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Total Joint Replacement

Pain-free motion to get you back to enjoying your life!

Browse the options you have for your total joint replacement, so you can choose the option that best fits your needs. We use a wide range of new, cutting-edge technology for our total joint patients, throughout the pre- operative, intraoperative and post-operative phases. You will be able to customize your experience to have the most successful outcome. Questions are welcomed and we encourage our patients to collaborate with our team, to help choose the optimal approach for you.

Joint Pain

Pre-Operative Phase

A patient’s pre-operative health is often a predictor of successful outcomes in total joint arthroplasty. Often, the pain you experience throughout your daily life limits your activity and ability to exercise, and has led you to consider total joint replacement. This leads to muscle atrophy and weakness surrounding that joint. We have a rehabilitation machine

called the Emsculpt Neo, which can help to combat this adversity. The Emsculpt Neo adds, on average, 25% lean muscle mass and 30% less fat to the treated area without a change in diet. This will consist of one session per week for four to five weeks, and each session is thirty minutes.

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Post-Operative Phase

After having a total joint replacement, the surrounding muscles atrophy and weaken in response. One of the biggest challenges in rehabilitation is building back muscle strength. Studies show that quadriceps strength decreases by 64% just one month following a total knee replacement. The Emsculpt Neo is a rehabilitation machine that can be added to your treatment plan post- operatively to assist in adding muscle mass to the affected area. The Emsculpt Neo uses radio frequency and a high intensity, focused on pulsed electromagnetic field, which results in 25% more lean muscle mass and 30% less fat to the treated area.

Total Knee Arthroplasty

The knee is the most common joint replaced in the United States, with over 1 million knee replacements performed each year. There are different ways to do a knee replacement, which are described below.

Medial Parapatellar approach: This is the most common procedure, and is an option for your knee replacement. It involves making an incision directly over the front of the knee. This is the method used for a robotic total knee replacement. Computer navigation can be used with this approach.

 

Subvastus approach: This is the method used in the cosmetic total knee, and uses an incision along the lateral aspect of the knee. This is a muscle-sparing procedure, unlike the medial parapatellar method. This approach has been shown to have less pain and quicker muscle recovery. Patients are able to achieve full range of motion sooner than the traditional medial parapatellar approach. Dr. Swift is the only orthopedic surgeon in the area to offer this treatment.

Cosmetic Total Knee

The cosmetic total knee experience includes Emsculpt Neo both before and after your total knee replacement. It will be done via the subvastus approach, which involves an incision on the outside of the knee. This approach has been shown to have less pain and quicker muscle recovery. Patients are able to achieve full range of motion sooner than the traditional medial parapatellar approach. Dr. Swift is the only orthopedist in the area to offer this treatment. Please inquire about pricing for this package.

Mako Robotic Total Joint

Mako is a robot model using Stryker’s total joint system. The mechanical arm assists in surgery and allows for accurate pre-operative planning, and intraoperative adjustments to ensure your knee or hip replacement is in perfect position. The Mako requires a pre- operative CT scan of the extremity for precise planning.

Computer Navigation

Computer navigation can also be used during total joint replacement to ensure accuracy of component positioning. The computer navigation system we use is called Intellijoint. It is an imageless navigation tool, which means it does not require a CT scan. This system is able to give us accurate measurements and allows for pre-operative planning based on your x-ray. It is compatible with all medical device manufacturers, and we commonly use surgical implants made by Zimmer, Depuy and Stryker.

Total Shoulder Arthroplasty

Total shoulder replacement is a procedure that has become an increasingly popular solution to many shoulder diagnoses. The anatomic total shoulder replacement is typically reserved for patients with arthritis and an intact rotator cuff. The reverse total shoulder replacement is a great solution for patients with existing arthritis and rotator cuff injuries, as it does not rely on the rotator cuff for stability. The approach that we do, which is widely considered the standard of care, is the deltopectoral approach. You will have an incision over the anterior aspect of the shoulder. Following this procedure, you can expect to get back to the activities you enjoy.

Total Hip Arthroplasty

The hip is the largest joint in the body and is the second most common joint to be replaced. Similar to the knee, there are multiple approaches for a hip replacement which are discussed below.

Posterior/Lateral: This is the traditional approach for a hip replacement. It involves an incision on the side of the thigh and requires the surgeon to cut through the muscles and tendons to get to the joint. Afterwards you will have to adhere to the posterior hip precautions. This is the approach used for robotic hip replacement. Computer navigation may also be used with this approach.

Anterior: This approach involves a small incision on the front of the thigh. This approach does not require that muscles or tendons be cut to expose the hip joint. Afterwards you have have to adhere to anterior hip precautions. We are able to use computer navigation with this approach.

Ask us about PRP and BMAC! 

 

Platelet-Rich Plasma (PRP) Therapy uses advanced technology to eliminate joint pain. Ask your doctor if PRP Therapy is right for you.

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