Join ONS total joint replacement expert, Dr. Brian Kavanagh, for a discussion about the latest advances in total joint replacement surgeries.
Tag: Joint Replacement
ONS Adds Joint Replacement Case Manager
Tori Kroll, RN, is known to many ONS physicians and staffers from her former position. She was the coordinator for joint and spine programs at Greenwich Hospital. Tori worked in various departments at the hospital for 38 years, and it was there that she developed her love of orthopedics and helping orthopedic patients.
“This is a dream job for me,” she said of joining ONS.
In this newly created role, Tori will provide joint replacement patients with a full continuum of personalized care from the time a surgery is scheduled through the initial months of recovery. Further, the position provides many advantages to patients, including a direct line for any questions or concerns. In addition, Tori may visit patients’ homes to evaluate post-op safety and arrange for supportive equipment, if needed. She may also coordinate post surgical at-home care or a stay at a skilled-care facilities of preferred providers.
“It’s all about achieving the best outcomes,” said Tori. “By establishing a close relationship with patients, we can fully prepare them for every level of the procedure and after.”
Anterior Hip Replacement
IS ANTERIOR HIP REPLACEMENT RIGHT FOR YOU? 
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
Dr. Jonathan L. Berliner Joins ONS
Orthopaedic and Neurosurgery Specialists (ONS) has announced the addition of orthopedic surgeon, Jonathan L. Berliner, MD, to the highly accomplished ONS team of orthopedic specialists, 
neurosurgeons, physiatrists and physical therapists.
Dr. Berliner will see patients at ONS’ Greenwich office and at its new location at 500 Mamaroneck Avenue in Harrison, NY.
Dr. Berliner is a fellowship-trained specialist in hip and knee joint replacement and joint replacement revision. His expertise includes muscle sparing anterior hip replacement, minimally invasive total knee and partial knee replacement, complex revision total hip and total knee replacement, computer-assisted surgery, and trauma of the lower extremity.
Dr. Berliner earned his medical degree from the New York University School of Medicine. He completed his residency in orthopedic surgery at the University of California, San Francisco (UCSF), followed by a fellowship in hip and knee replacement at Hospital for Special Surgery in New York City.
Dr. Berliner is a recipient of the John Charnley Award, a national honor presented annually by the Hip Society for best innovative clinical research related to hip replacement. He has also traveled to Haiti and Nicaragua as a visiting surgeon and provides other volunteer services abroad.
“More than one million people In the United States undergo total joint replacements each year. That number is expected to quadruple in less than 20 years,” said Seth Miller, MD, president of ONS. “Dr. Berliner’s superb training and accomplishments in joint replacement and revision will help our practice meet the growing demand from residents of Fairfield and Westchester counties.”
Considering Joint Replacement?
If pain in your knee, hip or shoulder joint is interfering with your quality of life, it may be time to consider joint replacement.
Join shoulder replacement surgeon Seth Miller, MD, and hip and knee replacement surgeon Frank Ennis, MD, to learn all about the advances in joint replacement procedures and what to expect from your first office visit through the recovery process. Dr. Miller and Dr. Ennis will be joined by Greenwich Hospital staff who will outline the particulars of your hospital stay. There will be time to have your questions answered at the conclusion of the program.
Joint Replacement Symposium
WHEN: Wednesday, April 5, 2017
WHERE: Greenwich Hospital Noble Auditorium
TIME: 6:00 pm – 7:30 pm
SEATING IS LIMITED. Please register on line or by calling 203-863-4277.
2016 Joint Replacement Symposium
 |
 |
 |
Considering Joint Replacement Surgery?
If severe joint pain is interfering with your enjoyment of daily life, come hear orthopedic surgeons Frank Ennis, MD, Brian Kavanagh, MD and Seth Miller, MD, from ONS and Greenwich Hospital joint replacement specialists present an informative and comprehensive panel discussion about the latest advances in joint replacement surgery. From your first office appointment through surgery and recovery, you will learn what to expect before, during and after the procedure. Topics will include computer-assisted surgery, minimally-invasive & muscle sparing techniques, pain management and physical rehabilitation. There will be an opportunity to have your questions answered following the presentation.
