I am going to cover some of the things I consider when approaching Uni'sPlease take the time to leave a review and subscribe.Stay safe. Support the show

This is an important episode because we are all at risk. If you are in trouble or suffering ask for help, get help, seek help and ask for help again. If you see a colleague or friend who is having trouble ask how you can help and be sure to check in with them or seek help from your attending or other supervisors. Support the show

This is the 100th Episode of the Total Knee Tips & Pearls PodcastSome techy stuff on TKARecommended Distal Femoral Resections8mm - Stryker Triathlon9mm - DePuy Attune9.5mm - Smith & Nephew10mm - Zimmer Persona, DJO, MicroportAnterior Flange Angle to Prevent Notching3 degrees - S&N, Zimmer5 degrees - DJO, DePuy6 degrees - Microport7 degrees - StrykerRecommended Tibial Slope0 degrees - Stryker PS, Aesculap3 degrees - Stryker CR, Aesculap, Persona PS, Attune PS, Microport, S&N5 d...

Two studies have shown that essential amino acids (EAA) can help function, and suppress atrophy of the rectus after TKA.Dreyer et al. J Clinc Invest. 2013;123(11):4654-4666. Essential amino acid supplementation in patients following total knee arthroplasty. Ueyama et al. The Bone & Joint Journal Vol 102-B, No. 6, Supp A. Perioperative essential amino acid supplementation suppresses rectus femoris muscle atrophy and accelerates early functional recovery following total knee arthroplas...

Do not take my word for it but do your research and verify everything. Here I'll review the four common cups many of us useZimmer G7 - ream under by 1 mm, 36 mm ID options at 50 with 10 degree and +5 lat offsetStryker Trident II Tritanium - ream line to line, 36 neutral option at 48 and 36 mm options with lip and offset at 52 mmDePuy Pinnacle - under by 1 mm, 2mm or line to line, 36 mm ID options at 52 mmSmith and Nephew - under by 1 mm or line to line, 36 mm ID option at 52 mmIf you are a 40...

Here I share with some some tips and tricks on what I look for and what I do when caring for the 50 and older patient with knee pain that does not have severe arthritis and does have a meniscus tear.I also share some tips on what to do during boards collections to make sure you have copies of the intra-op photos and how I discuss the surgical findings with my patients in the office. & so much moreA bi-monthly podcast where we share the stories of our Caregivers, patients and...Listen on: ...

Here is my take on the three new broach only collared hip stemsDepuy Actis130 degree neck shaft anglesizes 0-12high offset 6mm (sizes 0-3) and 8 mm (sizes 4-12)Zimmer Avenier135 neck shaft anglesizes 0-9high offset 6mmcollared and non-collared optionscoxa vara neck 126.5 degreesStryker Insignia130 degress neck shaft anglesizes 0-11high offset 5 mm & so much moreA bi-monthly podcast where we share the stories of our Caregivers, patients and...Listen on: Apple Podcasts SpotifySupport...

LLD is a real issue. Here I will go over a number of things that can cause or lead to a LLD. I will share things I look for and how I talk to patients about LLD and what things you can do at the time of surgery to control for LLD. Support the show

What you are looking for in a fellowship is a personal decision. I covered this topic before but we are in the middle of fellowship applications and most applicants have the same questions.Here I discuss volume, autonomy, approaches, implants, technology, clinic, revisions and finding a job. Support the show

I used nav in 2005 and was looking forward to robotics when they came on the scene. First it was Mako and now Rosa and Velys. Unfortunately, the powers that be have not allowed them in our system yet.I think it is important for residents and fellows to be trained with robots. It is a part of education today. Robotic training will help you land a job. Robotics may help you attract patients.Augmented reality may offer some of the same information because that technology is advancing quickly.But...

AR is something I am really excited about. Here is my two cents on the future of AR technology in total knees Support the show

I am happy to share my new book THE KNEE BOOK - A GUIDE TO THE AGING KNEEIt was written for patients and it is written to patients in easy to understand language.The book is a perfect recommendation for patients with knee pain that have questions.I believe it is also a great resource for residents and young surgeons. In it I review the algorithm for treating patients with knee pain from the most conservative up to knee replacement.What I think is the best benefit for young surgeons is all of ...

I still do this every Friday (sooner if it is a complicated revision)Check the patient, age, BMI, nasal swab, dvt proph. Check the x-rays and make sure the implants are ordered. Review the labs and any clearances that are needed.Double check everything necessary with the patient the day of surgery.Make sure the room is set up with everything you need prior to the patient coming into the room. Support the show

Whether you are doing a hemi or total, cementing the femoral component takes some skill. Here I will share with you my tips on how to get a good cement mantle.A link to the episode on cement grading:https://www.buzzsprout.com/725061/episodes/7501843 Support the show

SSI is the number one reason for unplanned admission after TJA.Biofilm can form within minutes and be mature within 24 hours. Biofilm contains approximately 80% ECM and 20% bacteria.Check out this lecture by Next Science that was given at AAOS 2021https://www.youtube.com/watch?v=5WPZ02t8hEs&list=PL226EPMMG9vYS9F1oDCU9SvOOBIqjJXze&index=6And this two part series:https://www.youtube.com/watch?v=cG3iOT4vZlA&list=PL226EPMMG9vYWosH11BTZh1_2g02R-M92&index=7&t=31shttps://www.yout...

I discussed varus knees previously, here is my two cents on what I look for and how I approach the valgus deformity when performing a TKAKrackowI - min valgusII - deformity > 10 degree, medial soft tissue stretchingIII - severe, incompetent medial soft tissues, have constrained/hinge avail Support the show

I had the chance to sit down for the second time with Dr. Colwell. In this episode we cover teaching fellows, running two rooms, bilateral total joints and more.If you haven't listen to the first episode you can listen here:https://podcasts.apple.com/us/podcast/interview-with-dr-colwell/id1507691532?i=1000536512016 & so much moreA bi-monthly podcast where we share the stories of our Caregivers, patients and...Listen on: Apple Podcasts SpotifySupport the show

Know if it is fixed or correctableAssess the amount of osteophytesRelease MCL around to semimembranousAssess PCL if using CRConsider downsizing tibial and removing additional medial boneFurther Reading:Master Techniques Knee Arthroplasty - Lotke and LonnerChapter 7 by Scuderi and InsallAdvanced Reconstruction of the Knee AAOSChapter 27 - Varus Knee - Windsor and ChoiJAAOS Article Dr. Mihalko - http://upload.orthobullets.com/journalclub/free_pdf/19948701_19948701.pdf Support the show

I first met Dr. Colwell when I came west to interview for a fellowship at Scripps Clinic. I had the pleasure to sit down and ask him some questions about orthopedics and his career. We talked for an hour and a half and I could have spent all day listening to his stories. We didn't have time to get to every question that I had for him so I hope we can sit down again soon for a second Dr. Colwell interview. & so much moreA bi-monthly podcast where we share the stories of our Caregivers, pat...

References:Ng et al. Preoperative Risk Stratification and Risk Reduction for Total Joint Reconstruction. AAOS 2013Aram et al. Estimating an Individual's Probability of Revision Surgery After Knee Replacement. Am J of Epid 2018Gronbeck et at. Risk stratification in primary total joint arthroplasty. Arthroplasty Today 2019Florschutz et al. Estimating patient specific mortality after joint replacement. Osteoarthritis and Cartilage 2019Ziebma-Davis et al. Outpatient Joint Arthroplasty. J Arthopla...