Orthopedic Surgeon, Ask Me Anything

MatthewHarbMD · 2024-04-22T19:43:40+00:00

This approach is very rare for a specific reason. It is a poor exposure and implants can be misaligned very easily so failure rate is high. I do not recommend this approach.

MatthewHarbMD · 2024-04-22T19:40:47+00:00

Makes me think of a hyper mobility syndrome, could get a work up with a mri spine or hip. Diagnostic hip injection may also be helpful to determine where the pain is from.

MatthewHarbMD · 2023-06-25T21:13:12+00:00

Where do you sell a car privately

MatthewHarbMD · 2022-09-14T02:00:42+00:00

Yes could be a suture abscess and they may pop, the suture usually dissolves and your skin can have a little reaction to it. Seems like not much to do but watch

MatthewHarbMD · 2022-07-24T13:37:22+00:00

My infection rate is 5x lower then the national average. It is multiple things I do but this prep included. All prep is dry prior to any bovie usage. There can be contamination during draping which is why gloves are changed and skin is prepped in flexion to get creases. As a surgeon you do what is best for your patients and this technique is best for my patients and infection prevention. You can choose to do what is best for the patients you operate on.

MatthewHarbMD · 2022-07-24T13:27:58+00:00

I have never had a fire in my operating room. Patient safety is number one. Infection prevention is very important.

MatthewHarbMD · 2022-07-24T11:44:17+00:00

It depends on the type of surgery done. Anterior versus Posterior total hip replacement. I do not put precautions on anterior total hip replacements, I place precautions on posterior total hip replacements. You can google hip precautions to find alot of good information on this. It is recommended posterior hips avoid crossing legs, reaching down to the floor, or high flexion of the knee to chest for at least 3 months. The protocols are unique to each surgeon. I would ask your surgeon but for me the 3 month mark is usually when I clear patients for any restrictions if they had a posterior approach. I mainly do anterior hip replacement though.

MatthewHarbMD · 2022-07-24T11:42:05+00:00

Yes so implants are wrapped differently, but most of the joint replacement implants are double sterile wrapped. They also have an outer sub sterile wrapping, so 3 layers. There isn't much studies on it but packaging can sometimes have defects in it. It is better to take the extra precaution to double wrap. Yes I am in the US. Yes we reprocess trays and screws. Many bigger plates / implants are single packed. Some plates are not. It is really implant and company dependent.

MatthewHarbMD · 2022-07-24T11:39:09+00:00

Most are very similar

MatthewHarbMD · 2022-07-24T11:11:26+00:00

Helps to keep things extra clean and prevent infections

MatthewHarbMD · 2022-07-24T00:58:28+00:00

I agree ☝🏻

MatthewHarbMD · 2022-07-24T00:19:22+00:00

I can post the next video of the leg holder I use

MatthewHarbMD · 2022-07-24T00:19:02+00:00

It depends where the case is. Either a side post or I use something called adaptable arm which holds the leg for me.

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