ONS Surgeon Demetris Delos, MD Speaks about Knee and Shoulder Conditions on Health IQ
ONS orthopaedic surgeon Demetris Delos, MD, was a featured guest on Pleasantville Community Television’s series, Health IQ, hosted by Dr. Alan Siegel of ProClinix. During the fascinating thirty-minute interview, Dr. Delos, a specialist in knee and shoulder conditions, spoke in detail about common cartilage, ligament and tendon injuries. Age, gender and type of activity can play a role in a person’s susceptibility to orthopedic problems, he said. Using models and computer generated images, Dr. Delos described the non-surgical and surgical options to repair or replace damaged tissue and joints. Functional and strength training, he stressed, are key for injury prevention and rehabilitation. Dr. Delos also provided a glimpse into future treatments including the development of synthetic tissue products and the advances in biologic medicine which uses biomedical materials such as blood, platelets and stem cells to treat pain and complex, often chronic conditions of the musculoskeletal system.
Are You Considering Joint Replacement Surgery?
Orthopedic surgeons Frank Ennis, MD, Brian Kavanagh, MD, Seth Miller, MD, along with Greenwich Hospital’s anesthesiology, nursing and physical therapy staff will present an informative and comprehensive seminar about joint replacement surgery on Wednesday, April 2nd from 6-8pm. This free seminar will be presented in the Noble Conference Center at Greenwich Hospital. The three joint replacement specialists will present comprehensive information about the latest advances in joint replacement such as computer-assisted surgery, minimally invasive and muscle sparing techniques. Also, information on how to prepare for joint replacement surgery, post-operative pain management and what to expect from the recovery process. The seminar is open to the public. Registration is required. To register, call (203) 863-4277 or register online at www.greenhops.org.
Download: Joint Replacement Surgery PDF
Leading joint replacement expert Frank Ennis, MD is a board-certified orthopedic surgeon and fellowship trained in adult reconstructive surgery. He is a specialist in hip and knee replacement is among the first orthopedic surgeons in the New York area to perform computer-assisted joint replacement. He completed his undergraduate studies at Yale University and post-baccalaureate pre-medical studies at Harvard University. Dr. Ennis graduated from Duke University School of Medicine and completed a residency at Yale University Department of Orthopaedic Surgery. He received fellowship training in adult reconstructive surgery at New England Baptist Hospital in Boston.
Brian Kavanagh, MD has performed over 6000 joint replacement surgeries in the past 25 years and was one of the first surgeons in the New York area to perform minimal incision joint replacement. He is a board certified orthopedic surgeon who graduated from Princeton University and earned a medical degree at University of Connecticut School of Medicine. Dr. Kavanagh’s internship and residency was at the Mayo Clinic, Mayo Graduate School of Medicine in Rochester, Minnesota, where he also served on the faculty for seven years. He was on the teaching staff at Yale University School of Medicine in New Haven for five years, was a consultant to the Department of Orthopedics at the Mayo Clinic, where he specialized in hip and knee reconstruction, and also an instructor for the hip and knee total joint fellowship program.
Seth Miller, MD is a board-certified orthopedic surgeon specializing in arthroscopic shoulder surgery and shoulder replacement at ONS. He is a staff orthopedic physician at Greenwich Hospital and is Assistant Attending Physician in Orthopedic Surgery at New York-Presbyterian Hospital. Dr. Miller served as orthopedic consultant to the New York Mets for nine years, attending spring training and regular Major League season games where he oversaw the physical condition of players. Dr. Miller has performed over 1000 total shoulder and reverse shoulder replacements, the most significant breakthrough in shoulder replacement surgery in the last 30 years.
To learn more about Joint Replacement Surgery, click here.
Orthopaedic and Neurosurgery Specialists, PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit https://onsmd.com/ or call 203.869.1145.
Looks like more snow is in the forecast, we have some skiing tips for you!
The knee is the most vulnerable body part for any athlete, including skiers. Downhill skiing produces large amounts of torque on the knee, challenging the integrity of ligaments and tendons. Whether from a fall or overuse, the most common injuries in skiers are tears to the MCL (Medial Collateral Ligament) or ACL (Anterior Cruciate Ligament), two important structures that give our knee stability. When a skier is thrown off balance, his skis will sometimes shoot out in front of him, creating extra torque on the knees and damaging our stabilizing structures.
Both novice and experienced skiers are at risk of hurting their knees. We frequently see novice skiers hurt themselves when they do not know how to turn, stop or fall properly. Taking lessons and working with an instructor goes a long way in preventing knee injuries for beginner skiers. Experienced skiers frequently take risks and assume that they can manage faster speeds on any slope. Many injuries, whether you are a beginner or an experienced skier, are related to weather conditions. It is important to realize that as visibility and surface conditions deteriorate, the slope or trail level goes up. In poor visibility or icy conditions, a beginner trail becomes an intermediate trail, and an intermediate slope becomes advanced slope. Keep injury prevention in mind, if the conditions are difficult, ski down a level.
