🦾Robots vs Computers in Knee Replacement — And the Winner Is… Neither? #orthotwitter I submit the landmark RASKAL trial — a rigorous randomised study of 303 knee replacement patients that put two hot trends head-to-head: robotic surgery vs computer-assisted surgery, and functional alignment vs mechanical alignment. The wow moment: Despite robotic-assisted surgery being on track to be used in 70% of US knee replacements by 2030, it was not superior to the older, significantly cheaper computer-assisted technology in any patient-reported outcome at two years. Likewise, functional alignment , presented as a more “natural” approach, showed no clinical advantage over traditional mechanical alignment. But robots aren’t useless: Robotic surgery cut operating time by nearly 12 minutes and caused less damage to the posterior cruciate ligament. Functional alignment also shone procedurally — requiring soft-tissue releases in only 8% of cases versus 44% with mechanical alignment.  The surgeon paradox: Despite no measurable patient benefit, surgeons preferred robotics in 82% of cases and functional alignment in 73%.  Bottom line: The priciest, most cutting-edge techniques feel better to Surgeons and have real intraoperative advantages, but patients can’t tell the difference. Surprised? Thank you @CoryCalendineMD for making me aware of this recent publication….wow! boneandjoint.org.uk/Article/…

Anybody have an idea just what this is??

From Data to Decisions, an inspiring Device Nation conversation with Dr. Craig DellaValle! Listen here: podcasts.apple.com/us/podcas… I asked a very respected Surgeon about Dr. Della Valle, and he said something I was not expecting, "That guy is all about research, SENTINEL research." I had to look that word up! "A sentinel is a guard, lookout, or watchman stationed to keep watch and prevent surprise attacks." Dr. Craig Della Valle has been producing just that for 24 years at Rush University Medical Center, as an Aaron G. Rosenberg Endowed Professor and one of the most respected voices in Adult Reconstruction! We cover: 🦴 Why he challenged the two-stage exchange as the gold standard for PJI and what the data actually showed 🏥 How 85% of his practice is now outpatient surgery (and why "less is more" keeps proving itself) 🤖 His honest take on robotics and unis, including why he stood on stage at CCJR and argued against the room 🔬 What 24+ years of sentinel research has taught him about questioning your own beliefs 💡 Hip resurfacing, dual mobility, large heads, cones, wound closure, cobalt chrome vs. ceramic, he pulls zero punches! Many of the highlights for me weren't about implants at all. It was when he talked about spending a decade on a randomized trial that completely flipped what he thought he knew. The 1/3, 1/3, 1/3 rule. About picking up his kids from school at 3:45. "DifferentThink." About watching former trainees present at the Academy without him, and feeling nothing but pride. "If you spend 10 years on a randomized trial, you can't write the abstract the night before." #orthotwitter

Ever dream of renovating a schoolhouse to LIVE in? Indiana Orthopedic Surgeon Dr. Sean Wilson, and his wife Stacie Grissom did just that and....WOW!! Watch here: youtu.be/8qhPBJggb28?si=hmdA… I would let either one of them do my TKA, what a creative powerhouse couple with just incredible skillsets! 👏 Would you tackle a project like THIS?? #devicenation

Know the movie this is from??