Orthopedics Residents

Varus Knee Overview by Dr. Ashish Taneja

0
0

Hello friends, this is Dr. Ashish Taneja. So today I welcome you to the conceptual orthopedics arthroplasty course my talk for today will be about solving various knee and mainly focus on the surgical steps. So the various deformities can be of two types, it can be intra-articular which can be because of cartilage or bone loss, tibia vera, stress fractures, malunion or non-union of the intra-articular fractures of the tibial condyle.

There can be another component to the various deformities as well like extra-articular deformities which can be because of tibial fractures, femoral bowing or tibial bowing, some stress fracture or a prior osteotomy. So we have to solve both these components together. Through our knee replacement surgery, our focus will be mainly on the intra-articular deformity because that is something which we can correct through our knee replacement surgery.

Extra-articular often times do not need surgery per se but if there are severe deformities which are deforming the biomechanics then we may need to correct the extra-articular deformity as well. So how do you see what is intra-articular and what is extra-articular? You have to understand your angles, have to start drawing angles. So the intra-articular deformity is the angle between the femoral joint line, this one and the tibial joint line.

So this is your intra-articular deformity which is mainly because of the cartilage and bone loss here in the middle compartment. For extra-articular or total deformity you will have to have a scanogram with you. Through scanogram you will draw your mechanical axis of the femur and tibia and the fungal between the two which is your total various deformity of the limb.

If your intra-articular component is less as compared to total deformity suppose this is 15 degrees and this is 22 degrees that means there is 7 degree component of the extra-articular deformity as well which will not be corrected by your knee replacement.

So whenever your total deformity is more than the intra-articular deformity you would suspect an extra-articular component as well. In our scenario, especially in Indian settings, there are a lot of patients who come with tibial and femoral bowing that will contribute to the extra-articular deformities but again mostly we do not focus on these deformities unless they are very very substantial.

So how do you classify these deformities? Various deformities has been classified by Thienpont and Parvizi into three main types intra-articular which can be a reducible deformity in early stages can be an antromedial OA or a postomedial OA. You have to understand clearly that till the ACL is intact it starts with antromedial OA. The sequence of deformity always starts with an antromedial OA then the ACL gets damaged and the disease progresses to posterior.

So antromedial OA with ACL intact second will be postmedial OA with deficient ACL. These deformities usually are reducible. The middle compartment deformities are reducible.

You can just do a valvular stress and the deformity corrects because the MCL is not tight. However, when the MCL becomes tight it becomes a fixed deformity. It can be without lateral instability or with lateral instability.

When in the beginning it is just the MCL tightness but when the deformity progresses the LCL becomes latched. That is when it becomes a lateral unstable knee as well. This is the intra-articular deformity.

Then we have the metaphyseal deformity. The metaphyseal deformity is within five centimetres of joint 9 both on the femur and tibial side. So you will see that the wear is extending to the metaphyseal region.

There is tibia or femur wear that is happening. That is a metaphyseal deformity and diaphyseal deformity will be beyond five centimeters away from joint 9. It can be tibial, femoral or both. This is how it is.

This can be an antromedial deformity with intact ACL. This is the intra-articular deformity with postmedial involvement with deficient ACL. How do we say it’s a postmedial involvement? It is this region.

When the wear is in the postmedial aspect then we say that the ACL is now damaged and the disease has progressed to the posterior aspect as well. Then we have the fixed deformities. The fixed wear is without lateral laxity and finally, we have the metaphyseal or the diaphyseal deformities which are within five centimetres or more than five centimetres away from the joint line.

So till there it is metaphyseal and beyond this it is diaphyseal and then there can be some previous osteotomies which will be a part of metaphyseal deformities again. These are deformities, these are osteotomies which are old heel osteotomies or old fractures which will cause a metaphyseal varus deformity. Now for the varus knee, we have to understand the structures causing wearers.

Structures can be static or dynamic. So in the static structures we have the superficial MCL, deep MCL, we have the posterior oblique ligament, PCL and posterior capsule. For dynamic we have the pes anserine tendons and semimembranosus tendon.

The muscular part is the dynamic stabilizer on the medial side and the other structures like ligaments capsule and PCL will be the static components on the medial side. So these structures are mainly responsible for causing wearers. So the MCL, the POL, the posterior oblique ligament, the semimembranosus tendon, and the pes tendons, are all the tendons and muscles that are dynamic remaining are static.

You have to understand one rule regarding the release. Whenever we release the anterior structures right here then we will affect the flexion gap. When we release the posterior structures we will mainly affect the extension gap.