A second reason injuries occur is fatigue. Most skiers’ bodies are not accustomed to exercising 6-8 straight hours. In addition, many skiers push their bodies to take advantage of the whole day, even when they start to feel tired and stiff. For this reason, injuries tend to happen at the end of the day.
Having the knowledge of what places skiers at a higher risk for knee injuries, we are passing on recommendations about how to stay safe on the slopes. Both beginners and experienced skiers can benefit from these tips!
- Start a conditioning program a few months before your first ski trip. Leg strengthening, flexibility and balance are important aspects of an adequate ski conditioning program.
- Ski with good technique. Maintain your balance and control, keep your hips above your knees, keep your arms forward, and maintain a safe speed.
- Learn how to fall correctly: keep your legs together, keep your chin to your chest and your arms up and forward.
- Pay attention to weather conditions and remember to ski down a level if conditions deteriorate.
- Listen to your body. If you start to feel pain or stiffness upon exiting the lift chair, then you should probably make that run your last. Head to the lodge and enjoy a warm drink by the fire.
Good luck and stay warm!
If you become injured, while skiing, remember, ONS sports medicine physicians are trained at the top universities and hospitals in the country and have expertise in the latest treatments for sports-related injuries in high-performance and recreational athletes.
Orthopaedic and Neurosurgery Specialists, PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit https://onsmd.com/ or call 203.869.1145.
Calendar of Health Information Programs by ONS Physicians at Greenwich Hospital
PROGRAMS CALENDAR 2014
This year the physicians at ONS will present health information seminars for the public on a variety of topics ranging from joint replacement to common soccer injuries, injury prevention and treatments. Sessions to take place in the Noble Conference Center at Greenwich Hospital, 5 Perryridge Road, Greenwich, and followed by a question and answer period where the public may pose questions to the presenters. To register for upcoming ONS programs at Greenwich Hospital, please call (203) 863-4277 or (888) 305-9253, or register on-line at http://www.greenhosp.org/.
2 APRIL 2014 – Joint Symposium, Noble Conference Center at Greenwich Hospital, 5 Perryridge Road, Greenwich <read more>
Past Topics
Knee Pain Seminar
For millions of Americans, knee pain is a daily reality. Many people try to ignore pain caused by arthritis in the knee joint for as long as possible in hopes that it will go away. However, arthritis is a progressive disease and for many, will even become debilitating. On December 3, 2013, orthopedic surgeon Dr. Demetris Delos presented a “Knee Pain Seminar” addressing treatment options for knee pain due to early-stage arthritis. He discussed non-operative and operative solutions from therapeutic injections, arthroscopic procedures to osteotomy and partial knee replacement. The seminar was free and open to the public.
Speaker: Orthopedic Surgeon Demetris Delos, MD
ONS is an advanced multi-specialty orthopedic and neurosurgery practice serving patients throughout Fairfield and Westchester Counties and the New York Metropolitan area. ONS physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. For more information, visit www.onsmd.com, or call (203) 869-1145.
Osteoporosis: Prevention, Treatment and Management
Osteoporosis, a disease that weakens the bones and leads to fractures, affects 28 million Americans and contributes to an estimated 1.5 million bone fractures every year. Half of all women older than 65 and one in five men is affected by osteoporosis. On Wednesday, October 23, 2013 at 6:30 pm, physicians with ONS and Greenwich Hospital hosted a seminar on Osteoporosis: Prevention, Treatment and Management. The public was invited to hear from medical experts what measures may be taken to prevent bone loss or minimize its effects. Presenters included Orthopedic Surgeon Steven Hindman, MD, Endocrinologist Ranee Lleva, MD, and Physical Therapist Betsy Kreuter. The program took place in the Noble Conference Center at Greenwich Hospital, 5 Perryridge Road and was free of charge. To register for ONS programs at Greenwich Hospital, please call (203) 863-4277 or (888) 305-9253, or register on-line at www.greenhosp.org. For more information on topics related to orthopedics, visit www.onsmd.com
Speakers: Orthopedic Surgeon Steven Hindman, MD, Endocrinologist Ranee Lleva, MD, and Physical Therapist Betsy Kreuter. Wednesday, October 23, 6:30-8 pm
Cartilage Transplantation Offers New Hope for Damaged Knees
- Dr. Demetris Delos
Cartilage transplantation offers exciting new treatment options for adults under the age of 50 who have had their knee damaged through acute or chronic trauma to the knee. The surgeon uses small cylindrical plugs of good cartilage and inserts them into the damaged areas. This procedure has been shown to be highly effective in patients who have sustained a specific injury to the knee cartilage or joint lining, and who have not yet developed arthritis. Many competitive athletes who have undergone the treatment have returned to their full performance level after surgery.
