Total knee replacement surgery : AOL Video feed

Minimal Incision Total Knee Replacement

Tue, 31 Jul 2007 01:47:03 -0400

http://www.or-live.com/alliancehospital/1737 Knee Replacement: Join Alliance Hospital and Basin Orthopedic Surgical Specialists (BOSS) in Odessa, Texas for a live webcast of a Minimal Incision Total Knee Replacement procedure on Tuesday, January 23, at 6 PM CST. William G. Reilly, M.D., Director of Boss Arthritis Institute in Odessa will be the physician performing this relatively new procedure. Dr. Reilly has performed more than 400 minimal incision total Knee Replacements at Alliance Hospital. The potential benefits of a Minimal Incision Total Knee Replacement procedure are smaller incisions, faster recovery, less soft tissue trauma, shorter hospital stay, less pain after surgery and little or no effect on long term outcomes. With the Minimal Incision techniques that are performed patients are more likely to ambulate on the day of the surgery. Dr. Reilly received a B.S. in Aeronautical and Astronautical Engineering from Purdue University in Lafayette, Indiana and his medical degree from Georgetown University School of medicine, where he graduated Cum Laude. He completed his residency in orthopedic surgery at the Cleveland Clinic Foundation, in Cleveland, Ohio. Dr. Reilly is currently in group practice with Basin Orthopedic Surgical Specialists sub-specializing in total joint replacement. He is Board Certified by the American Board of Orthopedic Surgeons and is a Fellow of American Academy of Orthopedic Surgeons. About Alliance Hospital Alliance Hospital is an acute care hospital with focused centers of excellence in cardiology, orthopedics, vascular services and general surgery. Alliance Hospital also provides complete surgical care in minimally invasive urology, gynecology, pain management, podiatry and other areas of specialty. Alliance Hospital is the only hospital in the Permian Basin to offer robotic surgery. The physicians and staff at Alliance Hospital strive to merge the most innovative technology and accommodating patient environment into a medical facility that is unsurpassed in the Permian Basin and recognized nationwide.

