aBOUT OUr TeaM Quality Orthopaedic Care — aBOUT OUr dOCTOrs right in the Heart of Brooklyn VijayJ.Rasquinha,MD Melvin c. Mahoney, Md Director,AdultReconstructionService vijay J. rasquinha, Md, Frcs Musculoskeletalpaincanbeaseriousproblemthat AssistantClinicalProfessorofMedicine requiresexpertandcompassionatecarebyaspecially Board-Certified,Fellowship-Trained OrthopaedicSurgeon Medical degree trainedandexperiencedspecialistlikeDr.Vijay Specializing in AssistantProfessorofOrthopaedicSurgery CetecUniversity,SantoDomingo, Rasquinha.Heandthejointreplacementteamat DominicanRepublic UniversityOrthopaedicAssociateswillevaluateyour SpecializinginTotalJointReplacement; tOtaL JOint repLaceMent RevisionSurgeryoftheHipandKnee; residency conditionandprovidepersonalized,state-of-the-art AdultReconstructiveSurgery MetropolitanHospital,NewYork,NY treatmenttohelprelieveyourpainandgetyouback and revisiOn sUrGery NYMedicalCollege,Valhalla,NY toyourroutineactivities. Bachelor of Medicine (MB) and of the hip and Knee Master of surgery (Ms), Orthopaedics AlloftheresourcesatSUNYDownstateMedical UniversityofBombay,Bombay,India Centerareavailabletoyouthroughoutthecourseof dnB, Orthopaedics vera Whalen, Ms, rn-c, Fnp yourtreatment,includingadedicatedorthopaedic/joint NationalBoardofMedicalSciences carenursingunitandanon-campusrehabilitationunit. NewDehli,India Board-CertifiedFamilyNursePractitioner Fellowship of the royal college of surgeons (Frcs) ClinicalInstructorofOrthopaedicSurgery Tobestservetheneedsoftheborough’sdiversepopu - RoyalCollegeofSurgeonsofEngland,UnitedKingdom lation,thestaffatUniversityHospitalofBrooklynis Master of science, nursing fluentinEnglish,Spanish,FrenchCreole,Russianand Mch, Orthopaedics PaceUniversity,Pleasantville,NY UniversityofLiverpool,UnitedKingdom Chinese. certifications Frcs, Orthopaedics FamilyNursePractitionerand UniversityOrthopaedicAssociatesisthepremierjoint IntercollegiateBoard,UnitedKingdom PerioperativeNurse replacementserviceinBrooklynandispart ofSUNY surgical arthritis and Joint reconstruction Fellowship DownstateMedicalCenter,oneofthenation’ s leading Mentor:Dr.ChitranjanS.Ranawat urbanmedicalcenters. CenterforTotalJointReplacement LenoxHillHospital,NewYork,NY practice Locations: peter perou, rpa-c, Ms, atc-L UniversityHospitlaofBrooklyn Board-Certified PhysicianAssistant 470ClarksonAvenue,LowerLevel Brooklyn,NY11203 Bachelor of science, (Valetparkingisavailableoncampus.) physician assistant dennis dimaculangan, Md TouroCollege,NewYork,NY LongIslandCollegeHospital Board-CertifiedAnesthesiologist Bachelor of science, 97AmityStreet AssistantClinicalProfessorofAnesthesia athletic training Brooklyn,NY11201 Medical degree WestVirginiaUniversity,Morgantown, UniversityofthePhilippines WV UniversityOrthopaedicAsociatesBayRidge 9202FortHamiltonParkway residency Master of science, Brooklyn,NY11209 University OrthOpaedic assOciates Anesthesia sports administration/exercise physiology SUNYDownstateMedicalCenter, An Affiliate of SUNY Downstate Medical Center UniversityofLouisville,Louisville,KY Brooklyn, NY phone (718) 270-2045 • Fax (718) 270-3763 DepartmentofOrthopaedicSurgery& RehabilitationMedicine certifications Fellowship Certified/LicensedPhysicianAssistant Mailing address NeurologicalAnesthesia Certified/LicensedAthleticTrainer SUNYDownstateMedicalCenter,Brooklyn,NY ACLS/BLSCertification 450 Clarkson Avenue, Box 30, Brooklyn, NY 11203 www.downstate.edu/orthopaedics (718) 270-2045 Most insurance plans accepted, including Medicare, Medicaid and Managed Care advanced and carinG sOLUtiOns FOr JOint pain

Joint s—The Body’s natural Hinges Team approach to Treatment and Care The latest in TJr Technology is Joint replacement right for You?

