Knee Replacement Surgery Booneville MS

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Randall Parks Frazier, MD
(662) 286-6369
703 Alcorn Dr Ste 109
Corinth, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Vanderbilt Univ Sch Of Med, Nashville Tn 37232
Graduation Year: 1986
Hospital
Hospital: Magnolia Regional Health Cente, Corinth, Ms
Group Practice: Magnolia Orthopaedic & Sports

Data Provided By:
Robert H Perry, DDS
(662) 287-6151
1017 Foote St
Corinth, MS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Timothy Dale Jackson, MD
(228) 832-9933
PO Box 10049
Gulfport, MS
Specialties
Orthopedics, Undersea Medicine & Hyperbaric Medicine
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1990
Hospital
Hospital: Garden Park Community Hospital, Gulfport, Ms
Group Practice: Gulfport Orthopaedic Clinic

Data Provided By:
John Herrington Kosko
(601) 984-5153
2500 N State St
Jackson, MS
Specialty
Orthopedic Surgery

Data Provided By:
Alan Conrad Schroeder, MD
(601) 984-1000
Brandon, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 2000

Data Provided By:
Robert P Lorentz, DDS
(662) 286-3891
1500 N Harper Road Ext Ste 5
Corinth, MS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Eric Foropoulos, MD
(662) 286-6369
703 Alcorn Dr Doctors Office Plaza Ste 109
Corinth, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1989
Hospital
Hospital: Magnolia Regional Health Cente, Corinth, Ms
Group Practice: Magnolia Orthopaedic & Sports

Data Provided By:
Larry Danl Field, MD
(601) 354-4488
1325 E Fortification St
Jackson, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduation Year: 1988

Data Provided By:
Wayne Anthony Dotson, MD
(662) 843-8880
907 E Sunflower Rd Ste 102
Cleveland, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of South Al Coll Of Med, Mobile Al 36688
Graduation Year: 1991
Hospital
Hospital: Delta Med Ctr, Greenville, Ms; Kings Daughters Hospital, Greenville, Ms
Group Practice: Mid South Orthopaedics

Data Provided By:
Ronald John Kendig, MD
(601) 984-6440
1410 E Woodrow Wilson Ave # DI
Jackson, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1977
Hospital
Hospital: Univ Of Mississippi Med Ctr, Jackson, Ms
Group Practice: Univ Orthopedic Assoc Univ Med Ctr; University Clinic Associates

Data Provided By:
Data Provided By:

How to Delay That Knee Replacement

Patients with malalignment of the knee that leads to arthritis face some unique challenges. The alignment problems usually mean one side of the knee wears out faster than the other. They can't just have a knee replacement -- or even a unicompartmental procedure. Unicompartmental means just the side that's arthritic is replaced.

And why not? Because the cause of the arthritis is the way the bones fit together to form the knee. In most cases, there is too much pressure on the medial compartment (that's the side of the knee closest to the other knee). Replacing the joint (or the medial half of the joint) doesn't change the alignment issues. That's where a procedure called tibial osteotomy comes in handy.

In this operation, the surgeon removes a wedge- or pie-shaped piece of bone from one side of the tibia<>/i (lower leg bone). The purpose of the osteotomy is to correct the malalignment and take pressure off the medial compartment. There are two ways to do this surgery. Both remove bone from the upper tibia near the knee. The medical term for this type of osteotomy is high tibial osteotomy (HTO).

The first way to do the high tibial osteotomy is called a medial opening wedge tibial osteotomy. Bone is removed from the medial side of the tibia, shifting the weight off the medial compartment and more toward the midline. The two edges of remaining bone are held open with a metal plate or special device called a fixator.

The second method is a lateral closing wedge osteotomy. In this type of osteotomy, bone is taken from the lateral side of the tibia (side away from the other knee). The two edges of the bone are then allowed to shift closer together. The effect is the same as the opening wedge osteotomy: to take pressure off the damaged medial compartment.

There are advantages and disadvantages to each type of osteotomy. Many surgeons prefer the medial open wedge osteotomy because there's less chance of causing shortening of the leg and fewer complications with nerve injuries.

In this study, 106 medial opening wedge high-tibial osteotomies were done for patients who had malalignment leading to arthritis of the medial knee joint. The size of the osteotomy (determined by the amount of bone removed) depended on the overall condition of the knee.

For example, the surgeon looked at the other side of the knee during surgery to see what kind of arthritic changes might have been present there. Most of the time, they tried to correct the alignment to neutral but sometimes it was necessary to overcorrect, shifting weight past the middle to the other side.

The patients were active and interested in delaying joint replacement for as long as possible. In addition to the osteotomy, they also had a microfracture procedure. Microfracture involves drilling tiny holes in the damaged joint surface down to the first level of bone (subchondral bone). Blood seeping into the joint through the holes helps the healing process and ...

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