Total Joint Orthopedics

03/31/2026

The study that changed the conversation about universal knees.

Researchers evaluated modern symmetrical vs. asymmetrical TKA designs in a head-to-head retrospective review.

The Setup: • 225 patients (246 knees) - Modern Universal (Klassic®) • 235 patients (236 knees) - Asymmetric (Vanguard) • Minimum 1-year follow-up • Radiographic and clinical outcomes

The Results:
📉 Patellar Tilt: Modern Universal showed SIGNIFICANTLY less patellar tilt than the asymmetric design (P < 0.0001)

📊 Patient-Reported Outcomes: • PROMIS Physical Function: 43.5 vs 41.1 (ns) • PROMIS Physical Health: 48.2 vs 46.7 (ns)
• PROMIS Mental Health: 53.3 vs 51.8 (ns) • KOOS JR: 74.5 vs 78.4 (ns)

🔧 Complications: • Manipulation under anesthesia: 6.1% vs 4.2% (ns) • Reoperation: 3.7% vs 3.0% (ns) • Infection: 1.7% vs 1.7% (ns)
Translation: Equivalent safety profile.

The Conclusion: "The symmetrical femoral design demonstrated similar PROs and outcomes to an asymmetrical design. Despite some concern that patellar tracking could be worse in a symmetrical implant, the modern symmetrical TKA design demonstrated less patellar tilt and overall appears to perform clinically similarly to an asymmetric anatomic design."

What this means: Universal geometry + modern features = clinical performance that meets or exceeds asymmetric designs.

https://info.tjoinc.com/modern_sym_vs_asym

03/27/2026

The breakthrough that changed everything: Our patented Double Q-Angle design. Here's the engineering insight that makes the Modern Universal Femur work:

🔬 The Problem to Solve: In early flexion (0-30°), the patella needs lateral guidance to track smoothly into the trochlear groove. With their straight and narrow trochlear designs, traditional universal knees did not provide this smooth transition.

🔧 The Innovation: We created a modern, symmetrical 9° Q-angle on BOTH sides of the trochlear groove.

Why this works: The patella experiences forces pushing it laterally, so it only engages ONE side of the femoral component during early flexion • The medial side doesn't matter during this critical tracking phase • By putting a 9° Q-angle on both sides, we guide the patella with natural kinematics, whether it's a left or right knee.

The result: Natural patellar tracking in universal geometry.
This single design innovation allowed us to combine modern clinical performance with universal efficiency—without compromise.

https://info.tjoinc.com/kinematics

03/25/2026

This is why we do what we do.

At TJO, our mission is about more than procedures—it’s about helping people return to the lives they love.

Congratulations to Gayle Flynn on completing the To***co Road Half Marathon just 9 months after a total knee replacement; an inspiring reminder of what’s possible.

We’re proud to support journeys like this every day!

This is why we do what we do. At TJO, our mission is about more than procedures—it’s about helping people return to the lives they love. Congratulations to Gayle Flynn on completing the To***co Road Half Marathon just 9 months after a total knee replacement; an inspiring reminder of what’s pos...

03/24/2026

The Evidence Is In
Through direct comparisons, in vivo analysis, and 10-year follow-up, the Modern Universal Femur demonstrates:
• Statistically significant improvements in patellar tracking
• Natural rollback and axial rotation
• Strong long-term survivorship

Modern symmetrical design. Clinically validated.

03/17/2026

Discover how top-performing ASCs are redefining efficiency, improving patient outcomes, and challenging the status quo.

Join our exclusive masterclass, Building a Successful ASC with Strategic Implant Selection, hosted by TJO and OTW on Wednesday, April 29 at 6pm ET / 4pm MT. We’ll dive into why most TKA systems fall short in the ASC setting, how to overcome common efficiency barriers, and the latest implant and instrumentation innovations driving meaningful change—plus new outcomes data that may shift the way you think about TKA design.

If you’re focused on optimizing performance and staying ahead, you won’t want to miss this.

👉 Save your spot
https://zoom.us/webinar/register/5917730958738/WN_fmugJkB-QDSHAETA9rlDug #/registration

03/03/2026

We’re delighted to welcome Vito Guardia to TJO as Vice President of Commercial. Vito brings more than 20 years of orthopedic commercial leadership experience, and a proven track record of building high-performance distributor networks and driving measurable market growth. He is exceptionally well positioned to support our next phase of growth as we execute our commercial expansion strategy, including targeted ASC pe*******on and the continued rollout of the Klassic® Knee System.

Read more here: https://buff.ly/s2jE9Gk

02/27/2026

Skepticism about universal knees is understandable—the early designs had real problems.
But the Modern Universal Femur addressed every single one of those issues with proven design features and clinical evidence.

Which myth surprised you most? Let's discuss in the comments. 👇

02/26/2026

Tune in as Dr. Aaron Hofmann joins Orthopedics This Week’s Robin Young to reflect on four decades of contributions to orthopedics and the vision behind TJO.

In this interview, they discuss:
→ The experiences and insight that led to the founding of TJO and the development of the Klassic® Knee System
→ 10-year clinical evidence supporting Klassic Knee’s modern, universal design
→ The unmatched value and efficiency Klassic ONE® brings to the rapidly growing ASC landscape

Watch the full conversation here: https://youtu.be/lnCOjR7ESaU
Spotify: https://open.spotify.com/episode/4FDseW9Ew5JMHjO9CQoYG6?si=3JZIBSWzSb6LAorMSOxP-w
Apple Podcasts: https://podcasts.apple.com/gr/podcast/otw-pod/id1800279381

02/20/2026

Early “universal” femoral designs revealed limitations in patellofemoral mechanics. Shallow trochlear geometry and limited guidance for patellar tracking contributed to avoidable complications.

In response, the industry shifted toward asymmetric designs to better address tracking and alignment. However, our approach builds on those modern advancements while reintroducing the efficiency of a universal platform.

The result is a contemporary universal femur designed with:
✅ Advanced trochlear geometry aligned with current standards
✅ Patented 9° double Q-angle to support patellar tracking
✅ Refined anterior fl**ge profile for modern performance
✅ Long-term clinical data demonstrating strong 10-year outcomes and reduced patellar tilt compared to asymmetric designs (P < 0.0001)

This is not a return to legacy universal design. It’s a modern solution engineered with today’s clinical expectations in mind.

02/05/2026

We’re heading to JAMM!
Find Total Joint Orthopedics at Booth #4, February 5–8 at the Grand Hyatt Deer Valley.

JAMM is all about meaningful education and conversation - we’d love for you to stop by, say hello, and connect with our team during this interactive learning experience led by experts from The Hip Society and The Knee Society.

12/25/2025

Thank you for being part of our year. Wishing you a season filled with warmth, rest, and time with those who matter most. Happy Holidays! — TJO

12/12/2025

Please join us in welcoming Brian, our new Warehouse Supervisor, to TJO! Brian brings a strong background in warehousing operations along with extensive experience in people leadership and team development. Throughout his career, he has supported high-volume warehouse environments and understands the importance of safety, accuracy, and execution—all critical to supporting our operations and customers.

Outside of work, Brian is a proud father of five, a big sports fan (Nebraska Football, Utah Football, 49ers), and enjoys playing video games. He’s already hit the ground running and is looking forward to getting to know the team and contributing to our continued growth.