Introduction -- Total joint replacement, contemporary concepts -- Impact of CMS Mandatory and Volunteer Bundle Total Joint Arthroplasty Care and How this has Created New Models for Inpatient Surgery -- Latest Advances in Cardiac Imaging Modalities -- Atrial Fibrillation -- Experience with MACE -- Risk Evaluation -- Hypertension -- Troponins -- Palliation Of Pain Secondary To Degenerative Joint disease In The Inoperable Patient Population -- Current and future trends in Orthopaedics.