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Constantine Demetracopolous

Aug 12, 2026

2:35
And so for me, if she wants a replacement, I'm totally fine with that.
2:40
The one thing I'll say is sometimes, just to add to Jesse's points, which I completely agree with, is when you look at particularly the middle image there, the, the mortis or the oblique, you see a lot of sclerosis in the distal tibia.
2:55
All right? And so oftentimes you say, "Well, it's a young patient.
2:59
I wanna just take the smallest amount of bone away.
3:04
I'm just gonna use a low-profile implant." But that can get you into trouble because if you put your implant up against sclerotic or bone that's too dense, well, then it doesn't really have the ability to heal onto the implant.
3:17
So as much as we wanna minimize the resection, as much as we wanna just take absolutely as little bone as possible, it's really important to get the implant onto healthy bone.
3:27
And we don't really have a great way to objectively assess that, right? Because we have a CT scan, we have bone that's too dense or not dense enough, and we're just trying to figure out [chuckles] where are the cysts and looking at deformity and whatnot.

8 MINS LATER

11:43
Right.

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