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Less Than a Third: The Crushing 30-Year Decline of Medicare Reimbursement
Exploring the bizarre economic reality where a busy day of non-operative clinic visits can generate comparable revenue to performing complex joint…
13 hrs ago
•
Dr. Michael Meneghini
Draining Sinus Tracts and Static Spacers: The Red Flags That Triple PJI Reoperations
How patients fitted with static spacers are six times more likely to require a septic reoperation during the brutal interstage recovery window.
Sep 9
•
Dr. Michael Meneghini
8
1
The Single-Stage Gamble: Why the US Still Clings to Two-Stage PJI Exchange
How the 1.5-stage exchange bridges the gap between single and two-stage PJI treatment, offering durable function for elderly or high-risk patients who…
Sep 8
•
Dr. Michael Meneghini
12
3
The TKA Prom Shift: 140 Matched Cohorts Reveal the Truth About Patellar Retention
An orthopedic surgeon's data-driven blueprint for identifying which patellae to safely retain and how to surgically optimize the unresurfaced…
Sep 7
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Dr. Michael Meneghini
18
3
Stiff Knees, Low Scores: The Harsh Reality of Revising Arthrofibrosis
How tracking precise clinical progress lines exposes the stark contrast between revising for mechanical failure versus attempting to salvage a stiff…
Sep 6
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Dr. Michael Meneghini
23
4
Slicing Through the Scar Stock: Why Arthrofibrosis Shouldn't Delay Instability Revisions
Unpacking why underlying mechanical instability functions as a hidden, primary driver for severe postoperative scar tissue proliferation.
Sep 5
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Dr. Michael Meneghini
21
The Math Doesn't Lie: Hospitals Are Winning, Surgeons Are Losing
And (of course) Nobody in Washington Will Say It Out Loud
Sep 5
•
Dr. Michael Meneghini
8
1
2
The Women’s Offset Premium: Gender-Specific Biomechanics in Primary THA
A high-volume reconstruction specialist's evidence-based blueprint for targeting precise multi-planar acetabular and femoral positioning zones.
Sep 4
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Dr. Michael Meneghini
21
4
The RVU for Episodes: Why the ERQ Methodology is the Next Healthcare Currency
Unpacking the statistical linear regressions showing over 86% predictive accuracy when identifying the localized cost drivers of joint replacements.
Sep 4
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Dr. Michael Meneghini
21
1
Shaking the Pillars of Medicare: Budget Neutrality and the Broken Economics of Care
How structural undercompensation and prior authorization bottlenecks are forcing major health systems to completely drop commercial Medicare Advantage…
Sep 3
•
Dr. Michael Meneghini
24
2
Beyond the Phenotype: Why Coronal Matching is Only One Piece of the TKA Puzzle
Unpacking the robust multivariate regression and radiographic evidence showing that TKA outcomes are driven by complex three-dimensional kinematics…
Sep 2
•
Dr. Michael Meneghini
22
The Instability Penalty: Why Junior Surgeons Face Higher 1-Year Reoperation Rates
Unpacking the generalized linear models showing how patient age and body mass index interact to amplify junior surgeon operative friction.
Sep 1
•
Dr. Michael Meneghini
21
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