Introduction

no introduction required

Content

Let me share some philosophy and thoughts as a senior surgeon.

Since humans are on this planet teaching was done by the master to the student.

And when techniques were involved, the teaching was also live

Communication was person to person. No alternatives here.

In orthopaedics as in all of surgery learning from the master was the way to go.

“I told you so or I showed you so” was the slogan.

That is how I was trained long ago and appreciated it all the way.

Orthopaedics and trauma treatment are based on a good diagnosis.

The clinical diagnosis that is. Back then no more was around.

History taking was basic and you needed the tricks to get it all out of the patient.

Though I still stick to these principles I see a change in practice towards more technical information more imaging information

Missing what my teachers told me

Masses of information now is made available from new techniques and imaging sources

sometimes with frightening details that scare patient and families

However, missing out on therapeutical impact

And then again

I lived through the origin of arthroscopy and I am staying alive through its technical improvements today

Nevertheless, the abuses on the matter

Too many menisci were removed during last century and this has come around more recently to the benefit for all

But then again too few ACL s were treated at the same time to save the knee

We now know they work together to stabilize the injured knee and prevent degeneration

In the while hypes came up and disappeared again as indeed they are hypes

The likes of double bundle vs single bundle, the existence or not of the ALL, the value of zero alignment or just keep it as it is. And more to come

Good decisions come from experience and good experience comes from bad decisions

The same is true for the diagnosis and the treatment that follows

As experience comes with time and age, share your master s experience and let it reach your students over time

The benefits will be huge to the individual patient but also to the community as this is all we strive for

In Orthopaedics clinical experience is the heart of the matter, imaging may shed some more light on the problem leading to a correct treatment and a satisfied patient pursuing his individual and intimate goals

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References

none

Acknowledgments

to my teachers

to my father who told me to leave this place a better place than when i found it ....................