Lincoln Orthopaedic Center, P.C. Dedicated Surgical Expertise • Professional, Friendly Staff • 3 Convenient Lincoln Locations
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Volume 1 Issue 1 Healthy Living Lincoln Orthopaedic Center, P.C. Dedicated Surgical Expertise • Professional, Friendly Staff • 3 Convenient Lincoln Locations NORTH - 27th & Superior 476-2600 EAST- 70th & Van Dorn 483-4709 SOUTH -14th & Pine Lake 421-2700 We have more board certified specialists than any other Physical Therapy clinic in Lincoln! Tom Harmon, PT, OCS Dan Creal, PT, CHT Andrew Creal, PT, OCS Sarah Linderman, PT Doug Kavanaugh, PT, OCS Nick Armentrout, PTA Alan Thompson, PT Chad Wemhoff, PT, Michelle Aylor, PT Jeff Creal, PT SCS, CSCS Visit us online at: www.lincolnpt.org Welcome Message from Lincoln Orthopaedic Center This is the premier issue of, Lincoln Orthopaedic Center - Healthy Living Magazine. Our goal with this publication is to provide valuable orthopaedic and sports medicine news and to keep you current on Lincoln Orthopaedic Center services, physicians and current events. Inside This Issue 2010 has been a good year! We increased our list of outreach clinics to 9! These new clinics are in David City and Lincoln Orthopaedic Center 4. Patrick Ganyo, CMPE we introduced our spine surgeon to the existing Beatrice offers a Less Invasive Administrator clinic. They have both been well received by residents and Approach to Total Hip physicians in these two areas. Thank you! Replacement LOC saw a growing need to help area athletic directors, coaches and staff with sports Eugene Simpson Recaps injury education, prevention and treatment. During the course of 2010 LOC and 5. Benefit of Anterior Approach BryanLGH embarked on a shared initiative to expand sports medicine coverage for to Hip Replacement Lincoln and surrounding areas. The results have been very positive! We are very proud to provide coverage for: Our Physicians • Lincoln Saltdogs, Lincoln Stars 8. • Concordia, Doane, Wesleyan • Lincoln Lutheran Schools, Seward Public Schools, Lincoln Christian School, Lincoln Northeast Summer Basketball League • Eastern Nebraska Officials Association, Lincoln Rugby Club, Lincoln Midget Football League and Lincoln Youth and High School Hockey Clubs 10. Our Locations LOC is fortunate to have an exceptional group of people who work hard to make our patients’ experience positive. Our group is comprised of 9 surgeons, 5 physician assistants, 4 athletic trainers and a support staff of 70. Our physicians continually strive to be on the cutting edge of their profession. For example, LOC is now the When Life Becomes a Pain in only orthopaedic practice in Nebraska to offer the anterior approach to total 11. the Neck hip replacement. Last but certainly not least, we extend a big “thank you” to our advertisers. Without your generous support this publication would not be possible. LOC appreciates the Exercises for Younger opportunity to serve our patients and referring providers and we welcome your feedback 14. Athletes for future issues of LOC Healthy Living. Sincerely Patrick Ganyo, CMPE Administrator Lincoln Orthopaedic Center’s Healthy Living Magazine is designed and published by Medical Custom Medical Design Group. To advertise in an upcoming issue please contact us at: 800.246.1637 or www.CustomMedicalMagazine.com. This publication may not be reproduced in part or whole without the express written consent of Custom Medical Design Group. Custom Medical Design Group does not endorse the contents of this journal. Visit us online at: www.lincolnpt.org www.ortholinc.com 3 Lincoln Orthopaedic Center offers a Less Invasive Approach to Total Hip Replacement Muscle Sparring Approach to Hip Replacement: The Anterior Approach. hen debilitating pain and stiffness in your hip limits your daily activities, you may be a candidate for hip replacement. Hip replacement has been one of the most successful orthopaedic procedures in the last 40 years. Even with the high success rate the traditional approach to total hip replacement has drawbacks. Traditional approaches are typically done from the side or back of the hip and require cutting or detaching of muscle from the pelvis or femur. This can lead to a longer recovery as well as an increased risk of dislocation and limp. Drs. Doug Koch and Scott Bigelow of Lincoln Orthopaedic Center have been performing hip replacements with the direct anterior approach. Eugene Simpson from Lincoln has undergone two total hip replacement surgeries. His first hip replacement was done with the traditional approach. Eugenes’ second hip was done at LOC with the direct anterior approach. Read about his positive experience with the anterior hip approach on page five. The anterior approach for total hip arthroplasty has been used successfully in Europe for decades. Recently the anterior approach has been gaining popularity in the United States. It is a great alternative to traditional hip replacement surgery. This technique approaches the hip joint from the