Podcasts about orthopaedics

This episode is sponsored by Bonebridge, the Swiss medical device manufacturer dedicated to reducing complexity in orthopaedic trauma care. Join Dr. Marc Swiontkowski of the University of Minnesota in Minneapolis, Dr. Chip Routt of UTHealth McGovern Medical School in Houston, Texas and Dr. Michael Miranda of Orthopaedic Associates of Hartford in Hartford, Connecticut for a conversation about simplifying orthopaedic fracture fixation.  The three surgeons explore the roots of the minimalist, biology-first approach to fixation, and ask whether today's larger constructs and ever-growing implant systems are serving patients as intended. Drawing on decades of experience from the OR, the laboratory, and teaching residents, the surgeons discuss where the subspecialty of orthopaedic trauma has drifted, and offer practical advice for guiding younger surgeons to ask better questions before they open the tray. These and more topics will be discussed at the Bonebridge Education Inaugural Luncheon Symposium on Thursday, September 24th, at 12:40 PM in Exhibit Hall 4 at the OTA Annual Meeting in Nashville, TN. Learn more and plan your attendance at https://bonebridge.us/events

In this episode of the AAOS Now Podcast, host Doug Lundy, MD, MBA, FAAOS, sits down with two guests who offer differing perspectives about the American Board of Orthopaedic Surgery (ABOS) Knowledge, Skills, and Behavior (KSB) Program. David F. Martin, MD, Executive Director of the ABOS, offers the board's perspective on why the Knowledge, Skills, and Behavior (KSB) Program exists, why it is now required, and where it's headed; Ellen Lutnick, MD, a PGY5 at the University of Buffalo and chair of the AAOS Resident Assembly Executive Committee, shares her experience of living with the program day to day. Together, they trace the KSB Program from its 2018 launch through its 2025 requirement for residents entering the ABOS Part I exam pathway.  Dr. Martin explains that the program grew out of decades of interest in competency-based medical education and a recognition that time alone doesn't guarantee a resident has developed adequate orthopaedic knowledge, surgical skill, and professional behavior. He walks through why the ABOS made participation mandatory, how the program integrates with ACGME case logging, and the distinction between formative feedback – meant to help residents improve – and summative feedback, like board exams, that produces a pass or fail outcome. Dr. Lutnick describes how the program was rolled out at Buffalo, what it's actually like to request feedback after or before a case, and how she's learned to be strategic about which cases to submit for evaluation. She also speaks candidly about receiving feedback she disagreed with, how professional behavior assessments surface blind spots, and what other residents have told her they would like to see change about the KSB Program. The conversation closes with a look at where the program might go next, including whether the ABOS will eventually tie participation to specific performance scores rather than just completion numbers. Dr. Martin encourages residents to reach out with feedback so ABOS can continue to make the assessments even more helpful and easier to incorporate into a resident's busy schedule. Key topics covered in this episode: The origins of the KSB Program and its roots in competency-based medical education Why the ABOS chose to make KSB participation a requirement for the Part I exam Integration between the ABOS case entry system and the ACGME The difference between formative and summative assessment in residency training Strategies to help residents decide which cases to submit for surgical skills evaluation How professional behavior assessments are designed to identify outliers rather than track linear growth The role of verbal vs. written feedback in resident education Resident perspectives on receiving and processing critical feedback Survey fatigue and efforts to streamline the evaluation process What residents want to see improved, including access to individual professional behavior results Where the program may be headed, including the possibility of performance-based scoring requirements Residents starting to navigate the KSB Program will find real value in hearing how a peer has learned to use the tool strategically, not just to meet a requirement, but to actively shape the feedback they receive. Host: Doug Lundy, MD, MBA, FAAOS, Deputy Editor, AAOS Now; Chair, AAOS Now Podcast Workgroup Guests: David F. Martin, MD, Executive Director, American Board of Orthopaedic Surgery; Professor, Orthopaedic Surgery and Rehabilitation (Winston-Salem), Wake Forest University School of Medicine Ellen Lutnick, MD, Chair, AAOS Resident Assembly Executive Committee; PGY5 and Resident Research Coordinator, University of Buffalo Department of Orthopaedics and Sports Medicine

From the AOSSM annual meeting in Seattle, tune in to Dr. Reider's conversation with Dr. Zaffagnini, Professor of Orthopaedics and Traumatology at the Faculty of Medicine of the University of Bologna and Head of the Orthopaedics and Traumatology II Clinic of the Rizzoli Orthopaedic Institute. From his early days working under the mentorship of Dr. Freddy Fu in Pittsburg to chairman of major orthopaedic congresses, hear his expert tips in areas such as lateral extra-articular reconstruction, knee replacement, and infrared thermography in the evaluation of the arthritic knee. Looking ahead as both a physician and an editor, Dr. Zaffagnini shares his thoughts on the place of AI in patient care and its potential impacts on the practice of sports medicine. Named the World Ambassador of the city of Bologna, he can also recommend the best Italian dishes!

