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Learn from some of the top orthopaedic surgeons in the world! In Ask the Expert, ICJR gets answers on the hottest topics in orthopaedics from leading authorities in hip and knee replacement, shoulder procedures, and sports medicine.

Current Articles

What Are Your Perioperative Protocols for Primary TKA Patients?
Dr. Denis Nam, Dr. Ran Schwarzkopf, and Dr. Scott Sporer respond to questions from ICJR about perioperative management of primary total knee arthroplasty patients, including BMI cutoff, antibiotic prophylaxis, and use of tranexamic acid.
By Denis Nam MD MSc, Ran Schwarzkopf MD MSc, Scott Sporer MD MS - Posted 04 Sep 2019

What Are Your Perioperative Protocols for Primary THA Patients?
Dr. Antonia Chen, Dr. James Browne, and Dr. Jonathan Vigdorchik respond to questions from ICJR about perioperative management of primary total hip arthroplasty patients, including BMI cutoff, antibiotic prophylaxis, and the use of tranexamic acid.
By James A. Browne MD, Antonia F. Chen MD MBA, Jonathan M. Vigdorchik MD - Posted 03 Sep 2019

Is There a Preferred Position for Arthroscopic Rotator Cuff Repair?
Dr. Michael Bender and Dr. Brent Morris respond to questions from ICJR about the beach chair versus the lateral decubitus position for patients undergoing arthroscopic surgery to repair a rotator cuff tear.
By Brent J. Morris MD, Michael J. Bender MD - Posted 16 Apr 2018

Which Patients Can Be Discharged the Same Day as Surgery?
Dr. Stefan Kreuzer answers ICJR’s questions about the steps he and his staff take to ensure patients can safely return home the same day as their joint replacement procedure.
Posted 02 Apr 2018

How Should the Surgeon Treat Shoulder Instability with Bone Loss?
Dr. Josef Eichinger answers ICJR’s questions on the treatment options for patients who present with shoulder instability that is revealed to involve bipolar bone loss as well.
By Josef Eichinger MD - Posted 15 Feb 2018

What Are the Top Considerations for the Table Used in a DAA THA?
Dr. Stephen J. Nelson and Dr. Lee E. Rubin of Yale University answer ICJR’s questions about the debate over the use of an orthopaedic traction table versus a regular OR table when performing a direct anterior approach total hip arthroplasty.  
By Stephen J. Nelson MD, Lee E. Rubin MD - Posted 05 Feb 2018

Which Patients with SLAP Tears Benefit from Surgery?
Dr. Timothy Reish answers questions from ICJR about non-operative versus operative treatment options for SLAP tears, including which patients are the best candidates for a surgical procedure.
By Timothy G. Reish MD - Posted 31 Jan 2018

Is Hip Resurfacing a Viable Option for Patients with Hip OA?
Dr. George Grammatopoulos and Dr. Paul Beaulé answer questions from ICJR about their indications and experience with hip resurfacing as an alternative to total hip arthroplasty in patients with hip osteoarthritis.
By Paul Beaulé MD FRCSC, George Grammatopoulos MRCS - Posted 25 Jan 2018

What Is the Current State of Biologics for Augmenting Rotator Cuff Repairs?
Dr. Raffy Mirzayan answers questions from ICJR about the biologic options surgeons can consider to help reduce re-tears in patients with rotator cuff tears.
By Raffy Mirzayan MD - Posted 15 Jan 2018

What Are the Benefits of Using Barbed Suture?
Dr. Michael Nett answers questions from ICJR about barbed versus conventional suture material and offers tips for surgeons who want to adopt the use of barbed suture.
By Michael P. Nett MD - Posted 04 Jan 2018

Is Shoulder Arthroplasty a Good Option for Younger Patients?
Dr. Matthew Ramsey answers questions from ICJR about shoulder arthroplasty in younger patients who present with osteoarthritis.
By Matthew L. Ramsey MD - Posted 05 Dec 2017

What Are the Treatment Options for TKA Patients with a PJI?
Dr. Bryan Springer answers questions from ICJR about managing a total knee arthroplasty patient who has a deep periprosthetic joint infection, in part 2 of a 2-part series. Part 1 was published yesterday.
By Bryan D. Springer MD - Posted 29 Nov 2017

What Are the Guidelines for Working Up a Suspected PJI?
Dr. Bryan Springer answers questions from ICJR about evaluating a total knee arthroplasty patient who may have a deep periprosthetic joint infection, in part 1 of a 2-part series. Part 2 will be published tomorrow.  
By Bryan D. Springer MD - Posted 28 Nov 2017

Is Outpatient Surgery a Viable Option for Shoulder Arthroplasty?
Dr. Quin Throckmorton answers questions from ICJR on the future of shoulder replacement as an outpatient procedure.
By Thomas Quin Throckmorton MD - Posted 20 Nov 2017

What Are the Options for Managing Pelvic Discontinuity?
Dr. Christopher Melnic and Dr. Scott Sporer answer questions from ICJR about managing patients who present with acute or chronic pelvic discontinuity.
Posted 14 Nov 2017

What Are the Most Important Factors in Preop Patient Optimization?
Dr. Brian Curtin answers questions from ICJR about the key parameters surgeons should consider when optimizing patients for joint replacement surgery.
By Brian M. Curtin MD - Posted 09 Nov 2017

Should Obese Patients Undergo Bariatric Surgery before TJA?
Dr. Alexander McLawhorn answers questions from ICJR about the potential benefits of referring joint replacement patients with an elevated BMI for weight management that may include bariatric surgery.
By Alexander S. McLawhorn MD MBA - Posted 23 Oct 2017

How Should Surgeons Manage Proximal Humerus Fractures?
Dr. Michael McKee answers questions from ICJR about the options for surgical treatment of these fractures in older patients.
By Michael D. McKee MD FRCSC - Posted 12 Oct 2017

What Are the Criteria for Patient Selection with the Direct Anterior Approach?
Dr. Preetesh Patel answers questions from ICJR about how patient selection evolves as the surgeon becomes more familiar and comfortable with the direct anterior approach for total hip arthroplasty.
By Preetesh D. Patel MD - Posted 09 Oct 2017