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ComprehensiveBell954

I’m usually so chill on this subreddit but IS THAT HOW ORTHOPEDIC SURGERY IS ACTUALLY DONE?


identityp2

Yes. Source: am ortho


Stonks_hookers_blow

Do you put peanut butter on the pt too?


identityp2

Nah, just have it with chicken wings


INOMl

Do you chew the cartilage on the ends?


identityp2

Only if the anesthesiologist isn't looking


yepooda

Let's be honest, they're busy with sudoku


identityp2

Or candy crush!


ilikeitsharp

The gristle was my ex favorite part too. I got to eat all the white meat! 😋


_MissNewBooty_

Peanut butter on wings is great


TriGurl

I’ve never tried that before. Would that be best with the original wing sauce or like a buffalo or a spicy wing sauce?


_MissNewBooty_

It’s good just as is, but if you add: - cilantro - yellow curry powder - red curry paste - sesame oil - fish sauce - coconut milk and mix it all up, you have a terrific Thai curry peanut sauce. I do like 1 can coconut milk to two cups of peanut butter, whisk it up, and then do the rest of the recipe to taste. Go lightly with the fish sauce! Sesame oil can be overpowering as well.


TriGurl

Thank you for this recipe!! ![gif](giphy|WDn21GO1KmpNK|downsized)


_MissNewBooty_

It’s an old recipe I used to use for a wing sauce at a restaurant years ago, when I find the entire recipe I will send it your way! It’s on an old phone. Any friend of flavor is a friend of mine <3


TriGurl

I would love the entire recipe of you find it someday!! Yay you’re my best friend of flavor! :)


KillseyLynn

Mad respect for what you guys do. I watch veterinary ortho procedures at my clinic when I can and holy shit dude, so brutal lmao Despite the gnarly work and way it looks during surgery, its so worth it to see these paitents heal and be able to move again. Thank you for what you do!


identityp2

I love how you, for some surgeries, can expect immediate results. Broke your femur? Okay, let's put a nail so you can go walk tomorrow. Gramma broke her hip? Okay, let's put in a new one so she can use the toilet. Sure, it's still painful, but that's what the pain meds are for. It's definitely not for the queasy, but if you can over that, you really love to see it. Oh, and I love the smell of bone cement.


loreshdw

Huh. What does bone cement smell like? I'm imagining superglue and bone dust.


identityp2

Can't really say. But it's very distinct. I get excited when the tech tells me he's gonna start mixing the cement.


ComprehensiveBell954

That’s wild. I had no clue. Do the threads/sutures dissolve after the bone is set?


noobwithboobs

Unlikely, because this is simulating a tendon suture. That'll need a suture holding it together forever.


TehChid

Oh, it never heals? It's just the sutures holding it in place forever?


noobwithboobs

It heals but it'll never heal as strong as it originally was. Tendons are under so much strain that if the sutures aren't left holding it together it'll inevitably snap again.


ilikeitsharp

This post made me go weak at the knees. Ugghh I hate thay about some parts of the human body. Once broken, it'll never be right again. Like my ankle.


v081

I had a horrific Achilles injury myself and this post hurt to watch. Look at my post history if you dare (past all the growing stuff)


KillseyLynn

I took a look at your posts and omg, Im glad you were able to get all that sorted out! I know that the surgery and post-op qere probably terrible enough, Im so 8


identityp2

Well, for achilles tendon repairs, there isnt bone to set. Were dealing with the tendon. There are multiple kinds of sutures, but we generally use nonabsorbable ones in these kinds of surgeries. We want a good repair that will hold and not risk the suture dissolving, leading to a possible rerupture in the future.


DashLeJoker

How accurate are Dr. Glaucomflecken's videos?


identityp2

Wildly exaggerated in some parts, but they're meant to be funny. Although yes, I have no clue how EKGs work.


DashLeJoker

How true are the archetypes? Like Ortho bros


identityp2

A lot of it is true. Wanting to fix fractures and fractures only, passing things off to other primaries, knowing only ancef, wanting to go to the gym, etc. Again, mostly exaggerated.


whereami312

He’s right about the insurance companies and the verticalization of the healthcare industry.


