|
|
Total joint replacement--effect on therapy
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
Total joint replacement--effect on therapy - July 16, 2004 10:31:00 AM
|
|
|
Marci Landsmann
Posts: 1
Joined: May 30, 2001
From: King of Prussia, PA U.S.
Status: offline
|
I am working on a story about new innovations in orthopedic surgery for ADVANCE for Directors in Rehabilitation. I'm curious what new innovations in orthopedic surgery specifically on joint replacements are having the most effect on rehabilitation protocols. For example, arthroscopic total hip replacement may decrease disability after surgery. Does this change how you approach therapy? I am currently just researching this story idea and any help you can provide would be greatly appreciated as a spring board. . .
|
|
|
|
|
Re: Total joint replacement--effect on therapy - July 16, 2004 2:11:00 PM
|
|
|
FLAOrthoPT
Posts: 1011
Joined: May 8, 2004
From: West Palm Beach
Status: offline
|
Unfortunately, most surgeons are afraid of malpractice, and usually are way behind the curve. They do not typically delve into newer surgeries unless they are part of a facility known for doing so, like Jackson Memorial, or Dr. Andrew's practice in Birmingham. So, not many PTs will se patients with these new surgeries for quite some time. Usually doctors will stick to the procedures they feel comfortable with and know the typical outcomes, so the best people to ask this question to, is to find out which surgeons are doing these new procedures, and ask the PTs that are in that area or part of their POPs practice. Hope that helps-
Ben Galin, MPT, OCS
|
|
|
|
|
Re: Total joint replacement--effect on therapy - July 16, 2004 5:33:00 PM
|
|
|
PTupdate.com
Posts: 1474
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline
|
Finding a protocol for a newer procedure is always difficult, often because there isn't one yet developed.
The surgeons next door to me were, at one time, the only ones performing hamstring autografts for ACL reconstruction. With time, practice and watching the current literature, we developed a wonderful protocol. Soon, other physicians started, including the huge University system here in town. For over one year, they were sending their hamstring graft patients to PT with the protocol for patellar tendon grafts!!!!!
While Ben may be right in some instances why surgeons eschew new procedures, another may be that good surgeons know that new procedures don't always have good long term results.
The guys next to me don't jump on the "cutting edge" bandwagon, and I am glad. I have seen too many failures with Gortex ACL grafts, thermocapsular shifts, and even cadaver grafts by other MD groups. I feel sorry for these poor kids whose parents wanted their chilren to have "cutting edge" stuff. The surgeons prefer to wait and see how the long term effects are, especially if their current procedure has excellent outcomes and patient satisfaction.
John Duffy, PT OCS
[URL=http://www.PTupdate.com]www.PTupdate.com[/URL]
_____________________________
John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.078
|
Printable Version
