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Archive for the ‘Knee’ 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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How long do robotic partial knee replacements (MAKOplasties) last?

I really can’t comment on the longevity of our newest-generation partial knee (aka uni-knee arthroplasty, or UKA) implants.   Historically, total knee replacements (aka total knee arthroplasty, or TKA) have nearly a 90% survivorship at 10-15 yrs. Newer-generation TKAs we expect to surpass that, but none of them have been around long enough to say. […]

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Are your procedures covered by Medicare and AARP Medicare Supplement?

Q: Considering your hip and knee surgeries: Are the procedures now covered by Medicare and AARP Medicare Supplement? One article on your website from 2009 said they are not covered by Medicare. A: Yes, all of my procedures are now covered by Medicare & all insurances in the same fashion as any standard procedure. The […]

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How do you feel about “rocker bottom” (ie- MBT, Sketcher’s Shape Up, etc) shoes for people with hip or knee issues?

It really depends on how your body reacts to wearing them. Walking mechanics can vary greatly from person-to-person. On average, your natural foot position is in a few degrees of “plantar-flexion”, meaning that a slightly raised heel in a shoe’s foot-bed would be the most supportive and natural for walking. Most walking/comfort shoes are designed […]

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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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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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What is a “revision” total joint?

Q: If realistically a total joint replacement can fail over time, what about “do-overs”? Are they possible, and can they be effectively performed? A: “Do-overs” (commonly referred to as “revisions”) are becoming more routine. Technology, techniques & knowledge are advancing quickly in this realm. For all of my patients receiving a joint replacement earlier than […]

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The “30 year” total knee

Q: On TV, they talk of a knee replacement that has a life of 30 years… does yours last that long? A: First, I must say that I DO use a fair amount of this technology in my practice for my total knees (you will find me on the Smith & Nephew website www.RediscoverYourGo.com), and […]

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Medical tourism – needed information

Q: If I am traveling to see you, what information do you need to accept me as your patient? A: I will need to see 2 main items prior to being able to accept you as a patient: Imaging – xrays, minimum 2 views (pelvis & lateral views are preferred for hips; ap, lateral & […]

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