Total Joint Ortho

We make high-quality hip and knee replacement implants with intuitive, streamlined instrumentation designed for efficiency and reproducible results.

[Total Joint Ortho @tjoinc]

We recently joined Operation Walk Denver on a surgical mission to Panama, restoring mobility for patients who would otherwise go without access to joint replacement care.

To the OpWalk Denver team and the patients of Panama, thank you for letting us be part of this.

[Total Joint Ortho @tjoinc]

TJO leadership in SLC this week — mapping out H2 2026, and squeezing in some pickleball along the way. The best strategy sessions happen when the whole team is in the room (or on the court). #EfficiencyByDesign #TJO

[Total Joint Ortho @tjoinc]

The only ASC Solution. Perform up to 90% of TKA cases with a single tray. Save up to $1,300 per case in sterilization and OR costs. 👉 Calculate your savings: https://t.co/lHOwaLdfi4

[Total Joint Ortho @tjoinc]

When performance is comparable, simplicity matters. Modern Universal vs. Asymmetric design:
• Lower patellar tilt
• Similar patient-reported outcomes
• No significant difference in revisions
• Fewer instrument trays
Clinical performance - simplified.
https://t.co/dK3y12PP4x

[Total Joint Ortho @tjoinc]

38,000+ PROCEDURES
A decade of:
✅ Published evidence
✅ Proven durability
✅ Surgeon satisfaction
✅ Patient success
This isn't experimental. This is established.
Want the 10-year outcomes study?
View now: https://t.co/1Q5aAEiDrQ

[Total Joint Ortho @tjoinc]

Building a Successful ASC with Strategic Implant Selection 📌
Wednesday, April 29 | 6 PM ET / 4 PM MT

Discover how top-performing ASCs are improving efficiency, streamlining operations, and enhancing patient outcomes in this exclusive master class hosted by TJO and OTW.

In this session, you’ll learn:
✅ Why most TKA systems fall short
✅ Overcoming common efficiency barriers
✅ Implant design driving performance
✅ Data challenging TKA assumptions

Register today: https://t.co/JHCwymQAQZ

[Total Joint Ortho @tjoinc]

The study that changed the conversation about universal knees.

Researchers evaluated modern symmetrical vs. asymmetrical TKA designs in a head-to-head retrospective review.

The Setup: • 225 patients (246 knees) - Modern Universal (Klassic®) • 235 patients (236 knees) - Asymmetric (Vanguard) • Minimum 1-year follow-up • Radiographic and clinical outcomes

The Results:
📉 Patellar Tilt: Modern Universal showed SIGNIFICANTLY less patellar tilt than the asymmetric design (P < 0.0001)

📊 Patient-Reported Outcomes: • PROMIS Physical Function: 43.5 vs 41.1 (ns) • PROMIS Physical Health: 48.2 vs 46.7 (ns)
• PROMIS Mental Health: 53.3 vs 51.8 (ns) • KOOS JR: 74.5 vs 78.4 (ns)

🔧 Complications: • Manipulation under anesthesia: 6.1% vs 4.2% (ns) • Reoperation: 3.7% vs 3.0% (ns) • Infection: 1.7% vs 1.7% (ns)
Translation: Equivalent safety profile.

The Conclusion: "The symmetrical femoral design demonstrated similar PROs and outcomes to an asymmetrical design. Despite some concern that patellar tracking could be worse in a symmetrical implant, the modern symmetrical TKA design demonstrated less patellar tilt and overall appears to perform clinically similarly to an asymmetric anatomic design."

What this means: Universal geometry + modern features = clinical performance that meets or exceeds asymmetric designs.

https://t.co/WUmpRjW4qD

[Total Joint Ortho @tjoinc]

The breakthrough that changed everything: Our patented Double Q-Angle design. Here's the engineering insight that makes the Modern Universal Femur work:

🔬 The Problem to Solve: In early flexion (0-30°), the patella needs lateral guidance to track smoothly into the trochlear groove. With their straight and narrow trochlear designs, traditional universal knees did not provide this smooth transition.

🔧 The Innovation: We created a modern, symmetrical 9° Q-angle on BOTH sides of the trochlear groove.

Why this works: The patella experiences forces pushing it laterally, so it only engages ONE side of the femoral component during early flexion • The medial side doesn't matter during this critical tracking phase • By putting a 9° Q-angle on both sides, we guide the patella with natural kinematics, whether it's a left or right knee.

The result: Natural patellar tracking in universal geometry.
This single design innovation allowed us to combine modern clinical performance with universal efficiency—without compromise.

https://t.co/VLIgjFXCpD

[Total Joint Ortho @tjoinc]

The Evidence Is In
Through direct comparisons, in vivo analysis, and 10-year follow-up, the Modern Universal Femur demonstrates:
• Statistically significant improvements in patellar tracking
• Natural rollback and axial rotation
• Strong long-term survivorship

Modern symmetrical design. Clinically validated.

[Total Joint Ortho @tjoinc]

Discover how top-performing ASCs are redefining efficiency, improving patient outcomes, and challenging the status quo.

Join our exclusive masterclass, Building a Successful ASC with Strategic Implant Selection, hosted by TJO and OTW on Wednesday, April 29 at 6pm ET / 4pm MT. We’ll dive into why most TKA systems fall short in the ASC setting, how to overcome common efficiency barriers, and the latest implant and instrumentation innovations driving meaningful change—plus new outcomes data that may shift the way you think about TKA design.

If you’re focused on optimizing performance and staying ahead, you won’t want to miss this.

