The Joint Replacement Podcast

Matthew Sloan, MD
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Hosted by orthopedic surgeon Matthew Sloan, MD, Director of Robotics in Orthopedic Surgery at Emerson Health in Concord, Massachusetts, this podcast helps patients understand hip and knee replacement surgery. Dr. Sloan interviews leading joint replacement surgeons about robotic surgery, implant technology, recovery, and how to choose the right surgeon. Clear, expert guidance for anyone considering joint replacement or looking to stay active and pain-free.

  1. 2 天前

    RACER Knee: Does Robotic Knee Replacement Actually Improve Outcomes? | Andy Metcalfe & Ed Davis

    The RACER Knee Trial is one of the most important randomized evaluations of robotic-assisted total knee replacement to date. The headline finding is provocative: robotic-assisted surgery was more precise, but patients did not report better outcomes at 12 months compared with conventional total knee replacement. But does that mean robots do not work? In this episode, I’m joined by RACER Knee investigators Professor Andy Metcalfe and Professor Ed Davis for an in-depth discussion of what the trial actually tells us. We examine the Forgotten Joint Score, statistical power, surgeon experience, alignment philosophy, MCL releases, patellar resurfacing, cemented versus cementless fixation, costs, study funding, and the difference between achieving greater precision and knowing exactly where that precision should take us. We also discuss one of the trial’s most fascinating observations: patients who believed they received robotic surgery had substantially higher Forgotten Joint Scores than those who believed they underwent conventional surgery, highlighting the importance of blinding and patient perception in surgical trials. Finally, Andy and Ed explain what they would change if RACER were designed today and preview what is coming next, including health economic analysis, learning-curve research, alignment analyses, and longer-term 2-, 5-, and 10-year follow-up. RACER may not be the end of the robotics debate. It may be the beginning of a much more interesting question: We have the ability to perform knee replacement with extraordinary precision. Now, do we know where we should put the knee?

  2. 5 天前

    Elizabeth Gausden, MD: Periprosthetic Fractures, Robotics & the Rise of Traumaplasty

    Elizabeth Gausden, MD, joins The Joint Replacement Podcast to discuss one of the most challenging areas in orthopedic surgery: what happens when trauma and joint replacement intersect. Dr. Gausden is an orthopedic surgeon at Hospital for Special Surgery specializing in primary and revision hip and knee replacement, periprosthetic fractures, and complex reconstruction. After residency at HSS, she completed fellowship training in orthopedic trauma at UTHealth Houston and adult reconstruction at Mayo Clinic. We discuss her path to dual fellowship training, fixation versus revision for periprosthetic fractures, nail-plate constructs and distal femoral replacement, direct anterior primary and revision hip replacement, robotic-assisted hip and knee replacement, collared cementless stems, cementless knee fractures, heterotopic ossification, the Quiet Knee recovery philosophy, and how modern fixation is changing what surgeons can accomplish in increasingly complex patients. Dr. Gausden also previews the inaugural IOEN Traumaplasty Course in Orlando, October 2–3, 2026. The cadaver-based course brings trauma and arthroplasty experts together to teach practical techniques for periprosthetic fractures, revision reconstruction, and other challenging cases at the intersection of the two specialties. 🎓 FREE registration for residents and fellows Use code: TRAUMA100 Course information and registration: https://ioen.net/ioen-2026-traumaplasty-course-home/

