We're very proud of our very own Dr. Jeff Traub. This month he was a part of a medical mission to Nigeria. Through the partnership with Sunshine Medical Group, Dr. Traub performed many surgeries on those who otherwise would never have the option of such great medical treatment. The team traveled all over the country to perform surgeries in several cities including Warri, Eku, and Sapele. Take a look at some of the pictures from the trip. Notice those smiling faces of the patients who now are pain free and able to enjoy a much healthier, active life.
BMI. Body Mass Index= (Weight)/(Height)²
As our population in the United States has struggled with obesity, its impact on total joint replacement has become important. 15 years ago, no one cared what weight you were. If you had arthritis in a joint and it was severe and disabling, surgeons would believe that by doing a joint replacement, you would be able to walk better and lose weight. It makes sense...right?
However, two studies have recently shown that:
1. BMI over 50 causes much higher risk of complications after total joint replacement.
2. Patients who have the surgery rarely lose the weight after joint replacement.
So with these two data points being verified now with more and more research, we have to ask the questions, "when is joint replacement unsafe?" To combat this, our group has began to focus on medical weight loss as well as bariatric surgery prior to joint replacement surgery. By reducing weight, we can increase satisfaction and the success of joint replacements.
At Atlanta Bone and Joint, we pride ourselves for being up to date on research and using it to guide patient care. Check your BMI today at https://www.atlantaboneandjoint.com/jointreplacement.html before you have your joint replaced.
As the population ages and we have many more knee replacements ahead of us, we are looking towards minimizing complications of total knee replacements in the future. While a minor problem in the past, percentages and rates of nickel allergies are not decreasing. Furthermore, we may be finding that knees are failing because of metal allergies that are never diagnosed.
What are we doing at Atlanta Bone and Joint Specialists to help? We've created the first page of its kind,
the metal allergy and nickel sensitivity page that is a dedicated resource for patients to learn how to identify those with metal allergies as well as how to prevent them from occurring after knee replacement. Currently there are two knees on the market designed to prevent metal allergy. Smith and Nephew and their Oxinium knee, and the Aesculap Advance Surface knee.
We stand with Aesculap, as their data is far superior to any other company when it comes to metal ion release. To our knowledge, they are the only company who's design does not allow metal ions to leave the implant and cause a metal sensitivity reaction in the knee joint tissues.
The Aesculap knee, one of the most used knee replacements in Germany, is produced less than 2 hours from Mercedes-Benz in a region known for its precision-engineering and top-of-the-line quality products with the finest methods and materials.
The A.S (Advanced Surface, USA; Allergy Solution EU) knee- which is used by the surgeons at Atlanta Bone and Joint Specialists is called the Advanced Surface knee as it is a hard, non bendable and stiff surface that has theoretical improvements in plastic wear compared to traditional knee replacements. In the United States. the "Allergy Solutions" nomenclature has not been approved by the FDA, however, in Europe, the FDA equivalent oversight group has approved the A.S. to stand for Allergy Solution (knee replacement).
As our group strives to improve your outcome, we are looking at every reason a knee replacement may fail and staying ahead of the curve with superior total knee replacement results.
April 1st was the launch of the hip fracture program at Dekalb Medical. We will be reducing our time to surgery to less than 24 hours and reduce length of stay to 3 days. By reducing our time to surgery and focusing on an early discharge, we can expect far better outcomes. Early benefits of the hip fracture program include early nerve blocks reducing pain, expedited service through the ER, prioritization for surgical scheduling, regional rather than general anesthetics, and early blood clot prophylaxis. We look forward to serving our community better in the Dekalb area and look forward to spreading the word about our premier hip fracture service! Click HERE for even more info on this state of the art program.
Every year our surgeons travel to the AAOS national meeting. This year the meeting will be hosted in the city of New Orleans. The annual meeting is the largest Orthopedic meeting in the world, with surgeons from all over the world meeting to share, teach and learn the best practices for caring for our patients. Our surgeons go every year to learn about the newest technology and the bring back the best new implants and techniques in the world. Follow their live posts during the week on facebook, instagram or twitter. You will have a front row seat to the exhibition hall and all of the latest technologies we look to make sure Atlantan's are getting the cutting edge technology.
