Advanced Knee Care

Knee Surgeon and Specialist Stefan D. Tarlow, M.D.

The Patient’s Guide to Medicare and Robotic Knee Replacement

By

medicare

In recent years, robotic knee replacement surgeries have gained widespread recognition for their precision and potential to improve patient outcomes. If you’re considering this advanced procedure to regain mobility and reduce knee pain, it’s essential to understand how Medicare covers robotic knee replacement. This guide will walk you through the essentials, from eligibility and coverage to the benefits of choosing this innovative approach under Medicare.

Robotic Knee Replacement: A Technological Advancement

surgery assistant robot

Robotic knee replacement, often performed with systems like Mako, represents a significant leap forward in orthopedic surgery. These advanced technologies provide orthopedic surgeons with unparalleled precision, enhancing the accuracy of the procedure and potentially leading to quicker recovery times and improved joint function.

Eligibility for Robotic Knee Replacement under Medicare

knee surgeon checking patient

Determining whether you meet the eligibility criteria for robotic knee replacement is crucial. Medicare typically covers knee replacement surgeries when they are considered medically necessary. If your knee condition has progressed to a point where conservative treatments are no longer effective, you may be a candidate for the procedure.

The Benefits of Choosing Robotic Knee Replacement under Medicare

knee after surgery

Opting for robotic knee replacement under Medicare can offer several advantages:

Enhanced Precision

Robotic systems help surgeons achieve remarkable precision during the procedure, potentially leading to a more accurate fit of the prosthetic components.

Quicker Recovery

Robotic total knee replacement is almost always performed at an outpatient surgery center. You go home the same day. Recovery is thought to be faster with robotic knee replacement compared to traditional manual knee replacement surgery.

Improved Joint Function

The advanced technology used in robotic knee replacement can result in better joint function and reduced pain post-surgery.

Navigating the Decision-Making Process

medical insurance person

Choosing robotic knee replacement is a significant decision involving medical and financial considerations. Here are some essential steps to guide you through the process:

Consult with Your Healthcare Provider

Discuss your knee condition and treatment options with your orthopedic surgeon. They can help determine if robotic knee replacement is right for you.

Review Your Medicare Plan

Understand the coverage and out-of-pocket costs associated with your specific Medicare plan. Be prepared to ask questions and seek clarification from your insurance provider.

Explore the Surgical Team

Consider the expertise and experience of the surgical team, as this can significantly impact your surgical outcome.

Direct Care with Dr. Tarlow: A Unique Advantage

knee doctor of phoenix dr. stefan tarlow

Choosing Dr. Tarlow as your orthopedic surgeon offers a distinct advantage. While Medicare covers facility fees (ASC or Hospital), Anesthesiologist fees, Physical Therapist services, medications, and most imaging studies, when you select Dr. Tarlow as your surgeon, you deal directly with your care provider. This means that treatment decisions remain in your hands, eliminating the need for third-party involvement and bringing back the doctor-patient relationship.

The Financial Aspect: What to Expect

Dr. Tarlow’s professional fee covers the cost of the replacement surgery and one year of professional follow-up care. However, it’s essential to note that Medicare does not cover this fee, and you will pay Dr. Tarlow directly for his services. The fee for your knee replacement procedure may vary depending on the type of procedure, ranging from $9,000 to $12,000.

Dr. Tarlow’s priority is ensuring his patients receive the necessary care, regardless of financial constraints. If you find the direct pay fee challenging, Dr. Tarlow will reduce his professional fee to accommodate your medical needs.

Frequently Asked Questions (FAQs)

Q1: Is robotic knee replacement covered by Medicare Advantage plans?

Yes, many Medicare Advantage plans cover robotic knee replacement. However, the extent of coverage and out-of-pocket costs may vary depending on your specific plan and the provider and surgeon you choose to work with. It’s advisable to check with your plan provider for details.

Q2: Are there age restrictions for Medicare coverage of robotic knee replacement?

Medicare eligibility is primarily based on medical necessity rather than age. Medicare coverage may be available regardless of age if your healthcare provider deems robotic knee replacement medically necessary.

Ready to Explore Robotic Knee Replacement with Medicare?

If you’re interested in the possibilities of robotic knee replacement and how it aligns with your Medicare coverage, don’t hesitate to contact Dr. Tarlow’s office. Our dedicated team is here to assist you in understanding your options, answering your questions, and guiding you toward the best decision for your knee health and well-being. Take the first step towards improved mobility and comfort by scheduling a consultation with Dr. Tarlow today. Your journey to a pain-free and active lifestyle begins here.

Why Out-of-Network Doctors are a Preferred Choice for Robotic Knee Replacement

By

knee surgeon and robot

In recent years, the field of orthopedic surgery has witnessed remarkable advancements, particularly in the realm of knee replacements. Robotic knee replacement surgery has emerged as a cutting-edge technique offering enhanced precision and better patient outcomes. Interestingly, many patients are now opting for out-of-network surgeons to perform these procedures despite the potential for higher upfront costs. This article will explore why out-of-network doctors are increasingly becoming the preferred choice for robotic knee replacement and why their specialized expertise and personalized care can lead to better long-term results.

The Rise of Robotic Knee Replacement

surgical robot

Knee replacement surgery has been a standard treatment for individuals suffering from severe knee arthritis or injury. Traditionally, surgeons performed these procedures manually, relying on their skills and experience to accurately remove damaged tissue and implant prosthetic components. While these methods have been successful for decades, the introduction of robotic technology has revolutionized the field.

