Treat the Patient, Not the X-rays or Scans

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In this article I will discuss the patient who has significant disability from a hip or knee, but whose workup either is not definitive or doesn’t appear “severe enough” to warrant joint replacement.

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

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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 who implanted it.

Two Computer Systems Improve Total Knee Replacement Surgery

New techniques and technologies have been developed, which include use of sophisticated computers and pressure sensors. These tools have vastly improved the consistency of achieving surgical goals by allowing us to recognize and correct subtleties in balancing the soft tissue sleeve and then optimize limb alignment.

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.

Radio Interview: Dr. Leone discusses how he finds solutions to complex hip and knee problems.

Anita Finley, Boomer Times recently hosted Dr. William Leone…

The Exeter Hip Stem – Still the Gold Standard in the Industry

The Exeter Hip Stem is thought by many to be the “industry gold standard” prosthetic stem for hip replacement. I have been implanting the Exeter Hip Stem in my patients since 1996 and the results continue to remain among the best in my practice.

The Verasense Knee System

Traditionally during total knee replacement (TKR), surgeons have had to balance the prosthetic knee by feeling the tension in the ligaments throughout the range of motion.

Robotic Assisted Partial Knee Replacement Surgery (Makoplasty)

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A partial knee replacement (PKR) is a wonderful surgical option for patients who have pain or damage in only one compartment of the knee and have not responded to conservative treatment.

Pseudotumors in total hip replacement patients due to metal ion levels

Dr. Leone recently co-authored a poster for the American Academy of Orthopaedic Surgeons about the adverse local tissue reactions (pseudotumors) in total hip replacement patients with dual taper femoral stems (consisting of titanium stems with interchangeable modular necks) due to metal ion levels.

The Future of Medical Care in America and The Leone Center for Orthopedic Care

The future of medical care in America has become the million dollar question as the Affordable Care Act is now in play.

Why I No Longer Use the Anterior Approach for Primary Total Hip Replacement Surgery

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As a surgeon with a specialty practice in hip and knee replacement surgery, patients rely on my expertise.  Recently, a patient asked me why I no longer use the anterior approach for total hip replacement.  I stopped performing this procedure because in my experience there are no advantages to the surgery, rather a number of potential disadvantages.  Simply, I couldn't continue to use a procedure that I could not trust to deliver every time.

Regional or General Anesthesia: Which is Preferred for Hip or Knee Replacement Surgery?

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One of the preoperative decisions prior to hip or knee replacement surgery is what type of anesthesia will be administered. Before your surgery is scheduled, your anesthesiologist will review your past medical history, give you an exam and then discuss the type of anesthesia recommended for you.