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Thanks to Dr. James Browne (UVA) for a terrific Grand Rounds at UM: "Skepticism Required: Lessons from Working with Large Data and Clinical Registries in Arthroplasty Research."
3 keys I'm keeping in mind when I read registry and database studies 🧵
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2) Confounding: the database only knows what was coded.
Frailty, function, surgeon judgment, patient goals, and why a treatment was chosen are often missing. Statistical adjustment can't fix variables that were never recorded.
Knees hurt and someone said "arthritis"? Don't panic. 🦵
Knee osteoarthritis is common — and it's not an automatic surgery sentence.
Start with what the AAOS guideline supports most: education + exercise, weight loss if needed, and anti-inflammatories only if they're safe for you.
Cortisone = short-term relief. Hyaluronic acid? Not recommended routinely. Skip opioids.
Follow @vhhernandez for clear answers on hips and knees every week.
What's the hardest thing your knees keep you from doing? Tell me below 👇
General education, not medical advice — talk to your doctor.
#KneePain #Arthritis #Osteoarthritis #Orthopaedics #KneeReplacement #Miami
🤖 Made with AI
Big data. Tough questions.
Association ≠ causation.
"Skepticism Required" Grand Rounds with Dr. James Browne (@UVAHealthNews) at @UMiamiMedicine.
Thank you, JB, for a superb talk and a great visit! 🦴 #Arthroplasty #OrthoTwitter
🚨 New publication in Journal of Orthopaedic Reports!
Cotinine testing reveals gaps in self-reported smoking cessation before joint replacement—especially in knee arthroplasty. Objective tools matter for better patient outcomes.
#Orthopedics #Research #Arthroplasty #Smoking
Honored to be part of this global Delphi panel published in Arthroplasty Today, titled:
“Identifying Critical Evidence Gaps in Wound Closure and Incision Management After Total Hip Arthroplasty.”
This important effort, led by an international team of experts.
Victor H Hernandez, MD, MSc. FAAOS retweeted
I’m honored to be part of the AOA Class of 2024 with talented leaders. Thankful for the American Orthopaedic Association’s recognition and the opportunity to connect with professionals across the U.S. and Canada. I look forward to the 2025 Conference in Minneapolis. #AOAClassof2024 #Orthopaedics @aoa1887
🔊 Is Surgery Too Loud? 🔊
Our research shows robotic-assisted knee surgery can be louder than manual surgery, putting surgeons at risk for hearing loss! 👂⚠️
📊 wear earplugs—we need quieter surgical tools!
Let’s protect those who keep us moving! 🦿💙
#Surgery #HearingHealth
Victor H Hernandez, MD, MSc. FAAOS retweeted
Excited about our latest publication! AI falls short in enhancing the readability of Spanish-language orthopedic PEMs. Grateful for all the team effort! Thank you @Clinorthop for sharing our work. #orthotwitter
🌍 Health equity starts with accessible education! 🏥
AI struggles to improve the readability of Spanish orthopedic materials while maintaining accuracy. More work is needed to create culturally appropriate resources for non-English-speaking patients.
journals.lww.com/clinorthop/…
🌍 Health equity starts with accessible education! 🏥
AI struggles to improve the readability of Spanish orthopedic materials while maintaining accuracy. More work is needed to create culturally appropriate resources for non-English-speaking patients.
journals.lww.com/clinorthop/…
Victor H Hernandez, MD, MSc. FAAOS retweeted
The Hip Society is thrilled to welcome our newest members into our community of forward-thinking leaders and trail-blazers! 🌟 Congratulations! #TheHipSociety #hip #hipsurgeon #arthroplasty #leadership #innovation #excellence
Un abrazo gigante a @pedroenio_ y a Richard Rios por este increíble detalle! La camisa del Palmeiras autografiada es más que un regalo, es una motivación para seguir adelante con pasión y dedicación. 🙌⚽️💚 #RichardRios #Palmeiras #Gratitud #brasil #colombia🇨🇴
I’m beyond thrilled to announce one of the biggest achievements of my career: joining The Hip Society! This prestigious membership is invitational. With a limit of 100 members. I’m excited to collaborate with some of the brightest minds in the field, share knowledge.
Outpatient joint replacement is on the rise! 🚀 Advances in tech, surgical methods, & policies are making same-day hip & knee surgeries possible. Key debates: patient selection, anesthesia, pain management, & discharge readiness.
Full article here: journals.lww.com/jaaosglobal…
We are proud to open our new UHealth at Doral Ambulatory Surgical Center. This state-of-the-art facility offers hip and knee replacements with same-day discharge, utilizing advanced technology, including robotics, to provide efficient and patient-centered care.
Feeling incredibly lucky to have a mentor and a friend like @javadparviz1 . His groundbreaking work on infection and research in orthopedics continues to inspire me and shape the future of the field. #Gratitude #Orthopedics #Mentorship #welcometomiami #GOAT
Victor H Hernandez, MD, MSc. FAAOS retweeted
COMEBACK COMPLETE!!! CANES WIN IT!!! 🙌
#GoCanes
Getting Patients Back to Normal: Orthopaedic Surgeon Victor Hugo Hernandez news.med.miami.edu/getting-p…


















