by HuskyOrthopaedics 284 views
Orthopaedic Grand Rounds, Dr Jens Chapman
Along with technological advances in Orthopaedic fracture care implants came a steep increase in prices, severely limiting their worldwide availability. In this program, an advocate for simple, inexpensive, yet highly effective implants, Dr. Lou Zirkle of Richland, Washington will debate UW Medicine physician M. Bradford Henley, who has successfully designed a number of highly evolved implant systems. UW Resident, Dr. Ben Amis, will provide a number of comparative statistics and cases to improve understanding of this contentious issue.
by HuskyOrthopaedics 880 views
This episode of Grand Rounds emphasizes the importance of recognizing vascular injuries in the setting of trauma about the knee and the devastating limb-threatening consequences of missed vascular injuries. Dr. Nels E. Sampatacos, surgery resident with UW Medicine, begins the lecture with a case study along with functional anatomy concepts. Dr. Benjamin W. Starnes, chief of vascular surgery for UW Medicine, shares his personal military experience as a vascular surgeon, providing unique insight into front-line management protocols. Dr. Christopher J. Wahl, assistant professor with the University of Washington, discusses orthopaedic perils and pitfalls, focusing on the radiographic findings suggestive of vascular injury in the setting of knee dislocation.
by HuskyOrthopaedics 461 views
"Things Dr. Mills taught us..." In this special Memorial Grand Rounds, friends and colleagues pay tribute to the life and work of William J. Mills III, MD. Dr. Mills sustained critical injuries from a fall while skiing with one of his sons in the Alyeska resort in Girdwood, Alaska on March 13, 2011. He passed away on March 15, 2011. Dr. Mills was a member of the UW Medicine Faculty from 1998-2004. During his years as Assistant Professor, Dr. Mills rapidly developed a reputation for his expertise in trauma and sports surgery with 22 peer reviewed papers. Several of these publications are considered to be primary in their topic areas. UW faculty members and others present excerpts from Mills' articles on knee dislocations, humeral fractures, and polytrauma care combined with annotations from his life and unique personality traits. Dr. Mills is remembered for his many outstanding qualities as a great doctor, surgeon, educator, colleague and friend. He had maintained close ties with many faculty, fellows and residents throughout his UW times and held Harborview Medical Center and the people who worked there in the highest esteem.
by HuskyOrthopaedics 1,861 views
Wrist fractures, those injuries involving the distal radius, the distal ulna, and the joints about these bones, are some of the most commonly sustained fractures in any age group. With such a large number of injuries encountered, the effort to return patients to their normal activities has driven remarkable changes in treatment methods. UW physicians Matt Lyons, Jeffrey Friedrich, Douglas Hanel, and Jerry Huang discuss the history of wrist fractures and how the recently updated AAOS guidelines are practiced at the University of Washington.
by HuskyOrthopaedics 177 views
When a devastating earthquate shook Haiti in January 2010, medical professionals rushed to help. Two orthopaedic trauma surgeons, UW Medicine's Dr. James C. Krieg from Harborview Medical Center and University of Pennsylvania Medical School's Dr. Samir Mehta, share their experiences as volunteers with governmental and non-governmental relief organizations. Learn how they, and other volunteers, worked to deliver quality care under challenging conditions.
by HuskyOrthopaedics 1,161 views
Periprosthetic fractures occur around total joint replacements and are difficult to treat. Occurring most often in older patients with multiple medical conditions, they require surgical expertise in both reconstruction and trauma.
Moderated by Brian Daines, MD, this lecture reviews treatment options for periprosthetic fractures and a discussion of case of studies with UW Medicine physicians David Barei, MD and Howard Chansky, MD. Learn how these orthopedic surgeons at UW Medical Center and Harborview Medical Center are working together to offer patients treatment options for these challenging injuries.
