Military Orthopedic Surgeons Are Not Just Traumatologists

2021 ◽  
Author(s):  
Camille Choufani ◽  
Olivier Barbier ◽  
Laurent Mathieu ◽  
Nicolas de L’Escalopier
Keyword(s):  
Orthopedic Surgery ◽  
Descriptive Analysis ◽  
Trauma Surgery ◽  
Armed Forces ◽  
Trauma Surgeon ◽  
Reconstruction Surgery ◽  
Orthopedic Surgeon ◽  
Orthopedic Surgeons ◽  
French Military ◽  
Military Patients

ABSTRACT Introduction Each French military orthopedic surgeon is both an orthopedic surgeon and a trauma surgeon. Their mission is to support the armed forces in France and on deployment. The aim of this study was to describe the type of orthopedic surgery performed for the armed forces in France. Our hypothesis was that scheduled surgery was more common than trauma surgery. Methods We conducted a retrospective descriptive analysis of the surgical activity for military patients in the orthopedic surgery departments of the four French military platform hospitals. All surgical procedures performed during 2020 were collected. We divided the procedures into the following categories: heavy and light trauma, posttraumatic reconstruction surgery, sports surgery, degenerative surgery, and specialized surgery. Our primary endpoint was the number of procedures performed per category. Results A total of 827 individuals underwent surgery, 91 of whom (11%) were medical returnees from deployment. The surgeries performed for the remaining 736 soldiers present in metropolitan France (89%) consisted of 181 (24.6%) trauma procedures (of which 86.7% were light trauma) and 555 (75.4%) scheduled surgery procedures (of which 60.8% were sports surgery). Among the medical returnees, there were 71 traumatology procedures (78%, of which 87.3% were light traumatology) and 20 procedures corresponding to surgery usually carried out on a scheduled basis (22%, of which 95% were sports surgery). Conclusion Military orthopedic surgeons are not just traumatologists; their activity for the armed forces is varied and mainly consists of so-called programmed interventions.

scholarly journals Orthopedic Surgery and Flight Surgery: Income Differences Between the Navy Health Professions Scholarship Program and Civilian Orthopedic Surgery

2020 ◽  
Vol 185 (11-12) ◽  
pp. e1913-e1918
Author(s):  
Eric Goodrich ◽  
Richard P Goodrich
Keyword(s):  
Orthopedic Surgery ◽  
Department Of Defense ◽  
Consumer Price Index ◽  
Health Professions ◽  
Fiscal Year ◽  
Operational Experience ◽  
Median Income ◽  
Orthopedic Surgeon ◽  
Orthopedic Surgeons ◽  
Scholarship Program

Abstract Introduction The purpose of this study to analyze the financial impact of choosing a civilian or military orthopedic surgery career. It will examine the most common scenarios to become an orthopedic surgeon in the Navy Health Professions Scholarship Program to include becoming a flight surgeon. To the authors’ knowledge, there is no peer-reviewed literature that financially analyzes the most common scenarios for a Navy Health Professions Scholarship Program scholarship recipient to become an orthopedic surgeon. Materials and Methods Salaries for Navy orthopedic surgeons, residents, and flight surgeons were recorded using the 2020 Defense Finance and Accounting Service pay tables and Navy Fiscal Year 2019 Medical Corps Special Pay Guidance. The median income of civilian orthopedic surgeons was recorded using Salary.com. The present value (PV) and future value (FV) were calculated using the Consumer Price Index-U and average Department of Defense pay increases over the past 20 years. Six common scenarios were utilized to calculate the PV and FV of civilian compared to Navy orthopedic surgeons. Results The two highest earning net FVs among all Navy scenarios were those surgeons who kept their Navy tour to 5 years or less (flight surgeon tour/separate or civilian deferment/separate). The civilian throughout scenario had the highest net FV of $19,974,673 after retiring at the age of 65. Flight surgeon tour/separate and civilian deferment/separate scenarios only made $843,751 and $1,401,630 less respectively than a pure civilian career due to the tax shelter afforded by the military pay. All Navy retirement scenarios to include Navy throughout, civilian deferment/Navy throughout, flight surgeon tour/Navy throughout resulted in a net FV less than $17,700,000. Civilian residency/deferment and retiring in the Navy had the worst net FV among all scenarios. Conclusions It was found that the shorter tours in the Navy had a higher net FV than those who made the Navy a career in orthopedic surgery. Flight surgery is a rewarding operational experience with among the highest net FV among Navy scenarios and is only slightly less than the net FV of a pure civilian career. However, it can be more difficult to apply for civilian orthopedic surgery after serving a flight surgeon tour. Lastly, the net FV was very similar between a civilian orthopedic surgeon career and the shorter tours served in the Navy. Factors such as higher civilian income with associated loan repayment/signing bonuses makes the civilian orthopedic surgery route the best financial option. This study will help those medical students considering a military versus a civilian career in orthopedic surgery and aid in Department of Defense recruitment/retention.

