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drjohnsvorhies · 1 year

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What is the risk associated with taking opioids after orthopaedic surgery?

This month my group has a paper coming out in the Journal of Pediatric Orthopaedics(first author Eli Cahan) investigating how the risk of development of opioid use disorders may relate to pain medication prescribed after orthopedic procedures. This specific project used a large database to track children and adolescents who had ACL reconstructions, which is a common orthopaedic procedure. We’re also working on a similar project in patients with scoliosis.

This is a topic that is high up on the list of concerns parents have for me when considering surgery for their child. Awareness of the risks of opioid use is high right now and has dramatically changed since I began my training. Physicians' understanding of their role in the opioid crisis has evolved rapidly over my time as a doctor. Since I was caring for patients as a resident 12 years ago, I have steadily prescribed less opioid medication for the same procedures. Unfortunately, rates of opioid overdose continue to rise in the US.

The idea for this project came after I read an article by a colleague of mine, Alan Schroeder. Dr. Schroeder has research interest in quantifying risk associated with standard medical practice. The idea is that even though we mean well we may be exposing patients to a lot of unquantified risk for unintended consequences. His group wrote an interesting paper, looking at the risk of opioid use disorder after wisdom tooth removal. They demonstrated that patients who had opioid prescriptions after wisdom tooth removal had a higher risk of developing opioid use disorders in the year after surgery than age-matched controls who did not have surgery. It was a high impact paper that may change the way surgeons counsel patients before elective procedures. We set out to see if opioid prescribing patterns after orthopedic surgery may also put patients at risk.

There are clearly some differences in these two patient populations and our methods and results were not exactly the same. ACL reconstruction, though it is not an emergent procedure, is in a different category of elective procedures than wisdom tooth removal. Our patients are already starting with an injury that causes pain. We first demonstrated that the incidence new diagnosis of opioid use disorder in the year after ACL surgery was fairly low at about 0.7% Since people did not choose whether or not to have an ACL injury, we decided to forgo the control group and instead to look at how differences in opioid prescribing patterns after surgery might relate to subsequent risk of developing opioid use disorder. We looked for, but did not find, a relationship between the volume of the initial prescription and development of opioid use disorder. We did, however, find that patients who developed an opioid use disorder within a year postop were much more likely to have received a repeat prescription of opioids after their initial prescription.

It's worth noting that our methods probably only picked up the most severe cases of opioid use disorder so there might be a larger population of patients with milder problems with opioid use that go undiagnosed. Furthermore, there are probably other benefits to decreasing the amount of opioid initially prescribed. We work with our anesthesia and pain medicine team to prescribe multimodal regimens that include a lot of non opioid pain control techniques to try to minimize the amount of opioids that patients take.

This should make providers think twice about re-prescribing opioids after ACL reconstruction and may help identify a patient population at risk for opioid use disorders. We hope that by identifying this patient population early we can decrease the risk!

John Vorhies MD

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orthotv · 1 month

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‼️ LAST 2 DAYS ‼️

📣VIRTUAL FELLOWSHIP IN CERVICAL SPINE SURGERY

🔆 2 Months Long Fellowship | Certificate Program

Starting 25th April 2024

🔅Fellowship Director: Dr. Abhay Nene

🔺Click here to Register:https://orthotvonline.com/virtual-fellowship-in-cervical-spine-surgery/

LIVE Zoom session on Thursday at 8.00 pm | Recordings of the sessions will be available for 3 months

🔅Get one-to-one interaction with Spine masters to share their thought processes and enhance your knowledge. Completely practice-based curriculum that aims at improving your decision-making and patient outcomes

💡 Dr. Abhay Nene and Team will discuss & clear the concepts of Cervical Spine Surgery

▪️More Details and curriculum in flyer

♦️Worlds First Virtual Fellowship Program in Orthopaedics || Organised by Orthopaedic Research Group & OrthoTV Global Academy

