Knee Replacement Surgery Temple Hills MD

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 Temple Hills, MD that will answer all of your questions about Knee Replacement Surgery.

Edward G Alexander Jr., MD
(703) 461-7100
4801 Kenmore Ave
Alexandria, VA
Business
Northern Virginia Orthopaedic Group
Specialties
Orthopedics

Data Provided By:
James E Callan MD
(301) 891-6130
7610 Carroll Ave
Takoma Park, MD
Specialties
Orthopedics

Data Provided By:
Charles H Emich, MD
(301) 839-1600
6144 Oxon Hill Rd
Oxon Hill, MD
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Jorge A Mondino
(301) 567-2330
6192 Oxon Hill Rd
Oxon Hill, MD
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth Hrechka, DDS
(301) 839-2500
6130 Oxon Hill Rd Ste 304
Oxon Hill, MD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David C Johnson, MD
(202) 291-9266
106 Irving St NW
Washington, DC
Business
National Orthopedics PC
Specialties
Orthopedics

Data Provided By:
Zohair Shehzad Alam, MD
(301) 567-7200
6196 Oxon Hill Rd Ste 430
Oxon Hill, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Howard Univ Coll Of Med, Washington Dc 20059
Graduation Year: 1995

Data Provided By:
Christina Cervieri, MD
(301) 839-1600
6144 Oxon Hill Rd
Oxon Hill, MD
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Rafik David Muawwad, MD
(202) 248-0708
6144 Oxon Hill Rd
Oxon Hill, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: American Univ Of Beirut, Fac Of Med, Beirut, Lebanon
Graduation Year: 1974
Hospital
Hospital: Greater Southeast Comm Hosp, Washington, Dc; George Washington Univ Hosp, Washington, Dc
Group Practice: Metropolitan Wash Orthopedic

Data Provided By:
Hamid R Quraishi, MD
(301) 567-7200
6196 Oxon Hill Rd Ste 430
Oxon Hill, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduation Year: 1959

Data Provided By:
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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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