JOEI The Journal

Ira H. Kirschenbaum, MD
  • 5.0 (3)
  • Medicine
  • Updated Biweekly

The Journal of Orthopaedic Experience & Innovation publishes the podcasts of its "Open Mic" Topic Sessions and 5-minute summaries of all its articles.

  1. 8h ago

    Are All Triple-Taper Stems The Same

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

  2. 8h ago

    5-Minute Summary: Beyond BMI: Surgical Readiness in the Age of GLP-1 Therapy

    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).

  3. 2d ago

    5-Minute Summary: Concordance of ChatGPT with a Fellowship-Trained Orthopaedic Surgeon in Detecting Periprosthetic Osteolysis Following Total Shoulder Arthroplasty

    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.

  4. 3d ago

    5-Minute Summary: Changes in Oral and Gut Microbiome Diversity in Patients undergoing Total Joint Arthroplasty and Receiving Perioperative Antibiotics, a Pilot Case Series

    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 replacements who receive routine peri-operative antibiotics and (2) at what time point does a patient’s microbiome return to pre-surgery profiles?

  5. 6d ago

    5-Minute Summary: Reclaiming the Continuum of Care: A Physician-Owned Capital Platform for Aligning Care Delivery, Risk, and Financial Infrastructure

    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, independent physicians collect roughly 29% less from Medicare and close to half the commercial rates that the local university hospital receives for identical orthopedic procedures — while the 2026 CMS fee schedule drops total hip reimbursement from $1,043 to $975.20. This paper introduces the Physicians Nexus — a physician-owned capital platform designed to align care delivery, insurance risk, and financial infrastructure under unified physician governance. At its core is a physician-owned financial institution that aggregates capital across specialties and geographies. Through this platform, physician groups participate in the health cooperative that standardizes benefit design and generates predictable utilization. This alignment enables the formation of a physician-governed captive insurance structure that captures underwriting gains and retains reserves within the system. By internalizing the economic value of care delivery and redeploying it through a coordinated financial structure, the Physicians Nexus shifts physicians from participants in fragmented systems to owners of an integrated platform. This model reduces cost, improves access, and restores physician autonomy while creating a scalable, self-reinforcing system of care and capital formation.

  6. 6d ago

    Opting Out of Medicare: Why, How, What

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

  7. Oct 10

    5-Minute Summary: Value-Based Care: Orthopaedic Surgeons Are a Paradigm Shift Away From Enabling a Specialist-Led Care Model

    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 redesign of MSK care delivery across the entire patient journey or be relegated to procedural technicians within systems designed by others. Recent federal policy signals, including CMS’ TEAM, ACCESS, and Ambulatory Specialty Care models, make it clear that specialty-driven accountability is no longer optional. These models accelerate the shift from fee-for-service and surgical episode-centric decision-making toward population-level clinical governance and at-risk accountability. This commentary argues that Specialist-Led value-based Care is a sustainable path forward for MSK care. Surgeons possess unique episode-level insight, clinical authority, and the ability to influence both upstream and downstream utilization and long-term patient outcomes. When supported by data transparency, aligned incentives, and infrastructure, MSK surgeons can drive meaningful improvements in quality, access, and affordability. Conversely, failure to lead this value-based care evolution could result in solutions that erode specialist autonomy, fragment care, and diminish the specialist’s unique MSK expertise. The window of opportunity is narrow, but the potential impact is profound: Orthopaedic and spine surgeons are one paradigm shift away from solidifying their leadership role in the future of MSK care delivery.

  8. Oct 8

    5-Minute Summary: The Process of Customization in Shoulder Arthroplasty: Advancements in 3D Design and Manufacturing

    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-step workflow for designing a custom implant, using the case of an 80-year-old patient with advanced glenoid deformity and fracture to illustrate clinical application. The process included high-resolution CT imaging, digital segmentation, and advanced planning for implant design, material selection, and fixation strategy. Postoperatively, the patient demonstrated significant pain reduction, improved range of motion, and radiographic evidence of implant stability and osseointegration. This case highlights the promise of 3D-printing in complex shoulder reconstruction and underscores the importance of continued innovation to expand access, streamline production, and validate long-term outcomes.

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About

The Journal of Orthopaedic Experience & Innovation publishes the podcasts of its "Open Mic" Topic Sessions and 5-minute summaries of all its articles.

Information

  • Creator
    Ira H. Kirschenbaum, MD
  • Years Active
    2022 - 2026
  • Episodes
    226
  • Rating
    Clean
  • Copyright
    © Ira H. Kirschenbaum, MD
  • Show Website
    JOEI The Journal

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