We're trying something different this week: a full post-show breakdown of every episode in the latest season of Black Mirror! Ari Romero is joined by Tudum's Black Mirror expert, Keisha Hatchett, to give you all the nuance, the insider commentary, and the details you might have missed in this incredible new season. Plus commentary from creator & showrunner Charlie Brooker! SPOILER ALERT: We're talking about the new season in detail and revealing key plot points. If you haven't watched yet, and you don't want to know what happens, turn back now! You can watch all seven seasons of Black Mirror now in your personalized virtual theater . Follow Netflix Podcasts and read more about Black Mirror on Tudum.com .…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
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Content provided by Dr. Adam Rosen. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Dr. Adam Rosen or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
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. I do not claim that my way is the best way or the only way. My personal approach to my patients, total knee replacement surgery and the ever important post-operative recovery has been developed over the years. My protocols are ever changing based on scientific evidence and personal experience.I know many of you will want to jump right ahead to the operative step episodes - and that is okay. The first few episodes are not as exciting but they do contain important information in my opinion. If you jump ahead just be sure to come back and listen to the first few episodes.I will attempt to offer you my brain and the algorithm within it. Here I will share my thoughts and my approach to caring for total knee replacement patients. I hope that you learn something from this podcast. I hope that my thought process stimulates your thinking and approach. Most importantly I hope that I can offer one or more tips or pearls that may benefit your patients. If you like the information and have a friend or colleague that you think would benefit from the material please be sure to share this podcast with them. (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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102 episodes
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Content provided by Dr. Adam Rosen. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Dr. Adam Rosen or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
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. I do not claim that my way is the best way or the only way. My personal approach to my patients, total knee replacement surgery and the ever important post-operative recovery has been developed over the years. My protocols are ever changing based on scientific evidence and personal experience.I know many of you will want to jump right ahead to the operative step episodes - and that is okay. The first few episodes are not as exciting but they do contain important information in my opinion. If you jump ahead just be sure to come back and listen to the first few episodes.I will attempt to offer you my brain and the algorithm within it. Here I will share my thoughts and my approach to caring for total knee replacement patients. I hope that you learn something from this podcast. I hope that my thought process stimulates your thinking and approach. Most importantly I hope that I can offer one or more tips or pearls that may benefit your patients. If you like the information and have a friend or colleague that you think would benefit from the material please be sure to share this podcast with them. (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.)
…
continue reading
102 episodes
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
I am going to cover some of the things I consider when approaching Uni's Please take the time to leave a review and subscribe. Stay safe. Support the show
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
This is an important episode because we are all at risk. If you are in trouble or suffering ask for help, get help, seek help and ask for help again. If you see a colleague or friend who is having trouble ask how you can help and be sure to check in with them or seek help from your attending or other supervisors. Support the show…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
This is the 100th Episode of the Total Knee Tips & Pearls Podcast Some techy stuff on TKA Recommended Distal Femoral Resections 8mm - Stryker Triathlon 9mm - DePuy Attune 9.5mm - Smith & Nephew 10mm - Zimmer Persona, DJO, Microport Anterior Flange Angle to Prevent Notching 3 degrees - S&N, Zimmer 5 degrees - DJO, DePuy 6 degrees - Microport 7 degrees - Stryker Recommended Tibial Slope 0 degrees - Stryker PS, Aesculap 3 degrees - Stryker CR, Aesculap, Persona PS, Attune PS, Microport, S&N 5 degrees - Attune CR 7 degrees - Attune CR, Persona CR 1 mm Poly Options Stryker, Zimmer, Depuy, S&N Metal Sensitive Option S&N Oxinium Zimmer Ti-Nidium Microport NitrX DJO ArmourCoat Aesculap Advanced Surface Technology TJO Aurum Narrow Options Zimmer, DePuy, S&N, Aesculap Smallest - Zimmer 1 Narrow (55.5 mm M/L, 48.1 mm AP) Biggest - Aesculap F8 (82 MM M/L, 80.5 mm AP) Lots of stuff! Check with your reps and always refer to the technique manual, this is just a brief review but does not take the place of training and education. Support the show…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
Two studies have shown that essential amino acids (EAA) can help function, and suppress atrophy of the rectus after TKA. Dreyer et al. J Clinc Invest. 2013;123(11):4654-4666. Essential amino acid supplementation in patients following total knee arthroplasty. Ueyama et al. The Bone & Joint Journal Vol 102-B, No. 6, Supp A. Perioperative essential amino acid supplementation suppresses rectus femoris muscle atrophy and accelerates early functional recovery following total knee arthroplasty. The two brands I recommend to patients are Thorne ( https://amzn.to/3KPuC2i ) and Pure Encapsulations ( https://amzn.to/3ObJj1U ) Support the show…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
1 Acetabular Cups - Reaming and Liner Options 13:00