Robotic knee replacement involves using a robotic surgical system that assists the surgeon during the procedure. It offers several advantages, including:

  1. Enhanced Precision
    Robotic systems provide real-time feedback to the surgeon, helping them make precise cuts and placements. This precision can lead to a more accurate fit of the prosthetic components, reducing the risk of misalignment.
  2. Personalized Planning
    Robotic systems utilize advanced imaging and computer algorithms to create a personalized surgical plan for each patient. This tailoring ensures that the procedure meets the specific needs of the individual.
  3. Minimally Invasive
    Robotic-assisted surgery often allows for smaller incisions, resulting in less tissue damage, reduced pain, and faster patient recovery times.
  4. Improved Outcomes
    Studies have shown that robotic knee replacement can lead to better outcomes, including improved range of motion, reduced pain, and increased implant longevity.

Given these advantages, it’s unsurprising that many patients seek the best surgeons, even if it means going out-of-network.

The Expertise of Out-of-Network Surgeons

knee surgeons

Out-of-network surgeons, often associated with specialized orthopedic centers, are at the forefront of medical advancements in robotic knee replacement. Here’s why their expertise matters:

  1. Specialized Training
    These surgeons undergo rigorous training and will likely have specialized expertise in robotic-assisted knee replacement. They have invested substantial time and effort in mastering these cutting-edge techniques.
  2. Access to Advanced Technology
    Out-of-network surgeons are more likely to have access to state-of-the-art robotic surgical systems and the latest software updates. This ensures that patients benefit from the most advanced technology available.
  3. Patient-Centered Care
    Many out-of-network providers prioritize personalized care. They often have lower patient-to-surgeon ratios, providing more individualized attention and care throughout the surgical process.
  4. Research and Innovation
    These surgeons are often involved in research and innovation within their field. They are more likely to participate in clinical trials, contributing to developing new techniques and technologies.

Long-Term Benefits for Patients

recovering knee surgery patient

While opting for an out-of-network surgeon for robotic knee replacement may involve higher upfront costs, patients often find that the long-term benefits outweigh the financial investment. These benefits can include:

  1. Better Surgical Outcomes
    The precision and expertise of out-of-network surgeons can result in better surgical outcomes, including increased implant longevity and reduced risk of complications.
  2. Improved Quality of Life
    Patients who receive robotic knee replacements from specialized surgeons report a higher quality of life, with reduced pain and improved mobility.
  3. Reduced Revision Surgeries
    The accuracy of the procedure can lower the likelihood of revision surgeries, which are often required when knee replacements fail prematurely.
  4. Faster Recovery
    Minimally invasive techniques used by many out-of-network surgeons can lead to faster recovery times, allowing patients to return to their daily activities sooner.

Navigating the Financial Aspects

medical insurance for seniors

While the benefits of choosing an out-of-network surgeon for robotic knee replacement are compelling, it’s essential to address the financial considerations. Patients can take several steps to navigate the costs effectively:

  1. Insurance Coverage
    Check with your insurance provider to understand the extent of coverage for out-of-network procedures. Some plans may partially cover the expenses.
  2. Financing Options
    Explore financing options or payment plans offered by the surgical center or hospital. These arrangements can help distribute the cost over time.
  3. Consultation and Second Opinions
    Schedule consultations with both in-network and out-of-network surgeons to compare costs, discuss payment options, and make an informed decision.
  4. Out-of-Pocket Expenses
    When assessing the procedure’s value, consider the long-term benefits and potential savings from reduced revision surgeries and improved quality of life.

Out-of-network doctors are increasingly becoming the preferred choice for robotic knee replacement due to their specialized expertise, access to advanced technology, and commitment to patient-centered care. While the upfront costs may be higher, the potential long-term benefits and improved outcomes make this choice compelling for individuals seeking the best possible results in their journey to regain mobility and comfort. If you’re ready to explore the possibilities of robotic knee replacement with a dedicated specialist, schedule a consultation with Dr. Tarlow today and experience the difference in orthopedic care. Your path to enhanced mobility and comfort begins here.

A Comprehensive Guide to Understanding Patello-Femoral Replacement Surgery

By

old man with osteoarthritis

In the realm of knee surgery, patello-femoral replacement surgery stands as a vital solution for individuals grappling with knee pain and restricted mobility. This comprehensive guide delves deep into the intricacies of patello-femoral replacement surgery, unraveling the underlying anatomy, the surgical procedure itself, and the issues it targets to address. Whether you’re a patient seeking insights into this procedure or a medical enthusiast, this article provides an informative guide to comprehending the nuances of patello-femoral replacement surgery.

Understanding the Patello-Femoral Joint

patellofemoral osteoarthritis

The patello-femoral joint, between the patella (knee cap) and the femur (thigh bone), plays a pivotal role in knee movement and stability. However, wear and tear, injury, or conditions like osteoarthritis can result in pain and hindered function within this joint. Patello-femoral replacement surgery, or patello-femoral arthroplasty or patello-femoral joint replacement, comes into play as a targeted solution to restore optimal joint function and alleviate discomfort.

The Surgical Procedure

knee doctor in surgery

Patello-femoral replacement surgery is a meticulously crafted procedure to replace damaged patello-femoral joint surfaces. It involves removing a small portion of the patella and femur then replacing them with prosthetic components, typically made from metal and plastic. The prosthetic components are engineered to replicate the natural joint’s movement and function, promoting smoother gliding and reducing friction within the joint. This surgical intervention aims to relieve pain, improve mobility, and enhance the overall quality of life for individuals grappling with patello-femoral joint issues.

