Makoplasty Robotic partial knee resurfacing is a less invasive solution designed to restore the feeling of a natural knee.

The Obesity Epidemic: A Doctor’s Perspective

March 20, 2017

Personal Health Risks Obesity Linked to Cancer/Death The identification of new obesity-related cancer sites will add to the number of deaths worldwide attributable to obesity. In 2013, there were an estimated 4.5 million deaths worldwide attributable to overweight and obesity.  Longevity and wellness is linked to body weight.  The absence of excess body fatness reduces […]

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Knee surgery risks photo

Improving Total Knee Replacement Surgery Results: Optimize Risk Factors PreOp

March 20, 2017

One way of improving the results of Total Knee Replacement Surgery is to optimize the risk factors. The common patient risk factors include the following: uncontrolled diabetes (Blood Sugar >150, HbA1C>8), Smoking, Obesity (BMI > 40), Opioid use, and Kidney disease. All these risk factors should be corrected prior to having the surgery. There are […]

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Obesity and Joint Replacement Surgery: What You Need to Know

March 10, 2017

Obesity and Joint Replacement Surgery   Orthopedic Surgeons do not possess the tools or the clinical skills needed to guide patients in the treatment of obesity. I am a knee specialist in Scottsdale, Arizona, and I face this dilemma daily. The Hippocratic Oath instructs physicians to “do no harm” to the people we treat. Morbid Obesity, […]

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Gender and Race in Knees and Joint Replacement

March 8, 2017

Male and Female Differences in Knee Injuries and Disease Gender variances exist due to anatomic differences, hormones, and genetic factors. ACL knee injuries occur at a higher frequency in female athletes – on the order of 3:1 vs age and sport matched males. Osteoarthritis in the knee develops more frequently in women.  One explanation is […]

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Knee Surgery for Obese Patients: Problems and Solutions

March 5, 2017

Why Obesity Poses Greater Risks for Surgical Complications A literature review published in the May issue of the Journal of Arthroplasty attempts to define and identify areas of concern for obese patients undergoing total joint arthroplasty (TJA). “Obesity risk assessment is compounded by the fact that obesity is rarely an isolated diagnosis,” the authors write, “and tends […]

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Ambulatory surgery center photo

Why Choose an Ambulatory Surgery Center: Safety and Cost

March 3, 2017

Safety Ambulatory Surgery Centers May Be Safer Than Hospitals for Surgical Care A recent article in HealthLeaders Magazine explored the volume, pricing and quality of surgical care delivered in an ASC (ambulatory surgery center). The conclusions are that the numbers of ASC’s are growing in the U.S. (and this is a good thing).  The good news […]

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Preventing Deep Vein Thrombosis After Knee Replacement Surgery

February 26, 2017

Prevention of Deep Venous Thrombosis (Blood Clots) After Knee Replacement Orthopedic Surgeons, and in particular Knee Surgeons, are vigilant with regard to preventing serious complications after total knee replacement surgery.  Selecting a treatment regimen is a balance between effectiveness and safety, recognizing too much bleeding has a harmful effect on outcome. It is agreed that […]

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Successful knee replacement result

Improving Your Knee Replacement Results

February 24, 2017

How to Improve Total Knee Replacement (TKR) Results Here are five “fun facts” about Total Knee Replacement. 1.  Have the same surgical team for every case (Surgeon, Assistant Surgeon, Circulating Nurse, Scrub Tech, Second assistant, and anesthesia).  30 day readmission rates due to complications are lower when consistent teams are used. 2.  Use Saphenous Nerve […]

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