Daniel B. Chan, MD - Orthopaedic Trauma and Hip & Knee Replacement

Daniel B. Chan, MD - Orthopaedic Trauma and Hip & Knee Replacement Dr. Daniel B.

Chan is an orthopaedic trauma surgeon specializing in complex fracture reconstruction, minimally-invasive anterior hip replacement, as well as robotic-assisted knee replacement.

Wishing you and your family a happy and healthy new year!
01/01/2026

Wishing you and your family a happy and healthy new year!

12/24/2025

Just in time for a Christmas miracle! It was a blessing to be a part of Harrison’s story - it’s not every day we need to do a hip replacement on an 11 year old patient but due to circumstances that could only be described as God-ordained, this young man came to us after being wheelchair-bound for two years. He comes from a Christian family and through this process, he was baptized and now has an incredible testimony of how God has healed his body so that he can reach others for Christ.

Harrison and his parents came to us from over two hours outside South Florida as no one else was willing to do his surgery. Aside from the extreme young age of the patient, the fact that he was under 12 meant his surgery HAD to be performed in a children’s hospital and very few hip replacement surgeons have surgical privileges in pediatric hospitals. Fortunately, we routinely perform hip replacement and fracture surgeries on adolescents which made and a perfect setup to help Harrison. We moved all the specialized instruments, OR table, implants, navigation system, and even the OR staff to Joe DiMaggio Children’s Hospital and the entire operation went smoothly. While Harrison still has a long road to full recovery given his prolonged time in a wheelchair, his determination and faith has strengthened my own and hopefully many others who see his story 🙏

“Therefore, as we have opportunity, let us do good to all people, especially to those who belong to the family of believers.” Galatians 6:10

“Neither this man nor his parents sinned, but this happened so that the works of God might be displayed in him.” John 9:3

Happy Holidays! We wish you and your family a joyful holiday season!
12/22/2025

Happy Holidays! We wish you and your family a joyful holiday season!

Wishing you and your family a wonderful Thanksgiving!
11/27/2025

Wishing you and your family a wonderful Thanksgiving!

We thank you for your commitment and celebrate your service.
11/11/2025

We thank you for your commitment and celebrate your service.

“Learning is not attained by chance; it must be sought for with ardor and attended to with diligence.”— Abigail AdamsThi...
11/05/2025

“Learning is not attained by chance; it must be sought for with ardor and attended to with diligence.”
— Abigail Adams

This year we’ve been honored to host numerous surgeons from abroad at Cypress Creek Outpatient Surgical Center. Most recently, our train of visitors from down under has continued uninterrupted with our hosting of Dr. Maurice Guzman, Dr. Matt Lyons, and Dr. Justin Roe, all experienced and well-respected surgeons from the Sydney area. In addition to touring the J&J corporate offices, they were able to spend a day with us observing outpatient, rapid-turnover / recovery hip and knee replacement in an ASC setting.

Enabling technologies such as VELYS robotic-assisted partial and total knee replacement, VELYS hip navigation for bikini-incision anterior hip replacement, and Kincise 2.0 automated impactor were highlighted in a successful, price/conscious ecosystem. As same-day total joint replacement is still in its infancy in Australia for a number of reasons, we hope our Australian guests left with some helpful pearls on incorporating advanced technologies like robotics while pushing the needle on length of stay.

One of the fascinating things I learned about the Australian healthcare system is that hospitals are given a fixed payment for a total joint admission (similar to a DRG payment here in the US), but payment is actually REDUCED if patients go home earlier than the typical 3-5 day length of stay. I asked why this hasn’t been disrupted yet by surgeons opening an ASC and negotiating lower rates compared to the hospitals but it sounded like the legal / political / bureaucratic hurdles remain formidable. Some other differences between our systems is that OR nurses are not dedicated as circulators / scrub techs but rather rotate through each role and a good number surgeons are anatomic focused (i.e. Dr Roe is a knee-only surgeon from cradle to grave).

As these events always involve bidirectional learning, I was happy to pick up surgical pearls from our visiting surgeons that I’ll be incorporating into my own practice. If you our your surgical team is interested in visiting our center, please DM me 👍

Remember. Never forget.    #911
09/11/2025

Remember. Never forget. #911

The treatment of     requires attention to detail and adherence to well-researched treatment principles to avoid complic...
08/10/2025

The treatment of requires attention to detail and adherence to well-researched treatment principles to avoid complications which necessitate additional surgeries and can compromise patient outcomes. In this example, a patient in their 50’s was on vacation in the Caribbean when they were involved in a motor vehicle accident, sustaining a fracture that was treated with standard antegrade femoral nailing.

The patient was told to remain nonweightbearing and presented to our office at 6 weeks postop. Unfortunately, there was a missed femoral neck fracture that was not stabilized with the original implant. Surprisingly, the patient was able to mobilize reasonably well with a walker and refused further surgery at this time. The patient was lost to follow-up but re-presented a year later with a chief complaint of limping and leg length discrepancy. At this point the femoral shaft had healed / remodeled and the femoral neck had collapsed / healed in further varus.

While osteotomy and re-fixation was certainly an option, the patient opted for conversion to to restore limb mechanics and to allow for immediate weight bearing. Six months after surgery, the patient has resumed all prior activities. Given the widening of the healed femur diameter with robust callus, the decision was made to not perform prophylactic plating of the femur. The primary learning point of this case is to always “protect ya neck” when performing antegrade femoral nailing and to always have a high index of suspicion for occult ipsilateral femoral neck fracture when treating femoral shaft fractures 👍

Wishing you and your family a Happy Independence Day!
07/04/2025

Wishing you and your family a Happy Independence Day!

