Infection is the #1 reason for revision TKA - it’s time for us to focus on prevention, diagnostics & effective treatment strategies for the biggest challenge in arthroplasty.

Is "opioid-free" TKA possible? Jason Jennings MD Dr. Sahil Sanghavi Ashley Costin-Brown Fahad et. al report factors associated with increased pain medication use after TKA: arthroplastytoday.org/article/S2352-… VA: Lizzie Lieberman MD

SURGICAL TECHNIQUE: No trial necessary? Bezwada et al. report their broach-to-cement technique for DAA hemiarthroplasty in fracture patients. Would you cement without trialing? Richard S. Yoon, MD Elizabeth Gausden Courtney Bell MD arthroplastytoday.org/article/S2352-…

Can I see some ID? Study reports fellows spending time in multi-disciplinary ID/ortho clinic gain tools to manage PJI in practice. Who managed PJI in your practice? @alexisgaskin32 Dr Seb Heaven Ricky Singh, MD arthroplastytoday.org/article/S2352-… VA: Andy Schwartz

CASE REPORT: The Femoral Neck-Bite Sign: A Radiographic Indicator of Catastrophic Sandwich Liner Failure in Total Hip Arthroplasty Fractured ceramic... femoral neck notching... osteolysis... OH MY! See how this was managed in this unique case report: arthroplastytoday.org/article/S2352-…

It's not just smoke. Non-tobacco nicotine dependence is associated with infection, revision, mortality, and postoperative complications in primary THA. Do you screen for nicotine? Collin Blackburn Samuel Florentino, MD @mdSchwarzkopf Md Sajeeb Khan Rhk arthroplastytoday.org/article/S2352-… VA: Joshua Rainey, MD

SURGICAL TECHNIQUE: Robotic-Assisted Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty Robotic assistance can aid in bone preservation and alignment in conversion UKA to TKA. Technique and review: arthroplastytoday.org/article/S2352-…

D.A.R.E. to limit opioid prescriptions. Lowering discharge dose of opioids resulted in fewer unused pills. What are other strategies to limit opioids? Adam Rana, MD Jonathan Vigdorchik BridgePlate2Nowhere arthroplastytoday.org/article/S2352-… VA: Andy Schwartz

OFFICE TIP: Here are some great strategies from Adam Rana, MD and co-authors to help limit opioids after TJA: Fewer Pills for Fewer Problems: Strategies for Reducing Postoperative Opioid Prescribing Following Total Joint Arthroplasty arthroplastytoday.org/article/S2352-…

The doctor will see you now...if you want. Do all patients need in-person post-op visits? Stephen Duncan, MD Benjamin Bloch Chad A Krueger, MD, FAAOS @hepinstallMD arthroplastytoday.org/article/S2352-… VA: Ashton Goldman, MD, FAAOS

Thanks for highlighting our work and our conclusion! There are a number of benefits to consolidating care to high volume specialty centers but this will not come without challenges. Reconsidering traditional post-op care plans may be helpful, especially for rural patients.

Study finds PAO patients who has access to a peri-operative chatbot had fewer narcotic refills, fewer telephone calls to clinic, and increased patient satisfaction! Joshua Rainey, MD UofU Department of Orthopeadics arthroplastytoday.org/article/S2352-…

Leave one special surgical hack/special maneuver that you think everyone should know. Very General Orthopaedist Jan Szatkowski AAOS John Shields, MD, FAAOS Brian Chalmers Nathanael Heckmann, MD Janet Conway MD, FAAOS Elizabeth Gausden Ryan K Harrison, MD Chloe EH Scott Arthroplasty Today Christopher Pelt, MD Christian J. Eccles, M.D., FAAOS

Bypass the break: Cone-on-cone and cone-in-cone constructs can help you tackle tibial fractures in revision TKA. Technique: stefano ghirardelli Elizabeth Gausden Dr. Peter Sculco Brian Chalmers VA: Joshua Rainey, MD arthroplastytoday.org/article/S2352-…

1 institution, 1 non-contact bridge plate, 6 cases of implant failure. Share your tips for ensuring success when plating periprosthetic femur fractures: Richard S. Yoon, MD @ZachWorkingMD Janet Conway MD, FAAOS Jan Szatkowski arthroplastytoday.org/article/S2352-…

Study finds 1◦-2◦ difference between planned and postoperative radiographic sagittal alignment in robotic-assisted TKA. Is that still a perfect cut? Very General Orthopaedist Kevin Denehy Neil Bradbury Dr. Nathan Cafferky VA: Ashton Goldman, MD, FAAOS arthroplastytoday.org/article/S2352-…

MEDICAL STUDENTS: Want to *nail* your arthroplasty subinternship? Remember the "Four A's" and check out this article for other tips: AAHKS Young Arthroplasty Group Medical Student Orthopedic Society #orthotwitter arthroplastytoday.org/article/S2352-…

In this study, the team adds to paucity of existing literature on the femoral side in cementless TKA. 66% of RLL were seen on the femoral side. 83% of the revisions for aseptic loosening were for the femur. Arthroplasty Today

Is the blood thicker than water? Study shows chronic anticoagulation is associated with higher medical and surgical complications in patients undergoing TKA. Tips for management of patients on blood thinners? Andy Schwartz Jacob Wilson Kevin Heo arthroplastytoday.org/action/showPdf…

SURGICAL TECHNIQUE: Robotic-Assisted Isolated Polyethylene Exchange: A Novel Surgical Technique "Robotic-assisted IPE may represent a promising, less invasive alternative to full revision surgery in appropriately selected patients with instability" arthroplastytoday.org/article/S2352-…