David H. Chafey MD FAAOS, FAOA

Professor, @UNMOrthopaedics Fellowship Director, Trauma+Oncologic Reconstruction #savealimbchangealife 🇺🇸 🇵🇷 🇪🇦

[David H. Chafey MD FAAOS, FAOA @davidhcmd]

A positive attitude may not solve all your problems, but it will annoy enough people to make it worth the effort. – Herm Albright 😁

( Makes me smile every time I read it)

[WOA @WesternOrtho]

The future of limb restoration is here.

Explore osseointegration, limb lengthening, TMR/RPNI, and modern amputation strategies in this cutting-edge session.

#WOA2026 #LimbRestoration #Orthopaedics

[Cleveland Clinic MD @CleClinicMD]

A 29-year-old U.S. Army staff sergeant was referred after being diagnosed with chondrosarcoma in the left side of his pelvis.

10 years ago, the only options after resecting the cancer would be to amputate the leg or leave a flail leg. In this case, our sarcoma team opted to replace the removed bone with a custom 3D-printed implant.

More about the case: https://t.co/Ftv0sGwTnU

[David H. Chafey MD FAAOS, FAOA @davidhcmd]

@jointdocShields *QR code for free E-scooter rental

[Dr. Edward Oates @traumaticum]

Published by OrthoSolutions today, featuring the hard work of @Drlyndonmason

... and riding on the shoulders of the people doing the heavy lifting https://t.co/1WvAMhHtn0 sees its first publication...

A surgical guide on anterior tibial plating

[J Hand Surg Am- ASSH @JHandSurg]

The Association Between Distal Screw and Articular Subsidence in the Open Treatment of Intra-articular Distal Radius Fractures

@MedStarHealth @UTHealthSA

#DistalRadius #OperativeFixation #Trauma #VolarLockingPlate #WristSurgery

https://t.co/8OnTh3cifX

[Lee Zhao @lee_c_zhao]

Surgery is a "wicked" environment: feedback is delayed, noisy, and often biased. My essay on why experience doesn't always equal mastery, and how to learn when the feedback loops are broken.

https://t.co/mkHMtpskBV

#MedTwitter #Surgery #MedEd

[RJ @northwoods1980]

A quick tip. For anyone treating fractures(or not), it is often helpful to know something about bone quality. Most patients already have CT of the chest or abdomen and pelvis.
If it is not mentioned in report, you can quickly assess it yourself by checking the HU m, ideally L1 vertebral body. This is often as good or better than DEXA. Easy, quick, underutilized.

[David H. Chafey MD FAAOS, FAOA @davidhcmd]

@DrFraneNicholas @orthotraumamd @orthobullets @IU_Health @bonesmith_ @KrystinHiddenMD @FractureDoc @itius @rkh_md @BrandonYuanMD @IMNailR @schulte_ss @Drlyndonmason @FootAndAnkleMD Agree with using a hindfoot nail to maximize distal fixation, given BMI.

depending on lab work-up, single stage in prone position could work.

no gif to simplify that

[David H. Chafey MD FAAOS, FAOA @davidhcmd]

@orthotraumamd @orthobullets @IU_Health @bonesmith_ @DrFraneNicholas @KrystinHiddenMD @FractureDoc @itius @rkh_md @BrandonYuanMD @IMNailR @schulte_ss @Drlyndonmason @FootAndAnkleMD

[Orthobullets @orthobullets]

Here is a new case by Dr. Jan Szatkowski @orthotraumamd and @IU_Health.

PILON FRACTURE NONUNION IN 58F

How would you manage this #orthotwitter?

Vote on this case for CME: https://t.co/lAPHeQTNyD

[Carlos A. Higuera MD @carhigueramd]

AAOS establishes Orthobiologics Registry to advance evidence-based orthobiologics research https://t.co/SJ0QJP2sVj

[David H. Chafey MD FAAOS, FAOA @davidhcmd]

@pratikorho good construct for such a pattern. Without knowing patient factors, THR is not for everyone and has a distinct complication spectrum

the TAD is for IT fractures. using 2 points of fixation controls rotation while providing fixed angle support.

which one is placed first?

[Jan Szatkowski @orthotraumamd]

History of Troch Bursitis.......I met a patient recently while I was on call who had their CMN lag screw removed because it was painful laterally… then they fell again and sustained a femoral neck fracture.

2 fractures but 3 surgeries. It was a pretty sobering reminder that “small” hardware details can have big downstream consequences.

That case made me re-read this JOT paper on laterally protruded lag screws as a consistent source of lateral thigh/hip pain after pertrochanteric fracture fixation. In their cohort (n=134), even minimal protrusion past the GT reference line was associated with more lateral thigh pain and more difficulty lying on the operative side—and patients with less “soft tissue buffer” were at higher risk.

A few questions for the group:

How far do you want the lag screw sticking out laterally? Do you have a personal “flush / slightly proud / never past GT” rule?

How do you plan for inevitable fracture impaction/collapse so it doesn’t become progressively more proud over time?

Any experience with designs/techniques that allow controlled collapse but reduce the lateral irritation problem (the “self-collapsing screw” idea)?

https://t.co/Rq6N6PKzR2

[David H. Chafey MD FAAOS, FAOA @davidhcmd]

very clever winning submissions 💪🏽 #saltimusprime ❄️ 🚛

[Grant Tosterud @granttosterudwx]

The NMDOT snowplows have officially been named for 2026!

[Katherine Mallett, MD @KMallettMD]

Excited to be back behind the mic 🎙️ I’m now co-hosting the Mayo Clinic Orthopedic Surgery Podcast with Jon Barlow, couldn’t stay away after @OfficialJAAOS Unplugged! Big 2026 season ahead, stay tuned! #MedEd #MedicalLeadership

[AO Trauma North America @AOTraumaNA]

Kicking off 2026 with #FractureFriday—Dr. Augustine Saiz reviews the essentials of pelvic imaging.

Watch now and keep learning with AO NA LINK. Join Session 7: Polytrauma: Improving Patient Outcomes on Jan 8, 2026.

🔗 https://t.co/GpZ7YKyWRk

#Orthopedics
#MedicalEducation

[AO Trauma North America @AOTraumaNA]

Advance your knowledge in fracture management at the New England Regional Fracture Summit.
Join us for hands-on training, interactive case discussions, and faculty-led guidance.
👉🏻

https://t.co/tdzf1qHVSB

[Jan Szatkowski @orthotraumamd]

2025 was a full-throttle year. 🏎️💨
We’re building real momentum in global education at @orthobullets — powered by a community that loves to learn, teach, share, and care.

And honestly? The friendly banter and constant exchange of ideas is the best part.

This highlight reel is a quick snapshot of that energy… and we’re not lifting off the gas in 2026. Boom — excited for what’s next. 🏁🌍

[LLRS @LimbDeformity]

Member Spotlight!

Learn more about our President, Mitchell Bernstein. 👇

[Arthroscopy Journal @ArthroscopyJ]

2026 Ortho Trend Alert:
The hottest new accessory is the Knee Arthroscopy Belt.
It supports the patient and your lumbar spine and gives powerlifting-belt energy! 🦾
#NewYearNewBelt