Karl Ludloff (1864-1945): An Inventive Orthopedic Surgeon, His Work and His Surgical Technique for the Correction of Hallux Valgus

2018 ◽  
Vol 25 (4) ◽  
pp. 417-420
Author(s):  
Konstantinos Markatos ◽  
Georgios Karaoglanis ◽  
Christos Damaskos ◽  
Nikolaos Garmpis ◽  
Gerasimos Tsourouflis ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Hallux Valgus ◽  
Orthopedic Surgery ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Cruciate Ligament Reconstruction ◽  
Orthopedic Surgeon ◽  
Orthopedic Surgeons ◽  
Anterior Cruciate ◽  
Dysplastic Hip

The purpose of this article is to summarize the work and pioneering achievements in the field of orthopedic surgery of the German orthopedic surgeon Karl Ludloff. Ludloff had an impact in the diagnostics, physical examination, orthopedic imaging, and orthopedic surgical technique of his era. He was a pioneer in the surgical treatment of dysplastic hip, anterior cruciate ligament reconstruction, and hallux valgus. His surgical technique for the correction of hallux valgus, initially stabilized with plaster of Paris, remained unpopular among other orthopedic surgeons for decades. In the 1990s, the advent and use of improved orthopedic materials for fixation attracted the interest of numerous orthopedic surgeons in the Ludloff osteotomy for its ability to correct the deformity in all 3 dimensions, its anatomic outcomes, and its low recurrence rate and patient satisfaction.

Five Star Reviews? Factors Influencing Patient Selection of Orthopedic Surgeons (Preprint)

2020 ◽  
Author(s):  
Victor Hoang ◽  
Amit Parekh ◽  
Kevin Sagers ◽  
Trevor Call ◽  
Shain Howard ◽  
...  
Keyword(s):  
Orthopedic Surgery ◽  
Insurance Coverage ◽  
Cross Sectional Study ◽  
The Internet ◽  
Print Advertising ◽  
Medical Provider ◽  
Cross Sectional ◽  
Orthopedic Surgeon ◽  
Orthopedic Surgeons ◽  
Selection Of

BACKGROUND As patient access to consumer review websites, medical provider information available on the internet, as well as increasing direct consumer healthcare advertising, elective orthopedic surgery has become more patient and market-driven. OBJECTIVE Our goal is to determine the importance of physician ratings and review websites and the role these websites have in the decision to establish care with an orthopedic subspecialist. METHODS Cross-sectional study involving 5 multi-specialty orthopedic surgery groups. 328 patients who sought treatment by 6 different orthopedic surgeons were asked to anonymously answer a questionnaire consisting of 25 questions. We asked demographic information and asked patients to rate the importance of specific criteria regarding the selection of their orthopedic surgeon. RESULTS Across all ages, 79% of respondents selected it was very important that the surgeon is covered by their insurance. Out of pocket cost was very important to 66% and moderately important to 19% of the respondents. Only 39% of the respondents searched for information about the doctor on the internet. Recommendations from family or friends to the surgeon were moderately or very important to only 61%. The surgeon’s website was visited by 49% of respondents, followed by the website of the office or surgical group at 27%. CONCLUSIONS Our findings suggest that insurance coverage, insurance network coverage, and out-of-pocket cost are very important in patient’s choice of their orthopedic surgeon. Television and print advertising played little to no role in choosing a surgeon for the majority of patients surveyed. Patients' rising role in health care provider selection makes understanding elements that affect their decision imperative. CLINICALTRIAL N/A

Retired French Military Orthopedic Surgeons’ Opinions on Their Careers

2021 ◽  
Author(s):  
Nicolas de l’Escalopier ◽  
Olivier Barbier ◽  
Laurent Mathieu ◽  
Frédéric Rongieras ◽  
Camille Choufani
Keyword(s):  
Family Life ◽  
Personal Data ◽  
Armed Forces ◽  
Point Of View ◽  
Working Environment ◽  
Average Score ◽  
Subjective Data ◽  
Orthopedic Surgeons ◽  
French Military