by HuskyOrthopaedics 1,273 views
Hip fractures are the most serious osteoporosis related concern affecting the elderly population, requiring immediate attention and treatment. Grant Lohse, UW School of Medicine Orthopedic Surgery resident, moderates presentations on treatment options for hip fractures and the emphasis on medical team communication during the course of multidisciplinary care. A panel of UW School of Medicine physicians including Itamar Abrass, Professor of Gerontology and Geriatric Medicine, Lisa Tatesman, Chief of Geriatric Fracture Services and Wayne McCormick, Professor of Gerontology and Geriatric Medicine present their approaches to individual patient treatment. They discuss ways to provide optimal care with a set of case studies of elderly patients: from pre-operative evaluation, to surgical fixation, to post-operative care, and follow-up care after discharge.
by HuskyOrthopaedics 342 views
The treatment of the orthopedic trauma patient is complex and the potential for adverse events are high. In this episode of Grand Rounds, UW Medicine's Dr. Joshua Lindsey moderates a panel reviewing the evolution of trauma patient treatment of femur bone fractures. The panel, including Dr. Margaret Neff of UW Medicine, and Dr. Daphne Beingessner, UW Professor of Orthopedics, also discusses pulmonary complications in treatment. They focus on a multi-pronged approach to improve recovery rates for patients with multiple injuries. They also take a look at how to manage the timing of multiple operations and the variety of treatment techniques available for these complex injuries.
by HuskyOrthopaedics 2,378 views
Traditionally, massive rotator cuff tears were thought to be irreparable. However, current treatment options are providing patients with encouraging results. Moderated by Derek Raines, MD, this lecture reviews current research and practices in repairing massive rotator cuff tears along with a discussion of case studies with Kevin Smith, MD and Christopher Wahl, MD. Dr. Smith practices "open" repair of massive cuff tears while Dr. Wahl practices arthroscopic repair of these injuries. Although a fully healed and functional rotator cuff following a massive tear may be difficult to achieve, many patients have found significant pain relief and some functional improvements.
by HuskyOrthopaedics 848 views
Between one and three in 100 children have a measurable curve in their spines (more than 10 degrees of tilt on an X-ray) that does not have a known cause, called idiopathic scoliosis. But only about two in 1000 children ever gets a curve that is large enough to need treatment, though girls are seven times as likely as boys to have larger curves in their backbones, requiring treatment..This presentation offers an introduction to scoliosis, plus a discussion on current treatment options both surgical and non-surgical, as well as reviewing recent case studies.
by HuskyOrthopaedics 5,613 views
The treatment of midshaft clavicle (collarbone) fractures is controversial. For hundreds of years the mainstay treatment has been nonsurgical. However, recent orthopaedic literature suggests that certain individuals may benefit from surgery. Currently, two types of bone fixation are available: plates/screws and intramedullary nails.
Moderated by Brett Wiater, MD, this lecture reviews these two surgical options, followed by a discussion of case studies with UW Medicine physicians Stephen Benirschke, MD and Winston Warme, MD. Each treatment option has its advantages and disadvantages, but paramount to ensuring a good outcome for the patient is an evaluation by a qualified surgeon. Learn how these orthopedic surgeons at UW Medical Center and Harborview Medical Center are working together to offer patients treatment options.
by HuskyOrthopaedics 618 views
The UW Department of Orthopaedic Surgery and Sports Medicine presents three of its basic science researchers in a broad-ranging review of improving bone health through muscle activity, such as excercise. Dr. Ted Gross discusses novel experiments demonstrating the importance of muscle forces and distributed loading in developing bone; Dr. Sundar Srinivasa reports on computer models of preventing bone loss in the aging skeleton; and Dr. Peter Cavanagh presents the results of his experiments examining bone loss during long-duration space flight.
Jens R. Chapman, MD, Professor and Chair, Dept. of Orthopaedics and Sports Medicine UW Medicine
Ted Gross, Ph.D. Professor and Hansen Endowed Chair, Dept. of Orthopaedics and Sports Medicine UW Medicine
Sundar Srinivasan, Ph.D. Associate Professor of Orthopaedics and Sports Medicine UW Medicine
Peter Cavanaugh, Ph.D. Professor and Endowed Chair in Women's Sports Medicine and Lifetime Fitness UW Medicine
by HuskyOrthopaedics 1,131 views
Orthopaedic Grand Rounds
University of Washington
In this Grand Rounds presentation, UW Medicine physicians Greg Blaisdell, David Barei, and Robert Dunbar discuss current issues in the treatment of ankle fractures, one the most commonly operatively treated injuries in adults.
