ARTICLES

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

Total Knee Replacements: An Overview

April 10, 2017

Younger Patients Driving Increase in Total Knee Replacement Surgery From 1997 to 2007, the number of total knee arthroplasty (TKA) procedures performed annually in the United States doubled, with much of the increase taking place in younger patients, according to a study presented at the 2011 AAOS Annual Meeting.  Data has shown that younger and […]

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Knee Arthritis: A Primer

March 21, 2017

Facts About Arthritis of the Knee A 15 year study of middled aged (avg 53 years) of normal body weight (BMI avg 25) from the United Kingdom provides insight on the incidence and severity of symptomatic Knee OsteoArthritis. These data are gender specific and since this is a normal weight population can not be extrapolated […]

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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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