Zimmer® Gender Solutions™ High-Flex Knee Replacement

Tue, 29 May 2007 10:21:00 -0400

Philadelphia, PA – On Thursday, September 14, at 6:30 p.m. EDT, Pennsylvania Hospital in Philadelphia, PA will broadcast a live total knee replacement procedure featuring the Zimmer Gender Solutions High-Flex Knee, the first knee replacement shaped to fit a woman's anatomy. Knee replacements have long been available in many sizes, but merely using a different size for women doesn't resolve anatomical differences. Various studies show that women's knees significantly differ in shape from men's knees. Pioneering research conducted for Zimmer precisely maps out those differences and is the foundation for the design and development of the Gender Solutions Knee. When placing traditional implants, some surgeons accommodate women's differences by removing more bone or repositioning the implant during surgery, but their ability to make the implant precisely conform to the patient is limited. The Gender Solutions High-Flex Implant was designed so the surgeon can more closely match the female patient's knee anatomy. Robert E. Booth, Jr., M.D., Chief of Orthopaedic Surgery at Pennsylvania Hospital, Philadelphia, PA, will perform the surgery. The webcast will be moderated by Giles R. Scuderi, M.D., Director, Insall Scott Kelly Institute, and Assistant Clinical Professor of Orthopaedic Surgery, Albert Einstein College of Medicine, New York, NY. Questions from both surgeons and the general public can be sent in via email during the broadcast. "Mounting research indicates that a woman's knee is not simply a smaller version of a man's knee. The differences involve the bones, ligaments and tendons in the joints," said Dr. Booth. "Women can wear men's clothing and shoes, but most prefer clothing and shoes made for them. That's because women are shaped differently than men. It's the same with knees, and it makes perfect sense to design knee implants with women in mind, particularly considering that women are by far the majority of the knee replacement patient population." Nearly two-thirds of the more than 400,000 annual knee replacement patients are women, according to the National Center for Health Statistics, and the numbers continue to increase each year. Research shows that while both women and men vastly underuse knee replacement, women are three times less likely than men to undergo the procedure, although they suffer from more knee pain and resulting disability. "Less invasive procedures are helping patients get back to enjoying their lives faster than ever before. Now that we have a knee shaped to fit women's anatomy, we expect far more women will want to consider knee replacement," said Dr. Booth. The Gender Solutions High-Flex Knee, the first of several gender innovations to come from Zimmer, is based on the company's more than 20 years of clinical success with total knee implants. Further, it can be placed using Zimmer Minimally Invasive Solutions ™ (MIS ™) Procedures, which typically offer smaller scars, shorter hospitalization and quicker rehabilitation and recovery; and safely accommodates high flexion (up to 155 degrees), which is necessary for many activities, such as climbing stairs, sitting in a chair, gardening and golfing. "Even though most women are happy with their results after joint replacement, some still have residual pain in the front of the knee around the kneecap, or say their artificial knee just doesn't feel or move the way their own knee did when it was healthy," Dr. Booth said. "Knee implants have been functioning very well for men and women, but we want to meet women's unique needs by making knee replacements that feel, fit and function even better. The Gender Solutions Knee is the best of both worlds. It's based on the NexGen® Knee, a highly successful implant with great mechanics and 10 years of clinical success. Only the shape is different, to make it feel more natural." The knee joint is composed of three bones: the end of the femur (thighbone), the top of the tibia (shinbone) and the patella (kneecap), which are all held together by tendons and ligaments and cushioned by cartilage. Knees can become painful, due to arthritis, injury and infection, which cause deterioration of the cartilage. When the cartilage is gone, the bones of the knee grind against each other, wearing away and typically causing severe pain. Total knee replacement involves removing the portion of bone that is damaged and resurfacing the knee with metal and plastic implants. This program is part of an ongoing effort to provide convenient, innovative educational opportunities to orthopaedic surgeons worldwide and is intended to help orthopaedic surgeons enhance their skills to build confidence in providing the best orthopaedic care possible for their patients. For more information or to request a free brochure about the Gender Solutions High-Flex Knee, or to find a surgeon who performs joint replacement with Zimmer implants, consumers should visit www.genderknee.com or call toll-free, 1-877-GEN-KNEE. This activity is sponsored by The Zimmer Institute. This activity does not offer CME credit. Zimmer Holdings, Inc. (NYSE and SWX: ZMH) is the worldwide #1 pure-play orthopaedic leader in designing, developing, manufacturing and marketing reconstructive and spinal implants, trauma and related orthopaedic surgical products.

Total Knee Replacement

Fri, 19 Sep 2008 11:43:00 -0400

http://www.or-live.com/shawneemission/2225 MERRIAM, Kan. – Shawnee Mission Medical Center (SMMC) will host a Total Knee Replacement (TKR) Live Surgery Webcast on Tuesday, Oct. 14 at 7 p.m. The Webcast will feature Robert Sharpe, MD, of Midwest Orthopaedics, PA, as he surgically reconstructs a patient’s knee. Burrel Gaddy, MD, who is also with Midwest Orthopaedics, will serve as the moderator, answering questions live from the audience. A TKR is a surgical procedure done to replace a damaged knee with a prosthesis, which is an artificial joint typically made up of metal and plastic. Knee replacements may be necessary when knee conditions cause the cartilage to deteriorate to the point when there are no other options to relieve pain. Osteoarthritis, rheumatoid arthritis and knee joint injury typically create the pain that leads to a TKR. The procedure is very common, with more than 300,000 TKR surgeries being performed every year in the United States. According to Sharpe, patients who undergo a total knee replacement surgery reap a number of benefits following the procedure. "Once a patient undergoes a total knee replacement surgery, they have nearly a full range of motion in the knee and can walk on their leg almost immediately," he said. "Patients also regain a majority of the activities that they were doing prior to the knee replacement, without the pain they were enduring before." Through education, both Sharpe and Gaddy hope the TKR Webcast will help patients better understand the procedure and the positive impact most patients report on their lifestyle afterward, which according to Gaddy can be dramatic. "Patients often come into my office limping, complaining of their limited ability to perform daily activities because the discomfort is so overwhelming," he said. "The difference in the patient's ability to perform daily tasks after the procedure is remarkable." About Shawnee Mission Medical Center: Shawnee Mission Medical Center (SMMC) is a 383-bed facility with nearly 20,000 inpatient admissions and more than 195,000 outpatient admissions annually. SMMC has the busiest emergency department in Johnson County, the area's first accredited Chest Pain Emergency Center, a nationally recognized Center for Women's Health and delivers more babies each year than any other hospital in the metropolitan area. SMMC employs more than 2,700 local residents and supports an exceptional staff of 700 physicians representing 50 medical specialties, the largest medical staff in Kansas City. Visit us on the Web at ShawneeMission.org.

