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…

Arthroscopic Techniques to Stimulate the Production of Joint Fibrocartilage

In the third blog focusing on biologic strategies to preserve, “heal” or encourage the growth of new joint cartilage, I will describe three arthroscopic techniques that deliberately cause bleeding to stimulate the development of fibrocartilage to form and cover an exposed, arthritic area in the joint. These techniques include drilling, abrasion and, the most recent…

Platelet Rich Plasma (PRP): A Biologic Solution – “Heal Thy Self”

In my previous blog post about joint preservation strategies, I discussed conservative treatments that could delay or possibly prevent the need for partial or total joint replacement. I also touched on what arthritis is and what causes it. The common result of arthritis is the loss of hyaline cartilage. When the arthritic process becomes so…

Misconceptions about Partial and Total Knee Replacement

Recently, former President George W. Bush underwent partial knee replacement surgery, which has sparked a lot of media conversation, some of which I feel has been inaccurate and misleading. Before considering knee surgery, you and your surgeon must carefully weigh the benefits of partial versus total knee replacement. Although age and physical activity play a…