Anthony Sorkin

6.2K posts

Anthony Sorkin

Anthony Sorkin

@IMNailR

Orthopedic fracture-care surgeon focused on value-based care

Katılım Mart 2009
348 Takip Edilen308 Takipçiler
Orthobullets
Orthobullets@orthobullets·
Here are intraop & postop images of yesterday's case by Dr. Malcolm R. Debaun and @DukeHealth. PELVIC RING AND ACETABULAR FRACTURE IN 30M PROCEDURE: CRPP POSTERIOR PELVIC RING (SUPINE) AND ORIF OF ACETABULAR (PRONE) This case will be debated at the FOT Pelvic Acetabular Course 2026 in Tampa, Florida, May 8, 2026. Here is the link to the clinical presentation and the pre-op imaging: x.com/orthobullets/s… Do you agree with the treatment? Why or why not? Leave a comment and keep the great conversation going! #orthotwitter Vote on this case for CME: orthobullets.tiny.us/bdvkvpen
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Anthony Sorkin
Anthony Sorkin@IMNailR·
@sportsdoc2016 For the most part, it looks extracapsular, Basicervical. Fix it, weight-bearing as tolerated.
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Richard Cunningham
Richard Cunningham@sportsdoc2016·
Long discussion with patient. He’s active, runs a landscaping business. Wants to be up and about ASAP. Leaning toward THA.
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Jan Szatkowski
Jan Szatkowski@orthotraumamd·
These cases really highlight the fixation dilemma in interprosthetic fractures. Once ORIF is chosen, one of the big questions becomes how to get enough proximal fixation around the stem. Are people relying more on • cerclage cables + unicortical locking screws, • locking attachment plates, or • augmenting with strut grafts? Curious what others find gives the most reliable healing in these constructs.
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Orthobullets
Orthobullets@orthobullets·
*This is a multi-part case covering the complications of interprosthetic femur fractures. The initial operations were not performed by Dr. Palumbo. Here are postop images of yesterday's case presented by Dr. Brian Palumbo and Florida Orthopaedic Institute @FL_Ortho. INTERPROSTHETIC PROXIMAL FEMUR FX IN 55F PROCEDURE: ORIF OF PROXIMAL INTERPROSTHETIC FEMUR FRACTURE This case will be debated at the Tampa Revision Arthroplasty Course in Tampa, Florida, March 27-28, 2026. Here is the link to the clinical presentation and the pre-op imaging: x.com/orthobullets/s… Do you agree with the treatment? Why or why not? #orthotwitter Vote on this case for CME: orthobullets.tiny.us/mpz5hnbf
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Leah Houston MD
Leah Houston MD@LeahHoustonMD·
PeaceHealth just fired their local emergency medicine group. Those doctors live there. Their kids go to school there. Their spouses work there. It’s the only hospital in the community. Overnight they’re unemployed. And thanks to credentialing, it will take 4–6 months before they can work somewhere else. Meanwhile, they’ll also likely have to try to sell their homes and uproot their families. No paycheck. No easy transition. Probably no severance. Hospitals call this “normal operations.” There’s nothing normal about it. medpagetoday.com/special-report…
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Anthony Sorkin
Anthony Sorkin@IMNailR·
@orthobullets First thing I would do is get an x-ray of the contralateral foot. What is usually missed is instability in the first TMT joint. You need to re-create the ‘normal’ relationship of TMT1 for the patient prior to reconstruction of 2,3
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Orthobullets
Orthobullets@orthobullets·
If you choose Operative management, what type of treatment would you choose?
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Anthony Sorkin
Anthony Sorkin@IMNailR·
@shah_punwar A common deformity but unacceptable to leave. Can defeat with a perc clamp and blocking drill bits AND smaller diameter nail. The fem component does not look posterior (‘notched’). If start point too posterior then simply plate. Nail/plate unnecessary.
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SP Orthopaedics
SP Orthopaedics@shah_punwar·
Thanks to all who engaged with the last post. Really interesting that no obvious consensus. Had I been treating then I think likely a nail/plate combo but not involved until much later in the story. Here’s what was done. Comments welcome. #periprostheticfracture
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Elon Musk
Elon Musk@elonmusk·
Thanks Jeff, you rock ❤️
Jeffrey Skoll@jeffskoll

