Brian Chalmers
@BrianChalmersMD
Followers
5,613
Following
1,238
Media
154
Statuses
3,978
Adult Recon surgeon @HSpecialSurgery , @hssarjr alum, @MayoOrthoRes alum, @NotreDame alum, Kansas City native, proud Dad, tweets are my opinions only
New York, NY
Joined April 2018
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
James Earl Jones
• 731475 Tweets
iPhone
• 588075 Tweets
Haitian
• 561136 Tweets
Tyreek
• 174547 Tweets
Cops
• 164220 Tweets
SIEMPRE FURIA SCAGLIONE
• 132886 Tweets
Jets
• 117763 Tweets
#WWERaw
• 107387 Tweets
49ers
• 95100 Tweets
Yunes
• 88714 Tweets
ZEE PRUK BIRTHDAY
• 69967 Tweets
#MartinFierro
• 43841 Tweets
シーザリオ
• 41181 Tweets
Aaron Rodgers
• 35250 Tweets
対象作品
• 23912 Tweets
Jordan Mason
• 19009 Tweets
ガチャチケット
• 18955 Tweets
Purdy
• 17955 Tweets
性の対象
• 17618 Tweets
キスィズ
• 16767 Tweets
Deebo
• 15611 Tweets
Saleh
• 15608 Tweets
Niners
• 14983 Tweets
Gunther
• 14410 Tweets
Aiyuk
• 13359 Tweets
小林邦昭さん
• 11699 Tweets
飛霄将軍
• 10808 Tweets
Pinned Tweet
Here is a nice schematic from our first
@aahks
health policy fellowship meeting outlining what everyone is discussing - reimbursements to hospitals have a law factoring in inflationary benefit while physicians do not
26
106
307
To all medical students and residents and trainees - some advice that was never given to me - things only get busier and the challenges/stress become more the further you advance (residency —> fellowship —> early practice) - there’s a big misconception that life somehow gets easy
34
112
984
As an attending or after residency or after medical school - work hard but also make good habits early on, spend time with family and establish hobbies in order to healthily decompress as these will serve you well in all stages
@AAHKS_YAG
@jointdocShields
@MayoOrthoRes
6
16
252
Important study about TXA! No, I repeat, no thrombogenic markers increased with TXA administration! Antifibrinolytic properties only - this in combination of several other studies should support widespread IV TXA use in nearly all patients
@DrChadKrueger
#totalhip
#totalknee
Published in J Bone Joint Surg: Dr. Jules et al examine Topical vs Intravenous Tranexamic Acid for Total Knee Replacement. Read more:
@Editage
@HSpecialSurgery
@HSSProfEd
3
28
61
6
47
169
If any medical students or others around New York are looking for a full time one year research position to work with
@bethgausdenmd
and myself, let me know - promise to make it a worthwhile year research wise and clinically!
#orthotwitter
#MedTwitter
@NaanDerthaal
@DrChadKrueger
9
43
144
I was taught by an expert surgeon that every X-ray or case you do, you can find at least 3 things wrong - does anyone else way over scrutinize their X-rays or is it just me?!?
@CenterRotation
@jointdocShields
@EdinburghKnee
#orthotwitter
@ashtongoldmanmd
@NaanDerthaal
@djschuett
38
6
145
@DGlaucomflecken
Completely agree - it’s as if sight was an elective thing like plastic surgery tummy tuck or augmentation, hey I’m just trying to see so I can continue to be a productive society member, how’s that not covered?
1
2
128
This is just absolutely wrong - eras makes $100 million on residency application fees per year while medical students are taking out massive loans to pay for it
#Exploited
@AAHKS_YAG
@AAHKS
@jaimelbellamyDO
@jointdocShields
@DrChadKrueger
#orthotwitter
@DGlaucomflecken
The man is telling the truth.
ERAS has become the AAMC’s cash cow, with revenue (and revenue growth) that far outpaces their other programs.
In 2019, ERAS took in $94 million in revenue - more than doubling its revenue from a decade before.
29
197
1K
5
13
90
Thank you
@aahks
for a great meeting again and awarding our poster on the risk of MUA in patients undergoing TKA that have had a prior MUA after a contralateral TKA - 15x the risk!
@AAHKS_YAG
@HSSProfEd
@HSS_ARJR_CJRC
@drmikeast
@CenterRotation
@kate_wynne
@jointdocShields
1
5
60
Passed ABOS Part 1! (It’s on the website, they haven’t sent emails yet FYI)
Now only 2-3 more years until actual board certification 😌
12
0
58
Thank you to
@aahks
for awarding our project on objective knee laxity in primary TKA with a novel knee arthrometer the fare grant! We hope to have some very interesting results soon!
@AAHKS_YAG
@HSpecialSurgery
#orthotwitter
@JArthroplasty
@nspiuzzi
@HSS_ARJR_CJRC
Congratulations to
@BrianChalmersMD
for receiving a FARE grant from
@AAHKS
! This project is a great example of multidisciplinary work between the Adult Reconstruction and Joint Replacement Service, Biomechanics and our Biostatistics colleagues at HSS.
