Orthopedics Advance


MAKOplasty® Brings Improved Accuracy to Hip and Knee Replacement Surgery

MAKO robotDr. CashenAccording to a recent study in “Arthritis & Rheumatism,” more than 27 million Americans suffer with pain associated with osteoarthritis.

Osteoarthritis, or Degenerative Joint Disease, is the deterioration over time of the cartilage within a joint, such as the knee or hip. This process leads to significant pain, physical limitations and ultimately a poor quality of life. Risk factors for osteoarthritis include advanced age, genetics, gender, obesity and previous injuries.

Robotic technology enables precise placement At Lakewood Ranch Medical Center, orthopedic surgeons have adopted MAKOplasty® to treat osteoarthritis. Partial knee resurfacing and total hip replacements are performed with greater accuracy utilizing the technological advancements of MAKOplasty.

After a CT scan of the patient’s hip or knee, LWRMC orthopedic surgeons create a pre-surgical roadmap to customize the ideal position of the hip or knee replacement implants. During a procedure, the surgeon correlates the actual intra-operative anatomy with the pre-surgical plan. Finally, the surgeon controls the robotic arm to accurately replace the knee or hip.

“The primary goals of hip and knee replacements focus on pain relief, improved quality of life and long-term survival of the implants,” according to David Cashen, MD, Director of the Orthopedic Spine and Joint Center at LWRMC. “MAKOplasty provides the accuracy to consistently achieve these goals.”

In addition to surgical precision, LWRMC orthopedic surgeons are also able to balance the knee. “The MAKOplasty system creates a plan that I can adjust to optimize implant positioning,” says Dr. Cashen. “This translates to long-term success and patient satisfaction.”

Are You a Candidate for MAKOplasty?

If you’ve been diagnosed with osteoarthritis, you may be a candidate if you experience these symptoms:
• You have knee pain during activity, usually in the inner knee and/or under the knee cap, or on the side of the knee
• After sitting, there’s stiffness or pain in your knee
• Your knee pain has not responded positively to nonsurgical treatments or non-steroidal anti-inflammatory medication

Pediatric Spinal Surgery: Spine Specialist Corrects Severe Scoliosis

Dr. MoultonKelly Smith, a 12-year-old from Sarasota, Fla., was born with idiopathic scoliosis, which showed as a curvature of her spine, a tilt in her torso and low back pain. Her doctor said Kelly was having a “growth spurt” and would grow out of the curvature, her father Drew says.

The doctor suggested she wear a brace, one treatment option for adolescents with scoliosis. However, when the family switched to a new pediatrician, he introduced Kelly and her parents to Andrew Moulton, MD, an orthopedic surgeon at Lakewood Ranch Medical Center and Sarasota Orthopedic Associates.

“Kelly had a severe curve which was progressively worsening based on X-rays taken over two years,” Dr. Moulton says. “Without surgery, the curves would progress to severe deformities.”

Correcting the spine: an intensive procedure in March, Kelly underwent 10 hours of spine surgery, there Dr. Moulton placed screws into 14 of her vertebra, connecting them to rods to straighten her spine. Kelly had some trepidation about the surgery, her father says. “However, from the start, Dr. Moulton was honest and optimistic about Kelly’s prospects for a full recovery, and his bedside manner was second-to-none.”

“I take every patient’s condition personally,” Dr. Moulton says. “The most important part of counseling before surgery is to explain everything, using models and their X-rays, and discussing their prognosis.” Kelly returned to school six weeks later and two weeks before her 13th birthday. “The doctors, nurses and staff were amazed at her recovery,” Drew says. Likewise, Dr. Moulton is excited about her progress. “She has more self-esteem and confidence now,” he says. “She’s no longer tilted and her back pain is gone.”

Giving Hope to Children with Spinal Deformities

In many parts of the world, children are born with spine deformities that their local medical facilities are unable to treat, and whose families do not have the financial resources to correct.

That’s why Andrew Moulton, MD, and his wife, Geraldine Collado, created The Butterfly Foundation. The nonprofit foundation organizes volunteers who travel to places such as the Dominican Republic, Malawi and Vietnam, to deliver surgical expertise to treat children suffering from scoliosis and other spine deformities. The teams perform corrective procedures, and train local doctors on how to treat these debilitating conditions. For more information visit www.butterflyfoundation.com.

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The Orthopaedic Spine and Joint Center at Lakewood Ranch Medical Center

Board-certified and fellowship-trained orthopedic surgeons at The Orthopaedic Spine and Joint Center at Lakewood Ranch Medical Center help patients find relief from knee, hip, shoulder, elbow or other joint-related injuries.

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