Explore every episode of the podcast OrthoClips Podcast Series

Xylazine, a veterinary sedative, has increasingly been found as an adulterant in illicit fentanyl supplies across the USA. This combination has led to severe necrotic skin wounds among users, particularly in the Philadelphia region, posing significant challenges for patients and healthcare providers. As these frequently exhibit as extremity wounds, orthopaedic surgeons are amongst those involved […]

In this final installment of the Ortho Time Machine episodes (for now…) we discuss Maurice Müeller, the genesis of the AO Foundation, and its profound impact on modern fracture fixation principles.   The AO Foundation, or Arbeitsgemeinschaft für  Osteosynthesefragen, revolutionized fracture treatment by introducing principles that transformed patient outcomes worldwide. In this episode, we will explore its origins, the visionary minds […]

Welcome to Ortho Time Machine episodes where we explore pivotal moments and game-changing innovations in orthopaedic surgery. In this episode, we’ll journey through the life and legacy of Dr. Paul Harrington, whose work in spinal instrumentation changed the field forever. You’ve probably heard of the Harrington Rod. It was the first widely successful spinal implant, designed to treat severe […]

The Ortho Time Machine episodes continue with the remarkable journey of Total Knee Arthroplasty, or TKA—a procedure that has transformed the lives of millions suffering from debilitating knee arthritis. In this episode, we’ll focus on the significant contributions of Dr. John Insall, whose innovative designs and surgical techniques elevated TKA to the gold standard it […]

In this chapter of the Ortho Time Machine episodes, we’re focusing on a game-changing innovation that transformed the way surgeons diagnose and treat joint disorders. Masaki Watanabe and many others helped to pioneer arthroscopic surgery and gave orthopaedic surgeons a new way to see and treat inside joints without large incisions. It’s hard to imagine […]

Welcome back to Ortho Time Machine episodes where we uncover the most transformative moments and figures in the history of orthopaedic surgery. In this episode, we’re delving into the extraordinary life and work of Gavriil Ilizarov—a man who, against all odds, revolutionized limb reconstruction and deformity correction. (Note that some of the character voices are […]

Season 6 of the OrthoClips Podcast Series features a new mini-series entitled “Ortho Time Machine”, where we travel through the fascinating history of orthopaedic surgery, exploring the game-changing moments that shaped our field. In this first episode, we’re stepping into the operating theater of one of the most brilliant minds in orthopaedics: Sir John Charnley, […]

We cover two recent review papers on the topic: “An Update on Spinal Cord Injury and Current Management” by Carroll et al in the October 2024 JBJS Reviews, and “Updates in the Early Management of Acute Spinal Cord Injury” by Lambrechts et al in the September 1, 2023 issue of JAAOS. Urgency of spinal decompression, […]

We review the results of the recent RCT published in the September 4, 2024 JBJS entitled “Low-Intensity Pulsed Ultrasound Versus Sham in the Treatment of Operatively Managed Scaphoid Nonunions: The SNAPU Randomized Controlled Trial” by White and coauthors from the Wrist and Elbow Research Group of Canada (WECAN).

We review “Integrated Dual Lag Screws Have Higher Reoperation Rates for Fixation Failure Than Single Lag Component Cephalomedullary Nails: A Retrospective Study of 2,130 Patients with Intertrochanteric Femoral Fractures” from the September 18, 2024 JBJS. This compared patients treated with the Trigen InterTAN with DPS TFNA and Stryker Gamma 3. The authors are Christian Gonzalez […]

Does far cortical locking improve healing for management of distal femur fractures, compared to standard locked plating? We discussed the findings from the randomized control trial entitled “Far Cortical Locking Versus Standard Constructs for Locked Plate Fixation in the Treatment of Acute, Displaced Fractures of the Distal Femur” by Dr. Kelly Lefaivre and colleagues from […]

We are discussing three papers from the August 2024 volume of the Journal of Orthopaedic Trauma, all from the Young Femoral Neck Fracture Working Group. This includes 26 North American trauma centers with over 500 young adult patients with femoral neck fractures. The first paper focuses on optimal fixation strategies, the second focuses on isolated […]