So this is what you have to understand. Anterior release of the medial structures will help in opening the flexion medial gap and release of posterior structures on the medial side will help in releasing the medial extension gap. This is what you should be remembering.

As we discussed, the release of anterior structures will always increase the flexion gap while the release of posterior structures like POL, and semimembranosus will increase the extension gap. Oftentimes the varus knee will always have a flexion contracture as well and by releasing PCL we will increase the flexion gap. So this is what you should be remembering.

Release of anterior structures helps in improving the flexion medial gap. Releasing of posterior structures helps in releasing the medial extension gap and PCL will help in improving the flexion gap. So this is a diagram which clearly states, this is the flowchart which states the effect of structures.

You will see most of the medial structures affect the extension gap.

orthopedics residency programs

Building Your Orthopedic Network: The Key to Success

0
0

Estimated reading time: 3 minutes

Embarking on a journey in orthopedics residency programs is both a challenging and rewarding experience. As an orthopedics resident, a strong professional network would boost your learning, create opportunities, and help you be ready to be the best in this competitive field of orthopedics. In this blog, we will explore actionable strategies which can help orthopedic surgery residents create a powerful professional network while training.

Why Networking is Important in Orthopedics?

Networking is the most important resource for orthopedics residents, connecting you with mentors, peers, and industry leaders who help guide you through the complexities of the field. Beginning with expanding knowledge of advanced techniques to opportunities in the best orthopedic residency programs, your network is a vital part of your growth.

Strategies for Building Your Orthopedic Network
1. Participate in Residency Programs and Conferences

Participating actively in orthopedic surgery residency programs and conferences will introduce you to leading professionals and keep you abreast of the latest developments. Seek opportunities to present research, workshops, or even join panel discussions at events by the best orthopedic residency programs.

2. Social Media and Professional Platforms

LinkedIn, ResearchGate and speciality-specific forums are excellent for connecting with fellow orthopedics surgery residents and experienced surgeons. Engage in discussions, share your insights, and showcase your achievements to build your online professional presence.

3. Find Mentors in Your Program

The best orthopedic surgery residencies emphasize mentorship. Cultivate relationships with senior residents, faculty, and attending surgeons. Mentors can offer invaluable guidance on surgical techniques, research opportunities, and career pathways.

4. Research and Publication Collaboration

 Part of collaboration with colleagues and mentors in your orthopedic residency programs is a strong bond that enhances your academic credentials. Co-authoring papers with peers and presenting at conferences is a testament to your commitment to the speciality.

5. National and Regional Societies Participation

Memberships in organizations, such as the American Academy of Orthopedic Surgeons (AAOS) or regional societies, are another excellent means to expand your network outside of your residency program. Members often receive access to formal, tailored resources and events as well as mentorship programs.

Long-Term Value of Orthopedic Networking

Create a rich network during your orthopedic surgery residency to help you get jobs in the top ortho residencies, collaborate on novel discoveries, and obtain leadership opportunities in the field. A strong network will support you through all your experiences during your career and guide you through the most daunting moments and opportunities.

Unleash Success with the Right Tools

Building your professional network is an ongoing process. Engaging with peers, mentors, and professional organizations during your orthopedic surgeon residency or ortho residency programs lays the foundation for a thriving career. At Conceptual Orthopedics, we’re committed to supporting orthopedic surgery residents through our special CO signature program with comprehensive training and unparalleled mentorship opportunities.

Explore Conceptual Orthopedics Today

Ready to take your learning and networking to the next level? Whether you’re pursuing the orthopedic residency programs or orthopedics experts, Conceptual Orthopedics gives you the tools, resources, and community to advance your journey. Visit us today!

Share
Orthopedics Residents

The Hidden Curriculum: What Orthopedic Residents Must Know About Practice Management

0
0

Estimated reading time: 3 minutes

As much as it is to become a master surgeon, orthopedic surgery residents and the future medical professional must understand the business side of running a successful practice. Modern orthopedic surgeon residency programs begin to incorporate practice management principles that help build success. 

The Evolution of Modern Orthopedic Practice Management

As orthopedics residents complete their training, they realize that a well-managed practice goes far beyond clinical success. The best orthopedic residency programs today provide an education rich in the art and science of surgery as well as enough business acumen to keep pace, better preparing surgical residents for the increasingly complex context of health care delivery. 

