Total Joint Replacement: Hip, Elbow & Knee Essentials

In this episode of BoardsCast, we walk through the principles and evolving landscape of total joint replacement (TJR) in veterinary patients — focusing on the hip, elbow, and stifle.

We cover:

• Cemented vs. cementless THR and why component fixation matters
• Modular vs. monobloc implants — and what surgeons are choosing
• Elbow replacement: options, outcomes, and the mechanical challenge of congruity
• Stifle replacement: where it’s going and why it’s still uncommon
• Complication patterns: infection, luxation, aseptic loosening
• When salvage is better than replacement — and how to make that call

Whether you’re preparing for boards, planning a referral, or trying to avoid catastrophic post-op complications, this episode gives you the essential framework for successful total joint replacement.

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Chapters

• 0:00 Introduction: Canine Hip Pain and Surgical Solutions
• 1:07 Prophylactic Procedures: Preventing OA in Young Dogs
• 1:49 Juvenile Pubic Symphysiodesis (JPS): Mechanism and Ideal Candidates
• 4:09 Pelvic Osteotomies (TPO/DPO): Direct Bone Repositioning and Complications
• 6:11 Salvage Procedures: Addressing Established Arthritis
• 6:28 Femoral Head and Neck Excision (FHNE): Pain Relief Through Pseudarthrosis
• 8:22 Total Hip Arthroplasty (THA): The Gold Standard
• 8:49 Patient Selection for THA: Clinical Signs Over Radiographs, Age, and Size
• 10:06 THA Surgical Technique: Planning, Femoral and Acetabular Preparation
• 11:25 Implant Materials, Stress Shielding, and Tribology (Wear Debris)
• 13:37 Fixation Strategies: Cemented vs. Cementless (Biologic)
• 14:56 Main Complications of THA: Luxation, Aseptic Loosening, Fractures
• 17:19 Pectineus Myectomy: A Palliative Option (Historical Note)
• 18:13 Board-Style Question: Breed-Specific Luxation Risk (German Shepherd)
• 19:37 Flashcard Recap: Surgical Categories and THA Essentials
• 21:16 Conclusion: The Art and Science of Total Joint Replacement