With all the external fixation being done for temporary stability, what is the evidence for best practices for conversion to internal fixation? There are issues regarding timing, whether you can keep the ex fix in the operative field if needed, how to best sterilize it, what to do with the pin sites before and after […]

In this episode, we review two recent randomized control trials investigating this question. “Skin Antisepsis before Surgical Fixation of Extremity Fractures” is a publication from the PREPARE trial in the February 2024 issue of the New England Journal of Medicine. This was a randomized control trial of over 6000 patients in which day investigated iodine […]

Conversation with Alexander Neuwirth, M.D., Associate Program Director of the Orthopaedic Surgery Residency and Associate Program Director, Frank E. Stinchfield Adult Reconstruction Fellowship, and Assistant Professor of Orthopaedic Surgery in the Division of Adult Hip and Knee Reconstruction at Columbia University Medical Center and New York-Presbyterian Hospital. We discuss teaching millennials, active learning, flipped classrooms, […]

Interview with Dr. Noelle Van Rysselberghe from Harborview Medical Center in Seattle, Washington discussing her paper in the February 2024 Journal of Orthopaedic Trauma entitled “Retrograde Intramedullary Nailing Versus Locked Plating for Extreme Distal Periprosthetic Femur Fractures: A Multicenter Retrospective Cohort Study”.

Interview with Dustin Greenhill, MD, FAAOS, Associate Program Director of Orthopaedic Surgery at the St. Luke’s University Health Network and Assistant Clinical Professor at Temple University School of Medicine. Dr. Greenhill is a pediatric orthopaedic surgeon and first author of the paper entitled “Treatment of Length-Unstable Pediatric Femur Fractures in Children Aged 5 to 11 […]

Interview with Devon Brameier, BM, BCh, Senior Clinical Research Coordinator, Dept. of Orthopaedic Surgery, Harvard Medical School Orthopaedic Trauma Initiative, Brigham and Women’s Hospital. We discuss their paper entitled “Use of Direct Oral Anticoagulants Among Patients With Hip Fracture Is Not an Indication to Delay Surgical Intervention” from the March 2024 Journal of Orthopaedic Trauma.

Interview with Dr. Brian Mullis, Professor of Orthopaedic Surgery and Residency Director, Indiana University School of Medicine and Dr. Leilani Mullis, Assistant Professor of Clinical Anesthesia and Chair, Residency Selection Committee, Indiana University School of Medicine. We discuss their paper entitled “Orthopaedic Trauma and Anemia: Conservative versus Liberal Transfusion Strategy: A Prospective Randomized Study” in […]

An interview with Dr. Scott LaValva, lead author on the April 3, 2024 JBJS publication entitled “Robotics and navigation do not affect the risk of periprosthetic joint infection following primary total hip arthroplasty: A propensity score-matched cohort analysis”. Dr. LaValva is a PGY-4 orthopaedic surgery resident at the Hospital for Special Surgery in New York […]

Discussion with Dr. Joseph Thomas Patterson, Assistant Professor of Clinical Orthopaedic Surgery at the Keck School of Medicine of the University of Southern California on the VANCO Trial. Specifically, we discuss his paper in the January issue of the Journal of Orthopaedic Trauma entitled “The VANCO Trial Findings are Generalizable to a North American Trauma […]

In this episode, I chat with A. Noelle Larson, M.D., Professor of Orthopedics in the Department of Orthopaedic Surgery at the Mayo Clinic in Rochester, Minnesota on her group’s work entitled “The Effect of Implant Density on Adolescent Idiopathic Scoliosis Fusion: Results of the Minimize Implants Maximize Outcomes Randomized Clinical Trial” that was published in […]

Dr. Faseeh Shahab, MBBS, MD, FCPS, Consultant Orthopaedic Surgeon at Shahab Orthopaedic and General Hospital in Peshawar Pakistan discusses the management of these challenging cases. We chat about the workup, surgical techniques, and the particular challenges of these complex cases.