Jointsconnectthebonesinyourbodywhile Dr.Rasquinhaisdedicatedtorelievingyourjointpain Dr.Rasquinhakeepscurrentwiththe Jointreplacementsurgeryisusuallyreservedfor enablingyourskeletontorotateandswivel.The andrestoringmobilityandqualityoflife.Hemayrec - latestsurgicaltechniquesandadvancesin patientsover55yearsofagewithseverearthritic endsofthebonesinajointareconnectedby ommendconservativemethodsoftreatment,suchas TJRtechnology.Onesuchadvanceisanew conditions.However,thankstorecentadvances thickbandsoftissue oralmedication,injectionsorphysicaltherapy.Insuch polyethyleneliner,whichis90%moreresist - inartificialjointtechnology,itisnowbeingper - Femur called ligaments and cases,hewillworkwiththephysiatryandphysical anttowearthanstandardpolyethylene. formedingreaternumbersonyoungerpatients. Anotherisanewceramichipimplantthathas Cartilage arecoveredwithsmooth, andoccupationaltherapyteamsattheUniversity Whilecircumstancesvary,patientsarecandidates demonstratedsuperiorwearperformanceinthe plastic-liketissuecalled OrthopaedicAssociatestoimplementtherecommend - forjointreplacementsurgeryif: laboratory—meaningthatitpresentsthe Patella cartilage thatprevents edcourseoftreatment.Severepainor potentialtolastevenlongerthanitsmetal/ ■ Painissevereenoughtorestrictnot themfromrubbing disability,however,mayindicatetheneedforsurgery. plasticimplant“cousins.”Dr.Rasquinha synovium againsteachother.A onlyworkandrecreation,butalsothe Weemphasizeateamapproachtosurgicalcare. believesthatthisnewceramictechnology ordinaryactivitiesofdailyliving. ligaments delicatemembranecalled InadditiontoDr.Rasquinha,ourteamconsistsof willprovideanimportantalternative thesynoviumproduces foryoungerpatientsrequiringTJR. ■ Painisnotrelievedbymoreconservative Tibia anursepractitioner,physicianassistant,internist Fibula alubricanttoreduce methodsoftreatment. andanesthesiologist.Forpatientswhoqualify,we frictionandwearinthejoint. offerabloodlesssurgeryprogramthatutilizesthe ■ Stiffnessinthejointissignificant. latesttechnologiestominimizeoreliminatetheneed ■ X-raysindicateadvancedarthritisor forbloodtransfusionsduringsurgery.Ourgoalin Common Causes of Joint Pain dr. rasquinha is dedicated to relieving otherproblems . allcasesistoutilizethelatesttechniquesandtech - your joint pain and restoring mobility Theproperfunctioningofyourjointsallowsyou nologiestocustomizecaretoyourindividualneeds. and quality of life. tomovewithoutpain.Injury,diseaseandagecan makejointsstiffeninmuchthesamewayaswear Qu ality Care andalackoflubricationcancausestiffnessand squeakinginadoorhinge.Arthritisisthemost Total Joint replacemen t— expertise in Complex revision surgery Dr.Rasquinhaandhisteamarededicatedto commoncauseofjointpain,afflictingnearly20% a new lease on Joint life providingthehighestleveloftotalpatientcare— ofAmericans.Jointpaincanalsobecausedby Whenjointrevisionsurgeryisrequired,patientscan fromdiagnosisthroughrecovery—makingita deformityorbydirectinjurytothejoint,asinthe Oneofthemosteffectivetreatments takecomfortinknowingthatDr.Rasquinhahas comfortableexperienceforbothpatientsandtheir caseoftraumaorasportsinjury. forcertaintypesofseverejointpain extensiveexperienceandhasbeenspeciallytrainedin families.Theywilldiscussyouroverallhealthcare istotaljointreplacement(TJR).TJR thisprocedure.Revisionsurgeryismorecomplicated issuespriortotreatmentandwilleducateyouin isasurgicalprocedureinwhichanarthriticordam - thantheoriginaljointreplacement.Aftertheoldpros - whattoexpectwitheachtreatmentoption sothat "total hip replacement is an option for nearly all thesisanddamagedboneareremoved,metalwedges patients with diseases of the hip that cause chronic agedjoint,suchasa youcanchoosethebestoneforyou. discomfort and significant functional impairment. hiporkneejoint,isremovedandreplacedwithan andbonegraftsmaybeneededtoreplacethelostbone Most patients have an excellent prognosis for long- artificialjointcalledaprosthesis.Dr.Rasquinhahas andfillinbonecavities.Inrevisionhipsurgery,the term improvement in symptoms and physical function." performednumerousjointreplacementprocedures, topofthethighbone(femur)mayneedtobecutinto — nih consensus statement Online: total hip includingsecondary,or“revision”surgeries,torepair segments,cleanedofoldcement,andthenwired “LiFe is MOtiOn and MOtiOn is LiFe” replacement, september 1994; 12-14;12(5):1-31. orreplacetheoriginalprosthesis. togetheraroundthenewmetalfemoralcomponent.