0
1
15
3
7
52
@millennials4_wp
@nat_laboss
This is part of the problem for sure, also same on patient side - patients get to finally actually critically think about their symptoms and synthesize their thoughts better one time and refine their answers, which often change once thought about more
1
2
50
Extensor mechanism issues after TKA extremely difficult problems - this isn’t a perfect solution but the best we have - see here for some tips and tricks and let me know how I can do better!
#orthotwitter
@CenterRotation
@NaanDerthaal
@HSSProfEd
@AAHKS_YAG
@DrChadKrueger
In our newest HSS orthopaedic video, Brian P. Chalmers, MD, performs a TKA extensor mechanism reconstruction marlex mesh
#OrthoTwitter
@BrianChalmersMD
Watch here:
3
8
20
4
8
50
@DGlaucomflecken
As a -6.75, my morning self looking for my glasses highly appreciates this video
@DGlaucomflecken
3
0
47
So glad to hear testimonials like this! Skiing is one of my favorite hobbies and love to see patients get back to things they love! Do you all let your patients ski post-TKA?
#orthotwitter
@HSpecialSurgery
@HSS_ARJR_CJRC
@CenterRotation
@AAHKS
@NaanDerthaal
@jointdocShields
"Dr. Brian Chalmers (
@BrianChalmersMD
) was my surgeon on both knees & was very supportive and responsive. I worked very hard on rehabilitation & was very serious about returning to
#skiing
. Thanks to him, I am doing very well." - Peter (Montgomery, NY):
0
0
8
10
1
44
See our new paper on new highly porous cones used in revision knee arthroplasty- great results at 2 years - cones plus short cemented stems my workhorse, what about you?
@DrChadKrueger
@CenterRotation
@jaimelbellamyDO
@jointdocShields
@Dr_Stambough
@NaanDerthaal
@EdinburghKnee
Check out this article: Early Survivorship of Newly Designed Highly Porous Metaphyseal Tibial Cones in Revision Total Knee Arthroplasty
@BrianChalmersMD
@JennaBernstein7
@AlexisGaskin32
@DrChadKrueger
@AAHKS
4
4
34
8
4
43
What defines success as a surgeon or physician? Outcomes? Patient evaluations? Patient volume? Money? Research accolades? Recognition of skill from colleagues? National recognition? The medical field is so vague on what a “successful” surgeon/physician is…
26
4
41
@OligoclonalBand
@Aetna
Insurance companies practice medicine without a license - would love to see a class action lawsuit to realign things
0
7
39
I am thrilled to start the
@aahks
healthy policy fellowship for a 2 year term and learn more about how we can help surgeons and our patients though action and advocacy - what do you all believe is the biggest health policy concern for hip and knee arthroplasty surgeons in the US?
14
1
39
Great study from my colleagues
@HSpecialSurgery
@HSSProfEd
- I have similar experience that UKAs seem to be more “forgotten” and better early recovery - what about everyone else?
@kate_wynne
@jaimelbellamyDO
@DrChadKrueger
@EdinburghKnee
@AAHKS_YAG
@bethgausdenmd
Patients with medial compartment OA and underwent
#UKA
had significantly lower joint awareness, decreased pain, improved function, and higher satisfaction than matched TKA patients at minimum 5yr follow-up while maintaining excellent survivorship.
4
19
73
9
4
40
I routinely use 40 mm heads in patients at higher risk of dislocation in posterior approaches in lieu of dual mobility, with modern XLPE wear rates .02-.04 mm a year I feel very comfortable doing a thinner liner and bigger head in these
@AAHKS_YAG
@CenterRotation
@NaanDerthaal
From 2017-2021, large femoral heads (≥ 40 mm) were used in more than half of all posterior
#THAs
which correlated with a 0.7% dislocation rate.
Read more for free here:
3
17
47
9
1
40
@OrthoThompson
@Davembmd
@JamesLubowitzMD
@ArthroscopyJ
@NEJM
Not many ortho articles that I have seen get into NEJM but when they do they always seem to have the same message - surgery for XYZ condition is not beneficial or cost effective
7
2
38
Most studies and registries show increased rates of early TKA revision in cementless TKAs compared to cemented - what is everyone’s indications for cementless tka?
@jointdocShields
@CenterRotation
@Dr_Stambough
@DrChadKrueger
@NaanDerthaal
@bethgausdenmd
@EdinburghKnee
The debate continues regarding TKA fixation! This database study from researchers at
@UCLAHealth
and
@KerlanJobe
found that cementless components had ⬆️ risk of early revision compared w/cemented TKA.
#orthotwitter
@RobotGeek1
@DrJRLex
@OrthoHicksMD
0
19
41
15
4
37
Thank you
@EdinburghKnee
and
@BoneJointJ
for showcasing this study - we are trying to make steps to understand unhappy and unstable knees - more to come!!!
