Infection Prevention in TKA May Require 'Robust" Program, Not Adjusting Surgeon Volume .

Reducing infection rates after total knee arthroplasty (TKA) may depend more on comprehensive, system-level strategies than on surgeon case volume alone. Recent findings suggest that simply increasing or concentrating surgical volume does not significantly impact infection risk. Instead, effective prevention appears to require a robust, multidisciplinary program that integrates standardized protocols across the perioperative pathway—such as optimization of patient comorbidities, strict sterile techniques, antibiotic stewardship, and coordinated postoperative care. These results emphasize that infection prevention is a complex, systems-based challenge, and that consistent implementation of evidence-based protocols may be more impactful than procedural volume in improving outcomes after TKA.