given the staple line and posterior initial dislocation. 2nd dislocation probably occurred cuz of lip liner/skirted head impingement. Would revise cup into more anteversion + longest dual mobility construct. Stem+constraint on backup.

[Eric T Basler @baslerMD]

@JahangirAsgha10 That's my same set up. Compression socks & Dansko's. Just started this year. Definitely feel like I've traded cool for comfort, and never planning on going back.

[Eric T Basler @baslerMD]

@heckmannortho @PeltMD Yeah, my senior partner was on that study. No issues locally with the two peg, but we've all switched to the OsseoTi keel in part because of that data. Also Stryker pressfit did the best in that study when you actually go thru the data tables (tho within 95% CI comp to cement)

[Eric T Basler @baslerMD]

@DrRossBurge @Ortho_Deck @JArthroplasty @MayoAZOrtho @AAHKS_YAG 4mg PO BID x3 days, give it to all but the most brittle IDDM patients. Do this so it matches with my oral TXA 650mg TID x3 days postop. Shaw JOA 2023 did the dex for 4 days postop. Also give 8mg dex intraop.

[Eric T Basler @baslerMD]

@marcusmilderman The first few I explanted made me believe in the pressfit patella technology. Thin Stryker precision saw blade just barely on the bone side of the implant interface helps. Cement ones might be too easy to remove because 1/2 of them are loose. https://t.co/lwBOxD3ET2

[Eric T Basler @baslerMD]

@CenterRotation @generalorthomd @orthotraumamd @AAOS1 @jointdocShields @BrianChalmersMD @heckmannortho @JanetConwayy @bethgausdenmd @rkh_md @EdinburghKnee @ArthroToday @PeltMD @EcclesMD_Ortho "Head presentation position" for anterior THA on the Hanna table. I started this awhile back and now being used in many OR's locally. Bring op femur 1/3rd up off the ground and max abducted toward nonop hip. Bone hook on the trunnion and pull lateral. Helps head clear pelvis.

[Eric T Basler @baslerMD]

@northwoods1980 Rapid progressive head collapse from CSI - well reported in the orthopaedic arthroplasty literature at this point. CSI referrals will go down as more and more docs/PA's realize the risks and limited benefits associated.

https://t.co/wSxsGJFKrW
https://t.co/deiPZNEkKk

[Eric T Basler @baslerMD]

@JArthroplasty Great paper. This 1.5 technique is great for fungal, MDRO PJI, McPhererson Class C hosts, soft tissue compromise etc. Now doing 1 stage for most routine PJI's though.

[Eric T Basler @baslerMD]

@Tarheel1991 @generalorthomd @txsportsdoc @rkh_md @jointdocShields Goal is to demonstrate you are doing indicated, safe surgery and managing complications appropriately. Present accordingly. When asked questions - be respectful, clear, and concise.

[Eric T Basler @baslerMD]

@jointdocShields @denehy1 @txsportsdoc @generalorthomd @AAHKS I do a handful every year. Absolutely rock solid indications is the only way to success with this surgery. Isolated PF OA w/ no maltracking (usually post-traumatic or trochlear dysplasia) & isolated anterior knee pain w stairs/squats/lunges. No joint line pain at all.

[Eric T Basler @baslerMD]

@solimanibra92 @Davembmd @southNJscoli @bonesmith_ @CPOrthopedics For sure, can window the cast in that area if needed to relax the pressure on the skin.