With ever-increasing volumes of     being performed, we unfortunately are also seeing a rise in   cases, which pose uniq...
06/28/2025

With ever-increasing volumes of being performed, we unfortunately are also seeing a rise in cases, which pose unique treatment challenges. In this case example, an elderly patient who previously underwent hip replacement with a cemented stem sustained a fall, resulting in a fracture below the stem. Careful scrutiny of the stem shows that the cement mantle has fractured and subsided, with radiolucent lines suggestive of loosening of the stem - all of which preclude the possibility of retaining the original stem.

Reconstruction of this injury started with direct reduction of the fracture distal to the stem followed by cerclage cabling and plating of the entire femur to mitigate against future fractures. The initial proximal fixation was done with the original implant in place and screws aimed around the stem. Once the femur was stable enough for manipulation, the hip was dislocated and the original stem extracted along with meticulous removal all original cement. The original liner was replaced with a larger dual mobility liner to mitigate against late instability.

Given the patient’s low demand and poor bone quality, the decision was made to revise the stem with a slightly shorter cemented Exeter stem with dual mobility bearing. Finally, addition fixation was added through the plate to complete the construct. Patient was allowed immediate full weight bearing with stable construct and good clinical function three months out. How would others have handled this injury? Would an original press-fit stem (+/- collar) have altered the injury characteristics? Always a great discussion 👍

This Memorial Day, we remember and honor those who gave their lives in service to our nation.
05/26/2025

This Memorial Day, we remember and honor those who gave their lives in service to our nation.

For  , we present a case of an elderly patient who sustained a posteromedial tibial plateau   after a slip and fall whil...
05/24/2025

For , we present a case of an elderly patient who sustained a posteromedial tibial plateau after a slip and fall while vacationing out of state. The fracture was fixed at a local hospital and the patient came to the office already six weeks after surgery. Assessment of the imaging studies show a malreduced fracture with residual posterior displacement and subluxation of the tibial plateau which leads to posteromedial femoral subluxation and settling of the lateral femoral condyle into the lateral tibial defect. The CT scan images show the residual fracture gaps, displacement, and edge-loading of the cartilage ➡️ guaranteed post-traumatic arthritis.

Given the patient’s age and activity level, the decision was made to ultimately perform instead of trying to re-fix the fracture. Unfortunately, because of , the patient’s narrow-network / high deductible HMO plan, and difficulty obtaining authorization, the patient could not be scheduled for several months. The patient’s P*P ordered PT and the patient noted increased pain after an aggressive manipulation session over a month prior to surgery. On the date of surgery, the patient was noted to have newly discovered subacute transcondylar femur fracture with significant flexion of the femoral condyles 🤦‍♂️

Needless to say, this changed the surgical plan significantly… After performing a standard knee replacement incision which allowed access to the proximal screws in the plate, the distal screws in the tibial shaft were removed percutaneously. Given the femur fracture, a distal femoral replacement component was used and a long cemented tibial stem was used to bypass the prior screw holes. The resected specimen shows the wear of the tibial plateau as well as the healed femur fracture with flexion deformity. Fortunately, the patient was able to bear full weight the same day of surgery, the first time standing / walking on her injured leg in over 4 months. Also fortunate to work at as a where we can provide care to all especially in situations where patients have been turned away from other institutions 🙌

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2122 West Cypress Creek Road, Suite 220
Fort Lauderdale, FL
33309

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Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 5pm
Thursday 8:30am - 5pm
Friday 8:30am - 5pm

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About Dr. Chan

Dr. Daniel Chan is a board certified, fellowship-trained orthopaedic trauma surgeon who specializes in fracture care. He has specific training in the management of complex fractures such as those involving the pelvis and hip socket, fractures involving a joint surface that must be repaired precisely to minimize post-traumatic arthritis, and fractures that fail to heal or heal with an unacceptable alignment, to name a few. He also specializes in geriatric fracture care and has an interest in the management of osteoporosis. In addition, Dr. Chan performs minimally invasive and muscle sparing anterior approach total hip arthroplasty for traumatic (i.e. femoral neck fractures) and degenerative (i.e. osteoarthritis, rheumatoid arthritis, and avascular necrosis) conditions. Finally, Dr. Chan also performs minimally invasive knee replacement surgery using custom, patient-specific implants and instrumentation. A native of Toronto, Dr. Chan moved to the United States during high school with his family. He graduated from Cornell University with magna cm laude honors and was a member of the Golden Key National Honor Society. He subsequently attended the University of Michigan Medical School, where he was inducted into the Alpha Omega Alpha Honor Society. His orthopaedic surgery residency was completed at University of Miami/Jackson Memorial Hospital, where he was selected to be Administrative Chief Resident. Dr. Chan completed his orthopaedic trauma fellowship at the Hospital for Special Surgery / Weill Cornell Medical Center in New York City under the direction of David L. Helfet, MD, a world-renowned authority in orthopaedic trauma and pelvic fracture surgery.He is an Active Member of the Orthopaedic Trauma Association, serves as a faculty member for AO North America, and is a Fellow of the American Association of Hip and Knee Surgeons.