@spartywrx @ramah000082 @WilliamCross3MD @hjluks @DrTauqeerNKhan @DrBhavinJadav @DrRajRajani @orthotraumamd @Orthopedist12 @BenMayoMD @thekneedoc @DrLatifKhan @drmikeselby @centerofhip @pratikorho @InvictaOrtho @Drlyndonmason As everyone has said. They both get nails. Check for compartment syndrome. Consider temporary stabilization with mini plates to maintain reduction (particularly on the segmental and proximal fx)

@robgraymd @generalorthomd @rkh_md @CE_HandSurg @handz98 @itius @ojedathies @orthotraumamd @orthogal21 @OrthopodReg @traumaticum @TraumaRuberINT @OrthoCurryMD @orthofacts Not be picky, but you do these Antegrade? Not retrograde?

#DetroitLions

@rkh_md Not bad. How did you like the "reduction" of the de-gloved open tibia fx? With an ED performed femoral nerve block!

@traumaticum @Drlyndonmason Beautiful work

@PrincetonFTBL @PUTIGERS @Princeton @IvyLeague @NCAA_FCS @ABC @CBSNews Tragedy for the entire Tiger brotherhood. My deepest condolences to the Bech family.

@Drlyndonmason @hjluks @traumaticum @orthotraumamd "Weight bearing if possible"? Exactly my problem.I can't reproduce weight bearing on every patient.I can reproduce gravity stress views.2 weeks also seems like a long time. I can do gravity stress views on first clinic visit and fix fx within 1w of injury, rather than 3w later.

@deln_ioann Yes CT. Helps plan the screw direction

@hjluks @traumaticum @orthotraumamd I am doing a stress gravity view (with good exam of deltoid). With any medial widening, then fix. Otherwise, straight to a Cam Boot

@Davembmd if you tell a patient they need surgery, it's a 5-minute discussion. But if you tell them they don't need surgery, it's a 45-minute conversation.

@micosaturn Did you have femoral distractor available? Not sure I have seen purposely shortening an acute femur fx. Hope the shortening site heals. Were you able to compress across the osteotomy site?

@NYsportSufferer Awesome Roger Clemens jersey

@MarshallGreen_ Absolutely. Worst QB play in 40 years = worst team

@eric_novack Heard this from a friend whose dad is a retired surgeon; It takes 5 minutes to convince a patient to have surgery. It takes 45 minutes to teach them why they don't need surgery.

@orthobullets 2

@northwoods1980 The joint is still preserved, and it's only been a couple of months, probable osteotomize fibula and medial mall. Lengthen fibula, translate talus medial. Re-fixate the whole thing. If arthritis has already set in, ankle arthrodesis.

@CarlBanksGIII I have never seen so many missed tackles. Bucs ran the same screen play over and over. Make the damn tackle. At least seal the edge

@orthotraumamd @DrFraneNicholas @DrAdamBitterman @FootAndAnkleMD @orthobullets @Ortho_Trauma @traumaticum Agree with you. Same seems to apply for primary fusions in severe calc fractures. Not sure why...