Beth Israsel Deaconess Hospital - Plymouth

          

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Knee

Knee Pain

One of the most common ailments is knee pain. People experience knee pain due to the wearing of cartilage around the knee joint. At Beth Israel Deaconess Hospital-Plymouth (BID-Plymouth), we often are able to effectively diagnose and treat knee arthritis, tendonitis and bursitis with non-surgical options including medications and physical therapy.

Our physicians are fellowship-trained in sports medicine and can diagnose and treat all types of knee injuries including meniscus and ligament tears. We also specialize in Anterior Crucial Ligament (ACL) tears and perform ACL reconstruction surgery after a thorough diagnosis.

Surgical Options/Patient Safety

When non-surgical options have been exhausted or when a knee injury is more severe, surgery may be the best option. According to the American Academy of Orthopaedic Surgeons, approximately 700,000 knee replacements are done each year in the U.S.*

When surgery is required, we incorporate a team approach for each of our patients. With our over 50 staff members and through our affiliation with BID-Plymouth Nurse Liaison Program, each patient has a dedicated team of nurses and therapists with them from their initial diagnosis through their pre-op and post-op care.

Patient safety is our number one priority. Our physicians use the latest technological advancements in knee replacement surgery to reduce complications and facilitate a faster recovery. We are also particularly proud that BID-Plymouth is among the top hospitals in Massachusetts with the lowest complication rate for knee replacement surgery. **

Our doctors perform the following surgical procedures for the knee: • Total Knee Replacements • Computer-Assisted Knee Replacements • “Minimally-Invasive” Total Knee Replacements • MAKOplasty® Partial Knee Resurfacing • Knee Arthroscopy • ACL Reconstruction Contact us today to learn more about the many treatments and options we offer to treat your knee pain.

*Source: American Academy of Orthopaedic Surgeons, http://orthoinfo.aaos.org/topic.cfm?topic=A00389

**Source: 2007 Medical Quality Study performed by the Delta Group.

MAKOplasty®, Partial Knee Replacement

With one of the state’s lowest complication rates from knee surgery, BID-Plymouth is already known for its top-quality orthopedic care. Now we are known for being one of the first community hospitals south of Boston to offer a partial knee resurfacing technique called MAKOplasty, a breakthrough solution for those suffering from osteoarthritis pain of the knee.

A minimally invasive technique that uses a surgeon-controlled robotic arm, MAKOplasty selectively targets the part of your knee damaged by osteoarthritis while sparing the healthy bone and ligaments surrounding it.

MAKOplasty® Q&A

What is MAKOplasty?

MAKOplasty Partial Knee Resurfacing is an innovative treatment option for adults living with early to mid-stage osteoarthritis (OA) that has not progressed to all three compartments of the knee. It is powered by the RIO® Robotic Arm Interactive Orthopedic System, which allows for consistently reproducible precision in performing partial knee resurfacing.

During the procedure, the diseased portion of the knee is resurfaced, sparing the patient’s healthy bone and surrounding tissue. An implant is then secured in the joint to allow the knee to move smoothly again.

How can MAKOplasty benefit me?

The MAKOplasty Partial Knee Resurfacing procedure is designed to relieve the pain caused by joint degeneration and potentially offers the following benefits: • Improved surgical outcomes • Less implant wear and loosening • Joint resurfacing • Bone sparing • Smaller incision • Less scarring • Reduced blood loss • Minimal hospitalization • Rapid recovery How does MAKOplasty work?

The RIO® Robotic Arm Interactive Orthopedic System features three dimensional pre-surgical planning.

During surgery, the RIO® provides the surgeon with real-time visual, tactile and auditory feedback to facilitate optimal joint resurfacing and implant positioning. It is this optimal placement that can result in more natural knee motion following surgery.

Individual results may vary. There are risks associated with any knee surgical procedure, including MAKOplasty. Your physician can explain these risks and help determine if MAKOplasty is right for you.

Who would be a good candidate for the MAKOplasty procedure?

Typically, MAKOplasty patients share the following characteristics: • Knee pain with activity, usually on the inner knee and/or under the knee cap • Start up knee pain or stiffness when activities are initiated from a sitting position • Failure to respond to non-surgical treatments or nonsteroidal anti-inflammatory medication If I undergo MAKOplasty, what can I expect?

MAKOplasty is typically performed on an outpatient basis depending on what your orthopedic surgeon determines is right for you. If a hospital stay is deemed necessary, it is usually for one night; ambulatory patients return home the same day.

In many cases, patients are permitted to walk soon after surgery, drive a car in the first few weeks, and return to normal daily activities shortly thereafter.

What is the lifespan of a MAKOplasty implant?

All implants have a life expectancy that depends on several factors including the patient’s weight, activity level, quality of bone stock and compliance with their physician’s orders. Proper implant alignment and precise positioning during surgery are also very important factors that can improve the life expectancy of an implant. Through the use of RIO®, implants can be optimally aligned and positioned to ensure the longest benefit.

RESTORIS® MCK implants enable the treatment of one or two compartments with OA disease. With single compartment disease, a second compartment may be treated in the future if OA spreads. In addition, because very little bone is actually removed during a MAKOplasty procedure, the implants can be replaced with another procedure such as a total knee replacement, if necessary.

For more information or to schedule a consultation with one of our MAKOplasty-certified orthopedic surgeons, please call 781-934-2400.

BID-Plymouth MAKOplasty-certified orthopedic surgeons:

R. Scott Oliver, MD
Joseph Zabilski, MD
Eric Rightmire, MD
Walter Stanwood, MD

MAKOplasty Patient Testimonial

The following video, filmed in 2012 by the Patriot Ledger, highlights Cheryl Davidson’s MAKOplasty journey from pre-surgery to recovery. Davidson was a patient of Dr. R. Scott Oliver, chief of orthopedic surgery.

Pre-Op Guide

Your orthopedic surgeon has determined that you are a candidate for MAKOplasty® Partial Knee Resurfacing. The Pre-op Guide was designed to provide you information about the MAKOplasty® procedure as well as what to expect before and after the procedure. This information is not meant to substitute for consultations with your physician and his or her staff.

Download Pre-Op Guide

BID-Plymouth
275 Sandwich Street
Plymouth, MA 02360
(508) 746-2000

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