Explore every episode of the podcast The Joint Replacement Podcast

n this episode of The Joint Replacement Podcast, I’m joined by fellowship-trained joint replacement surgeon Dr. Paul Jacob, founder of the Oklahoma Joint Reconstruction and Research Institute.

We discuss robotic-assisted joint replacement, outpatient surgery, patient optimization, recovery expectations, implant selection, partial vs total knee replacement, anterior vs posterior hip replacement, pain management, and the future of hip and knee arthroplasty.

Dr. Jacob also shares his unique perspective from starting his career as a physical therapist before becoming an orthopedic surgeon, and explains how that background shaped his philosophy on rehabilitation, patient education, and surgical outcomes.

Topics include:

• How to know when it’s time for joint replacement
• What separates good surgeons from great surgeons
• Cemented vs cementless knee replacement
• Robotics vs manual surgery
• Outpatient and same-day joint replacement
• Managing recovery with fewer narcotics
• Patella resurfacing controversies
• Choosing the right surgeon
• The future of revision surgery and implant technology

A great conversation for patients considering joint replacement and surgeons interested in where the field is headed.

After hip replacement surgery, many patients feel like one leg is longer than the other. Is it normal? Did something go wrong? In this episode, we break down the real reasons this happens, including the difference between functional and true structural leg length discrepancy, why surgeons prioritize stability, and how muscle weakness, pelvic tilt, and soft tissue tension affect recovery. We also discuss when this feeling is expected, when it deserves further evaluation, and what actually helps improve gait and balance after surgery.

Is robotic-assisted joint replacement actually better—and do you need it?

In this episode of The Joint Replacement Podcast, Dr. Matthew Sloan, orthopedic surgeon and Director of Robotics in Orthopedic Surgery, breaks down the role of robotics in modern joint replacement. This is one of the most common questions patients ask, and the answer is more nuanced than you might think.

Dr. Sloan starts by explaining the difference between traditional “manual” joint replacement and robotic-assisted techniques. While conventional surgery has excellent long-term outcomes, it relies on mechanical guides, 2D imaging, and intraoperative judgment. Robotics builds on this foundation by introducing preoperative 3D planning, real-time data, and enhanced precision during surgery.

The episode also covers the evolution from computer navigation systems—which provided measurements and feedback—to today’s robotic platforms that help guide implant positioning and execution of the surgical plan.

The discussion then breaks down how robotics applies to three key procedures:

Partial Knee Replacement (Unicompartmental Knee Replacement)
Robotics has had a major impact in this area due to the technical precision required. Dr. Sloan explains how robotic systems allow for dynamic ligament balancing, accurate bone resection, and improved implant positioning—all of which can contribute to a more natural-feeling knee and potentially better outcomes.

Total Knee Replacement
In total knee replacement, alignment and soft tissue balance are critical. Robotics allows surgeons to plan implant positioning in advance and make intraoperative adjustments based on real-time measurements of ligament tension. This shifts the approach from forcing the knee to match the implant to customizing the implant position to match the patient’s anatomy.

Total Hip Replacement
Hip replacement is already one of the most successful procedures in medicine, but robotics can improve precision in implant positioning. Dr. Sloan discusses how CT-based 3D modeling helps optimize cup orientation, restore leg length, and recreate native hip biomechanics—especially in patients with more complex anatomy.

Throughout the episode, Dr. Sloan emphasizes a key takeaway:
Robotics is a tool. It can improve precision, consistency, and planning—but it is not required for a successful joint replacement.

The most important factor in achieving a great outcome remains the experience, judgment, and technique of the surgeon.

If you’re considering hip or knee replacement and want a clear, patient-focused explanation of robotic-assisted surgery, this episode will give you the information you need to make an informed decision.

Follow the show for more expert insights on joint replacement, recovery, and surgical decision-making.

#HipReplacement #KneeReplacement #RoboticSurgery #Orthopedics #JointReplacement #PatientEducation

In this episode of The Joint Replacement Podcast, I’m joined by Joshua Rozell to break down a challenging case of robotic total hip replacement in a patient with severe bilateral hip dysplasia and congenital dislocation.

These are some of the most complex cases we treat in hip reconstruction, where anatomy is significantly altered and standard techniques may not apply. This discussion walks through both the preoperative planning and intraoperative decision-making required to safely and effectively restore hip function.

We cover:

• How to identify and reconstruct the true acetabulum in the setting of a pseudoacetabulum
• Managing significant leg length discrepancy and setting appropriate patient expectations
• When to consider a femoral shortening osteotomy to reduce tension on the sciatic nerve
• Strategies to minimize the risk of sciatic nerve injury during hip lengthening
• The role of robotic-assisted surgery in improving accuracy, visualization, and reproducibility
• Indications for acetabular augments and how they provide both primary fixation and long-term stability
• Step-by-step surgical workflow, including reaming, cup placement, augment positioning, and fixation techniques
• Use of fluoroscopy and intraoperative landmarks to avoid common pitfalls
• Implant selection decisions, including cemented vs cementless femoral components in complex anatomy

We also discuss how robotic planning allows surgeons to:
→ Precisely locate the native hip center
→ Optimize implant positioning and screw trajectories
→ Anticipate bone defects and plan reconstruction strategies ahead of time
→ Improve confidence when approaching highly abnormal anatomy

One of the most important themes in this case is patient communication. Restoring anatomy often requires intentional changes in leg length, and setting expectations preoperatively is critical to achieving a successful outcome.

