Orthopedic Hardware Removal: Plan the Exit Before You Turn the Screw

Orthopedic hardware removal: indications, equipment, fallback planning and recovery.

What is orthopedic hardware removal, and when does it make sense? Orthopedic hardware removal is surgery to take out plates, screws, nails or other devices used to hold bone in place. A healed fracture does not, by itself, make removal the next step. The reason must be clear. Pain linked to a prominent implant, infection, […]

Percutaneous Pedicle Screw Placement: Verify the Path, Not the Promise

Percutaneous pedicle screw placement: imaging, trajectory, guidewire control and final review

What is percutaneous pedicle screw placement? Percutaneous pedicle screw placement (PPS) puts spinal screws into bone through small skin openings, with scans or live X-ray views used to guide the path. Rods link the screws to form part of the planned construct. Small wounds do not make the route safe by default. The task is […]

Osteotome vs Oscillating Saw: Choose Control Over Habit

Orthopedic power handpiece and adapters for the osteotome vs oscillating saw comparison.

Osteotome vs oscillating saw: what is the real difference? An osteotome cuts or divides bone through a chisel edge driven by hand or a mallet; an oscillating saw cuts with a powered blade that moves back and forth. The choice is not a contest between old and new tools. It is a decision about the […]

Opening Sterile Supplies: Stop Small Errors at the OR Door

Concept illustration of a wrapped instrument tray, capped saline bottle, and sealed gauze pouch.

What matters most when opening sterile supplies? Check the pack, open it near the time of use, protect the contents, and speak up when you first spot a breach. That is the core of opening sterile supplies safely. A tray, a bottle, and a pack of gauze may look routine. They still deserve a clear […]

Orthopedic Angles and Lines: Read X-rays Without Guesswork

Orthopedic angles and lines: landmarks, view and context.

What do orthopedic angles and lines actually tell you? Orthopedic angles and lines show bone alignment, joint shape, and the place of key landmarks. They help turn an image into a number that can be checked. They do not turn a single number into a clinical answer. A sharp-looking line on a poor view is […]

Posterior Approach to Pilon Fractures: Choose the Right Route

Pilon fracture planning: fracture pattern, joint access and soft tissue.

When does a posterior approach make sense? A posterior approach to pilon fractures may help when the back of the distal tibia is short, displaced, or crushed at the joint. It is a route chosen for a problem. It is not a badge of advanced care. A pilon fracture breaks the weight-bearing end of the […]

Intramedullary Nail Removal: Do You Really Need It?

Conceptual illustration of a long bone beside an intramedullary rod and two decision paths.

Does a healed fracture mean the nail must come out? No. Intramedullary nail removal is not routine for every adult with a healed fracture. A metal rod inside the bone is not, by itself, a reason for another operation. AO Surgery Reference advises that nails generally do not need removal unless they cause symptoms. The […]

Orthopaedic Trauma Updates 2026: Evidence, Not Hype

Conceptual illustration of bone, fixation hardware and a recovery pathway.

What do orthopaedic trauma updates 2026 actually change? More treatment is not always better care. Orthopaedic trauma updates 2026 point to a harder task: match the choice to the patient, the injury and the result that matters. This review follows themes from the 2026 JBJS update and checks key claims against linked research. It covers […]