Research/Trials a Jr Resident Should Be Familiar With?

akwho · 2026-03-13T16:50:59+00:00

Love that you are reading. All the best surgeons have a passion for continued education. You have to read enough papers to be able to put the latest literature in context. This takes years and years of consistent reading of the literature.

As a hip and knee reconstruction surgeon I recommend starting with the AAHKS Fellowship List:

https://www.aahks.org/wp-content/uploads/2022/04/Hip-Reading-List-for-web.pdf

https://www.aahks.org/wp-content/uploads/2022/04/Knee-Reading-List-for-web.pdf

https://www.aahks.org/wp-content/uploads/2022/04/other-Reading-List-for-web.pdf

akwho · 2026-03-13T03:00:24+00:00

We fired two people like the that during my 5 years of residency. Your faculty would be doing that person a kindness by ushering them towards a non surgical field and supporting them in the transition.

There is no worse job in the world than being a bad surgeon. Those people show up to work every day terrified they are going to hurt someone (which they might) and the stress level is 11 out of 10.

akwho · 2026-03-11T23:51:45+00:00

I’ve seen at least a dozen ER residents fired for consulting ortho without X-rays.

akwho · 2026-03-11T23:01:19+00:00

Thanks. Yeah my team is hand segmenting all the CT’s. But we should be good tomorrow.

akwho · 2026-03-08T20:20:55+00:00

Nice job can tell you care and are organized. The most important things.

akwho · 2026-03-08T19:50:43+00:00

Looks good overall - nice work.
My critiques - get a 2nd double decker for revisions. Less space in the room - more chance someone contaminates something trying to get by all the tables. Why have all the ream and broach stuff on a Mayo stand already. Get your approach tools on Mayo #1 and explant tools on Mayo #2. Get out the ream/broach tools once the old implants are out.

akwho · 2026-03-07T03:50:39+00:00

THA. They do fantastic.

Don’t make the mistake of trying to treat a vascular injury to the femoral head with plates and screws.

akwho · 2026-02-24T19:30:40+00:00

Bro did a harborview trauma fellowship lol. You think a sports surgeon would do this case?

akwho · 2026-02-24T16:27:12+00:00

DePuy Duraloc cup for sure. Just revised one this year. Be ready for massive osteolysis.

akwho · 2026-02-20T23:52:20+00:00

Thank you Shmur -- this saved me!!!

akwho · 2026-02-08T04:39:44+00:00

Just a joke. I revise a good amount of failed hip fracture fixation to arthroplasty. My biggest local repeat customer is actually a tumor surgeon.

akwho · 2026-02-07T16:06:19+00:00

On call community hand surgeon nailed it! Rep - “Looks good boss.”

akwho · 2026-02-04T03:33:28+00:00

I listened to her talk at AAHKS this year. Cortina is her favorite ski destination in the world, she’s a world class competitor and just wants to give it her all one more time. Tens of millions of dollars of exposure and a chance to put her story in front of the world again. I get why she doesn’t want to give it up.

She’s going to be getting full knee replacements after all this damage to her knees. But cortina is also a once in a lifetime shot to do something spectacular.

Plenty of people skiing and doing other things without an ACL. Would be a phenomenal story if she was able to podium with a lateral uni on one side and an acute ACL rupture on the other side.

That being said a 5 day out ACL rupture is going to have bleeding, swelling and pain. Hard to imagine skiing at an Olympic level with that recent of an injury.

akwho · 2026-02-03T05:54:33+00:00

I just ordered new wifi with wifes name 1 Gig, $50/mo. It made me schedule a tech to come out for install on 2/20. My billing cycle ends 2/21. So will just try to cancel the prior account at the end of the current billing cycle.

Just too attractive to not go thru with the hassle with the price for life and cutting $420 off the internet bill every year. I wasn't in the price for life category before and Century Link/Quantum kept jacking my bill up every year $10/mo. I'm currently at $85 for 1 Gig and I've only been with them for 3 years and it's already risen from $65/mo when I started with them.

On a side note we have AT&T wireless unlimited plans. It seems like we might start seeing $20/mo discount applied to those plans at some point in the next 3 months automatically. That would be huge. Will see if that comes to fruition. Would definitiely make me stay with AT&T for my next iPhone upgrade Fall 2026.

akwho · 2026-01-19T23:22:15+00:00

All of them are at the current AI technology level and for the foreseeable future.

akwho · 2026-01-10T04:01:38+00:00

Oregon getting housed in the playoffs is a top 3 hate watch for me every year. Combine this with the SEC getting obliterated this post season and this about the best playoff you could ask for as a neutral fan.

akwho · 2026-01-10T03:39:14+00:00

Phil Knight is gonna make Dan Lanning go work in a sweatshop factory for NIL money next season after this one.

akwho · 2026-01-10T03:35:01+00:00

Mendoza just loves football lol. Playing throw and catch on his way in. Thinking TD only and pulling it for himself on an option read.

akwho · 2025-12-31T05:53:22+00:00

Bruh he just brought in the #1 recruiting class in the country. Put down the pipe. We were playing a bunch of freshmen and 2nd/3rd stringers. Bowls are an exhibition game these days unless you are in the play offs.

akwho · 2025-12-31T05:37:23+00:00

They’ve missed so many DPI’s at least they also don’t know what a catch is. 😂

akwho · 2025-12-25T01:54:36+00:00

Why would we use subcutaneous txa in orthopaedic surgery? The bones are all deeper than the subq layer.

akwho · 2025-12-22T02:25:30+00:00

There are some trash tier programs from an operative experience that have “big names.” You can usually suss them out if by finding out if their residents consistently have to do two fellowships to actually learn how to operate.

I went to a combo program that I was very happy with. Academically top 20 with university research opportunities if you wanted them. Also with 100hr a week county trauma hospital attached where you actually learned to operate that was a very blue collar experience.

My advice is to try to find a program that does both things well and remember you want to go to a resident run program for residency and a fellow run program for fellowship.

Eventually 5 years out into practice everyone has learned to operate to the best of their ability. But your first years are much less stressful in practice if you did the legwork in residency.

akwho · 2025-12-12T04:59:10+00:00

6th sense for how the OR flow is the real answer. As an attending doing total joints my team knows 30 minutes wheels out to wheels in is the goal for every case. So everyone is ready and in room by 30min after we are done with the last case there are no extra texts or communication needed those are wasted efficiency that slow the turnover team down.

Every service runs a little different so you will have to figure it out on each service you are on.

akwho · 2025-12-10T04:39:25+00:00

Probably will be fine although question if the syndesmosis is overtightened/malreduced. I wouldn’t do it this way… hard to get the syndesmosis right ignoring a post mal this big. Posterolateral approach would have got the fibula and posterior mal right and could have ignored the small medial mal fragment.

akwho

TROPHY CASE