Orthopaedic Grand Rounds 2012-2013

June 5, 2013 Grand Rounds Video: Improving Efficiencies in Orthopaedics

Bas A. Masri, MD
Professor and Head of the Department of Orthopaedics, University of British Columbia
Head of the Department of Orthopaedics, Vancouver Acute (Vancouver General and University Hospitals)

May 1, 2013 Grand Rounds: How to tap into the commercialization resources available at the UW

Rachael Tanner, Coulter Program Director, Department of Bioengineering
Patrick Shelby, Director of New Ventures Center for Commercialization

April 3, 2013 Grand Rounds Video: Demystifying Physeal Fractures

Mark Dales, MD, Associate Professor
Antoinette Lindberg, MD, Assistant Professor
, Orthopaedic Surgery Resident

This episode of Grand Rounds focuses on pediatric orthopaedics, specifically physeal injuries (growth plate injuries) common in childhood. Dr. Ted Sousa discusses the epidemiology, basic science of the growth plate, classification of physeal injuries, as well as the classification and science behind growth arrest. Dr. Antoinette Lindberg, assistant professor of orthopaedics at Seattle Children's, follows with a discussion of the basic principles of the acute management of these injuries and goes into detail about the treatment of the most common fractures. Finally, Dr. Mark Dales, chief of the fracture clinic at Seattle Children's, discusses the chronic management of these injuries with regards to growth arrest, limb deformity, shortening, and disability.

March 6, 2013 Grand Rounds Video: Superior Labrum Tears in the Shoulder: Controversies and Consensus


, Orthopaedic Surgery Resident
, Assistant Professor
, Associate Professor

This episode of Grand Rounds discusses superior labrum anterior posterior tears (SLAP tears) of the glenoid labrum. The goal is to present viewers with what a SLAP tear is, describe how it occurs, and what it looks like on physical exam and MRI. Currently, orthopaedic surgeons are repairing SLAP tears at a rate much greater than the literature would suggest. The speakers present a patient specific treatment strategy, and elucidate which types of SLAP tears should be repaired and those that should be treated conservatively. This programs should help viewers clarifiy the controversy surrounding the management of SLAP tears.

February 6, 2013 Grand Rounds: Geriatric Fracture Center Model of Care

Stephen L. Kates, M.D., Professor, Department of Orthopaedics, University of Rochester

January 2, 2013 Grand Rounds Video:
Total Knee Arthroplasty: Early Innovations and Modern Approaches

, Professor
Justin Klimisch, MD
, Orthopaedic Surgery Resident

Total knee replacement surgery (TKA) has revolutionized care of osteoarthritis over the past 40 years. Given its success, there has been a rapid increase in the number of TKAs performed yearly, which is projected to continue to increase in the coming years. In this Grand Rounds, UW Medicine physicians Howard Chansky, Justin Klimisch, and Nicholas Wegner review the history of total knee arthroplasty, focusing on the historical development beginning in the 1860s and then focus on the explosion of new designs developed during the 1970s. Modern approaches used in primary and revision total knee arthroplasty are then reviewed. Case studies are highlighted that demonstrate some of the challenges of primary and revision TKA.

December 5, 2012 Grand Rounds Video: From Sir John Charnley to the present: Have we made progress in hip replacement?


, Orthopaedic Surgery Resident
, Associate Professor
Thomas Tanous, MD

The total hip replacement has been called the operation of the century. Surgeons toiled for decades to improve the procedure until Sir John Charnley developed the gold-standard "low-friction arthroplasty" in the 1950s. Currently, hip replacement surgery is a reliable tried-and-true operation, but challenges remain, mostly in the areas of surgical approach and bearings. Dr. David Zeltser highlights important historical landmarks leading up to the modern hip replacement. Dr. Thomas Tanous follows with a review of minimally-invasive and traditional surgical approaches. Dr. Paul Manner who recently testified to the FDA on metal-on-metal bearings, concludes the lecture with a discussion of various bearings used in hip replacement.

November 7, 2012 Grand Rounds Video: Do Quality Metrics Increase Cost and Undermine Performance in Health Care?

, Professor
Orthopaedic Surgery Resident
Heero Hacquebord, BS, MBL, Principal, Apt Leadership, LLC

Do quality health metrics increase costs and undermine quality? In this presentation, Dr. Jacques Hacquebord, and his father, Heero Hacquebord, introduce metrics in healthcare as a key component and strategy for improving healthcare performance and quality. This presentation highlights popular current metrics strategies and theories that so far have not been effective, as well as new theories and their predictive value for improving quality and performance.

October 3, 2012 Grand Rounds Video: Evaluation, Management, and Outcomes of Pelvic Ring Injuries


Orthopaedic Surgery Resident
James C. Krieg, MD
M.L. Chip Routt, Jr., MD
Assistant Professor

The seriousness of pelvic injuries and fractueres reflect the role of the pelvis in anchoring critical functions of the spine, nervous system, and vascular system in the human body. Multi-specialty teams can be required to effectively treat the complex nature of these injuries. Using case studies and examples, Drs. Nicholas Iannuzzi, James Krieg, Chip Routt, and Reza Firoozabadi examine pelvic ring injuries and fractures in a trauma setting. These injuries can range from low energy falls (off ladders) to high energy injuries involving motorbike accidents, pedestrian vs. vehicle accidents, and vehicle collisions. These injuries, while occurring in a small segment of the population, can represent up to 15% of admissions in some hospitals. This Grand Rounds focuses on the role of the orthopaedist in restoring stability to the pelvis. The speakers discuss this goal from evaluation and emergency management of trauma to operative fixation, post-operative care, and analyzing outcomes.

September 5, 2012 Grand Rounds: The Opioid Crisis: An Opportunity to Improve Health Care

Alex Cahana, MD
Hughes M. and Katherine G. Blake Endowed Professor in Health Psychology
Professor, Department of Anesthesiology & Pain Medicine
Chief, Division of Pain Medicine
Adjunct Professor, Department of Bioethics and Humanities
Adjunct Professor, Department of Radiology

August 1, 2012 Grand Rounds: Hemiarthroplasty vs. Reverse Total Shoulder Arthroplasty for Proximal Humerus Fractures

Jonathan P. Braman, MD
Assistant Professor, Sports Medicine and Shoulder Services
Chief of Shoulder Surgery, Department of Orthopaedic Surgery, University of Minnesota

July 11, 2012 Grand Rounds Video: Compressive Neuropathies: Watch and worry or decompress and hope?

, Orthopaedic Surgery Chief Resident
, Professor
, Assistant Professor
Christopher J. Standaert, MD, Clinical Assistant Professor

Compressive neuropathies, such as median tunnel and ulnar nerve syndromes, are some of the most common causes of musculoskeletal disabilities. Diagnostics and treatment of these conditions are some of the most frequently performed procedures in medicine. Questions of appropriateness of utilization of these procedures have increased and are causing frustrations among patients and practitioners alike. This episode of Grand Rounds will feature leading UW Medicine experts Dr. Andrew Ghatan, Dr. Douglas P. Hanel, Dr. Jerry Huang and Dr. Christopher Standaert, as they discuss updated indications and techniques to address carpal tunnel and cubital tunnel syndromes.