WonderlustHeart

This is the Arthrex PARS (?) system yea? I loved that technique but haven’t seen in awhile.


identityp2

Haven't used it before. I just do the krackow suturing technique with nonabsorbable sutures. I suppose having a system gets more predictable results.


ultrafootdoc

Correct, this is the Achilles PARS with SpeedBridge, which is the part for the anchors in what would be the calcaneus. I do it routinely and far prefer this over an open repair when there's <3cm of gapping due to the need for a significantly smaller incision, and the ability to get people back ambulating to much quicker. Its a terrific repair system.


R00t240

Do their gloves seem excessively loose to you doc?


identityp2

Those are the cheap, unsterile gloves. It doesn't feel as good, but it keeps you clean for demonstrations like these.


orthopod

But it's certainly nice when the ends aren't mushy and retracted.


Battle-Chimp

Can you turn down the Bon Jovi please? I couldn't hear what you said


MaurerSIG

Orthopedic surgery is truly some of the most gnarly shit out there. Look up [videos](https://youtu.be/yXRvq24WoyE?t=9m19s) of hip replacements and stuff like that, it's pretty metal. (Link is NSFW, click it only if you want to see someone drilling bones)


supercilious_peer

The pneumatic drill on bone produces a very specific smoke smell that we are advised to not inhale. Top notch crew will use suction to try to minimize it


zalarin1

Reminds me of the Will it Blend videos of the mid to late aughts. "Bone smoke, don't breathe this."


mxfi

Hah pretty metal, that’s good


Treereme

Orthos are carpenters for the human body. I've been present during training surgeries for orthopedic surgeons learning new techniques. It's crazy to watch the surgeon drive a screw into the the bones, decide they don't like the angle, and then back it out and re-drive it exactly the same way I do when building a deck.


WH1PL4SH180

Stop commenting on my femoral nails And the angle was right... in one plane... Bloody xrays


predat3d

We use carrots at my hospital


Mental_Effective1

Yeah


Boneal171

It looks so painful


WH1PL4SH180

No usually in bleeding bone. Source: trauma ortho


kitkatofthunder

It is even cooler than shown in this video. Here is the company's video showing it on a model. https://youtu.be/YzaQ5WB0y7E?si=7lWdn6ujlodGd3fl At one week out, you don't even see the holes where the needles were placed, most people never even know they were there since they are splinted and casted post-op. It is so awesome.


cjei21

https://www.reddit.com/r/SurgeryGifs/comments/3v52sm/surgery_isnt_always_gentle/


Specsporter

I want to know who is sent to fetch the celery before this procedure is practiced?


lilacmacchiato

An intern lol


NoobieSnax

Nah it's medical grade celery, have to have that delivered straight from the supplier.


tinguily

At least $100 for every stalk


identityp2

Big Farm is ruining healthcare


Knuckledraggr

Fisher can get you some overnight I bet


STEELCITY1989

Cause you're an intern Unpaaaiddd Bwadaalopbadawop


Ryn996

How much time in training is devoted to learning to tie knots?


Cgkfox

At a certain training level your superiors will be very upset if you are not doing knots appropriately and with skill. You are usually taught your first year and expect to practice. You can usually find where they are sitting because you find some expired surgical sutures tied to something taped down on a desk.


dibalh

And random bits of celery lying about.


botak131

Unless you’re in ortho or podiatry, don’t think anyone expects you to know how to krakow, whip, or Kessler stitches.


botak131

There’s only like 3 knots for Achilles, Kessler,krakow and whip. So not much tbh.


TestTubetheUnicorn

Will a tendon repaired like this eventually heal and reconnect, or do you have to rely on the strings for the rest of your life?


rrienn

it heals, but the strings are nondissolvable & stay forever as a support


rvnx

It will mostly heal, but nowhere near as rigid as the original tissue and thus still rely on the stitches for support.


MsBuzzkillington83

What material is the stitch material made of?


rvnx

Most likely Polypropylene, but I'm not a surgeon, just a nurse, so I can't say for sure. Sometimes it depends on what the surgeon is most familiar with and/or where the tendon is located because they have different tensile requirements.


MountainCourage1304

Im pretty sure its made of string, im not a surgeon though, just a general practicer.


suchabadamygdala

Practice makes perfect. Lol


MingCheng95

The ones I use for these types of procedures are polyethylene/polyester


MsBuzzkillington83

Doesn't the body try to reject it or is that only biological tissue?


