Episodes
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Lateral Ankle Instability – Who Actually Needs Surgery?
Interview with Courtney Quinn, MD, Orthopaedic Sports Medicine Surgeon at Inova Hospital System in Fairfax, VA. Dr. Quinn works with multiple professional soccer clubs (team physician for Washington Spirit, Loudoun United, and consultant for DC United), and is team physician for George Mason...
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Manish Patel, MD – Leading the Shift in Knee Replacement Surgery and Soft Tissue Preservation
Interview with Dr. Manish Patel, board certified orthopaedic surgeon in Franklin, Virginia and Founder and CEO of Jiffy Knee. We discuss how he developed this technique, the basic principles and rationale, outcomes, and the future of total knee arthroplasty.
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Femoral neck fracture fixation
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.…
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From Mission to Empowerment
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...
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Restoring Limbs and Livelihoods – Implants Plus Education: SIGN Fracture Care International
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,...
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The Xylazine Crisis: Orthopaedics at the Frontline of an Evolving Epidemic
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...
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Maurice Müeller and the Origins of the AO Foundation
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…
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Paul Harrington and the Revolution of Spinal Instrumentation
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...
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John Insall and the Evolution of Total Knee Arthroplasty
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...
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Masaki Watanabe and the Arthroscopy Revolution
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...
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Gavriil Ilizarov and the Revolution of Limb Lengthening
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…
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Sir John Charnley and the Birth of Total Hip Arthroplasty
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…
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Update on Acute Management of Spinal Cord Injury
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...
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LIPUS bone stim vs sham after scaphoid nonunion repair
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…
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Integrated Dual Lag Screws vs. Single Lag Component Cephalomedullary Nails for Intertrochanteric Femoral Fractures
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...
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Far cortical locking in distal femur fractures – Results of the recent RCT
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,...
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Management of femoral neck fractures in young adults – data from the Young Femoral Neck Fracture Working Group
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…
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Minimizing infection when converting ex fix to IM nail
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...
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Pre-op skin prep – Iodine vs chlorhexidine: Which is better?
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...
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Navigating modern surgical education
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...
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Retrograde IM nail vs locked plating for extreme distal periprosthetic femur fractures
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…
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Management of length-unstable pediatric femur fractures – Best practices
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…
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DOACs and hip fractures – should we wait 48 hours?
Interview with Devon Brameier, BM, BCh, Senior Clinical Research Coordinator, Dept. of Orthopaedic Surgery, Harvard Medical School Orthopaedic Trauma Initiative, Brigham and Women’s Hospital. We discuss their paper entitled “Use of Direct Oral Anticoagulants Among Patients With Hip Fracture Is…
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When to transfuse ortho trauma patients? Conservative vs liberal strategies
Interview with Dr. Brian Mullis, Professor of Orthopaedic Surgery and Residency Director, Indiana University School of Medicine and Dr. Leilani Mullis, Assistant Professor of Clinical Anesthesia and Chair, Residency Selection Committee, Indiana University School of Medicine. We discuss their…
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Do Robotics and Navigation Increase Infection Risk in THA?
An interview with Dr. Scott LaValva, lead author on the April 3, 2024 JBJS publication entitled “Robotics and navigation do not affect the risk of periprosthetic joint infection following primary total hip arthroplasty: A propensity score-matched cohort analysis”. Dr. LaValva is a PGY-4…
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The VANCO Trial – What have we learned?
Discussion with Dr. Joseph Thomas Patterson, Assistant Professor of Clinical Orthopaedic Surgery at the Keck School of Medicine of the University of Southern California on the VANCO Trial. Specifically, we discuss his paper in the January issue of the Journal of Orthopaedic Trauma entitled “The...
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Implant density in adolescent idiopathic scoliosis fusion – Can we use fewer screws?
In this episode, I chat with A. Noelle Larson, M.D., Professor of Orthopedics in the Department of Orthopaedic Surgery at the Mayo Clinic in Rochester, Minnesota on her group’s work entitled “The Effect of Implant Density on Adolescent Idiopathic Scoliosis Fusion: Results of the Minimize Implants...
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Management of Infected Nonunions
Dr. Faseeh Shahab, MBBS, MD, FCPS, Consultant Orthopaedic Surgeon at Shahab Orthopaedic and General Hospital in Peshawar Pakistan discusses the management of these challenging cases. We chat about the workup, surgical techniques, and the particular challenges of these complex cases.
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Aspirin vs Lovenox for Ortho Trauma Patients
Dr. Robert O’Toole, Professor of Orthopaedic Trauma, Division Head of Orthopaedic Traumatology, Chief of Orthopaedics at the R Adams Cowley Shock Trauma Center, Program Director of the Orthopaedic Traumatology Fellowship Program, Department of Orthopaedics at the University of Maryland Medical...
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Modern Fracture Care in the Developing World
Lewis Zirkle, M.D., President and Founder and Chairman of the Board of SIGN Fracture Care, discusses how SIGN got started, how their organization addresses disparities in modern fracture care around the world, and how future challenges will be navigated going forward. More info about SIGN can be...
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Outpatient total joints – Why you should be doing them
Interview with Dr. Kevin Plancher, Clinical Professor of Orthopaedic Surgery at Albert Einstein College of Medicine, Adjunct Clinical Assistant Professor at Weill Cornell Medical College in New York City, and Team Physician for the US Ski and Snowboard Team. We discuss why you should be doing...
