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Cory Calendine, M.D.

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Cory Calendine, M.D.

Orthopedic Surgeon, Hip/Knee Replacement Specialist, Cory Calendine, MD, Nashville/Brentwood/Franklin https://linktr.ee/corycalendinemd
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$Vancouver Classification: Critical Framework for Periprosthetic Hip Fracture ManagementPeriprosthetic femoral fractures ...$

10/10/2025

Vancouver Classification: Critical Framework for Periprosthetic Hip Fracture Management
Periprosthetic femoral fractures following total hip arthroplasty affect 1-3% of primary and revision hip replacements. The Vancouver Classification, developed by Duncan and Masri, provides the most widely accepted framework for diagnosing/treating these complex injuries by evaluating (3) critical factors: fracture location, femoral implant stability, and surrounding bone stock quality.
🔹Type A : involve the trochanteric area and are subdivided into AG (greater trochanter) and AL (lesser trochanter). Type AG are typically stable when minimally displaced and managed conservatively with abduction precautions. Operative fixation is considered when displacement exceeds 2.5 cm. Type AL fractures are rare, usually treated nonoperatively unless a large segment of the medial cortex is involved, which may destabilize the femoral stem and require revision consideration
🔹Type B Fractures: occur at or just distal to the femoral stem and represent the most clinically significant category. Critical distinction lies in implant stability: B1 fractures feature a well-fixed prosthesis and are treated with open reduction + internal fixation. B2 fractures involve a loose stem w/ adequate bone stock, necessitating revision arthroplasty with a long-stem femoral component + adjunctive fixation. B3 fractures present the greatest challenge: a loose implant w/ inadequate bone stock requires revision w/ structural allograft augmentation or allograft-prosthetic composite reconstruction.
🔹Type C Fractures: occur below implant tip; managed w/ standard fracture fixation principles; must avoid creating stress risers between the plate and stem tip
👇 SHARE your periprosthetic experience & insights

10/08/2025

💸 Do Surgeons Make Too Much?
Orthopedic surgery is experiencing a critical inflection point as compensation trends collide with workforce shortage. Recent data reveals see some the highest average starting salaries among specialties, yet inflation-adjusted compensation has declined significantly over the past two decades (up to 38% decrease when accounting for rising costs). The US faces a projected shortage of more than 5,000 orthopedic surgeons by the end of 2025, creating a challenging recruitment landscapes. The deficit is driven by multiple converging factors: aging population requiring increased musculoskeletal care, lengthy training pipelines, and congressional funding caps on graduate medical education (limiting number of new surgeons entering the field). While specialists continue to dominate physician compensation rankings, with gastroenterologists earning $552,000 and urologists at $521,000, the real purchasing power of these salaries has eroded.
Demand for orthopedic services shows no signs of slowing. The American Association of Hip and Knee Surgeons reports that 78% of physician search engagements are for specialists vs. primary care providers, reflecting the critical shortage in surgical subspecialties. Many healthcare systems are responding with enhanced recruitment packages. The workforce shortage extends beyond numbers. Persistent compensation inequities based on gender and race remain concerning, with women earning less than male counterparts across most academic ranks. Geographic variations also create disparities, with the Northeast region consistently offering higher compensation across all faculty levels.
As healthcare consolidation accelerates and more procedures shift to outpatient settings, the orthopedic workforce landscape continues evolving.
👇 SHARE your path into Healthcare - can you imagine doing anything else?

03/03/2025

🦿Knee Replacement Trends 2025
📊 Key Trends according to latest American Joint Replacement Registry data:
• Average patient age remains stable at 67.6 yrs for total knee and 64.5 yrs for partial knee arthroplasty
• Length of stay has significantly decreased from 2.9 dys (2012) to 1.1 dys (2023) for TKA, and from 2.2 to 0.5 dys for
• Posterior stabilized designs remain most common but are declining, while medial congruent designs show increasing popularity
• Cementless fixation usage has grown from 1.9% (2012) to 21.8% (2023)
• Highly cross-linked polyethylene is the most used bearing material (45.9%), followed by antioxidant polyethylene (39.5%)
• Robotic assistance has increased >6-fold in the past 6 yrs to 15.9% of procedures
• Patellar resurfacing remains predominant but has gradually declined from 95.9% (2012) to 87.0% (2023)
• Home discharge rates have increased w/ 96.3% of patients now discharged home
• Infection remains most common reason for revision, followed by mechanical loosening
• Unicompartmental represents ~3.7% of all knee replacement but shows significantly higher revision rates than total knee arthroplasty
• Cruciate retaining/ultracongruent implants are associated with reduced rates of cumulative revision vs posterior stabilized designs
The data is clear — knee replacement surgery continues to become less invasive, more precise, and more patient-friendly. If knee pain is limiting your life, today’s innovations may offer better solutions than ever before.
👇 SHARE your experience & insights

