The Incision Point

The Incision Point

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Flexion Instability vs. Patellar Pain: Exposing the Historical Confounders of TKA
Unpacking the data demonstrating that over 50% of historical secondary resurfacings failed to cure anterior knee pain due to misdiagnosed flexion…
13 hrs ago • Dr. Michael Meneghini
Stop Releasing Normal Soft Tissue: How MA TKA Artificially Imbalances the Joint Space
A data-driven guide for the modern surgeon ready to transition from rudimentary mechanical axis straight cuts to tissue-preserving personalized…
Aug 27 • Dr. Michael Meneghini
Your Mental Health Claim Gets Denied 85% More Than Your Physical Health Claim. That's Illegal.
It has been illegal since 2008. Nobody with power has bothered to enforce it.
Aug 27 • Dr. Michael Meneghini
The 10mm Danger Zone: Tracking Modular Tapered Fluted Titanium Stem Behavior
How maximizing implant diameter avoids the threat of a secondary revision without increasing intraoperative femoral fracture rates.
Aug 26 • Dr. Michael Meneghini
Perfect Alignment is an Illusion: What Actually Drives Patient Outcomes in UKA
How hitting rigid geometric radiographic targets fails to meaningfully alter long-term patient satisfaction and activity scores in partial knee…
Aug 25 • Dr. Michael Meneghini
The Insurance Barrier in Reconstructive Surgery: Uncovering the rTJA Referral Crisis
Exploring the structural referral biases and insurance acceptance failures that force vulnerable populations to seek out-of-network academic centers for…
Aug 24 • Dr. Michael Meneghini
Millions of Uncompensated Minutes: The Shocking Data on Aseptic Joint Revisions
Exploring the structural mismatch between actual clinical labor over the 90-day episode of care and allowable billing limits dictated by federal…
Aug 13 • Dr. Michael Meneghini
Stop Guessing: Machine Learning Reveals the True Alignment Targets for TKA
Exploring the classification and regression tree (CART) models that uncover the critical interactions between coronal and sagittal component…
Aug 12 • Dr. Michael Meneghini
Lost Comfort with Manual Saws: The Unintended Consequence of Robotic TKA Training
Unpacking the national survey data that shows over half of graduating orthopaedic residents believe surgical robots are utilized primarily as a…
Aug 10 • Dr. Michael Meneghini
Keels and Cruciform Pegs: The Engineering Secret Behind Zero Tibial Loosening
How transitioning away from degradation-prone cement mantles achieves an excellent 89.8% long-term patient satisfaction profile in active patient…
Aug 9 • Dr. Michael Meneghini
Stop Blaming the Approach: Why Head-Cup Ratio is the Secret to THA Stability
How modern highly cross-linked polyethylene allows for thinner liners and larger femoral heads, unlocking superior biomechanics without the historical…
Aug 8 • Dr. Michael Meneghini
Stop Guessing Infection Clearance: Absolute Values vs. Delta Trends in PJI
A multi-institutional retrospective review of 249 two-stage exchange surgeries proves that absolute serum CRP thresholds significantly outperform…
Aug 7 • Dr. Michael Meneghini
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