Benjamin Bloch @Bloch_ortho Twitter profile

Last Seen Profiles

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@antione_wa89549

@mfstarglow

Benjamin Bloch

@Bloch_ortho

10 months

After having another bash at electronic prescribing and TTOs again today, all I can say is that the junior doctors deserve every penny that they are asking for…

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Benjamin Bloch

@Bloch_ortho

3 years

Surgeon: now remember, strictly non weight bearing for 6 weeks to protect the repair Patient:

Andri ragettli

@Andriragettli

3 years

Little home parcour with crutches!🤣🦿 #Parcour #Recovery #Crutches #Balance #ObstacleCourse

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Benjamin Bloch

@Bloch_ortho

2 years

It is said that “Those who cannot remember the past are condemned to repeat it.” I am grateful to @AuschwitzMuseum for keeping the flame of memory alive.

Auschwitz Memorial

@AuschwitzMuseum

2 years

This year we are hoping to reach 1,5 million followers of @AuschwitzMuseum . Less than 140k is needed to reach this goal. We kindly ask you to amplify our voice. Every RT is important. You can all help us commemorate the victims, preserve memory & educate the world.

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Benjamin Bloch

@Bloch_ortho

4 years

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Benjamin Bloch

@Bloch_ortho

1 year

Orthopaedic surgeon waiting for the spinal to go in...

John Shields, MD, FAAOS

@jointdocShields

1 year

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Benjamin Bloch

@Bloch_ortho

2 years

Hmmm… we already have a shortage of anaesthetists and I think about 40% of our trust’s consultant anaesthetists are over the age of 50… ticking time bomb here 💣

Shaun Lintern

@ShaunLintern

2 years

🚨 It's crazy that the NHS has told 350 doctors training in anaesthesia that the NHS has no job for them after 3 years training. At the same time we have massive shortages of, you guessed it, anaesthetists. These self-defeating bottlenecks defy logic. Statement from @RCoANews

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Benjamin Bloch

@Bloch_ortho

2 years

Preparing for my first ward doctor shift since 2008: #supportjuniordoctors 💪✊

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Benjamin Bloch

@Bloch_ortho

2 years

Well this is a rather nice letter to receive from @UniofNottingham ! Thank you very much indeed, and looking forward to working more closely with @benollivere & @KurienTom

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Benjamin Bloch

@Bloch_ortho

2 years

What problem is this implant designed to solve?

OPN

@OrthopaedicPN

2 years

Landmark study approved to evaluate Hip Innovation Technology’s Reverse Hip Replacement System

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Benjamin Bloch

@Bloch_ortho

3 years

Finally out in print & available to download. A fantastic effort by Hosam Matar along with Hugh Cameron and Peter James. Really proud of this. @NottsHipKnee

Springer Med Books

@SpringerClinMed

3 years

Just published @ClinMedBooks #orthopedics #ortho #HoseinEMatar @Bloch_ortho #HughUCameron #PeterJJames practical guide on #Revision #Total #Knee #Arthroplasty , available here:

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Benjamin Bloch

@Bloch_ortho

3 years

One of our elective orthopaedic wards is turning into a medical ward today because covid admissions are ⬆️. This means that there will be fewer routine operations performed. How does removing all restrictions help to clear the elective surgery backlog Mr Merriman?

Huw Merriman

@HuwMerriman

3 years

I voted against extending #COVIDRestrictions because we need to get back to normality and allow the NHS to clear the elective surgery backlog 1/3

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Benjamin Bloch

@Bloch_ortho

9 months

Well done to all @NottsHipKnee @Harvey1NUH @NUHTherapies @NUHEALcity @NEO_Theatres Since new pathway started in August 2023 we have now hit 100 day case hip & knee replacements! 15% now go home on the day, and 73% within 48 hours! Well done to you all! 🥳🎉💪

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Benjamin Bloch

@Bloch_ortho

3 years

Theatre hat for first day operating with new fellow. Because “This is the Way” to do a TKR.

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Benjamin Bloch

@Bloch_ortho

3 years

Very important paper for all knee arthroplasty surgeons

The Bone & Joint Journal

@BoneJointJ

3 years

"In order to maximize the strength of the tibial tray/cement interface, cement should be applied to the component soon after mixing, contamination of the interface should be avoided, & the keel & the plateau should be cemented" finds study #knee #ortho

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Benjamin Bloch

@Bloch_ortho

1 year

Hip replacement surgery is a good cardiovascular workout 🤔??

