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drmorganmd.bsky.social
Associate Professor at University of Minnesota Medical School. Recon and young adult hip. Boy Dad.
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Friend from med school - now her program’s PD- found out her new onesie has a twin. Her residents are so lucky.

“Dad, they’re not sweatpants— they’re ninja pants.” And just like that we’ve got a name change.

If anyone ever tries to convince you that working in a teaching hospital is a thankless job don’t believe them.

17 years without a patellar button. Asymptomatic.

New challenge: trying to edit NIH grant proposal and your 3rd grader just got home from school/music class with his new recorder.

Bilateral painful knees with windswept deformity. Pain in affected compartment only. If treating operatively what would you recommend: lateral and medial unis? Total and medial uni? Bilateral total? #orthopedics

Ladies and gentlemen, the hip spine axis. #orthopedics #orthosky

Day 1 of Orthopedic Surgery residency interviews for UMN Orthopedic residency. As always, completely knocked out by how accomplished the applicants are. Wish we could match every single student here. #orthopedics

15% of patient’s don’t like their TKA. Hasn’t changed for decades and neither have our implants. 20 yrs industry trying to say their knees aren’t going in right: “Here’s navigation, here’s a robot.” Needle hasn’t budged. Maybe time to put resources into just designing better implants? #orthosky

Bo Jackson would like a word. www.bbc.com/sport/articl... #kneereplacement #orthosky

Saturday interviews for UMN Adult Reconstruction Fellowship. Fantastic candidates! #orthosky

Zoledronate administered every 12 to 18 months prevents fractures in older women. Ten years after initiation of this trial, zoledronate administered at baseline and 5 years prevented vertebral fracture. Full trial results: nej.md/4g6wlz3 #MedSky #OrthoSky

If you’re not going to do a PAO (this pt is in mid-50s and has developed OA) THA in dysplasia still not a chip shot. Hypermobility, small head size, uncommon anatomy make dislocation risk higher. Preop planning especially important. #orthosky

Heard many arguments for using robots— none very convincing. But there is a very intuitive one that you don’t hear a lot— getting tight alignment for unis. Most that I revise were overstuffed into valgus or failed in varus. Maybe robotics finds a role in avoiding those outliers. #orthosky #uniknee

Patellar resurfacing in Sweden is only 3.4% vs 89.7% in the US. This must be the starkest difference in practice patterns between American and Scandinavian Arthroplasty (medicine?). Anyone have a good explanation as to why? #orthosky #totalknee

Never been better summation of life in the OR. #surgsky #orthosky

Don’t treat burnout w/ modules. Ortho surgeon burnout: 40-60% prev rate; 28.2% of surgeon suicides (’07-’13); 6.3 suicides/10k (vs 3.3 gen pop); 31% meet CDC fitness goals; 80% prioritize family time. Residents: >80 hrs/wk →↓mental health; 30-50% depressive symp; 8% suicide ideation. EAP use: 4%.

COVID-19 pandemic left its mark on the ortho clinic. Here’s a 55yo male who was in the ICU at the peak of the 1st wave and received high dose steroids. What’s your dx and how would you treat the pain he’s now having? #orthotwitter #medtwitter

When you’re doing a robotic total knee but have to manually change all the parameters to get it balanced. #orthosky

Listening to Marc Swiontkowski MD on business being put before professionalism in orthopedics: “What is at risk is our social contract. We have agreed to put patient interests before our own.” #orthosky #medsky #professionalism

Selwyn Vickers MD, CEO of Sloan Kettering (and former UMN gen surg chair) on surgeons as leaders. Take home quote in comments. #medsky #surgsky #orthosky #leadership www.bloomberg.com/news/videos/...

Good friend sent me this x-ray yesterday. 80yo F getting a total hip. He took heat in case conference for planning on using an ingrowth stem. Anybody think cementless here is inappropriate? #orthosky #totalhip

No, not ready to start using 40+ mm heads yet. But this is the type of data we need to evaluate big heads— RSA at 5 years. Randomized, blinded, controlled trial. Great study. #orthosky #medsky www.arthroplastyjournal.org/article/S088...

Very fortunate to work with such a fantastic group of APPs at UMN Ortho. Thank you for all you do! #medsky

They’re only 1% of the TKAs in the US but all-poly tibias are fantastic implants. They also cost $1K less per case. And maybe better survivorship? Probably time we give these implants a second look. www.arthroplastyjournal.org/article/S088... #orthosky #medsky #surgsky

There’s a lot to unpack in these X-rays but maybe the biggest issue was simply not getting decent radiographs. Get a reasonable AP pelvis and template the uninjured side and this guy never needs to come to the referral center. #orthosky #medsky

x.com/umnclinaffai... #orthosky #surgsky #medsky

Christmas for a hip replacement surgeon is all new reamers for the OR. #orthosky #medsky #surgsky

I was fortunate enough to be asked to write the What’s New in Hip Replacement for JBJS 2022. In clinic I quote the paper by Okuzu et al all the time. It outlines which patients will experience improvement in their back pain after total hip. www.jbjs.org/reader.php?r...

Hello from Fulton St!