ArthroGuy

12/28/2025

Old habits die hard.
Alignment matters… even at lunch.

12/27/2025

Many patients are surprised to learn that early recovery after knee replacement isn’t about doing more—it’s about doing the right things.

In the first 1–2 weeks after total knee replacement, swelling control and muscle activation matter more than long exercise lists or pushing through discomfort.

In my practice, early recovery focuses on:
* restoring circulation
* re-activating the quadriceps
* gentle, controlled knee motion
* regaining knee extension
* short, intentional walking
When these priorities are respected, patients tend to move better, swell less, and progress more smoothly.

This approach is very different from the “no pain, no gain” mindset many patients are told to follow.

👉 Comment “knee recovery” and I’ll send you the PDF with the exact early-phase plan.

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12/26/2025

A knee replacement is not just a bone procedure.

Before I ever place an implant, I carefully pass through multiple biologically active layers — skin, fat, fascia, retinaculum, capsule, synovium, fat pad, and bone.

Some of these layers are rich in nerves and blood vessels.

That means trauma — even when done precisely — can be inflammatory, leading to early pain and swelling.

Then comes reconstruction:
• Precisely placed implants
• Meticulous bleeding control
• Layer-by-layer closure
• Skin sealed, not rushed

How a knee is handled, respected, and closed matters just as much as the implant itself.

Swelling isn’t weakness.
Pain isn’t failure.
It’s biology responding to trauma.

That’s why I focus on quiet tissue — because calm tissue heals better.

12/25/2025

Starting in 2026, I’m making a thoughtful change to my early recovery protocol after joint replacement—and I want to clearly explain the why behind it.

This change is not anti–physical therapy, and it’s not about doing less long-term.
Physical therapy is essential to successful recovery. Timing matters.

The first two weeks after joint replacement are unique. During this period, inflammation and swelling often peak. If this inflammation is not well controlled early, it can limit muscle activation, disrupt movement patterns, and make rehabilitation more difficult down the road.

For this reason, my early focus is on gentle recovery at home, including:
• short, frequent walks
• simple range-of-motion and muscle activation exercises
• aggressive swelling control with ice and elevation
• rest and consistency

Excessive travel, rushing to appointments, and pushing through swelling during this early phase can sometimes worsen inflammation rather than calm it.

My goal is straightforward:
➡️ Send patients to physical therapy calmer, less swollen, and better prepared to participate and progress.

By respecting the biology of healing in the first two weeks, we can make physical therapy more effective, not less effective. This approach is about protecting progress, not delaying it.

I strongly believe the best outcomes happen when surgeons and physical therapists work together with a shared understanding of healing, inflammation, and timing.

Calm tissue heals better—and it rehabs better too.

12/25/2025

Lindsey Vonn got her Mako partial knee replacement. Thats what I also offer

12/24/2025

We’re not delaying recovery — we’re protecting it.

After a hip or knee replacement, the first 1–2 weeks are a critical healing phase.
During this time, the body is inflamed, swollen, and trying to recover from surgery.

Instead of pushing aggressive physical therapy right away, I focus on:
• Controlling swelling
• Gentle, safe movement
• Walking for function
• Allowing tissues to calm and heal

This approach doesn’t slow recovery — it often improves it.
When swelling is controlled and tissues heal properly early, patients tend to move better, feel better, and progress faster later.

Calm tissue heals better.
Strong recovery starts with a quiet beginning.

As always, every patient is different. Please follow your surgeon’s individualized recommendations.

12/24/2025

One of the most viewed video on instagram how hip replacement is performed. No word is needed. Just simple visually pleasing demonstration

https://www.instagram.com/reel/DEcxjNUM_rL/?igsh=djk3cmNtN2d4Z2Vx

12/24/2025

Nice short video to show how we keep the socket portion of hip replacement to stay without any screws.

Pressfit or Uncemented total (THA) is an excellent option for patients with healthy bone and can provide bone stock preservation and implant...

