Paul Matuszewski, MD, FAAOS, FAOA

Trauma surgeons and deformity surgeons, this is the course that was designed for you, by orthopaedic surgeons - Soft tissue reconstruction - The primer on lower extremity flaps and techniques! Free for surgeons. Cadaver based - Good course, with excellent faculty, of course! @jamesblairmd @LimbDeformity @JanaDavisMD

Recap from the AAOS Annual Meeting, featuring several of our members, including Paul Matuszewski, Jill Flanagan, Mani Kahn, Reid Nichols, James Blair, Stephen Quinnan, Stuart Green, Christopher Iobst, Geoffrey Marecek, and President Mitchell Bernstein.

Grace Brooks presenting our findings on exhaled CO in trauma patients at this year's AAOS meeting in New Orleans! @AAOS1 @uk_ortho @UK_HealthCare

True words from the OTA...but check out the picture in the background! That's a @uky_ortho poster!

@orthotraumamd Need to be careful on the interpretation. Kitchen sink might still work. High dose tobra plus vanco does not. Im pretty convinced that there's an acid base problem here. This is the case where we need to head back to the lab!

Poll results show Vancomycin is the clear favorite, but the Tobramycin debate is heating up. We know the VANCO trial changed the game for high-risk fractures, but does adding aminoglycosides actually help? Recent data discussed at OTA (and a new meta-analysis) suggests adding Tobramycin to Vancomycin may not reduce deep infection rates compared to Vancomycin alone. Despite the theoretical gram-negative coverage, the "kitchen sink" approach might not be the silver bullet we hoped for. Where do you stand? Vanco only? Combo? Or is the data still out? Click on the case and vote today. orthobullets.com/Site/Cases/Vie…

@JanetConwayy - as promised… @DeformityDoc @orthotraumamd @JosephHsuMD @JanaDavisMD @Nuvasive @GlobusMedical #orthotrauma #deformity #boneloss #limbsalvage #PABST

@orthotraumamd Its hard to ignore the evidence and the logic that the ligament is not a rigid construct, so why should the fixation be too?? Length is obviously an issue, but there are ways around it. Maybe it would be more adopted if manufacturers would sell for significantly less?

🔩 Syndesmotic Screws vs. Flexible Fixation Out with the old? Rigid fixation has long been the gold standard for ankle syndesmosis injuries—but mounting evidence shows that suture-button constructs may lead to fewer complications, earlier return to activity, and lower reoperation rates. 💬 Are we ready to move on from screws as our default? Check out the new JOT Care Controversy I wrote on this topic—and tune into the podcast review for the full breakdown. Podcast: orthobullets.com/Site/Podcasts/… Article: orthobullets.com/evidence/39745… #FootAndAnkle #Orthopaedics #JournalClub #EvidenceBasedOrtho @medbullets @orthobullets

@otatrauma soft tissue course with @JanetConwayy prior to gastroc flap demonstration! Brr! It was almost frozen solid, but we were able to get the lab going.. Great course!

What a fun time to present the main symposium this AM on limb salvage vs amputation at this year's @otatrauma annual meeting! @jamesablairMD @LimbDeformity @JosephHsuMD @PaleyInstitute

This was a per troch fx. There are 3 fragments (at least). No matter how much you tighten a set screw it will always slide. Without a competent lateral fragment, the medial aspect will slide. Having a positive cortical overlap med would help prevent this. Perfect reduction or "negative" overlap results in invagination of the medial fragment.

Has anyone had this issue with Synthes nails? I locked down the set screw with the torque screwdriver to prevent sliding. 2 weeks postop film. 82 yo lady. I’ve also had 2 lag screws migrate proximally. @traumaticum @InvictaOrtho @orthotraumamd @generalorthomd #orthotwitter

Alyssa Barre presenting on our work regarding femoral anteversion at the LLRS meeting in Philadelphia @LimbDeformity and its variation in our population! Congrats ! @uk_ortho

@JanetConwayy I use Burlington medical. Everything is custom sized. Infab I'm told isn't.

Where is the best place to buy your OR lead? #orthotwitter

Congratulations Drs. Jessica Rivera and @DeformityDoc Paul Matuszewski on a fantastic specialty day! #AAOS2025

We are focusing on the importance of rehabilitation at specialty day and had a great first session. Dr. Noehran spoke about the importance of developing injury specific rehabilitation and finding better ways to assess how our patients are recovering. Drs. Wilken and Dunkle taught us about the role of dynamic bracing and blood flow restriction therapy. #AAOS2025

Great ICL today at @AAOS1 2025 meeting! Hip preservation and limb deformity combined to improve outcomes in patients! Two members of University of Kentucky represent! @LimbLengthMD @uk_ortho

@IMNailR We use calcium sulfate for infection and prophylaxis in reconstruction cases very commonly. We use calcium sulfate abx injection as well. We are about to start a trial with calcium sulfate injection in open fractures to prevent infection. It effectively creates abx coated nail.

My experience with Stimulan beads has been limited - is this standard of care for all typeIII open longbone fractures or do you go back and forth with traditional antibiotic cement beads? Do you apply a bead pouch with Stimulan beads if the wound cannot be closed?

@stevemchale @IMNailR There's several papers supporting local antibiotics in open fractures. Some dating back a long time, but confounded by not routinely closed wounds. More to come on this. Ongoing trials.

@IMNailR I don’t think there is good evidence to support local antibiotics in open fractures. IMO early thorough debridement, skeletal stabilisation, and timely definitive soft tissue coverage are the keys to success. In other words do the basics well.

Lots going with Limb Deformity at this year's @AAOS1 annual meeting! Very exciting! Search for content regarding Limb Deformity by using the AAOS's content search feature and select "Limb Deformity" as the category! buff.ly/JMEWgqI

@dieworkwear Yes, but I will see this having recently bought a new suit. Getting a good tailor is tough,at least where I am. I had to tell them how to change tailor the suit and also remind them to measure both legs.

Let's talk about how trousers should be hemmed. 🧵

4: two travel cards with significant benefits that outweigh fees. The first is used for everything, the second for business expenses. 1 aa card for my primary airline, and then 1 card which is my oldest, and lowest limit, because I've had it for 20+ years. That being said, there are always promos with good discounts for 'partners'. It's too much to keep up with.

I’m baffled by the lengths people will go to and the complexity they are willing to add to their lives by having eleventeen credit cards to get 3% back on gas, 4% back on restaurants, and 5% back from Home Depot vs. just having a single 2% cash back credit card. That extra 1% on gas or 2% on restaurants is not the difference between winning and losing the single-player game of personal finance. Tyler Scott How many credit cards do you use?