JOEI The Journal

Ira H. Kirschenbaum, MD
  • 5.0 (2)
  • Medicine
  • Updated Biweekly

The Journal of Orthopaedic Experience & Innovation publishes the podcasts of its "Open Mic" Topic Sessions and 5-minute summaries of all its articles.

  1. 1h ago

    5-Minute Summary: Cerclage Fixation in Total Hip Arthroplasty: Anatomy, Surgical Options and Clinical Outcomes

    Cerclage fixation has become an essential adjunct in total hip arthroplasty (THA), offering surgeons a versatile means of achieving mechanical stability in the face of complex challenges such as intraoperative femoral fractures, trochanteric osteotomies, and periprosthetic fracture management. This comprehensive review synthesizes current evidence regarding anatomical considerations, surgical techniques, fixation options, and clinical outcomes related to cerclage use in both primary and revision THA. Emphasis is placed on the importance of precise anatomical knowledge, particularly in navigating neurovascular danger zones along the femur, to mitigate the risk of iatrogenic injury during cerclage application. Various cerclage systems are evaluated, including traditional stainless-steel wires, multifilament metallic cables, cable-plate constructs, nonmetallic polymer loops, and high-strength sutures, highlighting differences in biomechanical performance, cost, and clinical reliability. Clinical indications for cerclage fixation are reviewed in detail, including its role in prophylactic stabilization of high-risk femurs, fixation of trochanteric osteotomies, and management of periprosthetic fractures. As THA continues to evolve, strategic use of cerclage fixation, grounded in anatomical precision and tailored implant selection, remains a critical skillset for optimizing surgical outcomes and minimizing complications in both routine and complex cases.

  2. 2d ago

    5-Minute Summary: Higher Pain Catastrophizing Scores are Associated with Increased Pre-operative Anxiety in Ambulatory Hand Surgery that is not Impacted by Watching a High-Quality Pre-Operative Video

    Recent studies have shown that online video libraries are poor sources of educational content for patients. Despite this, patients seek videos on the internet to learn about their conditions and treatments, which may increase anxiety prior to surgical procedures. This study tested the hypothesis that watching a high-quality, physician-made video prior to elective hand surgery decreases pre-operative anxiety.

  3. 4d ago

    5-Minute Summary: From Innovation to Inaccuracy: The Impact of ChatGPT on Orthopaedic Surgery Research Citations in Sports Medicine

    Chat Generative Pre-Trained Transformer (ChatGPT) has continued to become widely utilized in orthopaedic surgery due to its efficiency and ability to produce easily digestible information. Researchers have used ChatGPT to produce topic specific outlines and assist in research endeavors. The purpose of this study was to evaluate the validity of ChatGPT as a resource to orthopaedic researchers in conducting literature reviews for presentations or research papers.

  4. Aug 14

    5-Minute Summary: Concurrent Floating Hip and Open Knee Dislocation: Damage-Control Management

    Ipsilateral dislocations of the hip and knee are rare injuries that threaten the limb and demand rapid, orderly care. We report a polytrauma patient with a closed posterior hip dislocation, an ipsilateral open knee dislocation with neurovascular compromise, and a left floating hemipelvis defined by fractures of the superior and inferior pubic rami with sacroiliac joint disruption. This constellation creates a floating hip and makes standard hip reduction unsafe because axial traction through the knee can aggravate soft tissue and vascular injury. We used a modified Allis maneuver that redirects traction to the femur while the knee is rigidly immobilized and the pelvis is stabilized. Closed reduction was achieved promptly. Given persistent ischemia and a Mangled Extremity Severity Score (MESS) of 9, urgent guillotine above-knee amputation was performed. This case underscores priorities that should guide similar presentations: immediate hemodynamic stabilization, continuous reassessment of neurovascular status, protection of compromised soft tissues, and early but safe hip reduction that avoids loading an unstable knee.

  5. Aug 13

    Modern Acetabular Strategies in THA: Balancing Stability, Fixation, and Versatility

    The recording of the JOEI "Open Mic" Session featuring Stefano Bini, MD, Max Courtney, MD, & George Guild, MD.

  6. Aug 13

    5-Minute Summary: Does Liposomal Bupivacaine Provide Additional Postoperative Pain Control for Distal Radius Fracture Volar Plating Performed with a Supraclavicular Nerve Block?

    Distal radius fractures is an orthopedic injury commonly operatively treated with volar-based plating. Regional nerve blocks are efficacious in improving post-operative pain control, yet “rebound pain” when the nerve block wears off remains of great concern. This study aims to evaluate the efficacy of liposomal bupivacaine (LB) in providing meaningful, additional pain control on top of a supraclavicular nerve block for patients undergoing distal radius volar plating.

  7. Aug 12

    How to Avoid Disasterplasties to Begin With!

    The recording of the JOEI Zoom "Open Mic" Session featuring Richard Buch, MD, Jon Minter, DO, & Herrick Siegel, MD

  8. Aug 10

    5-Minute Summary: A Human Factors Analysis of Personal Electronic Device Use and Cognitive Distractions in Orthopedic Surgery

    The increasing ubiquity of personal electronic devices (PEDs) has introduced new cognitive challenges in high-stakes environments such as orthopedic surgery. While PEDs offer communication and informational utility, their misuse during clinical care has raised concerns about situational awareness, workflow disruption, and patient safety.

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About

The Journal of Orthopaedic Experience & Innovation publishes the podcasts of its "Open Mic" Topic Sessions and 5-minute summaries of all its articles.

Information

  • Creator
    Ira H. Kirschenbaum, MD
  • Years Active
    2022 - 2026
  • Episodes
    188
  • Rating
    Clean
  • Copyright
    © Ira H. Kirschenbaum, MD
  • Show Website
    JOEI The Journal

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