Webinar: Trends in Joint Replacement

Join this free live online event, co-hosted by Greenwich Hospital, to learn about the latest advances in hip and knee joint replacement and how new techniques and technology make today’s procedures safer with shorter recovery and outcomes that last longer than ever before.  Dr. Jonathan Berliner, director of the ONS Outpatient Joint Replacement Center, will present this information and answer any questions you have at the end of the presentation.

Please copy the link and password below to join the webinar:

https://ynhh.zoom.us/j/99886970660?pwd=RCtKRDhBdjgvY010SGNGZzdmTWEwQT09

Password: 889520

Or iPhone one-tap :

    US: +13126266799,,99886970660#  or +19292056099,,99886970660#

Or Telephone:

    Dial(for higher quality, dial a number based on your current location):

        US: +1 312 626 6799  or +1 929 205 6099  or +1 301 715 8592  or +1 346 248 7799  or +1 669 900 6833  or +1 253 215 8782  or 833 548 0276 (Toll Free) or 833 548 0282 (Toll Free) or 877 853 5257 (Toll Free) or 888 475 4499 (Toll Free)

   Webinar ID: 998 8697 0660

   Password: 889520

 

 

 

 

 

Joint Replacement Symposium

Join the ONS Joint Replacement Team to understand the entire process from pre and post-surgery through physical therapy rehabilitation and the support services ONS makes available to joint replacement patients. Learn about the latest advances in technique and treatments that make these procedures safer and effective. Surgical approaches and outpatient procedures will also be discussed.

Presented by hip and knee replacement specialists, Dr. Jonathan Berliner and Dr. Kevin Choo, shoulder replacement specialist, Dr. Katherine Vadasdi,  joint replacement case manager, Tori Kroll and Alicia Hirsht, DPT, director of ONS Stamford Physical Therapy.

Click this link for the Microsoft Teams Live event. Note: IOS users may need to download the free Microsoft Teams app to access the event.

What’s New in Total Knee and Hip Replacement?

Joint replacement materials and procedures have come a long way in the last 20 years. These days, people in their 50’s and younger are opting for new hips and knees to help them maintain  active lifestyles. Total joint replacement surgeon, Dr. Jonathan Berliner will discuss the latest advances in total knee and hip replacement procedures that result in shorter recovery times and synthetic joints that can last a lifetime. A physical therapist will be on hand to discuss post-surgical rehabilitation.  Q & A at the end of the presentations.   Free.  Please register at lcc.dir@gmail.com.

Anterior Hip Replacement

IS ANTERIOR HIP REPLACEMENT RIGHT FOR YOU? anterior hip joint replacement

Anterior hip replacement offers many advantages over traditional hip replacement procedures; however, it is not for everyone and, as with any surgery, has its own risks.

ADVANTAGES OF ANTERIOR HIP REPLACEMENT 

In traditional hip replacement procedures, surgeons replace the damaged hip cartilage and bone with a prosthesis through an incision in the back (posterior) or the side (lateral) of the hip. In both of these procedures, surrounding muscles need to be cut or detached from the bone to provide access to the joint and then repaired at the end of the procedure.  The front of the hip has fewer and smaller muscles, enabling surgeons to work between them.  Therefore, patients typically experience less post-surgical pain and don’t require as much pain medication.

Since anterior hip replacement surgery does not disrupt the surrounding muscles or soft tissues, the risk of hip dislocation, a major concern with hip joint replacement, is greatly reduced.  Patients can bend at the waist and sit with their legs crossed as soon as it is comfortable; traditional hip replacement patients must avoid those activities for 6 – 8 weeks or longer because of the risk of dislocation.

Patients who have undergone anterior hip replacement are often able to go home the day of the procedure because they tend to recover more quickly than with the other approaches. Patients are typically walking with crutches or a walker and are able to bend at the waist within a day. Patients are also able to walk unassisted a week or more earlier than patients who’ve had one of the traditional procedures.

LIMITS AND RISKS OF ANTERIOR HIP REPLACEMENT 

Any successful hip replacement surgery depends on many factors beyond surgical approach. This can include the surgeon’s training and skill, the patient’s overall health and fitness, and the patient’s level of commitment to post-surgical rehabilitation. In general, people who are obese or extremely muscular are not good candidates for anterior hip replacement. This is because the excess soft tissue decreases the space in the front of the hip.

The anterior hip replacement procedure requires a high level of training and precision because surgeons are working with a restricted view of the hip joint.    With the anterior approach, the surgical area is near the lateral cutaneous femoral nerve, which extends from the front of the pelvis to provide sensation to the outer thigh. If the nerve is affected during surgery, the thigh could become numb and, in rare cases, (less than 1 %) develop a painful skin condition. Not every hip replacement surgeon has undergone the highly technical training to safely to perform the anterior procedure, so it is important investigate the qualifications of your surgeon.

Individuals considering hip replacement surgery should consult with a hip replacement specialist to understand which approach is best suited for his or her personal circumstances and lifestyle goals.

Watch a video demonstration of the procedure.

Schedule an appointment with a hip joint replacement specialist or call (203) 869-1145

 

Reviewed 2019

ONS Featured on Anterior Hip Replacement

ONS hip and knee replacement specialist Dr. Jonathan Berliner was featured in the Daily Voice for his expertise in anterior hip replacement, a relatively new approach to the procedure.

In the online article, titled, ONS Remains at the Forefront of Hip Replacement Surgery, John Haffey writes:

“Faster recovery and less pain are just a few of the reasons why minimally invasive anterior hip replacement surgery has seen an increase in popularity in recent years. However, this intricate procedure requires a high degree of training and expertise, and not all joint replacement surgeons are qualified to perform the operation.

During more traditional approaches to hip surgery, surgeons cut and remove the damaged cartilage and bone, and replace it with a prosthesis through an incision in the back (posterior) or the side (lateral) of the hip, explained Dr. Jonathan Berliner, a joint replacement specialist at Orthopaedic & Neurosurgery Specialists who performs the minimally-invasive surgery. During these procedures, muscles need to be cut or detached to gain access to the surgical area. However, through the anterior approach surgeons can enter through the hip’s front and repair the joint through the natural gaps between muscles. This precision helps minimize injury to the soft tissue in the area.

“Since there is less disruption to the muscles and tendons, patients tend to recover hip function and gait mechanics more quickly and with less pain,” said Berliner. The risk of hip dislocation, a concern after total hip replacement surgeries, is decreased because the muscles and soft tissue structures that normally hold the hip joint in place remain intact. Patient hospital stays are also generally shorter with the anterior approach.

Surgeons have been using an anterior approach to other hip surgeries for some time. However, anterior hip replacement has only recently gained increased attention, noted Berliner. It’s estimated that only 15 to 20 percent of hip replacement surgeries performed in the United States utilize this approach. Moreover, not all joint replacement surgeons have undergone the specialized training required to perform this technically challenging procedure, which offers a limited view of the operating site and leaves little room for error.”

The Daily Voice shares its content across Fairfield and Westchester counties.  You can read other ONS related stories that have appeared in the Daily Voice here.