  3. 8月22日

    The First Month After Knee Replacement: Week-by-Week Recovery

    What really happens after you leave the hospital following a knee replacement? In this episode of The Joint Replacement Podcast, I walk through the first month of recovery week by week—including the physical challenges and the psychological transition that patients may not expect. We cover: • Week 1: Survival & Stability — pain, swelling, disrupted sleep, fatigue, and learning to accept help • Week 2: Variability — why recovery isn't linear and why a bad day doesn't necessarily mean you're going backward • Week 3: The Emotional Dip — when progress can feel slow, motivation falls, and discipline becomes especially important • Week 4: Momentum — when walking, strength, pain, and confidence may begin to noticeably improve I also explain the “false plateau,” why doing too much on a good day can backfire, and why pain or swelling after increased activity can sometimes be feedback rather than failure. The first month after knee replacement isn't just physical recovery. It's a transition from dependence to independence—and from uncertainty to confidence. If you're preparing for knee replacement, recovering now, or helping someone through the process, this episode gives you a practical roadmap for those critical first four weeks. For general educational purposes only. Individual recovery varies. Always follow the recommendations of your own surgical team.

  4. 8月18日

    Joint Preservation and the Evolution of Hip & Knee Surgery with Atul Kamath, MD

    What happens when a surgeon can offer both joint preservation and joint replacement? Dr. Atul Kamath joins The Joint Replacement Podcast for a wide-ranging conversation about how modern hip and knee care has evolved—from anterior hip replacement and robotic surgery to hip arthroscopy, osteotomy, cartilage restoration, partial knee replacement, and outpatient surgery. This is also a personal episode for me: Dr. Kamath was one of my attendings during my orthopedic residency at Penn and one of the first surgeons to introduce me to the anterior approach to total hip replacement. We discuss how the anterior approach has evolved, why surgical experience and fundamentals still matter in the age of robotics, and how technology is allowing surgeons to increasingly personalize joint replacement. Dr. Kamath describes his evolution from traditional mechanical knee alignment toward a more individualized, technology-driven approach. We also take a deep dive into younger patients who aren't yet obvious candidates for joint replacement. Dr. Kamath explains the roles of hip arthroscopy, PAO, knee osteotomy, cartilage restoration, and partial knee replacement—and why the right procedure depends on much more than a patient's age. Finally, we tackle some of the questions patients ask every day: Can PRP or stem cells regrow cartilage? When is an osteotomy better than a partial knee replacement? What is the role of core decompression for avascular necrosis? And when has arthritis progressed far enough that joint replacement becomes the more predictable solution? A fascinating look at the continuum of modern hip and knee care—from preserving the native joint to replacing it. Educational content only and not a substitute for individualized medical advice.

  5. 8月14日

    The Future of Joint Replacement with Kevin Bozic, MD, MBA

    What does better joint replacement care actually look like—and should success be measured by the surgery itself or by the health outcomes that matter most to the patient? In this episode of The Joint Replacement Podcast, Dr. Matthew Sloan speaks with Kevin Bozic, MD, MBA, Chair of the Department of Surgery and Perioperative Care at Dell Medical School at the University of Texas at Austin and former President of the American Academy of Orthopaedic Surgeons. Dr. Bozic explains why value-based healthcare should focus first on improving pain, function, and quality of life rather than simply reducing costs. He shares how his multidisciplinary practice integrates physical therapy, weight management, behavioral health, and patient-reported outcomes to manage the entire spectrum of hip and knee arthritis—not just surgery. They also explore bundled payments, Medicare reimbursement, the limitations of fee-for-service medicine, patient activation, appropriate surgical selection, and why the future may involve paying healthcare teams to manage a patient's condition rather than individual procedures. Finally, Dr. Bozic shares a unique perspective as both a joint replacement expert and a joint replacement patient himself, including how he chose his own surgeon and why he cared more about surgeon experience, volume, outcomes, facility quality, and trust than the specific implant or surgical approach. A fascinating conversation about what joint replacement looks like when we stop asking only “How do we perform surgery better?” and start asking “How do we improve the patient's health?” 🎧 Follow The Joint Replacement Podcast for weekly conversations with leaders shaping the future of hip and knee replacement. Medical Disclaimer: This podcast is for educational purposes only and is not a substitute for individualized medical advice.