In this episode of the AAOS Now Podcast, host Ahmed Emara, MD, speaks with Nathan Mesko, MD, FAAOS, to explore the limits of orthopaedic surgery and the difficult decisions surrounding “heroic” measures.  Dr. Mesko draws on 13 years of experience in orthopaedic oncology and joint reconstruction to unpack what "heroic" really means in surgery. He argues that heroism has less to do with technical difficulty – ”can I perform this procedure” – and more to do with what a patient is being asked to endure to reach a surgeon's envisioned outcome. Throughout the conversation, Dr. Mesko returns to a central idea: Surgical capability should always be outpaced by wisdom. He walks through how to recognize when the push toward a heroic operation is being driven by the surgeon rather than the patient, and he offers concrete techniques for having honest, humane conversations with patients around amputation, cancer diagnoses, and end of life. He also discusses the emotional toll of these decisions, including guilt, escalation of commitment, and how surgeons can build the humility and self-forgiveness needed for a sustainable career. The episode closes with a personal story that illustrates why staying present with a patient and not turning away from them, even after a frustrating conversation, can matter even more than the surgery itself. Key topics covered: Defining "heroic" measures in orthopaedic surgery and how that threshold shifts over a surgeon's career as the surgeon matures, including the evolution from saying "yes" to every procedure to knowing when to say "no” The challenges of actually getting informed consent for maiming or life-altering procedures, such as sacral resections and proximal femoral replacements, given the challenge of explaining to patients how much the procedure will impact their daily life Recognizing when surgical momentum is being driven by the surgeon rather than the patient, including escalation of commitment and the sunken cost fallacy in surgical decision-making The value of physically equalizing the conversation, such as pulling up a chair and sitting down rather than towering over the patient, to build trust and openness The importance of listening to patients before recommending treatment options to ensure that the treatment aligns with the patient's goals and personal wishes Strategies for guarding against unnecessary repeat interventions, including peer consultation and pausing after setbacks Rethinking success in orthopaedics beyond X-rays and implant longevity, including patient-reported outcomes Managing surgeon guilt, self-forgiveness, and separating outcomes from the integrity of the decision-making process The importance of never leaving a patient without a clear next step or follow-up plan Listeners are encouraged to reflect not only on how they operate, but on how and why they decide to operate at all. Host: Ahmed Emara, MD, member, AAOS Now Editorial BoardGuest: Nathan Mesko, MD, FAAOS, Vice Chair of Global Clinical Operations, Center Director for Orthopaedic Oncology, and Associate Professor, departments of Orthopaedics (Integrated Surgical Institute) and Hematology/Oncology, Cleveland Clinic

Episode Summary With sub-internship (away rotation) season approaching, the hosts pull back the curtain on what orthopaedic faculty and residents are actually evaluating when a visiting medical student rotates through their program — and how to make the most of a high-stakes, high-anxiety few weeks that can shape where a student matches. Timestamps 00:00 — Intro Welcome and standard disclaimer: discussion is for informational purposes only, not professional medical advice. Setup for the episode topic — sub-internships and the residency match process. 00:30 — What sub-internships are and why they're stressful Framing the away rotation as an audition: students are trying to show programs who they are in a compressed, high-pressure window, often while living out of a temporary apartment in an unfamiliar city. 03:00 — What "being a good fit" actually means Programs are evaluating who they'll want to work closely with for 5 years — not just intelligence, but genuine likability and motivation. Surgical skill and knowledge can be taught; character is harder to change. 06:00 — Knowing your patients cold Being over-prepared on rounds — knowing the patient's history as well as or better than the intern — is one of the clearest signals of a strong sub-intern. Also covers outpatient/clinic prep and being a true team player, not just to faculty but to residents and staff alike. 09:00 — It's not about what you know — it's how you think Faculty don't expect med students to have read every paper. What stands out is how a student approaches an unfamiliar problem, reasons through it, and engages honestly rather than performing. Also: don't fake being busy or "look like you're learning" for show — it's noticeable. 12:00 — Phones, timing, and letters of recommendation Being visibly on your phone reads badly, even if you're doing legitimate reading between cases. Advice to request letters of recommendation about a week in advance so faculty can ask a few thoughtful questions about motivation and goals, rather than being asked last-minute. 15:00 — Flip the script: evaluating the program Sub-internships are a two-way evaluation. What to watch for: whether junior residents are progressing appropriately (a junior who already "knows everything" like a senior isn't actually a good sign — it may mean the program lacks structured teaching), how happy residents seem, and practical factors like hospital type (county vs. academic vs. hybrid) and commute/travel time. 18:00 — Talking about research in interviews Advice on discussing research authentically rather than treating it as a checklist. How to "spin" even offbeat research topics into a genuine, engaging conversation — with personal examples from silk moth cocoon biology to heart transplant genetics. 21:00 — Electives worth adding: psychiatry and emergency medicine A case for adding a real psychiatry rotation to build empathy and understanding of how depression, anxiety, and chronic pain intersect with orthopaedic care — plus a recommendation for an emergency medicine rotation to build consult and acute-care skills. 24:00 — Recommended resources and final advice A recommended online video resource for students transitioning from med student to resident, covering surgical basics and interview prep. Reflection on how important — and exciting — the sub-internship and match process is. 26:00 — Closing story and outro The hosts trade "craziest sub-I moment" stories, including a memorable case involving a corrective surgical procedure and a valet-parking mishap with a very expensive sports car. Standard sign-off and where to find the show on social media. Key Takeaways -Sub-internships are as much a character evaluation as a skills evaluation — programs are choosing a colleague for the next 5 years, not just a technically skilled trainee. -Being over-prepared on your patients and being genuinely kind to residents, faculty, and staff are among the strongest signals a program looks for. -Avoid "performing" for evaluators — faking productivity (phone use, fake studying) is more noticeable than students think. -Request letters of recommendation early — about a week ahead — to give faculty time for a thoughtful conversation. -Students should also be evaluating the program: resident happiness, teaching structure, and practical logistics all matter. -Consider adding psychiatry and emergency medicine electives for skills directly relevant to orthopaedic practice. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

The advent of Name, Image, and Likeness (NIL) legislation has changed college sports profoundly. NIL now extends beyond the collegiate ranks to high school athletes and younger. While the financial stakes now in play for young athletes have had obvious impacts on the sports they play, what may be less obvious are the ramifications for Sports Medicine providers caring for these athletes. We welcome Dr. George Richard, MD from Rothman Orthopaedics Florida & Dr. Kevin Farmer, MD from University of Florida to discuss the changing landscape for those of us caring for youth athletes in this age of NIL.

