Sandler et al reports durable improvement after arthroscopic CC reconstruction for chronic Type V AC dislocations, with high return to duty and sport in an active-duty military population at 10+ years! #CCRecon#ShoulderArthroscopy#SportsMedicine#Military
Persistent MCL laxity dramatically increases the risk of ACL reconstruction failure — making accurate exam, imaging, and timely management critical.
Our latest review highlights:
-When to repair vs reconstruct the MCL
-Indications in acute vs chronic settings
While surgeons have long been expected to perform at their peak on little sleep, new workplace standards and research trends are signaling a change in a workhorse culture that historically has made it difficult, if not impossible, for surgeons to admit when they’re too tired to operate.
Recently, the American College of Surgeons issued its first-ever proposed workplace standards for surgeons. They include a section on fatigue mitigation and recommend hospitals put formal policies in place for rescheduling or redistributing elective procedures following intense or extended duty.
Research shows fatigue can impair clinical decision-making, but whether it leads to surgical errors is less clear. “Looking at all of our available evidence, our patients do not have worse outcomes by being operated on by surgeons who were up the night before," said Jamie Coleman, MD, FACS, surgeon at UofL Health in Louisville, Kentucky. "However, that surgeon is more likely to wreck their car on the way home.”
Tap the link to learn more about the new lines of research that are exploring ways to help cognitively overloaded surgeons. https://t.co/Plq4jmRgbl
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
Fix or replace?
Most intertrochanteric femur fractures are managed with open reduction and internal fixation. However, in this study, authors report good outcomes utilizing an uncemented, tapered, fluted cone stem.
Do you trust this technique?
https://t.co/MHHm1BA8Kp
🫸 Alignment in TKA exists on a spectrum 🫷
From neutral mechanical alignment to patient-specific kinematic strategies, this review summarizes seven philosophies and what they prioritize.
https://t.co/pWTb3lv3Hf
What is your target? 🎯
@DrPeterSculco@jmaratt@roboticknee
How do you address your massive, irreparable posterosuperior rotator cuff tears? Check out this combined technique integrating arthroscopically assisted lower trapezius transfer with SCR using the long head of the biceps tendon as a biological graft.
https://t.co/xSOWzmbOVy
Superficial vein thrombosis is a condition in which blood clots develop within the superficial veins, typically in the legs or arms.
This JAMA Patient Page describes its risk factors, symptoms, diagnosis, and treatments.
https://t.co/ehgLKz1vUL