ABSTRACT Introduction Owing to their professional and personal experiences, retired military orthopedic surgeons’ views of their careers are a unique source of inspiration. Reflecting on their experiences allows them to grasp the positive points and those that need to be improved for future generations. The purpose of this study is to gather the opinions of retired surgeons on the career of military orthopedic surgeons. Methods We addressed a questionnaire to all retired French military orthopedic surgeons in the database of the Chair of Applied Surgery for the Armed Forces as of December 2020, retrained in the civilian sector. A questionnaire sent by email made it possible to collect demographic, professional, and personal data about their careers. Subjective data were evaluated using a visual analog scale from 0 to 10 or a subjective qualification scale. The main assessment criterion was the average score (out of 10) of the retired surgeons’ opinions on their careers. Results Fifty-two percent of retired surgeons replied (32 out of 61), with the respondents having an average age of 63 years. They had been in military retirement for an average of 14 years and had practiced for approximately 13.5 years. The majority (28 out of 32) had had a civilian activity after leaving the army. The three main reasons for leaving were the unsatisfactory working environment, the high number of deployments, and insufficient pay. Nevertheless, the respondents were satisfied with their activity, their job, and their training. The average score given for the overall opinion on their careers was 8.14/10. The three main disadvantages of the career that were noted were the quality of family life, the conditions of employment, and the financial aspects. The majority were very satisfied with the second half of their civil career. Conclusion Overall, the opinion of retired French military orthopedic surgeons on their careers is very good. Their point of view provides interesting elements for reflection from both a professional point of view and a personal point of view. They were very satisfied with the quality of their training, their job, and their activity. However, the quality of their personal/family life, working conditions, and the financial aspects of the career reduced this satisfaction. The results also have potential application in improving the preparation of young military orthopedic surgeons.

Patients’ Perception of Military Doctors in Fracture Clinics - does the Wearing of Uniform Make a Difference?

2005 ◽  
Vol 91 (1) ◽  
pp. 45-47
Author(s):  
Christopher McLean ◽  
Pareeta Patel ◽  
Carl Sullivan ◽  
Mark Thomas
Keyword(s):  
Trauma Surgery ◽  
Trauma Surgeon ◽  
Royal Navy ◽  
Fracture Clinic ◽  
Specialist Registrar ◽  
Anonymous Questionnaire ◽  
Military Uniform ◽  
The Military

AbstractWe performed a study during our Trauma Week when patients who were referred from the accident department with fractures were reviewed in our fracture clinic. During our Trauma Week, Mister Thomas, Consultant Orthopaedic and Trauma Surgeon or Surgeon Lieutenant Commander McLean, Specialist Registrar in Orthopaedic and Trauma Surgery reviewed a total of 93 patients in fracture clinic. All patients were given an anonymous questionnaire regarding their perceptions of their attending clinician, 77 were completed. Forty-nine questionnaires regarding Surgeon Lieutenant Commander McLean and 28 regarding Mister Thomas were available for analysis. During the Trauma Week all patients were seen in the same location in identical cubicles by either of the two clinicians, consultations were typically brief lasting about five minutes. Throughout the week the clinicians, one military and one civilian, wore differing attire. The military uniform comprised Royal Navy number four action working dress. The civilian attire comprised ‘dog-robbers’ (jacket, shirt with tie and smart trousers). The hypothesis tested was that the use of military uniform might alter patients’ perceptions of their attending clinician. Our results appear to demonstrate that the attire of the attending clinician does not adversely influence patients’ perceptions of their attending clinician.

A Survey of Orthopedic Surgeons Regarding DVT Prophylaxis in Foot and Ankle Trauma Surgery

Orthopedics ◽  
2004 ◽  
Vol 27 (5) ◽  
pp. 504-508 ◽  
Author(s):  
Jennifer Moriatis Wolf ◽  
Christopher W DiGiovanni
Keyword(s):  
Trauma Surgery ◽  
Foot And Ankle ◽  
Dvt Prophylaxis ◽  
Orthopedic Surgeons ◽  
Ankle Trauma

scholarly journals Strategic Orthopedic Evacuations to the Spanish Role 4 During a Decade (2009–2018)