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Play Later Play Later Lists Like LikedDo not take my word for it but do your research and verify everything. Here I'll review the four common cups many of us use Zimmer G7 - ream under by 1 mm, 36 mm ID options at 50 with 10 degree and +5 lat offset Stryker Trident II Tritanium - ream line to line, 36 neutral option at 48 and 36 mm options with lip and offset at 52 mm DePuy Pinnacle - under by 1 mm, 2mm or line to line, 36 mm ID options at 52 mm Smith and Nephew - under by 1 mm or line to line, 36 mm ID option at 52 mm If you are a 40 mm fan, you can get 40 mm with Zimmer at 54 mm, Stryker at 52 mm, Depuy and Smith and Nephew at 56 mm Support the show…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
Here I share with some some tips and tricks on what I look for and what I do when caring for the 50 and older patient with knee pain that does not have severe arthritis and does have a meniscus tear. I also share some tips on what to do during boards collections to make sure you have copies of the intra-op photos and how I discuss the surgical findings with my patients in the office. Support the show…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
Here is my take on the three new broach only collared hip stems Depuy Actis 130 degree neck shaft angle sizes 0-12 high offset 6mm (sizes 0-3) and 8 mm (sizes 4-12) Zimmer Avenier 135 neck shaft angle sizes 0-9 high offset 6mm collared and non-collared options coxa vara neck 126.5 degrees Stryker Insignia 130 degress neck shaft angle sizes 0-11 high offset 5 mm Support the show…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
1 Talking to patients about Leg Length Discrepancy 15:03
15:03 Play Later Play Later Lists Like Liked15:03
Play Later Play Later Lists Like LikedLLD is a real issue. Here I will go over a number of things that can cause or lead to a LLD. I will share things I look for and how I talk to patients about LLD and what things you can do at the time of surgery to control for LLD. Support the show
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
What you are looking for in a fellowship is a personal decision. I covered this topic before but we are in the middle of fellowship applications and most applicants have the same questions. Here I discuss volume, autonomy, approaches, implants, technology, clinic, revisions and finding a job. Support the show…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
1 Robotics or Lack There Of - You still need training in manual total knees 16:26
16:26 Play Later Play Later Lists Like Liked16:26
Play Later Play Later Lists Like LikedI used nav in 2005 and was looking forward to robotics when they came on the scene. First it was Mako and now Rosa and Velys. Unfortunately, the powers that be have not allowed them in our system yet. I think it is important for residents and fellows to be trained with robots. It is a part of education today. Robotic training will help you land a job. Robotics may help you attract patients. Augmented reality may offer some of the same information because that technology is advancing quickly. But, you need to know how to do a manual total knee well. A robot may not be available. Software may be corrupt or fail. Garbage in, garbage out. If it doesn't look right or feel right do not just believe what you see on. a screen or a heads-up display. You need reps on manual total knees so you have a bailout if things don't work with the technology. Support the show…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
AR is something I am really excited about. Here is my two cents on the future of AR technology in total knees Support the show
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
I am happy to share my new book THE KNEE BOOK - A GUIDE TO THE AGING KNEE It was written for patients and it is written to patients in easy to understand language. The book is a perfect recommendation for patients with knee pain that have questions. I believe it is also a great resource for residents and young surgeons. In it I review the algorithm for treating patients with knee pain from the most conservative up to knee replacement. What I think is the best benefit for young surgeons is all of the analogies I use to explain things to my patients. You can pick these up by reading the book so that you can better explain things to your patients. It is also a great read for non-orthopedic doctors, PA's or NP's. Anyone that treats knee pain patients. It explains why we need weight bearing x-rays and not MRI's and more. You can download the ebook at Amazon here: https://www.amazon.com/Knee-Book-Guide-Aging-ebook/dp/B09NLL58LG/ref=tmm_kin_swatch_0?_encoding=UTF8&qid=1639946441&sr=8-2 You can get the paperback here: https://www.amazon.com/Knee-Book-Guide-Aging/dp/B09NKWMYFN/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=1639946441&sr=8-2 Available at Barnes and Noble as a Nook here: https://www.barnesandnoble.com/w/the-knee-book-a-guide-to-the-aging-knee-adam-rosen/1140795276?ean=2940161052846 Support the show…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
I still do this every Friday (sooner if it is a complicated revision) Check the patient, age, BMI, nasal swab, dvt proph. Check the x-rays and make sure the implants are ordered. Review the labs and any clearances that are needed. Double check everything necessary with the patient the day of surgery. Make sure the room is set up with everything you need prior to the patient coming into the room. Support the show…
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
Whether you are doing a hemi or total, cementing the femoral component takes some skill. Here I will share with you my tips on how to get a good cement mantle. A link to the episode on cement grading: https://www.buzzsprout.com/725061/episodes/7501843 Support the show
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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
SSI is the number one reason for unplanned admission after TJA. Biofilm can form within minutes and be mature within 24 hours. Biofilm contains approximately 80% ECM and 20% bacteria. Check out this lecture by Next Science that was given at AAOS 2021 https://www.youtube.com/watch?v=5WPZ02t8hEs&list=PL226EPMMG9vYS9F1oDCU9SvOOBIqjJXze&index=6 And this two part series: https://www.youtube.com/watch?v=cG3iOT4vZlA&list=PL226EPMMG9vYWosH11BTZh1_2g02R-M92&index=7&t=31s https://www.youtube.com/watch?v=ZDXZFbCEilw&list=PL226EPMMG9vYWosH11BTZh1_2g02R-M92&index=8 Support the show…
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