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Your bony fixation technique can make (or break) a complex fracture case. In this episode of the BackTable MSK Podcast, host Kavi Krishnasamy welcomes Dr. Brandon Key, interventional radiologist at Medical College of Wisconsin (MCW) in Milwaukee, to discuss bone stabilization techniques in treating pathologic and non-pathologic fractures. --- SYNPOSIS Dr. Key shares insights into his practice, highlighting the importance of multidisciplinary collaboration with orthopedic surgery, the challenges of training in bony fixation, and the evolving technology that aids in these procedures, including the use of IlluminOss Photodynamic nails in complex bone interventions. Several detailed case studies illustrate the practical application and benefits of these advanced techniques, emphasizing their impact on patient outcomes and functionality. --- TIMESTAMPS 00:00 - Introduction 02:06 - A Run Down of Bone Stabilization in the IR Space 12:54 - What’s in the Toolbox? 17:51 - Patient Preparation and Procedure Setup 29:47 - Combining Fixation with Thermal Ablation 34:12 - Introducing the Photodynamic Nail by IlluminOss 40:22 - “The Learning Curve” of the Photodynamic Nail 47:48 - Dr. Key’s Guidance for Practice Building 52:01 - Literature Highlights on IlluminOss 55:01 - Case 1: Anterior Column Disease 01:01:27 - Case 2: Isolated Posterior Column Disease 01:05:37 - Case 3: Non-healing Pathologic Fracture of Pubic Ramus 01:09:37 - Case 4: Iliac Wing Fixation with Orthopedic Surgery 01:15:40 - Case 5: Sacral Defects 01:19:45 - Case 6: Reconstruction of Posterior Iliac Wing 01:23:50 - Post-Procedure Outcomes and Reflections 01:29:02 - Final Thoughts: Encouragement for Collaboration and Innovation --- RESOURCES Dr. Brandon Key, MD / brandon-key-md-367a01310 A Prospective Study of the IlluminOss Photodynamic Nail System for Pelvic Stabilization: Treatment of Impending and Actual Fractures from Metastatic Bone Disease, Multiple Myeloma, and Primary Bone Lymphoma https://pubmed.ncbi.nlm.nih.gov/39281... Minimally Invasive Stabilization Using Screws and Cement for Pelvic Metastases: Technical Considerations for the Pelvic ""Screw and Glue"" Technique https://pubmed.ncbi.nlm.nih.gov/31435... IlluminOss https://illuminoss.com/us Flow-FX https://flow-fx.net/products/ --- The BackTable MSK Podcast is a resource for practicing Musculoskeletal Specialists, covering tools, techniques, and expert guidance on medical and interventional care for musculoskeletal conditions. Get notified when new episodes drop! Subscribe to the BackTable MSK Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular updates. ► https://www.backtable.com/shows/msk/s... #MSK91 #bonecancer #osteosarcoma #interventionalradiology