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Jason Weisstein, Md, Mph, Facs Brings Stryker’s Mako Robotic-Arm Assisted Joint Replacement Service To Colorado Springs

Innovative robotic technology enables personalized total knee and partial knee replacement procedures at St. Francis Medical Center

Colorado Springs, Colo., October 22, 2019 – Colorado Center of Orthopaedic Excellence (CCOE) surgeon Dr. Jason Weisstein is one of the first Joint Replacement and Limb Salvage Specialists in Colorado Springs to offer robotic knee replacement with Stryker’s Mako System. Dr. Weisstein has been involved with robotic technology for orthopedic joint replacement since 2011. This highly advanced robotic technology transforms the way joint replacement surgery is performed, enabling surgeons to have a more predictable surgical experience with increased accuracy.[i],[ii],[iii],[iv]

The demand for joint replacements is expected to rise dramatically in the next decade. Knee replacement surgery in the United States is estimated to increase by 673 percent by 2030.[v] Yet studies have shown that approximately 20-30 percent of patients are dissatisfied after conventional surgery.[vi]

“With Mako, we can provide each patient with a personalized surgical experience based on their specific diagnosis and anatomy,” said Dr. Jason Weisstein. “Using a virtual 3D model, Mako allows me to create each patient’s surgical plan before entering the operating room. During mako robotic surgery, we can validate that plan and make any necessary adjustments while guiding the robotic-arm to execute that plan. The addition of Mako to CCOE’s orthopedic service line further demonstrates our commitment to provide the community with outstanding healthcare.”

The Mako total Knee and partial knee applications are knee replacement treatment options designed to relieve the pain caused by joint degeneration due to osteoarthritis. While some patients with extensive arthritis may be candidates for a total knee replacement, there are others who have only a limited amount of arthritis in their knee and may be candidates for partial knee replacement where two-thirds of the knee is virtually untouched. These patients recover more quickly and typically experience less pain because a less invasive surgery is performed. Studies have shown robotic-arm assisted partial knee replacement to be two to three times more accurate than manual partial knee replacement procedures.[vii],[viii],[ix]

About Colorado Center of Orthopaedic Excellence

Colorado Center of Orthopaedic Excellence (CCOE) is Colorado Springs’ Premier Choice for Patient-Centered Orthopedic Care. Our seven board-certified orthopedic specialists work as a multi-disciplinary team to diagnose and treat the body’s delicate framework: bones, muscles, and joints. Whether pain is caused by disease or an injury, our orthopedic surgeons, podiatric surgeon, sports performance specialists and physical therapists provide patients the relief to get back to doing the things they love. Find us at ccoe.us, on Facebook and Twitter.

[i] Nawabi DH, Conditt MA, Ranawat AS, Dunbar NJ et al. Haptically guided robotic technology in total hip arthroplasty: a cadaveric investigation. J Engineering in Medicine. 2012;227(3):302-309.

[ii] Illgen R. Robotic assisted total hip arthroplasty improves accuracy and clinical outcome compared with manual technique. 44th Annual Advances in Arthroplasty Course. October 7-10, 2014, Cambridge, MA.

[iii] Anthony I, Bell SW, Blyth M, Jones B et al. Improved accuracy of component positioning with robotic-assisted unicompartmental knee arthroplasty. J Bone Joint Surg Am. 2016;98-A(8):627-35.

[iv] Hampp EL, Scholl LY, Prieto M, Chang T et al. Robotic-arm assisted total knee arthroplasty demonstrated greater accuracy to plan compared to manual technique. MAKTKA-AJA-9_12509

[v] Kurtz S, Ong K, Lau E, Mowat F et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780-5.

[vi] Christiaan Keurentjes J, Fiocco M, So-Osman C, et al. Patients with severe radiographic osteoarthritis have better prognosis in physical functioning after hip and knee replacement: a cohort-study. PLOS One. 2013; 8(4): 1-8.

[vii] Dunbar NJ, Roche MW, Park BH, Branch SH et al. Accuracy of Dynamic Tactile-Guided Unicompartmental Knee Arthroplasty. Journal of Arthroplasty. May 2012.  27(5): 803-808.e1.

[viii] Lonner, JH. Robotic-arm assisted unicompartmental knee arthroplasty. Seminars in Arthroplasty. 2009;20(1): 15-22.

[ix] Lonner JH, John TK, Conditt MA. Robotic arm-assisted UKA improved tibial component alignment: A pilot study. Clin Orthop Relat Res. 2010;468(1):141-6.

IMPORTANT INFORMATION

Hip and Knee Replacements

Hip joint replacement is intended for use in individuals with joint disease resulting from degenerative and rheumatoid arthritis, avascular necrosis, fracture of the neck of the femur or functional deformity of the hip.

Knee joint replacement is intended for use in individuals with joint disease resulting from degenerative, rheumatoid and post-traumatic arthritis, and for moderate deformity of the knee.