#CervicalSpineSurgery #OrthoFellowship #OrthoEducation #SpineSurgery #MedicalEducation #OrthoEvent #OrthoTVGlobalAcademy #PracticeBasedLearning #DecisionMaking #PatientOutcomes #OrthoMasters #VirtualLearning #OrthoResearch #OrthoTraining #OrthoCommunity

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orthotv · 2 months

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🔰 OrthoTV Video on demand

🔆ROTATOR CUFF DISEASE: ASES UPDATES NEW (ER) CONCEPTS

🔆Speaker: Dr. Anand M. Murthi

🔆Click here to watch: https://tinyurl.com/OrthoTV-VOD-1588

▶️Media Partner: OrthoTV

📺 Join OrthoTV - https://linktr.ee/OrthoTV

🤝 OrthoTV Team: Dr Ashok Shyam, Dr Neeraj Bijlani

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orthotv · 2 months

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🔰 OrthoTV Video on demand

🔆ASES CURRENT RESEARCH AND TRENDS IN SHOULDER ARTHROPLASTY

🔆Speaker: Vani J Sabesan

🔆Click here to watch: https://tinyurl.com/OrthoTV-VOD-1589

▶️Media Partner: OrthoTV

📺 Join OrthoTV - https://linktr.ee/OrthoTV

🤝 OrthoTV Team: Dr Ashok Shyam, Dr Neeraj Bijlani

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orthotv · 2 months

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‼️ 5 Days To Go‼️

🔰 ASAMICON 2024 GOA Annual Conference of ASAMI India

🏟️ Venue : Novotel Dona Sylavia Resort Cavelossim Beach, Goa

🗓️ Date : March 29, 30 & 31, 2024

💻 Click here to register : https://tinyurl.com/OrthoTV-ASAMICON-2024

🔺Kurgan Lower Limb Workshop - 29th March 2024

➡️Learn from one of the best in the world

👨‍⚕️Dr. Mikhail P. Teplenky Head of Department for large joints pathology Head of Laboratory of Reconstructive bone and joint surgery for children and adults Trauma and orthopaedic surgeon of highest category

👨‍⚕️Dr. Anatoly Sergeevich Sudnitsyn Head of Scientific Laboratory of Bone Infection Clinic in National Ilizarov Medical Research Center for Traumatology and Orthopedic

👨‍⚕️Dr. Denis Sergeevich Mokhovikov Head of defects department Candidate of medical sciences, Scientific worker of Clinic for reconstructive bone and joints surgery (pediatric and adults), Trauma and orthopedic surgeon of the highest category

👨‍⚕️Miss Valentina Secretary ASAMI Russia

🔺Workshop On Deftfix - 29th March 2024

👨‍⚕️Course Director - Dr. Mangal Parihar

🔆 Virtual Session Listen to one of the world's greatest Faculties

💢 23 International Faculty

🔆ASAMICON has a best paper award session

📃Best paper awardee will be sent to Hull Deformity course in England.

💷 750 pound (Rs 80,000) registration fees of Hull Deformity course will be paid by ASAMICON.

📤 Send your paper abstract to 📧[email protected] soon.

👨‍⚕️ Dr. SHAMSUL HODA JOINT ORGANISING SECRETARY SECRETARY ASAMI INDIA

👨‍⚕️ Dr. R.A. AGRAWAL ORGANISING CHAIRMAN PAST PRESIDENT ASAMI INDIA

👨‍⚕️ Dr. RAJAT AGRAWAL ORGANISING SECRETARY PRESIDENT ASAMI INDIA

👨‍⚕️ Dr. RAVI CHAUHAN JOINT ORGANISING SECRETARY TREASURE ASAMIINDIA

📺Media Partner : OrthoTV Global

🤝OrthoTV Team: Dr Ashok Shyam, Dr Neeraj Bijlani

▶️ Join OrthoTV - https://linktr.ee/OrthoTV

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orthotv · 2 months

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🔰OREF Web-class for Orthopaedic Postgraduates on OrthoTV