Although often referred to as simple injuries requiring routine fixation, debate continues about how to determine ankle stability in even the simplest patterns.
Orthopaedic specialists continue to rely on classification systems that help with pattern recognition, but provide little help in developing treatment algorithms.
The speakers present a number of case studies to the audience of health care professionals, who are then polled on how they would treat a given patient.
Standard procedures for diagnosis, treatment, and management of ankle fractures soon lead to controversy when one considers individual patients and their complicating host factors.
by HuskyOrthopaedics 1,021 views
There is some evidence that atypical femur fractures could be linked to prolonged use of oral bisphosphonate therapy drugs, which are prescribed to inhibit the loss of bone mass in patients with osteoporosis. While these drugs have done a great deal of good for many, there could be some unintended consequences of their use. This episode of Grand Rounds looks at all causes of these fractures and their potential link to bisphosphonate usage.
UW Medicine physician, Jennifer Hagen, with the Department of Orthopaedics and Sports Medicine, opens with a history of the development of bisphosphonates and their efficacy, the initial studies that discussed atypical femur fractures, and two case examples of these fractures. UW Medicine physician, Susan Ott, then presents the clinical characteristics of patients with atypical femur fractures along with a review of epidemiology and medical therapy. Finally, James C. Krieg, UW associate professor of Traumatology, presents issues regarding surgical management of atypical femur fractures.
Howard A. Chansky, MD Professor and Vice Chair, Dept. of Orthopaedics and Sports Medicine UW Medicine
Jennifer Hagen, MD (R4) Dept. of Orthopaedics and Sports Medicine UW Medicine
James C. Krieg, MD Associate Professor of Traumatology, Dept. of Orthopaedics and Sports Medicine UW Medicine
Susan M. Ott, MD Professor of Medicine, Dept. of Metabolism, Endocrinology & Nutrition UW Medicine
by HuskyOrthopaedics 1,330 views
This Grand Rounds covers the concept of tissue, or allograft, transplantation as a treatment option for ankle arthritis.
Dr. David Patterson, UW Medicine physician, begins the lecture with an overview of the changes in function and mechanics of ankle arthritis, as well as current strategies for treatment.
Dr. Chappie Conrad, a UW Medicine Orthopaedic tumor surgeon and a pioneering developer of the Northwest Tissue Bank, offers a historical perspective of allograft transplantation.
Finally, Dr. Michael Brage, a UW Medicine Foot and Ankle surgeon, discusses the surgical indications, outcomes, and reasons for failure.
Orthopaedic Grand Rounds
Jens R. Chapman, MD Professor and Chair, Dept. of Orthopaedics and Sports Medicine UW Medicine
Michael E. Brage, MD Associate Professor, Dept. of Orthopaedics and Sports Medicine UW Medicine
Ernest "Chappie" Conrad, MD Professor, Dept. of Orthopaedics and Sports Medicine UW Medicine
David Patterson, MD (R4) Dept. of Orthopaedics and Sports Medicine UW Medicine
by HuskyOrthopaedics 203 views
UW Orthopaedic Grand Rounds: July 11, 2012
Compressive neuropathies, such as median tunnel and ulnar nerve syndromes, are some of the most common causes of musculoskeletal disabilities. Diagnostics and treatment of these conditions are some of the most frequently performed procedures in medicine. Questions of appropriateness of utilization of these procedures have increased and are causing frustrations among patients and practitioners alike. This episode of Grand Rounds will feature leading UW Medicine experts Dr. Andrew Ghatan, Dr. Douglas P. Hanel, Dr. Jerry Huang and Dr. Christopher Standaert, as they discuss updated indications and techniques to address carpal tunnel and cubital tunnel syndromes.