Identifying Candidates

painful knee

Ideal candidates for patello-femoral replacement surgery are individuals who have exhausted conservative treatment options and continue to experience persistent knee pain, limited mobility, and a reduced quality of life due to patello-femoral joint problems. Before proceeding with the surgery, a thorough evaluation is conducted to determine if the patient’s condition aligns with the potential benefits of this procedure.

Benefits and Expected Outcomes

healthy old couple

Patello-femoral replacement surgery offers a range of potential benefits, including reduced pain, improved joint stability, enhanced mobility, and an overall quality of life. Patients who undergo this surgery often experience a significant reduction in pain, allowing them to engage in daily activities more easily. Additionally, restoring proper joint function can lead to a renewed sense of independence and an increased capacity to participate in physical activities.

Post-Surgery Rehabilitation

knee rehab old man

Following patello-femoral replacement surgery, a structured rehabilitation program is essential to optimize surgical outcomes. Physical therapy is pivotal in helping patients regain strength, flexibility, and functionality in the treated joint. The rehabilitation process is tailored to the individual’s condition and progress, gradually transitioning them back to regular activities and routines.

In conclusion, patello-femoral replacement surgery emerges as a beacon of hope for individuals seeking relief from knee pain and compromised mobility due to patello-femoral joint issues. By replacing damaged joint surfaces with prosthetic components, this surgical procedure aims to restore function, reduce pain, and improve the overall quality of life for patients. Whether you’re exploring treatment options or merely seeking to broaden your medical knowledge, understanding the fundamentals of patello-femoral replacement surgery provides valuable insights into this remarkable advancement in knee surgery.

Ready to Take the First Step?

If you or a loved one is considering patello-femoral replacement surgery as a solution to knee pain and mobility challenges, we are here to help. Contact us at Advanced Knee Care to schedule a consultation and explore the best course of action tailored to your unique needs. Our dedicated team of orthopedic specialists is committed to guiding you toward a life of enhanced mobility, comfort, and vitality.

ACL Reconstruction: What to Expect Before, During, and After Surgery

By

athletic boy in excruciating pain holding his injured knee

In this comprehensive blog post, we will explore the world of ACL (Anterior Cruciate Ligament) reconstruction, a common knee surgery that aims to restore stability and function to the knee joint after an ACL injury. Whether you are an athlete or an individual leading an active lifestyle, understanding the entire process of ACL reconstruction can help you prepare mentally and physically for this transformative procedure. We will cover all stages, including pre-surgery preparation, the surgical procedure itself, post-operative care, and rehabilitation. Let’s dive into the details of ACL reconstruction surgery and what you can expect at each step of the journey.

Understanding the ACL and Its Importance

MRI knee comparison sagittal PDW and TIW view for detect tear of ACL

The Anterior Cruciate Ligament (ACL) is one of the major ligaments in the knee joint, crucial for providing stability during movements like running, jumping, and pivoting. Unfortunately, ACL injuries are common among athletes and individuals engaging in sports or activities that involve sudden stops or changes in direction. When the ACL is torn or damaged, it can lead to knee instability, pain, and restricted mobility. ACL reconstruction is often recommended to restore knee function and prevent further damage.

Pre-Surgery Preparation

knee MRI procedure in hospital

Before undergoing ACL reconstruction, a thorough evaluation and preparation process are essential to ensure the best possible outcome. Your orthopedic surgeon will perform a comprehensive physical examination and may order imaging tests, such as MRI, to assess the extent of the ACL injury and identify any additional knee issues. The pre-surgery phase may also involve discussions about your medical history, lifestyle, and expectations for the surgery and recovery.

The Surgical Procedure

orthopedics knee surgery

ACL reconstruction is typically performed as an outpatient procedure, meaning you can return home on the same day as the surgery. The surgery is usually done under general anesthesia or regional anesthesia, which numbs the lower half of your body. During the procedure, your surgeon will make small incisions around the knee to access the joint. The torn ACL will be removed, and a graft (a piece of tissue) will be used to create a new ACL in its place. Common graft options include autografts (using your own tissue, typically from the patellar tendon or hamstring) or allografts (using donor tissue). Your surgeon will determine the most suitable graft option for your specific case.

Post-Operative Care

patient standing with support of knee brace

Following ACL reconstruction, your knee will be placed in a brace to provide support and stability. You may experience some pain and discomfort after the surgery, which can be managed with prescribed pain medications. It is crucial to follow your surgeon’s post-operative instructions carefully. This may include keeping your leg elevated, applying ice packs to reduce swelling, and using crutches for a period to avoid putting weight on the operated knee. Your surgeon will also provide guidelines for wound care and changing dressings.

Rehabilitation and Recovery

acl knee injury rehabilitation treatment

Rehabilitation plays a vital role in the success of ACL reconstruction. A customized physical therapy program will be designed to help you regain knee strength, flexibility, and stability. Initially, your physical therapy sessions will focus on gentle exercises to promote healing and prevent muscle atrophy. As you progress, your therapist will introduce more challenging exercises to improve knee function and gradually return to normal activities. The duration of rehabilitation varies for each individual, but it typically spans several months, with a gradual transition back to sports and high-impact activities.

Potential Complications and Risks

knee stiffness

While ACL reconstruction is generally a safe and successful procedure, like any surgery, it carries certain risks. Possible complications include infection, blood clots, graft failure, and knee stiffness. Your surgeon will discuss these risks with you during the pre-surgery consultation, and steps will be taken to minimize the likelihood of complications.