State-of-the-Art Knee Replacement Surgery

Tue, 15 Jan 2008 11:10:06 -0500

http://www.or-live.com/stmarysmadison/2087 On Tuesday, January 22, 2008, St. Mary's Hospital and two members of the Dean Orthopedic physician team will offer viewers the opportunity to see a total knee replacement surgery up close. The procedure will be broadcast live over the internet from 4:00-5:00 p.m. Central Standard Time from one of St. Mary's 18 brand-new, high-tech operating rooms which opened the first of the year. This total knee replacement procedure will be performed by Dr. David Wolff. Dr. Wolff is one of the area's leading orthopedic surgeons having completed over 250 hip and knee replacement surgeries in 2007. Commentary will be provided during the surgery by Dr. Richard Glad, Chairman of the Dean Department of Orthopedics. Also a very busy and successful orthopedic surgeon, Dr. Glad's patient list includes athletes such as John Powless, one of the top-ranked players in the International Tennis Federation's men's 75+ age category. St. Mary's is the leading hospital in Orthopedic services in south-central Wisconsin, serving nearly 40% of orthopedic patients in Dane County alone.* * Q1, 2007 market share data

Anterior Hip Replacement Surgery

Thu, 28 Feb 2008 16:59:46 -0500

http://www.or-live.com/prohealthcare/2189 Hip Replacement: – ProHealth Care will continue its educational Web cast series with the live online broadcast of an anterior hip replacement surgery at Oconomowoc Memorial Hospital on Wednesday, March 26, at noon. This will be the fourth in a series of Web casts that offer patients and consumers a first-hand look at both routine and state-of-the-art surgeries occurring at ProHealth Care hospitals. Matthew Bong, MD, orthopedic surgeon, will perform the anterior hip replacement surgery, and Scott Schneider, MD, orthopedic surgeon, will moderate. Viewers will have the opportunity to send questions directly to the operating room during the surgery. Anterior hip replacement is one of the newest procedures available to ProHealth Care Orthopedic Center patients needing hip replacement surgery. Oconomowoc Memorial Hospital was the first in the metro-Milwaukee area to offer this minimally invasive surgery using the HANA table. The special operating table allows the surgeon to more effectively move the leg during surgery to best position the hip socket, ball and femur insert for proper fit. The HANA table also allows the surgeon to take X-rays during the procedure to ensure precise fit and placement of all components. "Most patients who are candidates for traditional hip replacement surgery are also candidates for the anterior procedure," Dr. Bong says. Patients benefit from the anterior approach to hip replacement in a number of ways: Accelerated recovery time. Fewer restrictions during recovery. Patients can often more freely bend their hip and bear their full weight immediately or very soon after surgery. Possible reduced scarring. The anterior approach allows for one relatively small incision. Less discomfort during the recovery period. ProHealth Care has partnered with surgical broadcast leader OR-Live out of West Hartford, Connecticut, to produce this live event. For more information, a preview of the event, interviews with our surgeons, and to access replays of previous ProHealth Care Web casts, including a knee replacement, brain surgery and robotic prostatectomy, visit www.prohealthcare.org/OR. About ProHealth Care ProHealth Care is a regional critical and primary care provider with nationally recognized programs and physicians, and ranks among the most technologically and clinically advanced community health care systems in the country. Its integrated health network includes Waukesha Memorial, a tertiary care hospital and Oconomowoc Memorial, an acute care hospital; 28 ProHealth Care Medical Centers and Medical Associates locations; home health care and hospice services; assisted and independent living communities and West Wood Health and Fitness Center. ProHealth Care's comprehensive services include a Neuroscience Center, Regional Cancer Center, Heart Center, CyberKnife Center, level III Newborn Intensive Care Unit, Center for Breast Care, Women's Center and Orthopedic Center. For almost a century, ProHealth Care has been the major provider of health services in Waukesha County and today remains the only community-rooted health care system in Southeast Wisconsin. ProHealth Care's mission is to serve residents of Waukesha County and surrounding areas with the highest quality care at a reasonable cost. A leader in community education and providing hospital cost and quality information to consumers, ProHealth Care was the first in the state, and one of the first in the nation, to publish charges for hospital procedures and the first to provide a Consumer Inquiry Line that provides consumers with hospital charge information online or through a call center. ProHealth Care is proud to be the largest employer in Waukesha County. Visit www.prohealthcare.org for more information.