Whether you're a patient trying to understand complex hip replacement surgery, a trainee learning advanced reconstruction techniques, or a surgeon interested in the evolving role of robotics—this episode provides a detailed, practical look at modern approaches to complex hip dysplasia reconstruction.

Follow for more episodes covering:
Hip and knee replacement, robotic surgery, surgical decision-making, and patient education from one of the highest-volume robotic joint replacement surgeons in New England.

#HipReplacement #Orthopedics #RoboticSurgery #HipDysplasia #JointReplacement #MedicalEducation

In this episode of the The Joint Replacement Podcast, Dr. Matthew Sloan sits down with Dr. Joshua Rozell, Chief of Orthopedic Surgery at NYU Langone Brooklyn, Associate Professor of Orthopedic Surgery and Residency Associate Program Director, and a high-volume hip and knee replacement surgeon, for an in-depth conversation on modern joint replacement care.

They discuss Dr. Rozell’s journey into arthroplasty, what makes hip and knee replacement such a rewarding specialty, and the importance of surgical volume, precision, and continuous improvement in achieving great outcomes. The conversation also dives into key patient questions—including when it’s the right time for surgery, how long implants last, and what recovery really looks like.

You’ll also hear insights on:

• The role of robotics and cementless implants in modern joint replacement
• Realistic expectations for pain, recovery, and return to activity
• Common mistakes patients make after surgery
• The future of joint replacement, including smart implants and remote monitoring

Whether you’re a patient considering surgery or a clinician interested in the evolution of joint replacement, this episode offers practical, honest, and expert-driven insights to guide better decisions and outcomes.

If you’re considering a hip replacement, you probably have a lot of questions—and you’re not alone.

In this episode of The Joint Replacement Podcast, Dr. Matthew Sloan breaks down the 10 most common questions patients ask before total hip replacement surgery. Whether you’re just starting to explore your options or already planning surgery, this episode will help you better understand what to expect and how to make informed decisions.

We cover everything from timing and candidacy to recovery and long-term outcomes, including:

• When is the right time to have a hip replacement?
• How do you know if you’re a good candidate?
• What types of implants are used and how long do they last?
• Anterior vs posterior approaches—what matters most?
• Is robotic-assisted hip replacement actually better?
• How painful is recovery, and how long does it take?
• When can you drive, walk normally, and return to activities?
• What activities are safe after surgery—and what should you avoid?
• What are the real risks, including dislocation and leg length differences?
• How long does a hip replacement last, especially for younger patients?

Dr. Sloan also shares practical insights from his experience as a high-volume robotic joint replacement surgeon, helping you understand not just the data—but what it means for you as a patient.

Hip replacement is one of the most successful surgeries in modern medicine, with the vast majority of implants lasting 20 years or more. But knowing when to proceed—and what to expect—can make all the difference in your outcome.

🎯 Whether you’re dealing with hip arthritis, considering surgery, or supporting a loved one through the process, this episode will give you clarity and confidence.

About the Host:
Matthew Sloan, MD is an orthopedic surgeon specializing in hip and knee replacement and serves as Director of Robotics in Orthopedic Surgery at Emerson Health in Concord, Massachusetts. He is one of the highest-volume robotic joint replacement surgeons in New England and focuses on helping patients return to active, pain-free lives.

Subscribe for more expert insights on joint replacement, recovery, and cutting-edge orthopedic care.

In the first full episode of The Joint Replacement Podcast with Matthew Sloan MD, orthopedic surgeon Dr. Matthew Sloan discusses the 10 most common questions patients ask before knee replacement surgery.

For many patients, deciding whether to undergo knee replacement is a major decision. Questions about timing, recovery, pain, robotic surgery, and long-term outcomes often come up during consultations. In this episode, Dr. Sloan walks through the key topics patients should understand before considering knee replacement.

The goal of this podcast is to help patients better understand hip and knee replacement surgery, modern technology used in joint replacement, and how to choose the right surgeon for their care.

• When is the right time to have a knee replacement?
• How successful is knee replacement surgery?
• How long does a knee replacement last?
• What is robotic knee replacement surgery?
• How painful is knee replacement surgery?
• How long does recovery take after knee replacement?
• Will I need physical therapy after surgery?
• Can knee replacement be done as outpatient surgery?
• What activities can I do after knee replacement?
• How do I choose the right knee replacement surgeon?

Dr. Sloan explains how surgeons determine whether a patient is a good candidate for surgery, what patients can realistically expect during recovery, and how modern techniques such as robotic-assisted knee replacement may improve precision and outcomes.

Knee replacement is one of the most successful procedures in modern medicine, with over 90% of implants still functioning well 15–20 years after surgery. However, understanding the timing of surgery and setting realistic expectations for recovery are critical to achieving a successful outcome.

This episode is designed to help patients feel more confident when discussing treatment options with their orthopedic surgeon and to better understand what the journey through knee replacement surgery may look like.