@DrChadKrueger
@CenterRotation
@HSpecialSurgery
@HSSProfEd
@jointdocShields
@NaanDerthaal
@jaimelbellamyDO
@LArthroplasty
Great computational
#knee
study from
@BrianChalmersMD
and team in the
@BonejointJ
Knee Society supplement:
Increased distal femoral resection at
#TKA
to treat fixed flexion induces mid-flexion instability with coronal plane laxity peaking at 15-30°.
8
17
78
2
4
37
@DGlaucomflecken
For the ED, “doesn’t necessarily require neuro imaging” means it absolutely requires it and 13 other consults and your attending to come evaluate
0
0
34
Hope everyone is able to attend
@aahks
annual meeting this year! See everyone there!
@AAHKS_YAG
@womenAAHKS
@HSS_ARJR_CJRC
@HSSProfEd
@HSpecialSurgery
#orthotwitter
Don't miss
@BrianChalmersMD
presenting at the 2023
#AAHKS
Annual Meeting on Friday, Nov. 3 at 4:33pm. Dr. Chalmers is presenting on Limb Lengthening in Revision TKA. Have not registered yet, there's still time .
0
0
12
0
3
34
Congrats to all those medical students who found out they matched! Great feeling! If you went unmatched, don’t let it deter you!
#orthotwitter
#medtwitter
@NaanDerthaal
@jointdocShields
@CenterRotation
@HSSProfEd
@Dr_Stambough
@ACR_MD
@jaimelbellamyDO
@DrChadKrueger
1
3
33
Thank you to
@KneeSoc
for granting our paper on melatonin and sleep post TKA the John Insall Award and thanks to
@JArthroplasty
for publishing it! Sleep is one of the most common problems after TKA without a great solution - what do you all recommend to patients?
Exogenous melatonin did not improve subjective sleep quality or PROMs at 6wks or 90d following TKA. Poor sleep quality was associated with worse patient-reported function and pain. These results do not support the routine use of melatonin after TKA.
1
6
21
8
4
32
Okay, controversial I know, but I will end the approach debate once and for all...
Direct anterior approach TKA is king!!!
@jointdocShields
@DrLeeRubin
@ashtongoldmanmd
@DrChadKrueger
@CenterRotation
@NaanDerthaal
@AAHKS_YAG
@LArthroplasty
#totalknee
#orthotwitter
13
1
34
Honored and excited to present at the upcoming
@AAhks
annual meeting! Awesome meeting for arthroplasty surgeons, I always learn so much!
#orthotwitter
@hssarjr
@HSSProfEd
Congratulations to the
#AAHKS2020
paper presenters for the 30th AAHKS Annual Meeting! View the full preliminary program
1
8
40
4
2
33
This is awesome! The potential and future applications of this with robotics/navigation in arthroplasty seems endless
@drmikeast
@LArthroplasty
@BrianChalmersMD
@jointdocShields
@CenterRotation
@NaanDerthaal
4
1
32
@oceansoulgrl
@AAHKS
No argument there, hospitals should absolutely be reimbursed more than physicians/surgeons as they provide more resources as you outline - but why are all other payments increasing as expected with inflation except physician payments is the question
1
0
33
@generalorthomd
Would offer THA here, no data showing losing more weight helps (and some showing it’s worse), off RA meds appropriate amount of time and optimize everything else you can preop, counsel, betadine, vanco powder topical, good closure - that’s what i do in these patients
6
1
33
Check out our paper on the use of DM articulations in patients with spine fusions to minimize dislocation risk in posterior approach - I use DM in many of these high risk patients
@ArthroToday
@NaanDerthaal
@CenterRotation
@HSpecialSurgery
@HSSProfEd
@drmikeast
@jaimelbellamyDO
Spinal fusions can be troublesome for
#THA
and stability. Check out this study that uses dual mobility with no dislocations at 3 year follow-up.
@BrianChalmersMD
@HSSProfEd
@drsebheaven
@NaanDerthaal
@ACR_MD
@semarwinmd
7
21
61
4
6
32
Thank you for the shout out! This study was a lot of working identifying patients/matching, but important data! So many host factors at play, many we don’t think about, that contribute to PJI risk!
@BoneJointJ
@HSSProfEd
@hssarjr
@ashtongoldmanmd
#orthotwitter
@NaanDerthaal
"Patients undergoing a clean primary total knee arthroplasty with a history of a prosthetic joint infection (PJI) in another lower limb arthroplasty have a 3-fold higher risk of developing a PJI compared to matched cohorts"
#jointinfection
#arthroplasty
4
26
48
1
4
32
Very interesting - 40% for KA for OA, which we knows has substellar outcomes - to me this says, they had little arthritis but kept complaining of pain, so finally got scope - scope didn’t help, still had pain, finally got TKA, still more inferior outcomes, more got revised
Prior knee arthroscopy increases the risk of revision after
#TKA
@jaimelbellamyDO
@AAHKS
@AJSM_SportsMed
3
31
55
4
4
32
Several have posted but it’s important to get out there - arthroplasty requires more and more work pre and postop while reimbursement continues to get cut - impact on our patients lives is real!