Robot - Assisted Heart Bypass with Cardiac Catheterization

Sun, 15 Jul 2007 00:41:14 -0400

http://www.or-live.com/umm/1713 On February 28, 2007, at 4 PM EST watch the premiere showing of a very unique surgical webcast from the University of Maryland Heart Center in Baltimore. See for yourself an operation called the HYBRID. This is an innovative approach to double or triple vessel coronary artery disease that combines minimally-invasive, robotic coronary artery bypass surgery with stented angioplasty, performed in just one operation. The University of Maryland Medical Center is among the first hospitals in the U.S. to offer this combined surgery, and is now the only Medical Center to offer this surgery with the use of robotic technology. Cardiac surgeon, Dr. Robert Poston, an assistant professor of surgery at the University of Maryland School of Medicine, with the assistance of Dr. Charles Drummond, a clinical instructor at the University of Maryland School of Medicine, will use the daVinci-S surgical robot to harvest the left internal mammary artery, which will then be used to bypass the blockages in the heart. Unlike traditional open surgery, there is no large incision made during this operation. Several tiny incisions, which measure smaller than the diameter of a dime, are made between the ribs so that the robotic instruments can be used inside the chest cavity. While sitting at a computer console outside the actual operating room, Dr. Poston looks through lenses that provide a three-dimensional and highly magnified view of the inside of the body. He then uses wristed instruments to make very precise movements in the chest wall. Dr. Poston will harvest the left mammary artery and then through a two and half-inch incision in the chest, Dr. Poston will redirect one end of the artery to the heart surface and hand-sew the artery beyond the blockage, therefore increasing blood flow to the heart. Once this bypass portion of the surgery is complete, Dr. David Zimrin, an assistant professor of medicine and director of cardiac catheterization, will perform angioplasty to restore normal blood flow in the remaining blocked arteries. The hybrid takes place in an operating room that is both a fully equipped surgical suite and a state-of-the-art cardiac catheterization laboratory. This combined OR presents a tremendous advantage, because if for some reason doctors are unable to get a satisfactory result from the angioplasty side, they can convert to an open bypass operation. The patient won't have to be moved to another room because they will already be in a fully-equipped operating room. There are many clear advantages to the patients who undergo the hybrid. It is convenient and less stressful to have bypass surgery and stenting performed at the same time and not two separate days. During this approach, the heart remains beating throughout. Because the heart-lung machine is never used to maintain circulation, it is safer and there are fewer side effects. Also, since all incisions are very small, the rate of recovery is much faster and patients can usually go home in two days. Ideal candidates for the hybrid procedure have a blockage in a major vessel called the left anterior descending (LAD) artery, which supplies 60 percent of the blood to the heart, as well as blockages in non-LAD arteries that can be treated with a stent.