🎙 About the Podcast

The Joint Replacement Podcast with Matthew Sloan MD helps patients understand hip and knee replacement and the surgeons who perform it.

Each episode explores the science, technology, and decision-making behind modern joint replacement, with insights from orthopedic surgeons and other experts.

Topics include:

• Hip replacement surgery
• Knee replacement surgery
• Robotic joint replacement technology
• Recovery after joint replacement
• Choosing the right surgeon

Learn more about joint replacement education and resources:
https://thejointreplacementpodcast.com

⚠️ Medical Disclaimer
This podcast is intended for educational purposes only and should not replace consultation with a qualified healthcare professional.

Welcome to the first episode of The Joint Replacement Podcast with Matthew Sloan MD.In this introductory episode, orthopedic surgeon Dr. Matthew Sloan explains the purpose of the podcast and how it will help patients better understand modern hip and knee replacement surgery.Dr. Sloan is a board-certified orthopedic surgeon specializing in hip and knee replacement, including robotic-assisted joint replacement. Through this podcast, he interviews leading surgeons and experts to discuss the science, technology, and decision-making behind joint replacement.This podcast is designed to help patients learn about:• Hip replacement surgery• Knee replacement surgery• Robotic-assisted joint replacement• Recovery after joint replacement• Choosing the right joint replacement surgeonIf you are considering joint replacement or want to better understand modern orthopedic surgery, this podcast will provide clear, expert insights.🎙 The Joint Replacement Podcast with Matthew Sloan MDHelping patients understand hip and knee replacement and the surgeons who perform it.🌐 Learn more:https://hipandkneerelief.com📍 Concord, Massachusetts⚠️ Medical DisclaimerThis video is for educational purposes only and should not replace consultation with a qualified medical professional.

Is hip replacement really a standardized surgery? Not even close. In Episode 12, orthopedic surgeon Matthew Sloan, MD breaks down the biggest controversies in modern hip replacement surgery — from anterior vs posterior approach and robotics to cemented vs cementless implants, dual mobility, same-day discharge, hip precautions, and the evolving understanding of hip-spine syndrome.

This episode explains why surgeons often disagree, why there’s rarely one perfect answer, and what actually matters most for patient outcomes. If you’re considering hip replacement surgery or want a deeper understanding of how surgical decisions are made, this episode provides straightforward, evidence-based insight into the nuances behind modern total hip arthroplasty.

Could the material inside a hip or knee replacement quietly trigger your immune system for years?

In this episode, Dr. Matthew Sloan breaks down the real science behind metal sensitivity and joint replacement implants — separating evidence from fear and marketing hype.

You’ll learn:
• What hip and knee implants are actually made of
• Why cobalt chrome, titanium, ceramic, and polyethylene are used
• The difference between a true allergy and metal hypersensitivity
• Why nickel is the biggest concern for sensitive patients
• Whether implant materials can contribute to inflammation or implant failure
• The truth about allergy testing before surgery
• When ceramic or titanium implants may make sense
• Why surgical technique matters more than the implant material alone

Most patients with joint replacements never experience clinically significant metal reactions. But understanding implant materials can help patients make better informed decisions and have more productive conversations with their surgeon.

This episode delivers a practical, evidence-based look at one of the most misunderstood topics in modern joint replacement surgery.

Most patients worry about the wrong complications after knee replacement—and the ones that actually matter are often not what people expect.

In this episode, I break down the 10 most common complications after knee replacement, what’s normal during recovery, what’s not, and the warning signs you need to pay attention to.

This is the same framework I use with my patients every day to help them recover safely and confidently.

We cover:

• Pain: expected vs concerning
• Stiffness and why early motion is critical
• Infection: how to recognize it early
• Blood clots and why early walking matters
• Implant loosening over time
• Fractures and fall risk
• Instability and “giving way”
• Swelling and how to manage it
• Nerve symptoms
• When additional procedures may be needed

The key takeaway:
These are possibilities—not probabilities.

Most patients do very well after knee replacement. But understanding the risks can completely change your recovery, help you catch issues early, and ultimately lead to a better outcome.

If you're considering knee replacement—or recovering from one—this is essential listening.

Most people think joint replacement is straightforward—fix the problem and move on. But the reality is far more nuanced.

In this episode of The Joint Replacement Podcast, I’m joined by Dr. Ahmed Siddiqi, an orthopedic surgeon known for his patient-centered approach and expertise in modern hip and knee replacement. We dive into how great surgeons think beyond the X-ray—focusing on timing, patient mindset, surgical philosophy, and recovery optimization.

Dr. Siddiqi shares insights from his training at the Cleveland Clinic and his evolving practice, including how he approaches decision-making, sets expectations, and personalizes care for each patient.

We cover:

• How to know when you’re truly ready for joint replacement
• Why mindset may matter more than the surgery itself
• What separates a good surgeon from a great one
• Realistic recovery timelines (and the biggest mistakes patients make)
• Outpatient joint replacement and modern care pathways
• Robotics, data, and where joint replacement is heading next

This conversation is packed with practical insights for patients considering surgery—and for anyone who wants a clearer understanding of what actually drives great outcomes.

