Changing of the Guard: Very proud of our Hip and Knee Reconstruction Fellows!   Fellows operating together; Dr. Roberts on her last day of fellowship, and Dr. Terhune on her first! #orthotwitter

Congratulations to the Mayo Clinic 2022-23 Hip and knee Reconstruction fellows! We wish you the best in your career and home life! Looking forward to continued collaboration! @MayoOrthoRes @MayoClinic

Signficant metallosis in the joint and osteolysis about the femoral condyles. Cement-in-cement revision to DFR with retention of well-fixed TM tibial cone. Data on outcomes of retained, well-fixed cones coming in 2023!

Case: 61 yo F w/ painful right revision TKA after a fall. Elevated serum Co, Cr. Not infected. Treatment of the femur? Management of well-fixed TM tibial cone?

Reconstructive options include revision DFR, AKA +/- osseointegrated prosthesis, or rotationplasty. After extensive discussion, rotationplasty selected in this case!

Right knee passive ROM 0-30. Stiff and painful. Infection has been ruled out.

Case: 35 yo F w/ hx of osteosarcoma with painful right DFR. Progressive RLL about femoral stem. Reconstructive options? How to achieve fixation of femoral component?

Now that’s pretty cool. Great job! @MayoOrthoRes @MayoHipandKnee @HipSocKneeSoc

The Rothman-Ranawat Hip Society Traveling Fellows gave discussion-provoking talks as part of a two-day program which includes spending time in the OR & a series of talks from our arthroplasty department @MayoHipandKnee. Thank you for joining us in Rochester!

Metallic stained soft tissue on approach. Modular junction failure. Stem and cement mantle removed en bloc. Pt underwent impaction bone grafting of polished/sclerotic canal. Cemented femoral stem with cone. https://t.co/hyA3fGNxF5

Case: 69 yo M w/ hx of left TKA w/ revision x 2 for aseptic loosening. Now with acute worsening left knee pain. Progressive radiolucent lines about femoral stem, change in modular junction appearance. Operative plan? How to address sclerotic canal of multiply revised knee?

Anterior column fracture that extended into superolateral rim. Large (40% surf area) superior defect from prev irradiated bone. Cup cage reconstruction with half cage technique w/ augment in sup defect, cemented dual mobility liner, cemented femoral stem.

Exciting times at the ⁦@AAHKS⁩ meeting in the resident lab course with excellent course director ⁦@LeonardBullerMD⁩ and the WIA lab with our fearless leader ⁦@LindaSuleimanMD⁩. Love working with all these wonderful people! ⁦@kimtuckinAZ⁩ ⁦@ACR_MD⁩

#AAHKS2022 welcomes @KMallettMD as a presenter to discuss "Dislocated Dual Mobility THA: Most Need Open Reduction and Intraprosthetic Dissociation Often Missed." Join us in the General Session now @MayoClinic @MayoOrthoRes @MayoHipandKnee

Jacob Wilson MD, one of last years fellows just won the #AAHKS2022 Surgical Techniques and Technology Award for his work”Resurfacing the thin native patella:is it safe”. Congratulations on your work during fellowship!!

Proud to have one of last year’s fellows, Manu Gibon, MD, presenting at #AAHKS2022 . Our Research “RCT of Cementless Tantulum Tibial Components: Durable and Reliable at 10 years”

Case: 74 yo M w/ hx metastatic prostate cancer right acetabulum s/p radiation therapy with increasing right hip pain with known pathological acetabular fx. Surgical plan? Would you change implants or plan given hx of radiation therapy?

Infxn workup negative, Lateral approach used, Wagner osteotomy to facilitate nail removal, autograft from femoral/neck 50 cc allograft to graft defect in posterior column, multihole cup/screws w/ dual mobility, modular fluted tapered stem.

Case presentation: 70 yo F presents to clinic s/p short CMN of left intertroch fx at outside facility in Aug 2022 with worsening left hip pain, inability to bear weight. No pertinent PMHx. Workup and treatment plan?

ETO was performed 15cm in length, Cables were deeply imbedded in bone and had to be cut through with ETO, trephine over the remaining distal stem. Revised to modular fluted tapered stem.