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Benjamin Bloch

@Bloch_ortho

2 years

Thanks to our local @DePuySynthes team for supporting me through 1,000 Attune TKAs since starting as a consultant @NottsHipKnee in 2016. And also thank you for the cake which I’m sure @NEO_Theatres staff will enjoy!

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Benjamin Bloch

@Bloch_ortho

2 years

Many thanks to my incredible theatre team today @NEO_Theatres who worked incredibly hard to get 6 joint replacements done through 1 theatre. You are all superstars and it is much appreciated @LisaFlint18 @lilnat18

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Benjamin Bloch

@Bloch_ortho

3 years

Great evening celebrating the careers of Peter James and Paul Szypryt and wonderful to see so many friends and colleagues again. Thanks to all the former Knee Fellows who made the trip back to Nottingham

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Benjamin Bloch

@Bloch_ortho

1 year

Nice summary of the evidence for a cemented hemi

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Benjamin Bloch

@Bloch_ortho

3 years

@PhilWalmsley4 @kujawa_magda @DrLindaDykes @NHSTayside Definitely not good. Could be worse though... remember this one from a few years ago? 🤦‍♂️

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Benjamin Bloch

@Bloch_ortho

1 year

Very proud to present our research from @NottsHipKnee at @AAHKS here in Dallas #AAHKS2023

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Benjamin Bloch

@Bloch_ortho

9 months

Pre-op Oxford Hip Score - scoring system needs updating to account for changing lifestyles... 🤣

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Benjamin Bloch

@Bloch_ortho

8 months

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Benjamin Bloch

@Bloch_ortho

2 years

@DrLindaDykes Example from my SHO days - “no one has yet volunteered to cover tomorrow’s (long term rota gap) night shift. Sort it out amongst yourselves but if no one has come forward by 4pm I will just pick one of you to do it.”

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Benjamin Bloch

@Bloch_ortho

2 years

@ShaunLintern Fix the #pensiontax . Immediately. Govt needs to speak to @goldstone_tony now.

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Benjamin Bloch

@Bloch_ortho

1 year

Number 1 | Number 200 So far excellent PROMs (mean 21pt improvement in OKS) & no revisions - will cementless TKRs increase in popularity?

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Benjamin Bloch

@Bloch_ortho

3 years

Yes Minister - still very accurate

Dr. Deepti Gurdasani

@dgurdasani1

3 years

The gaslighting cycle: SAGE: Don't wait till hosp rise to act or it'll be too late Govt/media: -'too much uncertainty'/'mild'/'need more data' -'SAGE modelling wrong' -'closely following the data' (what data? PCRs/LFD capacity reached) -'hosps mostly incidental' -'too late now'!

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Benjamin Bloch

@Bloch_ortho

1 year

Total hip replacement has entered the chat…

Brian Thornes

@BrianThornes

1 year

Love it... "Nailing a Femur is the best ****ing operation ever invented"

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Benjamin Bloch

@Bloch_ortho

1 year

We’ve had a great 2 days at the inaugural Nottingham Revision Knee Meeting - thank you to the team at @DePuySynthes @JNJMedTechUKI for running & supporting it along with @Ethicon . A great mix of lectures, case discussions, sawbones and VR! @orthodoc_berber @NottsHipKnee

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Benjamin Bloch

@Bloch_ortho

4 years

Thanks to @ArthroToday for publishing our paper - DFRs are a good option in low periprosthetic TKA fractures which allow for early mobilisation and have good medium-term results. @NottsHipKnee @CastleOrtho

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Benjamin Bloch

@Bloch_ortho

6 years

A computer that takes less than 10 minutes to start up & log in.

