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Patrick Morgan, MD, FAOA

@drmorganmd.bsky.social

89 followers 160 following 51 posts

Associate Professor at University of Minnesota Medical School. Recon and young adult hip. Boy Dad.

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Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Dec 31

x.com/umnclinaffai...

#orthosky #surgsky #medsky

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Reposted by Patrick M. Morgan

The Bone & Joint Journal @bonejointjournal.bsky.social · Jul 29

"Although we successfully confirmed several risk factors in this dataset, including breech presentation, sex, & birthweight, the logistic regression models were unable to fully explain the variation in the prevalence of DDH".

#DDH #Dysplasia #PedsOrtho #OrthoSky #MedSky

ow.ly/R60j50WkjJv

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jul 29

This is a remarkable— and well deserved— achievement. A long time in coming.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Mar 16

Amazing accomplishment.

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Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Mar 8

I thought about getting rid of my loupes when I went into recon. But there’s nothing better for taking out splinters.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Mar 7

Nothing says happy post-op appointment like a new pair of hand knit socks

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Mar 5

My resident asking why I always use screws.
Also my resident staffing a new consult:

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Feb 10

Friend from med school - now her program’s PD- found out her new onesie has a twin. Her residents are so lucky.

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Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Feb 8

“Dad, they’re not sweatpants— they’re ninja pants.”

And just like that we’ve got a name change.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Feb 7

If anyone ever tries to convince you that working in a teaching hospital is a thankless job don’t believe them.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Feb 4

It’s pretty uncommon in my practice. The data and the AAOS guidelines are pretty clear it’s not going to make a difference for the average patient. I’ve been referred too many knee caps with AVN to be a big fan. Facetectomy seems fine to do. I do now but the level 1 studies didn’t and didn’t matter.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Feb 4

17 years without a patellar button. Asymptomatic.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 31

New challenge: trying to edit NIH grant proposal and your 3rd grader just got home from school/music class with his new recorder.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 29

Here’s how they were managed. The lateral OA was found in the setting of advanced PF OA. The patient wanted a total. On the other side the PF joint was good and with no lateral symptoms a medial uni was a reasonable option —and was the patient’s first choice.
#orthopedics

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 28

It’s an interesting one because of all the patient teaching involved. Very different conversations with those options on the table.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 28

Bilateral painful knees with windswept deformity. Pain in affected compartment only. If treating operatively what would you recommend: lateral and medial unis? Total and medial uni? Bilateral total?
#orthopedics

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 27

Ladies and gentlemen, the hip spine axis.
#orthopedics #orthosky

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 23

Day 1 of Orthopedic Surgery residency interviews for UMN Orthopedic residency.
As always, completely knocked out by how accomplished the applicants are. Wish we could match every single student here.
#orthopedics

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 23

Explant. One versus two-stage but because it’s a difficult organism with a high failure rateI would counsel for a spacer. Aspiration before replant. At least two weeks abx post-op. And check an A1C and get nutrition labs. There may be a way to medically optimize to improve the odds.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 22

15% of patient’s don’t like their TKA. Hasn’t changed for decades and neither have our implants.

20 yrs industry trying to say their knees aren’t going in right: “Here’s navigation, here’s a robot.” Needle hasn’t budged.

Maybe time to put resources into just designing better implants?

#orthosky

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 21

You learn more about the pt from 2 secs in the doorway than from 2 hrs on the phone

If you don’t have a dx from the hx you’ve got your work cut out for you.

If you haven’t reproduced the sx on exam you don’t have a dx yet.

One outlier will negate 100 hrs saved by your new shortcut.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 19

Bo Jackson would like a word.

www.bbc.com/sport/articl...
#kneereplacement #orthosky

Lindsey Vonn: American on skiing comeback which has 'exceeded' her expectations and could lead to Olympics - BBC Sport

American skiing legend Lindsey Vonn explains why she returned to racing after a near six-year absence.

www.bbc.com

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 19

Saturday interviews for UMN Adult Reconstruction Fellowship. Fantastic candidates!
#orthosky

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 18

If you’re not going to do a PAO (this pt is in mid-50s and has developed OA) THA in dysplasia still not a chip shot. Hypermobility, small head size, uncommon anatomy make dislocation risk higher.
Preop planning especially important.
#orthosky

Reposted by Patrick M. Morgan

NEJM.org @nejm.org · Jan 17

Zoledronate administered every 12 to 18 months prevents fractures in older women. Ten years after initiation of this trial, zoledronate administered at baseline and 5 years prevented vertebral fracture. Full trial results: nej.md/4g6wlz3

#MedSky #OrthoSky

$A bar chart of the percentage of women who had a new morphometric vertebral fracture during 10 years of follow-up, stratified according to trial group.$

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Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 17

Risk management committee gets the transcripts — and we have to read them sometimes and ooooh boy.

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 17

Heard many arguments for using robots— none very convincing. But there is a very intuitive one that you don’t hear a lot— getting tight alignment for unis. Most that I revise were overstuffed into valgus or failed in varus. Maybe robotics finds a role in avoiding those outliers.
#orthosky #uniknee

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 15

Patellar resurfacing in Sweden is only 3.4% vs 89.7% in the US. This must be the starkest difference in practice patterns between American and Scandinavian Arthroplasty (medicine?). Anyone have a good explanation as to why?
#orthosky #totalknee

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 13

Never been better summation of life in the OR.
#surgsky #orthosky

Patrick Morgan, MD, FAOA @drmorganmd.bsky.social · Jan 11

COVID-19 pandemic left its mark on the ortho clinic. Here’s a 55yo male who was in the ICU at the peak of the 1st wave and received high dose steroids. What’s your dx and how would you treat the pain he’s now having?
#orthotwitter #medtwitter

Reposted by Patrick M. Morgan

David M. Bennett MD (FAAOS, FPOSNA, DABOS) @davembmd.bsky.social · Jan 10

Don’t treat burnout w/ modules. Ortho surgeon burnout: 40-60% prev rate; 28.2% of surgeon suicides (’07-’13); 6.3 suicides/10k (vs 3.3 gen pop); 31% meet CDC fitness goals; 80% prioritize family time. Residents: >80 hrs/wk →↓mental health; 30-50% depressive symp; 8% suicide ideation. EAP use: 4%.

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