OE OrthoPod

In this episode, Dr. Mohit Bhandari sits down with Dr. Niloofar Dehghan to discuss the newly published JAMA paper titled "Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries." 

In this episode, Dr. Mohit Bhandari sits down with two orthopedic residents, Dr. Aaron Gazendam and Dr. Seper Ekhtiari, to discuss their newly published JAMA paper titled “Effect of a postoperative multimodal opioid-sparing protocol vs standard opioid prescribing on postoperative opioid consumption after knee or shoulder arthroscopy.”

In this episode, Dr. Bhandari is joined in studio by Dr. Gerard Slobogean. They discuss Dr. Slobogean's pathway to success in clinical research  and what it means to "make it" in clinical research. How to achieve success, and how to plan what's next after large clinical trials. 

In this episode, Marc and Mo are joined by special guests Matt Schmitz (JBJS Deputy Editor for Social Media; San Antonio Military Medical Center; Uniformed Services University of the Health Sciences; Brooke Army Medical Center) and Patrick Osborn (Brooke Army Medical Center; Baptist Health System) in a discussion on the research being done by the Major Extremity Trauma and Rehabilitation Consortium (METRC) and how the knowledge gained has impacted the ability of the orthopaedic surgeon to treat the injured warrior.

In this episode, Dr. Mohit Bhandari sits down with Dr. David Beard, to discuss his newly published Lancet paper titled "Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP)".

In this episode, Dr. Mohit Bhandari sits down with Dr. Jason Busse, to discuss his newly published British Journal of Anesthesia paper titled "Comparative benefits and harms of individual opioids for chronic non-cancer pain: a systematic review and network meta-analysis of randomized trials".  They discuss how the research team examined the comparative effects of individual opioids for chronic non-cancer pain through a network meta-analysis of randomized controlled trials.

One of the most common questions we get asked.. "How do you have the time?". In part 3, we discuss our personal journey to success and the impact of reflection..

In a period of virtual burnout, we discuss the exciting shift back to in person collaboration and its impact on productivity..

It's all about refocusing.. in part 2 we discuss how one small mindset change can change your entire outlook on life..

In this episode, OE's Editor-in-Chief, Dr. Mohit Bhandari, sits down with author, Dr. Andy Metcalfe, to discuss the unexpected findings of the newly published RCT in the Lancet titled; Subacromial balloon spacer for irreparable rotator cuff tears of the shoulder: a group-sequential, double-blind, multicenter randomized controlled trial. 

Distracted driving is a major contributor to the rising rates of deaths and injuries due to MVCs. Nearly every patient in the survey study acknowledged distracted driving at least sometimes, according to the new research, led by Bill Ristevski, MD, of McMaster University, Hamilton, Ont., Canada. "Essentially, despite the apparent dangers, all drivers engage in distracting behavior," the researchers write. There is a higher risk of crash for 'distraction-prone' drivers. In a nationwide study, 1,378 patients being treated at four Canadian fracture clinics completed...

In this episode, OE's Editor-in-Chief, Dr. Mohit Bhandari, sits down with Principal Investigator, Dr. PJ Devereaux, to discuss the exciting findings of the newly published POISE-3 Randomized Control Trial, the largest trial to date that looked at tranexamic acid in patients undergoing noncardiac surgery. Listen now!

With the increasing publicity and interest in novel approaches for Total Hip Arthroplasty, many surgeons are feeling pressure to make changes to their practice. The pathway to change includes many obstacles for surgeons working in a non-academic environment including but not limited to: taking time from a busy practice, finding good mentors, altering hospital protocols, and overcoming the learning curve. But what does the evidence tell us? Are the outcomes really that much different to support the appetite for change?

In this episode, Dr. Mohit Bhandari is joined by special guest Dr. Matthew Costa, trailblazer in large clinical trials, to discuss a recently published milestone paper in the NEJM titled "Cemented or Uncemented Hemi-Arthroplasty for Intracapsular Hip Fractures". 

In this episode, Mo is joined by special guest Dr. Rohit Ramchandani, a member of the WHO Independent Panel for COVID-19 response, in an interesting discussion on the lessons learned of the present pandemic to ensure our systems are robust enough to......

