Anterior Total Hip Arthroplasty
Anterior total hip arthroplasty is a new twist to an old, proven procedure. The bony portion of the procedure is the same, but the incision and trauma to the surrounding muscles is different. This surgical approach spares muscles by going between them instead of cutting through them.
Total hip replacement involves the replacement of the ball and cup portions of the hip joint. The ball portion of the femur is removed. A metal stem and metal ball are then inserted in its place. The acetabulum (cup) is then resurfaced and a new metal cup is inserted.
The most common surgical approach for total hip replacement is the posterior approach. This approach is very versatile and reliable. In some cases of revision replacement surgery, it is essentially the only option to address the hip. The incision requires cutting through the gluteus maximus muscle and smaller external rotator muscles around the femur. Post-operative dislocation of the new hip replacement is one common concern with this approach.
The anteromedial surgical approach is used by many surgeons to help address concerns for dislocation. This approach has been successful but does involve cutting of the gluteus maximus and medius. Some patients will develop limps after surgery with this approach.
The anterior surgical approach has been gaining popularity in recent years. Improvement in implant design has made this procedure more functional. This surgical approach sets itself apart from the other approaches in that the dissection goes between muscles, not through them. This muscle-sparing approach allows for quicker recovery and less post-operative pain. The risk of dislocation is not zero, but is lower than the posterior approach.
The implants placed are essentially the same regardless of the surgical approach. Long term results are not compromised by the anterior approach.
Laser Toenail Fungus Removal
What is Onychomycosis (toenail fungus)?
Onychomycosis is a fungal infection of the nail and nail bed. About 10% of the population in the United States suffers from this infection.
What are the treatment options for toenail fungus?
Traditional treatment options for toenail fungus include topical agents, systemic oral agents, and surgical nail removal. Oral medications can take many months to work with efficacy from 50-80%. Such medicines put patients at risk for systemic complications including liver toxicity. Topical treatments have low success rates with high relapse rates. Surgical treatment involves complete removal of the nail and ablation of the nail bed.
Is laser treatment effective?
Studies show the effectiveness of laser toenail treatments to be between 80 and 90%. While most patients only require one treatment, some people benefit from several treatments, several months apart.
You be the judge – Laser Toenail Treatment Before and After
What is laser therapy?
Low-level laser therapy is a new, innovative treatment option for onychomycosis (toenail fungus). The technology utilize lasers of two different wavelengths to kill fungal cells at the cellular level.
Are laser toenail fungus treatments painful?
Not only is the procedure painless, it is safe on the surrounding, healthy tissue and skin.
How long does the treatment take?
The actual procedure takes around 10 minutes per foot or hand. All five nails are addressed at one time.
I have cancer, is laser treatment safe?
Yes. In fact, laser treatmet avoids the often harmful systemic effects of other treatment options.
Will my insurance pay for laser toenail fungus treatment?
At this time, laser fungus removal is not covered by health insurance.
Are the results immediate?
Results will not be seen immediately. While the fungal cells are killed at the time of treatment, it may take several months for the diseased nail to grow out and the new, healthy nail to fill in.
I want to get rid of this embarrassing toenail fungus,
what do I do next?
Signature Personalized Knee Replacement
Knee replacement surgery is one of the most successful surgeries in terms of relieving pain and returning patients to better function. Most experts in the field believe the current generation of knee replacement designs is very effective as long as they are implanted into the body in perfect alignment. Knee replacements not aligned with the remainder of the leg and the other joints of the lower limb tend to wear out faster, requiring more surgery, cause more pain and are associated with stiff joints. For the last 20+ years we have been using alignment techniques which place every knee replacement in the same alignment, no matter the height, weight or gender of the patient. Although these techniques were successful, they did not take into account that each patient has their own unique anatomy.
The Signature Knee System from Biomet now allows the surgeons at Specialty Orthopaedic Surgery to replace your knee with a customized approach just for you. The process begins with an MRI or CT Scan of your knee. This is then used to make a computer model of your knee. The computer then can determine the exact size of the knee replacement you will need and customized alignment guides are then manufactured which will be specific to your and only your knee. You will even be able to keep your personal alignment guides after your surgery.
The surgeons at Specialty Orthopaedic Surgery were some of the first in the state to utilize the personalized technology. We believe some of the benefits include:
- Faster recovery to normal activities
- Shorter length of stay in the hospital after surgery
- Less pain after surgery
- Smaller incision/scars
- Less blood loss during surgery
Call today to schedule an appointment with one of our surgeons to discuss knee replacement options. Learn more here: http://www.biomet.com
Oxford Partial Knee Replacement
Recent data has suggested that up to 40% of patients receiving complete or “total” knee replacements may actually only need a partial knee replacement. The surgeons at Specialty Orthopedic Surgery have been using the Oxford Partial Knee replacement system successfully for many years. This system is unique in that components of the replacement are designed to slide slightly during knee movement which reproduces the normal movement of the knee precisely. In addition, since all of your normal ligaments and tendons are kept in place, the function after partial knee replacement can be a near return to normal. The other advantages to partial knee replacement over total knee replacement include quicker recovery, shorter surgery, shorter hospital stay and less blood loss. Partial knee replacement patient also have much less post-operative pain.
Update: As of April 2012, the physicians at Specialty Orthopaedic Surgery are now able to offer the Oxford Total Knee Replacement using the Signature System. This cutting edge technology utilizes an MRI or CT scan to manufacture custom guides so your partial knee replacement is implanted in the exact alignment for your leg.
Call today to schedule an appointment with one of our surgeons to discuss knee replacement options. Learn more here http://www.biomet.com