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Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)
Dr. Adam Rosen is an orthopedic surgeon who specializes in total joint replacement. He created this podcast which is aimed at interns, residents, fellows, and general orthopedists who are looking to dive into the details of total knee replacements, hip replacement, and classic articles.
Be sure to check out my YouTube page: https://www.youtube.com/playlist?list=PL226EPMMG9vZmOiuDpmmh36nNzyPrYcRS
(Disclaimer: This is my opinion. Any information gathered is not medical education. Practitioners need to use their education and experience to determine how to treat their own patients.)
Episodes
102 episodes
Uni's
I am going to cover some of the things I consider when approaching Uni'sPlease take the time to leave a review and subscribe.Stay safe.
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Season 4
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Episode 46
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13:27
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Suicide, Burnout, Mental Wellness
This is an important episode because we are all at risk. If you are in trouble or suffering ask for help, get help, seek help and ask for help again. If you see a colleague or friend who is having trouble ask how you can help and be sure to che...
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Season 4
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Episode 47
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20:54
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TKA Specs - 100th Episode
This is the 100th Episode of the Total Knee Tips & Pearls PodcastSome techy stuff on TKARecommended Distal Femoral Resections8mm - Stryker Triathlon9mm - DePuy Attune9.5mm - Smith & Nephew10mm - Zi...
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Season 4
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Episode 46
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34:11
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Essential Amino Acids after TKA
Two studies have shown that essential amino acids (EAA) can help function, and suppress atrophy of the rectus after TKA.Dreyer et al. J Clinc Invest. 2013;123(11):4654-4666. Essential amino acid supplementation in patients following tot...
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Season 4
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Episode 45
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12:05
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Acetabular Cups - Reaming and Liner Options
Do not take my word for it but do your research and verify everything. Here I'll review the four common cups many of us useZimmer G7 - ream under by 1 mm, 36 mm ID options at 50 with 10 degree and +5 lat offsetStryker Trident II...
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Season 4
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Episode 44
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13:00
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Knee Arthroscopy
Here I share with some some tips and tricks on what I look for and what I do when caring for the 50 and older patient with knee pain that does not have severe arthritis and does have a meniscus tear.I also share some tips on what to do ...
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Season 4
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Episode 43
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24:46
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Hip Stems
Here is my take on the three new broach only collared hip stemsDepuy Actis130 degree neck shaft anglesizes 0-12high offset 6mm (sizes 0-3) and 8 mm (sizes 4-12)Zimmer Avenier135 neck shaft anglesizes 0-9h...
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Season 4
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Episode 42
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25:05
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Talking to patients about Leg Length Discrepancy
LLD is a real issue. Here I will go over a number of things that can cause or lead to a LLD. I will share things I look for and how I talk to patients about LLD and what things you can do at the time of surgery to control for LLD.
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Season 4
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Episode 41
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15:03
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Fellowship - What to look for
What you are looking for in a fellowship is a personal decision. I covered this topic before but we are in the middle of fellowship applications and most applicants have the same questions.Here I discuss volume, autonomy, approaches, im...
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Season 4
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Episode 40
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16:38
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Robotics or Lack There Of - You still need training in manual total knees
I used nav in 2005 and was looking forward to robotics when they came on the scene. First it was Mako and now Rosa and Velys. Unfortunately, the powers that be have not allowed them in our system yet.I think it is important for resident...
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Season 4
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Episode 39
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16:26
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Augmented Reality
AR is something I am really excited about. Here is my two cents on the future of AR technology in total knees
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Season 4
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Episode 38
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10:54
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The Knee Book - A Guide to the Aging Knee
I am happy to share my new book THE KNEE BOOK - A GUIDE TO THE AGING KNEEIt was written for patients and it is written to patients in easy to understand language.The book is a perfect recommendation for patients with knee pain t...
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Season 4
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Episode 37
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10:20
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Pre-Flight Checklist
I still do this every Friday (sooner if it is a complicated revision)Check the patient, age, BMI, nasal swab, dvt proph. Check the x-rays and make sure the implants are ordered. Review the labs and any clearances that are needed.Dou...
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Season 4
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Episode 36
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16:56
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Cement Technique for Hemi's & THA
Whether you are doing a hemi or total, cementing the femoral component takes some skill. Here I will share with you my tips on how to get a good cement mantle.A link to the episode on cement grading:
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Season 4
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Episode 35
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11:53
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Biofilmology
SSI is the number one reason for unplanned admission after TJA.Biofilm can form within minutes and be mature within 24 hours. Biofilm contains approximately 80% ECM and 20% bacteria.Check out this lecture by Next Science that wa...
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Season 4
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Episode 34
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13:34
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Valgus Knees
I discussed varus knees previously, here is my two cents on what I look for and how I approach the valgus deformity when performing a TKAKrackowI - min valgusII - deformity > 10 degree, medial soft tissue stretchingIII - ...
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Season 4
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Episode 33
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16:16
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Dr. Colwell Interview #2
I had the chance to sit down for the second time with Dr. Colwell. In this episode we cover teaching fellows, running two rooms, bilateral total joints and more.If you haven't listen to the first episode you can listen here:
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Season 4
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Episode 32
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1:03:52
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Varus Knees
Know if it is fixed or correctableAssess the amount of osteophytesRelease MCL around to semimembranousAssess PCL if using CRConsider downsizing tibial and removing additional medial boneFurther Reading:Master Tec...
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Season 4
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Episode 31
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18:46
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Interview with Dr. Colwell
I first met Dr. Colwell when I came west to interview for a fellowship at Scripps Clinic. I had the pleasure to sit down and ask him some questions about orthopedics and his career. We talked for an hour and a half and I could have spent all da...
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Season 4
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Episode 30
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1:01:16
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Optimize your patient
References:Ng et al. Preoperative Risk Stratification and Risk Reduction for Total Joint Reconstruction. AAOS 2013Aram et al. Estimating an Individual's Probability of Revision Surgery After Knee Replacement. Am J of Epid 2018Gronbe...
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Season 4
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Episode 29
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22:36
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Hip Balancing
I find this topic a more difficult topic to teach than knee balancing. Everything is important to get a stable hip. You need a good approach, pre-op planning, implant positioning and the restoration of length and offset. You need to be aware of...
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Season 4
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Episode 28
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25:35
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Tips for Hemi's
These two tips can be used when performing a hemiarthroplasty for a hip fracture. You may also consider it even if doing a THA for a fracture or a THA for arthritis in certain patients such as parkinson's disease.Check out my other epis...
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Season 4
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Episode 27
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8:50
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Reading an X-ray
Its good to have an algorithm that works for you when describing an x-ray. Here I will go through my thought process to make sure that you cover everything and not miss things.
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Season 4
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Episode 27
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13:52
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The PFJ in TKA (#79)
The kinematics of the knee are so complex. You can not overlook the PFJ. We are taught early on about medializing the button and lateralize the femur and make sure your femoral rotation is correct. If not you are taught to do a lateral release....
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Season 4
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Episode 26
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11:22
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