
Hosted by Ira H. Kirschenbaum, MD · EN

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.

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.

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

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.

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

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.

By Ben Schwartz, MDThe author’s perspective on the relationship between orthopaedic specialists and CMS.

Medicare reimbursement cuts and increasing administrative burdens have contributed to a growing number of physicians opting out of the program, with orthopedic surgeons disproportionately affected due to their patient population, procedural volume, and operational costs. Therefore, this study aimed to analyze (1) trends in the incidence of orthopedic surgeons opting out of Medicare, (2) the demographic and professional characteristics of those opting out, (3) the geographic distribution of opt-outs, and (4) provider characteristics associated with the timing of opt-outs among orthopedic surgeons.

Orthopaedic surgical residency training is a demanding time. It requires discipline, long working hours, and interdependence on your co-residents. Studying, splinting, operating. There’s not much in the way of personal hobbies, free time, or sleep for that matter. The years of training don’t just qualify us for a job, they mold us into surgeons - but is there room to be anything else? Is there room to be both a parent, and an orthopaedic surgical resident?

The author presents his overview on total joint infections.