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Here is the overview of our latest newsletter from the North Sydney Orthopaedic Research Group. December 2024 Research Update NSORG Team Ka Martina and Dr Raymond Kim wins Best Paper Award Transphyseal ACL Reconstruction: A Safe Option Even in Prepubescent Children Dr Matthew Lyons hits milestone of 600 Velys robotic assisted knee replacements NSORG surgeons at the Australian Orthopaedic Association Annual Scientific Meeting Case Study: A rare case of multiple venous malformations of the Gluteal region with involvement of the Sciatic Nerve For a full version, click on the link below 👇 https://lnkd.in/gvxzt8Wm

And this…is the future of social media for all the right reasons.

What a rewarding conversation with Ran Schwarzkopf MD, MSc - we had worked closely together over the years on Intellijoint VIEW. The objective: to make the hip-spine relationship more intuitive and approachable for hip arthroplasty surgeons seeking to incorporate these concepts into their patient care. And now we've taken things one step further with an open-access version of Intellijoint VIEW - making hip-spine dynamics even more approachable and accessible to hip surgeons. Curious? Try it! #hipreplacement #orthpedics #surgery #roboticsurgery

Are you a professional in the field of orthopedics and traumatology, or just interested in the field? Read our guide of key talks from the SICOT 44th Orthopaedic World Conference, which highlights keynote speakers, as well as special events happening throughout the conference. Take a deeper dive >>> https://hubs.ly/Q02QTPqZ0

Let me present a piece of supporting evidence for Benjamin Schwartz, MD, MBA’s observations. At the ISTA 34th Congress last week I was sitting 1 row behind the Editor-in-Chief of the British Joint Journal, Dr Fares Haddad. The exact context of the discussion I can’t relate perfectly but the comment he uttered regarding papers/data was “90% is garbage”. I share a cynicism around the mighty p value and Big Data drivel but this frank admission shocked me. WOW. I have experienced being on both sides of the peer review process and reviewers are honest but often not experts or experts with blinders, limited to the status quo or statistical machinations. This may work for a Mayo type institutional database but people learn by sharing ideas and ideas are what changes the course of incremental progress. This exchange occurs in hallways, tables, and pubs at meetings. I often wonder about this term, “Value based Care”. From the surgeon perspective, it has undeniably translated to “Do more for less”, which is a bad strategy unless you’re a Pharoah too. From a facilities perspective it’s good as with fixed payments, lowering costs and increased volumes produces revenues. Thus, the surgeon ASC owner incentivized to churn and burn but hopefully not burnout. Finally, the insurers, who it really doesn’t matter, as they own the playing field and governmental agencies setting rates and policies entirely. They just move the pieces around, guaranteeing heinous profits at the expense of a citizenry that, to them, pays more to be ill than healthy. Value here would be to invest in wellness and have capped profits as a healthy, financially sound country, unhampered by bloated and denying for profit insurers, is a more productive country. Lots to consider But let’s thank the Journal of Orthopaedic Experience & Innovation for providing a forum for open discussion of topics not typically found in traditional publications. Hey, don’t these “traditional” publishers make outlandish profits on the backs of researchers too? It’s a Mad Mad World, isn’t it? Guess it’s always been somewhat unfair. #followthebod #Bodsquad

The aim of the ESSKA EHPA-ESMA Consensus (in which five groups of experts: hip surgeons, sports medicine doctors, hernia surgeons, radiologists, and physiotherapists were involved) is to build a foundation for more precise communication. The ESSKA EHPA and ESSKA-ESMA Consensus on Hip and Groin Pain in Physically Active Adults focuses on: What terminology should be used? What clinical examination tests should be performed? What are the first and second line imaging investigations for this cohort? Download here: https://lnkd.in/eC4yDJGq ESSKA - European Society of Sports Traumatology, Knee Surgery & Arthroscopy | British Orthopaedic Association #ResearchImpact #Research #HipPreservation #SportsMedicine #Arthroscopy #PatientCare #Hip #Groin

A differentiated approach to leg alignment with an individualized target range for medial and lateral cartilage defects, whether physiologic or by osteotomy, is indicated to optimize PRO after M-ACI. Patients who achieve these individualized ranges are significantly more likely to achieve PASS. They tend to benefit more from M-ACI and achieve better MOCART scores in the long-term. In order to provide sufficient mechanical stimulus for graft maturation but avoid mechanical overload, orthopaedic surgeons should be aware of the newly identified ranges of leg alignment to ensure optimal outcomes for their patients. Read more in our latest publication at the KSSTA Journal! https://lnkd.in/ekBtfJtH

Survey of 205 orthopaedic surgeons revealed 73% either always return explanted hardware upon patient request or decide case-by-case, and only 17% refuse. 80% of orthopaedic surgeons support standardized guidelines to allow for safe return of implants to patients. There is strong ethical and medicolegal support for honoring patient requests to return removed implants to the patient/family.

Thanks to Ira Kirschenbaum MD and the Journal of Orthopaedic Experience & Innovation team for featuring our recent The Surgeon's Record presented by Commons Clinic article on evidence-based medicine. Delivering high value treatment by following the evidence is always the goal. But we should always think critically about that evidence and not underestimate the importance of clinical experience. Medicine will always be an art. At the same time, we need outlets for surgeons, startups, and other healthcare innovators to share their results outside of the traditional medical publishing machinery (whose evidence often isn't as solid as we may think). This isn't an anything goes situation. No evidence or weak evidence (spurious white papers "certified" by paid third parties or pay-to-play journals) isn't the goal either. Instead, the article is a call to create a pathway for sharing practical, actionable research. Thanks to Ira and JOEI for leading the way. #medicine #healthcare #ebm #evidencebasedmedicine

INSPIRED • World Series Game 3 Pre-Game A-Rod interview with New York Yankees’ Giancarlo Stanton. “Talent is one thing. But effort, routine and consistency are another. There’s always something you can get better, adjust in. In this game, it’s almost like you can’t get enough work in.” Big League’s principles also apply everyday in Orthopaedic Surgery. There’s power in #teamwork, systems and routines. Live to be your best everyday. #toomuchbetter What’s your routine? Surgeons, what systems are your proud to make? Steamboat Orthopaedic & Spine Institute | Steamboat Surgery Center | UCHealth - Yampa Valley Medical Center | American Academy of Orthopaedic Surgeons (AAOS) | American Orthopaedic Society for Sports Medicine | Arthroscopy Association of North America