Orthopaedic Grand Rounds 2010-2011

April 6, 2011 Grand Rounds Video: William J. Mills III, MD Special Memorial Grand Rounds "Things Dr. Mills Taught Us..."

"Things Dr. Mills taught us..." In this special Memorial Grand Rounds, friends and colleagues pay tribute to the life and work of William J. Mills III, MD. Dr. Mills sustained critical injuries from a fall while skiing with one of his sons in the Alyeska resort in Girdwood, Alaska on March 13, 2011. He passed away on March 15, 2011. Dr. Mills was a member of the UW Medicine Faculty from 1998-2004. During his years as Assistant Professor, Dr. Mills rapidly developed a reputation for his expertise in trauma and sports surgery with 22 peer reviewed papers. Several of these publications are considered to be primary in their topic areas. UW faculty members and others present excerpts from Mills' articles on knee dislocations, humeral fractures, and polytrauma care combined with annotations from his life and unique personality traits. Dr. Mills is remembered for his many outstanding qualities as a great doctor, surgeon, educator, colleague and friend. He had maintained close ties with many faculty, fellows and residents throughout his UW times and held Harborview Medical Center and the people who worked there in the highest esteem.

March 2, 2011 Grand Rounds Video: Knee Injuries and Concomitant Vascular Trauma

This episode of Grand Rounds emphasizes the importance of recognizing vascular injuries in the setting of trauma about the knee and the devastating limb-threatening consequences of missed vascular injuries. Dr. Nels E. Sampatacos, surgery resident with UW Medicine, begins the lecture with a case study along with functional anatomy concepts. Dr. Benjamin W. Starnes, chief of vascular surgery for UW Medicine, shares his personal military experience as a vascular surgeon, providing unique insight into front-line management protocols. Discussion of orthopaedic perils and pitfalls, focusing on the radiographic findings suggestive of vascular injury in the setting of knee dislocation.

February 2, 2011 Grand Rounds Video: Contemporary Perspectives in Distal Radius Fixation

Wrist fractures, those injuries involving the distal radius, the distal ulna, and the joints about these bones, are some of the most commonly sustained fractures in any age group. With such a large number of injuries encountered, the effort to return patients to their normal activities has driven remarkable changes in treatment methods. UW physicians Matt Lyons, Jeffrey Friedrich, Douglas Hanel, and Jerry Huang discuss the history of wrist fractures and how the recently updated AAOS guidelines are practiced at the University of Washington.

January 5, 2011 Grand Rounds Video: Latest Treatment Options for Adolescent Scoliosis

Between one and three in 100 children have a measurable curve in their spines (more than 10 degrees of tilt on an X-ray) that does not have a known cause, called idiopathic scoliosis. But only about two in 1000 children ever gets a curve that is large enough to need treatment, though girls are seven times as likely as boys to have larger curves in their backbones, requiring treatment..This presentation offers an introduction to scoliosis, plus a discussion on current treatment options both surgical and non-surgical, as well as reviewing recent case studies.

December 1, 2010 Grand Rounds Video: Ankle Arthritis: Fusion or Arthroplasty?

October 6, 2010 Grand Rounds Video: Cost Savings in Fracture Care

"All for One or One for EACH" Evolving low-tech and high-tech technologies for IM nailing

Along with technological advances in Orthopaedic fracture care implants came a steep increase in prices, severely limiting their worldwide availability. In this program, an advocate for simple, inexpensive, yet highly effective implants, Dr. Lou Zirkle of Richland, Washington will debate UW Medicine physician M. Bradford Henley, who has successfully designed a number of highly evolved implant systems. UW Resident, Dr. Ben Amis, will provide a number of comparative statistics and cases to improve understanding of this contentious issue.

September 1, 2010 Grand Rounds Video: Injuries to Long Bones and Lungs

Lungs and Long Bones: The Treatment of the Orthopaedic Trauma Patient

Daphne M. Beingessner, M.D., Associate Professor

Joshua Lindsey, M.D., Orthopaedic Surgery Resident

Margaret Neff, M.D.

