@ArthroToday @BrettLevineMD Interesting to look at. But 14%!?
English
Christopher Pelt, MD
1.7K posts
Christopher Pelt, MD
@PeltMD
Professor, Tenured, University of Utah Department of Orthopaedics, Adult Reconstruction (Hip and Knee). Tweets are my own.
Salt Lake City, UT Katılım Aralık 2013
511 Takip Edilen1.6K Takipçiler
Troch talk: Greater trochanteric fractures during DAA THA — how much do they matter?
Study examines 6 month and 1-year outcomes.
Read the full article: arthroplastytoday.org/article/S2352-…
English
@jointdocShields @RealPhysician Alone, I would agree. But as a part of a multimodal protocol, it seems to have unlocked a new dimension. Tylenol, anti-inflammatory, a neuro modulator in those that tolerate, and suzetrgine. All scheduled. Opioid for break through. A 5 prong approach to pain. We are closer now.
English
@PeltMD @RealPhysician Interesting. Reports in suzetrigine here have not been nearly as overwhelming
English
We’ve swung so far from the opioid crisis that we’ve created a different problem: undertreated pain.
Opiophobia — the institutional fear of prescribing adequate analgesia — has become its own epidemic.
Patients in real agony get a cocktail of placebos and “follow up outpatient”
Mary Talley Bowden MD@MaryBowdenMD
I got a lot of heat for criticizing the doctor who prescribed Percocet for my 90 year-old dad’s back pain. Let me reiterate: It is blatant malpractice to prescribe Percocet as first-line treatment for acute low back pain - especially for a 90 year old man who is otherwise pretty healthy.
English
@jointdocShields @RealPhysician Have incorporated suzetrigine to our multimodal pain protocol. Has been a game changer. We d/c TKAs with 8 oxycodone for breakthrough pain. Many patients I see back at their 6 week say they aren't even using that many.
English
@RealPhysician I hear surgeons bragging about opioid free total knee replacements all the time. No way. One of the most painful surgeries we do in ortho.
English
Plate could certainly have been longer and the inevitable happened only 8 weeks after fixation. No signs of infection. Options? Fairly fit elderly female patient. 😳 #stressriser #distalfemurfracture
English
@prem_ramkumar @JArthroplasty wearing these vests also increased my physiologic demands. lol. fun study, but I wish we could just wear watches in the OR.
English
The energy a surgeon uses during total knee arthroplasty varies with deformity type and severity. Cases with severe valgus deformity are the most physiologically demanding for the surgical team. Full details here: medilink.us/2p1z @JArthroplasty #medtwitter
English
Christopher Pelt, MD retweetledi
We’re excited to share that the 2026 PCHK Symposium will take place at a brand-new venue: the Grand Hyatt Deer Valley.
An ideal meeting for meaningful connections and educational exchange, the Symposium is set for August 13–15.
Registration is now open!
parkcityhipandknee.com/register
English
@ArthroToday @sbinimd @jmaratt @EdinburghKnee The patella really doesn’t like to be told what to do. The trochlear groove allowing the patella to track where it wants, is a very good thing.
English
In the groove...literally.
A KA-Optimized femoral implant may be the subtle design shift that patients can feel. Or, in this case - forget to feel!
Thoughts? @sbinimd @jmaratt @edinburghknee
English
Difficult bacteria to treat. No good oral antibiotics other than Linezolid which has cost and toxicity issues. Unique resistance patterns can occur with Corynebacterium as well.
The Journal of Arthroplasty@JArthroplasty
Corynebacterium-associated PJIs represent a unique subset of disease that can be challenging to manage, but with close collaboration between surgical and infectious disease teams, reasonable outcomes can be expected. arthroplastyjournal.org/article/S0883-…
English
English
@rkh_md @jointdocShields @lindseyvonn Yes! @PeltMD published on this.
sciencedirect.com/science/articl…
English
Lots of attention on @lindseyvonn ACL, but we need to take a min & appreciate that she has an arthroplasty in the contralateral knee. Joint replacement tech has come so far, with the goal of getting patients back to the activities they love
Also highlights the power of fitness
English
@ArthroToday Have seen some downsides to this technique as well. Limited soft tissue over this area and the cortical window allowing for drainage can make for issues with drainage, sinus formation and PJI. It works to extract the implant. But beware of the closure.
English
When the tibial tray won’t budge… This technique can help! Anteromedial cortical window for tough
revision TKAs.
arthroplastytoday.org/article/S2352-…
English
@JArthroplasty Consolidation drives reduced market competition, increases in hospital pricing, increase in supplies and reduced access to patients. Hospitals gain higher facility reimbursements. Higher costs passed on to insurance and pts is passed on to insurance (raised premiums) and pts.
English
Christopher Pelt, MD retweetledi
Healthcare consolidation has major effects: increased costs, reduced access, declines in care quality, and a loss of physician autonomy. Arthroplasty surgeons risk losing control over decision-making and access to high-quality, efficient healthcare.
arthroplastyjournal.org/article/S0883-…
English
@JArthroplasty It's important to continue to highlight the impacts of consolidation to the patient and on the healthcare system. CMS thinks they are saving money by paying surgeons less, surgeons aren't the expensive part of healthcare.
English
Christopher Pelt, MD retweetledi
CMS recently finalized its CY 2026 rule for the Medicare Physician Fee Schedule (MPFS) and will be detrimental to surgeon compensation, placing a 2.5% reduction. Tell your representatives to stop this “efficiency adjustment” cut to Medicare Payment aaos.quorum.us/campaign/WorkR…
@AAOS1
English
Christopher Pelt, MD retweetledi
Proud to support Operation Walk Utah in El Salvador, where teams worked together from September 26–October 2 to complete 54 joint replacements. It's a powerful reminder of the impact orthopedic care can have on a community.
operationwalkutah.org
#OperationWalk #GlobalOrthopedics #TJO
English
@slmandel @TomVargheseJr Wish the “metrics” had kicked field goals in Provo.
English
Utah is No. 13, four spots higher than AP.
The metrics *love* Utah.
English
@generalorthomd @jointdocShields @Ortho_Deck @kneedoclond I think functional? 😂… what all this shows is ppl probably tolerate staying a little closer to the alignment they start with and don’t tolerate changing… but I think it’s more than JLO and probably more than coronal alignment alone even. For now, keep varus in a little varus.
English
English
If I just read this 30 or 40 more times I might understand it! @jointdocShields @Ortho_Deck @kneedoclond
J Bone & Joint Surg@jbjs
"The Coronal Plane Alignment of the Knee Classification" by Grant et al. Read the full article bit.ly/4o2BM71 #knee
English
@JArthroplasty Or restricting access. It’s already happened with Medicaid. Our patients in most need my lose access to the care they need. @CMSGov must act to reverse this failure.
English
There has been a major decline in Medicare reimbursements for knee arthroplasty procedures after adjusting for inflation. This may pressure healthcare providers to increase patient volumes, potentially leading to burnout and compromised patient care.
arthroplastyjournal.org/article/S0883-…
English
It was an honor to host the 2025 Insall Knee Society traveling fellows here at the University of Utah this year. A great group of esteemed surgeons from all over the world joined us for a great exchange. @uofuhealthortho @hipsockneesoc @DrMoyaAngeler @UofUHealth
English