front as opposed to the side or back. Unlike Candidates for the traditional hip surgery, the surgeon can work between your procedure are people muscles without detaching them from the hip or thigh suffering from arthritis, bones. These important muscles are left undisturbed and hip pain, stiffness and are therefore typically spared a lengthy recovery. limited hip movement. Anterior approach to total hip replacement does have certain limitations with regard to Potential advantages of the anterior approach includes patient size. Extremely obese and very muscular individuals less pain, immediate weight bearing, significantly faster may not be candidates for this approach. return to a normal gait, no need for traditional dislocation precautions, and precise leg length measurement. Lastly The performance of a total hip replacement depends on and most importantly, since patients are lying on the your age, weight, activity level and other factors. The ante- operative table on their back, x-ray can be used to confirm rior approach for hip replacements may be “less invasive,” proper sizing and exact placement of the implants. This but all hip replacements are major operations that come exact placement of the prosthesis is directly related to with real risks that you should discuss with your surgeon. the longevity of the total hip replacement. Traditional approaches require the patient to be placed on their side Call 436-2000 to see if you are a candidate for anterior and therefore use of x-ray is difficult and rarely used. approach hip replacement. 4 Eugene Simpson Recaps Benefits of Anterior Approach to Hip Replacement fter having had total hip replacement surgery in 2006, I was not exactly jumping I got exactly what I needed. I cannot praise Dr. for joy with the necessity Bigelow enough. A job well done! He delivered!! of having the right hip done also. The first recovery was long and painful – about average as far I attended a joint replacement The first two weeks of recovery for as surgical recoveries went. I did seminar at St. Elizabeth Hospital both procedures were about the not want to repeat that experience and was given the name of Dr. same…swelling, pain and feeling like again. I started investigating if there Bigelow, who was performing the, an invalid. But, two weeks after the was any alternative to the standard ‘anterior hip replacement’ surgery anterior hip surgery I was walking hip replacement surgical method along with the standard hip with a cane and getting around much, performed on me the first time. replacement. I was impressed with much better than the previous surgery. ‘Minimally invasive’ sounded good to Dr. Bigelows’ quiet competence And the milestones started coming me. I checked the internet and got and reassurances that I was, in fact, quicker and much more closely spaced a lot of conflicting reviews of new, a candidate for the ‘anterior’ hip than the first surgery. ‘minimally invasive’ procedures. approach. We scheduled surgery. At the end of two weeks, I could walk three laps, (with cane) at my gym. At the end of six weeks, I could clock a twenty-minute mile, without a cane! The nerves and muscles of my upper thigh and hip suffered less trauma with the anterior total hip replacement. I was able to get up and get going much, much faster than the first surgery. I am a very self-directed person and knew what I wanted and did NOT want when it came to a second surgery. To find out if you are a good candidate for anterior approach hip replacement contact us at 402-436-2000. www.ortholinc.com 5 ExperienceExperience It!It! Experience the excitement that is Lincoln Stars hockey. Tickets are on sale now for all Lincoln Stars home games in the 2010-2011 season. Order your tickets online at lincolnstars.com or by calling the Stars Ticket Office at (402) 474-7827, ext. 1. For information on the 2010-2011 schedule, season tickets, group rates and skybox rentals, visit us online at lincolnstars.com Because your knees support your game. If you have osteoarthritis (OA) of the knee, and pain relievers aren’t helping, there is a non-surgical option that may help keep you moving and get your knees back in the game. ORTHOVISC® provides up to 6 months of knee pain relief with just three injections. Made from ultra-pure natural hyaluronan, which is found in healthy joints, ORTHOVISC® acts to cushion, protect and lubricate your knee. As an Official Health and Fitness Provider for the PGA TOUR and CHAMPIONS TOUR, ORTHOVISC® may be just what you need to get back on the course. To learn more, call DePuy Mitek at 1-800-382-4682 or visit www.orthovisc.com AN OFFICIAL HEALTH AND FITNESS PROVIDER Important Safety Information ORTHOVISC® is for patients who do not get adequate pain relief from simple pain relievers like acetaminophen or from exercise and physical therapy. ORTHOVISC® is not for use in people with known allergy to hyaluronate preparations, to gram bacterial proteins, with infections or skin diseases in the area of the injection site or joint.