We are honored to host Dr. DeBaun, a leading expert in orthopedic trauma, for an in-depth discussion on the management of open fractures.

Dr. Malcolm DeBaun has been blessed with the opportunity to serve his community. He specializes in treating fractures of the upper and lower extremity as well as in the pelvis/acetabulum and periarticular injuries. He loves to manage the most challenging cases for patients, including complex fracture revision surgery, nonunion, malunion, and osteomyelitis. In addition, he also specializes in adult limb lengthening and deformity correction. He believes in the restoration of anatomy after injury using biomechanical principles and minimally invasive techniques for maximum clinical benefit to the patient. His surgeries utilize the most cutting-edge technology, techniques, and implants to create the best possible outcome for his patients. His goal is to return his patients to their pre-injury lifestyle and promote mental, physical, and spiritual wellness.

Goal of episode: To develop a baseline knowledge of open fractures.

In this episode, we uncover the essentials of managing open fractures, including:

• What defines an open fracture and the key classification systems like Gustilo-Anderson.

• Antibiotic protocols tailored to fracture severity and specific contamination risks.

• The critical timing of treatments to prevent complications.

• Surgical techniques like irrigation, debridement, and wound coverage strategies.

• Innovative approaches to addressing bone defects, from the Masquelet technique to bone transport.

This episode is sponsored by the American Academy of Orthopaedic Surgeons:

Filled with content that has been vetted by some of the top names in orthopaedics, the AAOS Resident Orthopaedic Core Knowledge (ROCK) program sets the standard for orthopaedic education. Whether ROCK is incorporated into your residency curriculum, or you use it independently as a study tool, the educational content on ROCK is always free to residents. You’ll gain the insights and confidence needed to ensure a successful future as a board-certified surgeon who delivers the best patient care. Log on at https://rock.aaos.org/.

What happens when a seemingly simple ankle sprain turns out to be something far more serious?

In this episode, we dive into a case of a 27-year-old soccer player whose ankle pain was initially dismissed, only to reveal a missed syndesmosis injury months later. We explore:
⚕️ The subtle signs of syndesmotic injuries often overlooked in the ED.
⚕️ The consequences of delayed diagnosis and non-operative treatment.
⚕️ How to avoid this common yet critical mistake in your practice.

Listen now and learn why a deeper look at imaging—and trusting your clinical instincts—can make all the difference.

This episode is sponsored by the American Academy of Orthopaedic Surgeons:

Filled with content that has been vetted by some of the top names in orthopaedics, the AAOS Resident Orthopaedic Core Knowledge (ROCK) program sets the standard for orthopaedic education. Whether ROCK is incorporated into your residency curriculum, or you use it independently as a study tool, the educational content on ROCK is always free to residents. You’ll gain the insights and confidence needed to ensure a successful future as a board-certified surgeon who delivers the best patient care. Log on at https://rock.aaos.org/.

Why do bone defects occur, and how can we best manage them? In this episode, Dr. Frumberg joins us as we explain the intricacies of bone defect classifications, the role of host factors, and groundbreaking treatments like the Masquelet technique, vascularized fibula grafts, and distraction osteogenesis. From the smallest Type I defects to the most complex Type IV challenges, this conversation is packed with actionable insights for orthopedic surgeons and enthusiasts alike.

Plus, hear Dr. Frumberg’s expert take on when amputation might be the best option and the importance of preserving joint function and stability in treatment planning.

Click here for show notes

David Frumberg, MD, is an Assistant Professor of Orthopaedics and Rehabilitation at Yale School of Medicine. He is co-director of the Yale Limb Restoration and Lengthening Program. He is the Director of the Cerebral Palsy Program at Yale-New Haven Hospital.

He specializes in complex orthopedic conditions that require more attention and care. He works closely with patients and their families to understand their needs and unique goals. He enjoys collaborating with other medical professionals to maximize the functioning and comfort of patients of all ages. Dr. Frumberg utilizes state of the art surgical techniques, and is devoted to providing his patients with innovative and compassionate care. His areas of expertise include:

• Limb lengthening and stature lengthening
• Limb deformity correction
• Cerebral palsy
• Arthrogryposis
• Neurologic conditions that cause joint contractures
• Fracture nonunions and malunions
• Musculoskeletal infections

Goal of episode: To develop a baseline knowledge of bone defects.

In this episode, we discuss:

• Causes of bone defects
• Classification
• Treatment
• and many more.

This episode is sponsored by the American Academy of Orthopaedic Surgeons:

Filled with content that has been vetted by some of the top names in orthopaedics, the AAOS Resident Orthopaedic Core Knowledge (ROCK) program sets the standard for orthopaedic education. Whether ROCK is incorporated into your residency curriculum, or you use it independently as a study tool, the educational content on ROCK is always free to residents. You’ll gain the insights and confidence needed to ensure a successful future as a board-certified surgeon who delivers the best patient care. Log on at https://rock.aaos.org/.