JOEI The Journal

The recording of the Journal of Orthopaedic Experience & Innovation Zoom "Open Mic" featuring Vinod Dasa, MD (Moderator), Jaso Davis, MD, Jeff Lawrence, MD, &Blake Peterson, MD.

Zero by Zero is an operating system that applies supply-chain principles to preparing patients for surgery. Every applicable requirement receives an owner, due date, acceptance authority, validity window, and recovery path. Patient on-time-in-full (OTIF) measures whether preparation is complete by the readiness-lock date and the patient arrives on Day Zero prepared and on time.

AvertD is an FDA-approved genetic test that identifies patients who may have an elevated genetic risk for developing opioid use disorder (OUD).

In our work with medical students preparing for the orthopaedic surgery residency match, we have observed a specific structural pattern affecting US citizen international medical graduates (US-IMGs) that has drawn insufficient policy attention. The share of matched US-IMG orthopaedic surgery residents has declined from 0.94% in 2008 to 0.66% in 2024, even as the US osteopathic share expanded more...

Accurate assessment of glenoid morphology is critical for preoperative planning in reverse total shoulder arthroplasty (rTSA) for rotator cuff arthropathy (RCA). While three-dimensional (3D) CT-based software improves precision, the accuracy of physical 3D-printed models compared with digital reconstructions remains under-investigated. This study compared glenoid version and inclination measuremen...

AvertD is an FDA-approved genetic test that identifies patients who may have an elevated genetic risk for developing opioid use disorder (OUD).

During my (S.P.) first year in residency, I spent a month as the night float intern at Harborview Medical Center, managing an orthopedic service with an inpatient census that frequently reached the hundreds. When I was not responding to floor pages, it was expected that I would spend time in the emergency department (ED) assisting the second-year residents with new consults of varying acuity.

Reverse total shoulder arthroplasty (rTSA) continues to expand in indications, and modern implant designs have reshaped the biomechanical role of the subscapularis. However, whether subscapularis repair is necessary after rTSA remains controversial, in part, because its contribution to stability and motion is not uniform across implant geometries. This narrative review synthesizes contemporary bio...

The recording of the JOEI Zoom "Open Mic" featuring Ron Hilllock, MD, Parminder Kang, MD, & Eric Slotkin, DO.

Dr. Stephen Howell shares his thoughts on this topic.

Periprosthetic joint infection (PJI) remains a challenging complication of total joint arthroplasty, in part because biofilm-associated bacteria demonstrate substantially greater antimicrobial tolerance than planktonic organisms. Although systemic antibiotics are central to PJI treatment, concentrations achieved within the joint may exceed the minimum inhibitory concentration (MIC) yet remain insu...

The recording of the JOEI Zoom "Open Mic" featuring Cory Calendine, MD, Elizabeth Gausen, MD, and David Rodriguez, MD.

GLP-1 receptor agonists like Ozempic and Wegovy are reshaping how healthcare systems approach preoperative optimization. Originally developed for diabetes, these therapies are now widely used for weight reduction. In orthopedics, this shift is transforming patient preparation for major surgeries like Total Knee Arthroplasty (TKA).

This study aimed to evaluate the agreement between ChatGPT 4.0 and a fellowship-trained orthopaedic surgeon in detecting periprosthetic osteolysis on radiographs following anatomic total shoulder arthroplasty (aTSA), using the Gruen and Modified Gruen zone scoring systems. Agreement with a fellowship-trained orthopaedic surgeon was evaluated.

Perioperative antibiotic prophylaxis is common practice in joint replacement surgery. Antibiotics can cause dysbiosis to the native microbiome which can negatively affect patient health and may play a role Periprosthetic Joint Infection (PJI). The purpose of this pilot feasibility study was to evaluate if (1) we can measure a change in the microbiome of patients undergoing primary hip and knee rep...

Modern healthcare is characterized by a fundamental structural misalignment: physicians deliver care, yet do not control the financial infrastructure that determines its cost, access, or sustainability. This disconnect is particularly evident in orthopedics, where highly standardized, high-value procedures coexist with wide cost variation and administrative inefficiency. In Mid-Missouri alone, ind...

The recording of the JOEI Zoom "Open Mic" featuring Daniel Choi, MD, John Dundon, MD, & Kevin Plancher, MD.

Musculoskeletal (MSK) care sits at the center of the shift toward value-based care. As one of the highest-spend and highest-variation categories in healthcare, MSK represents one of the largest remaining opportunities to meaningfully reduce total cost of care and enhance patient outcomes. Orthopaedic and spine surgeons (specialists) stand at a critical inflection point: They can either lead the re...

Three-dimensional (3D) printing has emerged as a powerful tool in joint replacement surgeries, enabling the creation of custom implants that address complex anatomical deformities. In shoulder arthroplasty, particularly in cases involving severe glenoid bone loss or fracture, custom 3D-printed glenoid baseplates offer solutions not possible with standard implants. This review outlines the step-by-...

Physical therapy is a critical component of postoperative rehabilitation after ACL surgery. However, access to formal physical therapy is not universal, and patients who do not receive adequate rehabilitation may experience worse postoperative outcomes. The primary objective of this study was to evaluate whether the addition of a low-cost, desktop 3D-printed knee extension device and at-home video...

To overcome limitations using manual instruments designed for mechanical alignment to set the tibial resection plane in kinematically aligned (KA) total knee arthroplasty (TKA), this paper reports a new dual-styli and angel-wing tibial resection guide. The primary objectives were to describe the design and perform a preliminary evaluation by reporting the frequency of tibial recuts and the proport...

Dr. Michael Langworthy reviews his experience with this novel technique of tissue preservation in complex knee arthroplasty.

The recording of the JOEI Zoom "Open Mic" featuring Michael Meneghini, MD (Moderator), James Browne, MD, Cory Calendine, MD, Antonia Chen, MD, & Jonathan Vigdorchik, MD.

The primary emphasis of orthopedic surgery residency is the development of proficient and competent orthopedic surgeons. However, networking—an often-overlooked aspect of career development—may play an important role in a surgeon’s success. Whether as a medical student seeking to match into orthopedics, a resident pursuing a fellowship position, or a graduating trainee searching for a first attend...

The recording of the JOEI Zoom "Open Mic" featuring Matthew Brown, MD, Maxwell Courtney, MD, & James Huddleston, MD.