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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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.