If you’re thinking about joint replacement or just want a behind-the-scenes look at how top surgeons approach care, this is an episode you don’t want to miss.

You might think knee replacement is standardized—but it’s not.

In this episode, I break down the 10 biggest controversies in knee replacement and what they actually mean for you as a patient. These are real debates that surgeons have all the time—and in many cases, there’s more than one “right” answer.

We cover:

• Alignment: Mechanical vs kinematic—should every knee be perfectly straight?
• Surgical approach: Standard vs minimally invasive—does smaller mean better?
• Patellar resurfacing: Should the kneecap be replaced?
• Cemented vs cementless implants: How implants attach to bone
• Robotics: Does it actually improve outcomes?
• Implant design: Different philosophies on how the knee should function
• Tourniquet use: Helpful or unnecessary?
• Same-day surgery: Who can safely go home the same day
• Pain management strategies: Nerve blocks, anesthesia, and multimodal approaches
• Rehab protocols: How aggressive should recovery be?

The big takeaway:
👉 There’s more than one way to do this surgery well
👉 The surgeon matters more than the exact technique

These decisions are influenced by patient anatomy, goals, and surgeon philosophy—there’s no one-size-fits-all approach.

If you’re considering knee replacement, this episode will help you better understand your options and ask the right questions.

Follow the podcast for more clear, honest insights into joint replacement—and share this with someone trying to navigate their decision.

Most people wait too long to get a joint replacement—and sometimes, they do it too early.

So how do you actually know when it’s the right time?

In this episode of The Joint Replacement Podcast, I break down how I think about timing as a joint replacement surgeon and what I tell my own patients in clinic every day.

The truth is, there’s no perfect age and no perfect X-ray that tells you when it’s time for surgery. Instead, the decision comes down to a few key factors that can dramatically impact your outcome.

In this episode, we cover:

• Why X-rays don’t tell the whole story
• The 3 key factors that determine timing
• The most common mistakes patients make (waiting too long vs going too early)
• Why “you’re too young” isn’t always true
• What recovery really looks like—and why timing matters

If you’re dealing with knee or hip pain—or trying to decide whether surgery is the right next step—this episode will give you a clear framework to think about it.

👍 Follow for more straightforward, evidence-based insights on joint replacement
📌 Share this episode with someone considering knee or hip surgery

In this episode of The Joint Replacement Podcast, I’m joined by Keith Connolly, MD, a fellowship-trained orthopedic surgeon specializing in hip and knee replacement in Marquette, Michigan.

We cover a wide range of topics that matter most to patients considering joint replacement—from how to know when it’s time for surgery to what truly separates a good surgeon from a great one.

Dr. Connolly shares his unique journey into orthopedics, his approach to patient care, and his perspective on modern joint replacement techniques, including partial knee replacement, total knee replacement, and hip replacement.

🔑 What We Discuss:

• How long joint replacements really last• When it’s the right time to have surgery• What recovery actually looks like today• Partial knee vs total knee replacement — who is a candidate?• The importance of surgeon experience and volume• Common mistakes patients make after surgery• Pain management and minimizing narcotic use• Outpatient joint replacement and rapid recovery• Cemented vs cementless implants• Robotic vs manual surgery — does it matter?• When you can safely return to sports like golf, tennis, and skiing• The future of joint replacement and emerging innovations

🎯 Key Takeaways:

Modern joint replacement is evolving rapidly. Recovery is faster, techniques are more refined, and for many patients, these procedures can restore quality of life with durable, long-lasting results.

Perhaps most importantly, this episode highlights that choosing the right surgeon—and the right procedure for the right patient—matters more than any single technology.

If you’re considering hip or knee replacement, or just want clear, honest answers from experienced surgeons, this episode is for you.

👉 Follow The Joint Replacement Podcast for more expert insights on hip and knee replacement.

Partial knee replacement is one of the most effective—and most misunderstood—procedures in orthopedics.

In this episode of the Joint Replacement Podcast, Matthew Sloan takes a deep dive into what partial knee replacement actually is, who it’s for, and why getting it right matters so much.

Many patients ask: “Can I just replace the bad part of my knee?”
The answer is: sometimes—but only if you’re the right candidate.

In this episode, we break down:

• What a partial (unicompartmental) knee replacement really involves
• The three compartments of the knee and why arthritis often affects just one
• Who is a good candidate—and who is not
• Why patient selection is the most important factor for success
• How partial knee compares to total knee replacement
• Why precision and alignment are critical—and how robotics is changing the game

You’ll also learn:

• Why partial knees can feel more “natural” than total knees
• The biggest misconceptions about this procedure
• When a total knee replacement is actually the better option
• And how modern techniques are improving outcomes

The key takeaway:
Partial knee replacement isn’t a “smaller” version of a total knee—it’s a different operation for a specific problem.

When done in the right patient, with the right technique, it can provide excellent outcomes and faster recovery. But when used in the wrong situation, it can lead to early failure.

If you’re considering knee replacement—or just want to better understand your options—this episode gives you a clear, honest, and practical framework to make an informed decision.

🎧 Follow the podcast for more insights on joint replacement, recovery, and the latest in orthopedic technology.

Why are so many patients walking just hours after hip or knee replacement surgery?

