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

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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Robotic-Assisted Total Hip Replacement (Mako)
CT-based 3D planning and robotic accuracy for cup position, leg length, and stability.
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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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The Quadriceps-Sparing Midvastus Approach
Protecting the muscle that powers your recovery - what meta-analyses show about the midvastus approach.
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Kinematic Alignment: A Knee That Feels Natural
Rebuilding the knee you were born with - the evidence behind kinematic alignment.
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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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Preventing Blood Clots After Joint Replacement
Modern evidence - including the EPCAT II trial - supports low-dose aspirin for standard-risk patients.
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Managing Pain With More Than One Strategy
How combining several non-opioid strategies keeps you comfortable - and most patients off strong pain pills.
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Delivering Antibiotics Into Bone During Surgery
Delivering antibiotics and pain relief precisely where they are needed, before problems start.
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Physical Therapy After Joint Replacement
Structured rehab matters - and research shows video-based remote PT works as well as in-person therapy.
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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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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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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.
Read articleWant to see what recovery actually looks like? Watch real patients walking days — even hours — after surgery.
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