Core Practice Management
1.Operational Efficiency

The best orthopedic residency programs realize that efficient operations are indicative of:

  • Optimized workflow
  • Staff training/development
  • Resource management
  • Tracking quality metrics
  • Performance analysis
  • Inventory control
2.Patient Care Excellence

The most exemplary ortho residency programs always teach the residents that it is patient care excellence that makes your practice grow. These programs include:

  • Efficient Scheduling Systems
  • Monitoring the satisfaction of patients
  • Development of clear communication protocols
  • Evidence-based treatment protocols
  • Quality assurance programs
  • Risk management strategies
Technology Integration into Contemporary Practice

Today’s orthopedic doctor residency training must include technological proficiency in:

  • Electronic Health Records (EHR) systems
  • Practice management software
  • PACS and digital imaging
  • Telemedicine platforms
  • Patient portal
  • Data analytics software
Building a Successful Practice

For those completing their orthopedics surgery residency programs, success depends on:

Strategic Planning
  • Market analysis and demographics
  • Assessment of competition
  • Location selection
  • Formulation of a business plan
  • Legal structure establishment
Marketing and Growth
  • Brand development
  • Digital presence
  • Referral network building
  • Community outreach
  • Education program for patients
Risk Management
  • Compliance protocols
  • Insurance coverage
  • Documentation standards
  • Quality control measures
  • Emergency preparedness planning
Continuing Professional Development

The field of orthopaedic surgery training requires continuous learning in:

  • New ideas on surgical techniques
  • Changes in practice management
  • Conformity to regulatory requirements
  • Technology adoption
  • Business plan refinement
Conclusion

It requires a harmonious fit between clinical skills and business skills to excel in managing orthopedic practice. Conceptual Orthopedics is one of the highest ranked learning institutions that bridge both the clinical and the business sides of orthopedic practice.

Conceptual Orthopedics

Transform Your Orthopedic Practice Management Journey. Discover how our comprehensive resource package will guide you through clinical and business management development.

Visit our platform today to:

  • Access premium educational content
  • Join our exclusive mentorship programs
  • Enhance your practice management skills
  • Connect with industry experts

Download our app now. 

Call us today to learn more about how Conceptual Orthopedics can help you build and run a successful orthopedic practice.

Share
orthopedics Residents

Global Orthopedic Surgery: Excellence Tomorrow’s Residents Complete Guide

0
0

Estimated reading time: 3 minutes

The landscape of change in orthopedic surgery has been quite daunting; it poses both a threat and an opportunity for today’s orthopedic surgical residents. As healthcare seems to become more international so is the standardizing needs for training.

Orthopedic Surgery Programs Emerged into World View

Modern orthopedics residents are experiencing something unique in their medical career. As traditional training is the building block, the new interfaces like Conceptual Orthopedics have revolutionized the field of education by availing experienced mentors with a long history of 35 to 60 years. Therefore, traditional and digital interfaces combined ensure that orthopedic surgeons receive homogeneous and high-quality education in a consistent manner, irrespective of where they are.

Orthopedic Surgery Residency Curriculum

Orthopedic surgery residency programs that excel provide the trainees with diverse competencies:

  1. Developments in Surgical Procedures
  • Least Invasive Surgery
  • Robot-assisted surgery
  • Computer-assisted procedures
  1. Academic Excellence
  • Patient evaluation
  • Diagnostic expertise
  • Treatment planning
  1. Research and Innovation
  • Clinical studies
  • Protocol development
  • Outcome research
Orthopedic Residencies around the World: Challenges

Orthopedic surgeon residency training must address several key challenges:

Differences in Resources
  • Availability of equipment
  • Training and experience
  • Clinical experience
Cultural Competency
  • Communication skills of the patient
  • Differences in the health care system
  • Cultural awareness
Technical Expertise
  • Development of surgical skills
  • Mastering advanced procedures
  • Emergency preparedness
Advanced Training Using Technology

Advancement in technology helps in the building of the contemporary orthopedic specialist. Holistic learning platforms such as Conceptual Orthopedics help residents to learn:

  • High-definition video lectures
  • Clinical demonstrations
  • Active learning session
  • Practical examination training sessions
  • Question banks
Global Practice Preparation

For orthopedics surgery residents, preparation for global practice includes:

  1. Standardised Training
  • Clinical examination techniques
  • Surgical technique skills
  • Patients’ management protocols
  1. Lifelong Learning
  • Live sessions with interactive sessions
  • Scary case studies
  • Expert discussion
  1. Professional Development
  • Management skills
  • Practice management
  • Health economics
Future trend in global orthopedic care

The field develops as follows:

  • Regenerative medicine
  • 3D- Printed implants
  • AI application
  • Virtual reality training
  • Treatment based on individualization
Materials for Excellence