🔝 TOPIC : How to convey better with animations

🗓️ Date : Tuesday 19th March, 2024

🕖Timing : 7:00PM, India

💻 Click to watch : https://tinyurl.com/OrthoTV-OREF-India-195

🗣️Speaker : Dr. Dhiren Ganjwala Pediatric Ortho surgeon, Ahmedabad, Past President of Ped Ortho Society of India, Faculty: National Trauma Management Course, Chair: Leadership Watchword, Indian Academy of Cerebral Palsy

👨‍⚕️ Dr John Mukhopadhaya Chairperson: OREF India Director-Orthopaedics, PARAS HMRI Hospital, Patna, India

🔷Orthopedics Research and Education Foundation - India, Member Secretary: Dr. D. K. Taneja.

✅Secretary & Convenor OREF - India : Dr Janki Sharan Bhadani

▶️Media Partner : OrthoTV Global

🤝 OrthoTV Team: Dr Ashok Shyam, Dr Neeraj Bijlani

📺 Join OrthoTV - https://linktr.ee/OrthoTV

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orthotv · 2 months

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🔰 ASAMICON 2024 GOA Annual Conference of ASAMI India

🏟️ Venue : Novotel Dona Sylavia Resort Cavelossim Beach, Goa

🗓️ Date : March 29, 30 & 31, 2024

💻 Click here to register : https://tinyurl.com/OrthoTV-ASAMICON-2024

🔆 Virtual Session Listen to one of the world's greatest Faculties

👨‍⚕️Dr. Dror Paley CEO and Medical Director Paley Orthopedic and Spine Institute, Florida, USA 🇺🇸

👨‍⚕️Dr. Robert Rozbruch Chief, Limb Reconstruction & Complex Reconstructive Service, Cornell University, New York, USA 🇺🇸

👨‍⚕️Dr. Leonid Solomin Professor & Head of ExFix department Saint Petersburg State University 🇷🇺

👨‍⚕️Dr. Reggie Hamdy Chief of Pediatric Orthopedics McGill University, Canada 🇨🇦

🔺Kurgan Lower Limb Workshop - 29th March 2024 Learn from one of the best in the world

🔺Workshop On Deftfix - 29th March 2024

👨‍⚕️Course Director - Dr. Mangal Parihar

💢 23 International Faculty

🔆ASAMICON has a best paper award session

📃Best paper awardee will be sent to Hull Deformity course in England.

💷 750 pound (Rs 80,000) registration fees of Hull Deformity course will be paid by ASAMICON.

📤 Send your paper abstract to 📧[email protected] soon.

👨‍⚕️ Dr. SHAMSUL HODA JOINT ORGANISING SECRETARY SECRETARY ASAMI INDIA

👨‍⚕️ Dr. R.A. AGRAWAL ORGANISING CHAIRMAN PAST PRESIDENT ASAMI INDIA

👨‍⚕️ Dr. RAJAT AGRAWAL ORGANISING SECRETARY PRESIDENT ASAMI INDIA

👨‍⚕️ Dr. RAVI CHAUHAN JOINT ORGANISING SECRETARY TREASURE ASAMIINDIA

📺Media Partner : OrthoTV Global

🤝OrthoTV Team: Dr Ashok Shyam, Dr Neeraj Bijlani

▶️ Join OrthoTV - https://linktr.ee/OrthoTV

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orthotv · 4 months

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🔰 TECHNIQUES & TECHNOLOGIES IN JOINT REPLACEMENT Be a Part of the Art and Science of Arthroplasty

‼️FINAL PROGRAM OUT NOW | ONLY 3 weeks to Go‼️

🔅 Theme: Leveraging Technology for Best Outcomes

🔆 Conference Dates: 23-25 FEBRUARY, 2024 🔆 Venue: SIR HN RELIANCE

FOUNDATION HOSPITAL, MUMBAI 🔗 Click here to Register: https://tinyurl.com/OrthoTV-TTJR-2024

