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My Rotator Cuff Repair

      Christopher M. Aland MD

Orthopedic and Sportsmedicine Center
          of Bucks County
Disclaimer
• I own stock in Arthrocare and Johnson and
  Johnson
• I am on the Membership committee of AANA
• I have no conflicts of interest that affect my
  ability to teach this course
If all you have is a hammer…
Many companies, many hammers
•   Arthrex
•   Smith Nephew
•   Linvatec
•   Opus
•   Stryker
•   Wolf
•   ConMed
•   Etc.
Must understand tear anatomy
              • Sallay
              • Burkhart
              • Romeo
Tear types
Crescent        U shaped




                           » L Shaped
Don’t just have hammers
L tear repair
Identify the L extension
Repair
Repair remaining crescent
Bottom line
Understand what the tear
  is before fixing
      (Webb)
Learn to tie knots
      practice, practice
Mini open=Arthroscopic
Arthroscopic=mini open
Learn to say this sentence,
  “a small incision”
Has anything changed?
• There are several true “upgrades” to items
  that we use today.

• There are many new features that are
  required for meaningful use.

• There is one feature that has been removed.
New Features
• An “on the fly” selection of a date of service in
  the chart list
• Viewing multiple providers in one chart list
• Pharmacy is in view within the clinical summary
• Past and future appointments are in view within
  the clinical summary
• Rx favorite list now allows providers to save their
  SIG in their favorites and also to a master file.
What was removed?
  The additional referring provider will no longer
  be available with in the summary screen.
• The process will remain the same for adding
  additional providers to the patient’s chart.
• That information will now only be viewed in
  the same area/tab that is accessed to add an
  additional provider.

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My cuff repair 2013

  • 1. My Rotator Cuff Repair Christopher M. Aland MD Orthopedic and Sportsmedicine Center of Bucks County
  • 2. Disclaimer • I own stock in Arthrocare and Johnson and Johnson • I am on the Membership committee of AANA • I have no conflicts of interest that affect my ability to teach this course
  • 3. If all you have is a hammer…
  • 4. Many companies, many hammers • Arthrex • Smith Nephew • Linvatec • Opus • Stryker • Wolf • ConMed • Etc.
  • 5. Must understand tear anatomy • Sallay • Burkhart • Romeo
  • 6. Tear types Crescent U shaped » L Shaped
  • 9. Identify the L extension
  • 12. Bottom line Understand what the tear is before fixing (Webb) Learn to tie knots practice, practice Mini open=Arthroscopic Arthroscopic=mini open Learn to say this sentence, “a small incision”
  • 13. Has anything changed? • There are several true “upgrades” to items that we use today. • There are many new features that are required for meaningful use. • There is one feature that has been removed.
  • 14. New Features • An “on the fly” selection of a date of service in the chart list • Viewing multiple providers in one chart list • Pharmacy is in view within the clinical summary • Past and future appointments are in view within the clinical summary • Rx favorite list now allows providers to save their SIG in their favorites and also to a master file.
  • 15. What was removed? The additional referring provider will no longer be available with in the summary screen. • The process will remain the same for adding additional providers to the patient’s chart. • That information will now only be viewed in the same area/tab that is accessed to add an additional provider.