Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)

Dr. Adam Rosen
  • 5.0 (12)
  • MEDICINE
  • SEMIMONTHLY SERIES
Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)

Dr. Adam Rosen is an orthopedic surgeon who specializes in total joint replacement. He created this podcast which is aimed at interns, residents, fellows, and general orthopedists who are looking to dive into the details of total knee replacements, hip replacement, and classic articles. Be sure to check out my YouTube page: https://www.youtube.com/playlist?list=PL226EPMMG9vZmOiuDpmmh36nNzyPrYcRS (Disclaimer: This is my opinion. Any information gathered is not medical education. Practitioners need to use their education and experience to determine how to treat their own patients.)

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  1. EPISODE 1

    Balancing Algorithm in TKA

    Most gunners, interns and residents have memorized "the chart."  That chart with what to do in a TKA when flexion is loose or the extension gap is tight or vice versa.  Here I want to review that and more and discuss the things that I look for during balancing. & so much moreA bi-monthly podcast where we share the stories of our Caregivers, patients and...Listen on: Apple Podcasts   Spotify Support the show

    28 min

  2. EPISODE 2

    Using a Star System for Difficult Cases

    In my first year of practice I remember a day where I only had three joints but it took all day and I was exhausted.  Although they were all primaries they each had a component that made them hard - size, bone loss, stiffness. I created a system that allowed me to communicate with my scheduler so they could spread out the hard cases which prevented one day from having all chip shot easy cases and another day which had all of the hard cases. I hope you find this tip helpful in your practice. Support the show

    7 min

  3. EPISODE 3

    The Outerbridge Classification

    This is the first in a series of episodes where I review some classic articles and classifications. The Outerbridge classification was first presented in JBJS-B in 1961 The classification is as follows: 1 - Softening and swelling 2 - Fragmentation and fissuring less than 1/2 inch diameter 3 - Fragmentation and fissuring greater than 1/2 inch diameter 4 - exposed bone Support the show

    7 min

  4. EPISODE 4

    Patella Clunk

    Although rarely seen with newer TKA designs this was a diagnosis seen in patients with TKAs and could be extremely symptomatic. Patellar clunk was first described by Hozack et al in 1989. Patellar clunk occurred when a fibrous nodule forms above the patella.  This nodule would get caught in the intercondylar notch in flexion and then cause a painful clunk as patients whet from flexion into extension. This is a clinical diagnosis. Patients tend to do well with arthroscopic debridement when there are no radiologic abnormalities such as loosening or malposistion. Support the show

    6 min

  5. EPISODE 5

    HO - Brooker Classification

    Brooker et al JBJS Vol 55-A 1973 Class I - Islands of bone within the soft tissue around the hip Class II - Bone spurs from the pelvis or proximal femur , leaving at least 1 cm between Class III - Bone spurs from the pelvis or proximal femur, reducing the space between to less than 1 cm Class IV - bony ankylosis Support the show

    5 min

  6. EPISODE 6

    Fairbank

    Knee Joint Changes after Meniscectomy by T.J. Fairbank published JBJS - Br 1948 The following radiological changes were seen after meniscectomy 1. Ridge formation 2. Narrowing of the joint space 3. Flattening of the femoral condyle Support the show

    6 min

  7. EPISODE 7

    Osteonecrosis Staging Systems

    Here I review the two common classifications for ON of the hip, Ficat and Steinberg. The modified Ficat, Idiopathic bone necrosis of the femoral head,  was published in 1985 JBJS-Br 0 - Preclinical and pre-radiographic I - Xray is normal but hip is symptomatic II - sclerosis and cysts on xray III - Crescent sign IV - OA with a deformed head Steinberg, A quantitative system for staging avascular necrosis, JBJS-Br 1995 0 - Normal 1 - Xray normal, BS +, MRI + 2 - sclerosis and cysts on x-ray 3 - crescent sign 4 - flattening of the femoral head 5 - joint space narrowed without acetabular involvement 6 - advanced DJD for stages 1 - 5 he further describes volume of involvement mild 30% Support the show

    9 min

  8. EPISODE 8

    Vancouver Classification

    Vancouver Classification by Duncan and Masri ICL 1995 Treatment options added in CORR 2004 Type A AL - lesser trochanter - non-op unless larger medial piece AG - greater trochanter - non-op unless >2.5 cm displacement Type B B1 - well fixed stem - ORIF B2 - loose stem, adequate bone stock - revision w/ ORIF B3 - loose stem poor bone stock - revision w/ allograft or PFR Type C C - fracture below the tip of the stem - ORIF Support the show

    7 min
See All Season 4 (49)

Ratings & Reviews

5
out of 5
12 Ratings

About

Dr. Adam Rosen is an orthopedic surgeon who specializes in total joint replacement. He created this podcast which is aimed at interns, residents, fellows, and general orthopedists who are looking to dive into the details of total knee replacements, hip replacement, and classic articles. Be sure to check out my YouTube page: https://www.youtube.com/playlist?list=PL226EPMMG9vZmOiuDpmmh36nNzyPrYcRS (Disclaimer: This is my opinion. Any information gathered is not medical education. Practitioners need to use their education and experience to determine how to treat their own patients.)

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