The answer isn't simply better implants or robotic technology—it's the dramatic evolution of modern anesthesia and perioperative medicine.

In Episode 27, Dr. Matthew Sloan explores how multimodal pain management, spinal anesthesia, targeted nerve blocks, opioid minimization, and coordinated recovery protocols have fundamentally changed the patient experience after joint replacement.

Topics include:

• The shift from heavy sedation to precision-guided anesthesia
• How spinal anesthesia improves recovery
• Why nerve blocks preserve strength while reducing pain
• The concept of preemptive analgesia
• How robotic surgery complements modern recovery pathways
• Why early mobility is beneficial—but doesn't mean you're fully healed
• The role of personalized anesthesia plans

Whether you're considering surgery or simply want to understand how modern joint replacement has evolved, this episode explains the science behind today's faster, safer, and more comfortable recoveries.

The Joint Replacement Podcast delivers evidence-based education on robotic joint replacement, recovery science, implant technology, and the future of orthopedic surgery.

What makes a hip or knee replacement truly successful?

In this episode of The Joint Replacement Podcast, Dr. Matthew Sloan sits down with Dr. Wayne Moschetti of Dartmouth Health to explore one of the most important—and often overlooked—topics in modern orthopedic surgery: patient-reported outcome measures (PROMs).

Dr. Moschetti discusses how orthopedic surgeons are moving beyond implant survivorship and X-rays to focus on what matters most to patients: pain relief, improved function, and quality of life.

Topics include:
• What PROMs are and why every patient should know about them
• How expectations influence satisfaction after surgery
• When it's the right time for hip or knee replacement
• Same-day joint replacement and advances in recovery
• Why some patients remain dissatisfied after knee replacement
• Evaluating painful hip and knee replacements
• The importance of surgeon experience and volume
• Revision joint replacement surgery
• AI, wearable technology, and the future of measuring outcomes
• Practical advice for patients considering joint replacement

Whether you're a patient preparing for surgery, recovering from a joint replacement, or a healthcare professional interested in value-based orthopedic care, this conversation offers valuable insights into how we define success after joint replacement surgery.

Dr. Matthew Sloan welcomes Dr. Michael Ast, Insall Chair of the Knee Service and Innovation Officer at Hospital for Special Surgery, for a wide-ranging discussion on the future of joint replacement surgery. Together they explore how robotics, artificial intelligence, outpatient surgery, implant technology, and modern recovery protocols are transforming the patient experience.

Dr. Ast shares his perspective on:

• The Quiet Knee Protocol and modern recovery strategies
• Reducing opioid use after surgery
• Robotic-assisted hip and knee replacement
• AI-powered patient engagement and recovery monitoring
• Same-day discharge and ambulatory joint replacement
• Cementless implants and implant longevity
• Partial versus total knee replacement
• The future of revision surgery and custom 3D-printed implants
• The impact of GLP-1 medications on orthopedic care
• The importance of physician leadership in healthcare

This conversation offers valuable insights for patients, surgeons, and anyone interested in where orthopedic surgery is headed over the next decade.

The Joint Replacement Podcast with Matthew Sloan, MD — helping patients understand hip and knee replacement and the surgeons who perform it.

In Episode 17 of The Joint Replacement Podcast, Dr. Matthew Sloan welcomes fellowship-trained hip and knee replacement surgeon Dr. Yudi Kerbel, one of the most influential orthopedic educators on social media today.

Dr. Kerbel shares how he built a platform that reaches millions of patients worldwide, why patient education is more important than ever, and how social media is transforming the relationship between surgeons and patients.

The conversation dives deep into some of the most important topics in modern joint replacement, including:

• When it's time to move from conservative treatment to joint replacement
• How long modern hip and knee replacements really last
• The "Less Swelling, Less Pain" recovery approach
• Outpatient joint replacement and patient selection
• Partial knee replacement versus total knee replacement
• Why Dr. Kerbel believes many patients are excellent candidates for partial knees
• Peripheral Nerve Stimulation (PNS) for painful knee replacements
• Robotics, personalized alignment, and emerging technologies
• Infection prevention and patient optimization
• The emotional realities of being a joint replacement surgeon
• The future of orthopedic surgery and musculoskeletal care

Dr. Kerbel also shares his vision for helping patients avoid unnecessary surgery whenever possible and explains why he believes technologies like Peripheral Nerve Stimulation may dramatically change how orthopedic surgeons treat chronic knee pain in the future.

Whether you're considering a hip replacement, knee replacement, partial knee replacement, or simply want a behind-the-scenes look at modern orthopedic surgery, this episode is packed with valuable insights for patients and surgeons alike.

The Joint Replacement Podcast
Hosted by Matthew Sloan, MD
Helping patients understand hip and knee replacement and the surgeons who perform it.

In this episode of the podcast, Dr. Matthew Sloan sits down with one of the most influential leaders in modern joint replacement surgery, Antonia Chen. Dr. Chen is the current president of American Association of Hip and Knee Surgeons and Chair and Professor of Orthopedic Surgery at UT Southwestern Medical Center.