Long-Term Outlook

acl knee rehab

With proper care, ACL reconstruction can lead to significant improvement in knee function and overall quality of life. Many patients regain full knee stability and return to their pre-injury activity levels. However, it is crucial to follow your surgeon’s recommendations and participate actively in the rehabilitation process to achieve the best possible outcome.

ACL reconstruction is a transformative procedure that can restore knee stability and function for individuals with ACL injuries. The journey from pre-surgery preparation to rehabilitation is a collaborative effort between you, your orthopedic surgeon, and your physical therapist. By understanding what to expect before, during, and after surgery, you can approach ACL reconstruction with confidence and dedication to achieving a successful recovery. If you or someone you know is dealing with an ACL injury and seeking a solution to regain knee function, don’t hesitate to contact us at Advanced Knee Care. Dr. Tarlow and our team is here to guide you through the entire process and provide the support you need to get back on your feet. Take the first step towards a healthier and more active life by scheduling a consultation with us today!

PRP Knee Injections: A Natural Approach to Relieve Joint Pain and Promote Healing

By

happy old couple

In this blog post, we will explore the use of Platelet-Rich Plasma (PRP) injections for knee pain and injuries. We will explore the science behind PRP knee injections, their potential benefits, the procedure, and what patients can expect during treatment. We will provide insight into the recovery process and answer questions.

Understanding PRP and its Role in Knee Injuries

PRP in test tube

Platelet-Rich Plasma (PRP) is a regenerative medicine treatment that utilizes the healing properties of your blood. PRP for the knee is a non-surgical procedure that can be performed in-office, offering a natural approach to alleviate joint pain and promote healing. The process involves a nurse collecting a tube of your blood. The blood is spun twice, which allows us to concentrate on the healing elements. The PRP is placed in a sterile syringe. Dr. Tarlow then injects the PRP directly into your knee joint capsule, stimulating a biological, regenerative repair process.

The Procedure and Preparation

medical staff preparing platelet rich plasma

To obtain PRP, a small amount of your blood is drawn by a nurse from your arm. The drawn blood is then processed in the office using a specialized technique. Emcyte PurePRP, a trusted and high-quality preparation, is used to produce the PRP. The PRP is then carefully injected into your knee joint. The procedure typically takes about one hour, making it a convenient option for patients seeking effective pain relief and improved joint function.

PRP for Chondral Defects

PRP for chondral defects

Knee chondral defects are conditions where the joint surface develops a surface imperfection. These chondral defects are known to generate knee symptoms. The knee has a limited ability to repair itself and lacks biological activity. This can lead to chronic knee pain and swelling. However, PRP has shown promising outcomes in treating mild to moderate defects, particularly in knees that are otherwise healthy. PRP contains a high concentration of growth factors from your blood, which can aid in healing and stimulate the growth of cells or the metabolism of the matrix in the articular chondrocytes. By utilizing the regenerative properties of PRP, patients with chondral defects may find relief from pain and experience improved knee function. This relief usually continues for a year.

PRP for Osteoarthritis (OA) Knees

knee doctor injecting PRP

Osteoarthritis is a degenerative joint condition that alters normal joint metabolism, leading to increased cell breakdown and decreased repair. PRP can be an effective treatment option for mild to moderate knee osteoarthritis. This helps alleviate pain and swelling associated with knee osteoarthritis. This relief usually continues for a year.

How PRP Works in Knee Osteoarthritis and Chondral Defects

nurse tending on old mans knees

PRP works in different ways to improve the balance and healing of the joints. When PRP is injected, it releases growth factors from platelet alpha-granules, including hepatocyte growth factor (HGF), vascular endothelial growth factor (VEGF), platelet-derived growth factor (PDGF), and transforming growth factor-b (TGF-b). These growth factors play a crucial role in stimulating the healing processes within the joint. PRP also affects the cells lining the knee called synoviocytes. It increases the secretion of hyaluronic acid (HA), which helps maintain a healthy joint environment with balanced blood flow. Additionally, PRP reduces the presence of “bad proteins” like interleukin-1 (IL-1) and matrix metalloproteinases (MMPs) that contribute to joint inflammation. As a result, PRP helps suppress joint inflammation, alleviating pain, which is the most significant and debilitating symptom of knee osteoarthritis.

Ready to Schedule a Consultation?

If you seek a natural and practical approach to alleviate knee joint pain and promote healing, PRP knee injections may be the right choice. Dr. Tarlow at Advanced Knee Care specializes in PRP therapy can guide you through the process. To get started, complete our request form or contact our trained staff by phone or e-mail. We are here to address your questions and assist you throughout your treatment journey.

Filed Under: PRP

A Patient’s Complete Guide to Knee Replacement Surgery

By

knee surgery

Knee replacement surgery is a life-changing procedure that can provide immense relief and improved mobility for individuals suffering from severe knee pain and dysfunction. If you or a loved one are considering knee replacement surgery or seeking information about the procedure, this comprehensive guide will address your concerns, provide a detailed understanding of the surgery, and help you make an informed decision.

Understanding Knee Problems

an elderly man holding his knee because of knee pain

Before delving into knee replacement surgery, it’s important to understand the common causes of knee pain and mobility issues. Osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, and other conditions can lead to the deterioration of the knee joint, causing pain, stiffness, and limitations in daily activities. Non-surgical treatments such as medication, physical therapy, and lifestyle modifications may offer temporary relief, but when these options are no longer effective, knee replacement surgery becomes a viable solution.