by HuskyOrthopaedics 242 views
UW Orthopaedic Grand Rounds: June 4, 2012
In this Grand Rounds, UW Medicine physician, Dr. Elizabeth Dailey discusses the definition of outcomes research and its historical and contemporary contexts. Dr. Michael Lee, assistant professor with UW Medicine, then discusses the significance of orthopaedic complications and how the nature of complications has a large impact on outcomes. Through the use of a case study, Dr. Lee shows the challenging nature of guiding our patients through complications and what the implications are on their health care costs. Finally, the doctors discuss the difficult topic of which outcomes to use in our patient populations and what this means for health care policy. Dr. Darin Davidson, Assistant Professor of Oconolgy with UW Medicine, draws from his extensive outcomes research background in sarcoma patients to describe and explain quality of life, then uses this premise to guide us through clinical decision-making in a case study using quality of life as a guiding principle.
by HuskyOrthopaedics 358 views
UW Orthopaedic Grand Rounds: April 4, 2012
A compartmental syndrome is a condition where increased pressure within any closed space compromises the circulation and function of the tissues within that space. These syndromes are rare, but they rank high in terms of impact, patient outcomes, and medical liability. UW Orthopaedic resident Kyle Chun along with UW Medicine physicians Benjamin Starnes and David Barei open the program with a review of the clinical diagnosis, pathophysiology, and surgical approaches to comparmental syndromes. In the second half, they are joined by UW Medicine Drs. Sigvard T. Hansen and Frederick Matsen for a discussion centered on case studies and questions from an audience of peers and colleagues.
by HuskyOrthopaedics 251 views
Do quality health metrics increase costs and undermine quality? In this presentation, Dr. Jacques Hacquebord, UW Medicine, and his father, Heero Hacquebord, introduce metrics in healthcare as a key component and strategy for improving healthcare performance and quality. This presentation highlights popular current metrics strategies and theories that so far have not been effective, as well as new theories and their predictive value for improving quality and performance.
by HuskyOrthopaedics 397 views
UWTV airdates for Grand Rounds presentation on "Controversies in Management of Metastatic Disease."
Sunday, March 11, 2012 @ 5:00am
Monday, March 12, 2012 @ 7:00am
Thursday, March 15, 2012 @ 6:00am & 9:00pm
Thursday, March 22, 2012 @ 10:00pm
Description: Metastatic disease of the axial skeleton is on the rise as patients are living longer with their disease through advances in cancer treatment. UW Medicine physicians Ernest Conrad, Darin Davidson, and Joshua Lindsey discuss how the ideal treatment is a balance between providing surgical stability that allows for maximal functional outcome, while minimizing morbidity. Humeral and femoral lesions can be treated with plates, intramedullary nails or reconstructive implants. Each metastatic lesion provides a unique challenge to the treating surgeon and the diagnosis must be certain prior to definitive fixation. With patients with metastatic disease, each lesion is a complex problem that requires a patient-centered approach to optimize the outcome.
Series: Grand Rounds
Howard A. Chansky, MD, Professor and Vice Chair, Dept. of Orthopaedics and Sports Medicine UW Medicine
Joshua Lindsey, MD, UW Orthopaedic Surgery, Chief Resident UW Medicine
Darin J. Davidson, MD, Assistant Professor, Oncology, Dept. of Orthopaedics and Sports Medicine UW Medicine
Ernest "Chappie" Conrad, MD, Chairman of Pediatric Orthopaedics at Seattle Children's Professor and Director of the Sarcoma Services, UW Medicine
Related Subjects: Health and Medicine
Date Added: 2/16/2012
TV Rating: TV-G
Related Links: Department of Orthopaedics and Sports Medicine
by HuskyOrthopaedics 288 views
ACL (anterior cruciate ligament) reconstruction is one of the most common procedures in orthopedic surgery. This lecture reviews the historical development of ACL reconstruction, the technical details of graft harvest, and benefits and limitations of grafts commonly used in modern ACL reconstruction. Current literature and future directions of study are explained. Finally, patient specific and surgeon dependent considerations are discussed with a UW Medicine faculty panel.