Dr. Robert O’Toole, Professor of Orthopaedic Trauma, Division Head of Orthopaedic Traumatology, Chief of Orthopaedics at the R Adams Cowley Shock Trauma Center, Program Director of the Orthopaedic Traumatology Fellowship Program, Department of Orthopaedics at the University of Maryland Medical Center discusses the recent METRC study comparing aspirin vs LMWH for DVT prophylaxis in ortho […]

Lewis Zirkle, M.D., President and Founder and Chairman of the Board of SIGN Fracture Care, discusses how SIGN got started, how their organization addresses disparities in modern fracture care around the world, and how future challenges will be navigated going forward. More info about SIGN can be found at signfracturecare.org

Interview with Dr. Kevin Plancher, Clinical Professor of Orthopaedic Surgery at Albert Einstein College of Medicine, Adjunct Clinical Assistant Professor at Weill Cornell Medical College in New York City, and Team Physician for the US Ski and Snowboard Team. We discuss why you should be doing outpatient total joint replacement, tips for best practices, how […]

Interview with Dr. Benjamin Taylor, Fellowship Director of the Orthopaedic Trauma Fellowship at Grant Medical Center, Columbus Ohio, Associate Program Director for OhioHealth Orthopaedic Surgery Residency, and Associate Clinical Professor at Ohio University and Dr. David Galos, Assistant Professor of Orthopaedic Surgery and Sports Medicine at the Lewis Katz School of Medicine at Temple University. […]

Welcome to Season 3 of the podcast. This season we plan to change things up a bit and have more episodes with multiple guests. The aim is to try and bring in multiple perspectives on an issue, maybe even some debates and controversy. Check out the first episode on Masquelet techniques with Drs. Ben Taylor […]

Highlights from the 2021 Annual Meeting of the Orthopaedic Trauma Association in Fort Worth, Texas. A brief review of the symposia and key papers are discussed in this episode.

Dr. Corinna Franklin, Director of Sports Medicine at Shriners Hospital, Philadelphia and Associate Professor of Orthopaedic Surgery and Sports Medicine, Lewis Katz School of Medicine at Temple University discusses how we can improve transgender care in orthopaedics.

D.r Mara Schenker, MD, FACS, Associate Professor of Orthopaedics, Chief of Orthopaedics at Grady Memorial Hospital, and Director of Orthopaedic Trauma at Emory University School of Medicine discusses social determinants of health in orthopaedic trauma patients. Why is this important? What can orthopaedic surgeons do to assess for these, and how does it affect outcomes?

Dr. David Lowenberg, Clinical Professor of Orthopaedic Surgery at Stanford University School of Medicine, Emeritus Chief of Orthopaedic Trauma, and recent past President of OTC International and the FOT discusses the management of infected fractures. He describes the most common mistakes made, his tips for local antibiotic use, which management techniques and principles have evolved […]

Surena Namdari, MD, Associate Professor of Orthopaedic Surgery, Fellowship Director and Co-Director of Shoulder & Elbow Research at the Rothman Institute in Philadelphia, and attending surgeon at Thomas Jefferson University Hospitals discusses his approach to the management of geriatric proximal humerus fractures. What are the surgical criteria? How should we choose between ORIF and arthroplasty? […]

David Galos, MD, Assistant Professor of Orthopaedic Surgery at Temple University Hospital in Philadelphia, PA discusses his group’s research of fascia iliaca blocks in hip fracture surgery. How are they done at a busy hospital center? Do they reduce opioid consumptions, and by how much? Do they reduce delirium and improve patient satisfaction? Is this […]

Nancy Yen Shipley, MD, orthopaedic surgeon, speaker, writer, and host of “The 6% with Nancy MD” podcast discusses barriers, dispels myths, tells her personal stories, and suggests how we can improve the current underrepresentation of women in orthopaedic surgery. Dr. Shipley practices at Multnomah Orthopedic Clinic in Portland, OR. Check out her website at nancymd.com […]

Grant D. Hogue, MD, Attending Orthopedic Surgeon, Boston Children’s Hospital and Instructor of Orthopedic Surgery, Harvard Medical School discusses marijuana and fracture healing. As marijuana legalization becomes more prevalent and opioid use is discouraged, it is likely that more of our patients will turn to marijuana. But how well has it been studied in our […]

John P. DiFiori, MD, Director of Sports Medicine for the NBA and Chief of the Primary Sports Medicine Service at the Hospital for Special Surgery in New York discusses the NBA ‘bubble’ – how they got there, why it worked, and the lessons learned. In addition, we discuss the potential challenges for the upcoming NCAA […]