  6. 8月14日

    The Surgeon Who Became the Patient: Knee Replacement, Robotics & Recovery | Farzin Kabaei, MD

    What changes when a joint replacement surgeon experiences knee replacement from the other side of the operating table? Dr. Farzin Kabaei is a Los Angeles orthopedic surgeon specializing in hip and knee replacement, complex reconstruction, and orthopedic trauma. But his perspective on joint replacement is also deeply personal. After an ACL injury as a teenager, progressive arthritis, a high tibial osteotomy, multiple surgeries, and years of worsening knee pain, he ultimately underwent a knee replacement himself. In this episode, we discuss how that experience changed the way he counsels patients about pain, expectations, timing, and recovery. We explore how to know when arthritis is truly bad enough for surgery, why an X-ray alone shouldn't determine whether you need a joint replacement, and why expectations for hip and knee replacement can be very different. Dr. Kabaei also shares his approach to robotic knee replacement, anterior hip replacement and the bikini incision, injections including cortisone, hyaluronic acid and PRP, and the role of nutrition, exercise, breathwork, and preparation in recovery. Perhaps most importantly, we hear what a knee replacement actually feels like from someone who both performs the operation and lives with one every day. 🎙️ The Joint Replacement Podcast Educational content only. This podcast does not constitute individualized medical advice.

  7. 8月11日

    Stephen Howell, MD — The History and Future of Kinematic Alignment in Knee Replacement

    Dr. Stephen Howell is one of the pioneers of kinematic alignment in total knee replacement. In this episode, we explore his journey from ACL reconstruction research to developing one of the most influential alignment philosophies in modern arthroplasty. We discuss the biomechanics of the native knee, patient-specific instrumentation, implant design, robotics, and why restoring normal anatomy may lead to more natural-feeling knee replacements. Whether you're a patient preparing for surgery or an orthopedic surgeon interested in the evolution of knee replacement, this conversation provides an in-depth look at where the field has been—and where it's headed. Search The Joint Replacement Podcast on YouTube, Apple Podcasts, or Spotify, and don't forget to follow for future episodes. For more information about the KA-Optimized curriculum please visit https://www.kaoptimizedtka.com/

  8. 8月8日

    Professor Justin Cobb (Imperial College London) | Hip Resurfacing, Implant Innovation & the Future of Hip Replacement

    In Episode #34 of The Joint Replacement Podcast, I welcome Professor Justin Cobb from Imperial College London, one of the world's leading orthopedic innovators and pioneers in hip resurfacing and implant development. Throughout our conversation, Professor Cobb shares how engineering, biomechanics, and decades of research have shaped his approach to hip replacement and led to the development of a next-generation ceramic hip resurfacing implant. We discuss: Professor Cobb's journey into orthopedic surgeryImplant design and innovationComputer-assisted surgery and roboticsThe evolution of hip resurfacingCeramic-on-ceramic hip resurfacing technologyHip resurfacing versus total hip replacementWhich patients may benefit mostBone preservation and athletic performanceThe future of joint replacement surgeryIf you're interested in the latest advances in hip replacement or want to understand how today's innovations may shape the future of orthopedic care, this is an episode you won't want to miss. Search The Joint Replacement Podcast on YouTube, Apple Podcasts, Spotify, or wherever you get your podcasts for more conversations with the world's leading joint replacement experts.

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簡介

Hosted by orthopedic surgeon Matthew Sloan, MD, Director of Robotics in Orthopedic Surgery at Emerson Health in Concord, Massachusetts, this podcast helps patients understand hip and knee replacement surgery. Dr. Sloan interviews leading joint replacement surgeons about robotic surgery, implant technology, recovery, and how to choose the right surgeon. Clear, expert guidance for anyone considering joint replacement or looking to stay active and pain-free.

資訊

  • 創作者
    Matthew Sloan, MD
  • 活躍年代
    2026年
  • 集數
    44
  • 年齡分級
    兒少適宜
  • 版權
    © Matthew Sloan, MD
  • 節目網站
    The Joint Replacement Podcast

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