@DrChadKrueger
@CenterRotation
@Dr_Stambough
@jointdocShields
@jaimelbellamyDO
2
7
30
Great honor for a great surgeon, friend and person -
@drmikeast
! Many more to come!!
#orthotwitter
@HSpecialSurgery
@HSSProfEd
@HSSAnesthesia
HSS appoints hip and knee surgeon Dr. Michael Ast (
@drmikeast
) as the new Vice-Chair of the HSS Innovation Institute and Chief Medical Innovation Officer.
3
4
29
0
1
29
Great study - 20% reoperation rate for screw fixation! There are specific risks to failure to identify which may bring this down, but still way too high! We should be quick to go to hemi in these patients - no increased morbidity or mortality with it and better outcomes
Screw Fixation Versus Hemiarthroplasty for Nondisplaced Femoral Neck Fractures in Elderly Patients - A Multicenter Randomized Controlled Trial
0
36
52
4
4
30
Great visit
@DukeOrtho
today on the insall fellowship with
@M_BolognesiMD
- got to meet legendary coach K and visit cameron indoor!
@AAHKS
@AAHKS_YAG
@HSS_ARJR_CJRC
2
1
29
I use antibiotic cement routinely in TKA - what about everyone else?
@DrChadKrueger
@CenterRotation
@NaanDerthaal
@EdinburghKnee
@jaimelbellamyDO
@kate_wynne
@ashtongoldmanmd
#orthotwitter
@BoneJointJ
Surgeons report antibiotic-loaded bone cement demonstrated a protective effect against revision for periprosthetic joint infection compared with plain bone cement in total hip arthroplasty with no difference in all-cause revisions
#hipreplacement
#ortho
0
8
33
29
3
30
More clear data that cemented hemiarthroplasties outperform uncemented - yet according to recent ajrr registry data shows the use of uncemented hemis are increasing - have heard lots of “algorithms” on when and when to not cement - EBM clear - cement superior!
Cemented or Uncemented Hemiarthroplasty for Femoral Neck Fracture? Data from the Norwegian Hip Fracture Register
#CORR
#Hip
#Registries
5
28
36
1
7
29
Interesting study on the power of twitter on academia awareness of article and its influence on citations
#MedTwitter
#orthotwitter
@LArthroplasty
@DrChadKrueger
@drmikeast
An amazing *randomized trial* on Twitter+academia:
112 papers were randomly chosen to be shared on twitter by a group with ~58k followers or to not be shared. Papers that were tweeted accumulated 4x more citations compared to non-tweeted papers over 1yr.
234
5K
11K
0
9
28
Interesting take on the fellowship decision on net present value - applicants should choose fields they are passionate about and are excited to work everyday - money can’t replace day to day happiness and job satisfaction
@AAHKS_YAG
@DrChadKrueger
@CodyWylesMD
@HeathMeluginMD
5
5
28
Wow, night of amazing greatness - Drs. Chit Ranawat and Tom Sculco honoring Dr. Salvati for many years of excellence and his amazing contributions to the development of the THA
@HSSProfEd
@HSSAnesthesia
#hip
#totalhip
#medtwitter
#orthotwitter
2
4
29
Thanks
@BoneJointJ
for featuring me as their author of the month and highlighting our work! We’re continuing to try to improve patients perioperarive outcomes and experiences!
@HSSProfEd
@HSS_ARJR_CJRC
@AAHKS_YAG
#orthotwitter
@DavidK111893
Our featured author this month is
@BrianChalmersMD
from
@HSpecialSurgery
, New York.
Read his recent paper on risk factors for blood transfusion after TKA, and listen to a podcast on the same topic too!
#BloodTransfusion
#Arthroplasty
#BJJ
0
6
16
1
4
28
A true legend, gentleman, and worlds expert - Dr Berry has been instrumental in my career and no doubt in many others - to call him a mentor is truly an honor
@MayoOrthoRes
@RafaSierra5
Colleague, Mentor and Friend. Honored to be around for his last surgical day 6/24/2021. Happy to know he will stay a bit longer with us doing research and even better, mentoring residents and fellows! Will miss our time in the OR.
#danberry
@MayoClinic
16
11
160
4
2
29
@JArthroplasty
thank you for highlighting our work led by
@bethgausdenmd
- the severity of the osteolysis and poly wear in these recalled implants cannot be overstated - be prepared!!
@Dr_Stambough
@DrChadKrueger
@CenterRotation
@AAHKS
@AAHKS_YAG
2
2
27
Thank you
@JArthroplasty
for highlighting our work! Unlike bilateral TKA which had a transfusion rate of 25%, very low transfusion rate in bilateral THAs with a contemporary blood management (TXA, spinal, no drains, etc)
@HSSAnesthesia
@HSSProfEd
#MedTwitter
#tka
@NaanDerthaal
The rate of transfusion after bilateral
#THA
is low. Especially for men.
