Operation Walk Boston 2017 - Clinical Day 1 (March 2, 2017): Pre-op Clinic, Grand Rounds, Opening Surgical Day

The first clinical day of Op Walk was a great start to the 2017 mission. We started with a pre-operative clinic on 48 patients in the morning, followed by grand rounds, and ending the day with our first 9 joint replacements of the trip.
In the pre-operative clinic, we met all of our potential surgical patients. Most of the patients had more severe arthritis than we generally see in our daily practices in the United States. Some patients had relatively straightforward osteoarthritis, while others had more complicated disease/deformity as a result of previous trauma. All of their life stories were inspirational, especially hearing what they have done to compensate for such severe disease for so many years.

After the pre-operative clinic, we had grounds, where we discussed all of the patient's seen in the clinic.  
One case that is remarkable is that of a 26 year-old female with bilateral hip fractures as a child and resulting dysplasia, who was only able to walk short distances because her her hips (see Image 2 and 3 below). We were able to give her a left total hip replacement, which she was extremely grateful for. We also did 8 additional joints on this first clinical day, including bilateral knees. 

- Shaina Lipa, Harvard Orthopedic Surgery Resident

Image 1: Grand rounds discussion. 

Image 1: Grand rounds discussion. 

Image 2: Preoperative xray for 26 year-old female with right hip dysplasia and an old left femoral neck fracture.

Image 2: Preoperative xray for 26 year-old female with right hip dysplasia and an old left femoral neck fracture.

Image 3: Post-operative xray for 26 year-old female, now with a left total hip arthroplasty. 

Image 3: Post-operative xray for 26 year-old female, now with a left total hip arthroplasty.