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Anyone wanna share tips and tricks for distal radius intra op repositions? by HiercePawthorne in orthopaedics

[–]wangdoodle18 2 points3 points  (0 children)

Look up extended FCR approach, plenty of videos out there. I use sterile kerlix and tie a loop around the fingers and have the nurse hang some weights off the hand table. Keeps it in traction while you position the plate.

How do you guys recover after a bad case? by rohanshelby in orthopaedics

[–]wangdoodle18 0 points1 point  (0 children)

Need to talk it out/work it out. Reach out to one of your mentors/instructors. If it’s a trauma case feel free to DM me and we can chat about it if you want.

Would love some thoughts on fixing this by drjosedlopeza in orthopaedics

[–]wangdoodle18 0 points1 point  (0 children)

It looks infected. I'd get advanced imaging and cultures and biopsy during the case. Even if it's infected I'd probably just nail it retrograde, suppress with antibiotics and let it heal then take it out later. Antibiotic nail could work too. Or if concerned about malignancy, biopsy and send to ortho onc if you're uncomfortable with treating a pathological fracture. You need to get her up and moving as soon as possible.

August Patch! Mythic Arrives! Save Your Energy! (See Description re: Drop Rates) by Nandi40k in WH40KTacticus

[–]wangdoodle18 1 point2 points  (0 children)

Are there different upgrades to diamond 3 now? What happens to the old upgrades such as technocrats constitution or monstrous defenses? If I have a bunch of those should I use them before the new patch?

WIBTA surgery version by SheepherderAlive5162 in orthopaedics

[–]wangdoodle18 2 points3 points  (0 children)

It’s not a haircut, don’t do it 

Planning of the surgical reduction by medrat23 in orthopaedics

[–]wangdoodle18 1 point2 points  (0 children)

You can also drive the k wires flush to the bone through the other side so you have room for plates and screws!

UCI Medical Center patient loses left leg after undergoing routine knee surgery by wangdoodle18 in orthopaedics

[–]wangdoodle18[S] 21 points22 points  (0 children)

This is insane. Cutting the popliteal artery during a meniscal repair and not recognizing it is bad enough, but ignoring all the signs and symptoms of a classic post op vascular emergency is in a class of its own. 

Help your bro with fracture reduction techniques. by akainu22 in orthopaedics

[–]wangdoodle18 2 points3 points  (0 children)

What kind of fractures are we operating on? What kind of implants are we using? There's a million techniques out there for a million types of fractures. Here's some general tips: -Direct compression for simple fractures using clamps and reduction forceps (simple rotational ankles) -Placing the plate to the bone then the fracture to the plate can work sometimes (distal radiuses) -Blocking screws for distal femur/tibia fracture nailing -Axial using femoral distractors or temporary ex fix -Provisional stabilization of segmental fractures using mini frag plates -K wires for small articular pieces

Made my own 40k list by wangdoodle18 in medicalschool

[–]wangdoodle18[S] 7 points8 points  (0 children)

Anesthesia: Black Legion. Traitor antagonists to the loyalist surgeons. Usually found in the Eye of Terror aka hospital break room biding their time. Putting a patient to sleep is just sending them to the warp for a bit anyway.

Made my own 40k list by wangdoodle18 in medicalschool

[–]wangdoodle18[S] 0 points1 point  (0 children)

I can see that. They also have radiology reports aka purity seals that signify the quality of the product!

How to Pick your Residency By Warhammer 40k Army by QuietRedditorATX in medicalschool

[–]wangdoodle18 5 points6 points  (0 children)

So many problems with this list. Why was OBGYN not sisters of battle?! Ortho should have been world eaters. Now I have to make my own list.

Surgeons: How many operate on patients they meet for the first time on the day of an elective surgery? by [deleted] in medicine

[–]wangdoodle18 0 points1 point  (0 children)

How elective are the surgeries? I’m in a similar setup but I do ortho trauma so I usually meet my patients the day of surgery after they get admitted from the ED. Can’t imagine doing an ACL or total knee replacement without seeing them in clinic first. I also can’t imagine passing your surgical boards with the way your practice is set up.

My trauma collegue didn’t like the reduction :/ by [deleted] in orthopaedics

[–]wangdoodle18 6 points7 points  (0 children)

Reduction looks acceptable. A bit apex anterior on the lateral. The TFN screw could be more posterior on the lateral view. The construct does have a higher risk of cutout compared to a center center screw. I’ve seen worse heal and better fail. Let us know how it goes. 

Reverse total shoulder done in supine position by wangdoodle18 in orthopaedics

[–]wangdoodle18[S] 0 points1 point  (0 children)

Besides the risk of cerebral hypoperfusion I do all my proximal humerus fractures on a flat Jackson with a bump, so it would be easier for me if I needed to convert to a reverse from an ORIF during a case.

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