@HSSProfEd
@hssarjr
@BrianChalmersMD
1
4
15
1
3
27
I understand there are likely unnecessary tests ordered and procedures done, but when did insurance companies obtain a “license” to practice medicine? Denials for needed meds and surgeries , PTPs with paid doctors not even in the same specialty, etc - will it end?
5
1
26
Thanks for the shout out Dr Shields - cones and short cemented stems have become my workhorse in revisions - these lobed cones are very helpful - sometimes even have to stack cones!!
@HSSProfEd
@AAHKS_YAG
@ArthroToday
Asymmetric cones do an amazing job at filling large defects
@BrianChalmersMD
et al showed 100% survivorship free from re-revision for aseptic loosening at 2 years when evaluating highly porous metaphyseal cones
@ArthroToday
#orthotwitter
4
7
43
1
4
26
Cementless TKA - they’re definitely faster and safe for most, but we found a 1-2% rate of early fracture in our study - patient selection I think is key
@HSpecialSurgery
@Dr_Stambough
@jointdocShields
@drmikeast
@CenterRotation
@EdinburghKnee
#orthotwitter
@DrChadKrueger
Retrospective cohort study by
@BrianChalmersMD
et al found
#cementlessTKA
had a 24% reduction in operative time over cemented & similar short-term survivorship, w/ a slightly higher rate of aseptic revision & manipulation in the cementless cohort.
0
0
4
6
0
26
Thanks to
@aahks
for highlighting this work and the
@KneeSoc
for granting this project the John Insall Award this year! Check out our podcast summarizing our findings!
@HSS_ARJR_CJRC
@HSSProfEd
@AAHKS_YAG
@NaanDerthaal
@kate_wynne
@jaimelbellamyDO
@NYHipKnee
@jointdocShields
Does Melatonin Improve Subjective Sleep Quality After TKA? A very popular study presented at last year's Annual Meeting ask that question. Take a listen and find out if melatonin improves sleep quality on AAHKS Amplified
0
1
3
1
0
24
See our latest video from
@HSS_ARJR_CJRC
on patellar bone grafting technique for severely deficient patella in revision TKA!
@HSS_Journal
@EdinburghKnee
@AAHKS
@NaanDerthaal
@CenterRotation
#orthotwitter
@DrChadKrueger
@RafaSierra5
#patellaproblems
3
4
25
We live right off York Ave (goes right to NYPH) and Queensboro bridge,m- kids wanted to make something for all the HCWs and NYCers during this “birus”-we are high up so I’m sure no one will see, but “I Love NYC” and stay safe!
#medtwitter
#NYC
#NewYork
#coronavirus
#orthotwitter
2
1
24
Great study! Better pain and function in patients with knee OA at 1 year with PT than with a steroid injection! I wonder if we combine the two....
#totalknee
@DrChadKrueger
@jointdocShields
@CenterRotation
@ashtongoldmanmd
@jaimelbellamyDO
An exciting experience for any scientist to get their work into
@NEJM
-this team was incredible & persistent in getting this study accomplished. Physical Therapy vs Corticosteroid injection for
#KneeOsteoarthritis
- outcomes to 1 year.
44
159
380
4
1
24
We are all unique and there’s no measure in a single one of these categories to define “success” - I encourage everyone to figure out a vision of what they want and shoot for that and just put patients first, if you’re accomplishing your goals and treating patients well, success!
4
2
25
@generalorthomd
@jointdocShields
@CenterRotation
@BoneDocMMD
@hugortopedista
@Walt_IUOrtho
@ChrisGraysonMD1
@ExeterHipUnit
I would treat nonoperarively especially if Lowe demand - very high risk of it not healing and just causing an infection or symptomatic hardware and very low likelihood it will heal
We recently published on this:
2
2
25
“That escalated quickly, that really got out of hand!”
-Ron Burgundy
1
1
23
Great article
@DrPeterGold
- burnout in medicine and surgery is very common; it significantly affects mental health and family life as well as quality of care for patients
#orthotwitter
@AAHKS_YAG
@AAHKS
@jaimelbellamyDO
@CenterRotation
@NaanDerthaal
@DrChadKrueger
@EdinburghKnee
Great article on mental health and wellness for orthopaedic surgeons. This work is dedicated to my mentor VJ Rasquinha (RIP), couldn’t be more grateful for all you taught me and the rest of us
@LIOrthoResident
@panoramaortho
@OrthoToday
@GoHealio
2
11
68
3
3
23
Thank you to to the
@BoneJointJ
for highlighting our work on the pre-recall failures we noted of this now recalled implant - more to come on the difference in failure rate pre and post recall!
