Introduction
Theodore Blaine or Ted Blaine
Columbia Days
Interest to be an orthopedic stems from injuries early on
Had severe injury in college and had surgery
Surgery and injuries in athletics led him to being a physician
University of Connecticut undergrad
University of Rochester
Fellowship training in New York
Spent 3 years a the Mayo Clinic
Columbia 2003-2007
Shoulder replacement was prevalent in Columbia
Brown for 4 years
No shoulder program at Yale so worked a few years there
Bone & Joint Institute in Hartford
HSS (Hospital for Special Surgery) currently
Shoulder is challenging to treat which is what makes it so interesting
Most common upper extremity injuries were AC joint
Almost as high as labrum tears
Clavicle fractures
Arthroscopy with the labrum and get them back on the field
Face-off athletes seems to have a high rate of injury because of the forces
Collegiate athletes are like professional athletes
Darien football program is successful because of the training these athletes have
With COVID, people cant train in the same way as before
Overuse injuries are higher
Weekend warriors are being seen more often and having more surgeries
Repair tendons in the shoulder
Preservation of the bone or anatomy so future procedures can happen
Shoulder replacements
When you replace the shoulder joint, you can now simply resurface the ball and/or socket are of the joint
Reverse shoulder replacement can be effective and started in Europe
Started them here in US in 2004
Ball and socket joint of the shoulder
Reverse replacement isn’t a lose of function, just cant do things as well anymore
Catalyst implant is impressive as future replacements
New research for different carbon materials and have been effective
Biologics is in the media PRP or stem cells or growth hormone
No clear studies that show value
Stem cells and where they come from – variety of different stem cells
What stem cells grow and heal
The doctor is who is responsible for the patient outcome
The doctor is the gatekeeper
Consumer of healthcare
Primary care doctor
Where do individuals start with asking for advice for getting to who they need?
Referred by friends or family
US News and World Report is a vetted source for information
Those who work with providers are most informed
The doctor or hospitals complication rate
The hospitals or doctors that have the highest complication rate usually see the most complex or difficult patients