The treatment of the orthopedic trauma patient is complex and the potential for adverse events are high. In this episode of Grand Rounds, UW Medicine's Dr. Joshua Lindsey moderates a panel reviewing the evolution of trauma patient treatment of femur bone fractures. The panel, including Dr. Margaret Neff of UW Medicine, and Dr. Daphne Beingessner, UW Professor of Orthopedics, also discusses pulmonary complications in treatment. They focus on a multi-pronged approach to improve recovery rates for patients with multiple injuries. They also take a look at how to manage the timing of multiple operations and the variety of treatment techniques available for these complex injuries.

August 4, 2010 Grand Rounds Video: Geriatric Hip Fractures

Fragility Hip Fractures: Multidisciplinary Considerations

Hip fractures are the most serious osteoporosis related concern affecting the elderly population, requiring immediate attention and treatment. Grant Lohse, UW School of Medicine Orthopedic Surgery resident, moderates presentations on treatment options for hip fractures and the emphasis on medical team communication during the course of multidisciplinary care. A panel of UW School of Medicine physicians including Itamar Abrass, Professor of Gerontology and Geriatric Medicine, Lisa Taitsman, Chief of Geriatric Fracture Services and Wayne McCormick, Professor of Gerontology and Geriatric Medicine present their approaches to individual patient treatment. They discuss ways to provide optimal care with a set of case studies of elderly patients: from pre-operative evaluation, to surgical fixation, to post-operative care, and follow-up care after discharge.

July 7, 2010 Grand Rounds Video: Treating Massive Rotator Cuff Tears

Traditionally, massive rotator cuff tears were thought to be irreparable. However, current treatment options are providing patients with encouraging results. Moderated by Derek Raines, MD, this lecture reviews current research and practices in repairing massive rotator cuff tears along with a discussion of case studies with Kevin Smith, MD. Dr. Smith practices "open" repair of massive cuff tears. Although a fully healed and functional rotator cuff following a massive tear may be difficult to achieve, many patients have found significant pain relief and some functional improvements.

June 2, 2010 Grand Rounds Video: Clavicle Fractures: Controversies

The treatment of midshaft clavicle (collarbone) fractures is controversial. For hundreds of years the mainstay treatment has been nonsurgical. However, recent orthopaedic literature suggests that certain individuals may benefit from surgery. Currently, two types of bone fixation are available: plates/screws and intramedullary nails.

Moderated by Brett Wiater, MD, this lecture reviews these two surgical options, followed by a discussion of case studies with UW Medicine physicians Stephen Benirschke, MD and Winston Warme, MD. Each treatment option has its advantages and disadvantages, but paramount to ensuring a good outcome for the patient is an evaluation by a qualified surgeon. Learn how these orthopedic surgeons at UW Medical Center and Harborview Medical Center are working together to offer patients treatment options.

May 5, 2010 Grand Rounds Video: Periprosthetic Fractures

Brian Daines, M.D., Orthopaedic Surgery Resident
David P. Barei, M.D.
Howard A. Chansky, M.D.

Periprosthetic fractures occur around total joint replacements and are difficult to treat. Occurring most often in older patients with multiple medical conditions, they require surgical expertise in both reconstruction and trauma.

Moderated by Brian Daines, MD, this lecture reviews treatment options for periprosthetic fractures and a discussion of case of studies with UW Medicine physicians David Barei, MD and Howard Chansky, MD. Learn how these orthopedic surgeons at UW Medical Center and Harborview Medical Center are working together to offer patients treatment options for these challenging injuries.

April 7, 2010 Grand Rounds Video: Surgical Relief Efforts in Haiti

When a devastating earthquate shook Haiti in January 2010, medical professionals rushed to help. Two orthopaedic trauma surgeons, UW Medicine's Dr. James C. Krieg from Harborview Medical Center and University of Pennsylvania Medical School's Dr. Samir Mehta, share their experiences as volunteers with governmental and non-governmental relief organizations. Learn how they, and other volunteers, worked to deliver quality care under challenging conditions.