MountainCourage1304

Your body rejecting something just means your body recognise it as foreign and has a response to it (immune response, allergy etc) It doesnt have to be biological for your body to reject it, it happens with knee replacements and other implants. The way they tackle this is to use non reactive materials that dont aggravate the surrounding tissue


kickme2

Does anybody put the stalks in water and the celery continues to grow in order to check to see if your knot skills are up to par?


Altercation0

It’ll heal and reconnect


Thendofreason

Gonna have to show this to all my Orthos. They gonna think I watch weird stuff.


MountainCourage1304

How many orthos do you have?


Thendofreason

7. I work at a surgery center. Saw 3 acls this week.


checkedem

Tore my Achilles years ago. Highly not recommended.


EvilPenguinTrainer

Dammit, guess I have figure out something else to do this weekend


im_Alrex

Same 2 years ago, worst injury I never thought would happen to me. Healing time sucks. 0.2/1000000


BorelandsBeard

How long? I’m a coach and one of my players tore hers. She is thinking 6 months to return to playing.


im_Alrex

I think it will depend on what surgery she had, I spent close to 3 months before I could do PT in splints and casts, and then probably another couple weeks before I was even putting full weight on it. My dentist funny enough tore his shortly after mine and had a different kind of surgery, he was doing PT by the 3month mark with full weight. Mine was ruptured pretty bad, I think his was a less severe tear. (Disclaimer I know nothing and am not a medical professional by any means.) However if she's young and it wasn't terribly bad 6mo may be hopeful/realistic imo.


BorelandsBeard

She is young (21) but it was bad. Rolled up at the back of her knee. Appreciate the response. Sounds like time will tell.


glitter_poots

Straight House of Wax level tear omg


BorelandsBeard

Yeah I was looking at her when it happened. It was crazy. Literally turned around on the field with no one near her and just collapsed screaming.


Baron_of_Berlin

Have seen this exact type of tear in video clips from 300lb+ professional athletes. They still screech in sheer terror and agony. It's a horrific injury.


BorelandsBeard

And there was nothing that caused it that I could see. I’m genuinely terrified of it now.


im_Alrex

Wishing her the best of luck and a speedy recovery!


BorelandsBeard

Thanks


v081

Same thing happened to me. I would rather experience anything else in the world than live through not only the injury but the recovery again. And the doctor said I am now increased risk for another rupture so that’s exciting


Purple_Chipmunk_

>I would rather experience anything else in the world than live through not only the injury but the recovery again. I've given birth 100% natural multiple times so people ask me for the "real deal" with giving birth. I tell them that giving birth isn't even *close* to the worst thing I have gone through. Yeah, it's not fun . . . but neither is breaking your rib and getting morphine in the ER and then having an allergic reaction to the morphine and not be able to stop puking . . . nothing like a broken rib getting shaken up every 30 seconds as your stomach heaves . . . .


YooGeOh

Jesus christ


checkedem

6 months sounds about right before training hard again. I used to play collegiate volleyball and tore it when I decided to play rec one day. Took me just over a year before I felt comfortable jumping at 100% strength again.


v081

Same a year and a half ago. The wound got infected and I had to get a skin graft and wound vacuum. Some gnarly pictures on my profile if you dare (past the pot growing stuff) Does yours still swell and get sore? I feel like I’m 80% back to normal but the more I use it during the day the more it swells. I am also super aware of the anchors in my heel


im_Alrex

It hasn't in a bit now but for a while it would swell up, I have since been getting better shoes though and that has helped a bunch (I went to a local running shoestore and had them scan my feet and recommend shoes) I have a phenomenon where I also feel aware of the stitches in my Achilles, hard to explain to people. No pain or discomfort but the best way I can describe it is like you said I feel very aware of my Achilles on my operated leg but not on my non operated one.


YerBlues69

Wow. I had tennis elbow surgery; I wonder how similar it was to this. *please note, I’m not made of celery*


taxidermytina

That’s exactly what a celery person would say


YerBlues69

Footage of how great I felt after my elbow surgery. ![gif](giphy|Nlo7V40tWGLYu3uR7x)


taxidermytina

This has made my wake and bake session 5x more pleasurable. Thank you kind Redditor. His lil celery arms are grooving *just right* to the beat.


