@Derekwmooremd @KevinParkMD @orthotraumamd @orthobullets @StephenJIncavo @HMethodistMD @drsebheaven @ChrisGraysonMD1 @tdd340 @jointdocShields @yoon_rs @schulte_ss @DrFraneNicholas @stevemchale @itius I have not. Though using a sliding hip screw construct when applicable vs a nail can avoid abductor issues, both at index and for potential future THA conversion. Implant costs are often comparable now though and seems trainees are coming out more experienced with nails than DHS.

@orthotraumamd @orthobullets @StephenJIncavo @HMethodistMD @drsebheaven @ChrisGraysonMD1 @tdd340 @jointdocShields @yoon_rs @schulte_ss @DrFraneNicholas @stevemchale @itius @KevinParkMD The fragility hip fracture cohort generally has more pressing issues to deal with (medical, rehab, making it past the mortality data...) and if they progress to having hip OA then that ends up causing more symptoms than the abductors, IMO.

@jointdocShields @orthotraumamd @orthobullets @StephenJIncavo @HMethodistMD @drsebheaven @ChrisGraysonMD1 @tdd340 @yoon_rs @schulte_ss @DrFraneNicholas @stevemchale @itius @KevinParkMD Interesting, I haven't come across this. Releases are typically away from the bulk of the critical abductors. When are you noting these? 2nd opinions in clinic for abductor symptoms or when going back in for revision for some reason?

@BrianChalmersMD @BenMayoMD @jointdocShields @orthotraumamd @orthobullets @KPSCALnews @bethgausdenmd @ACR_MD @DrChadKrueger @PeltMD @jaimelbellamyDO @stevemchale @ChrisGraysonMD1 @NaanDerthaal

@BrianChalmersMD @BenMayoMD @jointdocShields @orthotraumamd @orthobullets @KPSCALnews @bethgausdenmd @ACR_MD @DrChadKrueger @PeltMD @jaimelbellamyDO @stevemchale @ChrisGraysonMD1 @NaanDerthaal Aside from the proven outcomes, part of it may also be our heavier exposure to arthroplasty vs HTO in the US. It will be interesting to see the poll data from this case for any geographical trends/variations.

@MarcRankin4 @BrianChalmersMD @traumaticum @orthobullets @KPSCALnews @bethgausdenmd @ACR_MD @DrChadKrueger @PeltMD @jaimelbellamyDO @stevemchale @ChrisGraysonMD1 @NaanDerthaal @jointdocShields @doctorgelber Interesting study, a bit apples and oranges though since inclusion criterion was pain with preserved joint spaces in both standing and flexed WB x-rays. Preserved joint spaces aren’t typically advised TKA anyway.

RT @orthobullets: Here is a new case by @shaunpat1 and @KPSCALnews. ISOLATED MEDIAL KNEE PAIN IN 51M How would you manage this #orthotwit…

@BrianChalmersMD @traumaticum @orthobullets @KPSCALnews @bethgausdenmd @ACR_MD @DrChadKrueger @PeltMD @jaimelbellamyDO @stevemchale @ChrisGraysonMD1 @NaanDerthaal @jointdocShields @doctorgelber seems like a long run short slide, but also have no personal experience with that

@BrianChalmersMD @bethgausdenmd @jointdocShields @CenterRotation @DrLeeRubin @drsebheaven @kate_wynne @ACR_MD @DrChadKrueger @JennaBernstein7 @jaimelbellamyDO @AAHKS Been using it for around 7 years for both cup and stem. Aside from the manual labor benefits, I actually find it to be even better for fine tuning of the cup, and easily skip broaches (ie efficiency) on the stem side while still retaining tactile/auditory feedback.

@DrFraneNicholas @orthobullets @KPSCALnews @jointdocShields @rkh_md @itius @EauClaireOrtho @jamesablairMD @BWeatherbyMD @stevemchale @centerofhip @carversportsmed I’ve done the cement infiltration through the cephalic portion a few times but do worry about extrusion into the joint and/or soft tissue if there are any recognized/unrecognized holes. Not sure if the index surgery here had any guide wires perforate the femoral head…

RT @orthobullets: Here is a new case by Dr. Shaun Patel (@shaunpat1) and Kaiser Permanente (@KPSCALnews). PERI-IMPLANT FEMUR FRACTURE IN 8…

RT @aschwartz45: Today marks the international release of @AAHKS arthroplasty implant registry #AIR implant ID app! #AIR is now available a…

@orthobullets @KevinParkMD @HMethodistMD @bethgausdenmd @EdinburghKnee @BennerKneeMD @tdd340 @NaanDerthaal @itius @drsebheaven @jointdocShields @ChrisGraysonMD1 @BrianChalmersMD UKA v TKA based on exam/discussion. Would not remove nail in either case. Enabling technologies can address that, hand-held navigation tools (eg OrthAlign) suffice without the need for high-cost robotics.

@orthotraumamd @orthobullets @somatostatin57 @docfarrow @eric_novack @stevemchale @rkh_md @traumaticum @DrFraneNicholas @Peds_Ortho @Pedsorthobklyn @Davembmd

@orthotraumamd @orthobullets @drsebheaven @rkh_md @jointdocShields @traumaticum @cmoonpod32 Agree - DM/larger effective head size can certainly aid in these higher instability risk cases… Bigger IS better.

@txsportsdoc @orthobullets by far the best value from the comfort of your own home

@orthobullets @bethgausdenmd @HSpecialSurgery @IOENetwork @Eccles_MD @schulte_ss @DrFraneNicholas @yoon_rs @itius @drsebheaven @traumaticum @Dr_Stambough @tdd340 @jointdocShields Great job @bethgausdenmd Shows the value of pre-op templating for these cases as well to minimize any intra-op surprises. Did you consider a longer plate to cover that metaphyseal gap above the TKA? Extended abx prophylaxis and incisional vacs always a good idea as well

@orthotraumamd @DrFraneNicholas @orthobullets @HSpecialSurgery @IOENetwork @davidhcmd @BrianChalmersMD @RafaSierra5 @jointdocShields I don’t universally plate these, but do if I am worried about unusually poor bone quality, suboptimal fixation w cerclages alone, or if there is concern about insufficient inter-prosthetic gap/fracture risk.

@VladimiShepetko @DrFraneNicholas @orthobullets @bethgausdenmd @HSpecialSurgery @IOENetwork @Eccles_MD @schulte_ss @yoon_rs @itius @drsebheaven @traumaticum @Dr_Stambough @tdd340 @jointdocShields That's some next level trolling... but I'll bite. Can you share any literature on outcomes of McMurray's osteotomy being superior to THA? Failure of McMurray's ends up with THA anyway, just exponentially more difficult than a primary THA would have been from the start.