🔺 MMC Points Applied🔺

🔅Organising Team 👨‍⚕️Dr. Ashok Rajgopal - Course Chairman 👨‍⚕️Dr. Nilen Shah - Course Chairman 👨‍⚕️Dr. Vaibhav Bagaria - Course Director 👨‍⚕️Dr. Ashok Shyam - Course Director

📺Media Partner: OrthoTV Global

🔆Join OrthoTV : https://linktr.ee/OrthoTV

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orthotv · 6 months

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🔰BOS RISING STAR An Initiative of Bombay Orthopaedic Society to provide platform to Young Orthopods

💢BOS RISING STAR COMPETITION - ROUND 2 - FIRST SESSION

🔆Date & Time : Thursday , 7th December - 8.00 PM IST

🔆Click to Watch

BOS YouTube: https://www.youtube.com/watch?v=tQyrMlNUw6A

OrthoTV: https://tinyurl.com/OrthoTV-BOS-9

👨‍⚕️ Dr. Mudit Shah Neglected lateral condyle fracture: Current concepts

👨‍⚕️ Dr. Rudra Prabhu Lateral elbow tendinopathy: A review of the current literature

👨‍⚕️ Dr. Sushant Srivastava 3D printing in Orthopaedic Trauma: Where are we and what , needs to be done?

👨‍⚕️ Dr. Jeshwanth Netaji Tibial tubercle osteotomy (TTO) in difficult primary complex & _revision TKA

👩‍⚕️ Dr. Sheenam Bansal Brachial Plexus Birth Palsy Sequelae

Conceptualised by Dr. Sanjay Dhar President - Bombay Orthopaedic Society

Dr. Neeraj Bijlani Secretary - Bombay Orthopaedic Society

Dr. Ashok Shyam Coordinator - BOS Rising Star

Supported by 🤝OrthoTV Team

📺 Streaming live on OrthoTV www.orthotvonline.com

▶️ Join OrthoTV - https://linktr.ee/OrthoTV

#Orthopedics #BOSRisingStar #OrthoConference #OrthoEducation #MedicalEducation #OrthoTV #BoneHealth #JointHealth #OrthopedicSurgery #OrthoResearch #MedicalEvent #OrthopedicSpecialists #Healthcare #BoneFractures #SurgicalInnovation #OrthoCommunity

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orthotv · 7 months

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‼️Historic 20th Vicennial Year of Ranawat Orthopaedic Conference combined with Pune Knee Course

🔅Wishes You a Very Happy Diwali🪔

⚜️Dr Sachin Tapasvi & Dr Parag Sancheti on behalf of ROC PKC Team invite you for this Historic Event with 🀄PKC Sports Day 🀄Arthroplasty Days 🀄Live Surgeries 🀄Osteotomy Sessions 🀄Robotic Workshops 🀄ROC PKC Oration 🀄Master Classes 🀄Fireside Chats

Interact with House of Arthroscopy, Arthroplasty, Osteotomy & Robotics including prominent Leaders from across the Globe

🔸 Huge Rush for Registrations 🏃🏻‍♀️Register Soon to avoid disappointment 🔆DATES: 11-13 JANUARY 2024

🔆VENUE: JW MARRIOTT PUNE

🔆Click to Register: https://tinyurl.com/OrthoTV-ROC-PKC

Organsing Team 🔆Dr. C. S. Ranawat ▪️Dr. Amar Ranawat ▪️Dr. Anil Ranawat ▪️Dr. Parag Sancheti ▪️Dr. Sachin Tapasvi (Scientific Chair) ▪️Dr. Ashok Shyam ▪️Dr Nilesh Kamat ▪️Dr Anshu Shekhar ▪️Dr Kailash Patil ▪️ Dr Sunny Gugale

🔅Organised in Association with : Ranawat Orthopaedic Research Foundation Co-Sponsored by HSS with Tapasvi Charitable Trust, Sancheti Hospital, Sahyadri Hosptials, IAS, Society of Knee Surgeons India & OrthoTV