Hear from two experts in osteoporosis as they introduce the Osteoporosis Action Network—a volunteer coalition of osteoporosis leaders and industry partners focused on redefining the standard of care in osteoporosis, with a bold ambition of preventing 3 million fractures by 2033. Rita Roy, MD, CEO, National Spine Health Foundation will discuss the coalition's mission and vision, while Susan Bukata, MD, Professor and Chair, Department of Orthopaedics, UC San Diego, will discuss the motivation behind the creation of the coalition and share her experience with post-fracture care programs. Listeners will gain insights into action they can take to get post-fracture care programs off the ground and close care gaps. Dr. Roy and Dr. Bukata are paid consultants for Amgen. Initial support for Osteoporosis Action Network provided by Amgen.This episode is sponsored by Amgen.

Join Professor Peter Nash from the Griffith University in Brisbane, and Laura Coates, Professor at the University of Oxford's Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, as they discuss a recent paper ‘Ixekizumab with tirzepatide achieved greater disease control than ixekizumab alone in adults with psoriatic arthritis and overweight or obesity: Results from a randomized clinical trial'.

In this episode of the NAON No Bones About it Podcast our host Matt Lowe talks with his guest Emily Will about the history and current state of AI-enabled decision support, virtual nursing, and patient engagement technology in real-world care delivery. They discuss the speedy transition to AI and the benefits and pitfalls of adopting AI into nursing workflows including orthopaedic and ambulatory nursing along with implementation strategies for generational nursing differences.

In todays episode, Dr Lisa breaks down the top 5 exercises for muscle activation of the glute max and why these exercises are important for runners to add into their strength routineRunners Complete Program: 12 week strength and mobility program that helps runners prevent injuries and run stronger. Receive 3 full body strength workouts that take 45 minutes and 3 post run mobility routines each week. Has helped over 2,000 runners take the guesswork out of what they should be doing outside of runningHip Program: At home rehab program for hip injuries including hip impingement, gluteal tendinopathy, low back soreness/pain, SIJ pain, psoas/hip flexor pain, piriformis syndrome and ITB syndromeRunners Knee Program: At home rehab program for pain around the kneecap, under the knee cap or around the joint lineFoot and Ankle Program: At home rehab program for injuries including plantar fasciitis, shin splints, achilles tendinopathy, ankle sprains, posterior tibialis pain and big toe painToe Spacers (use discount code DRLISA10)Mobo Board (use discount code DRLISAMITRO10)Research:Contreras B, et al. An electromyographic comparison of gluteus maximus activation during common strength exercises. Journal of Applied Biomechanics. 2015. Boren K, et al. Electromyographic analysis of gluteus medius and gluteus maximus exercises. International Journal of Sports Physical Therapy. 2011.  Distefano LJ, et al. Gluteal muscle activation during common therapeutic exercises. Journal of Orthopaedic & Sports Physical Therapy. 2009.  Reiman MP, et al. A systematic review of gluteus maximus and gluteus medius activation during rehabilitation exercises. International Journal of Sports Physical Therapy. 2012.  Neto WK, et al. Systematic reviews comparing hip thrusts, squats, and other resistance exercises for gluteal activation and hypertrophy.

Join our online community: https://www.skool.com/nailed-it-ortho/about  Watch online here: https://youtu.be/zG3EcWPYojw  The goal of these episodes is to go over the most cited articles in a certain topic over the past 15-20 years to give learners an idea of what articles are being read and what are some of the important studies out there to read! In this episode we have Samuel Fuller, a resident at University at Buffalo, Matthew Alben, a resident at University at Buffalo, Matthew Corsi, a resident at Corewell East/Beaumont RO, Teja Polisetty, a resident at Harvard University, Vahram Gamsarian, a resident at University at Buffalo, and Nicholas Frappa, a third-year medical student at University at Buffalo. They discuss Total Shoulder Arthroplasty.  Enjoy! Ortho Essentials 101: The #1 prep course for orthopaedic surgery rotations and intern year. Join over 100 others and learn Orthopaedics! courses.naileditortho.com

In this episode of the AAOS Now Podcast, host Stuart J. Fischer, MD, FAAOS, speaks with two leaders in orthopaedic data science about how physician-controlled registries are transforming outcomes measurement, implant evaluation, and clinical decision-making. From the early vision of a national joint replacement registry to a new real-time data partnership with Epic, the conversation traces how far the registries have come and where they are headed. Drs. James Huddleston and Steven Glassman share concrete examples of how registry data is driving practice change. They also address how the data supports Clinical Practice Guidelines and research, why surgeon and patient information is protected from outside access, and what the integration of AI and patient-reported outcomes means for the next generation of orthopaedic registries. Key Topics Covered in This Episode: Origins and goals of the AAOS registry portfolio: How orthopaedic surgeons built a physician-controlled data infrastructure to protect procedures and drive evidence-based care Data sources and infrastructure: AJRR's use of hospital and ASC submissions, Medicare claims for complete follow-up on Medicare patients, and a new Epic Community Registries partnership for real-time data capture Registry scale and participation gaps: Why AJRR has surpassed five million procedures while spine, shoulder and elbow, and musculoskeletal oncology registries are still building volume Real-world clinical impact: How AJRR data has influenced cementless knee adoption, robotics use in unicompartmental arthroplasty, and the growth of triple-tapered femoral stems in hip replacement Research and CPG applications: How the Registry Analytics Institute supports physician-led and industry-sponsored research, with strict controls on data dissemination Patient-reported outcomes: The longstanding role of PROMs in spine and the challenges of scaling PROM collection for hip and knee under new government mandates Data privacy: Why registry data remains de-identified and inaccessible to insurers and government agencies, and what individual surgeon dashboards can offer International comparisons and ISAR: How AJRR benchmarks against registries in England, Wales, and beyond, and why U.S.-specific data remains essential AI and the future of registries: How AJRR is piloting AI-powered EHR extraction to improve data completeness without human intervention About Our Guests: James Huddleston III, MD, FAAOS, is Professor of Orthopaedic Surgery at Stanford Hospital; Co-Chair of the AAOS Registry Oversight Committee; and Chair of the American Joint Replacement Registry Steering Committee Steven D. Glassman, MD, FAAOS, is Professor of Orthopaedic Surgery at the University of Louisville School of Medicine; Medical Director at the Norton Leatherman Spine Center; Chair of the AAOS Registry Oversight Committee; and past Chair of the American Spine Registry Executive Committee

