Back

The Incision Point

Substack
michaelmeneghini.com· irregular· Published 7 days ago

An orthopedic surgeon argues that American hospitals have grown bloated with administrators, and questions the rush to scale robotic surgery before its benefits for joint replacement are proven. He also shares technical reasoning on when to retain the kneecap in knee replacement surgery.

administrative creephospital administrationrobotic surgeryjoint replacementtotal knee arthroplastypatellar resurfacingnhs roboticsus healthcare costsorthopedic surgeryhealth system reform
Platform
Substack
Frequency
Irregular
Latest issue
Oct 20, 2026
Language
English
Written for
Clinicians, health policy readers and orthopedic professionals
Tone
opinion
Tracked since
Oct 26, 2026

Website: https://www.michaelmeneghini.com