Transforming health and care

@NHSTransform

6 years

Clinicians: you have the power to change or upgrade one bit of technology you use at work every single day. What would it be? #NHSX #NHS #HealthTech

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Benjamin Bloch

@Bloch_ortho

1 year

@aliwalham @InvictaOrtho @adam_orth @StateDeptSpox The bits circled in blue can be removed through the THA approach. The boys circled in red can be removed with the femoral head as you prepare for the THA…

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Benjamin Bloch

@Bloch_ortho

3 years

Just about to use these instruments for the 700th time…

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Benjamin Bloch

@Bloch_ortho

4 years

On registrar list for removal of metalwork left leg

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Benjamin Bloch

@Bloch_ortho

8 months

I increasingly believe that planned essential (NOT elective!) treatment will only be possible if physically removed from emergency hospitals. If that means regional collaboration in a SWLEOC-style elective centre then so be it. We need true “hot” and “cold” sites everywhere.

Shaun Lintern

@ShaunLintern

8 months

Doctor: "We are being pushed to try to clear backlogs of people who have been waiting a year or more. Then they come in on the day of their long awaited surgery and get cancelled because there is no bed for them. It's awful."

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Benjamin Bloch

@Bloch_ortho

3 years

Orthopaedic jigsaw puzzle 🧩

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Benjamin Bloch

@Bloch_ortho

3 years

Pleased to see our research from @NottsHipKnee presented at #BASK2021 .

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Benjamin Bloch

@Bloch_ortho

2 years

Knee replacement is an amazing operation! We must do better at protecting elective care in the U.K. - elective care does not mean optional care…

The Bone & Joint Journal

@BoneJointJ

2 years

How good is modern TKA? This large propensity-matched cohort study shows that within 1 year, TKA returns health-related quality of life to normal population levels for age, sex & BMI. #Arthroplasty #Knee #BJJ @EdinburghKnee @lzyapp

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Benjamin Bloch

@Bloch_ortho

8 months

What am I doing? I’m… um… reading your @TheKneeJournal . Reading it and inwardly digesting it, you might say.

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Benjamin Bloch

@Bloch_ortho

3 years

The other barriers: Orthopaedic wards full of medical (& covid) patients Orthopaedic theatre staff manning critical care (understaffed & still trying to run at 120-150% normal capacity) Anaesthetists are redeployed & there aren’t enough anyway Staff sickness, burnout & leaving

Alison Moore

@AliJaneMoore

3 years

The biggest barrier to doing more elective work is probably staffing. What are NHS managers meant to do - knit their own orthopaedic surgeons?

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Benjamin Bloch

@Bloch_ortho

3 years

We are all ready to go if we could just have our 2 wards back from “winter pressures”, our ward nurses back from looking after respiratory medical patients, our theatre staff back from critical care and trauma theatres, and our anaesthetists back too…

James Illman

@Jamesillman

3 years

BREAKING: NHS to set out elective recovery plan by the "end of November" setting out how it will use additional spending and a workforce plan @sajidjavid says

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Benjamin Bloch

@Bloch_ortho

1 year

This is great news. Also we need to get rid of the “I replaced his left knee and he’s very happy but I need another referral to replace his right knee” malarkey. Complete waste of everyone’s time.

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Benjamin Bloch

@Bloch_ortho

1 year

Perfect for urology / orthopaedics drinks…

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Benjamin Bloch

@Bloch_ortho

4 years

Today I had my covid jab at @nottmhospitals and also spent the day as part of the team prescribing vaccines - what a fantastic setup with an efficient process to assess, counsel, prescribe, vaccinate & then observe hundreds of people per day. Well done to all involved!

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Benjamin Bloch

@Bloch_ortho

3 years

Epic list today @NEO_Theatres - a primary & 3 revision knees and still finished by 5.30! Well done & thanks to you all!

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Benjamin Bloch

@Bloch_ortho

9 months

And they say that no-one looks good removing metalwork!

Mo Imam

@MoAImam

9 months

Orthopaedic surgeons will truly appreciate the pleasure behind this video. #orthotwitter

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Benjamin Bloch

@Bloch_ortho

3 years

Back on the slopes for the first time in almost 4 years! Not bad for a first day back on skis but not in the same league as the Lego legend @generalorthomd

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Benjamin Bloch

@Bloch_ortho

4 years

Just published - honoured to be invited to be part of this special issue on periprosthetic infection in TKR @CastleOrtho

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Benjamin Bloch

@Bloch_ortho

9 months

Our paper from @NottsHipKnee is now out online! We found significantly reduced revision rates with 32mm & 36mm heads, but particularly reduced risk of revision for dislocation. No higher risk of revision for loosening/wear with larger heads. We use 36mm heads whenever possible.