If orthopaedic surgeons stop showing up, who decides what our profession becomes? We sit down with Dr. Fred Azar, past president of the American Academy of Orthopaedic Surgeons, a longtime leader and current Department Chair at Campbell Clinic Orthopaedics, to talk about the future of organizational involvement in orthopaedic surgery and why it matters more than ever as healthcare grows more complex.We get practical about the pressures surgeons feel right now: hospital employment, limited reimbursement for memberships, shrinking time, and the reality that many clinicians no longer want to “fly to learn.” Dr. Azar argues that the winning model is not meeting-based societies but connected knowledge networks where education, mentorship, data science, AI, and shared outcomes move fast and reach surgeons where they live. The standard for engagement changes too: it has to be meaningful, efficient, and clearly tied to impact for patients.If you care about the future of musculoskeletal care, this is a conversation about unity, credibility, and showing up before someone else writes the rules. Subscribe for more, share this with a colleague, and leave a review with your take: what would make organizational involvement worth your time today?

How are independent physician practices adapting as employers take a more active role in shaping healthcare decisions and costs? Hosts Heather and Matthew welcome AnnMargaret McCraw, CEO of Midlands Orthopaedics & Neurosurgery, to discuss her insights into the challenges facing independent practices, including declining reimbursement, rising costs, and increased organizational consolidation. We also explore how employer-driven programs like surgical carve-outs and centers of excellence are reshaping patient choice and provider dynamics. Tune in for a look at how private practices are navigating change and positioning themselves to deliver high-quality, cost-effective care.

Did you know after menopause, many women lose around 1% to 2% of bone density per year for several years, and some lose more? And it accelerates during the menopause transition, with the fastest loss typically beginning around a year before that final menstrual period.   Most women don't find out until they already have an osteopenia or osteoporosis diagnosis.. Or maybe you've been told your bones are just "a little low" but nobody actually explained what to do about it? We cover: Why walking and calcium supplements alone are not enough, and what actually moves the needle on bone density The difference between bone density and bone quality, and why your DEXA scan is only telling part of the story The specific types of exercise that stimulate bone formation at the hip and spine, and which popular ones don't do what you think How menopausal hormone therapy fits into the bone health picture, and can you improve bone health without HRT? What women with osteoporosis, joint pain, or a hip replacement can still safely do to build stronger bones Jocelyn Wittstein is an Associate Professor of Orthopaedic Surgery at Duke University Medical School.  Dr. Wittstein's research includes disorders of the shoulder, knee, and elbow, rotator cuff repair outcomes, biceps tendon disorders, patellofemoral instability, ACL injury including mechanism of injury and post traumatic arthritis, and meniscus healing. She also collaborates extensively with Duke Women's Health on the study of the intersection of musculoskeletal health and menopause including adhesive capsulitis, arthritis, and bone health. She currently serves as the medical director for the COORDS program (Clinical Outcome in Orthopaedics and Rehabilitation System) at Duke orthopaedics.   Dr. Wittstein is the chair of the membership committee of AOSSM as well as a member of the education committee for AANA. She also serves as the current president of The Forum: Women in Sports Medicine.    Book - The Complete Bone and Joint Health Plan: https://wwnorton.com/books/9781682689417   Contact Jocelyn Whittstein: Website: https://www.dukehealth.org/find-doctors-physicians/jocelyn-ross-wittstein-md Instagram: @jocelyn_wittstein_md   Give thanks to our sponsors: Try Vitali skincare. 20% off with code ZORA here - https://vitaliskincare.com Get Primeadine spermidine by Oxford Healthspan. 15% discount with code ZORA ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - https://www.oxfordhealthspan.com/ZORA Get Mitopure Urolithin A by Timeline. 20% discount with code ZORA at https://timeline.com/zora Try MitoQ for optimal mitochondrial health. Code ZORA for 20% off https://mitoq.com/zora   Join the Hack My Age community on: YouTube: https://youtube.com/@hackmyage Facebook Page: ⁠⁠⁠⁠⁠@⁠Hack My Age⁠     Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ ⁠   Biohacking Menopause Private Women's Only Support Group: https://hackmyage.com/biohacking-menopause-membership/ Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠    Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠    For partnership inquiries: https://www.category3.ca/  Some episodes of Hack My Age are supported by partners whose products or services may be discussed during the show. The host may receive compensation or earn a minor commission if you purchase through affiliate links at no extra cost to you. All opinions shared are those of the host and guests, based on personal experience and research, and do not necessarily represent the views of any sponsor. Sponsorships do not imply medical endorsement or approval by any healthcare provider featured on this podcast.

