Knee Replacement Surgery Kihei HI

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 Kihei, HI that will answer all of your questions about Knee Replacement Surgery.

Tetsuto Numata, MD
(808) 871-0778
PO Box 1091
Kihei, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1979
Hospital
Hospital: Winchester Hospital, Winchester, Ma; Hallmark Health -Medford Lawr, Medford, Ma

Data Provided By:
C E Probst, MD
(808) 243-6510
17085 Haleakala Hwy
Kula, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1968

Data Provided By:
Charles Bedell, DDS
(808) 871-6576
Kahului Ofc Ctr Ste 312 140 Hoohana St
Kahului, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Peter Conmy, DDS
(808) 873-8199
285 W Kaahumanu Ave Ste 220
Kahului, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Susan Leigh Stewart, MD
80 Mahalani St
Wailuku, HI
Specialties
Orthopedics
Gender
Female
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 2001

Data Provided By:
Michael Siaw, MD
(931) 433-5501
1032 S Kihei Rd
Kihei, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1964

Data Provided By:
Robert S Harvey
(808) 871-8410
53 S Puunene Ave
Kahului, HI
Specialty
Orthopedic Surgery

Data Provided By:
Tetsuto Numata
(808) 871-0778
140 Hoohana St
Kahului, HI
Specialty
Orthopedic Surgery

Data Provided By:
William D Dixon
(808) 243-6000
80 Mahalani St
Wailuku, HI
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Dixon William
80 Mahalani Street
Wailuku, HI
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

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 ...

Click here to read the rest of this article from eOrthopod.com