03/01/2025

Trends in Hip Replacement 2025
🔹Mean procedure count per surgeon has increased to 44.3 procedures annually, with an interquartile range of 6-62 procedures
🔹Avg patient age remains stable at 65.6 yrs
🔹Length of stay has significantly ⬇️ from 2.9 days in 2012 to 1.1 days in 2023
🔹Ceramic femoral head usage continues to ⬆️ and is now the most commonly used material, accounting for over 80% of cases in recent yrs
🔹Dual mobility bearing use has leveled off at around 8-10% of cases after yrs of steady increase
🔹Cementless femoral fixation remains dominant, though cemented fixation showed a slight ⬆️ to 5% in 2023, the highest since inception
🔹Cemented femoral components showed significantly lower revision rates due to periprosthetic fracture compared to cementless components
🔹Robotics utilization has almost tripled since 2017, now used in 6.6% of cases
🔹Home discharge rates have ⬆️ significantly, with 92% of patients now discharged directly home
🔹36mm heads continue to be the most commonly used femoral head size, though larger heads (≥40mm) have shown slight increases
🔹Use of conventional polyethylene has nearly vanished (

02/24/2025

What (3) words would you use to describe “Being a doctor...”?
Sir James Paget (1814-1899), English Surgeon/Pathologist: As a young medical student at St. Bartholomew’s Hospital, he made his first groundbreaking discovery - identifying the parasitic worm causing trichinosis. Despite enduring 7 yrs of financial hardship, making only £15 annually, he persevered by writing medical journals and cataloging museum specimens. Paget’s keen observational skills and methodical approach led to numerous landmark discoveries, including Paget’s disease of bone and Paget’s disease of the breast. His masterwork “Lectures on Surgical Pathology” (1853) established pathology as a cornerstone of modern medicine, emphasizing microscopic examination in understanding diseases.
Known for his exceptional eloquence and teaching ability, Paget served as surgeon to Queen Victoria and became a baronet in 1871. Together with Rudolf Virchow, he laid the foundation for scientific medical pathology, bridging the gap between laboratory research and clinical practice.
💡 Fun fact: In 1886, following a famous murder trial acquittal, Paget made his memorable quip: “Now that she has been acquitted for murder and cannot be tried again, she should tell us in the interest of science how she did it!”
Paget’s legacy lives on through his contributions to medical education, surgical practice, and his enduring message about the unity of science and medicine.
“Being a doctor offers the most complete and constant union of those three qualities which have the greatest charm for pure and active minds—novelty, utility, and charity.”

Address

3000 Edward Curd Lane
Franklin, TN
37067

Opening Hours

Monday	8am - 5pm
Tuesday	8am - 5pm
Wednesday	8am - 5pm
Thursday	8am - 5pm
Friday	8am - 5pm

Telephone

+16157912630

Website

https://www.corycalendinemd.com/

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About Dr. Cory Calendine

Cory Calendine, M.D., received his medical degree from the University of Tennessee College of Medicine. He completed a residency in orthopaedic surgery at Vanderbilt University Medical Center, followed by fellowship training in adult reconstruction of the hip and knee at the world-renowned Anderson Orthopaedic Research Institute in Alexandria, Virginia.

Dr. Calendine currently serves as chief of the Division of Orthopaedic Surgery for Williamson Medical Center, where he often hosts national and international visiting surgeons who come to learn the latest techniques. He also serves as an elite reviewer for the Journal of Arthroplasty, and in 2018 was selected to serve as a member of the American Board of Orthopaedic Surgery Blueprint Development Exercise Work Group, which creates content for national credentialing exams. Dr. Calendine also lectures nationally and internationally on joint replacement, most recently at the 2018 Chinese Hip Society in Guiyang, China.

When he’s not practicing medicine, Dr. Calendine enjoys golf, movies, racquetball, youth ministry and weightlifting. He also dedicates his time to various nonprofit groups, such as Mission UpReach, City of Children and the Sarah Walker Foundation.