This episode of the AAOS Career Podcast, hosted by Ellen Lutnick, MD, offers orthopaedic surgery residents a practical guide to navigating the fellowship application process, featuring perspectives from two experienced fellowship program leaders: Scott P. Steinmann, MD, FAAOS, Chair of the AAOS Board of Specialty Societies Fellowship Committee, and Roman M. Natoli, MD, PhD, FAAOS, Orthopaedic Trauma Fellowship Program Director at Indiana University School of Medicine and Chair of the Fellowship & Career Choices Committee for the Orthopaedic Trauma Association (OTA). Episode highlights: Addresses common myths about the fellowship application process, including the misconceptions that more applications lead to better outcomes and that research is the most important factor, while clarifying what programs actually prioritize.  Emphasizes that the in-person interview and letters of recommendation carry more weight than many applicants expect, and that "fit" between a candidate and a program is often the deciding factor.  Provides advice on how to ace in-person interviews, including leveraging personal connections with the interviewers, limiting your questions, and for those who get anxious during interviews: practice, practice, practice! Explains what not to do after an interview (e.g., don't call interviewers or send thank-you notes!). Highlights the newly introduced signaling process for fellowship applications, including its purpose and how applicants can use it strategically.  Offers a preparation timeline by training year, from establishing credibility as a PGY1 or PGY2 to going all-in on applications as a PGY4. Offers encouragement to applicants, noting that the vast majority match within their top three choices. Host: Ellen Lutnick, MD, Resident Assembly Executive Committee Chair Guests: Scott P. Steinmann, MD, FAAOS, Chair, BOS Fellowship Committee; Emeritus faculty, Department of Orthopaedic Surgery, Mayo Clinic Roman M. Natoli, MD, PhD, FAAOS, Associate Professor and Orthopaedic Trauma Fellowship Program Director, Department of Orthopaedic Surgery, Indiana University School of Medicine; Clinical Associate Director, Indiana Center for Musculoskeletal Health; Chair, OTA Fellowship & Career Choices Committee

Moderator: Ashley Levack, MD, MASFaculty Presenters: Roman Natoli, MD, PhD, Gregory Schimizzi, MD, PhDArticle #1: Skin Antisepsis before Surgical Fixation of Extremity Fractures Article #2: Oral vs Intravenous Antibiotics for Fracture-Related InfectionsArticle #3: High Nonunion and Amputations Rates with Either Early TBDIntramedullary Nail Removal or Retention for Tibial ShaftFracture-Related Infections

An internationally-renowned biomechanics researcher had his first job catching mice at six years old. On this episode, we talk with Walter Herzog, this year's recipient of the ORS Arthur Steindler, MD Award. Then, we learn more about the namesake of the award from the University of Iowa's Dr. Jody Buckwalter IV. Dr. Steindler emigrated to the U.S. from Vienna in 1907, and founded UI Healthcare's orthopedics department over a century ago. He also opened the doors for other groundbreaking doctors in Iowa and was instrumental in the passage of two state laws that significantly altered its healthcare landscape.

Moderator​: Lucas Marchand, MD, BSFaculty: Zachary Working, MD, Patrick Kellam, MD, Graham DeKeyser, MDArticle #1: Type III Open Tibia Fractures: Immediate Antibiotic All-FacultyProphylaxis Minimizes Infection Article #2: Allgöwer-Donati Versus Vertical Mattress Suture All-FacultyTechnique Impact on Perfusion in Ankle FractureSurgery: A Randomized Clinical Trial Using Intraoperative AngiographyArticle #3: Efficacy of Topical Antibiotic Powder Application in the All-FacultyEmergency Department on Reducing Deep Fracture-RelatedInfection in Type III Open Lower Extremity Fractures: A Multicenter StudyArticle #4: Infection and Nonunion Rates in Open Fractures: Description All-Facultyof 6,042 Fractures from the FLOW and PREP-IT Trials ​​

If you've been living with chronic pain, a bad back, or that quiet fear that your body is starting to ‘break down' as you get older… today's episode is for you.If you've been following along with this show lately, you know I've been going through it myself. This past month, because of something so simple, was the worst back-pain of my life. But my lucky star was on my side, because last week I had a prescheduled interview for my SiriusXM show with a very prominent  orthopaedic surgeon. And after the interview, she offered to review what's going on with my back, and perhaps get to the root of what's actually going on . . .   And her insights have truly changed everything for me, and also given me hope. The good news? It applies to us all . . . So today, Dr. Erin Boynton  - renowned orthopedic surgeon and author of The Injury Guide: Eliminate Pain, Heal Your Injuries and Keep Moving Forever -  is here to give me (and us) not only answers - but a way forward...  In this episode, we explore:✔️ Why pain is so common - and it's upside we haven't considered✔️ The foundational work most of us have skipped (and don't even know it) ✔️My story and what's going on  ✔️Why injuries often happen from the smallest, most ordinary moments ✔️ How spine deterioration and bulging discs can be addressed without jumping straight to surgery ✔️ The connection between your body's foundation and long-term pain-free living ✔️ Where to start when everything feels overwhelming and hopeless ✔️ The mindset shift that makes all the difference:If you know someone who's been told pain is just part of aging, or that surgery is their only option   please share this episode with them. There is more hope than we're often led to believe.As always, feel free to email me at info@kylebuchanan.ca for any questions or topics you'd like to see covered on this show.Thank you for being part of this space.ResourcesDr Erin Boyntons website  - https://doctorerinb.com/Dr Erin Boyntons Best-Selling Book - click here

Orthopaedic surgeon Dr. Dane Salazar explains why he chose to take an ABOS Oral Recertification Examination and what he learned from this experience.

