As a hip or knee surgeon, you have a sense about which patients are not going to do well after their joint replacement surgery. The problem is, what we can measure is not always what directly affects their outcomes. While we can use predominant outcome measures for success of total joint arthroplasty – range of motion, functional ability, how far they can walk – what we don’t realize is the influence of psychological distress of pain and function on patients undergoing this surgery. Can we predict psychological distress, and can we modify it?

Discussion Topics

I. “States and traits” – situational depression and personality characteristics
II. Can surgical resilience be assessed and shaped in total joint arthroplasty?
III. Perioperative optimization of pain management

About the Faculty

Moderator: Bryan D. Springer, MD, AAHKS Third Vice President, Fellowship Director, OrthoCarolina Hip & Knee Center, Medical Director & Co-Founder, Operation Walk Carolinas, Associate Professor, Department of Orthopedic Surgery, Carolinas Medical Center

Wayne M. Sotile, PhD, Founder​, Center for Physician Resilience​, Davidson, North Carolina​
Padma Gulur, MD, Professor of Anesthesiology and Population Health, Executive Vice Chair, Performance and Operations, Director, Pain Management Strategy and Opioid Surveillance, Duke University Health System