Claim OwnershipOrthoClips Podcast Series
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Multimedia Orthopaedic Academy
73 Episodes
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Guest podcast host, Dr. Anuj Mehta, PGY 5 chief orthopaedic surgery resident at Temple University Hospital, reviews the principles of femoral neck fracture fixation and arthroplasty for geriatric femoral neck fractures, followed by interviews with Dr. Saqib Rehman, Dr. David Galos, and Dr. Matthew Craig.
Season 7 Episide 2 is my interview with Chinenye Nwachuku, MD, Orthopaedic Trauma & Joint Replacement Surgeon. Dr. Nwachuku discusses his extensive experience working, teaching, and learning orthopaedic surgery in Ghana. They discuss the evolution from short-term “mission trips” to a sustainable model focused on reciprocal learning, cultural understanding, and empowering local surgeons. Dr. Nwachuku shares insights on daily clinical work, navigating challenges, and building a stronger orthopedic community that can thrive independently.
We’re kicking off Season 7 with my interview with some of the key leaders at SIGN Fracture Care International – Sariah Khormaee, MD, PhD (CEO), David Shearer, MD (Vice President of the Board), and Dr. Faseeh Shahab, Assistant Professor at Shahab Orthopaedic and General Hospital in Peshawar, Pakistan. SIGN Fracture Care International is doing truly inspiring work around the world. They are a US-based (in Washington state) nonprofit that partners with local surgeons in low and middle income countries to bring life-changing fracture care to patients who might otherwise never walk again. Their IM nailing system, which has a unique interlocking instrumentation that doesn’t require fluoroscopy, is provided free to their surgeons. Since 1999, SIGN has trained and equipped thousands of surgeons with implants and instruments designed for hospitals that don’t have the resources many of us take for granted—helping restore mobility, dignity, and hope to millions of people. Check them out at https://www.signfracturecare.org/ and here in my interview.
Xylazine, a veterinary sedative, has increasingly been found as an adulterant in illicit fentanyl supplies across the USA. This combination has led to severe necrotic skin wounds among users, particularly in the Philadelphia region, posing significant challenges for patients and healthcare providers. As these frequently exhibit as extremity wounds, orthopaedic surgeons are amongst those involved in their care. We discuss the recent findings from the first regional symposium on this crisis with meeting co-chairs Drs. Asif Ilyas and Katharine Woozley. Dr. Ilyas is President of the Rothman Opioid Foundation, Partner and Fellowship Director at the Rothman Institute, and Professor, Vice Chair, and Associate Dean at the Drexel School of Medicine in Philadelphia, Pennsylvania. Dr. Woozley is an Associate Professor of Orthopaedic Surgery and Division Head of Hand and Nerve Surgery at Cooper Medical School in Camden, New Jersey.
In this final installment of the Ortho Time Machine episodes (for now…) we discuss Maurice Müeller, the genesis of the AO Foundation, and its profound impact on modern fracture fixation principles.
The AO Foundation, or Arbeitsgemeinschaft für Osteosynthesefragen, revolutionized fracture treatment by introducing principles that transformed patient outcomes worldwide.
In this episode, we will explore its origins, the visionary minds behind it, and the evolution of its groundbreaking techniques.
Welcome to Ortho Time Machine episodes where we explore pivotal moments and game-changing innovations in orthopaedic surgery. In this episode, we’ll journey through the life and legacy of Dr. Paul Harrington, whose work in spinal instrumentation changed the field forever.
You’ve probably heard of the Harrington Rod. It was the first widely successful spinal implant, designed to treat severe scoliosis and spinal deformities. But the story of how it came to be, and the man behind it, is as remarkable as the device itself.
Before Dr. Harrington’s innovation, scoliosis was often managed with rigid body casts, prolonged bed rest, and traction. These methods were not only uncomfortable but also largely ineffective for severe cases. It was clear that a transformative solution was needed.
Enter the ingenuity and unwavering commitment of Dr. Harrington. Let’s dive in.
The Ortho Time Machine episodes continue with the remarkable journey of Total Knee Arthroplasty, or TKA—a procedure that has transformed the lives of millions suffering from debilitating knee arthritis.
In this episode, we’ll focus on the significant contributions of Dr. John Insall, whose innovative designs and surgical techniques elevated TKA to the gold standard it is today. From early prosthetic designs to complex revision systems, Insall’s work revolutionized how we treat degenerative knee diseases.
Join me as we unpack the fascinating evolution of knee arthroplasty, including the setbacks, breakthroughs, and the visionary leadership of Dr. Insall.
In this chapter of the Ortho Time Machine episodes, we’re focusing on a game-changing innovation that transformed the way surgeons diagnose and treat joint disorders. Masaki Watanabe and many others helped to pioneer arthroscopic surgery and gave orthopaedic surgeons a new way to see and treat inside joints without large incisions.
It’s hard to imagine modern orthopaedics without arthroscopy. Whether it’s repairing a torn meniscus, reconstructing an ACL, or repairing a rotator cuff, arthroscopy has become a cornerstone of our field. But how did it all begin? Who were the pioneers that made it possible? And what were the challenges along the way?
Join me as we dive into the fascinating story of arthroscopy, its early skeptics, and the visionary surgeons who saw its potential.
Welcome back to Ortho Time Machine episodes where we uncover the most transformative moments and figures in the history of orthopaedic surgery. In this episode, we’re delving into the extraordinary life and work of Gavriil Ilizarov—a man who, against all odds, revolutionized limb reconstruction and deformity correction. (Note that some of the character voices are computer-generated acting and not actual footage.)
