In this episode, we delve into the critical topic of VTE prophylaxis in knee replacement surgeries. Special guest Dr. Atul Kamath from the Cleveland Clinic joins the discussion to share insights from a recent JBJS article advocating for low-dose aspirin as the safest and most effective prophylaxis for VTE after total knee arthroplasty across all patient risk profiles.

Dr. Kamath, a seasoned orthopedic surgeon with an impressive academic and clinical background, provides an in-depth analysis of the study's methodology, results, and implications. The conversation touches on key points such as the rising trends in aspirin use, the comparative efficacy of different anticoagulants, and the cost benefits of using aspirin.

Listeners will gain valuable knowledge on how this study could potentially shift clinical practices towards using aspirin for DVT prophylaxis, the importance of rapid recovery protocols, and the overall impact on patient outcomes. This episode promises to be a comprehensive guide for orthopedic professionals interested in the latest advancements in knee replacement surgery and DVT prevention.

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In this episode, we delve into the topic of ethical considerations in orthopedic surgery. Departing from our usual focus on surgical techniques and physical therapy, we explore the delicate balance between patient autonomy and fiduciary responsibility.

The episode features a special guest, Dr. Claudette Lajam from NYU, a distinguished joint replacement surgeon and professor in the Department of Orthopedic Surgery at NYU School of Medicine. Dr. Lajam shares her insights from a recent article in the Journal of Bone and Joint Surgery, discussing ethical challenges such as declining surgical interventions for high-risk patients and the importance of informed consent.

Listeners will gain valuable perspectives on medical ethics, including beneficence, nonmaleficence, patient autonomy, and justice. The conversation also covers practical aspects like the role of risk calculators, the impact of obesity on joint replacement outcomes, and the importance of communication in patient care.

Join us for an engaging and educational discussion that sheds light on the ethical dimensions of orthopedic practice, offering valuable takeaways for both medical professionals and patients.

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On this episode, we discuss intraosseous administration of medications in total knee arthroplasty with Dr. Katharine Harper, an orthopedic surgeon specializing in joint reconstruction at the Washington, D.C. VA Medical Center.

Dr. Harper discusses her current role, and provides an in-depth exploration of intraosseous medication administration. During the conversation, she gives insights into the recent technique paper she had published in JBJS this year. Discover how this technique, backed by research from Houston Methodist, shows promise in reducing periprosthetic joint infections. Learn about the technical procedure, potential benefits, and considerations for integrating this method into your practice.

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