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Minimally-invasive total knee replacement

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I will be doing an inservice on minimally-invasive total knee replacements and I

was wondering if anyone is familiar with this procedure. I would also like to

know if anyone has worked with patients who have had this procedure done and how

they have responded. Thank you for any and all information concerning this

topic.

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I worked with Bonutti, an orthopedic surgeon in Illinois. He was one of

the pioneers of the procedure and travels around teaching other docs the

technique. Molly Byers, DPT works with him now and can probably help you out.

You can find the contact information, and some limited information on the

procedure, at the website: www.bonutticlinic.com. It's an amazing procedure to

watch if you get a chance.

Hotz, PT

Cleveland Clinic Home Care Agency

---- vbarnes0010@... wrote:

> I will be doing an inservice on minimally-invasive total knee replacements and

I was wondering if anyone is familiar with this procedure. I would also like to

know if anyone has worked with patients who have had this procedure done and how

they have responded. Thank you for any and all information concerning this

topic.

>

>

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While observing a standard open joint replacement with a local orthopedic

surgeon the anesthesiologist or another assistant stated that another

orthopedist (using the minimally invasive technique) in the same hospital had

breached (ground through) the cortex of either a femur or tibia. The surgeon's

comment was that if a surgeon is going to use the minimally invasive

(fluoroscopy assisted) technique he'd better USE the fluoroscope. " Minimally

invasive " seems like a great idea to me but I wouldn't want to be among a

doctor's first few subjects or to have one that thought he could work by

braille.

Lance P. Van Arsdell, PT

Restoracare, Inc.

Mesa, AZ today's high temp - 72 degrees

www.Restoracare.com

hotzml@... wrote:

I worked with Bonutti, an orthopedic surgeon in Illinois. He was one of

the pioneers of the procedure and travels around teaching other docs the

technique. Molly Byers, DPT works with him now and can probably help you out.

You can find the contact information, and some limited information on the

procedure, at the website: www.bonutticlinic.com. It's an amazing procedure to

watch if you get a chance.

Hotz, PT

Cleveland Clinic Home Care Agency

---- vbarnes0010@... wrote:

> I will be doing an inservice on minimally-invasive total knee replacements and

I was wondering if anyone is familiar with this procedure. I would also like to

know if anyone has worked with patients who have had this procedure done and how

they have responded. Thank you for any and all information concerning this

topic.

>

>

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Vbarnes0010

I have seen a small number of patients over the past 2 years that have had the

minimally invasive procedure. Overall they have progressed much faster than the

traditional TKA. The pain level is significantly lower, the reliance upon

assistive devices also is much less, and the return of ROM has been quicker and

easier. Some of the patients even progressed so well that they did just as well

as some of my patients that had a standard arthroscopy. The words amazing, and

unbelievable come to mind. However, these results come with a caveat. As

mentioned in another response, the surgery is best performed by an ortho.

surgeon that specializes in this procedure. I have had a few patients that have

undergone the procedure with poor results. These have all had a surgeon that was

inexperienced with the minimally invasive method. I believe that the results are

very surgeon specific. I don't think this point can be overemphasized.

Another source of information is the company that manufactures the prosthesis.

You might check the company called Biomet. They have specific patient education

information on this procedure, for both the hip and knee.

J. Pierce PT

Mainstream Physical Therapy

Ft. Myers, FL

---- vbarnes0010@... wrote:

> I will be doing an inservice on minimally-invasive total knee replacements and

I was wondering if anyone is familiar with this procedure. I would also like to

know if anyone has worked with patients who have had this procedure done and how

they have responded. Thank you for any and all information concerning this

topic.

>

>

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