Luke Farrow

Link at iahs.qualtrics.com/jfe/form/SV_5h…

@dbab1981 @JArthroplasty Definitely appears to be a good example of publication bias….

@docfarrow @JArthroplasty Agree. How has this been published?

Intraoperative fractures during cemented hemiarthroplasty do not contribute to an increased risk of secondary surgery, morbidity, or mortality after surgery. They also do not adversely affect radiographic outcomes postoperatively. arthroplastyjournal.org/article/S0883-…

Exciting news! The BOA AI in T&O Hub is now live! Your go-to resource for AI in T&O & MSK, featuring: ✅Exclusive T&O in AI Conference content ✅AI articles from Orthopaedics Online and JTO ✅BOA Congress session recordings & more! 👉 Explore now: boa.ac.uk/AIHub

@doctorthomaschr Pretty clear from the associated BOAST that it shouldn’t be happening - boa.ac.uk/static/7ded8f0…

@andrewhallortho Congrats mate - amazing news. Enjoy a return to the sleepless nights 😉😴!

We’re overjoyed to welcome Oisín James, born over the weekend. He & Niamh are doing brilliantly. A brother to Áine, who adores her “Oshy” and is already a doting big sister💚💙

@stevemchale @drsebheaven @generalorthomd I think part of the issue is that UK training is geared towards the generalist, which is a model of practice that has largely disappeared. There obviously still needs to be some generalist content, but a better balance towards specialism should surely be attainable nationally.

@drsebheaven @generalorthomd I think at the moment the UK has a long training programme that fails to prepare residents for being day 1 consultants. Either the programme should be shorter and UK fellowships should be properly structured and accredited, or the programmes should actually provide full training

Look ma, no fellowship!

@jamesdixonortho @scotorth Congrats James - awesome work! 🙌🏻@GrampianOrtho

Great @scotorth meeting today despite the challenging weather moving it online. Happy to win 2nd place prize for our work on open tibia fractures across Scottish MTC. Thanks to all the collaborators on the project!

@sib313 Maybe true for ED, but I would argue not true for other aspects e.g. surgical efficiency. Here there are number of factors that are relevant in estimates of operative time etc that AI could access and probably do a better job of assimilating than we currently do.

@docfarrow A&Es, for example, do not struggle to identify the patients who will be admitted at the point of arrival. The problem is doing anything about that knowledge that gets the admissions done in a timely way.

One huge problem with using AI in the NHS is that there is no relationship at all between problems suitable for AI solutions and the big problems the NHS has. So many AI "solutions" are solving non-problems.

This study provides an innovative stakeholder-led method for determining comparative priority for those awaiting primary elective hip and knee arthroplasty. #BJJ #Arthroplasty #Patients #Surgery @docfarrow @GrahamAnderLes ow.ly/fpkH50UAq4O

Today, alongside colleagues from @QMUL and the London Major Trauma System we are launching a new study into using AI to support clinical decision-making and enhance emergency life-saving care. The study, one of the first to evaluate the use of AI-powered decision-support tools in trauma care, will see AI-TRiPS deployed across The London Trauma System, the largest integrated trauma network in the world which serves over 10 million people. We’re looking forward to working with our colleagues @QMUL @NHSBartsHealth @LDNairamb @Ldn_Ambulance @KingsCollegeNHS @geshNHS @ImperialNHS to assess how the system can support doctors helping seriously injured patients. Read more about it here abdn.ac.uk/news/23983/

@NitinKimmatkar Gives a whole new perspective on rib plating!!

Tiger bite sternum manubrium and bilateral sternoclavicular dislocation flail chest reconstruction

Let's talk penalty context. Every time I post these, people are always moving the goalposts. "All the Chiefs penalties are meaningless and don't affect anything! But every penalty called on their opponents is blatant cheating!" Specifics vary, but it always boils down to that.

@AleksiReito @DrJesseMorse A classic for the armchair epidemiologist! Also no Covid comparison group or adjustment for confounding effect of actual Covid infection….

@DrJesseMorse Almost none of this information is new. Also I encourage you to study the difference between absolute and relative risk.

🚨 PSA: A 99 MILLION PERSON COVID-19 VACCINE SIDE EFFECT TRIAL just released its data. It’s 🤯 To say I’m enraged would be an understatement‼️ MASSIVE changes are required. This is UNACCEPTABLE. Share this with your loved ones. Here’s the study: pubmed.ncbi.nlm.nih.gov/38350768/

@rsbadiger03 @pratikorho @InvictaOrtho @traumaticum @BestOrthoDr @hipdoc75 Is it locked statically proximally? If so I’d consider releasing, ensuring no block to screw in lateral cortex, and trying to let dynamise. Otherwise looking at a valgus osteotomy realistically.

38y/M, 1year post op , had ipsilateral shaft and neck fracture , shaft looks United. How to address now ? Present complaints - Pain , unable to walk without support. @pratikorho @InvictaOrtho @traumaticum @BestOrthoDr @hipdoc75

@BrianChalmersMD @stevemchale @jointdocShields @orthotraumamd @orthobullets @shaunpat1 @KPSCALnews @bethgausdenmd @ACR_MD @DrChadKrueger @PeltMD @jaimelbellamyDO @ChrisGraysonMD1 @NaanDerthaal Registry data for lifetime risk of revision in a young patient still only quoted as 40%, so 90% does seem pretty high (although appreciate in this scenario the obesity likely plays a factor). pubmed.ncbi.nlm.nih.gov/35638212/

@stevemchale @jointdocShields @orthotraumamd @orthobullets @shaunpat1 @KPSCALnews @bethgausdenmd @ACR_MD @DrChadKrueger @PeltMD @jaimelbellamyDO @ChrisGraysonMD1 @NaanDerthaal Those have been our numbers @stevemchale but I think he’s meaning 90% revision rate @jointdocShields

Here is a new case by @shaunpat1 and @KPSCALnews. ISOLATED MEDIAL KNEE PAIN IN 51M How would you manage this #orthotwitter? Vote on this case for CME: bit.ly/3BW5tUK

@OrthoToday Impressive that you got Henry Cavill for an examination demo 😂

🌴 🌺 Day 2️⃣ at #OTHawaii is all about the shoulder & elbow. The day started with live physical examination pearls.

@BritOrthopaedic @deepamusafir1 Seems very short sighted given the potential tsunami of fragility fractures that are likely heading our way…. 🌊pubmed.ncbi.nlm.nih.gov/38160690/

BOA President, Mark Bowditch, was co-signatory on a letter published in the Observer on Sunday pointing out the stark implications of the Government’s decision to delay early diagnosis services for people with osteoporosis. You can read the letter here: bit.ly/4gRniU7

@NaanDerthaal Key thing here is that innovation is done in a safe, regulated and progressive way. Informed consent is crucial. It’s when these things don’t happen that we end up with disaster. Regulations still not really able to hold people to account.

Can we agree now now to promote shit until there’s good long term data on it? Especially when they don’t make any sense from a mechanical standpoint? accessdata.fda.gov/scripts/cdrh/c….