@bethgausdenmd
@HSS_ARJR_CJRC
@HSSProfEd
@NaanDerthaal
@Dr_Stambough
@AAHKS_YAG
The purpose of this study was to assess mid-term survivorship following primary TKA with Optetrak Logic components and identify the most common revision indications.
#TKA
#Arthroplasty
#BJJ
@bethgausdenmd
@HipKneeDocNYC
@DrPeterSculco
@BrianChalmersMD
0
7
24
0
7
24
3 days skiing in
@vailmtn
was amazing, good food, good company, and 100,000 elevation feet down, nice recharge with the brother and dad before getting back to it!
#medtwitter
2
0
24
This is a bit sickening really
I can’t stop looking at this graph.
I read what the AAMC does… “The AAMC is dedicated to transforming health care through innovative medical education, cutting-edge patient care, and groundbreaking medical research.”
And then I think on how much money the thousands of
26
71
377
1
4
24
@OfficialJAAOS
Cemented fixation for hemis should be standard - if cementless, and I don’t know what that would need to be an option, but if so I think synergy or summit or collared cementless stem is best, def not a wedge in my humble opinion
1
1
23
Does anyone else factor in functional pelvic position in their component position in primary THA?
@NaanDerthaal
@Dr_Stambough
@DrChadKrueger
@HSpecialSurgery
@CenterRotation
@nspiuzzi
@carhigueramd
Pelvic tilt is useful in assessing global sagittal alignment in pts w/
#SpinalDeformity
& influences navigation in
#HipSurgery
. A study on various pelvic tilt definitions examined the relationships of pelvic landmarks in weight-bearing EOS radiographs.
1
22
71
7
1
23
Pertinent study with recent discussions on thin liners and maximizing head size to 36 and 40 heads in smaller and smaller cups
@jointdocShields
@CenterRotation
@NaanDerthaal
@jaimelbellamyDO
@DrChadKrueger
@drsebheaven
Our study on HXLPE thickness was published
@JArthroplasty
Liner thickness does NOT influence outcomes. Use thin liners to obtain better stability, HXLPE can handle it!
#orthotwitter
1
6
43
4
5
23
@bethgausdenmd
@EmpireBCBS
@DGlaucomflecken
@generalorthomd
Yes I’ve had this, absolutely insane as they approved the surgery yet not pain medication after? More and more hurdles to care
0
1
22
Excellent article on where the healthcare system places value - there is little in medicine that provides more value than THA, yet the work involved per patient steadily increases while reimbursements continue to decline
Devalue The Doctor: The Response Of A Manipulated System To Orthopaedic Surgeons
Well written and worth the read: by
@prem_ramkumar
#orthotwitter
12
59
221
0
3
20
Thanks
@JArthroplasty
for highlighting our work that Dr Haas presented at the closed
@KneeSoc
meeting - on mri, we found significantly worse cement interfaces at the patella that was correlated with anterior knee pain - a lot of potential reasons for this:
2
4
22
No doubt that women are damn good surgeons and should be respected as much, awesome video by
@womenAAHKS
, keep up the fight for equality! Lucky to have trained at two institutions
@MayoClinic
@MayoOrthoRes
@HSpecialSurgery
@HSSProfEd
that value diversity and equality!
1
0
22
Congratulations to all those whom matched for fellowship across ortho and especially adult hip and knee reconstruction! Looking forward to having you all as colleagues!
@AAHKS
@AAHKS_YAG
@HSSProfEd
#orthotwitter
@JArthroplasty
0
2
22
Thanks
@JArthroplasty
for highlighting our work - tough unsolved people in hip and knee arthroplasty - displaced GT fractures really no good option for - I tend to treat nonop - great work
@bethgausdenmd
for spearheading
#orthotwitter
@NaanDerthaal
@CenterRotation
How do you tame the GT fracture?
@womenAAHKS
@KevinWeiszMD
@kimtuckinAZ
@alexusmcooper
@CenterRotation
@DrPeterGold
@BrdgPlt2Nowhere
@BrianChalmersMD
@HSpecialSurgery
1
25
66
1
2
21
@generalorthomd
@jointdocShields
@JPCodyMD
@BitcoinOrthopod
@wesmayes12
@jesseoteromdphd
@djschuett
@orthochick
@DrLeeRubin
@ACR_MD
Yeah this would get cement for me for most of the reasons stated above - we tend to “experiment” with new things on the exact patients that need their joint to live the longest - MoM, resurfacing, cementless tka, etc etc - tried and true is that way for a reason!
3
1
22
Check out our recent paper on PJI rates in UKA and TKA in
@ArthroToday
@LArthroplasty
@HSSProfEd
@HSpecialSurgery
@NaanDerthaal
@DrChadKrueger
@jointdocShields
@CenterRotation
#orthotwitter
#MedTwitter
@jaimelbellamyDO
#UKA
was associated with a significantly lower rate of surgically managed
#PJI
than
#TKA
at 90 days and 1 year.