Ballistic missiles overhead at 2 a.m. Surgeons back in the OR at sunrise. A city buying groceries and sending kids to school while medevacs arrive around the clock. That contrast is the setting for our conversation with Dr. Roman Hayda, Chief of Orthopaedic Trauma at Rhode Island Hospital and a retired US Army colonel who has traveled to Ukraine repeatedly to support frontline trauma hospitals.We trace how his Ukrainian roots and military surgical career shaped a calling for war surgery, then zoom in on what makes the current conflict medically different. With contested airspace and relentless drone surveillance, traditional evacuation assumptions collapse. When you can't fly a helicopter and you can't safely drive into the kill zone, the “golden hour” becomes a moving target and the downstream impact shows up in limb salvage decisions, prolonged tourniquet times, infection risk, and a growing need for amputation care and complex reconstruction.We also dig into leadership lessons for any orthopaedic surgeon considering humanitarian work: arrive with humility, listen first, adapt to limited resources, and treat teaching as a two-way exchange. Finally, we talk practical ways to help even if you never get on a plane, from donating external fixation resources to supporting reputable NGOs and advocating for sustained support.Subscribe for more conversations on the future of orthopaedic surgery, share this with a colleague who cares about trauma systems and global surgery, and leave a review with your biggest takeaway or question.

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“I'm fine” is one of the most expensive sentences in health care, because it can hide pain, lost function, fear, and stalled recovery. We talk with Dr. Judy Baumhauer, a national leader in orthopaedic surgery and outcomes measurement, about how patient-reported outcome measures (PROMs) give patients a real voice in their care and give clinicians a clearer signal about what's working.We get specific about PROMIS and why computer adaptive testing can measure physical function, pain interference, and even depression in just a few minutes, then trend those scores across an episode of care. Dr. Baumhauer explains how her team scaled PROMs from orthopaedics to a system-wide workflow, how results show up in the electronic health record, and why the numbers are most powerful when they spark a better conversation rather than replace one.Then we zoom out to the future of value-based care in orthopaedics: CMS requirements, public reporting, bundled payments, and the risk of choosing the wrong instrument. We dig into why certain mandated surveys can blur pain and function, how comorbidities and ceiling effects can skew “improvement,” and why PROMIS crosswalks could help standardize reporting while lowering implementation costs.If you care about patient-centered care, orthopaedic quality measurement, and where reimbursement is heading, subscribe, share this with a colleague, and leave a review with your take: should PROMIS become the default language for outcomes reporting?

In this deeply personal episode, Bopha Chrea, MD, shares the extraordinary story of her family's survival of Pol Pot and the Khmer Rouge regime in Cambodia, their harrowing escape from the Killing Fields across the border into Thailand, and their eventual resettlement in Canada. Dr. Chrea, now a foot and ankle surgeon at Iowa Health Care, connects her family's journey to three core lessons she carried into her career: that opportunities are often disguised as misfortune, that growth requires getting comfortable with being uncomfortable, and that gratitude is a genuine superpower. She reflects on how her early experiences navigating the healthcare system as a young child of immigrant parents shaped her path to orthopaedics, and how she now uses those lessons to guide trainees through the challenges of residency and fellowship, as well as the transition into practice. Key Topics Covered in This Episode Opportunities can be disguised as misfortune — How a series of trials and tribulations, including losing his glasses and the destruction of his family's home, miraculously ended up saving Dr. Chrea's father from execution by Pol Pot's brutal regime. The lesson: tragedy can lead to positive outcomes and growth. It's important to get comfortable with being uncomfortable — How her parents' willingness to take risks in the absence of a guaranteed path enabled the family to escape the Killing Fields and safely reach the refugee camp in Thailand, where Dr. Chrea was born. This lesson: focus on clarity of vision over certainty of path; as long as you believe in the vision, you can navigate through the uncertainty, but if you aren't willing to try, you definitely won't succeed. Gratitude is a superpower — How her brother chooses to emphasize the positive aspects of the family's time in the refugee camp, not just the horrors. The lesson: mindset matters; you can actively choose to frame experiences in a more affirming way. To this day, Dr. Chrea is intentional about expressing gratitude to the people who have supported her journey. Mentoring is not one-size-fits-all — How meeting learners where they are helps them build confidence through small, achievable goals. The path to orthopaedics is paved with personal experiences — How translating for her mother at medical appointments as a child sparked a lifelong commitment to providing compassionate, patient-centered care. Guest: Bopha Chrea, MD, Assistant Professor of Orthopaedics and Rehabilitation in the Carver College of Medicine at the University of Iowa Host: Robert M. Orfaly, MD, MBA, FAAOS, AAOS Now editorial board member

Dr. Sterling Elliott, clinical pharmacist at Northwestern Medicine and assistant professor of Orthopaedics at Feinberg School of Medicine, and Dr. Kimbra Bell Balark, Medical Director of the Bronzeville Outpatient Center at Northwestern Medicine, joins Lisa Dent to talk about Prescription Drug Take Back Day on April 25th.

In this episode, Cory Calendine, MD, Orthopaedic Surgeon at the Bone and Joint Institute of Tennessee, joins the podcast to discuss the growing role of personalization in surgery and the adoption of AI in clinical practice. He shares insights on building and scaling individual practices through patient education online, as well as the broader impact of GLP-1 medications on patient health and orthopedic outcomes.