📺Media Partner: OrthoTV Global 👨‍💻 OrthoTV - https://linktr.ee/OrthoTV

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orthotv · 7 months

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🔰VIDARBHA ORTHOPAEDIC SOCIETY & ARTHROPLASTY ASSOCIATION NAGPUR Presents

🔷NAGPUR ARTHROPLASTY COURSE-2023

🔆23RD, 24TH, 25TH NOV 2023 HOTEL CENTER POINT, NAGPUR

🔆THEME: SIMPLIFYING COMPLEXITIES

🔆Click to Register: http://tinyurl.com/OrthoTV-NAC-2023

🔆Organising Committee

Dr Sudhir Babhulkar - Patron Dr Sajal Mitra - Patron Dr R M Chandak - Patron Dr Unmesh Mahajan - Patron & Scientific Chairman Dr Hargun Sangtani - President, AAN Dr S Subramanian - Secretary, AAN Dr Anup Kothari - President, VOS Dr Amol Patil - Secretary, VOS Dr Alok Umre - Org, Chairman NAC 2023 Dr Manoj Pahukar - Org. Secretary NAC 2023

📺Media Partner : OrthoTV Global

🤝OrthoTV Team: Dr Ashok Shyam, Dr Neeraj Bijlani

▶️ Join OrthoTV - https://linktr.ee/OrthoTV

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orthotv · 7 months

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🔰KNEE SPORTS & PRESERVATION - POWER PLAY BY MASTER BLASTERS of PUNE KNEE COURSE on 11th Jan 2024

@ ‼️Historic 20th Vicennial Year of Ranawat Orthopaedic Conference combined with 12th Pune Knee Course

🔸 Huge Rush for Registrations 🏃🏻‍♀️Register Soon to avoid disappointment

🔆DATES: 11-13 JANUARY 2024

🔆VENUE: JW MARRIOTT PUNE

🔆Click to Register: https://tinyurl.com/OrthoTV-ROC-PKC

Organsing Team 🔆Dr. C. S. Ranawat ▪️Dr. Amar Ranawat ▪️Dr. Anil Ranawat ▪️Dr. Parag Sancheti ▪️Dr. Sachin Tapasvi (Scientific Chair) ▪️Dr. Ashok Shyam ▪️Dr Nilesh Kamat ▪️Dr Anshu Shekhar ▪️Dr Kailash Patil ▪️ Dr Sunny Gugale

🔅Organised in Association with : Ranawat Orthopaedic Research Foundation Co-Sponsored by HSS with Tapasvi Charitable Trust, Sancheti Hospital, Society of Knee Surgeons India & OrthoTV

📺Media Partner: OrthoTV Global 👨‍💻 OrthoTV - https://linktr.ee/OrthoTV

#OrthopedicConference #KneeCourse #RanawatOrthopaedic #MedicalConference #PuneEvent #OrthoTVGlobal #SurgeryEducation #HealthcareEvent #JWMarriottPune #SportsMedicine #KneeSurgery #MedicalEducation #OrthoSurgeons #PuneMedical #OrthoResearch

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orthotv · 7 months

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🔥4 Days To Go🔥

Hurry up last few seats left ‼️

🔰 MOACON 2023 JALGAON

🔆 THE 39TH ANNUAL CONFERENCE OF MAHARASHTRA ORTHOPEDIC ASSOCIATION

✡Theme : ACADEMICS AND BEYONDS

🗓️ DATE - 27TH, 28TH & 29TH OCTOBER 2023

🏟️ VENUE - GANDHI RESEARCH FOUNDATION, JAIN HILLS, JALGAON

🧑‍💻 Click here to register: https://tinyurl.com/OrthoTV-MOACON-2023

🔆 HUMERAL NAILING SUPPORTED BY SORATH

📺 Media Partner: OrthoTV: Netflix of Orthopaedics www.orthotvonline.com

🤝 OrthoTV Team: Dr Ashok Shyam, Dr Neeraj Bijlani

👨‍💻 Join OrthoTV - https://linktr.ee/OrthoTV

#MOACON2023 #OrthopedicsConference #MedicalConference #OrthoEvent #JalgaonConference #OrthopedicAssociation #MedicalEducation #OrthoTV #AcademicsAndBeyonds #OrthoCommunity #HealthcareEvent #OrthopedicSurgery #MedicalLearning #MOA39thAnnual #SorathSupport #OrthoExperts #OrthopedicCare #OrthoResearch

