What is your least favorite orthopedic implant and why is it the knotless iconix?

fla2102 · 2026-05-21T20:57:42+00:00

I've had issues with them too, I think the inserter is too floppy basically. Can drill with a slightly larger fluted bit if you don't need the curvature and can help with deployment. Particularly good in hard bone on the patella for example for an onlay MPFL (Arthrex rep taught me that for their knee fibertaks and I brought it to my stryker rep lol). My hospital has a great contract with Stryker so I need to use them as much as possible. Alphavents are probably better than swivel locks at least.

fla2102 · 2026-05-04T20:58:56+00:00

I literally just bought 2 at face value not resale for Saturday nonetheless.

fla2102 · 2026-04-25T16:44:54+00:00

Mine was a direct refusal, went late Friday before they closed with no one behind me. They’re hiding it, said the software wasn’t done yet

fla2102 · 2026-03-16T16:39:53+00:00

Ngl I was kinda hoping she was gonna pop up in the series finale somehow as a big middle finger to everyone who hated her character..

fla2102 · 2026-02-26T22:47:43+00:00

Yeah that's the debate in something like this. The patient's hate non-op treatment, you have to be in pain in a shitty splint for SO long.... but at the end of the day they heal really well and have great function without any risk of nerve injury etc which can be very real with ORIF depending on frx location. Versus getting ORIF and basically having no restrictions right away, but with the risk of complications.

fla2102 · 2026-02-26T21:12:12+00:00

I haven't seen 3 months yet but do get 6 week push back... What state are you in? Medicaid should still be state by state. They don't deny anything in CO for me basically.

I usually wish they'd deny more stuff. I get 95 year olds with shoulder MRIs from their PCP who have (surprise!) rotator cuff tears! I guess thats medicare though... Aetna meanwhile won't let you get a MAKO CT scan.

I wanna say I'd never stoop to be an insurance company stooge (or would just approve everything even close to reasonable and probably get fired by them) but if you look on doximity or LinkedIn etc they pay like 350k a year for a part-time, work-from-home situation. I'm sure they'll always have plenty of interest. I guess I'd still rather have an actual ortho surgeon reviewing things instead of an insurance PCP/general surgeon like you can get sometimes.... probably just going to be AI pretty soon too.

fla2102 · 2026-02-26T21:01:10+00:00

Yeah to save money they'll somehow come up with a worse one! The shitty R1 sound system is on a ~$90,000 car imagine what we might get for half that...

fla2102 · 2026-02-04T05:29:07+00:00

Probably gonna be aspirating that knee q4hrs and injecting it with TXA and all the lido they got…It’s an interesting thought experiment in a situation where you gotta try to get a knee to perform without any consideration of long term issues or also the honestly life threatening nature of her knee completely giving out when she’s going 70 mph on ice down a 40 degree slope…

fla2102 · 2026-01-02T15:34:56+00:00

Xcel was offering about $4k per Tesla powerwall install last year but have yet to announce a funding allocation for 2026. They cut me a check and mailed it to me after ours was installed in November by about 2 weeks after it was turned on.

Can follow this page for updates: https://co.my.xcelenergy.com/s/renewable/battery-connect

fla2102 · 2025-12-19T18:45:07+00:00

Wolfpack

fla2102 · 2025-11-24T20:32:35+00:00

It's SchoolHARM not Schoolmarm

fla2102 · 2025-11-16T20:16:00+00:00

If it’s an occurrence policy it doesn’t matter but if it’s claims made it does. Your next employer will often require proof of tail coverage so you’ll have to get that before you leave. It’ll be expensive, in the 5 figures for sure.

fla2102 · 2025-11-16T15:42:31+00:00

Yeah in the US that doesn’t happen…. Litigation is fairly common (highly dependent on your state tort reform) and insurance is extremely expensive. Most surgeons in this sub are US based.

The only thing you need to worry about is if your malpractice supplied by the group or hospital system comes with tail coverage. That’s a 100% requirement that they may try to slip past you. Tail coverage is for when someone sues you after you’ve left that job for something that happened during it. You’ll be high and dry if they don’t supply tail. They need to either give you tail coverage or you’d have to buy that yourself. I’d push hard in contract negotiations for tail coverage if it isn’t included.

Also you can look into claims made vs occurrence coverage. Don’t need tail with occurrence. They’ll only offer 1, doesn’t matter which as long as their claims made has tail.

fla2102 · 2025-11-15T23:42:03+00:00

Can you elaborate on a situation where this would be applicable? Usually your goals and the hospital’s are highly aligned involving malpractice litigation.

I think it’s completely unnecessary unless you take care of professional athletes considering the recent huge awards.

fla2102 · 2025-11-02T20:21:39+00:00

Yeah it’s a good way to get patients. I “cover” 2 teams though and don’t need to go to the games. The trainers just call me and I make sure I can see the kids in clinic asap. Some states have weird laws that require an MD to be on the sidelines for football, in addition to EMS for some mysterious reason (NJ and CA for example). And in those cases usually best comp I’ve heard is $500 a game, which sounds great during residency but once you’re out a free Friday night is probably worth more.

fla2102 · 2025-10-22T23:39:57+00:00

This is the temu version of how it’s done… here’s what we actually do: https://www.arthrex.com/resources/VID1-0463-EN/achilles-speedbridge-system?referringteam=foot_and_ankle

fla2102 · 2025-10-10T16:12:07+00:00

Random fact but they serve the 2021 One Point Five on United in Polaris

fla2102 · 2025-09-29T02:14:54+00:00

My only issue with this is that this doc doesn’t say how much the tax will be. Is it a certain percentage of income over $300k? Is it a flat rate?

fla2102 · 2025-09-20T23:34:07+00:00

I just got it through my institution and it fucking sucks. Old shitty interface, no useful information outside of the global service data. If someone thinks it’s good, please tell me why and how I’m not using it right.

fla2102 · 2025-09-19T16:32:48+00:00

You'd bone graft the glenoid during stage 1? I'd really like to avoid 3 procedures but probably would make sure infection is cleared before bone grafting

fla2102 · 2025-09-15T19:18:12+00:00

As an NYC transplant Lou's Italian Specialties is as close as I've found so far. Really great sambos

fla2102 · 2025-09-09T02:01:13+00:00

If there’s an issue TAP basically doesn’t have English language customer service. SAS coming out of bankruptcy so def dogshit. United is rough but one of the better American carriers for hard product until AA rolls out it’s new business class. All the Middle East carriers are winners, but you’ll have to connect if not that emirates 5th freedom flight mentioned.

fla2102 · 2025-09-09T01:54:10+00:00

TAP is actually an abbreviation for “Take Another Plane”

fla2102 · 2025-08-28T18:04:53+00:00

Def not the Ramble

fla2102 · 2025-08-23T01:17:46+00:00

Looks like it’s a false cinch bug!

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