The Journal of Arthroplasty

@JArthroplasty

9 months

We found a significantly reduced risk of revision for all causes, but particularly revision for dislocation with larger head sizes.

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Benjamin Bloch

@Bloch_ortho

1 year

A very appropriate theatre hat for welcoming a new fellow & introducing them to the joys of metaphyseal sleeves and a balanced approach in revision knee surgery… This is the way.

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Benjamin Bloch

@Bloch_ortho

3 years

Increasingly I think that elective orthopaedics will only be able to recover if it is a completely separate estate. Either regional SWLEOC models or a separate building on an existing hospital campus.

Roshana 🦴

@RoshanaMN

3 years

SIX MILLION people on the waiting list for surgery Let that sink in, it’s not far off 10% of the population It’s not just: 🛏 Bed Base size of ‘postage stamp’ 😴 It’s exhausted staff 👩🏻‍⚕️ Not enough staff 🌬 Not enough flow because of covid restrictions on areas And more

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Benjamin Bloch

@Bloch_ortho

4 years

When we can’t train our registrars because operating is cancelled we need to be more creative... thanks to Will and @JNJMedDeviceUKI for bringing in the VR training module! @NottsHipKnee @CastleOrtho

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Benjamin Bloch

@Bloch_ortho

3 years

Woohoo! Well done to all @NottsHipKnee

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Benjamin Bloch

@Bloch_ortho

2 years

I have written to my MP, @Mark_Spencer . I know Liz Truss pledged to solve this issue, but based on previous correspondence I don't think @DHSCgovuk actually understand the issue. I hope they read these threads or even talk to Tony to get an idea of the problems.

Dr Tony Goldstone

@goldstone_tony

2 years

1/ 🚨V IMPORTANT🚨 We need your help, today please, just 5 mins of your time to write to your MP. With a new SOS for Health / Chancellor, PM who made promises to "fix" pension taxation, & increasingly calls from the opposition to fix this problem too. Please do this NOW & RT

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Benjamin Bloch

@Bloch_ortho

5 years

Paging @ExeterHipUnit , and hoping he’s taken his antihypertensives this morning... 😉😬 Not entirely sure what problem this prosthesis is attempting to solve?

J Bone & Joint Surg

@jbjs

5 years

An Ultra-Short Femoral Neck-Preserving Hip Prosthesis - A 2-Year Follow-up Study with Radiostereometric Analysis and Dual X-Ray Absorptiometry in a Stepwise Introduction

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Benjamin Bloch

@Bloch_ortho

4 years

2020 campaign badges for my team...

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Benjamin Bloch

@Bloch_ortho

2 years

Amazing to be at #AAOS2023 - looking forward to meeting some of the #orthotwitter crowd while here. Hard to get over just how vast this conference is!

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Benjamin Bloch

@Bloch_ortho

3 years

Even better than dual consultant operating… 3 consultant operating!Great fun doing a tough complex revision today with my colleagues @orthodoc_berber & Hosam Matar. The 3 Amigos of revision knee surgery!

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Benjamin Bloch

@Bloch_ortho

3 years

Thank you to @iwgc for this certificate, but thanks really must go to all the teams at @NEO_Theatres @nottmhospitals , @BMIThePark , @NottinghamSpire and @CastleOrtho who help me every day to provide this level of care for my patients #Cofexcellence22

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Benjamin Bloch

@Bloch_ortho

1 year

Our latest publication from @NottsHipKnee is now in print - the majority of “routine” post-op blood tests are unnecessary & a more targeted approach would be appropriate. @kevin_ilo @orthodoc_berber via @BoneJointOpen

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Benjamin Bloch

@Bloch_ortho

4 years

Nottinghamshire looking beautiful in the spring sunshine!

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Benjamin Bloch

@Bloch_ortho

1 year

The robot penguin can go round turning all the computers on and logging in at 6am - then there’s a small chance that they will be working by 8.30. Sorted!

