Knee Replacement Surgery Boynton Beach FL

This page provides useful content and local businesses that can help with your search for Knee Replacement Surgery. You will find helpful, informative articles about Knee Replacement Surgery, including "How to Delay That Knee Replacement". You will also find local businesses that provide the products or services that you are looking for. Please scroll down to find the local resources in Boynton Beach, FL that will answer all of your questions about Knee Replacement Surgery.

Kenneth Garrod, MD
(561) 241-4758
1905 Clint Moore Rd
Boca Raton, FL
Business
South Florida Hand & Orthopedics
Specialties
Orthopedics

Data Provided By:
George Andrew Podray, DDS
(561) 736-8755
3469 W Boynton Beach Blvd Ste 20
Boynton Beach, FL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Myron Bash, MD
(561) 736-5498
26 Villa Ln
Boynton Beach, FL
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Edgar G Handal
(561) 395-2117
2828 S Seacrest Blvd
Boynton Beach, FL
Specialty
Orthopedic Surgery

Data Provided By:
Steven Guthrie Darling, DDS
(561) 737-1980
8200 Jog Rd Ste 203
Boynton Beach, FL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Myron Bash, MD FACS
(561) 736-5498
26 Villa Ln
Boynton Beach, FL
Gender
Male
Education
Medical School: Jefferson
Graduation Year: 1946

Data Provided By:
Richard Salvatore Masella, DDS
(561) 262-7339
Boynton Beach, FL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Everett L Jung, MD FACS
1303 Asbury Way
Boynton Beach, FL
Gender
Male
Education
Medical School: Washington (st. Louis)
Graduation Year: 1955

Data Provided By:
Job Dorcil
(561) 395-2117
2828 S Seacrest Blvd
Boynton Beach, FL
Specialty
Orthopedic Surgery

Data Provided By:
John A VanHouten
(561) 395-2117
2828 S Seacrest Blvd
Boynton Beach, FL
Specialty
Orthopedic Surgery

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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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