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Archive for the ‘SuperPATH’ Category:

For an elderly patient with known heart blockage, is a stress-test necessary for a micro-invasive hip replacement (SuperPATH)?

The decision to have a stress test is left to the discretion of your cardiologist. Like any procedure, a thorough pre-operative workup is required for your safety. This includes general medical clearance, as well as any specialty clearance that is deemed necessary (depending on any pre-existing conditions). This would likely involve some sort of cardiac […]

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What do you think about doing simultaneous bilateral Total Hip Replacement (THR) vs. 2-stage bilateral THR? Would I need a urinary catheter for one THR or simultaneous THR?

I prefer to do bilateral (both) hips as a staged procedure, one THR then the other 6 wks later. I have on occasion done simultaneous bilateral THRs, but only on my healthiest patients, since it can be more dangerous in terms of blood clot, blood loss & cardiac risk. I almost never use a catheter, […]

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Am I a SuperPATH candidate if I have had previous hip surgery?

Q: I had a right hip fracture repaired with screws and then the screws started coming out and would catch the tendon on the side of my leg, so the surgeon removed them. When I was finally released by the surgeon, I was told I had arthritis in that hip and I should consider a […]

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You said that your anesthesia protocol involved “local & regional anesthesia”. Is this the same as the “twilight-sleep” I got during my colonoscopy?

You will be completely asleep, and you will have no knowledge or recollection of the surgery. This is far more sedation than your described colonoscopy, but not so much that you would require a machine to “breath” for you.

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What is the best bearing-material for my total hip replacement?

This is a topic of much debate right now among surgeons. Probably the best answer is this: There is no perfect bearing surface. That is why there are so many options currently available. I try to carefully select a bearing surface that best utilizes the potential benefits against the potential shortcomings. Here are some common […]

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In total hip replacement, I have heard a larger ball (femoral head) is “better” for post-operative motion limits, etc. Can you set me straight here, please?

I use a very wide variety of head sizes in my practice. There a few main issues to consider here: 1) larger head sizes can increase stability with certain approaches, 2) certain head sizes work better with certain bearing surfaces in terms of long-term wear & 3) head sizes may be limited to size of […]

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How long is the recovery from your joint replacement surgeries?

A very general guide for all joint replacement is:- You will continue to improve for an entire year, even if you feel 100% within weeks after surgery. The following is highly variable, and represents a reasonable baseline. The recovery can be longer depending on the severity of the disease. Most of my patients stop their […]

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How long does a total -vs- partial -vs- revision joint replacement last?

Regarding implant longevity, the short answer is: we don’t know. The point that I need to emphasize is that longevity of an implant is HIGHLY VARIABLE. It really depends on multiple factors. No patient is the same, activity levels vary, accidents can happen, and the modes of failure are numerous and unpredictable. For total joint […]

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Recent implant recalls

Q: What implant was used in my hip replacement? I was reading about the J&J recalls in the news. Where can I get this information? A: I have never used the J&J Depuy ASR implants that have been recalled. Hopefully that puts your mind at ease. As for the exact parts, you should be able […]

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Medical tourism – a joint replacement in 1 week

Q: Can I fly in the day before surgery, then fly home the day after? A: Even though your hospital stay will likely be 24hrs, I will require you to make a 1 week commitment for your safety: Fri – initial clinic visit (physical exam, xrays*, pre-op workup) & pre-op assessment in hospital Sat – […]

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