Editor's Note High-volume joints and spine procedures in ambulatory surgery centers (ASCs) require more than a “healthy” patient—success hinges on rigorous screening, block-and-flow efficiency, tech-enabled standardization, and a culture where anyone can say “stop,” this session’s speakers said. Comprising Robert Bray, MD, FAANS, CEO and founding director of DISC Sports…

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Editor's Note A personalized digital tool is helping patients and orthopedic surgeons make more informed, confident decisions about total knee replacement (TKR), according to BMC Health Services Research October 21. Both patients and surgeons reported the EKIT tool—a tablet-based decision aid developed in Germany—improves shared decision-making (SDM), enhances communication, and…

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Editor's Note Lock in system-level wins fast. The 2025 OR Manager Conference is right around the corner (October 28–30 in Anaheim, California), and it is loaded with how-to sessions that turn ideas into throughput, revenue, and workforce results you can bring home in Q4. This year’s agenda centers on pragmatic,…

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Editor's Note Sports medicine surgical procedures for Medicare patients cost significantly less in ambulatory surgery centers (ASCs) compared with hospital outpatient departments (HOPDs), according to a study published by the Orthopaedic Journal of Sports Medicine on August 29. Researchers analyzed Medicare Procedure Price Lookup data for 62 commonly billed outpatient…

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Editor's Note Patients with BMI 40 or higher had similar 24-hour and 1–90 day complication rates to lower-BMI patients after primary total joint arthroplasty (TJA) performed at an academic ambulatory surgery center (ASC), an August 25 article from The Journal of Arthroplasty reports. The study retrospectively analyzed 2,367 primary THA…

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Editor's Note A simple adjustment to walking style can relieve osteoarthritis pain as well as medication and may delay the need for knee surgery, according to a year-long clinical trial published in The Lancet Rheumatology and covered by The Independent on August 18. As detailed in the article, University of…

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By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…

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Editor's Note The UC Davis Department of Orthopaedic Surgery has received more than $2.2 million in Department of Defense funding for two research projects addressing bone health in prostate cancer and preventing arthritis after joint injuries, a UC Davis Health July 15 news release reports. The larger grant, $1.8 million,…

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Once limited to hospital inpatient settings, total joint surgery is increasingly common at ambulatory surgery centers (ASCs) across the US. What is not so common is performing these complex procedures without the benefit of an onsite sterile processing department (SPD). And yet, that is exactly what we have accomplished at…

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Editor’s Note: This page is a companion piece to the main article, Centralized sterile processing cuts costs, complexity for four ASCs.    Implementing offsite sterilization is a major project. At Total Joint Specialists, our journey began gradually, growing in scope over time as the team became comfortable with the process…

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