12/23/2025

Why We Use Robotic Technology for Partial Knee Replacement

Partial knee replacement is one of the most technically demanding procedures in orthopedic surgery. Because the operation involves smaller incisions, less bone removal, and smaller implants, even minor variations in alignment can significantly affect patient function and long-term outcomes.

Robotic technology allows for:
• Detailed 3D preoperative planning
• Highly accurate implant positioning
• Dynamic knee balancing through the full range of motion
• Restoration of natural, kinematic alignment

This level of precision helps patients achieve a knee that feels more natural during walking, functions more efficiently, and may have improved implant longevity.

Equally important is bone preservation. Maintaining bone stock is especially critical for younger or active patients, as it allows for a more straightforward conversion to total knee replacement in the future—if ever needed—rather than a complex revision surgery.

Better planning.
Better precision.
Better outcomes.

That is why our practice performs 100% of partial knee replacements using robotic technology.

12/23/2025

Why I Do Mako Robotic Knee Replacement

Robotic knee replacement isn’t about a robot doing surgery — it’s about giving the surgeon better tools to deliver a more precise, balanced, and durable result.

Before surgery, we obtain a CT scan that allows me to build a full 3D model of the knee. Unlike standard X-rays, this lets me see each patient’s exact anatomy so I can plan implant sizes and anticipate deformity or bone loss before stepping into the operating room.

Robotic technology also allows for functional alignment, meaning implant positioning can be personalized to the patient’s unique anatomy rather than forcing every knee into the same mechanical alignment. This leads to better balance and more natural knee motion.

With this level of precision, we can often:
• Preserve more bone
• Avoid unnecessary ligament releases
• Make real-time adjustments during surgery
• Stay within built-in safety boundaries

All of this comes together to create a more precise operation and better long-term outcomes.

Better planning.
Better balance.
Better knees.

12/22/2025

🤖 Why I Use Robotic Hip Replacement

I use robotic hip replacement because it allows precision that simply isn’t possible with traditional techniques—and that precision translates to better outcomes for patients.

🔹 CT-based 3D planning
Before surgery, a CT scan creates a detailed 3D model of your hip. This allows me to plan exact implant sizes and anticipate complex anatomy like hip dysplasia or femoral deformity—often adjusting the implant strategy before I step into the operating room.

🔹 Hip–spine motion analysis
New robotic software analyzes how your hip and spine move together. This helps me place the socket more accurately, lowering the risk of impingement, dislocation, and soft-tissue or tendon irritation.

🔹 Bone preservation
Robotic guidance allows more precise bone removal. Preserving bone helps restore natural anatomy, improves alignment, and makes future revision surgery easier if it’s ever needed.

🔹 Accurate leg length & offset
Robotics provide real-time measurements during surgery so leg length and offset can be restored accurately. Adjustments are often made intraoperatively to re-establish normal biomechanics.

🔹 Less reliance on X-ray during anterior hip replacement
In many anterior hip replacements, X-ray is used to confirm leg length and offset. With robotic guidance, this is often unnecessary.

⚠️ Disclaimer: This applies specifically to CT-guided robotic hip replacement using MAKO technology.

Precision matters.
Better planning. Better ex*****on. Better outcomes.

12/22/2025

Robotic (Mako) knee replacement isn’t about a robot doing surgery — it’s about giving the surgeon better tools to deliver a more precise, balanced, and durable result.

Before surgery, we obtain a CT scan that allows me to build a full 3D model of the knee. Unlike standard X-rays, this lets me see each patient’s exact anatomy so I can plan implant sizes and anticipate deformity or bone loss before stepping into the operating room.

Robotic technology also allows for functional alignment, meaning implant positioning can be personalized to the patient’s unique anatomy rather than forcing every knee into the same mechanical alignment. This leads to better balance and more natural knee motion.

With this level of precision, we can often:
• Preserve more bone
• Avoid unnecessary ligament releases
• Make real-time adjustments during surgery
• Stay within built-in safety boundaries

All of this comes together to create a more precise operation and better long-term outcomes.

Better planning.
Better balance.
Better knees.