Poor Results after Hip Fracture Surgery Could Mean Infection

In my two previous blog posts, I described treatment of hip fractures and caring for patients who just did not heal well after treatment. For this final post in the series I will discuss infection, which always must be considered after any type of surgery, especially when the surgical result was not as anticipated or…

Caring for Patients Who Don’t Heal Optimally After Treatment for Hip Fractures

In my last blog post, I described treatment of hip fractures that occur within the hip joint capsule (intra-capsular) and those that occur outside the capsule (extra-capsular). The strategies for treatment and prognosis often are very different. Fortunately, most people who break hips and are treated surgically do well. However, this isn’t the case for…

Treat the patient, not the X-rays or Scans

I recently wrote an article describing the total knee patient who was unhappy with his or her surgical result, even though the X-rays and other studies appeared satisfactory. These types of patients are frustrated and describe “going from doctor to doctor” only to be told that knee “looks good” but to them, “it feels bad.”…

Using Kinematic Sensor Technology for Revision Total Knee Replacement (TKR)

In my previous blog about TKRs that look good but feel bad, I discussed how approximately 20 percent of TKR replacement surgery patients are not happy with their results. Occasionally, even when a TKR “looks good on paper,” more surgery is required to correct and improve the existing outcome. If TKR revision truly is necessary,…

The Unhappy Total Knee Replacement Patient: Figuring out What Is Wrong

Unfortunately, there are a significant number of people who have undergone total knee replacement (TKR) and are not happy with the result. Some studies estimate 20% or more fall into this category. Defining success or a “satisfactory result” can mean two very different things to an individual who had the total knee versus the surgeon…

Age Is Not the Determining Factor in Joint Replacement Surgery

Two of the most common questions we receive at The Leone Center for Orthopedic Care are, “How old is too old to have joint replacement surgery?” and “How young is too young to have Joint replacement surgery?” Although age is important, it is not the most critical factor when determining if a patient is a…

Sharing Informative Questions and Comments from Our Readers

At The Leone Center for Orthopedic care, my staff and I have created a number of online platforms to provide information and answer patient questions: via email at LeoneCenter@holy-cross.com, our comprehensive website, informational blog and video gallery, both on the website and on You Tube. I have received so many insightful questions and comments that…

Two Computer Systems Improve Total Knee Replacement Surgery

Our goal at The Leone Center for Orthopedic Care when performing knee replacement surgery is to perfectly re-align the limb to create a neutral mechanical axis and to balance the complex soft tissue sleeve so that natural motion is reestablished and the supportive ligaments experience equal tensions on both the inside (medial) and outside (lateral)…

Leading-Edge Strategies to Regenerate Hyaline Cartilage

My final blog in this series on biologic strategies for repairing joint damage focuses on leading edge treatments designed to stimulate the regeneration of new hyaline cartilage: Osteochondral Autograft Transplantation (OATS or Mosaicplasty), Osteochondral Allograft Transplantation, Autologous Chondrocyte Implantation (ACI) and Stem Cell and Tissue engineering. Unlike PRP (platelet rich plasma) or drilling, abrasion and…