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Keys to success with the Masquelet technique
Interview with Dr. Benjamin Taylor, Fellowship Director of the Orthopaedic Trauma Fellowship at Grant Medical Center, Columbus Ohio, Associate Program Director for OhioHealth Orthopaedic Surgery Residency, and Associate Clinical Professor at Ohio University and Dr. David Galos, Assistant…
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OrthoClips Podcast Series Season 3 Trailer
Welcome to Season 3 of the podcast. This season we plan to change things up a bit and have more episodes with multiple guests. The aim is to try and bring in multiple perspectives on an issue, maybe even some debates and controversy. Check out the first episode on Masquelet techniques with Drs.…
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OTA Annual Meeting 2021 highlights
Highlights from the 2021 Annual Meeting of the Orthopaedic Trauma Association in Fort Worth, Texas. A brief review of the symposia and key papers are discussed in this episode.
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Improving transgender care in orthopaedics
Dr. Corinna Franklin, Director of Sports Medicine at Shriners Hospital, Philadelphia and Associate Professor of Orthopaedic Surgery and Sports Medicine, Lewis Katz School of Medicine at Temple University discusses how we can improve transgender care in orthopaedics.
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Social determinants of health in orthopaedic trauma patients
D.r Mara Schenker, MD, FACS, Associate Professor of Orthopaedics, Chief of Orthopaedics at Grady Memorial Hospital, and Director of Orthopaedic Trauma at Emory University School of Medicine discusses social determinants of health in orthopaedic trauma patients. Why is this important? What can...
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Managing infected fractures
Dr. David Lowenberg, Clinical Professor of Orthopaedic Surgery at Stanford University School of Medicine, Emeritus Chief of Orthopaedic Trauma, and recent past President of OTC International and the FOT discusses the management of infected fractures. He describes the most common mistakes made…
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Geriatric proximal humerus fractures – what to do?
Surena Namdari, MD, Associate Professor of Orthopaedic Surgery, Fellowship Director and Co-Director of Shoulder & Elbow Research at the Rothman Institute in Philadelphia, and attending surgeon at Thomas Jefferson University Hospitals discusses his approach to the management of geriatric proximal...
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Fascia iliaca blocks for hip fractures – The new standard?
David Galos, MD, Assistant Professor of Orthopaedic Surgery at Temple University Hospital in Philadelphia, PA discusses his group’s research of fascia iliaca blocks in hip fracture surgery. How are they done at a busy hospital center? Do they reduce opioid consumptions, and by how much? Do they...
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Women in orthopaedic surgery – Where are they?
Nancy Yen Shipley, MD, orthopaedic surgeon, speaker, writer, and host of “The 6% with Nancy MD” podcast discusses barriers, dispels myths, tells her personal stories, and suggests how we can improve the current underrepresentation of women in orthopaedic surgery. Dr. Shipley practices at…
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Marijuana and fracture healing – What do we know?
Grant D. Hogue, MD, Attending Orthopedic Surgeon, Boston Children’s Hospital and Instructor of Orthopedic Surgery, Harvard Medical School discusses marijuana and fracture healing. As marijuana legalization becomes more prevalent and opioid use is discouraged, it is likely that more of our…
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The NBA Bubble and return to sports in the COVID19 pandemic
John P. DiFiori, MD, Director of Sports Medicine for the NBA and Chief of the Primary Sports Medicine Service at the Hospital for Special Surgery in New York discusses the NBA ‘bubble’ – how they got there, why it worked, and the lessons learned. In addition, we discuss the potential challenges…
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How can we end the opioid epidemic?
An interview with Asif Ilyas, MD, MBA, Founding President of the Rothman Opioid Foundation. Dr. Ilyas discusses the educational and research efforts that are needed to continue the efforts to end the opioid epidemic. He also describes some of the early successes, the need for a long-term strategy...
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Update from OrthoClips
Info about the upcoming 12th Annual Philadelphia Orthopaedic Trauma Symposium June 13
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Achilles tendon ruptures – Surgery or nonop?
Dr. Eric Gokcen, Associate Professor of Orthopaedic Surgery & Sports Medicine and Director of Foot and Ankle Surgery at Temple University discusses controversies with the management of achilles tendon ruptures, specifically operative versus nonoperative pathways. He also provides his tips for...
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Why orthopaedic trainees are not selecting the right job after training
Dr. Jeffrey L. Gum, Adult and Pediatric Spine Surgeon at the Norton Leatherman Spine Center and Assistant Professor at the University of Louisville, Department of Orthopaedic Surgery, explains his group’s study investigating this problem. He discusses the important factors that trainees should...
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Management of distal femoral fractures in the elderly
Dr. Fernando Vilella-Hernandez, Assistant Professor of Clinical Orthopaedic Surgery at the University of Miami and Chief Medical Officer for Orthopaedics at Jackson Memorial Hospital discusses the management of distal femoral fractures in the elderly. ORIF vs distal femoral replacement, technical...
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Infection after spine surgery – Best practices to avoid it
Joshua Pahys, MD from Shriners Hospitals for Children – Philadelphia and Adjunct Clinical Associate Professor of Orthopaedic Surgery at Jefferson University discusses prevention of infection after spine surgery. Although uncommon, postoperative deep infections can be devastating and require...
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Management of collegiate athletes
Dr. Sommer Hammoud, Assistant Professor of Orthopedic Surgery and Associate Residency Director at Jefferson University Hospitals and the Rothman Institute, Head Team Physician for Saint Joseph’s University, Bryn Athyn College, Cairn University, and the Philadelphia Phoenix, and Head Orthopaedic...
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Should there be team doctors?
Dr. Ryan Schreiter, Assistant Professor of Orthopaedics & Sports Medicine, co-head Team Physician of Temple Football, Team Physician for Temple Athletics addresses issues related to conflicts of interest (COI) that team physicians face. Why should there be team doctors rather than just having...