OE Headliner:Spinal vs General Anesthesia in Hip Fracture Surgeries: It's a DrawFast Five Stories: Is 2 Years Too Much? PROMS for TKAIs there trouble in PRP Paradise?Hardware Removal May Be More Complicated Than You Think… Could AI Predict Sports Injuries in Athletes?  UFC Fighter Returns to Ring After Hip Replacement

OE Headlines:Medical Cannabis or Cannabinoids for Chronic Pain: A Clinical Practice Guideline https://www.bmj.com/content/374/bmj.n2040 Fast 5 Stories:1. Emerging Opioid Problem Due to Longer Surgical Wait Lists https://pubmed.ncbi.nlm.nih.gov/34521769/2. The New AAOS Guidelines-and Injectables https://ryortho.com/breaking/aaos-updates-knee-oa-guideline-highlights-zilretta/3. Should We Trust Drug Trials That Stop Early for Benefit? https://www.merck.com/news/merck-and-ridgebacks-investigational-oral-antiviral-molnupiravir-reduced-the-risk-of-hospitalization-or-death-by-approximately-50-percent-compared-to-placebo-for-patients-with-mild-or-moderat/4. Early Weightbearing vs Non Weightbearing After Operative Treatment of an Ankle Fracture https://pubmed.ncbi.nlm.nih.gov/34251882/5. Degenerative Lumbar Spondylolisthesis: Decompression with or without Fusion https://www.nejm.org/doi/full/10.1056/NEJMoa2100990

OE Headlines 03

OE Headliner: 10 Procedures Under Scrutiny:  https://www.bmj.com/content/374/bmj.n... Fast Five:1.      A New Gold Standard for Humeral Shaft Fractures?https://myorthoevidence.com/AceReport...2.      The Ongoing Delta Variant Disaster https://myorthoevidence.com/Blog/Show...3.      Olympic Injuries: Genevieve Gregson's Achilles Tendon Rupture https://www.myorthoevidence.com/AceRe...4.      Olympic Injuries: Kasia Gruchalla-Wesierski's Clavicle Fracture https://myorthoevidence.com/AceReport...5.      Conor McGregor's Injury Update

Welcome to OE Headlines, OE's new podcast show where experts give their take on trending topics in orthopaedics, musculoskeletal research, and more! Episode 1:OE Headliner: Distal Tibia Fracture: Conor McGregor Fast Five Stories:  1. Cannabis & Sports Health (article referenced: https://www.ncbi.nlm.nih.gov/pmc/arti...) 2. COVID-19: Let's Talk Immunity (article referenced: https://www.bmj.com/content/373/bmj.n...) 3. Best Interventions for Surgical Infections (article referenced: https://myorthoevidence.com/Insight/S...)4. Redefining the Future of Surgical Care (article referencedhttps://myorthoevidence.com/Insight/S...)5. To Cement or Not to Cement: Hip Fracture Arthroplasty (article referenced: https://www.arthroplastyjournal.org/a...)Have questions or would like our experts to discuss a specific topic? Email your questions to headlines@myorthoevidence.com

OE Headliner: 10 Procedures Under Scrutiny:   https://www.bmj.com/content/374/bmj.n1511Fast Five:1.      A New Gold Standard for Proximal Humerus Fractures?https://myorthoevidence.com/AceReports/Report/36022.      The Ongoing Delta Variant Disaster: https://myorthoevidence.com/Blog/Show/1423.      Olympic Injuries: Genevieve Gregson's Achilles Tendon Rupture https://www.myorthoevidence.com/AceReports/Report/112294.      Olympic Injuries: Kasia Gruchalla-Wesierski's Clavicle Fracture https://myorthoevidence.com/AceReports/Report/120485.      Conor McGregor's Injury Update

Welcome to OE Headlines, OE's new podcast show where experts give their take on trending topics in orthopaedics, musculoskeletal research, and more! Episode 1:OE Headliner: Distal Tibia Fracture: Conor McGregor Fast Five Stories:  1. Cannabis & Sports Health (article referenced: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040945/pdf/10.1177_1941738120901670.pdf ) 2. COVID-19: Let's Talk Immunity (article referenced: https://www.bmj.com/content/373/bmj.n1605) 3. Best Interventions for Surgical Infections (article referenced: https://myorthoevidence.com/Insight/Show/89)4. Redefining the Future of Surgical Care (article referenced: https://myorthoevidence.com/Insight/Show/88)5. To Cement or Not to Cement: Hip Fracture Arthroplasty (article referenced: https://www.arthroplastyjournal.org/article/S0883-5403(20)30762-2/fulltext)Have questions or would like our experts to discuss a specific topic? Email your questions to headlines@myorthoevidence.com

Dr. Amal KhouryOrthopaedic Trauma SurgeonDivision Head, Orthopaedic SurgeryTel Aviv Medical Centre

Alaa AhmadPaediatric Orthopaedic SurgeonProfessor, Palestine Polytechnic UniversityAdjunct Professor, University of Toledo, Ohio, USAChair of Spine Committee, SICOTPresident-Elect World Orthopaedic ConcernLearn and Watch More At www.myorthoevidence.com

Co-Founders of Research Anchor Publishing, Dr. Mustafa Citak, and Sophia-Marlene Busch, discuss their new platform which provides practice-oriented consulting and support for clinical researchers around the world.

