Glucagon-like peptide-1 (GLP-1) receptor agonists have demonstrated benefits in diabetes and obesity management, but their impact on outcomes following unicompartmental knee arthroplasty (UKA) remains unexplored. This study evaluates the influence of preoperative GLP-1 agonist use on postoperative complications following UKA.

Prolonged screen exposure and sedentary behaviors are increasingly associated with musculoskeletal dysfunction in the digital era. This narrative review synthesizes current literature examining the relationship between digital behavior and orthopedic pathology, outlining proposed mechanisms, clinical presentations, and preventive strategies. Searches of PubMed, Google Scholar, and ScienceDirect (2000–2025) identified clinical, biomechanical, and epidemiologic evidence related to posture-associated musculoskeletal disorders. Sustained screen use and poor ergonomics are associated with cumulative strain on the cervical, thoracic, and lumbar spine. Proposed physiologic mediators, including muscle fatigue, altered proprioception, and altered spinal loading patterns, may contribute to neck pain, shoulder impingement, carpal tunnel syndrome, and lumbar strain. These conditions are commonly reported among students, remote workers, and healthcare professionals. Interventions focused on ergonomic modification, postural re-education, and osteopathic or physical rehabilitation demonstrate improvements in pain and functional outcomes in selected populations. Although screen-related biomechanical strain is increasingly prevalent, additional longitudinal research is needed to clarify causality and long-term orthopedic implications. Early preventive strategies may help mitigate chronic musculoskeletal dysfunction.

The recording of the JOEI "Open Mic" featuring Brett Levine, MD (Moderator), Richard Buch, MD, Chris Johnson, DO, Jon Minter, DO, & Jan Szatkowski, MD.

The recording of the JOEI "Open Mic" featuring Nick Arnold, MD, Matthew Cable, MD, & Michael Langworthy, MD.

Current guidelines recommend delaying elective surgery after coronary revascularization, but the relationship between timing for total joint arthroplasty (TJA) and postoperative outcomes remains unclear. We investigated the association between timing of TJA after percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and postoperative outcomes.

The author reviews his experience in managing significant bone defects in knee arthroplasty.

Knee osteoarthritis (KOA) is a highly prevalent and debilitating condition associated with substantial physical, psychological, and socioeconomic burden. For patients in whom conservative therapy has failed and who are unable or unwilling to undergo arthroplasty, treatment options remain limited. Genicular artery embolization (GAE) has emerged as a minimally invasive investigational therapy performed by interventional radiologists and vascular specialists which targets the synovial inflammation and pathological neo-angiogenesis central to KOA pathophysiology. Preclinical studies, imaging analyses, and biomarker data support the mechanistic rationale for GAE, demonstrating reductions in synovitis, hypervascularity, and inflammatory mediators. Existing clinical studies report high technical success rates, reported improvements in pain and function, and low complication rates following GAE. However, current evidence remains limited by the predominance of single-arm studies and the substantial placebo response associated with interventional pain procedures. Notably, three randomized sham-controlled trials have demonstrated mixed results, with one study showing significant benefit and two showing no significant difference compared with sham intervention. Multiple ongoing sham-controlled and investigational device exemption (IDE) trials are expected to better define the true treatment effect, optimal patient selection, and long-term role of GAE within evidence-based KOA management.

Health literacy plays a crucial role in patient decision-making. National guidelines from the NIH and AMA recommend that patient education materials (PEMs) be written at or below a 6th-grade reading level.

Magnetically driven telescopic intramedullary lengthening nails permit internal distraction osteogenesis without external fixation. While removal is typically uncomplicated, component dissociation at the telescoping junction has been reported as an infrequent but challenging complication.

The author describes his early experiences with using anatomic fluted stems for difficult knee revisions.