2019 ◽  
Vol 185 (5-6) ◽  
pp. e734-e741
Author(s):  
Rafael García Cañas ◽  
Ricardo Navarro Suay ◽  
Carlos Rodríguez Moro ◽  
Daniel Aedo Martín ◽  
Rafael Tamburri Bariaín ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Orthopedic Surgery ◽  
Armed Forces ◽  
Categorical Variables ◽  
Medical Support ◽  
Treatment Facility ◽  
Research Committee ◽  
Cross Sectional ◽  
Medical Treatment Facility ◽  
Lesion Pattern

Abstract Introduction Casualty evacuation is a key point in medical support to military operations, sometimes being necessary to transfer them to National Territory for a definitive diagnosis and treatment. The aim of this work is to analyze the patients evacuated from Areas of Operations to the Orthopedic Surgery and Traumatology Unit of the Spanish Role 4 Medical Treatment Facility in the last 10 years. Material and Methods A cross-sectional, descriptive, and retrospective study carried out in the period between January 1, 2009 and December 31, 2018. The study population was all personnel evacuated from the Area of Operations to Spanish Role 4. For categorical variables, absolute and relative percent frequencies were used. Spanish military authorization was obtained to perform this study. This study has been approved by the Ethics and Clinical Research Committee of the Defense Central Hospital “Gómez Ulla” (code 12/17). Results A total of 520 medical evacuations have been performed on Role 4, of which 227 were on the Orthopedic Surgery and Traumatology Unit. Seven percent of the evacuees were categorized as “combat” casualties. The areas of operations from which more patients have been evacuated were Afghanistan and Lebanon, 30.39% and 19.38%, respectively. The most frequent lesion pattern was the fracture affecting the extremities. Accidents (n = 98, 43.17%) and sport (n = 57; 25.3%) were the main causes of injury. Sixty-seven (29.51%) patients were treated surgically in Role 4. No deaths were recorded among patients in this series. Conclusion Evacuations because of trauma cause more than half of the medical repatriations carried out on the National Territory, of which the majority are due to fractures affecting the limbs, especially the bones of the hand. Sport was the first preventable cause of injury among evacuated patients. Our results are similar to the experience obtained by other allied armed forces. It is a moral imperative and a fundamental necessity for the Spanish military medical services to promote and maintain the Spanish Role 4 Medical Treatment Facility as an indispensable element in medical support for international missions.

scholarly journals Preparedness Evaluation of French Military Orthopedic Surgeons Before Deployment

2018 ◽  
Vol 184 (1-2) ◽  
pp. e206-e212
Author(s):  
Camille Choufani ◽  
Olivier Barbier ◽  
Aurélie Mayet ◽  
Sylvain Rigal ◽  
Laurent Mathieu
Keyword(s):  
Orthopedic Surgeons ◽  
French Military

Pioneering orthopaedic trauma surgery in Turkey: Burhaneddin Toker (1890–1951), the stormy 1930s, and refugees running from Nazism

2020 ◽  
pp. 096777202093501
Author(s):  
Erdem Bagatur
Keyword(s):  
Orthopedic Surgery ◽  
Medical Training ◽  
Trauma Surgery ◽  
Musculoskeletal Injuries ◽  
Trauma Patients ◽  
Orthopedic Trauma ◽  
The West ◽  
Scientific Publications ◽  
Medical Discipline ◽  
Republican Government

Orthopedic surgery, the medical discipline that deals with diseases and injuries of the musculoskeletal system has been considered a distinct medical discipline in the west since the beginning of the twentieth century. However, in Turkey, the acceptance of musculoskeletal traumatology as an integral part of orthopedic surgery actualized as late as 1961. Previously, orthopedic trauma patients were usually treated in general surgery departments. Dr. Burhaneddin Toker, a true pioneer, changed this conduct of the time in Turkey. He transformed Cerrahpaşa Hospital, then a municipality hospital today the well-known Cerrahpaşa Medical School of Istanbul University, to a trauma center. He pioneered systematic surgery of the musculoskeletal injuries, created a separate service for musculoskeletal traumatology, trained many surgeons in this field, wrote textbooks, and reported his clinical experience in scientific publications. This study examines the biography of Burhaneddin Toker and how he was able to further medical training in Turkey with a focus on Turkey in the stormy 1930s, the way the young republican government under Atatürk’s leadership handled educational issues, and the refugee scientists who found a safe haven in Turkey fleeing Nazism.

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