In this episode, Cory Calendine, MD, Orthopaedic Surgeon at the Bone and Joint Institute of Tennessee, joins the podcast to discuss the growing role of personalization in surgery and the adoption of AI in clinical practice. He shares insights on building and scaling individual practices through patient education online, as well as the broader impact of GLP-1 medications on patient health and orthopedic outcomes.

In this episode, Cory Calendine, MD, Orthopaedic Surgeon at the Bone and Joint Institute of Tennessee, joins the podcast to discuss the growing role of personalization in surgery and the adoption of AI in clinical practice. He shares insights on building and scaling individual practices through patient education online, as well as the broader impact of GLP-1 medications on patient health and orthopedic outcomes.

In this episode of Better Edge, orthopaedic surgeons Michael Stover, MD, and Ryan Selley, MD, discuss the latest in hip preservation strategies for young adults, with a focus on periacetabular osteotomy (PAO) for acetabular dysplasia.Dr. Stover and Dr. Selley cover:• Differentiating hip pathology appropriate for preservation vs. arthroplasty• Clinical and radiographic criteria for PAO candidacy, including the role of cartilage health• Long-term outcomes and durability of PAO in delaying or preventing total hip arthroplasty• Emerging innovations such as 3D surgical planning, AI-assisted imaging and dynamic hip assessment

The next wave in orthopaedic surgery isn't just surgical technique it's how care gets organized, measured, and paid for. We sit down with Dr. Aaron Chamberlain, senior medical director for Intermountain's musculoskeletal clinical program, to unpack why vertically integrated healthcare systems can be a powerful engine for value-based care and what that means for surgeons who want to lead, not just react.We talk candidly about “risk” and why taking on financial accountability can actually unlock better medicine: clearer incentives, tighter alignment with payers, and a sharper focus on outcomes across the full episode of care. Aaron shares how Intermountain uses deep data infrastructure, enterprise dashboards, and careful patient cohorting to reduce unwarranted variation and make cost and quality visible to clinicians. If you've ever wondered how an Epic-era analytics platform can change real-world practice patterns, you'll hear the nuts and bolts.You'll also get a concrete care redesign example: shifting appropriate hand procedures from the hospital or surgery center into the clinic, then using shared savings to reward the extra work required to make the change safe and scalable. We connect that playbook to broader trends like bundled payments and the CMS TEAM model, and we close with leadership lessons that translate anywhere: keep physicians involved, stay close to the bedside, and “fall in love with the problem” before you pitch a solution.If you found this useful, subscribe to the AOA Lessons in Leadership Podcast series, share the episode with a colleague, and leave a review with the value-based care question you're wrestling with right now.

We sit down with Dr. Paul Anderson, a nationally recognized orthopaedic spine surgeon and longtime leader in bone health, to explain how bone fragility quietly drives pseudoarthrosis, hardware failure, periprosthetic fracture, and revision surgery across orthopaedics, including spine fusion, total hip and knee arthroplasty, shoulder procedures, and sports medicine repairs. Our goal is simple: help you make bone health optimization a normal part of elective surgical planning, not an extra task that never fits the schedule. We start by clearing up a common trap: relying on a DEXA T-score alone. Dr. Anderson walks us through a more operational definition of clinical osteoporosis that combines bone mineral density, fragility fracture history, and the FRAX 10-year fracture risk calculator. That broader view catches the patients who “do not look osteoporotic” on paper but still have fragile bone and higher risk of poor outcomes after surgery. From there, we lay out a step-by-step workflow you can actually run in clinic: who to screen, when to order DEXA, how to use imaging clues like CT Hounsfield units, and why orthopaedic surgeons should feel confident interpreting DEXA quality and results. We also cover how to build referral pathways using fracture liaison services, how to think about antiresorptive vs anabolic medications, and what timing looks like when you decide to delay surgery to improve bone strength. If you want fewer failures, fewer fractures, and more predictable fixation, bone health has to be part of the plan. Subscribe and share this with a colleague.

In this episode, Samir Mehta, MD, Chief of Orthopaedic Trauma & Fracture Service and Associate Professor of Orthopaedic Surgery at the University of Pennsylvania, joins the podcast to discuss the evolution of trauma care and how machine learning and AI are shaping the future of the field. He also shares practical advice for emerging leaders looking to grow and lead in an increasingly complex healthcare environment.

In this episode, Samir Mehta, MD, Chief of Orthopaedic Trauma & Fracture Service and Associate Professor of Orthopaedic Surgery at the University of Pennsylvania, joins the podcast to discuss the evolution of trauma care and how machine learning and AI are shaping the future of the field. He also shares practical advice for emerging leaders looking to grow and lead in an increasingly complex healthcare environment.

In this episode, Samir Mehta, MD, Chief of Orthopaedic Trauma & Fracture Service and Associate Professor of Orthopaedic Surgery at the University of Pennsylvania, joins the podcast to discuss the evolution of trauma care and how machine learning and AI are shaping the future of the field. He also shares practical advice for emerging leaders looking to grow and lead in an increasingly complex healthcare environment.