Knee Replacement Procedure

knee surgeon holding a model of a knee

The knee replacement procedure involves removing the damaged surfaces of the knee joint and replacing them with artificial components. This surgical intervention is customized to meet the unique needs of each patient, with options including total knee replacement or partial knee replacement. During the surgery, the patient is placed under anesthesia. The surgeon makes an incision to access the knee joint. Using robotic technology, the damaged bone and cartilage are precisely removed using the Mako robot, and the artificial components are securely placed to correct angular deformity to restore stability which alleviates arthritic knee pain. Many people have returned to near-normal functions by returning to activities such as walking, hiking, most sports, and travel.

Preparing for Knee Replacement Surgery

a patient and a knee surgeon doing a pre operative consultation

Before undergoing knee replacement surgery, a thorough evaluation and consultation process is conducted to ensure the patient’s suitability for the procedure. This includes reviewing medical history, physical examinations, and pre-operative tests to assess overall health. Lifestyle modifications, such as weight management and strengthening exercises, may be recommended to optimize the surgical outcome. Correctable risk factors (obesity, diabetes, and smoking) should be modified prior to surgery to minimize the risk of an adverse event. During this preparatory phase, we address patient expectations and address any concerns that are specific to our individual patients.

The Day of Surgery

knee surgery operation

Knee replacement is a day surgery procedure for nearly all people. On the day of the surgery, patients are admitted to the Ambulatory Surgery Center and undergo pre-surgical preparations with the surgical team that includes nursing and anesthesia and your surgeon. The patient is then taken to the operating room, where the surgical procedure is performed under the care of experienced orthopedic surgeons and a dedicated medical team. Post-surgical recovery room care and monitoring is usually 90 minutes, ensuring the patient’s comfort and stability. People are discharged to home with a walker, pain medications, and post-op instructions.

Knee Replacement Recovery

a man wearing knee braces

The recovery phase after knee replacement surgery is crucial for a successful outcome. Physical therapy plays a significant role in the recovery process, helping patients regain knee strength, flexibility, mobility, and decreased pain. Strong pain medicine is required for 3-5 days. A walker is used for 7-14 days. A healthy diet, rich in nutrients, is also important for optimal healing and recovery. Patients can expect to achieve various milestones throughout the recovery timeline, gradually returning to their driving (1-2 weeks), normal daily activities (2-4 weeks), and work and exercise routines (1-3 months).

Managing Risks and Complications

a knee doctor talking to a patient in a wheelchair

Like any surgical procedure, knee replacement surgery carries certain risks and potential complications. These may include infection, blood clots, implant-related issues, and nerve or blood vessel damage. However, advancements in surgical techniques, infection prevention protocols, and appropriate post-operative care have significantly minimized these risks. It’s crucial for patients to follow their surgeon’s instructions, take prescribed medications, and seek medical help if they notice any signs of complications.

Life After Knee Replacement

elderly couple running

After successful knee replacement surgery, patients experience remarkable improvements in mobility, pain relief, and overall quality of life. Activities that were once limited or challenging become more manageable. While the artificial knee joint may last for many years, proper care and maintenance are essential. Lifestyle factors such as maintaining a healthy weight, engaging in low-impact exercises, and avoiding excessive strain on the knee joint can promote long-term joint health.

Frequently Asked Questions (FAQs)

To address common concerns, here are answers to some frequently asked questions about knee replacement surgery:

How long does the recovery process take after knee replacement surgery?

The recovery timeline varies for each individual, but most patients can expect significant
improvement within a few weeks. Full recovery and return to normal activities may take 3-12 months.

What precautions should I take during the recovery period?

It is important to follow the surgeon’s post-operative instructions, including medication
schedules, physical therapy exercises, and wound care. Avoid high-impact activities and excessive bending or twisting of the knee during the initial recovery phase.

Will I be able to resume activities such as sports and exercise after a knee replacement?

Most patients may resume most activities such as walking, swimming, cycling, hiking, racquet sports, skiing, golfing, and jogging. Always consult with your surgeon regarding specific activities and timelines.

What are the potential risks and complications associated with knee replacement surgery?

Potential risks include infection, blood clots, implant-related issues, nerve or blood vessel damage, and allergic reactions. However, these risks are relatively low, and the surgical team takes necessary precautions to minimize them.

How long does a knee replacement implant last?

Modern knee replacement implants are designed to be long-lasting, with an average lifespan of 20 – 30 years. However, the actual durability can vary depending on various factors, including patient activity level and overall joint health.

What are signs that indicate the need for a knee replacement?

Signs that you may need a knee replacement include persistent knee pain, limited mobility, difficulty performing daily activities, and the failure of non-surgical treatments to provide relief. Consult with an orthopedic specialist for an accurate diagnosis and treatment recommendation.

How Successful Are Total Knee Replacements in the First Three Years?

Knee Replacement surgery is very successful. 90% of patients are pleased with their knee function with the artificial joint. Twenty-year implant survival rates are 90%.

Does Outpatient Physical Therapy Improve Functional Outcome After Total Knee Replacement?

Quality of life and functional outcomes after total knee replacement are of great importance to both patients and surgeons. All studies show that a post-operative rehabilitation program is essential for a successful functional outcome. However, that program can either be directed by a physical therapist or the patient. Be sure to exercise your replaced knee in the first few months after surgery – failure to participate in some type of rehabilitation program will be a detriment to your outcome.

Knee replacement surgery offers hope and restoration for individuals suffering from debilitating knee pain and limited mobility. By understanding the procedure, its benefits, risks, and recovery process, patients can make an informed decision and approach their surgery with confidence. Remember, always consult with an experienced orthopedic surgeon to assess your individual situation and determine the best course of action.

