But how do you start to plan exactly where your extensile exposure goes so you don't get trapped in the middle of a case?

So if it's like, for example, just last week I did a periprosthetic fracture.

So I plated almost the entirety of the femur and I revised the cup and the stem.

It was just a debacle.

But anyways, I will basically kind of prep out from, you know, right below the rib cage to the, you know, tibial plateau.

And I'll make sure that I can access everything that I could possibly need and then some.

You know, I just think it's, I've never been somebody that said, oh, this is MIS, but it is extensile, just as the posterior approach is extensile.

And I would just add one

Not only the numbers, but what it really means to you.

Well, I would say, I mean, well, total joints obviously are growing as we have the silver tsunami, the aging population.

And also on the other end of the spectrum, people are less tolerant of an impaired lifestyle and they want to get back doing activities, whatever that is, hiking, biking.

You know, we see people, you know, out here all the time, the weekend warriors that are out in the mountains.

And, you know, it's just so we're seeing obviously younger people getting primaries, older people getting primaries that want to stay active.

It's just a different world now than it was, you know.

when I started in practice in 2008, there was this sort of dogma.

Yep.