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orthotv · 7 months

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🔰 GOSICON 2023

🔆 11th International Conference of Geriatric Orthopedic Society of India

🔆 GOSICON in association with Rajasthan Orthopedic Surgeons Association (ROSA) Jaipur Orthopaedic Society JOS)

🗓️ Date : 27th &28th October, 2023

🏢 Venue : Hotel Royal Orchid Durgapura, Jaipur

💻 Click here to register : https://tinyurl.com/OrthoTV-GOSI-2023

🔆KNOW YOUR FACULTY

TKR in stiff knee - PJI - when and how do you retain implant?

Dr Dipak Dave

Consultant Orthopaedic & Joint Replacement, HCG Multispeciality Hospital, Ahmedabad

‼️ HURRY UP! REGISTER NOW

👨‍⚕️ Dr Rajiv Gupta GOSI Secretary (2022-23) Organizing Secretary

👨‍⚕️ Dr. Naresh Goyal GOSI President (2022-23) Organizing Chairman

📺Media Partner : OrthoTV Global

🤝OrthoTV Team: Dr Ashok Shyam, Dr Neeraj Bijlani

▶️ Join OrthoTV - https://linktr.ee/OrthoTV

#GOSICON2023 #Orthopedics #GeriatricOrthopedics #MedicalConference #OrthoSurgeons #HealthcareEvent #JaipurConference #OrthoTV #MedicalEducation #OrthopedicSurgery #MedicalNetworking #HealthcareProfessionals #OrthoResearch #OrthopedicUpdates #MedicalLearning

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orthotv · 7 months

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🔰 MOACON 2023 JALGAON

🔆 THE 39TH ANNUAL CONFERENCE OF MAHARASHTRA ORTHOPEDIC ASSOCIATION

✡Theme : ACADEMICS AND BEYONDS

🗓️ DATE - 27TH, 28TH & 29TH OCTOBER 2023

🏟️ VENUE - GANDHI RESEARCH FOUNDATION, JAIN HILLS, JALGAON

🧑‍💻 Click here to register: https://tinyurl.com/OrthoTV-MOACON-2023

🔆 HUMERAL NAILING SUPPORTED BY SORATH

📺 Media Partner: OrthoTV: Netflix of Orthopaedics www.orthotvonline.com

🤝 OrthoTV Team: Dr Ashok Shyam, Dr Neeraj Bijlani

👨‍💻 Join OrthoTV - https://linktr.ee/OrthoTV

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orthotv · 8 months

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🔰Indian Orthopaedic Association

🔆Activity of IOA Basic Sciences sub-Committee

🔆Date & Time : Friday ,13th October, 2023 - 07:30PM

🔆Watch on IOATV: https://tinyurl.com/IOATV-BasicScience-1

🔆Watch on OrthoTV : https://tinyurl.com/OrthoTV-BasicScience-1

🔆Topic & Speakers

Welcome Address - Dr. Ram Chaddha - IOA President Elect

Mechanobiological aspects fracture healing - Dr. Anand Thakur

Question & Answer Section - Dr. Anand Thakur

Moderator: Dr Bhaskar Borgohain and Dr Samarth Mittal

🔆IOA BASIC SCIENCE COMMITTEE

Dr. Shobha Arora

Dr. Anand Thakur

Dr. Bhaskar Borgohain

Dr. Samarth Mittal

📺 Streaming live on IOATV & OrthoTV

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