To strengthen the orthopedic residencies, Conceptual Orthopedics  provides the following:

Comprehensive learning aid
  • Demonstration of clinics
  • Theory discussion
  • Sessions for practicing MCQ questions
  • Solved question paper
Professional Development
  • Mentorship programs
  • Thesis mentoring
  • Live PG courses
  • Case discussions with interactive features
Elevate Your Orthopedic Career

Conceptual Orthopedics powered by eConceptual, for excellence in global practice, meets the requirements of orthopedic trainees through offering them the following premium benefits and exclusive features:

Premium Benefits:
  • Unlimited learning resources
  • Live interactions with faculty members
  • Clinical libraries of cases
  • Materials to prepare for examinations
Exclusive Features:
  • High-yield learning points
  • Rare case presentations
  • Interactive doubt-clearing sessions
  • Comprehensive study materials
Take the Next Step

Transform your journey in orthopedic surgery programs with comprehensive support:

  1. Explore Premium Plans
  2. Buddy Plans for learning in groups
  3. Download our top-rated app for MS/DNB/SS Exams

Join the global network of successful orthopedic specialists who have advanced their careers through intense training and lifelong learning.

Share
orthopedics residents

The Role of Technology in Modern Orthopedics: A Resident’s Perspective

0
0

Estimated reading time: 3 minutes

Technology has basically transformed the medical field, and is, at present, doing the same with orthopedic surgery. Advanced robotic surgery techniques as well as the use of artificial intelligence (AI) are transforming both residency education and orthopedic practice.

Transforming Orthopedic Surgery with Robotics and AI

In the last few years, Robotic surgery has emerged as a game changer in orthopedic surgical procedures. It provides precision and control that are unmatched by other traditional systems, allowing orthopedic surgeons to do highly invasive complex surgeries. This will result not only in better patient outcomes but also increase the learning experience for the orthopedics surgery residents. Among other benefits, the learning experience of orthopedics surgery residents would be improved with their hands-on experience in robotic-assisted surgeries enabling them to quickly adopt new techniques that are literally emerging as the new standard of care.

Artificial intelligence is another field that is getting interconnected with orthopedic surgery. Such AI-based systems can process the details of the patient, predict the likely outcomes, and even enable surgeons to make active on-the-spot decisions while conducting an orthopedic surgical procedureOrthopedic surgery residency enhances the skills of the graduates to enhance the diagnostic skills using machine learning algorithms and also making the surgical experience better. An overall meaning for orthopedic education is moving towards more data-driven, personal care, wherein residents can understand how to apply AI tools in day-to-day practice.

Improving Orthopedic Surgery Residency Medical Education

Technologies have much to offer in terms of educational benefits for orthopedics surgery residents. At the fore of medical education are virtual reality and simulation-based training. These enable the practice of complex procedures through risk-free mediums, thus improving the skills of residents even before they enter the operating room. 

Simulation-based learning is more than helpful in masterful orthopedic surgery residency programs, which require hands-on experience for many techniques employed during the procedure.

Medical instrumentation and diagnostic tools, embracing AI, yet again widen the learning curve for residents. From AI-enabled imaging technologies to patient care predictive analytics, the futuristic tools that today an orthopedic surgeon possesses are unimaginable and unthought-of even a few years ago. These tools result not just in better outcomes for patients but also revolutionize residents’ learning experience, as residents can now have real-time insights regarding how their patients will be treated and surgery planned.

How is Conceptual Orthopedics setting the trend?

Conceptual orthopedics is the sub-platform of eConceptual which offers interactive lectures, free lectures, clinical cases and presentations, an exclusive mentorship program and many more. In the upcoming days Conceptual Orthopedics organising the first ever  “Core to C.O.R.A.” program, the three-day intensive robotics course dedicated to advanced arthroplasty techniques. Designed and tailored to deliver cutting-edge skills in robotic-assisted joint replacement surgeries to orthopedic professionals, the entire program of the “Core to C.O.R.A.” integrates approaches from both core principles and further new advancements in arthroplasty.

Conclusion:

The fusion of robotic surgery, artificial intelligence, and other technological advancements is undeniably transforming orthopedics surgery. Such innovations in orthopedic surgery present an excellent opportunity for orthopedic surgery residents to engage with not only new but also transformative educational and clinical practices. With orthopedic surgery education changing, the future orthopedic surgeon will be better equipped to head the charge in a fast-changing medical landscape, leveraging technology to provide better patient care.

Share