They discuss:

• The future of hip and knee replacement
• Periprosthetic joint infection prevention and treatment
• Robotic vs manual joint replacement
• Cementless knee replacements
• Same-day discharge and outpatient joint replacement
• Burnout and surgeon wellbeing
• How patients should choose the right joint replacement surgeon
• Recovery timelines, sports, and long-term implant longevity
• The future of biologics and arthritis prevention

Dr. Chen also shares her journey into orthopedics, her passion for research and mentorship, and her vision for the future of arthroplasty.

This is an insightful conversation for patients, surgeons, trainees, and anyone interested in the evolving world of orthopedic surgery.

Should you replace both knees or hips at the same time, or stage the surgeries separately? In Episode 15 of the Joint Replacement Podcast, Dr. Matthew Sloan breaks down the real clinical pros and cons of simultaneous bilateral joint replacement versus staged procedures.

We discuss the physiologic stress of operating on both joints at once, differences in recovery and rehabilitation, complication risks, blood loss, anesthesia considerations, and which patients may — or may not — be good candidates for simultaneous surgery.

Topics include:
• Bilateral knee vs bilateral hip replacement
• Recovery intensity and mobility challenges
• Cardiac and pulmonary risks
• Blood clot and transfusion considerations
• Modern anesthesia and recovery protocols
• Patient selection and surgical judgment
• Why convenience should never outweigh safety

If you or a loved one are considering joint replacement on both sides, this episode provides a practical, evidence-based look at how surgeons think through these decisions and what patients should realistically expect during recovery.

Dr. Michael Meneghini joins The Joint Replacement Podcast for an in-depth discussion on the future of hip and knee replacement surgery. As founder and CEO of the Indiana Orthopedic Institute and former president of AAHKS, Dr. Meneghini shares his insights on outpatient joint replacement, implant innovation, robotics, value-based care, and building one of the country's most successful vertically integrated orthopedic practices.

In this episode we discuss:

• Why outpatient joint replacement continues to expand• How ambulatory surgery centers improve patient care and reduce costs• Robotics and personalized alignment in knee replacement• Cementless implants and implant longevity• Smart implants, wearable technology, and future innovations• When patients should consider joint replacement surgery• PRP, stem cells, and biologic treatments for arthritis• Building physician-led healthcare organizations• Leadership lessons from serving as AAHKS president• The future of orthopedic surgery

Whether you're a patient, surgeon, resident, fellow, or medical student, this episode provides valuable insights into where joint replacement surgery is headed over the next decade.

If you enjoy the podcast, please follow, leave a review, and share this episode with someone interested in orthopedic surgery or joint replacement.

Many patients have heard of partial knee replacements and wonder if a partial hip replacement is an option for arthritis as well.

In this episode clip, Dr. Grayson Connors discusses one of the most common misconceptions in hip surgery: the difference between a partial hip replacement and a total hip replacement.

We cover:
• What a partial hip replacement (hemiarthroplasty) actually replaces
• Why partial hip replacements are typically used for hip fractures rather than arthritis
• The key differences between replacing only the femoral head versus replacing both the ball and socket
• How age, mobility, arthritis, and overall health influence surgical decision-making
• Why many surgeons are increasingly choosing total hip replacement for active fracture patients

Dr. Connors also explains how advances in modern hip replacement techniques have made total hip replacement an attractive option for many patients who historically would have received a partial hip replacement.

If you've ever wondered why one patient receives a partial hip replacement while another receives a total hip replacement, this conversation breaks down the reasoning behind those decisions.

Subscribe to The Joint Replacement Podcast for expert discussions on hip replacement, knee replacement, arthritis treatment, robotics, recovery, and the future of orthopedic surgery.

In Episode 24 of The Joint Replacement Podcast, Dr. Matthew Sloan is joined by fellowship-trained joint replacement surgeon Dr. Blair Ashley for an in-depth discussion on modern hip and knee replacement surgery.

They explore when patients should consider surgery, how long implants last, the role of injections and biologic treatments, realistic recovery expectations, returning to sports, and how patients can choose the right surgeon.

The conversation also covers robotic surgery, partial knee replacement, outpatient joint replacement, infection prevention, and the future of arthritis treatment. Dr. Ashley shares her insights on what separates excellent surgeons from great ones and why patient expectations play such an important role in successful outcomes.

If you're considering a hip or knee replacement—or simply want to better understand the field of joint replacement—this episode offers practical guidance and expert perspectives from two experienced adult reconstruction surgeons.

The first 48 hours after hip replacement can set the tone for the entire recovery.

In this episode of The Joint Replacement Podcast, Dr. Matthew Sloan explains what patients should focus on during the first two days after surgery, including early standing, safe movement, ankle pumps, pain control, and protecting the incision.

You’ll learn why same-day mobilization matters, how ankle pumps help circulation, why staying ahead of pain is important, and how small early decisions can reduce complications and build confidence.

In Episode 21, Dr. Matthew Sloan interviews Dr. Michael Kheir, orthopedic surgeon, Director of Research, and Assistant Professor at the University of Michigan.

Dr. Kheir discusses the innovations transforming modern hip and knee replacement, including robotic-assisted surgery, advanced implant designs, cemented versus cementless fixation, and strategies for improving patient outcomes through education and expectation management.