Minimally Invasive Colon Surgery

Tue, 31 Jul 2007 13:55:28 -0400

http://www.or-live.com/duluthclinic/1754 St. Mary's Medical Center in Duluth, MN, plans to broadcast a minimally invasive colon surgery, live on the Internet. The webcast is slated for Wednesday, Jan. 24, 2007, at 6:30 p.m. CST. The public will be able to view a laparoscopic hemicolectomy, the removal of part of the colon through a small incision. Duluth Clinic colorectal surgeon Melissa Najarian, MD, will perform the procedure. Duluth Clinic surgeon Thomas Wiig, MD will help explain the surgery and answer questions e-mailed by viewers. Computer users must have high-speed Internet service and the Real Player program downloaded on their system. During a typical surgery, Dr. Najarian removes a section of colon about eight inches long. In many cases, Dr. Najarian operates on patients who have colon cancer or colon polyps. A patient suffering from Crohn's disease or diverticulitis could also be a candidate for the procedure. Because this surgery is done laparoscopically, Dr. Najarian makes an incision about two inches in length, along with three or four incisions that are less than half an inch. She inserts a camera and her tools through these small cuts to perform the surgery. An open procedure of this type would likely require an eight-inch incision. When the minimally invasive procedure is appropriate for a patient's individual situation, this technique can lead to quicker healing. "They have less pain and that speeds up the recovery as well," Dr. Najarian notes. As a specialist in colorectal surgery, Dr. Najarian has honed her skills in laparoscopic procedures. "It takes more training," she says. The operating room staff must also have extra training and be comfortable using the high-tech equipment that makes this type of procedure possible. Laparoscopic techniques are used in many surgeries at St. Mary's, including the removal of the appendix, gall bladder and spleen, along with weight loss surgery and hernia repairs. Dr. Najarian says she's excited to take part in a live surgical webcast. "It will really benefit patients," she says. "I don't think people always understand what's going on with their insides." She's also hoping to use the webcast as an opportunity to remind patients about the importance of colon screenings. "If everyone had regular screenings, we might not have to do this surgery," she explains. This will be the second live webcast from an operating room at St. Mary's Medical Center, which is part of SMDC Health System. The first live broadcast here set records for the number of people viewing a live surgery on the Internet. That webcast, which featured a knee replacement surgery, can still be viewed by going to www.duluthclinic.org

