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Tag: new approach

Less Invasive Procedures

By Alejandro Badia, MD, FACS I am inclined to perform a new operation or variation of a procedure when I feel the existing option does not lead to ideal results, or more often, when the newer option is more efficient and often cost-effective, and more imporantly, when the patient will recover faster and with less […]

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Managing the Chronically Stiff Hand

By Judy C. Colditz, OT/L, CHT, FAOTA Certainly not my last, but definitely my most significant deviation from standard practice, was some years ago when I casted a patient with a chronically stiff hand. Having been taught to never immobilize any part of a stiff hand and especially never to block the MP joints in […]

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My New Go-To Fixation Technique

By Ryan D. Endress, MD I’ve recently adopted the technique of cannulated intramedullary screws for metacarpal neck and shaft fractures. Depending on the fracture pattern, I would previously either perform percutaneous fixation with wires, or open fixation with plates and/or lag screws. I was looking for a way to provide the best of both worlds (i.e. less […]

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My New Magic Recipe

By Constantinos Ketonis, MD, PhD Surgeons are often called “creatures of habit” and are known to abide by the slogan “if it’s not broken don’t fix it.” We like routine and we like to perform each procedure the exact same way, every time–from the placement of the retractors to the application of the bandages. There […]

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Employing New Techniques

By Jaehon Kim, MD, FAAOS I’m a mid-career hand surgeon in an academic center with a passion for trauma. Recently, my residents declared me to be the necrotizing fasciitis specialist in New York City after seeing three of them in a span of two weeks. It’s a title I desperately wish to shed as soon […]

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Treatment Comfort Zone

By Michael B. Lilyquist, MD We have likely all heard the phrase, “don’t be the first, but don’t be the last” to adopt a new surgical technique or device.  This is seemingly wise counsel and was often repeated during my orthopaedic residency training. It was almost always stated when an x-ray was reviewed in morning […]

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Getting a Grip on Ulnar Sided Wrist Pain

By Ather Mirza, MD Being in practice for over 30 years, I have seen a progressive and dynamic shift in procedural approaches over time. As techniques have evolved, our field and the larger medical community have greatly benefited from the pearls and pitfalls shared among colleagues. When a potential breakthrough emerges in the field of […]

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Intramedullary Fixation

By Tyler Steven Pidgeon, MD “If it ain’t broke, don’t fix it” is a common adage that many surgeons live by. When success is more or less assured with a certain procedure, it can be hard to step outside of one’s comfort zone and try something new. Why take a risk with your patient’s outcome? […]

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When Should I Try Something New?

By Michael M. Vosbikian, MD This is a question that plagues us all whenever we read an article, see something at a meeting, or get approached by someone from industry. We see the technique or the technology, we get seduced, and all of a sudden, to this shiny new hammer, everything looks like a nail. […]

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