Over the next decade, as a result of aging, obesity and an increasingly active senior population, it is likely that a million total joint replacements will be needed every year. The problem is that there are not enough orthopaedic surgeons to go around. Out of 500 orthopaedic residents annually, only 30 to 40 specialize in joint replacement. In the last two years, just one of 24 Mass General residents chose joint replacement as a specialty. The
total joint replacement team led by Andrew Freiberg, MD, vice chair, Orthopaedic Surgery, and chief, Hip & Knee Replacement Service, is looking at strategies to reduce costs and improve access. One approach is to begin physical therapy within hours following surgery to help accelerate total joint replacement rehabilitation by one day.