As I explained to CBS New York on their segment about advanced knee and hip joint replacements, using the Optimized Positioning System (OPS™) is a more accurate and less invasive procedure where “I’ve pretty much done the surgery before I’ve even started.”
When tracking their outcome scores, patients that undergo this procedure are much happier patients than patients who stay in the hospital. One reason that using OPS is beneficial is that it helps the execution of the hip replacement with the right angles for each patient, which greatly reduces complications and allows patients to spend less time in the hospital, making recovery quicker afterwards and the final result is much better as well.
Matching Your True Anatomy for Long Term Hip Replacements
. If I put your hip replacement in the perfect angles, that hip replacement will last 30 years or even longer!!
When we do preoperative scans and imaging, we can recreate the patient’s anatomy so that after the surgery, your body doesn’t need any time to get used to the new position of things. It’s really just taking what you already have and replacing the hip in the exact same angles that you have been used to for your entire life. This is what makes the recovery much quicker.
As we do more and more hip replacements in younger patients, it’s very important to think about the kind of the longevity of these procedures and how long it’s going to allow them to live with a high quality of life and activity.
Hip preservation surgery is an important part of our practice with procedures like hip arthroscopy, labral repair, hip osteotomies, or the Ganz (PAO) osteotomy.
We’re doing these things in the short term to help patients with their hip pain because they’re having trouble walking, for example.
In the long-term, these procedures will also preserve the hip and keep it from becoming arthritic. We have some very powerful tools with surgery these days. We know what kind of patients are going to develop hip arthritis in the future and we are able to change their anatomy and change the mechanics of their joint so that their native joints will (potentially) last their whole lives.
Younger Hip Replacement Patients
We are seeing patients in their 20s, 30s, and teens sometimes, that need hip replacement. Some of them were athletes and beat up their hips or, because they did sports, their morphology of their joints changed a little bit so that it wore out quicker.
Genetics, obesity, and sports participation can play a role in younger patients needing hip replacements. If you play sports, we know that hockey, soccer, team handball, and basketball carry higher risks. Younger patients benefit from hip replacements that allow they to continue to be as active as possible. We have patients who return to marathon running, skiing, tennis, basketball, basically any sport that they want.
Benefit of Robotics for Knee Replacements and Hip Replacements
We’re using technology in robotics for knee replacements as well because the knee is very sensitive to very small movements and changes.
A one degree difference, and even a one millimeter difference, can create a huge amount of change in pressure in the knee. We’re using technology to make that knee replacement perfect by using 3D analysis to see what that patient needs for the knee replacement and then executing that on that plan.
Typically people think knee replacements have a success rate of about 85 percent. By using technology and customizing the procedure to the patient, we achieve a 90 to 95 percent satisfaction rate.
By comparison, hip replacement has a 95 to 98 percent satisfaction rate. Hip replacements and cataracts are the two most successful operations of all time, across all specialties.
Avoiding preventable complications!!!
We just finished a study where we looked at hundreds of redo operations that we did for hip replacement and found that approximately a third of them were completely preventable. Those patients had a second operation within two years for a cause that was completely preventable had the first surgery just been done well.
The benefits of our advanced technology is that we can do the surgery right the first time, giving you long lasting health.