The Journal of Arthroplasty’s: The Cut

The Journal of Arthroplasty: The Cut brings you another very special episode based on Hip Society Proceedings that highlight three studies that define current state of hip arthroplasty. 

1. How approach and technology defer between early career and season surgeons. 
2. How experience influences outcomes in complex revisions. 
3. How fixation strategies are evolving the aging patient population. 

Our hosts Kim K. Tucker, MD and Nate D. Heckmann, MD was joined by Michael P. Bolognesi, MD and Charles L. Nelson, MD to dissect each study. We think you’ll find the discussion useful and enlightening 

Tune in for the full recording and thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:
Michael P. Bolognesi, MD
Nathanael D. Heckmann, MD
Charles L. Nelson, MD
Kim K. Tucker, MD

The Journal of Arthroplasty: The Cut brings you another very special episode that focuses on the operating room. In this episode, we’ll be discussing how we navigate the moments in total hip arthroplasty when things don’t go exactly as planned. Although we spend a great deal of time in arthroplasty on pre optimization, challenges are inevitable, even in well selected patients. But we’ll look at how we respond during those moments that ultimately define the outcomes. 

Our host Kim K. Tucker, MD was joined by Peter A. Gold, MD, William G. Hamilton, MD, David C. Landy, MD, PhD, Elizabeth G. Lieberman, MD who unpacked their approach, what they do when there are problems on the socket side or getting the cup to stick. These are issues that arise regularly and not just for those early in their career but for even the most seasoned surgeons. 

We think all arthroplasty surgeons can benefit from this recording. Tune in for the full recording and thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:
Peter A. Gold, MD
William G. Hamilton, MD
David C. Landy, MD, PhD
Elizabeth G. Lieberman, MD
Kim K. Tucker, MD

The Journal of Arthroplasty: The Cut brings you another very special episode based on Knee Society Proceedings that highlight important research about knee arthroplasty. In this episode of The Cut, our host Kim K. Tucker, MD speaks with our guest Simon W. Young, MD, FRCS about the John N. Insall award-winning study on Functional Versus Mechanical Aligment in Total Knee Arthroplasty. 

Mechanical alignment (MA) in total knee arthroplasty is regarded as a gold standard; however, some patients report dissatisfaction postsurgery. Functional alignment (FA) is a potential alternative, integrating kinematic alignment (KA) principles with preresection bone balancing within defined boundaries. In this prospective, randomized controlled trial in robotic-assisted total knee arthroplasty, interesting results were uncovered. 

Tune in to the full recording to find out what was discovered. And thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:
Kim Tucker, MD
Simon W. Young, MD, FRCS 

The Journal of Arthroplasty: The Cut brings you a very special episode on a topic that we rarely discuss – the surgeon. In this episode, our hosts Kim Tucker, MD and Carlos A. Higuera-Rueda, MD, FAAOS speak with our highly accomplished guests Peter A. Gold, MD and Nana O. Sarpong, MD, MBA on the topic of “physician burnout” that’s garnering a fair amount of attention in recent months. So, how do we preserve the surgeon to avoid burnout when in modern times surgeons are no longer just surgeons but clinicians, technicians, administrators and team leaders and often in the same day. 

What makes physician burnout a very plausible reality is the requirement to deliver consistently, like any elite performer. To be there for their patients physically, cognitively and emotionally. But the reality is, surgeons are managing even more complex patients and navigating increasing administrative burdens. So, in this podcast, our hosts and guests answer the question “what happens when the demands of the profession out pace the support systems around it?” For more, listen to the full recording here.

Thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:
Peter A. Gold, MD
Carlos A. Higuera-Rueda, MD, FAAOS
Kim Tucker, MD
Nana O. Sarpong, MD, MBA

The Journal of Arthroplasty: The Cut brings you another very special episode based on Knee Society Proceedings that highlight important research about knee arthroplasty. In this episode of The Cut, our hosts Kim K. Tucker, MD and Nathanael D. Heckmann, MD welcomed guests Craig J. Della Valle, MD, George J. Haidukewych, MD and Rafael J. Sierra, MD to discuss three different papers focusing on dual mobility, constrained liners and trends.  

Dr. Sierra began discussing the first paper/study on dual mobility. Dr. Sierra had some sheer takeaways that he wanted all surgeons to know such as surgeons should always look for an excuse to revise the cup in a revision. It’s extremely important to do this. Our second paper/study on constrained liners when abductor muscles are gone or dual mobility has already failed was discussed by Dr. Haidukewych. And lastly, the final paper/study on what is driving revisions in the US was discussed by Dr. Della Valle.

In this recording, our guests share a great deal of knowledge on revision arthroplasty. If your patients are in need of revision surgery, this is a podcast you don’t want to miss. For more, listen to the full recording here.

Thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:
Craig J. Della Valle, MD
George J. Haidukewych, MD
Nathanael D. Heckmann, MD
Rafael J. Sierra, MD
Kim K. Tucker, MD

The Journal of Arthroplasty: The Cut brings you another very special episode based on Knee Society Proceedings that highlight important research about knee arthroplasty. In this episode of The Cut, our hosts Kim K. Tucker, MD, and Nathanael D. Heckmann, MD welcomed guests Ran Schwarzkopf, MD, MSc and Christopher E. Pelt, MD to discuss three different papers, all focusing on corticosteroid injections – do they actually help and at what cost?