Dr. Brad Petrisor and Dr. Mohit Bhandari discuss Open Fractures: Trials, Tribulations and Tiger Woods.

Prof. Femi Ayeni, MD, PhD, FRCSCAcademic Division Head: Orthopaedic SurgeryDepartment of SurgeryMcMaster UniversityOur analysis uncovered 3 Core Themes:Trending topics: role of hip preservation, remote education using virtual approaches, and biologics in surgery.Arthroscopic osteochondroplasty is beneficial for young adults with femoroacetabular impingement.Global collaboration is important in large trials.

Drs. Khan and Bhandari talked about the trending topics of shoulder conditions, important studies to read and the research questions yet to be answered. Our discussion uncovered 4 core themes. These themes are outlined below.Surgery does not show benefit for shoulder impingement syndromeThe role of biologics in rotator cuff surgeryInstabilityThe role of templating and augmented reality in shoulder arthroplasty

OrthoPod's Dr. Mohit Bhandari follows up with Dr. Fadi Zen-El-Abidine 4 months after the Beirut explosion.

Dr Nina Ahuja, BScHons, MD, FRCSC, CHEAcademic Division Head, Ophthalmology Associate Clinical Professor,Department of Surgery, McMaster University, Hamilton, ONFounder, Docs in Leadership

OrthoEvidence Editor-in-Chief, Dr. Mohit Bhandari, speaks to Dr. Zain Chagla, Infectious Disease Specialist, McMaster University, about the current status of the second COVID-19 wave in Canada.

Danny Whelan MD, FRCSC, MScAssociate Professor Orthopaedic SurgeryUniversity of Toronto

Carlos Leal, MDOrthopedic Surgeon from Bosque University in Bogotá, ColombiaPostdoctoral Fellow in Biomechanics and Research at Harvard UniversityFellow in Knee Surgery from NYU’s Hospital for Joint Diseases inNew York and the Aspen Valley Clinic in ColoradoInternational Leader In Regenerative Orthopedics, Stem Cells And Shockwave Medicine

Sir John Charnley said “joint sepsis will be the major hurdle in our way in the future”. His words are still valid. Periprosthetic joint infection is one of the most catastrophic complications in orthopedic surgery. Prevention is crucial. Join us for an interactive, lively and informative discussion regarding 2 of the most controversial intraoperative procedures to prevent PJI. Thinking BIG, two Bigs RCT of these issues will start in the future.Insights:Intraoperative Irrigation solutionsAntibiotic loaded cementKeynoteJoan Minguell MonyartHead of Orthopedic Surgery and Traumatology Service (COT) since 2016University Hospital Vall d’HebronBarcelona, SpainErnesto Guerra, MDConsultant Trauma and Orthopaedic SurgeryUniversity Hospital Vall d’HebronBarcelona, Spain

KeynoteDr. Herman Johal MD, MPH, FRCSCAssistant Professor in Orthopaedic SurgeryDepartment of SurgeryMcMaster University

Insights:Identifying and Choosing A NichePearls About MentorshipOptimizing Performance and Receiving FeedbackKeynoteO.R. (Femi) Ayeni MD, PhD FRCSC, Dip Sport Med.Professor & Division Head: Orthopaedic SurgeryMcMaster University

For over 20 years the Italian Evidence-Based Orthopaedics Working Group (GLOBE) has been promoting evidence-based medicine (EBM) in orthopaedics and traumatology. However, despite a constant and wide-ranging editorial production and fruitful collaborations with colleagues and institutions at national and international level which will be briefly reviewed, it seems that the orthopaedic scientific community still finds it difficult to recognize the EBM model as a solid reference: there are few guidelines available, there is little awareness of their usefulness, and the complexity of the methodology of production and adaptation of documents widens the gap between the orthopaedic real world and that of clinical epidemiology. The presentation will try a quick analysis of the causes of this contrast, to reflect on the possible solutions to the problem, also trying to incorporate some of the lessons learned during the CoViD-19 pandemic, but will inevitably leave more questions than answers…Insights:New technologies: jumping a flight of stairs?Arthroplasty Registries and CochraneGuidelines in Orthopaedics: what went wrongCan the CoViD-19 pandemic teach us something? Are high quality evidence and real world clinical practice necessarily in contrast?KeynoteGustavo Zanoli MD, PhD,Orthopaedic surgeon,GLOBE, (Italian Evidence-Based Orthopaedics Working Group)Surgical Editor for the CochraneMusculo-skeletal GroupFerrara, Italy