Speaker: Orthopaedic Surgeon and Sports Medicine Specialist Demetris Delos, MD
Women’s Sports Medicine Center forum at Greenwich Hospital
Who would know better how to treat active women of all ages and levels of sports activity than the ONS Women’s Sports Medicine Center physician and physical therapy team?
In addition to being experts in their fields as orthopedic surgeons and sports medicine specialists, the ONS Women’s Sports Medicine Center team is comprised of current and former athletes and fitness enthusiasts who know first-hand what it takes to train and excel in a sport. (In fact, Dr. Katie Vadasdi, an orthopedic surgeon, is an accomplished tri-athlete who has completed two Ironman competitions, is an alpine climber and has ascended Mount Kilimanjaro, Mount Rainier and the Grand Teton.)
Come hear the ONS Women’s Sports Medicine Center panel discussion hosted by Greenwich Hospital:
“Women Treating Women”
The event, which took place in the Noble Conference Room at Greenwich Hospital, featured the ONS Women’s Sports Medicine experts in a panel discussion regarding the latest diagnostic and medical management techniques for injuries and conditions common in female athletes.
The public was invited to bring their sports injury or fitness-related questions and get answers from a team of physicians who have provided medical support to five Olympic Games, international biking and fencing championships, and medical coverage for the Columbia University sports teams and Greenwich High School sports.
Women’s Sports Medicine Panel:
Katie Vadasdi, MD, Orthopedic Surgeon, Sports Medicine Specialist Fellowship Training: Columbia University Medical Center
Gloria Cohen, MD, Primary Care Sports Medicine, Olympic Team Physician Post Graduate Sports Medicine, University of British Columbia
Tamar Kessel, MD, Physiatrist, Interventional Sports and Spine Fellowship Training: Hospital for Special Surgery
Laura Liebesman, PT, Director of ONS Physical Therapy Specialties- Golf mechanics, Orthopedics and Spine PT Certification – University of Pennsylvania
Cartilage Transplantation Offers New Hope for Damaged Knees
Speaker: Orthopaedic Surgeon and Sports Medicine Specialist Demetris Delos, MD
Tuesday, October 29th, 6:30 pm, Noble Conference Room Center at Greenwich Hospital
Cartilage transplantation offers exciting new treatment options for adults under the age of 50 who have had their knee damaged through acute or chronic trauma to the knee. The surgeon uses small cylindrical plugs of good cartilage and inserts them into the damaged areas. This procedure has been shown to be highly effective in patients who have sustained a specific injury to the knee cartilage or joint lining, and who have not yet developed arthritis. Many competitive athletes who have undergone the treatment have returned to their full performance level after surgery.
To register To register for the ONS programs at Greenwich Hospital, please call (203)
863-4277 or (888) 305-9253, or register on-line at www.greenhosp.org.
Joint Replacement Educational Seminar by ONS Orthopedic Surgeons on March 28rd
Orthopedic surgeons Dr. Frank Ennis and Dr. Brian Kavanagh will be the featured physicians at the Greenwich Hospital Joint Replacement Update on Wednesday, March, 28, from 11:00 a.m. to 12:30 p.m. The free seminar takes place at the Greenwich Library Cole Auditorium at 101 West Putnam Avenue. The two joint replacement specialists will present comprehensive information on hip and knee replacement surgeries and talk about how materials and techniques have changed in recent years. Greenwich Hospital Nurse Navigator Tori Kroll, RN; Physical Therapist Deborah O’Donnell, DPT; and Anesthesiologist Mark Chrostowski will discuss ways to prepare for surgery, pain management and what to expect from the recovery and rehabilitation process. The seminar is open to the public. Registration is required. To register, call (203) 863-4277 or (888)305-9253. The Joint Replacement Update will also be made available online after April 11 at www.greenhosp.org and www.onsmd.com.
Many people suffer from severe pain caused by arthritis, a fracture or other conditions that make common activities such as walking, putting on shoes and socks or getting in and out of a car, extremely difficult. Today, over 600,000 hip and knee replacement surgeries are performed each year in the United States. Deciding if and when it’s time to consider joint replacement surgery are important decisions. Continue reading “Joint Replacement Educational Seminar by ONS Orthopedic Surgeons on March 28rd”