These injections have long been a part of the diagnostic and therapeutic toolkit, but recent data raise questions about their durability and safety—particularly before arthroplasty. Our gracious guests responded to questions such as how they counsel patients requesting a hip CSI given this limited benefit and potential infection signal, how they plan fixation when bone quality is compromised from RPOA and if there are posterior-specific technical pearls (capsular repair, retractor placement) that help minimize GT pain and so much more! 

In this recording, our guests tackle three different angles of corticosteroid use, but a common thread between them all were that they’re not as benign as once thought. For more, listen to the full recording here.

Thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:
Nathanael D. Heckmann, MD
Christopher E. Pelt
Ran Schwarzkopf, MD, MSc
Kim K. Tucker, MD

In this episode of The Journal of Arthroplasty: The Cut, our host Elizabeth G. Lieberman, MD spoke with Stephen M. Engstrom, MD and Paul M. Lichstein, MD, MS about advocacy. Together, they discussed what advocacy means, why it matters to arthroplasty surgeons and how everyone can get involved.

Our invited guests began by informing listeners that this discussion is rooted in ensuring that surgeons have a voice in the system that shape their practice. Two passionate surgeons with a singular goal of working towards sustaining physician autonomy and physician control of their practice. After listening to this recording, our listeners will understand the importance of advocacy for arthroplasty surgeons regardless of where they practice. Understanding that decisions being made on a national level with regard to physician reimbursement and patient access to care will have a tremendous impact on daily practice.

If you’re wanting to learn more about advocacy, this is the podcast for you. Enjoy and thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:

The Journal of Arthroplasty: The Cut brings you another very special episode based on Knee Society Proceedings that highlight important research about knee arthroplasty. In this episode of The Cut, our hosts Kim K. Tucker, MD, and Nathanael D. Heckmann, MD welcomed guest Ronald E. Delanois, MD to review and discuss his in-depth study on pre-operative management in knee arthritis. Dr. Delanois immediately discovered following the completion of his study was that expectations of PRP should be tempered compared to corticosteroids.

Our guest also discussed the perception PRP has with most patients – thoughts that it’s “more special or elite” which has gotten ahead of evidence that suggests otherwise. In Dr. Delanois’ opinion, proper studies have not been conducted on PRP to dispel patients’ belief that PRP regenerate or even preserves current knee cartilage. In this recording, Dr. Delanois goes into great details about his study and how he eliminated bias to generate the most accurate outcomes.

Join us for this insightful recording that you’re sure to find useful in your everyday practice. Enjoy and thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:

Ronald E. Delanois, MD
Nathanael D. Heckmann, MD
Kim K. Tucker, MD

The Journal of Arthroplasty: The Cut brings you another very special episode based on Knee Society Proceedings that highlight important research about knee arthroplasty. In this episode of The Cut, our hosts Kim K. Tucker, MD and Nathanael D. Heckmann, MD welcomed guests Jeremy M. Gililland, MD, George Grammatopoulos, MD, FRCS and Elizabeth G. Lieberman, MD to review and discuss studies that go beyond the implant and into the system.

This recording is looking at outcomes that vary a great deal depending on where and what kind of care patients receive. Our hosts and guests took a deep dive into the intersection between hospital systems, implant selection and the surgical approach with respect to hip fracture management. Together these things raise questions about where patients are treated, how they choose their implant and if new surgical trends deliver on results.

Join us for this enlightening recording that we think you’ll find useful. Enjoy and thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:

Jeremy M. Gililland, MD
George Grammatopoulos, MD, FRCS
Nathanael D. Heckmann, MD
Elizabeth G. Lieberman, MD
Kim K. Tucker, MD

The Journal of Arthroplasty: The Cut brings you another very special episode based on Knee Society Proceedings that highlight important research about knee arthroplasty.

In this episode of The Cut, our hosts Kim K. Tucker, MD and Nathanael D. Heckmann, MD welcomed guests Neil P. Sheth, MD, FACS and Rafael J. Sierra, MD to discuss all things on hip replacements in patients that are early in adulthood (30 or less). Our hosts begin the podcast discussing Dr. Sheth’s study that included patients less than 21- years old, but with a median age of 16 who underwent full hip replacement surgery. What results looked like after a five year follow up – favorable or not, how he determines to perform a full hip replacement versus hip preservation and how does a full hip replacement in young patients compare to those done with older adults?

While Dr. Sheth’s study showed that modern THA can succeed in teens, Dr. Sierra study focused on how those results transition into early adulthood when activity demands increase. Dr. Sierra’s study included patients less than 30 – years old (median age of 23) with a seven-year follow-up. Survivorship in this study shocked even Dr. Sierra.

Our guests also discuss how they approach the conversation of a total hip replacement with parents – what shared decision-making looks like, how they acquire consent from them and how they rely on them to monitor activity levels with the child. I think you’ll find this podcast extremely helpful, especially if you’ve encountered a younger patient with hip complications.

Enjoy and thanks for listening to The Journal of Arthroplasty: The Cut!

In This Episode:

Nathanael D. Heckmann, MD
Neil P. Sheth, MD, FACS
Rafael J. Sierra, MD
Kim K. Tucker, MD