@womenAAHKS
@BrianChalmersMD
@HSpecialSurgery
@JPCodyMD
@NaanDerthaal
@CenterRotation
@LindaSuleimanMD
1
10
30
0
3
21
Many thanks to Utah hip and knee group for hosting us on the Insall fellowship! Great cases, great discussion and gracious hosts - and some axe throwing!
#orthotwitter
@AAHKS
@AAHKS_YAG
@PeltMD
4
1
20
Master of the hip spine relationship
@HipSurgeryNYC
shedding more light on this problem
@hssarjr
@HSSProfEd
@NYHipKnee
@drmikeast
#OrthoTwitter
, do you take obesity and
#lumbopelvic
alignment into consideration when planning your
#THAs
?
@nyulangone
@drericksonspine
@cadiulus
@ashtongoldmanmd
@AAHKS
0
18
38
1
1
21
Almost 4 years ago, time flies, but there was a presentation
@aahks
about oral TXA I want to adopt - I am hugely in favor of more prolonged and widespread TXA use - let’s make it happen!
#orthotwitter
@CenterRotation
@NaanDerthaal
@jointdocShields
@DrChadKrueger
@HSSAnesthesia
Important study about TXA! No, I repeat, no thrombogenic markers increased with TXA administration! Antifibrinolytic properties only - this in combination of several other studies should support widespread IV TXA use in nearly all patients
@DrChadKrueger
#totalhip
#totalknee
6
47
169
9
5
21
Who is doing simultaneous bilateral THA out there?
@aahks
@jointdocShields
@CenterRotation
@generalorthomd
@jaimelbellamyDO
@AAHKS_YAG
@DrLeeRubin
@NaanDerthaal
@ACR_MD
@Dr_Stambough
@LArthroplasty
A retrospective review suggests that using direct anterior or posterolateral approach in simultaneous bilateral
#TotalHipArthroplasty
may lead to comparable outcomes, including short-term medical & surgical complication rates.
#orthotwitter
0
0
3
14
2
21
Explained all of our literature on patellar cartilage damage especially medial facet in patients undergoing UKA, still denied - such a disgrace
@Aetna
, this is a growing problem in all areas of medicine
#orthotwitter
@NaanDerthaal
@txsportsdoc
@generalorthomd
2
0
21
@jointdocShields
@JeanMoorjani
@wakehealth
@Dr_Stambough
@JJcolemanMD
Great advice on
#followfriday
1. Joints fellow
@hssarjr
2. Life moves pretty fast sometimes, if you don’t stop and look around, you might miss it
Follow the official twitter of the HSS joints fellowship
@hssarjr
to learn more about what the fellows do day to day
1
1
20
This is crazy - marathon under 2 hours? That’s 26.2 miles - roughly 4.5 minutes a mile - few people can run that (not me!) in 1 mile let alone for 26 miles in a row - congrats to all marathon runners!
‼️ An inspiration and a legend teaching us all to dream and achieve the impossible. 👏🏼 Congratulations
@EliudKipchoge
🥇 on breaking a 2:00:00 marathon!
#Eliud159
#marathon
#dreamtheimpossible
#achievetheimpossible
#running
1
2
26
3
0
21
Thank you
@sahilsanghavi
for hosting me for the inaugural Arthroplasty Dialogues! TXA is a game changer in blood management in primary and revision TKA and THA!
@HSpecialSurgery
@NaanDerthaal
@jointdocShields
@DrChadKrueger
@jaimelbellamyDO
@LArthroplasty
Excited to announce our new dedicated
#Arthroplasty
podcast series- “Arthroplasty Dialogues” is now live- Our first episode features
@BrianChalmersMD
talking about their publication on Tranexamic Acid in Total
#Knee
Arthroplasty -
#medtwitter
#orthotwitter
2
8
42
2
5
20
Thanks to
@JArthroplasty
for highlighting our work! We have completed prelim testing with the knee arthrometer and we working on a prospective trial! More to come!
@AAHKS
@HSS_ARJR_CJRC
@Dr_Stambough
@DrChadKrueger
@jaimelbellamyDO
@HSSBiomech
@CenterRotation
@jointdocShields
The novel arthrometer was safe for evaluating AP, VV, and IER laxities in subjects who had received
#TKA
. This device could be used to examine relationships between laxity and patient perceptions of knee instability.
Read more for free here:
0
10
27
1
4
19
Thanks to
@HSS_Journal
for highlighting our recent review of contemporary issues in THA - trying to make one of the best operations even better!
@HSpecialSurgery
@bethgausdenmd
@drmikeast
@CenterRotation
@jointdocShields
@AAHKS_YAG
#orthotwitter
Given the projected increase in THA over the coming decades, continued investigation of effective incorporation of technology, soft tissue–sparing approaches, & durable implants is imperative to continued pursuit of improved outcomes in THA.