Barbara Huff was living in constant pain in her right hip. Another patient, Rosetta Ash was in excruciating pain in her right knee, even after taking medication and receiving months of conservative treatment. Both women found relief from their pain after joint replacement surgery performed by Dr. Nathan Jové of Atlanta Bone and Joint Specialists.
“Patients should always make sure they work with their physicians to determine if joint replacement surgery is their best option,” said Dr. Nathan Jove. Prior to hip replacement surgery, Huff had tried multiple anti-inflammatory medications and living in constant pain. “I didn’t want to use these drugs for the remainder of my life,” she said. Because her bones were deteriorating and with a diagnoses of bone on bone osteoarthritis, she knew that her hip would not improve over time. After exhausting all other pain relief measures, Dr. Jove recommended the surgery and Huff decided to get her hip replaced.
The day after surgery she was able to go home, which is considered impressive for someone in their mid eighties. Within three hours after coming out of the recovery room, she felt so good that she walked over 400 feet with the support of physical therapy staff. The typical patient walks an average of 5-50 feet a few hours after surgery. “At my age, it’s kind of a miracle,” said Huff. Huff had her other hip replaced two-three years prior, and due to the new pain injections Dr. Jové now uses in surgery, there is amazing early pain relief for those painful first few days.
For Rosetta Ash, having total knee replacement surgery was life changing. She initially injured her knee at home then she re-injured it after walking down 11 flights of stairs during a fire drill at work. She treated her knee pain, inflammation and osteoarthritis with medications and cortisone shots for months. She was fortunate to receive DeKalb Medical’s first outpatient surgery and care from a coordinated team of experts. “The doctor, nurses and everyone gave me excellent care,” said Rosetta Ash. “They told me what to expect every step of the way, from pre-op to surgery through post-surgery. I didn’t have to guess about anything and I really appreciate that.”
Just one week after surgery, she had the highest range of motion she could possibly have. “It’s absolutely miraculous,” she said. “I feel better than I could have ever imagined.” She was able to recover in the comfort of her home largely because of the pre-op education, her family members supporting her and driving her in the early post-operative period, excellent coordinated care and the tools she needed for a successful recovery.
To learn more about DeKalb Medical’s Orthopedics Program, click here. To find out if joint replacement may be right for you, click here.
Congrats to our own very Farrah Standridge! Her son Chase Standridge is the Gwinnett Sports Commission player of the week! You can read the entire article here.
We are proud to announce we are starting an initiative for a hip fracture center of excellence with Dekalb Medical. Our team will be working to ensure the care that will facilitate the fastest recovery for hip fractures. Our goal is that our patients can get back to their lives faster than ever before. From the minute you meet our doctors in the hospital to the minute you are discharged, we are making improvements. In order to do this, we are looking at other top hospitals in the nation and learning from their success in order to improve on our existing programs. With the brand new ER at Dekalb Medical, we look forward to serving our community when they are in need.
Visit our page within the next few weeks to learn more about hip fracture prevention and care www.atlantaboneandjoint.com/hipfractures
As Orthopaedic Surgeons, we are asked on a daily basis how we know what size knee a patient is going to get. People are also quite curious as to whether or not they will be receiving a gender specific knee - meaning, do men and women get differently designed knees?
The answer is quite straight forward. Each company that makes knee replacements has measured thousands of knees using precise CT scan data. Over time, they are able to use these statistics to "predict" which sizes people will need. By knowing this data and the variability of the knee size with respect to the ratio of the height to width ratio, companies make knees based on the most likely sizes. Interestingly, female bones tend to be slightly narrower, so prosthesis companies have started to make the "narrow" version of the knee, more commonly referred to as the female knee. With that being said, the surgeon must have multiple implants available at your knee surgery in order to choose the size that fits you best. So that's pretty much it! Women tend to have narrower knees, knee companies identified that, and the birth of the gender specific knee was born!