An interview with Asif Ilyas, MD, MBA, Founding President of the Rothman Opioid Foundation. Dr. Ilyas discusses the educational and research efforts that are needed to continue the efforts to end the opioid epidemic. He also describes some of the early successes, the need for a long-term strategy in these efforts, medical cannabis, and how […]

Info about the upcoming 12th Annual Philadelphia Orthopaedic Trauma Symposium June 13

Dr. Eric Gokcen, Associate Professor of Orthopaedic Surgery & Sports Medicine and Director of Foot and Ankle Surgery at Temple University discusses controversies with the management of achilles tendon ruptures, specifically operative versus nonoperative pathways. He also provides his tips for success with managing these both nonoperatively and operatively, including his current surgical techniques.

Dr. Jeffrey L. Gum, Adult and Pediatric Spine Surgeon at the Norton Leatherman Spine Center and Assistant Professor at the University of Louisville, Department of Orthopaedic Surgery, explains his group’s study investigating this problem. He discusses the important factors that trainees should prioritize, the pitfalls and common mistakes and misperceptions that trainees have when looking […]

Dr. Fernando Vilella-Hernandez, Assistant Professor of Clinical Orthopaedic Surgery at the University of Miami and Chief Medical Officer for Orthopaedics at Jackson Memorial Hospital discusses the management of distal femoral fractures in the elderly. ORIF vs distal femoral replacement, technical considerations for distal femoral replacement, what the current literature teaches us, and challenges when managing […]

Joshua Pahys, MD from Shriners Hospitals for Children – Philadelphia and Adjunct Clinical Associate Professor of Orthopaedic Surgery at Jefferson University discusses prevention of infection after spine surgery. Although uncommon, postoperative deep infections can be devastating and require extensive treatment to overcome. He gives his top 5 tips to prevent infection, describes the current evidence […]

Dr. Sommer Hammoud, Assistant Professor of Orthopedic Surgery and Associate Residency Director at Jefferson University Hospitals and the Rothman Institute, Head Team Physician for Saint Joseph’s University, Bryn Athyn College, Cairn University, and the Philadelphia Phoenix, and Head Orthopaedic Surgeon for Jefferson University discusses the management of collegiate athletes. She gives her top 5 tips […]

Dr. Ryan Schreiter, Assistant Professor of Orthopaedics & Sports Medicine, co-head Team Physician of Temple Football, Team Physician for Temple Athletics addresses issues related to conflicts of interest (COI) that team physicians face. Why should there be team doctors rather than just having athletes go and see their own physicians for all of their care? […]

Sheeraz Qureshi, MD, MBA, Patty and Jay Baker Endowed Chair in Minimally Invasive Spine Surgery and Associate Professor of Orthopaedic Surgery at the Hospital for Special Surgery and Weill Cornell Medical College discusses his top 5 tips for success in the treatment of patients with these methods. He also discusses how he developed his interest […]

Surena Namdari MD, Associate Professor of Orthopaedic Surgery and Director of Shoulder & Elbow Research at Rothman Institute and Thomas Jefferson University Hospitals discusses c acnes (formerly p acnes) and the challenges this organism presents in shoulder surgery. Often found without clinical infection, it nonetheless is prevalent in shoulder revision surgery and presents diagnostic challenges. […]

Harold van Bosse, MD, Attending at Shriners Hospital for Children, Philadelphia, and Associate Professor of Orthopaedic Surgery at both Temple and Jefferson Medical Schools discusses the principles of management of arthrogryposis. He explains the basics about arthrogryposis, the treatment principles for success, the main challenges facing surgeons who manage these patients, and potential future developments […]

John Fowler, MD, Associate Professor of Orthopaedic Surgery and Assistant Dean for Medical Student Research at the University of Pittsburgh, discusses the evolution of ultrasound both for diagnostic and therapeutic applications in hand surgery. He explains why this is an important technique to learn, what the evidence shows regarding its benefit, how he uses it […]

Jeffrey M. Smith, MD, orthopaedic traumatologist, surgeon coach, and founder of SurgeonMasters.com discusses the importance of surgeon coaching. What are the problems that surgeons don’t even realize they can improve? Why is coaching emerging in healthcare professions now? Does coaching work? And what are the challenges with surgeon coaching?