Benjamin Frye

87 posts

Benjamin Frye

Benjamin Frye

@benjaminfryemd

Associate Professor, Fellowship Director, Chief Adult Reconstruction, West Virginia University

Morgantown, WV شامل ہوئے Temmuz 2024
195 فالونگ118 فالوورز
Benjamin Frye
Benjamin Frye@benjaminfryemd·
@rkh_md Very good results so far at our place. We just started our RCT, looking at allergy and cosmesis.
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Ryan K Harrison, MD
Ryan K Harrison, MD@rkh_md·
Anyone have experience with the Sylke dressing? I like Prineo - wondering if this could take away the rare hypersensitivity reaction...
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John Shields, MD, FAAOS
John Shields, MD, FAAOS@jointdocShields·
Love following @DeviceNation - I didn’t get to go to @AAOS1 annual meeting this year, but I still get to see all of the coolest new tech that industry has to offer. Strong work Kevin
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John Shields, MD, FAAOS
John Shields, MD, FAAOS@jointdocShields·
Somebody is going on a road trip and needs his meds because he gets car sick
John Shields, MD, FAAOS tweet media
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Brian Chalmers
Brian Chalmers@BrianChalmersMD·
What is your block and PAI protocol during TKA? I do a spinal + adductor +iPACK and no PAI now @generalorthomd @jointdocShields @CenterRotation @HSpecialSurgery @drsebheaven @wesmayes12 @tdd340 @LArthroplasty @Dr_Stambough @bethgausdenmd
HSS Journal@HSS_Journal

This retrospective cohort study suggests that a combination of adductor canal block (ACB) & IPACK block may have a greater effect than periarticular infiltration analgesia or ACB alone on analgesia following TKA, while providing better functional recovery. journals.sagepub.com/doi/abs/10.117…

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Benjamin Frye
Benjamin Frye@benjaminfryemd·
@KyleNuland We have noticed increased reactions to Exofin glue even without their mesh. Our initial Sylke trial was very promising. RCT to hopefully start soon.
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Kyle Nuland, MD
Kyle Nuland, MD@KyleNuland·
Who is using Prineo for TJA closure? Any increase in localized reactions recently? I have spoken with several local colleagues who have noticed an uptick?
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Benjamin Frye
Benjamin Frye@benjaminfryemd·
@jointdocShields Definitely lengthen the first side, easier to match with second and have good stability. Have to explain and prepare the patient for it.
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John Shields, MD, FAAOS
John Shields, MD, FAAOS@jointdocShields·
When staging bilateral THA Do you replace one and keep lengths same or intentionally lengthen the one side with plans to catch them up on the second side?
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Benjamin Frye
Benjamin Frye@benjaminfryemd·
@jointdocShields Patients referred to me with prior resurfacing report much easier recovery with primary THA and revision of resurfacing to THA than their original procedure. I wonder if high volume resurfacing surgeons have a different experience.
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John Shields, MD, FAAOS
John Shields, MD, FAAOS@jointdocShields·
But why? Hip resurfacing to me feels like a scam. It is marketed as “bone preserving” but the cup size needs to match the femoral head so typically you end up putting a larger cup than you would have with a THA - so you are losing acetab bone stock. Hard pass
The Journal of Arthroplasty@JArthroplasty

The ceramic-on-ceramic resurfacing at 2yr postop demonstrates promising results with satisfactory outcomes in all recorded PROMs. Long-term data are needed to support the widespread adoption of this prosthesis as an alternative to other HRA bearings. arthroplastyjournal.org/article/S0883-…

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John Shields, MD, FAAOS
John Shields, MD, FAAOS@jointdocShields·
@RoshanaMN The job is amazing and it also really sucks. You think about the one time things didn’t go well 99% of the time and never think about the 100 times it went perfectly
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Roshana 🦴
Roshana 🦴@RoshanaMN·
It’s funny, ‘becoming’ a surgeon Going through all the emotions and slow realisation that some cases are difficult even for the most experienced, that complications happen and they sometimes may be at the tips of our own fingers and that you can’t fix it all How do we cope?
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Very General Orthopaedist
Very General Orthopaedist@generalorthomd·
@jointdocShields Cement doesn’t like shear force. Stubby stem would help, but it wouldn’t even fit with this alignment. I would be shocked if this lasts 15 years. I suspect a press fit tibia may lost longer in this scenario? What do you think?
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John Shields, MD, FAAOS
John Shields, MD, FAAOS@jointdocShields·
These X-rays are from another app, citing the amazing advantages of unrestricted KA TKA I am really worried about early aseptic loosening and failure. Certainly easier to balance, but rarely do I find that easier equals better - thoughts from #orthotwitter
John Shields, MD, FAAOS tweet mediaJohn Shields, MD, FAAOS tweet media
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Benjamin Frye
Benjamin Frye@benjaminfryemd·
@jointdocShields I have embraced the medial pivot concept, and a “restricted KA/functional” alignment concept, but I worry about this extreme component alignment.
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Benjamin Frye
Benjamin Frye@benjaminfryemd·
@jointdocShields My mom had a really loud cow bell 🤦‍♂️. You had better come running.
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Steve McHale
Steve McHale@stevemchale·
@hugortopedista Had to just use a 36 THR head. It was smaller than the smallest hemi head we carried.
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Hugo Rodríguez, MD
Hugo Rodríguez, MD@hugortopedista·
Have you ever seen a 36 mm native head ? I saw it today. Fortunately patient didn’t need a bipolar 😰 #Orthotwitter
Hugo Rodríguez, MD tweet mediaHugo Rodríguez, MD tweet media
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Benjamin Frye
Benjamin Frye@benjaminfryemd·
@centerofhip I probably would have made decision based on prefracture amount of pain. If no pain before fracture, would fix. If was painful and already seeking TKA, then would DFR.
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Bipin Theruvil FRCS (T&O),FRCS (Ed&Glasg),MS AIIMS
Bipin Theruvil FRCS (T&O),FRCS (Ed&Glasg),MS AIIMS@centerofhip·
59 year old with advanced RA. Mobile independently but limited to indoors only. No Intercondylar extension. Fix now and replace later? Distal femur? TKR with a stem?
Bipin Theruvil FRCS (T&O),FRCS (Ed&Glasg),MS AIIMS tweet mediaBipin Theruvil FRCS (T&O),FRCS (Ed&Glasg),MS AIIMS tweet mediaBipin Theruvil FRCS (T&O),FRCS (Ed&Glasg),MS AIIMS tweet media
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Benjamin Frye
Benjamin Frye@benjaminfryemd·
@BrianChalmersMD Agree with this study but also think you can over do the offset. Too much offset can also lead to lateral hip pain and patients will perceive their hip as chronically “swollen” since it’s more prominent.
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Brian Chalmers
Brian Chalmers@BrianChalmersMD·
Love this study as it supports something I believe - in my opinion, low offset leads to abductor undertension, elevated work needed and troch bursitis/abductor tendonopathy - opposite of what we have been taught causes lateral hip pain - plus offset powerful for hip stability!
The Journal of Arthroplasty@JArthroplasty

Reducing hip offset may result in worse physical function scores compared to those who have matched or increased hip offset. This should be considered intraop, and efforts should be made to avoid reduced offset. arthroplastyjournal.org/article/S0883-… #VA by Dr. David Deckey

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دریافت کریں

@rkh_md @DrAntoniaChen @jointdocShields @DeviceNation @AAOS1 @BrianChalmersMD @generalorthomd @CenterRotation