In this episode, Dr. Ryan Li, an orthopedic sports medicine surgeon at Wake Orthopedics, dives deep into shoulder instability. He explains how this common yet often misunderstood condition can impact individuals, especially athletes, and shares insights on diagnosis and treatment options. Tune in for expert advice on recognizing symptoms and when to seek help.  Learn more about Ryan Li, MD 

Ever wondered if outpatient joint replacement is suitable for you? Join Caitlin Whyte as she discusses options with Dr. Lincoln Pratson, who shares insights about candidacy, care pathways, and the benefits of outpatient procedures. This episode is essential for anyone considering hip or knee surgery and curious about their recovery journey. Click the link for more insight.  Learn more about Lincoln Pratson, MD   

In this episode, Dan is joined by Jimmy Chow to discuss effusion management and incorporation of inkwell into sports medicine care. Dr. Jimmy Chow is a surgeon-inventor with over 15 patents worldwide in the US, Canada, EU, Australia, Japan and China. He is an engineer and a board-certified hip and knee specialist with dual fellowship training in Adult Reconstruction and Arthroscopic Surgery.Dr. Chow is the emeritus National Medical Director of Orthopaedics for Tenet Healthcare, the US's third largest for-profit hospital system. He is the founder of Chow Surgical LLC in Phoenix, AZ, where he is also the Fellowship Director for an ISAKOS-accredited fellowship in hip and knee surgeryDr. Chow has extensive experience with surgical technology and has been involved with orthopedics robotics platforms since 2010. He lectures on data, technology, robotics, and AI and recently helped introduce the world's first machine-learning AI system in orthopedic robotics. Dr. Chow is credited as a key inventor of the SuperPATH microinvasive total hip procedure and has been a lead designing surgeon for the NAVIO and CORI robotics platforms.For more on Jimmy and Inkwell, be sure to check out www.inkwellhealth.comSeason 7 of the Braun Performance & Rehab Podcast is proudly supported by Pura Health, bringing ultrasound into every clinician's hands. Learn more at purahealth.net and @pura.health_ultrasound.Additional support provided by Firefly Recovery, the official recovery partner of Braun Performance & Rehab (recoveryfirefly.com), and Dr. Ray Gorman of Engage Movement. Learn how to grow your income beyond sessions—follow @raygormandpt on Instagram and DM “Dan” for a free breakdown of the blended practice model.Episode Affiliates: Airbands BFR (Coupon Code: DANIELBRAUN for 10% off), MoboBoard (BRAWNBODY10), AliRx (DBraunRx), MedBridge (BRAWN)If you enjoyed this episode, share it with someone who would benefit and leave a 5-star review.Explore more from Dan at linktr.ee/braun_pr.

We've spoken with many guests about clinical and technological trends impacting healthcare providers, but less so about the trends on the business side of practicing medicine.  So on this episode, we're going to make up for that by spending our time with Dr. Alexander Vaccaro, an influential spine surgeon and president of one of the largest musculoskeletal practices in the U.S. -- Rothman Orthopaedic Institute -- which treats patients at over 40 locations in Pennsylvania, New Jersey, New York and Florida. While Dr. Vaccaro understands the desire for financial stability that's increasingly driving young physicians into the arms of hospital systems, he worries about what's being lost with the resulting decline in the number of independent practices.  “If you didn't have private practice advocating for the doctor, the insurance companies would bully the healthcare profession.” Join Raise the Line host Michael Carrese for a candid and lively conversation that also covers: How physician autonomy and entrepreneurship can drive innovation; The economic and policy forces reshaping private practice medicine; The role of research partnerships between private practices and universities. Mentioned in this episode:Rothman Orthopaedics If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

In this episode, Ayesha and Andrew discuss the March 4, 2026 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Link: JBJS website: https://jbjs.org/issue.php Sponsor: This episode is brought to you by JBJS Clinical Classroom. Subspecialties: Knee, Hip, Orthopaedic Essentials, Education & Training, Spine, Trauma, Basic Science Chapters (00:00:02) - JBGS: Cases on Hold(00:01:41) - Top of the Pile(00:03:39) - Rethinking Residency Selection Beyond Test Scores and Prestige(00:14:11) - Signs of Interest in Orthopedics(00:15:18) - Methods for Femoral Stem Extraction in Revision Surgery(00:24:56) - Total Knee Arthroplasty: Long term outcomes(00:28:57) - Total Knee Replacement for Osteoporosis in Seniors(00:32:35) - The impact of cervical multifidus sarcopenia on outcomes after

In this episode, Matthew J. Dietz, MD, FAOA, Chair of Orthopaedics at the West Virginia University School of Medicine and WVU Medicine, discusses leading rapid departmental growth, advancing research in prosthetic joint infection, and expanding reliable orthopedic care across rural communities.

In this episode, Matthew J. Dietz, MD, FAOA, Chair of Orthopaedics at the West Virginia University School of Medicine and WVU Medicine, discusses leading rapid departmental growth, advancing research in prosthetic joint infection, and expanding reliable orthopedic care across rural communities.

Guest host Dr. Paul Whiting chats with 2025 OTA Humanitarian Scholar attendees Dr. Olasode Israel Akinmokun of Lagos, and Dr. Biniyam Teshome Addisu of Ethiopia. They discuss their pathways to Orthopaedic surgery, and thoughts about the observership portion of the program. Recorded live at the OTA Annual Meeting.  Poster abstract links:  Dr. Akinmokun ; Dr. Addisu Click to learn more about the Global Colleagues program. For additional educational resources visit OTA.org.

In this episode, Alan H. Daniels, MD, Professor of Orthopaedics and Chief of Spine Surgery at The Miriam Hospital and Rhode Island Hospital, discusses balancing private practice autonomy with academic medicine, navigating reimbursement pressures, and growing complex spine programs. He also shares insights on innovations in spinal deformity care, including data driven decision making, specialized teams, and alignment focused technologies.

The goal of these episodes is to go over the most cited articles in a certain topic over the past 15-20 years to give learners an idea of what articles are being read and what are some of the important studies out there to read! This one, Injuries in the Throwing Athlete are discussed! Enjoy!  Ortho Essentials 101: The #1 prep course for orthopaedic surgery rotations and intern year. Join over 100 others and learn Orthopaedics! courses.naileditortho.com