I wanted to say a few words about @Tesla and @elonmusk regarding their decision, announced during yesterday's earnings call, to end the production of the Model S and X in Q2 this year. From the start, I have been a giant fan, investor and supporter of Tesla. I was the happy purchaser of the 2008 Roadster and 2012 Model S, both VIN #003. I continue to hold them in pristine condition until one day they go into either the (hopeful!) Tesla Museum or another tech or automotive museum. I still drive my 2010 Roadster and I have owned a number of Model S's and Model X's over the years. As I once told Elon, the Model S (Motortrend's Car of the Year for 2012) goes alongside the PC, Mac, iPad and iPhone as the greatest consumer tech products ever created, in my opinion. I recently upgraded my personal, older Tesla's with 2026 Model S's (Plaid and Long Range) and a 2026 Model X Plaid. They are all the best cars I have ever owned. I did this even knowing that the writing was on the wall that they would be discontinued as the sales numbers were a rounding error compared to the Model 3 and Y. I did buy a 2026 Model Y as well when it came out...it is an excellent car and at the price, a very good value. Over the years, I also subsidized employees across my various organizations with a $7500 credit towards the purchase of a Tesla...and that was on top of the Federal EV credits when they existed. I am proud to have introduced 100s of people to owning Tesla vehicles, especially in the early days when the sales mattered. While I will miss future versions of the S and X, I have no doubt that Tesla will continue to make great cars and the FSD is now amazing, so I have little doubt that whatever package the FSD is wrapped inside, it will be a great experience. Elon always said that Tesla was intended to be more than a car company and today it is already a major player in renewable energy, manufacturing, software and well on its way to being a winner in robotics and whatever future areas of tech hold the most promise. So farewell to the Model S and X, with gratitude for the many years of enjoyment and hello to the future!

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Anthony Sorkin
Anthony Sorkin@IMNailR·
@pratikorho 1. Concerned about malreduction of medial mall (look at lateral - anterior cortex is off)(mortise view also shows malred) 2. Do not need cannulated screws for a med mall ($) 3. Do not need a locking fib plate ($)
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anconeus
anconeus@pratikorho·
Bimalleolar ankle fracture- Supination External Rotation type Treated with cc screws and anatomical locking plate Would you treat any differently? #medx #orthox
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Jan Szatkowski
Jan Szatkowski@orthotraumamd·
@orthobullets @somatostatin57 Are plain radiographs enough here, or are you routinely getting a CT? If yes—what specifically are you looking for that changes management (DRUJ congruency, distal ulna fracture pattern, sigmoid notch involvement)?
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Anthony Sorkin
Anthony Sorkin@IMNailR·
I don’t have the answers to a lot of those questions, but I can assure you that if I ever take a patient back to remove a prominent leg screw after the fracture is healed, I always replace it with a screw that is inside the lateral cortex. Never remove the lag screw and put nothing back.
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Jan Szatkowski
Jan Szatkowski@orthotraumamd·
History of Troch Bursitis.......I met a patient recently while I was on call who had their CMN lag screw removed because it was painful laterally… then they fell again and sustained a femoral neck fracture. 2 fractures but 3 surgeries. It was a pretty sobering reminder that “small” hardware details can have big downstream consequences. That case made me re-read this JOT paper on laterally protruded lag screws as a consistent source of lateral thigh/hip pain after pertrochanteric fracture fixation. In their cohort (n=134), even minimal protrusion past the GT reference line was associated with more lateral thigh pain and more difficulty lying on the operative side—and patients with less “soft tissue buffer” were at higher risk. A few questions for the group: How far do you want the lag screw sticking out laterally? Do you have a personal “flush / slightly proud / never past GT” rule? How do you plan for inevitable fracture impaction/collapse so it doesn’t become progressively more proud over time? Any experience with designs/techniques that allow controlled collapse but reduce the lateral irritation problem (the “self-collapsing screw” idea)? orthobullets.com/post/view?id=1…
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Anthony Sorkin
Anthony Sorkin@IMNailR·
@FractureDoc It seems you have been holding these feelings deep inside for quite awhile …
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Robert Dunbar, MD
Robert Dunbar, MD@FractureDoc·
So, the whole Nail = load sharing & plate = has always seemed like b.s. to me but I never saw it written anywhere (maybe I just couldn’t find). So I wrote it (w/LS). Generations of residents (& attendings) have parroted this. No more.
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Anthony Sorkin
Anthony Sorkin@IMNailR·
@jbjs That initial feeling when the x-ray obtained for new knee pain flashes up on the screen in the exam room…
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