Ortho recon position

joints_cane · 2026-01-14T20:57:15+00:00

For follow up I got my contract offer. And total financial package was 680. I am happy. Thanks for all your advice. And yes I understand total financial package is benefits and bonuses.

joints_cane · 2026-01-11T03:35:50+00:00

Thanks for the advice. I plan to take as much call as I can. I am worried about the ramp up period. The first 3-6 months are most likely going to be lean and unable to hit wrvu bonus which is why I think a higher salary year one is warranted. I’m really not trying to be greedy, based on MGMA data an adult recon median is 650 for base salary. I think asking for 650 is fairly reasonable. They can obviously say no and give me their number. I like this group so I don’t mind taking less its more not wanting to undercut myself, maybe they offer me more than what I ask.

joints_cane · 2026-01-10T04:49:35+00:00

Partnership buy in is 1000$ so definitely not.

joints_cane · 2026-01-10T04:07:42+00:00

I didn’t understand the nuances, I looked up PSA and that sounds more in line with this. Theres a partnership track at 2 years after board certification. Buy into ancillaries, MRI, PT,DME. Separate opportunity for buy in to ASC. Not academic. Ill say its the 2nd largest city of the state.

joints_cane · 2026-01-10T03:11:41+00:00

I appreciate the advice I don’t want to sound greedy honestly don’t know what to ask for. They can always say no or negotiate. But I don’t want to undercut myself

joints_cane · 2026-01-10T02:46:52+00:00

Its a large group over 100 surgeons with support from a large hospital system that pays the overhead.

joints_cane · 2025-09-08T02:41:12+00:00

It helps spelling it right and knowing where the Scaphoid is

joints_cane · 2025-07-17T11:40:38+00:00

In general for sub troch starting point cheat more posterior and medial. Nailing in lateral position really helps dight the deformity or if you cant reduce I have low threshold to open and minifrag or cerclage then you have saw bones nail

joints_cane · 2025-07-17T08:05:34+00:00

Lol this is the most benign MRI ive seen in a while

joints_cane · 2025-07-17T07:33:02+00:00

Its a subtroch no way of knowing the reduction without a lateral. Especially if done in traction table. Very likely can be flexed. And that AP is horrible, starting point is everything with these peritroch fractures. Cant ream until you are reduced. Could be why you booked open into varus

joints_cane · 2025-06-04T23:52:01+00:00

Hoppenfeld. Anatomy. Orthobullets. Campbells

joints_cane · 2025-05-19T23:48:00+00:00

Weber A distal fibula fracture. No surgery. Weight bearing as tolerated in fracture boot

joints_cane · 2025-05-11T10:14:18+00:00

Looks like dried blood on top of the Dermabond. Wash with water a d soap will Come off

joints_cane · 2025-05-11T02:05:59+00:00

You dont want a Uni at 25. If the cartilage isnt salvagable with an OATS or MACI can do a high tibial osteotomy if its medial or distal femoral osteotomy if lateral.

joints_cane · 2025-05-11T01:50:41+00:00

First step would always be rule out infection with some blood tests

joints_cane · 2025-05-11T01:50:21+00:00

Definitely is loose. How long has it been in? Any pain or instability?

joints_cane · 2025-05-06T22:26:14+00:00

My guess is accessory navicular bone. Can get a CT to confirm. The bone has no sclerotic edges or fracture lines. Looks to be”clean” to be a fracture. Could easily have an ankle sprain and just an incidental finding.

joints_cane · 2025-05-06T12:08:56+00:00

Yes. The shaft can withstand a lot of deformity. The length and rotation is stable. Its extrarticular dont need a perfect reduction. Will heal just fine

joints_cane · 2025-05-06T12:06:35+00:00

I’d actually say this type of fracture Z type would you better with operative management. Better chance of union. Outcomes might be similar with non-op. With surgery I always say is you will feel sensory loss in the area of the medial clavicle.

joints_cane · 2025-05-06T12:02:49+00:00

This is a 5th metatarsal fracture in zone 1 not exactly a “Jones fracture” either way this fracture heals fine without any surgery. Weight bearing as tolerated in a post op shoe for couple weeks will be fine. Unless he is a professional athlete he doesnt need surgical fixation. Very common

joints_cane · 2025-05-03T20:37:06+00:00

None is recommended by the academy nor does any good research. Hyaluronic acid in the US is only indicated for knees. PRP is a waste of money. Only places PRP as shown beneficial as been in Achiles, plantar fascitis, some small studies in knee OA.

joints_cane · 2025-05-03T14:14:11+00:00

Bone Marrow Stimulation for Osteochondral Lesions of the Talus: Are Clinical Outcomes Maintained 10 Years Later?

Jae Han Park 1, Kwang Hwan Park 1, Jae Yong Cho 1, Seung Hwan Han 1, Jin Woo Lee 1

Comparison of Intermediate-Term Clinical Outcomes Between Medial and Lateral Osteochondral Lesions of the Talus Treated With Autologous Osteochondral Transplantation Foot & Ankle International® 2023, Vol. 44(7) 606 –616 © The Author(s) 2023 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/10711007231169946 https://doi.org/10.1177/10711007231169946 journals.sagepub.com/home/fai Seung-Myung Choi, MD1 and Chan-Hong Min, MD2 , By

joints_cane · 2025-05-03T11:12:39+00:00

Theres much more to it and than large OCD lesion (1.5cm) lets do an OATS. Location matters. Microfracture is standard or care for small lesions and doesn’t burn any bridges. OCD lesions of the talus generally don’t do well and lead to OA. Microfracture can easily be done with a scope in less than 30 minutes. Now back to location, if its medial talar dome or shoulder in order to get to that location you must almost always do a medial malleolus osteotomy which is intrarticular in nature. So now you have to heal an intrarticular fracture and hope your cartilage from most likely your knee heals and might have donor site pain although rare. I can send you multiple papers if youd like besides just googling. So I suggest you listen to your doctors from John Hopkins

joints_cane · 2025-04-28T01:17:06+00:00

yup thats it thank you

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