The conversation also explores some of the most difficult problems in arthroplasty—including prosthetic joint infection, severe bone loss, and complex revision surgery—as well as emerging technologies that may change how surgeons manage these complications in the future.

Key topics include:

• How long hip and knee replacements last
• Triple-tapered collared hip stems
• Cemented vs cementless implants
• Robotic-assisted hip replacement surgery
• Anterior vs posterior hip approaches
• Patient education and recovery expectations
• Joint replacement infection research
• Revision hip and knee replacement surgery
• The future of arthroplasty innovation

A thoughtful discussion for patients considering joint replacement and surgeons interested in the rapidly evolving field of adult reconstruction.

Dr. Matthew Sloan welcomes Grayson Connors to Episode 21 of The Joint Replacement Podcast.

Dr. Connors discusses robotic-assisted knee replacement, anterior hip replacement, outpatient joint replacement surgery, modern recovery protocols, and how AI is beginning to influence orthopedic care.

The conversation covers:

• Robotic vs manual knee replacement
• VELYS robotics and precision surgery
• The Jiffy Knee technique
• Outpatient and same-day joint replacement
• Hip fracture treatment and partial vs total hip replacement
• Recovery timelines after hip and knee replacement
• Returning to sports and exercise
• Implant longevity and revision surgery
• Patient optimization before surgery
• The future of AI and orthopedic innovation

A practical and engaging discussion for patients, caregivers, and orthopedic professionals looking to better understand where joint replacement surgery is heading next. 🎙️

The Joint Replacement Podcast — Helping patients understand hip and knee replacement and the surgeons who perform it.

What happens when artificial intelligence, robotics, wearable sensors, and digital twins converge in orthopedic surgery?

In Episode 20 of The Joint Replacement Podcast, Dr. Matthew Sloan welcomes Dr. Stefano Bini, Professor of Orthopedic Surgery at UCSF, founder of DOCSF, and one of the leading voices in digital orthopedics. Together they explore how AI is already transforming healthcare operations, how wearable technology may allow surgeons to monitor recovery in real time, and how digital twin technology could eventually personalize every joint replacement procedure.

Topics include:

• AI in orthopedic practice today• Agentic AI and clinic automation• Robotics and surgical precision• Wearables and smart recovery monitoring• Digital twins and personalized arthroplasty• Remote patient management and hospital-at-home models• Telehealth's future role in orthopedics• Predicting outcomes after joint replacement• The future of smart implants• Infection prevention and the next frontier in arthroplasty

Dr. Bini shares a compelling vision of how technology may help surgeons deliver more personalized, data-driven care while improving access for patients around the world.

If you're interested in the future of medicine, orthopedics, artificial intelligence, or healthcare innovation, this is an episode you won't want to miss.

For more on the future of orthopedic technology be sure to register for DOCSF October 1-2, 2026 in San Francisco at https://docsf.health/

Many patients ask the same question:

"If arthritis means cartilage is worn out, why can't you just replace the cartilage instead of replacing the entire joint?"

In this episode, Dr. Matthew Sloan breaks down one of the biggest misconceptions about arthritis and explains why advanced hip and knee arthritis is much more than a cartilage problem.

You'll learn why cartilage has such limited healing potential, how arthritis affects the entire joint, what injections and biologic treatments can realistically accomplish, and why modern joint replacement remains one of the most successful procedures in medicine.

Dr. Sloan also explores the future of arthritis treatment, including regenerative medicine, stem cell therapies, AI-driven early detection, cartilage restoration techniques, and the possibility that future generations may need fewer joint replacements because arthritis is prevented before it ever becomes severe.

Whether you're considering joint replacement, trying injections, or simply looking to understand your options, this episode provides a clear explanation of the science behind arthritis and the future of orthopedic care.

The Joint Replacement Podcast
Hosted by Matthew Sloan, MD

Helping patients understand hip replacement, knee replacement, arthritis treatment, robotics, recovery, and the surgeons who perform these life-changing procedures.

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.

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.

Dr. Matthew Sloan welcomes Dr. H. John Cooper, adult reconstruction and revision joint replacement surgeon at Columbia University Irving Medical Center, for an in-depth conversation on the present and future of hip and knee replacement.

Dr. Cooper discusses his journey from biomedical engineering to orthopedic surgery, managing complex revision cases, robotic-assisted knee replacement, anterior hip replacement, infection treatment strategies, and the evolving role of AI in orthopedic practice.

The conversation also covers:

• Revision hip and knee replacement
• One-stage exchange for infection
• Robotic knee replacement
• Kinematic alignment
• Bikini anterior hip approach
• Patellar resurfacing
• Modern pain management
• Physical therapy after joint replacement
• Implant longevity
• Returning to sports
• Choosing the right surgeon
• Future technologies in arthroplasty

Whether you're a patient preparing for surgery, recovering from a joint replacement, or an orthopedic professional looking for expert perspectives, this episode offers valuable insights into modern hip and knee replacement care.

Subscribe to The Joint Replacement Podcast for weekly conversations with leaders shaping the future of joint replacement surgery.

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.