Steve Barclay

@SteveBarclay

1 year

The NHS 🤝 New tech. This type of collaborative innovation can help to take the burden off NHS staff and improve access to care by removing causes of delays in discharging patients. Visiting great UK-based business @WeMakeAI 👇

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Benjamin Bloch

@Bloch_ortho

3 years

Me arriving in the hospital after a week of annual leave…

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Benjamin Bloch

@Bloch_ortho

3 years

@RoshanaMN Revision TKR. Thinking about mode of failure & trying to address bone loss, fixation & stability. Lots of thinking and planning & although challenging, often rewarding too. Love it!

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Benjamin Bloch

@Bloch_ortho

5 years

@DrAdamLawton “Broadsword calling Danny Boy”

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Benjamin Bloch

@Bloch_ortho

1 year

Using a collar on your cementless stem seems to have no downside, and considerable upsides…

The Journal of Arthroplasty

@JArthroplasty

1 year

Large cementless hip stems have a higher revision rate due to periprosthetic fracture than small-medium stems. Using a collared stem reduces the rate of periprosthetic fracture.

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Benjamin Bloch

@Bloch_ortho

3 years

Really pleased to see our paper from @NottsHipKnee published in @BoneJointJ this month! “Outcomes of single- and two-stage revision total knee arthroplasty for chronic periprosthetic joint infection”

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Benjamin Bloch

@Bloch_ortho

1 year

Mesh extensor mechanism reconstruction gives reasonable results at 10 years - not bad for a horrible complication

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Benjamin Bloch

@Bloch_ortho

1 year

@LegoAnkhMorpork @MMargolyes “Granny turned a page. 'What about this one? Maids of Honour?' 'Weeelll, they starts out as Maids of Honour,' said Nanny, fidgeting with her feet, 'but they ends up Tarts.'” - Maskerade

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Benjamin Bloch

@Bloch_ortho

3 years

Happy Easter to you all! 🐣 🐇

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Benjamin Bloch

@Bloch_ortho

1 year

Significantly more 90-day wound complications in DAA compared to laterally based incisions once BMI>35

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Benjamin Bloch

@Bloch_ortho

3 years

The Circle Line pub crawl…

Naan Derthaal, DO, FAAOS

@NaanDerthaal

3 years

A medical student, Lee Kiefer, just won a gold medal in fencing! What was the most impressive physical accomplishment you had in med school? @CenterRotation @_NancyMD @kimtuckinAZ @VaniSabesanMD Mine was running 12 miles which seems very pathetic in comparison!!

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Benjamin Bloch

@Bloch_ortho

5 years

This might have been available online for ages but it’s nice to finally see this in print today! @Jeya_Palan @NottsHipKnee

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Benjamin Bloch

@Bloch_ortho

4 years

“If something is buggered, you can’t unbugger it by rebuggering it.”

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Benjamin Bloch

@Bloch_ortho

1 year

4 games that defined your childhood (yes I’m officially old…!)

Zack Ferguson

@zackferguson

1 year

4 games that defined your childhood

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Benjamin Bloch

@Bloch_ortho

2 years

This is a really important message and explains why we MUST get waiting lists back to manageable levels.

Jack Bayram

@jackbayram

2 years

Waiting >6 months for a hip/knee replacement is associated with a ⬇️quality of life and ⬆️frailty. Increased frailty is associated with greater operative risk. Current NHS waiting times are much longer than 6 months.📈 @BoneJointJ

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Benjamin Bloch

@Bloch_ortho

4 years

A belated but very welcome Christmas present... accepted for publication! Thanks to my coauthors Hosam Matar & Peter James #sleeves #revisionTKA

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Benjamin Bloch

@Bloch_ortho

3 years

What a great bunch of (mostly) #orthotwitter I’ve been interacting with - I’ve learnt lots from you all & enjoyed the debate. Thanks very much everyone & look forward to more in 2022!

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Benjamin Bloch

@Bloch_ortho

4 years

Really pleased to see our latest research from @NottsHipKnee on mortality in septic and aseptic revision total knee arthroplasty published in @JArthroplasty .

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Benjamin Bloch

@Bloch_ortho

3 years

Looking forward to day 2 of #BOAAC21 - typical Aberdeen weather once again!

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Benjamin Bloch

@Bloch_ortho

3 years

PRP… a treatment still looking for an indication??