Brian B. Gilmer, MD, Orthopaedic Surgery Resident
John R. "Trey" Green III, MD, Associate Professor
Jason J. Wilcox MD, Assistant Professor at VA Puget Sound UW Medicine
by HuskyOrthopaedics 1,465 views
UW attendees Daphne Beingessner and Jerry Huang along with resident physician Emily Squyer take us through a discussion of Distal Humerus Fractures. The lecture covers anatomy, historical treatments, early surgical outcomes, and modern treatment with maximized recovery. The discussion concludes with complex elbow reconstruction and salvage options for patients whose initial treatments failed.
Douglas P. Hanel, Professor
Daphne M. Beingessner, Associate Professor
Jerry I. Huang, MD, Assistant Professor
Emily R. Squyer, MD, Orthopaedic Surgery Resident
by HuskyOrthopaedics 535 views
Bruce Sangeorzan, MD Professor, Orthopaedics & Sports Medicine
Nicholas Iannuzzi, MD Orthopaedic Surgery Resident
James C. Krieg, MD Associate Professor of Traumatology
M.L. Chip Routt, Jr., MD Professor of Traumatology
Reza Firoozabadi, MD, MA Assistant Professor of Traumatology
The seriousness of pelvic injuries and fractueres reflect the role of the pelvis in anchoring critical functions of the spine, nervous system, and vascular system in the human body. Multi-specialty teams can be required to effectively treat the complex nature of these injuries. Using case studies and examples, UW Medicine orthopaedic surgeons Nicholas Iannuzzi, James Krieg, Chip Routt, and Reza Firoozabadi examine pelvic ring injuries and fractures in a trauma setting. These injuries can range from low energy falls (off ladders) to high energy injuries involving motorbike accidents, pedestrian vs. vehicle accidents, and vehicle collisions. These injuries, while occurring in a small segment of the population, can represent up to 15% of admissions in some hospitals. This Grand Rounds focuses on the role of the orthopaedist in restoring stability to the pelvis. The speakers discuss this goal from evaluation and emergency management of trauma to operative fixation, post-operative care, and analyzing outcomes.
by HuskyOrthopaedics 692 views
The total hip replacement has been called the operation of the century. Surgeons toiled for decades to improve the procedure until Sir John Charnley developed the gold-standard "low-friction arthroplasty" in the 1950s. Currently, hip replacement surgery is a reliable tried-and-true operation, but challenges remain, mostly in the areas of surgical approach and bearings. Dr. David Zeltser, of UW Medicine, highlights important historical landmarks leading up to the modern hip replacement. UW Medicine's Dr. Thomas Tanous follows with a review of minimally-invasive and traditional surgical approaches. Dr. Paul Manner, UW Medicine, who recently testified to the FDA on metal-on-metal bearings, concludes the lecture with a discussion of various bearings used in hip replacement.
Howard Chansky, MD Professor and Vice Chair Dept. of Orthopaedics and Sports Medicine, UW Medicine
David W. Zeltser, MD Orthopaedic Surgery Resident (R4) UW Medicine
Paul A. Manner, MD Associate Professor of Hip and Knee UW Medicine
Thomas L. Tanous, MD Clinical Assistant Professor of Hip and Knee UW Medicine
by HuskyOrthopaedics 854 views
Total knee replacement surgery (TKA) has revolutionized care of osteoarthritis over the past 40 years. Given its success, there has been a rapid increase in the number of TKAs performed yearly, which is projected to continue to increase in the coming years. In this Grand Rounds, UW Medicine physicians Howard Chansky, Justin Klimisch, and Nicholas Wegner review the history of total knee arthroplasty, focusing on the historical development beginning in the 1860s and then focus on the explosion of new designs developed during the 1970s. Modern approaches used in primary and revision total knee arthroplasty are then reviewed. Case studies are highlighted that demonstrate some of the challenges of primary and revision TKA.
Jens Chapman, MD, Professor and Chair
Howard Chansky, MD, Professor and Vice Chair
Justin Klimisch, MD, Clinical Assistant Professor
Nicholas Wegner, MD, Orthopaedic Surgery Resident
by HuskyOrthopaedics 50 views
July 3rd Grand Rounds
by HuskyOrthopaedics 64 views
Dr. Bas A. Masri gives a presentation on Improving Operational efficiencies in Orthopaedics.
June 5th Grand Rounds