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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On this episode, we cover arthrofibrosis following ACL reconstruction.

We kick off with a general overview of what arthrofibrosis is, its causes, and its implications for both surgeons and physical therapists. Dr. Benner shares his extensive experience and insights learned from working alongside Dr. Shelbourne, an internationally known expert in this condition.

The discussion progresses to cover the importance of prevention, early detection, and the critical role of achieving and maintaining full knee extension before and after surgery. We explore the factors that contribute to arthrofibrosis, the significance of preoperative and postoperative care, and the differences in how this condition presents in patients.

The episode also highlights a recent study on arthrofibrosis classification and outcomes, which will be presented at the AOSSM annual meeting. The study, co-authored by Dr. Benner, Scot Bauman, Bill Claussen, and Dr. Shelbourne, categorizes patients based on their range of motion deficits and evaluates their postoperative improvements and subjective scores.

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In this episode, we discuss early objective predictors of return to sport following ACL reconstruction. This conversation is particularly relevant for sports medicine fellows, physical therapists, athletic trainers, and orthopedic surgeons.

We explore a recent study focusing on the importance of early postoperative testing. Key points include the role of extension, strength, hop testing, and stability in predicting return to sport times.

Listeners will gain valuable insights into the significance of early rehabilitation metrics, the impact of objective testing on clinical decisions, and practical advice for improving patient outcomes. Tune in to learn how early intervention can lead to faster and more effective recovery for athletes after ACL surgery.

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On this episode, we talk with Dr. Fred Azar from the Campbell Clinic in Memphis, TN about the medical management of NBA players with knee injuries. Dr. Azar has spent over 20 years in the NBA where he has served as the orthopedic team physician for the Memphis Grizzlies as well as serving as a consultant for varies NBA teams. On the podcast, he talks about the most common injuries seen in the NBA and how to manage them utilizing a team approach.

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On this episode, we discuss the impact preoperative flexion has on postoperative flexion, following total knee arthroplasty. We cover a recent research project that shows the association between these timepoints when it comes to flexion range of motion.

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On this episode, we discuss a recent project assessing the rates of TKA based on the location and severity of knee OA. The project showed a statistically significantly higher rate of TKA for severe OA when the OA was located in the medial compartment when compared to the lateral or PF compartments.

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