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/

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 surgery
• Implant design and innovation
• Computer-assisted surgery and robotics
• The evolution of hip resurfacing
• Ceramic-on-ceramic hip resurfacing technology
• Hip resurfacing versus total hip replacement
• Which patients may benefit most
• Bone preservation and athletic performance
• The future of joint replacement surgery

If 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.

In Episode #33, Dr. Matthew Sloan sits down with Dr. Ran Schwarzkopf of NYU Langone Health to discuss the evolution of modern hip and knee replacement.

From robotic-assisted surgery and artificial intelligence to implant longevity, revision surgery, recovery, and choosing the right surgeon, Dr. Schwarzkopf shares decades of experience caring for complex joint replacement patients while offering practical advice for anyone considering surgery.

Whether you're a patient, surgeon, trainee, or simply interested in the future of orthopedic surgery, this episode offers an inside look at where joint replacement is headed—and what it means for patients today.

Dr. Jeremy Gililland is Professor of Orthopedic Surgery and Chief of Adult Reconstruction at the University of Utah. With a unique background in mechanical engineering before medicine, he brings an engineer's mindset to some of the most complex problems in hip and knee replacement surgery.

In this episode of The Joint Replacement Podcast, Dr. Matthew Sloan and Dr. Gililland discuss:

• How designing bicycles led him to orthopedic surgery
• Why anterior hip replacement has become his preferred approach
• The evolution of complex anterior revision surgery
• Engineering innovations that led to the development of fluoroscopic navigation technology
• The future of robotics versus manual surgery
• Cemented vs. cementless fixation
• Hip fracture treatment and total hip replacement
• Research collaborations shaping modern arthroplasty
• How he trains residents and fellows in academic medicine
• Recovery timelines after hip and knee replacement
• When patients should consider joint replacement
• Advice every patient should know before choosing a surgeon

Whether you're a patient considering hip or knee replacement, an orthopedic surgeon, resident, fellow, or simply interested in the future of orthopedic innovation, this episode is packed with practical insights and thoughtful discussion.

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#JointReplacement #HipReplacement #KneeReplacement #OrthopedicSurgery #AnteriorHipReplacement

Dr. Blake Peterson joins The Joint Replacement Podcast for an in-depth conversation on modern hip and knee replacement, building a successful private practice, and where orthopedic surgery is headed next.

We discuss surgical mentorship, managing complications, robotics, functional alignment, ambulatory surgery centers, physician reimbursement, research, efficiency in the operating room, and how emerging technologies—including AI and autonomous robotics—may reshape joint replacement over the next decade.

Whether you're an orthopedic surgeon, trainee, or patient interested in the future of joint replacement, this episode delivers practical lessons from one of the country's most thoughtful innovators in adult reconstruction.

🎧 Search The Joint Replacement Podcast on YouTube, Spotify, Apple Podcasts, or wherever you listen to podcasts.

Can patients undergo hip or knee replacement without needing opioids afterward?

In Episode #30, Dr. Matthew Sloan welcomes fellowship-trained adult reconstruction surgeon Dr. Andrew Wickline to discuss how modern recovery protocols are changing one of the biggest challenges in orthopedic surgery: postoperative pain.

Dr. Wickline explains how reducing swelling, limiting unnecessary physical therapy, optimizing patient education, and using evidence-based multimodal pain strategies have allowed most of his patients to recover with little or no opioid use. He also shares lessons learned throughout his career, why surgeons should rigorously track their own outcomes, and how continuous improvement has transformed both his practice and his patients' recoveries.

Topics include:

• Opioid-free joint replacement
• Multimodal pain management
• Step count recovery protocols
• Physical therapy after knee replacement
• Compression and cryotherapy
• Extended tranexamic acid
• Same-day joint replacement
• Patient education
• Recovery optimization
• Surgical outcomes and data collection
• Lessons from two decades in arthroplasty

Whether you're a patient considering surgery or an orthopedic professional looking to optimize recovery, this conversation offers practical insights into where joint replacement is headed next.

🔎 Search "The Joint Replacement Podcast" wherever you get your podcasts! 🎙️

www.AndrewWicklineMD.com

❤️ If you enjoyed this episode, please leave a rating, share it with a friend, and help us continue improving the reach of evidence-based joint replacement education! 🙌

Dr. Eric Cohen, adult reconstruction surgeon at Brown University Health and Assistant Professor at the Warren Alpert Medical School of Brown University, joins The Joint Replacement Podcast for an in-depth discussion on how modern joint replacement continues to evolve.

We discuss:

• The rise of same-day hip and knee replacement
• How COVID transformed arthroplasty care
• Who can safely go home the day of surgery
• Patient optimization before surgery
• Activity restrictions and returning to sports
• Robotic-assisted joint replacement
• Artificial intelligence and the future of orthopedic surgery
• New non-opioid pain management strategies
• Preventing infection after joint replacement
• Recovery timelines and manipulation after knee replacement
• Choosing the right joint replacement surgeon
• The future of education and training in arthroplasty

Dr. Cohen also shares his perspective on complex revision surgery, advances in recovery protocols, and why helping patients regain their quality of life continues to be the most rewarding part of his career.

🎧 Search "The Joint Replacement Podcast" wherever you listen to podcasts for more conversations with the world's leading hip and knee replacement surgeons.