Dr Ed Oates
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traumaticum.bsky.social
Dr Ed Oates
@traumaticum.bsky.social
Orthopaedic surgeon. Posting examples, not advice. Case library: www.osteosynthesis.org
Pinned
Softening the transition-anxiety for any #orthotwitter converts, ive made a follower starter-pack.

by no means a definitive list! please add any suggestions to this thread :)

#orthosky #orthopedics #orthotwitter
@davembmd.bsky.social @generalortho.bsky.social

go.bsky.app/TCKACLw
December 25, 2024 at 6:37 PM
Dragging REAL seasonal desert to Euroland

#pavlova #foodie
@orthopodreg.bsky.social
December 24, 2024 at 10:15 PM
Heres something Lee likes to bang on about - and he's right

attention to the screw trajectory and length of ulnar screws around the radial tuberosity, threatens blocking supination as the tuberosity and biceps get trapped

#orthosky #orthopedics
December 22, 2024 at 10:20 AM
If this goes pear shaped @orthopodreg.bsky.social

*puts on masterchef hat*

Let’s do this!

www.greatbritishchefs.com/recipes/chri...
Christmas Goose Recipe
Marcus Wareing smartens up this already beautiful bird for a take on Christmas goose, serving the pan-roasted breast with a goose sausage roll
www.greatbritishchefs.com
December 16, 2024 at 9:05 PM
Im basically an anonymous operator in our trauma system

Accordingly ive never received much of a personal thank you from anyone ive ever operated on.

Until today - a personally delivered floral arrangement for Christmas

And what for? For NOT operating 😂

#orthosky #medsky
#orthopedics
December 11, 2024 at 9:18 PM
Today’s monteggia brought to you by the CCCP

#orthosky
#orthopedics
December 11, 2024 at 12:39 PM
Cant do polls here, but perhaps a show of hands…

Who is surgically stabilizing an acute AITFL rupture (MRI complete tear) without fracture nor significant diastasis on WB in a young, athletic male?

#orthosky
#orthopedics
December 4, 2024 at 7:40 PM
I love it when you step back to look at the imaging following an case - and the result ends up being some utterly minimalistic yet biomechanically elegant solution.

Every single screw has a single simple purpose, yet the big picture is a construct which locks together

#orthosky #orthopedics
December 4, 2024 at 5:20 PM
this is, however, the one thing not quatifiable and billable in the whole dr/pt encounter.

there is $$ value in spending actual time with patients. bill some imaging, confirm an ICD code, bill the diagnosis

until healthcare reprioritises billing, there wont be financial scope to actually talk.
December 4, 2024 at 3:39 PM
“High ankle sprain” can be such a misnomer. I’ve never liked the term

Syndesmotic tears can lead to massive joint instability if not recognized and appropriately managed.

This case was a missed maisonneuve with a completely normal NWB ankle plain film

#orthosky
#orthopedics
December 3, 2024 at 11:37 AM
Strain Reduction Screw

If youre not familiar - check out the following article:
boneandjoint.org.uk/article/10.1...

the power of a single 3.5mm screw vs. femoral non union

this is approx 9months post screw insertion, 3yrs post fracture and index OP.

more pics ⏬

#orthosky #orthopedics
December 2, 2024 at 3:56 PM
i havent managed to write up proper case notes yet, but here are the images of that ankle i posted last week

note the comminution of the anterior colliculus - this was unexpectedly a major PITA

MPM but first plate was post colliculus

www.osteosynthesis.org/46762289-mas...

#orthosky #orthopedics
Mason and Molly 2B posterior malleolus with anterior collicular comminution
coming
www.osteosynthesis.org
December 2, 2024 at 12:24 PM
Last laps before a) I blew up the clutch driveshaft, and b) temps dropped below stupid Celsius

Winter motor rebuild time!
November 30, 2024 at 11:09 PM
A random shot walking into the garage… occasionally need to stop being busy and take a moment to enjoy the view…
November 30, 2024 at 8:46 PM
lots :)
but ill let someone else go first
November 30, 2024 at 6:32 PM
Do what the @generalortho.bsky.social said!

on the WEBSITE (not mobile app) go to settings and 'enable adult content' (you additionally enabling porn is up to you).

stupid automatic content moderation..
hey @support.bsky.team and @moderation.bsky.app if you want medical discussion, fix this
November 30, 2024 at 6:01 PM
heres the ankle which ispired my prone-position hate speech

laterally based injury, sitting duck for a single-incision posterolateral approach to extract the flipped fragment from the plafond and reduce and plate the tibia, with fibula through the same incision

#orthosky #orthopedics
November 28, 2024 at 5:22 PM
How are you attacking this? Concerns? Approach? Sequence of reduction and fixation?

And nobody dare say prone 😭

Any extended classification to include to collicular involvement @drlyndonmason.bsky.social

#orthosky #orthopedics
November 28, 2024 at 3:56 PM
Hey @davembmd.bsky.social kid #1 first competition since we last spoke. Hyperextension L3 no longer causing problems

👍

“Thanks Dave”
November 28, 2024 at 3:50 PM
November 27, 2024 at 7:14 PM
anyone able to clarify wtf this suture closure is?

@orthotraumamd.bsky.social

#orthosky #orthopedics
November 24, 2024 at 11:03 PM
Kid’s sport Sunday!

Number 15 taking it coast-to-coast for the win
November 24, 2024 at 10:53 AM
November 23, 2024 at 9:50 PM
Not sure if saying 'im getting good at revising broken gamma nails' is a good thing?

Moderately impressed that this took 18months to break the nail.

ROH, osteotomied the non union with an oscilating saw creating a valgus wedge

#orthosky #orthopedics

www.osteosynthesis.org/38776064-non...
Nonunion of a reverse oblique proximal femur fracture
Approximately 18 months prior, the patient sustained a reverse oblique (sub)trochanteric fracture of the right proximal femur. At that time, a closed reduction and gamma nail fixation were performed; ...
www.osteosynthesis.org
November 22, 2024 at 8:48 PM
A similar case came up, which prompted me to go back and re-explore this one of mine (below)

apparently periosteal interposition isnt common - but beware of the non-reducible medial fracture!

#orthopedics

@davembmd.bsky.social @generalortho.bsky.social

www.osteosynthesis.org/9061389-13yo...
13yo proximal tibial diametaphyseal transition zone fracture
A relatively high energy sports injury sustained by a 13yo M. Closed and NV intact. Isolated limb trauma. Significant swelling without clinical suspicion of compartment development. Initial management...
www.osteosynthesis.org
November 21, 2024 at 7:48 PM