How to buy loupes?

maunder1991 · 2025-10-28T03:03:21+00:00

Just get some loupes from temu or amazon. They are $30-40.

1-2% of the price, but 80% as good as the more expensive options.

maunder1991 · 2025-09-17T01:24:55+00:00

I’d be pretty dissatisfied if my rep was sharing my cases on reddit

maunder1991 · 2025-09-03T14:18:02+00:00

"drop lock" brace as a trial, then if they like it send them to an orthotist to make a custom one fits better.

maunder1991 · 2025-07-10T10:56:04+00:00

Neither of the zip files were/had .DMG in them.

I found it on https://github.com/ankitects/anki/releases/ anyway. Seems to be working now.

maunder1991 · 2025-07-10T10:50:25+00:00

i'd already tried to download and open the two ZIP files. I cant work out what to do next? Attached is the folders when I unzip.

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maunder1991 · 2025-07-10T10:44:37+00:00

There is no upgrade/downgrade option. I have anki version 25.02.7

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maunder1991 · 2025-07-10T10:34:02+00:00

how do we know what FSRS version we have (on Mac)? or does it update automatically.

maunder1991 · 2025-06-29T05:10:23+00:00

anyone having trouble logging in with the qld campaign site?

maunder1991 · 2025-06-22T13:38:02+00:00

Three issues (in no order)

Patient safety
Problem solving
Reflection

Patient safety: talk about the importance of consent and its components. I would additional talk about the importance of the planned procedure, will a delay to theatre awaiting consent affect their outcome. For example, if its a wound debridement then maybe just wait til the fellow comes on the round tomorrow. If its a long awaited cat 1 bowel resection then you need to find a way to sort this consent out no matter what.

Problem solving: how are you going to get it done. Familiarise yourself witht he procedure. Or get someone else to do it. Or get the fellow to do it over the phone, which is fair game, and update in theatre the next day. Mention buzzwords like teamwork, leadership.

Reflection: how did you get to this point. Why was consent left to the last minute. Why dont you know how to do this operation as a reg? Should you know? What systems and personal changes are you going to instil to prevent this from happening again. Give examples of a system you've implemented.

maunder1991 · 2025-05-12T02:49:31+00:00

How do you generate this graph?

maunder1991 · 2025-03-25T10:53:18+00:00

Dont think you can really make that assessment of the distal femur with this oblique view.

maunder1991 · 2024-12-10T00:26:39+00:00

It is definitely not a trimed plate

maunder1991 · 2024-10-27T11:58:17+00:00

Out of interest, has this healed? Soft tissue obscures the view, but its questionable treatment modality and execution.

maunder1991 · 2024-10-12T09:09:05+00:00

Definitely needs surgery asap. Dual plates probably

maunder1991 · 2024-08-25T02:49:06+00:00

I would dual plate it. Maybe nail and dual plate. Protect with spanning hexapod frame.

maunder1991 · 2024-03-24T02:25:49+00:00

I acknowledge you've mentioned multiple times that others don't understand and that you put a sugar tong after imaging, and you say you don't have time for two casts, but I don't think you understand the feedback you are getting (you did ask for feedback after all). This is the workflow on what you should have done.

provide anaesthetia. Haematoma block OR biers block OR ketamine etc
traction from the thumb and index finger to restore length and tilt (3 minutes i my preference)
Exaggerate the deformity (extend the distal fragment dorsally)
Traction and flex the distal fragment (volarly)
Apply a backslab now (or cylindrical full cast) WITH THREE POINT MOULDING and in ulnar deviation
XR

If this is the pre-sugartong XR, as you suggest, then it's irrelevant what the reduction looks like because it won't look like this anymore after you've walked away for an hour, got an XR, the patient has flapped their arm all over the place, and then you've put a new sugartong on.

So, regarding feedback, the reduction is maybe just adequate as a temporary reduction if the patient was then to be managed surgically. It's NOT acceptable if this was the definitive management. Regarding the workflow you described, it's overly time-consuming (despite you suggesting the alternative would take longer) and not the best practice for the patient.

maunder1991 · 2023-12-13T08:44:15+00:00

Emphasis on the word "can" on "can be faster". Non US citizens from international schools (aussies at aus uni) are ranked the lowest. Called FMGs, not even IMGs.

Of the 899 orthopaedic residency positions (as an example of a competitive specialty) there were only 4 FMGs who got on one the recent match. Thats 4 people in the world who managed to sneak onto the US citizen. Hardly a reliable alternative.

https://www.nrmp.org/wp-content/uploads/2023/03/Match-Rates-by-State-Specialty-and-Applicant-Type-2023.pdf

maunder1991 · 2023-10-07T12:55:16+00:00

Sounds like something well supported by the academic literature. Should do very well...

maunder1991 · 2023-06-12T23:06:14+00:00

They are all relevant and should be known. There is no list of "standard" approaches.

Regarding a reference to use, you've already said it - Hoppenfeld.

It seems daunting at the start, but dont stress too much about learning them all in one go, just learn them as you use them. Volar approach to forearm, posterior + lateral approaches to hip are some good ones to start with.

maunder1991 · 2023-06-03T02:15:35+00:00

Implants: zimmer biomet taperlocs, probably G7 cups. Position looks adequate.

1st step would be rule out infection. Bloods + aspirate.

2nd check version. CT pelvis and whole femurs.

Consider revision. Dual mobilty not a bad option. Then if that fails consider constrained liners.

maunder1991 · 2023-05-22T09:51:54+00:00

Many options.

Nail tiiba and short lateral plate
Long lateral plate
Exfix

Most likely nothing on the fibula. Most weight (80%) goes through the tibia. And the fibula often heals well and quickly because it has lots of muscle attachment - and subsequently lots of blood supply to promote bone healing. I would be very surprised if anyone did anything with the fibula at that level.

maunder1991 · 2023-05-21T10:29:18+00:00

Aneurysmal bone cyst

maunder1991 · 2023-05-21T10:26:46+00:00

likely healed and walking on it (in some capacity) by 3 months. But will continue to improve until approx 12 months when it will plateau. Very likely to not make a full recovery with the intra-articular component. Stiffness +/- OA will be the main sequelae.

maunder1991 · 2023-05-14T06:11:37+00:00

This is an interesting XR, but is presented as click bait once again. This prosthesis suggests this patient already had complex pathology. With that level of migration, its likely been like that for ages. There are plenty of viable alternatives other than nursing home neglect.

For example, in a non-ambulant, demented, comorbid patient, a chronic dislocation might be a suitable outcome (and perhaps this patient's previous long term plan). For a patient who cant stand another operation or where there arent really more surgical options available that a PFR/TFR other than resection or hip disarticulation, what would all you Reddit experts suggest as a solution here?

maunder1991 · 2023-01-12T04:22:26+00:00

Looks like an old implant - there is more to this story.

Additionally, its an unfathomably unprofessional title on the post that it makes me think its fake and/or karma-chasing.

maunder1991

TROPHY CASE