The Incision Point

The Incision Point

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Stop Revising Painful Knees Without This Simple Pre-Op Prognostic Tool
Unpacking the data that shows patient satisfaction drops to 47% in revision patients who report less than 50% pain relief during their preoperative…
8 hrs ago • Dr. Michael Meneghini
The Secret to Balancing a Deficient PCL Without Using a Posterior Stabilized Knee
How a highly conforming dished tibial component can eliminate the need for intercondylar notch resection and a post-and-cam mechanism.
Jul 10 • Dr. Michael Meneghini
The Truth About Post-Op Interventions: What Really Happens During the First Night
How a single-surgeon study proved that readmission rates are identical whether a patient receives an overnight intervention or not.
Jul 9 • Dr. Michael Meneghini
The Truth About TKA Satisfaction: Why Machine Learning Beats Traditional Stats
A retrospective review of 897 total knee arthroplasties compares binary logistic regression with stochastic gradient boosting to uncover why patients…
Jul 8 • Dr. Michael Meneghini
They Turned Your Doctor Into a Billing Unit
The slow erasure of physician identity is not a morale problem. It is a patient safety problem.
Jul 8 • Dr. Michael Meneghini
Don't Risk Your Patient's Leg: The Dangers of 1-Stage Exchange Arthroplasty
How meticulous debridement, antibiotic spacers, and strict reimplantation criteria resulted in a 100% success rate for early and acute hematogenous…
Jul 7 • Dr. Michael Meneghini
Why the Post-COVID Era Will Make Outpatient Joint Replacement Mandatory
Exploring the protocols that allowed Indiana University Health to handle 60% of the state's COVID-19 patients without exhausting ICU beds or…
Jul 6 • Dr. Michael Meneghini
The 40% Infection Myth: Why Intramedullary Dowels Might Be Unnecessary
Unpacking the data from 1997 that originally justified dowel use and why modern clinical validation is sorely lacking.
Jul 5 • Dr. Michael Meneghini
The Truth About Intramedullary Dowels in Chronically Infected Knee Replacements
A data-driven look at why surgeons should reconsider the time-consuming process of constructing intramedullary dowels during stage one resections.
Jul 4 • Dr. Michael Meneghini
You're Not Losing Weight. You're Losing Yourself.
GLP-1 drugs are shrinking America. Not exactly the way you think.
Jul 4 • Dr. Michael Meneghini
Stop Using Tourniquets for TKA Cementation: Here's a Better Way
Exploring the radiographic data across 7 zones to understand how CO2 gas clears cancellous bone better than saline alone.
Jul 3 • Dr. Michael Meneghini
Why Are 40% of "Fast-Track" Patients Experiencing Urinary Retention?
How one program achieved a 5.5% POUR rate despite using strict catheterization thresholds and robust perioperative fluid therapy.
Jul 2 • Dr. Michael Meneghini
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