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Smith Day & Jupiter International Hand Forum 2016

27th Annual Smith Day; April 29, 2016
3rd Annual Jesse B. Jupiter International Hand Forum; April 30 – May 1, 2016
Royal Sonesta Hotel, Cambridge

Hosted by: Hand & Arm Center, Massachusetts General Hospital, Boston, MA

Course Director: David Ring, MD, PhD & Kyle R. Eberlin, MD
Honored Sage: Jesse B. Jupiter, MD
27th Annual Richard J. Smith Day Orator: Joseph Upton, III, MD
3nd Annual Jesse B. Jupiter International Hand Forum Orator: Milan Stevanovic, MD

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Jesse Jupiter: Innovation and Innovators

Jesse Jupiter at the Mass General Orthopaedic Surgery Grand Rounds, Innovators and InnovationInnovation & Innovators: Does it take 10,000 hours?
Jesse Jupiter, MD
Massachusetts General Hospital, Boston, MA
Grand Rounds presented on March 29, 2012 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA
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Wiring Tibial Tubercle Fractures

Mark Vrahas Trauma Surgeon Mass General HospitalMark S Vrahas, MD, Partners Chief of Orthopaedic Trauma, and Associate Professor of Orthopaedic Surgery at Harvard Medical School, describes a new way to fix tibial tubercle fractures. Dr Vrahas sees patients at the Brigham & Women’s Hospital, and the Massachusetts General Hospital.


A fracture of the tibial tubercle when associated with a fracture of the tibial plateau often disrupts the extensor mechanism and can be difficult to manage. Traditionally, tibial tubercle fractures have been repaired by lagging the tubercle fragment to the posterior cortex of the tibia. However, the screws do not get adequate purchase, particularly in comminuted or osteoporotic bone. Over several years we successfully stabilized such tubercle fractures using a simple wiring technique. Here, the tibial tubercle fragment is stabilized by wiring it directly to the screws of a locking plate. Our preliminary results using this new technique have demonstrated a high rate of clinical and radiographic union, with near normal return of extensor mechanism function.
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