CORR

@Clinorthop

3 years

“Until or unless future randomized trials convincingly show a benefit either to #PRP or autologous blood injections, we recommend against their use in patients with lateral epicondylitis.” #Orthotwitter @TeemuVKarjalain

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Benjamin Bloch

@Bloch_ortho

2 years

Rapid, unscheduled disassembly

Knee Surg in London

@kneedoclond

2 years

I note the company spokesperson comment for SpaceX Starship as having undergone “rapid, unscheduled disassembly” It is my intention to henceforth use this phrase 2 explain the events within the knee, during multiligament injury. #orthotwitter #kneeinjury

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Benjamin Bloch

@Bloch_ortho

5 years

When you are on call & you get an infected TKR “treated” with an arthroscopic washout at another hospital...

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Benjamin Bloch

@Bloch_ortho

3 years

Interesting study. Who still gets post-op X-rays in clinic and how often? And should we continue to do so?? (Post op day 1, 6m, 7y & every 3y thereafter here - but is there value in imaging asymptomatic hips & knees?)

The Journal of Arthroplasty

@JArthroplasty

3 years

"For patients without symptoms attributable to the TJA prosthesis, conducting virtual care visits without routine radiographs may be considered" If you don't have a reason to X-ray, don't get an x-ray. @uihealthcare @uiowa @AAHKS @jointdocShields

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Benjamin Bloch

@Bloch_ortho

11 months

My great-great-aunt.

Auschwitz Memorial

@AuschwitzMuseum

11 months

19 November 1890 | Swiss Jewish woman, Marthe Bader (née Weil), was born in Basel. She lived in France during the war. On 3 February 1944 she was deported from #Drancy to #Auschwitz and murdered in a gas chamber after arrival selection.

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Benjamin Bloch

@Bloch_ortho

4 years

Somewhat predictable response from Mr Szypryt at our revision MDT meeting this morning! ⁦ @NottsHipKnee ⁩

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Benjamin Bloch

@Bloch_ortho

4 years

2nd vaccine done! 💪💉✅

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Benjamin Bloch

@Bloch_ortho

1 year

Perhaps obese patients don’t really need a stubby tibial stem?

The Journal of Arthroplasty

@JArthroplasty

1 year

Use of a tibial stem during TKA for osteoarthritis in patients with increased BMI was not associated with lower revision rates, including for aseptic loosening. Using augmented tibial fixation with stemmed prosthesis in increased BMI may not be justified.

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Benjamin Bloch

@Bloch_ortho

6 years

One of the guys seems keen to show his allegiance at our Monday morning revision meeting. Can’t think why! ⁦ @NottsHipKnee ⁩

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Benjamin Bloch

@Bloch_ortho

4 years

Our team @NottsHipKnee received a very nice email from @AAOS1 this evening - so I guess I’m heading to San Diego this year! After last year’s cancellation I hope to meet some of you #orthotwitter lot there!

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Benjamin Bloch

@Bloch_ortho

11 months

On my 3rd train of the morning heading to European Knee Society meeting - courtesy of @LNER , @EurostarUK & @TGVINOUI . All very smooth!

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Benjamin Bloch

@Bloch_ortho

7 years

There’s 3 types of phone call: 1. “I need your advice” - self explanatory 2. “Just to let you know” - I’ve made a decision but for political reasons I need to run it by you 3. “I need you to come in. Now”

James Tomlinson

@jamestoml1

7 years

When to phone the boss - if you've thought about it then call. If you're thinking about thinking about it still call!

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Benjamin Bloch

@Bloch_ortho

2 years

Completely agree with this - and they have done an amazing job over the last few years - Covid cancellations, winter pressures, all-year-round pressures, nursing strikes, medical strikes... Thank you to all of our amazing admin teams.

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Benjamin Bloch

@Bloch_ortho

6 years

A lovely email to get on a Monday morning! 👊

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Benjamin Bloch

@Bloch_ortho

8 years

@almurray I think Darth Vader has had enough of experts...

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Benjamin Bloch

@Bloch_ortho

3 years

Interesting paper - previous studies have failed to show any discernible benefit to a surgical helmet system. But I do like wearing one from a comfort point of view, and if they do significantly reduce the rate of PJI, then what's not to like?

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Benjamin Bloch

@Bloch_ortho

3 years

Another great day of complex primary & revision knee replacements coming up…