Anterior Approach to THA: Performed by Joel Matta, MD

Wed, 03 Oct 2007 15:35:17 -0400

http://www.or-live.com/DePuy/2051/ In a live Internet webcast on October 9, 2007, at 5:00 p.m. Eastern Time, Joel M. Matta, M.D., will perform a tissue sparing surgical procedure called the Anterior Approach to total hip replacement with a specially designed surgical table and the Corail® Hip implant from DePuy Orthopaedics, Inc. at the Hip and Pelvic Institute at Saint John's Health Center in Santa Monica, California. DePuy Orthopaedics, Inc., a company that has taken a leading role in training surgeons in this procedure, is making the broadcast available for free via www.OR-Live.com. The Anterior Approach is a proven technique for total hip replacement that can help people who have suffered for decades from painful osteoarthritis in their hip. The Anterior Approach makes small-incision surgery an option for patients who were traditionally not candidates because of weight or build. The procedure allows for immediate post-operative stability, less pain and a faster patient recovery.(1-3) The surgery will be performed by Dr. Joel M. Matta, who brought the Anterior Approach to the United States from Europe. Dr. Matta has advanced the technique further by co-designing a specialized surgical table, a hip prosthesis and surgical instruments, as well as improving protocols for the hip replacement procedure. Having performed over 1,500 Anterior Approach hip replacements himself, Dr. Matta has also been instrumental in the training of many orthopaedic surgeons in this technique. "Using the Anterior Approach allows surgeons to work between the muscles, without detaching them from the hip or thighbones," said Dr. Matta. "When these important muscles are left relatively undisturbed, patients can expect to be on their feet much faster, making quicker steps toward recovery." Traditional Hip Replacement Vs. the Anterior Approach Traditional hip replacement surgery typically results in a 6-8 inch incision and a hospital stay of 4-5 days. The Anterior Approach allows for a smaller incision and less tissue disruption, which can shorten the recovery process. Additionally, patients may bend their hip and bear full weight sooner after this surgery than other types of hip replacement surgery. How Does the Anterior Approach Work? The surgeon uses an advanced surgical table specifically designed for this procedure: This surgical table allows them to position the patient so that the hip joint may be easily accessed from the front as opposed to the side or back. The Anterior Approach allows the surgeon to work between the muscles without detaching them from the hip or thighbones with many advantages. These important muscles are left relatively undisturbed, potentially reducing the recovery time. Keeping these muscles intact also helps prevent dislocations; Patients may be able to freely bend their hip and bear full weight immediately following surgery The Corail® Total Hip System, from DePuy, is a clinically proven hip implant uniquely shaped and optimal for the anterior approach due to its streamlined design.(4) About Hip Replacement The demand for hip replacement is growing rapidly. It is estimated that the number of primary total hip replacements will increase by 174 percent -- to 572,000 -- in 2030. This is due in part to the growing number of Baby Boomers with osteoarthritis and the rise in obesity among the population.(5) As with any medical treatment, individual results may vary. Only an orthopaedic surgeon can determine whether an orthopaedic implant is an appropriate course of treatment. There are potential risks, and recovery takes time. The performance of the new joint depends on weight, activity level, age and other factors. About the OR-Live Broadcast Surgeons, patients, caregivers and others may view this procedure for free on the Web at www.OR-Live.com. Information is available at this site about how to view the broadcast. The broadcast will be moderated by J. Bohannon Mason, MD. Dr. Mason is a member of OrthoCarolina, one of the largest and most comprehensive orthopaedic practices in the U.S. Following his residency at Duke University, he was awarded the Otto E. AuFranc Fellowship in Adult Reconstructive Surgery. Dr. Mason is a leader in total hip replacement, and he has recently completed an initial series of cases using the Anterior Approach. He brings his experiences with other approaches and his early experiences with the Anterior Approach to his role as moderator. About DePuy Orthopaedics, Inc. DePuy Orthopaedics, Inc., a Johnson and Johnson company, is advancing the standard of orthopaedic patient care, with a focused commitment to help surgeons achieve excellence in surgical practice. The company designs, manufactures and distributes orthopaedic devices and supplies including hip, knee, extremity, trauma, cement, orthobiologics, and operating room products. As a global leader in joint replacement products, DePuy Orthopaedics is committed to Restoring the Joy of Motion™ for patients whose mobility is restricted by severe osteoarthritis or other debilitating injury. References: 1.Comparison THA procedure data on file at DePuy Orthopaedics, Inc. 2. Matta, J.M. and T.A. Ferguson. "THA After Acetabular Fracture." Orthopedics 28(9), September 2005: 959-960. 3. Matta, J.M., C. Shahrdar and T. Ferguson. "Single-Incision Anterior Approach for Total Hip Arthroplasty on an Orthopaedic Table." Clinical Orthopaedics and Related Research 441, December 2005: 115-124 4. Vidalain J.P., Artro Group "Corail in Primary THR: Twelve Years Experience." Presented at the International Corail Conference, Malta 1998. 97.7% survivorship in 6,700 cases after 10 years. 5. "Total Knee and Hip Replacement Surgery Projections Show Meteoric Rise by 2030. Orthopaedic procedures set to continue gaining widespread acceptance as means to restore quality-of-life," American Academy of Orthopaedic Surgeons (AAOS) Web site: www6.aaos.org/news/Pemr/press_release.cfm?PRNumber=442. Accessed July 11, 2007.