Wednesday, February 12, 2014

Total joint implants and the Cheesecake Factory

Here is an interesting read from the New Yorker, Big Med.

There's a lot of 'food for thought' in this article that studies the Cheesecake Factory for lessons on how to do medicine. We were drawn to this quote:

"Knee implants were largely perfected a quarter century ago. By the nineteen-nineties, studies showed that, for some ninety-five per cent of patients, the implants worked magnificently a decade after surgery. Evidence from the Australian registry has shown that not a single new knee or hip prosthesis had a lower failure rate than that of the established prostheses." We've previously pointed out that the same is true for total shoulder implants.

It appears that the Prosthesis may be the least important of the 4 Ps.

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