Is it Too Late for Joint Replacement Surgery?

When is joint replacement surgery called for?

Patients suffering from chronic knee or hip pain know that it can seriously impact mobility as well as overall quality of life. In addition to pain, symptoms may include swelling, stiffness, muscle weakness, and limited range of motion. Causes range from rheumatoid or osteoarthritis to trauma to repetitive strain on the joint. After diagnosis, non-surgical treatments like anti-inflammatory medications, physical therapy, and injections are the first course of action when treating persistent joint pain, but these methods aren’t always effective.

What is involved in joint replacement surgery?

The surgical screening process begins with a full clinical evaluation, using advanced imaging to determine the extent of the joint damage. The orthopedic surgeon will make an incision to access the damaged bone, tendon, and tissue, and replace the knee or hip joint with a prosthetic made of plastic, metal, or ceramic. The procedure can be done using a conventional approach or with robotic-assistance. The physicians at Atlantic Orthopaedics are at the forefront of innovation in knee and hip replacement techniques and technology and have pioneered the use of minimally-invasive robotic-assisted surgery.

What can I expect after surgery?

Commitment to post-operative care is a key factor in long term success. Recovery time will vary based on the individual patient’s response to the procedure and the surgical approach used. Proper recovery usually includes daily movement of the affected joint, physical therapy, and wound care management, along with a post-op follow up with your surgeon.

What if I’ve waited too long to be eligible for joint replacement surgery?

Because damage to cartilage, ligaments, and bone is progressive and won’t improve on its own, some patients wonder if there’s a point at which joint damage is too severe to be corrected by surgery. Atlantic Orthopaedics’ Dr. Michael Morwood, a fellowship-trained orthopedic surgeon who specializes in knee and hip replacement, answers this question.

Is there a point when hip or knee replacement surgery can’t be done?

The short answer is no. We can always individualize our treatment plan for every patient. Joint replacement surgery can be performed on a person of any age, no matter how severe the damage. There are cases where the pain and deformity are so great that the procedure or the post-op recovery are more challenging. Everyone is unique, with their own unique anatomy, and our training as orthopedic surgeons gives us the ability to handle the challenges involved in each individual case.

If non-surgical treatments have not alleviated your joint pain, schedule an appointment to talk with an orthopedic specialist about whether replacement surgery is right for you. Relief from pain is possible, and it is never too late to get back to doing the things you love!

Watch the Morwood Minute episode HERE.

FREE Webinar with Dr. Michael Morwood – Hip & Knee Replacements

Grab your lunch and join us on Zoom for a virtual webinar with Dr. Michael Morwood on Wednesday, June 24, 2020, from 12–1 p.m.

Dr. Morwood will discuss common causes for hip and knee pain and advances in robotic-assisted joint replacements that can help you get back to doing what you love. There will be a brief Q & A session following the presentation. If you’re experiencing joint pain, you won’t want to miss this FREE event. For more information or to register, please click HERE.

Dr. Sastry Achieves Accreditation as Master Surgeon in Robotic Surgery

Dr. Akhilesh Sastry of Atlantic Orthopaedics & Sports Medicine has recently achieved accreditation as the first Master Surgeon in Robotic Surgery in New England by Surgical Review Corporation. This accreditation distinguishes Dr. Sastry from many other surgeons by providing the highest quality of care to patients as determined by an independent, external process of evaluation.

Status as an accredited Master Surgeon means that Dr. Sastry has met nationally recognized standards. Not all hospitals and surgeons seek accreditation; not all that undergo the rigorous on-site inspection process are granted accreditation.

Healthcare organizations and surgeons seeking accreditation by SRC undergo an extensive self-assessment and on-site inspection. This process includes physicians, nurses and administrators who are actively involved in the accredited program. The inspection is consultative and educational, presenting best practices to help an organization or surgeon improve its care and services.

Dr. Sastry began using the MAKO Robotic-Arm Assisted Surgery System in 2016, and was the first surgeon in New Hampshire and Maine to perform a robotic-assisted knee replacement.
Dr. Sastry is also the premier robotic-assisted orthopaedic surgeon at Atlantic Orthopaedics and Sports Medicine and has privileges at both Portsmouth Regional Hospital and York Hospital.

About SRC – Established in 2003, Surgical Review Corporation (SRC) is an internationally recognized patient safety organization dedicated to recognizing and refining surgical care. SRC is the leading administrator of quality improvement and accreditation programs for surgeons and hospitals worldwide. SRC’s proven methodology, know as the “Cycle of Excellence,” results in quantifiable and unparalleled improvement in outcomes, patient safety and costs across surgical specialties. For more information, visit www.surgicalreview.org.

Morwood Published in Injury: International Journal of the Care of the Injured

Our very own Dr. Morwood has been published in the journal, Injury.

Dr. Morwood recently wrote about treating tibial fractures around total knee replacements. Although they are rare, tibial fractures can cause some serious complications, but chances of successful healing can be improved with the techniques detailed in Dr. Morwood’s paper!

You can read Dr. Morwood’s piece by clicking here.