Manish Patel, MD – Leading the Shift in Knee Replacement Surgery and Soft Tissue Preservation

Interview with Courtney Quinn, MD, Orthopaedic Sports Medicine Surgeon at Inova Hospital System in Fairfax, VA. Dr. Quinn works with multiple professional soccer clubs (team physician for Washington Spirit, Loudoun United, and consultant for DC United), and is team physician for George Mason University club sports. We discuss the problem with lateral ankle instability, functional vs mechanical instability, the importance of rehab, surgical indications, and pearls and pitfalls in management.

Guest podcast host, Dr. Anuj Mehta, PGY 5 chief orthopaedic surgery resident at Temple University Hospital, reviews the principles of femoral neck fracture fixation and arthroplasty for geriatric femoral neck fractures, followed by interviews with Dr. Saqib Rehman, Dr. David Galos, and Dr. Matthew Craig.

Season 7 Episide 2 is my interview with Chinenye Nwachuku, MD, Orthopaedic Trauma & Joint Replacement Surgeon. Dr. Nwachuku discusses his extensive experience working, teaching, and learning orthopaedic surgery in Ghana. They discuss the evolution from short-term “mission trips” to a sustainable model focused on reciprocal learning, cultural understanding, and empowering local surgeons. Dr. Nwachuku shares insights on daily clinical work, navigating challenges, and building a stronger orthopedic community that can thrive independently.

We’re kicking off Season 7 with my interview with some of the key leaders at SIGN Fracture Care International – Sariah Khormaee, MD, PhD (CEO), David Shearer, MD (Vice President of the Board), and Dr. Faseeh Shahab, Assistant Professor at Shahab Orthopaedic and General Hospital in Peshawar, Pakistan. SIGN Fracture Care International is doing truly inspiring work around the world. They are a US-based (in Washington state) nonprofit that partners with local surgeons in low and middle income countries to bring life-changing fracture care to patients who might otherwise never walk again. Their IM nailing system, which has a unique interlocking instrumentation that doesn’t require fluoroscopy, is provided free to their surgeons. Since 1999, SIGN has trained and equipped thousands of surgeons with implants and instruments designed for hospitals that don’t have the resources many of us take for granted—helping restore mobility, dignity, and hope to millions of people. Check them out at https://www.signfracturecare.org/ and here in my interview.

Xylazine, a veterinary sedative, has increasingly been found as an adulterant in illicit fentanyl supplies across the USA. This combination has led to severe necrotic skin wounds among users, particularly in the Philadelphia region, posing significant challenges for patients and healthcare providers. As these frequently exhibit as extremity wounds, orthopaedic surgeons are amongst those involved in their care. We discuss the recent findings from the first regional symposium on this crisis with meeting co-chairs Drs. Asif Ilyas and Katharine Woozley. Dr. Ilyas is President of the Rothman Opioid Foundation, Partner and Fellowship Director at the Rothman Institute, and Professor, Vice Chair, and Associate Dean at the Drexel School of Medicine in Philadelphia, Pennsylvania. Dr. Woozley is an Associate Professor of Orthopaedic Surgery and Division Head of Hand and Nerve Surgery at Cooper Medical School in Camden, New Jersey.