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Patient Education

Understand your joints

Plain-language articles written from the peer-reviewed literature — with citations — covering Dr. MacNeille's techniques, technology, and recovery protocols.

Hip

The Direct Superior Approach to Hip Replacement

How a modern muscle-sparing approach protects the IT band, lowers dislocation risk, and often eliminates hip precautions.

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Hip

Robotic-Assisted Total Hip Replacement (Mako)

CT-based 3D planning and robotic accuracy for cup position, leg length, and stability.

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Knee

Robotic-Assisted Total Knee Replacement (Mako)

CT-based 3D planning and robotic accuracy - and what studies show about pain, opioids, and early recovery.

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Knee

The Quadriceps-Sparing Midvastus Approach

Protecting the muscle that powers your recovery - what meta-analyses show about the midvastus approach.

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Knee

Kinematic Alignment: A Knee That Feels Natural

Rebuilding the knee you were born with - the evidence behind kinematic alignment.

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Recovery

Same-Day Joint Replacement: Recovering in Your Own Home

Randomized trials and systematic reviews show outpatient joint replacement is safe for well-selected patients.

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Recovery

Preventing Blood Clots: Why We Use Aspirin

Modern evidence - including the EPCAT II trial - supports low-dose aspirin for standard-risk patients.

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Recovery

Multimodal Pain Control Without Relying on Opioids

How combining several non-opioid strategies keeps you comfortable - and most patients off strong pain pills.

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Surgery

Intraosseous Vancomycin and Local Analgesic Injection

Delivering antibiotics and pain relief precisely where they are needed, before problems start.

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Recovery

Physical Therapy After Joint Replacement - Including Video and Remote Options

Structured rehab matters - and research shows video-based remote PT works as well as in-person therapy.

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Recovery

The Quiet Knee Recovery Protocol

Calm the knee down first, and motion will follow - the evidence behind a gentler recovery philosophy.

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Non-Operative

Knee Injections Explained: Cortisone, Gel, and PRP

A plain-language guide to the three most common knee injections, what each does, and when each makes sense.

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Getting Started

Hip or Knee Pain? What to Expect From Your First Visit

From X-rays and MRI to bracing, therapy, and same-day joint replacement - the full pathway of care, explained.

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Want to see what recovery actually looks like? Watch real patients walking days — even hours — after surgery.

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