Redefining Anesthesia in the Age of Accountable Care
Robert Peloquin, MD
Department of Anesthesia, Critical Care and Pain Medicine,
Massachusetts General Hospital, Boston, MA
Grand Rounds presented on April 19, 2012 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA
Filed under: Grand Rounds, Orthopaedic, Physician Education | Tagged: accountable care organization, ACO, Anesthesia, Healthcare Reform, Partners Healthcare | Leave a Comment »
George Dyer, MD is a Hand and Upper Extremity surgeon at the Brigham & Women’s Hospital, Boston; Director of the Harvard Combined Orthopaedic Residency Program and a member of the Partners Orthopaedic Trauma Service.
Trevor Owen, MD, is our graduating trauma fellow. He is joining the faculty of the Carilion Clinic in Roanoke, VA, as an orthopaedic trauma surgeon.
Filed under: Foot & Ankle, Hip, Knee, Orthopaedic, Physician Education, Trauma, Trauma Rounds | Tagged: Libya war injuries | 1 Comment »
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Filed under: Hip, Joint Replacement, Knee, Medical Education, Orthopaedic, Physician Education | Tagged: Arthroplasty, arthroscopy, Harvard, hip replacement, Joint Replacement, knee replacement | Leave a Comment »
ACOs, AQC, Managing Trend: What Does It All Mean?
Timothy Ferris, MD, MPH
Massachusetts General Hospital, Boston, MA
Grand Rounds presented on Feb 16, 2012 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA
Filed under: Grand Rounds, Healthcare Reform, Orthopaedic, Physician Education, Videos | Tagged: accountable care organization, ACO, Boston, Healthcare Reform, Partners Healthcare | Leave a Comment »
Orthopaedic doctors and research scientists at the Mass General Hospital are recognized for their clinical and translational research expertise. Our doctors and scientists publish nearly 100 papers each year with many more book chapters and books. Much of our research gets presented at premier society meetings around the world. The Orthopaedic Research Society and the American Academy of Orthopaedic Surgeons are the two largest society meeting and each year many of our scientists and physicians attend and present their research and clinical findings there.
Here is a complete list of papers presented by our scientists and physicians at the 2012 Orthopaedic Research Society (San Francisco, CA, Feb 4-7, 2012) and the American Academy of Orthopaedic Surgeons (San Francisco, CA, Feb 7-11, 2012). An impressive list and congratulations to all presenters.
Filed under: Orthopaedic, Research | Tagged: AAOS, ORS, Research | Leave a Comment »
Nurse Practitioner Anne Fiore educates a patient about his upcoming surgery.
During a visit to our doctor’s offices, patients will likely be treated by several members of our professional staff, including Nurse Practitioners (NPs) and Physician Assistants (PAs). Patients often ask how NPs and PAs are involved in their care and what training they have.
NPs and PAs are highly skilled, licensed professionals, who practice medicine with physician supervision. They are an integral part of every medical and surgical practice and coordinate peri-operative and inpatient care of our patients.
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Filed under: Orthopaedic, Patient Education | Tagged: Nurse Practioners, Patient Education | Leave a Comment »
Our orthopaedic doctors and research scientists are world renowned for their clinical and research expertise. Our laboratories are some of the most reputed and productive with nearly a 100 papers published each year. Much of our research gets presented at premier society meetings around the world. The Orthopaedic Research Society and the American Academy of Orthopaedic Surgeons are the two largest society meeting and each year many of our scientists and physicians attend and present their research and clinical findings there.
Here is a complete list of papers presented by our scientists and physicians at the 2011 Orthopaedic Research Society (Long Beach, CA , Jan 13-16, 2011) and the American Academy of Orthopaedic Surgeons (San Diego, CA, Feb 15-19, 2011). An impressive list and congratulations to all presenters.
List of MGH Papers @ AAOS 2011
Filed under: Orthopaedic, Research | Tagged: AAOS, ORS, Research | Leave a Comment »
Pseudotumors in Metal-on-Metal Resurfacing Arthroplasty
Young-Min Kwon, MD, PhD
Hip & Knee Replacement Arthroplasty Service,
Department of Orthopaedic Surgery
Massachusetts General Hospital, Boston, MA
Grand Rounds presented on Oct 21, 2010 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA
(see Grand Rounds Program)
Filed under: Grand Rounds, Hip, Joint Replacement, Orthopaedic, Physician Education, Videos | Tagged: hip replacement, hip resurfacing, Medical Education, metal on metal, pseudotumors, total hip replacement | 1 Comment »
If you observe people’s feet as they stand or walk, you may notice that their feet generally point straight ahead or perhaps slightly outward. However, many people point their feet inward. This is called in-toeing or pigeon toes.
In-toeing is common in young children, a frequent concern of many parents and a very common referral to our Pediatric Orthopaedic Clinic. In the overwhelming majority of patients, in-toeing corrects itself with time. Treatment is only necessary in a tiny fraction of patients.
“In-toeing does not lead to arthritis or interfere with sports. Toddlers who in-toe do tend to fall more frequently, because unlike adults, toddlers cannot increase the length of their strides, but can only increase the number of steps, which results in clumsiness and tripping,” asserts Dr Brian Grottkau, Chief of Pediatric Orthopaedic Surgery at the Massachusetts General Hospital, and Assistant Professor of Orthopaedic Surgery at Harvard Medical School, Boston, MA.
Causes of In-toeing Gait
The three most common causes of in-toeing in children are twisting of the thigh bone (femoral anteversion), twisting of the shin bone (internal/medial tibial torsion) and curved feet (metatarsus adductus). Your pediatric orthopaedic surgeon will evaluate your child and determine if in-toeing is coming from the hips, legs, or feet.
Illustration by Navina Chabria – Thank you
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Filed under: Foot & Ankle, Hip, Knee, Medical Education, Orthopaedic, Patient Education, Pediatric | Tagged: children, Femoral anteversion, foot, gait, In-toeing, Metartus adductus, Patient Education, pediatric, pigeon toes, Tibial torsion | 14 Comments »
David Lhowe, MD, is an Orthopedic Trauma Surgeon, at Massachusetts General Hospital and Assistant Clinical Professor of Orthopaedic Surgery at Harvard Medical School.
Approximately 200,000 total hip replacements and an equal number of hemiarthroplasties are performed annually in the United States. With the marked success of this procedure, patients are able to maintain active lifestyles for many more years. Consequently, millions of elderly are at risk for fracture around their prosthesis.
Periprosthetic fractures typically result from common household falls. The Mayo Clinic reported a 1% prevalence of periprosthetic fracture after primary THR, increasing to 4% following revision surgery (1). Barring dramatic improvements in treating osteoporosis or reducing falls in an aging population, periprosthetic fractures will become an increasing medical and societal burden.
Fortunately, the majority of periprosthetic fractures do not result in implant loosening and may be managed without the need for implant revision. These fractures include the isolated trochanteric fractures (Vancouver A), diaphyseal fractures about a well-fixed stem (Vancouver B1), and fractures well below the distal tip of the stem (Vancouver C). Complex management with revision of components is required when the femoral stem is loose (Vancouver B2) and loosening is further complicated by inadequate bone stock (Vancouver B3). These variants are appropriately referred to experienced hip revision surgeons.
Femur fracture around a well-fixed cemented THR component. Note the presence of a medullary cement plug in the distal fragment.
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Filed under: Hip, Joint Replacement, Medical Education, Orthopaedic, Physician Education, Trauma, Trauma Rounds | Tagged: allograft, fractures, hip replacement, Hip surgery, Joint Replacement, Medical Education, total hip replacement, Trauma, Treatment | 1 Comment »