If you are interested in learning more about knee replacement surgery, its benefits, and the recovery process, visit https://tarlowknee.com/ to explore additional information and resources.

Exciting News – Advanced Knee Care Joins Forces with Integrated Orthopedics!

By

We’re thrilled to announce that Advanced Knee Care will be merging with Integrated Orthopedics, marking a new chapter in our journey of providing renowned orthopedic knee care! This integration will not only retain the stellar services you’re accustomed to but also extend our specialty services, bringing you a wider scope of expert care.

Our dedicated team of specialists at Advanced Knee Care is set to expand, offering more comprehensive care, including DME, in-house physical therapy, pain management, non-surgical treatment solutions, and a state-of-the-art ambulatory surgical center.

Joining forces with Integrated Orthopedics, renowned for their team of proficient doctors – Dr. Brian Gruber, Dr. Jacob Adams, Dr. Eric Boyd, along with a fantastic team of Physician Assistants – ensures the continuity of services provided by Dr. Tarlow. More excitingly, we can now accommodate same-day and same-week screenings, speeding up your journey to wellness.

One significant advantage of this merger is our expanded coverage of health insurance plans. Integrated Orthopedics is in-network for more plans, meaning we can serve an even broader range of patients! This merger underscores our commitment to maintaining and enhancing the quality of care our patients receive.

To facilitate this transition, we will be closing our current Scottsdale office on July 31st and reopening just 15 minutes north at Perimeter Drive on September 1st. Rest assured, we’re retaining the Advanced Knee Care phone number for your convenience.

We’re incredibly excited about this new phase and are confident that this integration will greatly benefit our patients. Thank you for your continued trust and support.

Best regards,

Stefan D. Tarlow, MD

Key Factors to Consider When Choosing a Knee Replacement Surgeon

By

confident knee replacement surgeon

When it comes to finding the right knee replacement surgeon, the decision is of utmost importance. Knee replacement surgery is a complex procedure that requires expertise, precision, and skill. The outcome of the surgery can have a significant impact on an individual’s quality of life, mobility, and overall well-being. Therefore, it is crucial to carefully evaluate and consider various factors before making a well-informed decision. In this article, we will discuss the key factors individuals should consider when selecting a knee replacement surgeon. By understanding these factors, you can make a confident choice and ensure the best possible outcome for your knee surgery.

Surgeon’s Qualifications, Specialization, and Robotics

a person holding a pen to a model of a knee

The first and foremost factor to consider is the surgeon’s qualifications and specialization. Look for a surgeon who is board-certified in orthopedic surgery and has received advanced training in knee replacement procedures. A qualified surgeon has undergone rigorous education, residency, and fellowship programs to gain the necessary skills and knowledge. The top surgeons remain committed to lifelong learning and adapting technologies that improve patient success. Surgical Robotics has modernized knee replacement surgery techniques and greatly improved patient function and satisfaction from knee replacement surgery.

Furthermore, it is essential to ensure that the surgeon specializes in knee replacement surgery. Knee replacement is a specialized area within orthopedics, and surgeons who focus on this field are more likely to have extensive experience and expertise. By choosing a surgeon with a specific focus on knee replacement, you can benefit from their in-depth knowledge and refined surgical techniques.

Years of Experience

a group of surgeons performing knee surgery

Experience plays a vital role in the success of knee replacement surgery. While the qualifications are essential, the number of years a surgeon has been performing knee replacements can provide valuable insight into their expertise. A seasoned knee replacement surgeon has likely encountered a wide range of cases and complications, allowing them to refine their skills and improve patient outcomes over time.

When researching potential surgeons, inquire about their experience in performing knee replacement surgeries. Ask about the number of procedures they have completed and their success rates. A surgeon with a substantial amount of experience will instill confidence in their ability to handle your case effectively.

Track Record of Successful Outcomes

Jeff Van Raaphorst Testimonial for Dr. Tarlow

The track record of successful outcomes is a crucial factor to consider when choosing a knee replacement surgeon. Look for surgeons who have a proven history of positive results and patient satisfaction. This information can be obtained through patient testimonials, reviews, and references from previous patients.

In addition, consider researching the surgeon’s complication rates and revision surgery rates. A low rate of complications and revision surgeries indicates the surgeon’s ability to perform the procedure with precision and minimize potential risks. A successful track record demonstrates not only the surgeon’s technical skills but also their commitment to delivering the best possible outcomes for their patients.

Communication Style and Patient Care

knee replacement surgeon talking to a patient

Effective communication and compassionate patient care are key factors in ensuring a positive surgical experience. A knee replacement surgeon who takes the time to listen to your concerns, answer your questions, and explain the procedure clearly and understandably can significantly reduce anxiety and build trust.

During your initial consultation, pay attention to the surgeon’s communication style. Do they actively engage with you? Do they address your concerns adequately? Do they provide you with realistic expectations? A surgeon who demonstrates excellent communication skills and shows genuine care for their patients is more likely to provide comprehensive pre-operative and post-operative support.

Availability of Post-Operative Support

physical therapist talking to a patient

The postoperative phase of knee replacement surgery is crucial for a successful recovery. The availability of post-operative support from the surgeon and their team is an essential factor to consider. Adequate follow-up care, physical therapy guidance, and access to rehabilitation services can significantly contribute to your rehabilitation and overall outcome.

Inquire about the post-operative support provided by the surgeon. Ask about the follow-up visits, rehabilitation programs, and any additional resources they offer to support your recovery journey. A surgeon who prioritizes post-operative care and provides ongoing support demonstrates their commitment to your well-being beyond the surgery itself.

