The Gateway to Your Orthopaedic Career.
  Monday, 16 May 2005
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So all this talk about how you should decide if you'd be happy doing ONLY the bread & butter cases for the rest of your life ... what are the bread & butter cases? I have a general idea, but it would be helpful to have an actual list. I think this is what I was trying to ask previously about what kind of practices one could have. I realize you can customize and shape it as you wish, but the bread & butter point is an important one. You'd have to be happy doing only those cases.

The subcategories I can list right now are:

General
Sports
TJA
Spine
Hand
Foot and Ankle
Trauma
Peds

Do people go into reconstruction/plastics also from ortho (I know hand is sort of along those lines)?

So, what are the b&b cases in those fields?

Thanks,
b
21 years ago
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#50001
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well here is a stab at some "common" cases in those fields you listed. Keep in mind all of the specialties have their "bread and butter" and their "painful" cases (like diabetic foot, back pain, infected total joints, chronic dislocators, rheumatoid hands, mangled extremities and blitzed pelvises, etc) I think you should take the "good" and the "bad/complex" cases if you are a specialist of have your own niche within your group.

Sports - ACL's, meniscus work, shoulder scopes (cuff, SLAP, instability)
TJA - stringhtforward primary hips and knees
Spine - lami's, discs, short fusions
Hand - CTR, ganglion, trigger finger, arthroplasty (mcp/basilar joint)
Foot and Ankle - Toe deformity (bunion, hammer toe, etc), hind foot problems
Trauma - hip fractures, straightforward diaphyseal fx's
Peds - clubfeet, DDH, perthes, scoli, SCFE,

These are just a small sampling of the top of my head
Good Luck
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