Knee Replacement Surgery Wichita KS

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Kenneth Jansson
(316) 631-1600
2778 N Webb Rd
Wichita, KS
Business
Advanced Orthopaedics Associates
Specialties
Orthopedics, Sports Medicine, Arthroscopic Surgery
Insurance
Insurance Plans Accepted: Almost all insurance plans accepted.
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes

Doctor Information
Primary Hospital: Kansas Surgery and Recovery Center; Surgicare of Wichita
Residency Training: Wilford Hall USAF Medical Center, Lackland AFB, TX
Medical School: Darthmouth, 1982
Additional Information
Member Organizations: American College of Sports Medicine American Medical Association American Medical Society for Sports Medicine American Orthopaedic Society for Sports Medicine Arthroscopy Association of North America Fellow American Academy of Orthopaedic Surgeo


Data Provided By:
Samuel C Jack, MD FACS
2121 W Maple St
Wichita, KS
Gender
Male
Education
Medical School: Oklahoma
Graduation Year: 1955

Data Provided By:
James Tan Dunlap
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Timothy Noshi Ghattas
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Ryan Woodward Livermore, MD
(316) 268-5988
Ortho Res Program 929 N St Francis
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Southern Il Univ Sch Of Med, Springfield Il 62794
Graduation Year: 2002

Data Provided By:
Suhail Akhter Ansari, MD
(413) 221-3078
517 E Douglas Ave Apt 501
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Grant Med Coll, Univ Of Bombay, Bombay, Maharashtra, India
Graduation Year: 1983
Hospital
Hospital: Southwest Med Ctr, Liberal, Ks; Morton County Hosp, Elkhart, Ks; Stevens County Hosp, Hugoton, Ks
Group Practice: Orthopaedic Specialists

Data Provided By:
Todd Allen Swenning, MD
(210) 567-5135
Ortho Res Program 929 N St Francis
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1997

Data Provided By:
Michael P Estivo
(316) 945-9915
731 N Mclean Blvd
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Abbey Lynn Kennedy
(316) 293-2665
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Ryan Mclean Stuckey
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

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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