Patient Reviews and Recommendations

reviews for dr. Tarlow

Patient reviews and recommendations can provide valuable insights into a knee replacement surgeon’s reputation and patient satisfaction. Look for online platforms where patients share their experiences and ratings. Reading through these reviews can give you a better understanding of the surgeon’s strengths, weaknesses, and overall patient care.

Additionally, don’t hesitate to ask the surgeon for references from previous patients who have undergone knee replacement surgery. Speaking directly with someone who has been through the process can provide firsthand information about the surgeon’s skills, professionalism, and overall patient experience.

Conclusion

Choosing the right knee replacement surgeon is a decision that should not be taken lightly. By considering the key factors discussed in this article—surgeon’s qualifications and specialization, years of experience, track record of successful outcomes, communication style, availability of post-operative support, and patient reviews, you can make an informed choice that increases the likelihood of a successful surgery and a positive outcome.

Stefan D. Tarlow, M.D. is a knee replacement surgeon who possesses all these important qualities. We invite you to visit him at tarlowknee.com. Doctor Tarlow is a highly skilled and specialized knee replacement surgeon who is committed to providing the highest quality care and delivering excellent outcomes for his patients. With our team’s expertise, experience, and patient-centered approach, we strive to help you regain mobility and improve your quality of life.

Remember, your choice of a knee replacement surgeon can make a significant difference in your surgical experience and the long-term success of your knee replacement. Make an informed decision and trust your knee health to the best.

Total Knee Replacement: Causes, What To Expect, and Recovery

By

If chronic pain, severe damage, or instability keeps you from the quality of life you want, a knee replacement might be the solution. Total knee replacement surgery, or knee arthroplasty, is common for those who find non-surgical therapy and solutions unhelpful. Here is a rundown on all you need to know.

Common Causes

Arthritic pain is the most common cause of knee arthroplasty surgery. This includes Degenerative arthritis (or Osteoarthritis), Traumatic arthritis, and rarely Rheumatoid arthritis. Osteoarthritis is most common cause of knee arthritis and is most often seen in patients over 50. Knee arthritis leads to the death of the cells that cover the bone. This tissue is also known as articular cartilage. When the articular cartilage degenerates, the bones press against each other, generating knee pain, stiffness, limpness, and angular deformity. Traumatic OA follows after a severe knee injury such as fracture, ACL tear, or meniscal tear. This is more prevalent in younger patients and produces symptoms in people as young as 30. These knee injuries damage the articular cartilage, like in Degenerative OA, igniting intense knee pain and activity limitation. Rheumatoid arthritis is a less common disease in which your immune system attacks the knee joint lining. This also causes the cartilage to wear away from the bone and causes severe deformity and pain. Luckily medical management has made significant progress, and rheumatoid patients rarely come to knee replacement.

Who Ends Up Getting the Surgery?

There are specific criteria (or indications) for total knee replacement surgery(including but not limited to symptoms, physical findings, X-ray changes, body weight, smoking status, and diabetes status). Surgery recommendations are based on these factors and the person’s functional status with activities of daily living (including desired activities, work requirements, and severe knee pain). A shared decision for surgery comes from the patient, the family, and the surgeon. Knee replacement surgery is only recommended for people with severe pain, which reduces their quality of life. Included are limiting everyday work and recreational activities. Most patients with advanced knee OA notice angular knee deformities like knee-bowing and limited bend-ing. Most have failed non-surgical treatments like medications, injections, physical therapy, and bracing.

What To Expect During Total Knee Replacement?

The Knee MD of Phoenix Dr. Tarlow diagnosing a knee X-ray

Before knee replacement surgery, your surgeon will evaluate your tests, x-rays, and medical history to ensure this is your best decision. In addition, other surgical details will be explored. Once your consultation is complete, finish all tasks given to you to ensure the best possible outcome for your recovery after the surgery. Don’t forget to modify your home and create an assistance plan for the first few weeks.

Robotic Technology with the Stryker Mako Robot has improved patient outcomes. The surgery is performed in about 90 minutes at an ambulatory surgery center (most patients do not need to go to a hospital). There is no overnight stay. You will walk without a walker and drive within a week or two.

At the Ambulatory Surgery Center

Knee replacement surgery is more tolerable with multimodal pain management, including pre-surgical pain medications, an adductor canal block, a short-acting spinal, and a light general anesthetic. Your surgical team will consult on whether to use general or spinal anesthesia. Most patients awake comfortably, and the intense transient surgical pain doesn’t hit until the next day. In addition, prophylactic intravenous and into-the-knee antibiotics are employed to reduce the risk of a knee infection.

During Surgery

The incision is about 8 inches long. Your surgeon maps the surface of your knee to validate the virtual model of your knee created from the pre-op CT scan. The surgeon completes the complex plan, which allows for accurate and “natural” placement of the knee implants. The robotic arm is brought into the surgical field, and the damaged surfaces are precisely removed. The implants are attached to your bone, usually using bone ingrowth technology. The implant position is validated, and the incision is closed. This operation typically takes a surgical team 1 1/2 hours to complete.

After Surgery

After the knee replacement surgery, you’ll be taken to a recovery room. Typically patients stay for 90 minutes, then are discharged home. People can walk full weight bearing with a walker on the same day. Home medications include pain management medications and baby aspirin for blood clot prevention.

male physiotherapist checking woman's knee mobility

Photo created by freepik – www.freepik.com

How Does Recovery Look?

