Surgical Solutions

Knee Osteonecrosis: When Bone Death Knocks On Your Door

A diagnosis of knee osteonecrosis could understandably have you worried sick, for the term-literally meaning bone death-is ominous indeed. You may feel that youve been unfairly singled out to suffer a rare condition, that the disease is inevitably progressive, and that you are ultimately doomed. A Brighter View None of this is true. First, it is not a rare condition. It is estimated that thousands of Americans are diagnosed with osteonecrosis annually. Dr. Kenneth Marks-orthopaedic surgeon…

Ask Dr. Marks: 04/04

I will soon be in need of a total hip replacement. How do I find the best surgeon-and the best hospital? The choice of a surgeon and hospital is critical to the success of any surgery. In spite of this, the choice is often made in a haphazard way. Patients frequently depend upon recommendations of friends or considerations of convenience when making a decision. …

High-Flex Fixed Knee

Theres little doubt that total knee replacement (TKR) is the best remedy if you suffer from knee osteoarthritis-more than 300,000 TKRs are performed every year. They eliminate pain, improve overall quality of life, and, according to a recent report by the National Institutes of Health, they increase mobility and function in 90 percent of those who have the procedure. Whats more, the artificial joints are durable, lasting at least 20 years in 80 percent of…

New Knees For Big Benders

Theres little doubt that total knee replacement (TKR) is the best remedy if you suffer from knee osteoarthritis-more than 300,000 TKRs are performed every year. They are low risk, eliminate pain, increase mobility in 90 percent of those who have the procedure, increase independence, and they last at least 20 years in 80 percent of users. Whats more, the procedure is commonly performed in people over the age of 75. …

Shoulder-Pain Rx: The Quest Goes On

Throughout history, physicians have sought ways to maintain this vulnerable mechanisms stability. Were not there yet.

Non-Surgery Options For Knee OA

There are a multitude of things you can do to manage your knee arthritis and, hopefully, reduce the likelihood that youll need joint replacement down the road. Most of these steps are fairly well known-from losing weight, to regular stretching and exercise, to finding the right medications to manage your pain. But what is not […]

Ask Dr. Marks: 05/04

I have had four hip replacements, and my hip still dislocates about every four to five months. What could be causing these failures? I really dont want to go through more surgery. Are there any alternatives? The prevalence of total hip dislocation in the first year after surgery is between 1.9 and 4 percent. Although the greatest risk of dislocation occurs in the first year, the patient remains at risk for the life of the implant.…

In The News: 06/04

Drive-Through Joint Replacement: The Jury Is Out We reported in December 2003 on mini-incision total knee replacement (MI-TKR), a new procedure that is not only less invasive but reduces scarring, recovery time, and helps a patient regain range of motion faster. Some surgeons have now taken the procedure a step further, claiming that minimally invasive total knee or hip replacement (using very small surgical instruments to create tiny incisions) can be performed on an outpatient…

Getting The Most Out Of Back Surgery

Successful back surgery is not automatic. The failure rate is high enough to warrant a special name: failed back surgery syndrome (FBSS). FBSS occurs at least 5 percent of the time and perhaps more often, depending on the procedure performed and whos keeping score. But there are plenty of steps you can take to put yourself in the group of patients most likely to have a successful operation. …