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The SPAIRE Posterior Mini Approach: Now there’s a Mini Posterior approach without hip precautions, The Most tissue and muscle-sparing approach for Hip Replacement

Hardly a clinic day goes by without one or more patients specifically…

At The Leone Center for Orthopedic Care, our concierge approach to personalized care is linked to successful and faster recoveries

A decade ago, Dr. William A. Leone, head of The Leone Center…

Q&A: Total hip replacement, mini-posterior vs. direct anterior surgical approaches

How invasive is the mini-posterior approach?         …

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

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46 Comments
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.

Should I have both hips or knees replaced at the same time or separately? What if I don’t feel like coming back for the second procedure?

I see many patients who have arthritic symptoms from both their…

When should I have my hip or knee replaced? When you’re surviving but not thriving.

Like almost everything in life, this decision is seldom black…
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The Leone Center for Orthopedic Care, a ‘Destination Practice’

In 2009, Dr. William A. Leone, head of The Leone Center for Orthopedic Care at Holy Cross Hospital in Fort Lauderdale, made a compassionate and well thought-out decision, transforming the business model for his orthopedic practice.

Partial vs. Total Hip Replacement Surgery

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2 Comments
Some patients in need of a hip replacement will ask me if they are candidates for a partial rather than a total hip replacement because it sounds “less invasive.” Unlike the knee (which has three distinct compartments and when one wears out there’s a good chance that only that compartment needs to be replaced), the hip is a single ball (femoral head) and joint socket (acetabulum) and a partial hip replacement often isn’t the optimum choice.

For Posterior or Anterior Total Hip Replacement Surgery, Choosing the Right Orthopedic Surgeon is What Matters Most

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3 Comments
Two years ago, I posted a blog detailing the pros and cons of mini-posterior versus direct anterior total hip replacement surgery (THR). The overwhelming response to that blog article (click on the link above to view) prompted me to provide this update.

Use of a Subcuticular Suture to Close Hip and Knee Incisions and Instructions for Suture Removal

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1 Comment
Many patients ask me questions about where I will place the incision and how it will be closed. While there are a variety of methods which surgeons commonly use, including sutures (also called stitches), staples and even glue, I choose to close with a single subcuticular (or intradermal) non-absorbable suture.

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