You can shower the next day. You will have an office check-up in a week. Patients have a full weight bearing with a walker for 1-2 weeks and driving in a week or two. Around the 3-6 weeks mark, most patients can resume their day-to-day activities, including housekeeping, driving, shopping, and low-impact activities like walking or swimming. Physical therapy for 6-8 weeks helps speed the recovery.

Full recovery:

Most patients return to regular physical activities; the knee should look normal with its scar. Your knee replacement surgery is successful with the proper care and professional help!

The Knee MD of Phoenix

By

knee md of phoenix

Did you have a sports injury and tore your ACL? Maybe you have end-stage osteoarthritis with limited mobility or stiffness? Dr. Tarlow is an expert in surgical reconstruction and wants to help you. Whether it’s a nagging pain from an old sports injury that never felt quite right or acute recent trauma, once you hit a threshold of knee pain that interferes with your ability to engage in everyday activities, it’s time to seek medical attention.

Dr. Tarlow is an early adopter of robotic outpatient joint replacement. This enables some people to be treated with a partial knee replacement rather than full knee replacement.

Who Needs A Knee MD?

Choosing a knee specialist is essential for your rehabilitation and recovery from fresh knee injuries. The nature and severity of your injury will determine the treatment plan, which could fall on a spectrum of care from physical therapy and bracing to a total knee replacement. If you’ve recently stabilized a significant knee injury, meeting with a knee MD orthopedist specializing in knee care should be at the top of your to-do list.

Sometimes, patients who suffer from knee pain wonder if they should see a rheumatologist or an orthopedic knee surgeon for treatment. Although both specialists focus on muscles, bones, and joints, orthopedic knee surgeons specialize in surgical treatments and manage care for fractures to heal. In contrast, rheumatologists focus on joint disorders treated with lifestyle modifications and medication. Meeting with your primary care physician and discussing your current symptoms and the duration of your knee pain will help your primary care doctor advise you on the best specialist for your treatment plan.

Why A Knee MD?

Some orthopedists are generalists; they treat patients who have problems with their bones or joints regardless of where on the body the pain originates. Other orthopedists are specialists and focus on only one area of anatomy. For example, you might have an orthopedic surgeon specializing in knee replacements, shoulder surgery, or hip care.

Whether you seek care from a general orthopedist or a specialist, all orthopedic surgeons undergo a rigorous academic course load and hands-on training. It takes four years to complete their undergraduate degree, successful performance on the MCAT, and four years of medical school. Next, doctors who become orthopedists ALSO complete five years of study at a major medical institution for their orthopedic residency, followed by a one-year specialized education in a fellowship program.

After fourteen years of academic study and live-patient training, a doctor may choose to specialize in one area of the body. That means they will become highly practiced in diagnosing and treating injuries sustained in that area of focus. For example, suppose you have knee pain and know it’s time to see a specialist. It makes sense to actively seek out a knee MD who is an expert on knee health and treatment options to diagnose and care for your knee correctly AND has “put in the reps” to be an expert in treatment options.

What Does An Orthopedic Knee Surgeon Do?

Contrary to what the title suggests, orthopedic knee surgeons do not just perform knee surgery. They are highly trained professionals able to diagnose and treat various bone conditions. If you have a musculoskeletal condition, know that surgery is only considered when more conservative treatment options have been attempted without success.

An orthopedic knee surgeon will meet with patients to diagnose musculoskeletal problems and create individualized care plans on any given day. Some days will call for monitoring rehabilitation of current patients, and some days an orthopedic knee surgeon may find that they have a full docket performing surgeries. It’s important to remember that even though “surgeon” might be in their title, performing surgery is not the only sort of patient care these specialists do during their workday.

Why Dr. Tarlow is known as the Knee MD of Phoenix

Knee surgery by Dr. Tarlow the Knee MD of Phoenix

Patient-centered care and surgical excellence are Dr. Tarlow’s Phoenix Practice hallmarks. Known as the knee MD of Phoenix, Dr. Tarlow has almost 35 years of orthopedic history, all focused on the knee. In addition to a deep understanding of treatment options, Dr. Tarlow is Arizona’s most practiced and well-versed MAKOplasty® surgeon, with over 1100 cases as of March 2021.

Dr. Tarlow is a pioneer of Outpatient Joint Replacement. His innovative work five years ago made this surgery an outpatient procedure for total and partial knee replacement with MAKOplasty®. No hospital stay means you are sleeping in your own bed with pain medication on-demand at your bedside. This fast-track back to your home keeps people in their regular routines with a faster return to everyday life and work.

Mako Rio Full System robot equipment

Mako is changing how joint replacement surgeries are performed by providing each patient with a personalized surgical experience based on their specific diagnosis and anatomy. Dr. Tarlow then guides the robotic arm to execute that plan. Dr. Tarlow, the knee MD of Phoenix, is an enthusiastic early adopter of this transformative technology.

The knee MD of Phoenix is one of the nation’s most experienced and sought-after knee specialists. Serving patients from all walks of life, Dr. Tarlow has helped world-record-holding athletes compete after complete knee replacement surgery, and D1 collegiate athletes set records after successful knee surgery. In addition, he’s helped former athletes access an active lifestyle after old injuries kept them from enjoying life and weekend warriors that need help getting back to the activities they love.

The knee MD of Phoenix, Dr. Tarlow, believes that the blueprint for providing exceptional patient care with outstanding outcomes is personal treatment with direct access to your physician.

It’s a promise that you will enjoy access to a distinguished surgeon bringing first-rate surgical care in a one-on-one setting when you seek care from the knee MD of Phoenix.

© 2024   |   ALL RIGHTS RESERVED. ADVANCED KNEE CARE, STEFAN D. TARLOW, M.D.