Video

Excellent discussion and very educational! An instructive video showing how IM nailing in a patient laterally positioned would be so helpful. For example, would you apply traction (skeletal or skin) on the injured leg, how to position the C-arm for fluoroscopic views, etc.

Excellent

how we can get these slides ?

PA students 🤡😂🤓

You have to love that even in 2024, arthrogryposis, which is a genetic condition or a pregnancy complication, orthopedists are the first line of treatment. Feels medieval.

But how do we know the ligament is intact or injured ? Inflammation in acute phase can make diagnosis of MRI go wrong ?

Hello Doctor we need to this Pdf thank u

thanks

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maybe complication s could be avoided if they didn't sent patients home 2 days after surgery with no information other than , "don't put weight on your bad side, take pain killers and call us in 4 weeks".

90% sips , 10% general speaking

as a regular "smoker"; I always tell my physician of my "habit"

I thought I was only one with this issue

Excellent

Is surgery required for malunited distal humeral fracture with 0.2cm capiteller offset at the radiocapitellar joint and capitellar avascular necrosis?

Ensure your theatre radiographers collimate the image to only show the wrist. Any radiation that misses the wrist and causes 'white bright' on the monitor is producing extra scatter radiation dose. I did a survey in a hospital 16 years ago and from the 17 radiographers who did theatre work, only 3 collimated the images. Six weeks after I pointed out this failing, 4 radiographers collimated. Asked why they didn't, they said they were frightened of being told off. I told them to tell the arthropod that you wanted to reduce their dose. The dose difference was massive with hip work

Great presentation

Are we able to get a copy of the ppt for this lecture series

Excellent

What do you do when two conflicting reports of radiologist on peri prosthetic distal femur fracture. The patient is 87 years of age with poor quality of bone stock.

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Please could u provide pdfs or resource of your lectures ?

My distal humerus broke in spring of 2023. They added 10 screws and 2 plates

Please continue sharing the lectures. I'm in a very deep financial situation and can't afford paid lectures. Your channel is a treasure for me❤

as a trauma&ortho surgeon from Ukraine, i'm really happy to found such usefull and not long videos to repeat knowledge or gain something new, very apperciate your work, thank you!

piriformis

Appreciate your work.. thanks

I got a tibial plateau fracture ( Schatzker 3). The fracture was not that deep or wide. Doctors advised me to put on a simple cast. Itz 7th week now. And my range of motion is 90 degrees...im hope it ends well here..

Thank you very much for these intresting and educational videos ! Greetings to Switzerland !

Thank you

Thank you

Great review

Is there a high chnace of amputation with this injury

Thank you

just so people Know: Based on resreach and google it. CANNABOIDS ARE MUSCLE RELAXANT. SO if you are having pain from weed due to fracture its because it relaxed your muscle and your Body relies on it for fracture healing....ESPECIALLY joints delicate or back fractures. just fyi

Your series of orthopedics lectures are the first among all. Even in 2023, there is still NO series of orthopedics lectures easy enough for medical student on CZcams. You have made the impact. Thanks

thank yyou very much

Could you please give link to download your lesson pdf which is easier for us to note follow you, sir ?

ORIF = open reduction and internal fixation

Okay i can definitely confirm, smoking anything (weed or cigarettes) will capitalise on bone fractures during the healing process. The first week after my radius surgery i didnt smoke anything. The second the swelling reduced so i thought id try have a few smokes. I was super high and noticed i felt a lot of pain in my fracture. At first i didnt realise it came from high blood pressure(smoking does that) so i didnt think much of it and took some meds to ease to the pain it helped a bit so for the next few days i was content and few more days passed and i wanted to smoke. I did and i felt the pain come back thats when i realised it was due to smoking. Im on my 3rd week now after surgery and ive had 3 smokes and plan on stopping smoking now at least until ive recovered enough to a functional working order.

Having lived it, as an average non elite nurse... arthrodesis all the way. I feel the argument for ORIF neglects a bigger picture, the rest of the parient and their life! I was primarily ligamentous, very minor, and took 2 months to see foot ortho so we went non surgical route. It took six months before I was just barely walking in shoes. 6 months, of my 39th year. But it failed, the remaining bits of ligament snapped. It was felt the only option was fusion. But covid. So i had to wait for another 6 months to have surgery. 18 months postop, I'm still in PT. Trying to go back to school so i can do something off my feet. I was 39 at the time of injury. I'll likely be 44 by the time my life will be normal. I spent over 18 months, the last of my thirties unable to drive, on crutches in a boot, not able to go to the beach, alone in a 2nd story apartment living on Door Dash and gaining 20 lbs. Yeah, my situation was complicated by covid, but the timeline might actually have been more drawn out with a failed ORIF immediately post injury in the best of circumstances. And even a successful ORIF or non surgical success... i had a pretty high likelihood of developing arthritis in 10 years, at age 50 and hopefully still otherwise healthy. Yes, i will have chronic pain with my fusion, but its liveable. And some chronic pain is just kind of inevitable with this injury. You cant underestimate how painful foot surgery is. Like forgetting the years of your life wasted, the first 2 weeks pain is a hell i wouldnt repeat for $1M. I like knowing my foot is totally solid and stable, and there's not going to be another surgery. I'm doing more than i thought I'd be able to do again. If I had been offered ORIF right away, I'd have gone for it. Knowing what I know now? No way. Unless you are that elite athlete with elite daily PT and surgery immediarely after PT and really need that 3.5% mobility, no. Just get the fusion done asap and move on with your life. You don't understand the risks until you live them. If i were that middle aged accountant, id probably have wanted an ORIF, and then been one of those unsatisfied patients a year later. Doing definitively whats in the patients best interest is so the way to go. I find it slightly troubling that orif won by such a large margin. I guess for the 30 yo its fair to offer both but... you really need to give a realistic picture of the long term. Like, thats an age many women want to be having kids and chasing them around. Spend a couple years going thru 3 surgeries, delay starting family... I wish docs knew what lisfranc patients talk about in support groups. They're all so different, so complicated, and and totally changing, and it involves way more than just the foot.

And about suposed 21:17 d insufficiency in these fractures children

dont know how i got here from looking at what my upcoming fibula 2mm displacement fracture on ankle surgery would consist of. but that shotgun blast at the end makes me think i am in good shape :/

at 45:00 that doesnt look like 7.62x39 (ak 47 round) they usually punch through dont they? that looks more like american / nato standard 556 / 223 . Possibly 308 which nato and other countries use as a standard . but those are usually heavy fast bullets that would punch right through right? what was he shot with? maybe 5.45x39? the new eastern bloc caliber to mimic the 556? thats horriffic.

Never heard of 22 savage as being military round. but ive known people that have used it for coyotes and stuff.. pretty rare to find ammo you gotta get it online. my buddy had one and that thing was accurrate as heck. 30-06 used to be military but was replaced with the slightly weaker .308. 30-06 was and still is the best all around deer rifle though. cant immagine how horriffic ww2 was when everyone was shooting hunting rifles at eachother. you just dont survive a shot from one of those things.

thats what she said.

Great lecture ❤😊

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outstanding...I had a very similar fracture...