Mexican Ortho

🇲🇽Somewhere between Mount Stupid and Valley of despair. I’m here for the #orthotweets.

[Mexican Ortho @sortabonefixer]

If your Ortho can’t find the source of your pain, that doesn’t mean surgery is the answer.

[Mexican Ortho @sortabonefixer]

@InvictaOrtho @deln_ioann @Davembmd We used a variant of the "two lies in Ortho" and said that the three lies are: a) It will loosen up. b) it will tighten up and c) It´s the X ray projection. But yours is quicker and cuts right to the point.

[Mexican Ortho @sortabonefixer]

@InvictaOrtho @deln_ioann @Davembmd Stealing this phrase.

[Mexican Ortho @sortabonefixer]

@solimanibra92 @Davembmd @MrDanPerry @anklefootmd @bonesmith_ @Gnomelover1970 @neilorpen @txsportsdoc @TJimulia @InvictaOrtho @ojedathies You got to go to the OR, might as well reduce/pin it. Adds stability, less work for remodeling process and allows to "check the wound" in case you need to remove splint. I am sure you can leave a good cast with a window, but... you are already there, better safe than sorry. .

[Mexican Ortho @sortabonefixer]

@generalorthomd Beautiful place, La Alhambra is one of the most beautiful places I have been to. Enjoy.

[Mexican Ortho @sortabonefixer]

@DrNiravPandya I would love to see Jalen Brunson win, but honestly, after what I saw in the SAS-OKC series, I don´t think Knicks will make it to game 7.

[Mexican Ortho @sortabonefixer]

@corralmunar @aqueipot A los 3 meses? se pensaria mas en disociacion liner-copa. O ruptura de liner.. pero en esa imagen parece que está adelgazado.. es correcto?

[Mexican Ortho @sortabonefixer]

@SherwoodStrauss These are Elite competitors, they learn the rules and make the most of them. It´s not pretty, I hate it, but it´s not exclusive to a team in the NBA. Everyone is trying to take advantage of it. If fouls keep getting called, acting will go on.

[Mexican Ortho @sortabonefixer]

@ojedathies @H12Octubre @F_Medicina_UCM @unicomplutense Desde que te “conocí “ en Twitter he tenido la impresión de que tus alumnos son muy afortunados. Da gusto saber que lo saben y lo valoran. Felicidades.

[Mexican Ortho @sortabonefixer]

@generalorthomd It´s amazing when it all works out. Good for you VGO. Keep it up.

[Mexican Ortho @sortabonefixer]

@hamiltoncdmd Exactly..... not fun at all. And yes, conversion to Hemi.

[Mexican Ortho @sortabonefixer]

Guess. Was this fun?

[Mexican Ortho @sortabonefixer]

@RobbieMeriales Metallosis, soft tissue from around the implant, that´s just a small sample, there was more, a lot more.

[Mexican Ortho @sortabonefixer]

@sbmander1 @LenMacPT @generalorthomd I do mostly QT in pivoting sports. I admit it does not come without downsides (atrophy and post op pain mostly), But 100% cyclops sounds huge. There are so many variants in surgical technique, not everything can be attributed to graft choice. I very very rarely see cyclops.

[Mexican Ortho @sortabonefixer]

@jointdocShields Question: if you see a very large tear do you ever just go anterior (Hardinge)? I my mind , if the door is already open, I use it to do a THA and then close it .

[Mexican Ortho @sortabonefixer]

@solimanibra92 @Davembmd @bonesmith_ @centerofhip @eric_novack @neilorpen @southNJscoli @sportsdoc2016 @Trauma_Pagaza @TJimulia Not silly. Very real dilemma. We learned not to open implant trays untill fully draped, because when it’s happened my biggest fear is implant contamination, and we are a low volume center, don’t have extra trays on the shelf.

[Mexican Ortho @sortabonefixer]

@Davembmd @solimanibra92 @bonesmith_ @centerofhip @eric_novack @neilorpen @southNJscoli @sportsdoc2016 @Trauma_Pagaza @TJimulia 🤣Yes, interesting real life scenarios you don’t always hear about in a conference or see in a RCT.
But the struggle is real. 💩 happens.

[Mexican Ortho @sortabonefixer]

@solimanibra92 @bonesmith_ @centerofhip @Davembmd @eric_novack @neilorpen @southNJscoli @sportsdoc2016 @Trauma_Pagaza @TJimulia Yes, Logistics are a nightmare (cleaning, instruments, etc). If you can’t guarantee table is properly cleaned, then u must cancel (this and all other upcoming cases). But u aren’t closing this OR for the day, right?. Just saying, I’d be stubborn on trying surgery again.

[Mexican Ortho @sortabonefixer]

@solimanibra92 @bonesmith_ @centerofhip @Davembmd @eric_novack @neilorpen @southNJscoli @sportsdoc2016 @Trauma_Pagaza @TJimulia Once u clean table, OR and pt, risks aren’t very different IMO, not worth having fractured pt in pain for longer. If gastro problem puts him medically in immediate danger that’s a different story.
But a severe diarrhea pt seems like somebody you wanna be able to mobilize.

[Mexican Ortho @sortabonefixer]

@solimanibra92 @bonesmith_ @centerofhip @Davembmd @eric_novack @neilorpen @southNJscoli @sportsdoc2016 @Trauma_Pagaza @TJimulia If u cancel this pt, then clean table and room, and bring another patient who may have defecated two hours ago in his room / home, is there really a difference between this two cases? Patients 💩 around surgery time , that’s why we prep and drape, we know skin isn’t sterile.