Cory Calendine, M.D.

Orthopedic Surgeon, Hip/Knee Specialist, Robotic Assisted Joint Reconstruction - Instructor, Innovator #HipReplacement #KneeReplacement #SavoringLifetotheBone

[Cory Calendine, M.D. @CoryCalendineMD]

Outpatient or Same Day Hip Replacement #outpatientsurgery #ASC

[Cory Calendine, M.D. @CoryCalendineMD]

Distal clavicle fractures are not all the same. The deciding factor is the coracoclavicular ligaments. Intact: usually a sling and early motion. Disrupted and displaced: surgery may be needed to restore alignment and support healing.

#Orthopaedics #ShoulderSurgery @Arthrex

[Cory Calendine, M.D. @CoryCalendineMD]

A nerve block that numbs the front of the knee can leave the back of the knee hurting after knee replacement.

The iPACK block fills that gap, and it’s designed to spare the muscles you need to walk.

How it works and who it helps: https://t.co/WoIfZIZbu1

[Cory Calendine, M.D. @CoryCalendineMD]

Knee replacement recovery, by the calendar:
- Weeks 1-2: the hardest part
- Weeks 2-3: walker to cane
- Week 6: most daily tasks
- 3 months: near-normal life
- 1 year: still settling in

Full timeline: https://t.co/YWFDQmy04k

#KneeReplacement #Orthopaedics

[Cory Calendine, M.D. @CoryCalendineMD]

New research: 75% of hunters and 76% of anglers returned to the field and water after total knee replacement, most within 6 months. 93% would recommend it to a fellow outdoorsman with knee pain. First study of its kind, 513 patients, The Journal of Arthroplasty. @JArthroplasty

[Cory Calendine, M.D. @CoryCalendineMD]

Red, hot, swollen replaced knee: gout or infection? They look identical. Temperature is a hint, blood work won't settle it, and the joint fluid decides. The catch: crystals don't rule out infection.

https://t.co/ApeUHIx85f

#KneeReplacement #Orthopaedics

[Cory Calendine, M.D. @CoryCalendineMD]

7 imaging tests, 7 different answers. X-ray for alignment and arthritis, CT for complex fractures and surgical planning, MRI for soft tissue, DEXA for bone density, and more.

The right scan starts with the right question. #Orthopaedics #KneePain

[Cory Calendine, M.D. @CoryCalendineMD]

"Quad-sparing" doesn't mean quad-safe.

The subvastus approach can still stretch or tear the quadriceps if the tissue isn't released carefully. Technique protects the muscle, not the name.

My honest answer (conflicts disclosed):
https://t.co/TsKtyOu7Zz

[Cory Calendine, M.D. @CoryCalendineMD]

A meniscus root tear pulls the cushion's anchor off the bone. The meniscus slides out of the joint, and the knee loads as if it had no meniscus at all.

Trimming won't fix it. The root has to be reattached.

#Orthopedics #KneeHealth

[Cory Calendine, M.D. @CoryCalendineMD]

Can you run after a hip or knee replacement? Yes. There are no restrictions.

But a permission is not a schedule. The modern bearing is rarely the limit. The strength and balance you lost while limping usually is.

Build up gradually.

https://t.co/W0SwrrwAwN

[Cory Calendine, M.D. @CoryCalendineMD]

It can't fly. It can help plan your new knee in 3D.

Robotic-arm assisted hip and knee replacement starts with a CT-based plan built from your own anatomy, and the arm helps me carry it out precisely.

https://t.co/006H9YnO2J

[Cory Calendine, M.D. @CoryCalendineMD]

Can't tell if your wrist pain is arthritis, a tendon, or a nerve? A diagnostic wrist injection can answer that, then calm inflammation for weeks to months. Serious infection: under 1 in 10,000. https://t.co/AIzbNtw244 #WristPain #Orthopedics

[Cory Calendine, M.D. @CoryCalendineMD]

How long between two joint replacements?

Six weeks is the bare minimum. Most people wait about three months, and some wait a year or more.

Need a hip and a knee? Usually the hip goes first.

https://t.co/ebBqRQ5UI4

#KneeReplacement #HipReplacement

[Cory Calendine, M.D. @CoryCalendineMD]

The question almost nobody asks before joint replacement: how do I take the pain medicine?

Base meds on a schedule, not when it hurts. Climb only if needed. Watch hidden acetaminophen. Wean in reverse.

https://t.co/ykYyrR6SbI

[Cory Calendine, M.D. @CoryCalendineMD]

The question almost nobody asks before joint replacement: how do I actually take the pain medicine?

Take the base on a schedule, not when pain shows up. Add stronger medicine only if needed. Wean in reverse order.

https://t.co/3tvBRZARnf

#JointReplacement #PainManagement

[Cory Calendine, M.D. @CoryCalendineMD]

Swelling after knee or hip replacement peaks in week one or two.

Most people elevate wrong. Your ankle needs to be above your heart, which means lying down, not a recliner.

Call for calf pain or worsening swelling.

https://t.co/gCzdc8jakL

#KneeReplacement #HipReplacement

[Cory Calendine, M.D. @CoryCalendineMD]

Pain is the fear patients don't ask about before knee replacement.

The honest answer: it's uncomfortable, and we're not passive about it. Numbing medicine around the joint, two nerve blocks, spinal anesthesia. Several layers, same time.

Full discussion: https://t.co/Qvz9pvIwxi

[Cory Calendine, M.D. @CoryCalendineMD]

Are all triple-taper stems the same?

Joining Drs. Rodriguez-Quintana and Gausden tonight for a JOEI Open Mic session, moderated by Dr. Ira Kirschenbaum.

8 PM ET / 7 PM CT. Cameras on, questions welcome.

Register: https://t.co/2yo9anpGZu

#Orthopaedics #Arthroplasty

[John Shields, MD, FAAOS @jointdocShields]

Public service announcement:

[Cory Calendine, M.D. @CoryCalendineMD]

One injection. Two answers.

A radiocarpal joint injection can confirm whether the wrist joint is the true pain generator and calm synovitis from inflammatory or degenerative arthritis.

The landmark: Lister's tubercle, staying ulnar to the EPL tendon.

#Orthopaedics #WristPain @osgenic

[Cory Calendine, M.D. @CoryCalendineMD]

Do you really need physical therapy after a knee replacement? Yes. Everybody goes.

Most patients go 3x a week for about 6 weeks. Range of motion first, then strength.

What to expect, and when to call your surgeon:
https://t.co/4YR9bUQs29
#KneeReplacement #PhysicalTherapy