Small Incision Total Hip Replacement Surgery
Keep It Short-- Jefferson Hospital Orthopedic Specialists to Demonstrate
on Web How Newer Limited Incision Hip Replacement Surgery Reduces
Risk to Patient
During a Jan. 15 Webcast from Thomas Jefferson University Hospital,
Rothman Institute at Jefferson orthopedic specialists will perform
total hip replacement surgery using a limited incision
This January, orthopedic surgeons at the Rothman Institute at Thomas
Jefferson University Hospital will demonstrate a surgical technique that may be
quicker, better and safer--when it comes to having a hip replaced.
Less invasive total hip replacement surgery in 35 to 45 minutes will be
demonstrated on the Internet during a January 15 Webcast from the operating
rooms at Thomas Jefferson University Hospital, Philadelphia. This will be the
fourth procedure to be broadcast on the Internet by Jefferson in the last year.
In recent years, less invasive hip replacement surgery, using a four to
six-inch incision, depending on the size of the patient, has become our standard
for performing hip replacements and has been well received by patients, said
nationally-recognized orthopedic surgeon Richard Rothman, M.D., Ph.D., James
Edwards Professor and chair, Orthopedic Surgery, Jefferson Medical College (JMC)
of Thomas Jefferson University.
"The procedure, as performed at Jefferson, may reduce the risk of
infection for patients because of our team's experience," said Dr. Rothman.
The surgery takes less time than those done at many other medical centers so the
incision is open for a shorter period.
"In addition, depending on the individual patient, our procedure may
also result in a shorter hospital stay, less blood loss, less post-operative
pain and easier rehabilitation for the patient," said William Hozack, M.D.,
professor of Orthopedic Surgery, JMC, who will be performing the limited
incision hip replacement operation during the Webcast with Dr. Rothman.
According to the National Institute of Arthritis and Musculoskeletal and Skin
Diseases, hip replacement surgery used to be an option primarily for people over
60 years of age. Now surgeons are finding that the surgery is very successful in
even younger people.
“When you have a ‘bad hip,’ you have trouble walking, standing.
Gradually, your whole world shrinks,” said Dr. Rothman, director of the
Rothman Institute at Jefferson. “For most patients, hip replacement surgery
provides a prompt relief of pain. Within a day or two, you have less pain than
before the operation.”
Reasons for needing a hip replacement include osteoarthritis, a degenerative
joint disease that causes the breakdown of joint cartilage and adjacent bone in
the hips, rheumatoid arthritis (inflammation in the lining of the joints and/or
other internal organs) and traumatic arthritis (arthritis due to injury of the
articular cartilage of the hip).
"Jefferson Hospital surgeons feel that less invasive single incision
total hip replacement surgery is also safer than the mini hip technique
currently being advertised to patients in newspapers and on television,"
said Dr. Hozack, director, Joint Replacement Service, Thomas Jefferson
University Hospital. "It is generally agreed among hip replacement
specialists that the smallest incision surgery is technically more difficult and
should not be used in situations where the surgeon does not perform hip
replacement on a frequent basis."
U.S.News & World Report has ranked Thomas Jefferson University Hospital
as the best hospital in Philadelphia and among the top 50 hospitals in the
nation for orthopedics. U.S.News also ranked Jefferson as among the top five
hospitals nationwide with the largest volume of orthopedic procedures.
In comparison to other medical centers around the nation with leading
orthopedic programs, a high volume of hip replacement procedures is performed at
Jefferson Hospital-- a total of 1,500 annually. As a result, Jefferson Hospital
has one of the shortest lengths of stay and lowest complication and readmission
rates for the procedure.
During hip replacement surgery, the orthopedic surgeon makes an incision
along the joint, moves aside muscles and removes damaged bone and cartilage. The
remaining bone is prepared to receive the prosthesis and the new plastic and
metal joint is placed in position. The technique developed by Jefferson surgeons
over the past 15 years involves fixation of the prosthesis to bone without the
use of cement. The incision is closed with stitches or staples, which will be
removed in about two weeks.
For more than a quarter of a century, Dr. Rothman has dedicated his career to
research, teaching and surgery. He has also worked toward realizing his vision
of an institute, dedicated to the treatment of skeletal diseases that is
performing among the largest number of joint replacements in the city and
nation. Dr. Rothman is regularly listed by national publications as one of the
premier orthopedic surgeons, as well as one of the best doctors in the country.
He has received numerous awards for his research contributions to the study of
orthopedics, including FDA approved studies on hip replacements and arthritis of
the hip. Dr. Rothman has also published extensively on his findings, and has 13
textbooks and more than 200 original research papers to his credit.
Dr. Hozack has specialized in hip and knee replacement surgery over the past
15 years. He is currently focusing his efforts on improving the longevity of
joint replacement, especially in active, healthy people. He is also developing
and improving techniques of limited incision hip and knee replacement as well as
the use of computer assisted surgery of the hip and knee.
The Webcast is approved for AMA PRA Category 1 credit. Jefferson Medical
College of Thomas Jefferson University, as a member of the Consortium for
Academic Continuing Medical Education, is accredited by the ACCME to provide
continuing medical education for physicians
The Webcast can be viewed at www.jeffersonhospital.org/webcast.
About slp3D
The event is being produced by slp3D, Inc. slp3D is the leading developer of
live and on-demand medical broadcasts on the internet with clients that range
from community hospitals to major teaching institutions and from medical device
manufacturers to pharmaceutical companies. slp3D’s online broadcast programs
are designed for allied health-care professionals and consumers and feature live
and on-demand surgeries, clinical forums, product launches, virtual tours,
online video news releases and continuing medical education. Solutions include
video and audio applications, integrated graphic presentations and real-time
audience surveying. slp3D develops unique client solutions focusing on strategy,
content development and production, as well as content distribution. slp3D has
been chosen as one of INC Magazine’s top web companies as part of the
publication’s Annual Web Awards. For more information about slp3D, call
(860)953-2900 or visit www.slp3d.com.
Published: 12-3-2002
Keep It Short
Ch. 3 and the Bucks County Courier Times report on how Jefferson
Hospital orthopedic specialists demonstrated-- on the Web-- a newer
limited incision hip replacement surgery
If you are a physician and would like to refer a patient to a Jefferson
orthopedic surgeon for this procedure, please call 215-955-0215.
If you are a patient and would like to make an appointment with
a Jefferson orthopedic surgeon or would like more information about
this procedure, please call 1-800-JEFF-NOW.
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