David Clinton McNabb, M.D., a fellowship trained orthopedic surgeon specializing in total joint replacement and revision surgery, is the new expert on board at the Raleigh Orthopaedic Clinic in North Carolina.
David Clinton McNabb, M.D. Joins Raleigh Orthopaedic Clinic

According to the September 17, 2015 news release, Dr. McNabb completed his undergraduate and master’s degree at the University of North Carolina at Chapel Hill. He attended Medical School at the Brody School of Medicine at East Carolina University, where he received multiple scholarships and awards. He completed his surgical internship and his orthopedic residency at the University of North Carolina at Chapel Hill. He then went on to complete a Hip and Knee Arthroplasty Fellowship at Colorado Joint Replacement, the premier orthopedic center in Denver, Colorado.
Dr. McNabb told OTW, “I want to establish a practice that is inviting to patients, where they know they can come and be heard. I want to present treatment options to my patients with data that helps them be a part of the decision process in their care.”
Asked about the future, he noted, “In one year I believe we will continue to provide excellent orthopedic care for the Raleigh and surrounding communities. At the Raleigh Orthopaedic Clinic, we continue to develop programs for our patients and communities that allow them to help maintain a healthy lifestyle and hopefully prevent future injuries. I imagine our efforts in these areas will only continue to grow in the future.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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