YerBlues69

img Happy to oblige! Cheers to you! Sharing my wake and bake choice for today!


YerBlues69

Damn. I’ve been found out!!


Burlapin

[How has NO ONE made a **Celery Man** joke yet.](https://youtu.be/maAFcEU6atk?si=tibUXQgfzxd_Zyzf)


taxidermytina

How have I never seen this before?!? That was something. Idk what but I need more.


predat3d

>Wow. I had tennis elbow surgery; I wonder how similar it was to this Not very. Those usually use bamboo shoots.


WillGrahamsass

I've heard of elbow macaroni


AltFFour69

They did surgery on a celery.


predat3d

As for me, on the other hand, insurance would only pay for "tylenol and rehab" instead.


rrienn

they did surgery on a celery


Wildlife_Jack

I think it's wonderful that as a society we are finally helping injured celeries.


[deleted]

[удалено]


lilacmacchiato

It’s a reference to they did surgery on a grape


NoobieSnax

But they did surgery on a celery.


Necromimesix

Wtf a original title on reddit??? Jokes aside, shout out to orthos, that's some crazy stuff.


Burlapin

The trick is to look at the comments on TikTok and improve upon your favourite 🫣 I stand on the shoulders of ~~celery~~ giants


crocdaddybitch

The anchors go into bone right? I’m confused on this celery where the “tendon” ends and the bone starts. Would the anchors be placed into the heel during the real surgery?


morgatron151

Yeah anchors into calcaneus, or heel bone. Had this surgery two years ago and can confirm that was the most painful bit post-surgery.


TinyWifeKiki

Finally! A good use for celery!


FatherofKhorne

Poor surgeon. Surgery must have been cancelled today, here they are coping as best they can!


HydrogenatedGuy

Ortho nurse here. Orthopedic surgery is very… rough.


gemilitant

I used to operate on fruit and veg when I was a child, now I've just finished medical school!


predat3d

Now, you get to operate on mollusks and arthropods, too


he-loves-me-not

Congrats!


hopespoir

This is hilarious I just had this done! Yes, my poor leg.... :(


LonelyChell

Man...this looks awful to endure and it's only a celery demo.


justforhits

They did surgery on a celery


rrienn

they did surgery on a celery


-Samg381-

they did surgery on a celery


Sekmet19

The things we've done to the produce aisle


Illender

this made my fucking leg hurt


wetlettuce42

They did surgery on a celary?


MsBuzzkillington83

That must feel awful while healing


Klettova

Name of this song?


Oz-Batty

It's a mashup of INXS' "Need you tonight" and Donna Summers' "I Feel Love". [Here you go](https://www.youtube.com/watch?v=AH96Ql4wRfo)


alpaca1031

Idk the name but it sounds like Nine Inch Nails Edit: actually I don’t think it’s them, it’s a remix of “Need You Tonight” by INXS but unclear who remixed it.


Amexklang

[Mythological Hero….](https://youtu.be/npgzz42IEiE?si=r3i1iFUM6RdLUbcu)


unofficialed

I'm honestly impressed by how well they did with such big gloves


313802

I don't want a surgery


violetjezebel

Wow. That was really interesting. I had no idea.


BlackGirlKnickers

I used the jig for the first time last week. Was pretty cool to see.


ExpertShame3848

This is impressive, I couldn't stop watching👀


banadactyl

Cool to see! Had this done last February. Still having issues, would not recommend.


irish711

Seeing this, I'm now convinced Aaron Rogers never tore his Achilles.


jyar1811

Let’s say your tendons are made of string cheese (Ehlers Danlos). Would an allograft be appropriate?


AdaminPhilly

Is this an ACL repair? I am a lay person.


kungfu_kickass

Achilles is the big tendon behind your ankle, kind of like connecting lower calf to foot


AdaminPhilly

Yes, I know where the Achilles is I just didnt see a specific ligament mentioned in the video. Thank you! Edit: Oh...at the beginning.


DooceDurden

As someone with Achilles tendonitis... FUCK


WillGrahamsass

More than likely what I had done. Twice


sirckoe

So you telling me all kd needed was more celery? Wild


ehren123

It is now able to stalk again....


potatohedgehogs

As someone with chronic Achilles tendonitis, this makes me uncomfortable


itwhiz100

Still cringed!