Joint replacement surgery is not appropriate for patients with certain types of infections, any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis instability, prosthesis fixation failure or complications in postoperative care, compromised bone stock, skeletal immaturity, severe instability of the joint, or excessive body weight.

Like any surgery, joint replacement surgery has serious risks which include, but are not limited to, pain, bone fracture, change in the treated leg length (hip), joint stiffness, hip joint fusion, amputation, peripheral neuropathies (nerve damage), circulatory compromise (including deep vein thrombosis (blood clots in the legs)), genitourinary disorders (including kidney failure), gastrointestinal disorders (including paralytic ileus (loss of intestinal digestive movement)), vascular disorders (including thrombus (blood clots),  blood loss, or changes in blood pressure or heart rhythm), bronchopulmonary disorders (including emboli, stroke or pneumonia), heart attack, and death.

Implant related risks which may lead to a revision of the implant include dislocation, loosening, fracture, nerve damage, heterotopic bone formation (abnormal bone growth in tissue), wear of the implant, metal sensitivity, soft tissue imbalance, osteolysis (localized progressive bone loss), audible sounds during motion, and reaction to particle debris.  Hip and knee implants may not provide the same feel or performance characteristics experienced with a normal healthy joint.

The information presented is for educational purposes only. Speak to your doctor to decide if joint replacement surgery is appropriate for you. Individual results vary and not all patients will return to the same activity level. The lifetime of any joint replacement is limited and depends on several factors like patient weight and activity level. Your doctor will counsel you about strategies to potentially prolong the lifetime of the device, including avoiding high-impact activities, such as running, as well as maintaining a healthy weight. It is important to closely follow your physician’s instructions regarding post-surgery activity, treatment and follow-up care.  Ask your doctor if a joint replacement is right for you. 

 

Knee Pain Doesn’t Mean Surgery: What Are the Alternatives?

Knee replacement surgery can be a tough decision to make, but it isn’t always necessary right away. Prior to taking the leap towards scheduling a surgical procedure, many orthopedic surgeons will suggest trying all reasonable alternatives to knee surgery. Knee replacement surgery is a very commonly performed procedure that involves the resurfacing of the bones of the knee with metal and plastic pieces or components. 

While there is a wealth of information and advertisements recommending which knee replacement to have, and where to have it done, there is very little published knowledge about knee replacement surgery alternatives, or alternatives to treating knee pain in general.

The most common condition leading to a knee replacement is osteoarthritis. This is typically a degenerative condition where the cartilage cushion on the ends of your bones starts wearing away.  While there is no cure for osteoarthritis, there are many alternatives to surgery available to treat the pain associated with it, and thus postpone the need for a knee replacement. Osteoarthritis affects nearly everyone over the age of 60, yet it can also affect those of us in our 30s or 40s if there is a genetic predisposition or a previous injury.

If your pain doesn’t improve with physical therapy, a knee compression sleeve, certain supplements, the failure of non-surgical treatments can ultimately lead to knee replacement proving to be your best available option. However, knee surgery should never be your first option. You can sometimes help your knee pain with alternative treatments instead. You and your doctor will discuss less invasive ways to ease knee pain, which may include:

1. Weight Loss and Exercise: Exercise can help you achieve your weight loss goal while strengthening your muscles and reducing pain.

2. Physical Therapy: A physical therapist can design a regimen that helps you reduce pain and strengthen the key muscles that affect your knees. They can work with you to make sure you’re doing exercises correctly.

3. Knee Injections (Hyaluronic Acid): Knee injections of hyaluronic acid lubricate the knee and act as shock absorbers. They help the cartilage and bone tissues slide more smoothly in the joint. The technique helps to reduce pain and improve knee mobility.

4. Medication or Cortisone Shots: Medication, including over-the-counter pain relievers and topical creams with the numbing agent’s lidocaine or Marcaine, may help control your knee pain. Your doctor might also recommend an injection of either steroids or cortisone.

5. Acupuncture: This ancient Chinese method uses sharp, thin needles to impact nerves and change the flow of energy within the body. Acupuncture has become more popular recently as an alternative treatment for pain.

6. Prolotherapy: Prolotherapy is an approach that uses a dextrose solution injected into the ligament or tendon to increase the blood flow and supply of nutrients. The dextrose solution is a sugar mixture. This treatment aims to stimulate the tissue so it will repair itself.

7. Stem Cell Therapy: This experimental treatment uses bone marrow stem cells from the hip to help regenerate cartilage tissue in the knee. A small but growing number of doctors are turning to cutting-edge stem cell therapy as an alternative to knee replacement surgery.

To find out more alternatives to help with your knee pain, and to avoid the possibility of knee surgery call Colorado Center of Orthopaedic Excellence at (719) 623-1050, or request an appointment online.