Patients commonly present with acute pain secondary to an acute injury, and there are dozens of potential options for addressing their pain. Most trials explore the effectiveness of a treatment option versus placebo or sham therapy, which complicates assessment of comparative effectiveness among competing therapies. We will discuss the role of network meta-analyses to inform comparative effectiveness, despite limited evidence from head-to-head trials.Insights:An evolving approach for informing comparative effectiveness of competing interventionsOptimizing interpretation of effect estimatesConsideration of net benefit (benefits and harms)Advantages of a partially contextualized approach to interpreting network estimates vs. surface under the cumulative ranking curve (SUCRA)KeynoteJason Busse DC, PhDAssociate ProfessorAssociate Director, Michael G. DeGroote Centre for Medicinal Cannabis ResearchAnesthesia & Health Research Methods, Evidence, and Impact

It is becoming clear that gender bias and gender-based data gaps are everywhere, even in orthopaedics. But, isn’t an arthritic knee an arthritic knee? Perhaps not. Gender bias is evident in how surgical procedures are offered and large data gaps exist in assessing clinical outcomes after surgery. This discussion will review how gender bias manifests for our orthopaedic surgery patients with regards to diagnosis, treatment and how we assess clinical outcomes. For us to better understand these factors, more women need to be enrolled in clinical trials. Also, in order to provide optimal care for our patients, gender-specific analysis of outcome data with consideration of confounding variables, will be of paramount importanceInsights:There are differences in how and when men and women are offered orthopaedic surgical proceduresThere are gender differences in how clinicians perceive disability and pain in patientsWomen are not represented equally in orthopaedic clinical trialsResearch data is often not presented with gender specific contextsThere are confounding variables with regard to gender that may bias clinical resultsKeynoteLaurie A Hiemstra, MD, PhD, FRCS(C)Orthopaedic Surgeon/Director of Research at Banff Sport Medicine FoundationAssociate Professor at University of Calgary

Paul J. Moroz, MD, MSc, FRCSC, FAAOSPediatric Orthopaedic and Spine SurgeonShriners Hospitals for Children – HonoluluAssociate Clinical Professor, Department of Surgery,John A. Burns School of Medicine, University of Hawaii.

Do we allow cherry picking and lemon dropping? Or is this a way to implement evidence and evaluate the effect of implementation?In this session I will explain the VBHC project on hip osteoarthritis we are running in a group of seven teaching hospitals in the Netherlands. We implemented the best available evidence on post operative restrictions. Did this result in more dislocations following THA? How will we sell this to insurance companies? Best results or Growth Mindset?Insights:How is this setup?What makes it a success?What could take us to the next level of evidence implementation? Will routine outcome measurement result in cherry picking and lemon dropping?Pay for performance? Or pay for improvement?

Peter Giannoudis BSC, MD, FACS, FRCS (Glasg), FRCS (Eng)Professor & ChairmanTrauma & Orthopaedic SurgerySchool of MedicineUniversity of Leeds, UK

Insights:Hard work is essential for success and realisation of one’s ambition but however it should not be in excess and at the sacrifice of the family friends and physical and mental health.Young surgeons must learn to differentiate very quickly between hard work from stress. While hard work has not killed anybody, there are many people who have died of stress. Stress usually comes out of poor performance.“Work Life Balance” is essentially “Work Wife Balance” and once the family is in alignment with the ambitions and aspirations of a person, most problems are solved.The power for hard work is given by “Vitamin P” (Passion) and not by the drive for “Vitamin M” (Money)

Parag Sancheti FRCS (Ed), MS (ORTH), DNB (ORTH), MCh (UK),Ph.D (Dundee, UK)Professor & ChairmanSancheti Institute for Orthopaedics & RehabilitationSecretary General – BJD (Bone and Joint Decade) – WHOAcademic Council Member- Symbiosis International UniversityAcademic Council Member- Bharati Vidyapeeth University