Season 6 of the OrthoClips Podcast Series features a new mini-series entitled “Ortho Time Machine”, where we travel through the fascinating history of orthopaedic surgery, exploring the game-changing moments that shaped our field. In this first episode, we’re stepping into the operating theater of one of the most brilliant minds in orthopaedics: Sir John Charnley, the father of modern total hip arthroplasty, or THA. (Note that some of the character voices are computer-generated acting and not actual footage.)
We cover two recent review papers on the topic: “An Update on Spinal Cord Injury and Current Management” by Carroll et al in the October 2024 JBJS Reviews, and “Updates in the Early Management of Acute Spinal Cord Injury” by Lambrechts et al in the September 1, 2023 issue of JAAOS. Urgency of spinal decompression, controversies with methylprednisolone, emerging neuroprotective and regenerative therapies, and optimizing spinal cord perfusion are covered.
We review the results of the recent RCT published in the September 4, 2024 JBJS entitled “Low-Intensity Pulsed Ultrasound Versus Sham in the Treatment of Operatively Managed Scaphoid Nonunions: The SNAPU Randomized Controlled Trial” by White and coauthors from the Wrist and Elbow Research Group of Canada (WECAN).
We review “Integrated Dual Lag Screws Have Higher Reoperation Rates for Fixation Failure Than Single Lag Component Cephalomedullary Nails: A Retrospective Study of 2,130 Patients with Intertrochanteric Femoral Fractures” from the September 18, 2024 JBJS. This compared patients treated with the Trigen InterTAN with DPS TFNA and Stryker Gamma 3. The authors are Christian Gonzalez and the Hip Fracture Nail Study Group.
Does far cortical locking improve healing for management of distal femur fractures, compared to standard locked plating? We discussed the findings from the randomized control trial entitled “Far Cortical Locking Versus Standard Constructs for Locked Plate Fixation in the Treatment of Acute, Displaced Fractures of the Distal Femur” by Dr. Kelly Lefaivre and colleagues from the Canadian Orthopaedic Trauma Society in the October 2, 2024 edition of the JBJS. This was a multi-center international randomized control trial performed across 16 centers on adult patients with AO type 33A and 33C fractures. This technology has been around for a while, but these are some long-awaited results so tune in to find out more.
We are discussing three papers from the August 2024 volume of the Journal of Orthopaedic Trauma, all from the Young Femoral Neck Fracture Working Group. This includes 26 North American trauma centers with over 500 young adult patients with femoral neck fractures. The first paper focuses on optimal fixation strategies, the second focuses on isolated femoral necks versus neck/shaft fractures, and the third focuses on how treatment failure appears to increase with age.
With all the external fixation being done for temporary stability, what is the evidence for best practices for conversion to internal fixation? There are issues regarding timing, whether you can keep the ex fix in the operative field if needed, how to best sterilize it, what to do with the pin sites before and after the pins come out, etc. We review two recent papers: “External fixation before planned conversion to internal fixation in orthopaedic trauma: controversies and current trends” by Wynn et al in the Oct 1, 2024 JAAOS. We also review data from our own group entitled “Evaluating the efficacy of disinfecting agents on external fixator devices” (Horowitz et al) being presented at the OTA 2024 in Montreal this weekend, as well as the paper entitled “Safety of prepping the external fixator in situ during staged internal fixation of pilon fractures: a retrospective comparative cohort study” by Yeramosu et al in the September 2023 issue of JOT.
In this episode, we review two recent randomized control trials investigating this question. “Skin Antisepsis before Surgical Fixation of Extremity Fractures” is a publication from the PREPARE trial in the February 2024 issue of the New England Journal of Medicine. This was a randomized control trial of over 6000 patients in which day investigated iodine versus chlorhexidine for skin prep of both closed and open extremity fracture surgery.
The second paper is in the August 20, 2024 issue of the Journal of the American American Medical Association entitled “Povidone Iodine vs Chlorhexidine Gluconate in Alcohol for Preoperative Skin AntisepsisA Randomized Clinical Trial”. This was a multi center trial of over 3000 patients at three sites in Switzerland that looked at prevention of SSI and cardiac or abdominal surgery.
Results from both trials are discussed and in this season, we are introducing some surprisingly engaging, artificial intelligence hosts. Enjoy.
Conversation with Alexander Neuwirth, M.D., Associate Program Director of the Orthopaedic Surgery Residency and Associate Program Director, Frank E. Stinchfield Adult Reconstruction Fellowship, and Assistant Professor of Orthopaedic Surgery in the Division of Adult Hip and Knee Reconstruction at Columbia University Medical Center and New York-Presbyterian Hospital. We discuss teaching millennials, active learning, flipped classrooms, and didactic curricula for orthopaedic residencies.
Interview with Dr. Noelle Van Rysselberghe from Harborview Medical Center in Seattle, Washington discussing her paper in the February 2024 Journal of Orthopaedic Trauma entitled “Retrograde Intramedullary Nailing Versus Locked Plating for Extreme Distal Periprosthetic Femur Fractures: A Multicenter Retrospective Cohort Study”.
Interview with Dustin Greenhill, MD, FAAOS, Associate Program Director of Orthopaedic Surgery at the St. Luke’s University Health Network and Assistant Clinical Professor at Temple University School of Medicine. Dr. Greenhill is a pediatric orthopaedic surgeon and first author of the paper entitled “Treatment of Length-Unstable Pediatric Femur Fractures in Children Aged 5 to 11 years: A Focused Review” in the May 1, 2024 issue of the Journal of the American Academy of Orthopaedic Surgeons.
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