👉 Save your spot
https://t.co/w9jJfbSHKY

[Total Joint Ortho @tjoinc]

We’re delighted to welcome Vito Guardia to TJO as Vice President of Commercial. Vito brings more than 20 years of orthopedic commercial leadership experience, and a proven track record of building high-performance distributor networks and driving measurable market growth. He is exceptionally well positioned to support our next phase of growth as we execute our commercial expansion strategy, including targeted ASC penetration and the continued rollout of the Klassic® Knee System.

Read more: https://t.co/6qhiGza4q4

[Total Joint Ortho @tjoinc]

Skepticism about universal knees is understandable—the early designs had real problems. But the Modern Universal Femur addressed every single one of those issues with proven design features and clinical evidence.

Which myth surprised you most? Let's discuss in the comments. 👇

[Total Joint Ortho @tjoinc]

Tune in as Dr. Aaron Hofmann joins @OrthopedicsThisWeek’s Robin Young to reflect on four decades of contributions to orthopedics and the vision behind TJO.

In this interview, they discuss:
→ The experiences and insight that led to the founding of TJO and the development of the Klassic® Knee System
→ 10-year clinical evidence supporting Klassic Knee’s modern, universal design
→ The unmatched value and efficiency Klassic ONE® brings to the rapidly growing ASC landscape

Watch the full conversation here: https://t.co/a77itEioWX

[OrthopedicsThisWeek @orthothisweek]

On this episode of OTW POD, Robin sits down with Dr. Aaron Hofmann, the orthopedic surgeon whose decades of work in large joint reconstruction have left a permanent mark on the field, from cementless fixation with the Natural Knee, to next-level efficiency with the Klassic® Knee and a humanitarian mission that changed everything.

What you'll discover:
→ How growing up fixing farm equipment shaped a career built on mechanical thinking and creative problem solving
→ The development of the ultracongruent insert, asymmetric tibial component, and Natural Knee system, each born directly from clinical challenges
→ Operation Walk Utah: bringing total joint replacement to underserved patients in El Salvador, and how those constraints inspired Total Joint Orthopedics' design philosophy
→ TJO's Klassic® Knee System and its role in the modern ASC and the mission field, with a single instrument tray, backed by 10-year outcomes
→ What's next: future products and Dr. Hofmann's vision for making excellent orthopedic care simpler and more accessible worldwide

Dr. Hofmann's philosophy in a nutshell: less is more, and he has data to prove it.

This conversation is packed with real-world insights from a surgeon who never stopped asking how good care could reach more patients.

🎙️ Listen now on Spotify, Apple Podcasts, or YouTube
YouTube: https://t.co/MQ2jKwBXSP
Spotify: https://t.co/89yderGaZI
Apple Podcasts: https://t.co/0RkUU7lZBl

#OTWPod #Orthopedics #MedTech #Innovation #LargeJointReconstruction #KneeReplacement #MedicalDevices #TotalJointOrthopedics #OperationWalkUtah #SurgeonInnovator

[Total Joint Ortho @tjoinc]

Early “universal” femoral designs revealed limitations in patellofemoral mechanics. Shallow trochlear geometry and limited guidance for patellar tracking contributed to avoidable complications.

In response, the industry shifted toward asymmetric designs to better address tracking and alignment. However, our approach builds on those modern advancements while reintroducing the efficiency of a universal platform.

The result is a contemporary universal femur designed with:
✅ Advanced trochlear geometry aligned with current standards
✅ Patented 9° double Q-angle to support patellar tracking
✅ Refined anterior flange profile for modern performance
✅ Long-term clinical data demonstrating strong 10-year outcomes and reduced patellar tilt compared to asymmetric designs (P < 0.0001)

This is not a return to legacy universal design. It’s a modern solution engineered with today’s clinical expectations in mind.

[Total Joint Ortho @tjoinc]

We’re heading to JAMM!
Find Total Joint Orthopedics at Booth #4, February 5–8 at the Grand Hyatt Deer Valley.

JAMM is all about meaningful education and conversation - we’d love for you to stop by, say hello, and connect with our team during this interactive learning experience led by experts from The Hip Society and The Knee Society.

[Total Joint Ortho @tjoinc]

Thank you for being part of our year. Wishing you a season filled with warmth, rest, and time with those who matter most. Happy Holidays! — TJO

[Total Joint Ortho @tjoinc]

Please join us in welcoming Brian, our new Warehouse Supervisor, to TJO! Brian brings a strong background in warehousing operations along with extensive experience in people leadership and team development. Throughout his career, he has supported high-volume warehouse environments and understands the importance of safety, accuracy, and execution—all critical to supporting our operations and customers.

Outside of work, Brian is a proud father of five, a big sports fan (Nebraska Football, Utah Football, 49ers), and enjoys playing video games. He’s already hit the ground running and is looking forward to getting to know the team and contributing to our continued growth.

[Total Joint Ortho @tjoinc]

Visit us at Booth #52 at CCJR in Orlando! 🎉 We’re showcasing our Universal® Cones—engineered for bone preservation, precision fit, and streamlined revision TKA. Stop by to see the full range of taper angles and sizes, and learn how we simplify even the most complex cases.

We look forward to seeing you!

[Total Joint Ortho @tjoinc]

Our patented double-q angle (+/-9°) supports natural patellar tracking in both knees—because true universal design should never sacrifice biomechanics. The Klassic® Knee System: the only modern universal femur on the market.
https://t.co/1Q5aAEiDrQ

[Total Joint Ortho @tjoinc]

Our patented double-Q angle (+/-9°) supports natural patellar tracking in both knees—because true universal design should never sacrifice biomechanics. The Klassic® Knee System: the only modern universal femur on the market.
https://t.co/Bmynb0BQ15