Description
In this talk, JOE DIAS discusses his experiences and mistakes in hand surgery, specifically following complications with various surgical techniques. He expresses gratitude to the British Indian Orthopedic Society for the opportunity to speak and emphasizes the importance of addressing common fractures and the necessary corrections involved in surgical procedures. Through several case examples, he highlights key challenges faced, such as failing to correct intra-articular steps and recognizing incomplete reductions.
He shares insights regarding a series of surgical errors, which included a minimally displaced scaphoid fracture that failed to unite, leading to significant disability for a patient, and multiple attempts involving a finger fracture that ultimately required four operations to achieve healing. JOE emphasizes the importance of decision-making in surgery, noting that if a clinician feels uncertain about a decision—referred to as 'double doubt'—it is better to seek advice before proceeding.
He concludes with the lessons learned from his experiences, encapsulated in the acronym RAMA—Recognize, Acknowledge, Mitigate, and Avoid. JOE encourages the audience to learn from mistakes, to recognize situations where errors may have occurred, and to take proactive measures to seek counsel after experiencing setbacks in surgical outcomes.