During the rest of our fantastic week in Miami, we saw more interesting cases, such as frames on pilons and open calcaneal fractures, transport frames with wires, spacers to pave the way of the transport fragment, lengthening nails, foot frames. And we got hours of ppt lectures on a number of subjects by personal time with amazing dr. Hutson, including the Panhandler syndrome, a Masquelet technique discussion, tips and tricks for transport frames, including a technical guide to the balanced wired transport fragment system. Operated with dr. Quinnan and got an excellent introduction to the fracture reduction tools that a frame has, such as joystick half pins, arced wires to pull fragments in place in to planes. We also saw a fixator assisted nailing on a regenerate that had drifted into malalignment. We saw very elegant distal tibial articular surface reduction with fine 0.45 mm threaded steinmann wires, sometime left in place. Hereafter a staged secondary transport was planned to make up for the bone loss. We got to do some deformity planning, discussing Baumgart’s end-point-first planning, blocking screws and entry points, including supra patellar acces, parapatellar and supra-and subcutaneous acces to the tibial canal. Lengthening and planned compensation by translation when in the femur and lots of other good stuff, including contracture correction by frames.
Clinics with both private and public patients (in two different settings) was equally valuable. Thursday morning we both did Grand Rounds Lectures, and enjoyed it very much.
On thursday night we got invited to dine at dr. Hutson’s charming “Chinese” house in Coral Gables including a visit to his fantastic woodshop and saw his top-end home made wooden furniture. We also had an interesting night, hearing anecdotes from the the life of a resident, participating at the residents informal farewell dinner at South Beach. Also got to see a bit of the fantastic art deco architecture of Miami.
And time to discuss differences in life as an orthopedic surgeon in the US and Denmark, in terms of working hours, salary, reps, number of procedures, bureaucracy, family issues, insurance, private vs. public system, presidential elections etc. 😉 Not boring, and a lot to learn for us all.
Mani is a fantastic fellow Fellow and we had a lot of fun together 🙂 and it was very useful for me to have a “local” guide to the US health care system.
We shared an AirB’nB in Brickell apartment to cut cost, and Uber’ed to work every day.
Thanks a million to Dr. Hutson, Dr. Quinnan for this unforgettable week. /Ulrik