#orthotwitter
0
3
14
1
4
20
@maheshk1199
@sahilsanghavi
@jointdocShields
@DrAntoniaChen
@carhigueramd
@HepinstallMD
@neerajadkar
@jaimelbellamyDO
@RafaSierra5
@NaanDerthaal
@hugortopedista
@generalorthomd
@DrLeeRubin
@Dr_Stambough
@BoneDocMMD
@ACR_MD
@ExeterHipUnit
@AAHKS
Cementless ceramic on poly THA - with modern poly, it’s difficult to know how long it will last but wear rates we are seeing now is 0.02-0.04 mm/year with no osteolysis
1
0
20
Any tips/tricks in getting this out? Not infected, just very unstable and needs a hinge, 68F healthy
@AAHKS_YAG
@hugortopedista
@NaanDerthaal
@generalorthomd
@generalorthomd
@Dr_Stambough
@CenterRotation
@jaimelbellamyDO
@EdinburghKnee
15
0
20
Thank you
@bjjeditor
for highlighting our work on when we started to recognize the problems occurring with a now recalled implant - agree continued vigilance is key!
@NaanDerthaal
@bethgausdenmd
@AAHKS
@BoneJointJ
@CenterRotation
@HSSProfEd
@HSS_ARJR_CJRC
A reminder that in spite of the advances we've made in arthroplasty surgery, design & manufacturing issues still cause problems. Surveillance mechanisms must be in place as a backstop.
#BJJ
@bethgausdenmd
@HipKneeDocNYC
@DrPeterSculco
@BrianChalmersMD
0
7
15
1
5
20
I rarely post X-rays here as I’m still a fellow and technically none of these are my patients - but does anyone discuss/ask patients if okay to post their photos/X-rays on social media?
Don’t think it’s wrong by any means but brings up a whole potential new bag of worms
10
0
20
For the tibia: very dependent on whether or not they put in the screw to unitize the stem and baseplate, if yes = very likely TTO, if not like in this case, I worked the cement, popped off baseplate, removed cement in cone, disimpacted stem and kept the well fixed cone
3
0
19
See our new article on an intramedullary high dose antibiotic spacer ex fix spacer that provides inherent stability as a static spacer without need for a brace or cast!
How to implant and remove an external fixator arthrodesis antibiotic spacer "as an alternative to the traditional static spacer" for knee stability, bone loss prevention, and soft-tissue care during the spacer phase.
#kneearthroplasty
3
6
11
2
4
19
Definitely agree; arthroplasty conversion after fixation of Garden 1/2 FNFx was lower(13%)in this study than others(~30%); posterior tilt common theme for failure; other studies show no/minimal increased perioperative risk for hemi over fixation - more hemis is the right answer!
Not All Garden-I and II Femoral Neck Fractures in the Elderly Should Be Fixed
1
19
35
2
3
18
@Ortho_Jake
Looks great but should be a cemented stem for a hemi arthroplasty for fracture!!!
1
0
18
Great advanced arthroplasty resident course in Chicago this past weekend - thanks
@carhigueramd
and Dr Hansen for organizing - highly recommend to all residents these
@AAOS1
courses in the future!
@AAHKS_YAG
@AAHKS
#orthotwitter
0
1
19
Excellent tips on how to avoid tibial loosening in cemented tka from a legend, Dr Dan Berry!
@ICJRortho
#orthotwitter
#MedTwitter
@JArthroplasty
@OrthoJC
@ashtongoldmanmd
Dr. Daniel Berry offers his tips for preventing tibial loosening in TKA, including choosing the right type of cement and applying it properly, in ICJR REWIND
1
3
11
0
5
19
Excellent tips and tricks on achieving a great tka by Dr Dan Berry!
#orthotwitter
#totalknee
@ashtongoldmanmd
@BrianChalmersMD
@CenterRotation
@EdinburghKnee
@MayoOrthoRes
@Dr_Stambough
@jaimelbellamyDO
TOP 5 MOVES: Dr. Daniel Berry reviews his top 5 tips and tricks related to the technical elements of a primary total knee arthroplasty, all of which can contribute to the success of the procedure
0
4
24
0
4
18
Excellent video on cement technique in THA by the legend, Dr Salvati!
#tha
#cement
#orthotwitter
#hip
I know
@ExeterHipUnit
agrees, we should be cementing more hips!
*New Release on our Orthopaedic Surgical Video Library*
Hybrid Total Hip Arthroplasty: Cement Technique:
Eduardo A. Salvati, MD and Alejandro Gonzalez Della Valle, MD
Watch here (Chrome recommended):
#OrthoTwitter
0
10
30
0
2
18
Come join
@AAHKS_YAG
for karaoke night at
@AAHKS
annual meeting!
@EdinburghKnee
@DrChadKrueger
@NaanDerthaal
@JennaBernstein7
@LArthroplasty
@Dr_Stambough
We sure do!
@AAHKS_YAG
members and friends of YAG check your email for an invite to join us for this inaugural social event at the
@AAHKS
annual meeting, thursday Nov 3!
@BrianChalmersMD
@JennaBernstein7
@LArthroplasty
0
2
16
3
1
18