Total Joint Replacement Surgery (Hips and Knees)
A primary hip or knee replacement is a procedure where worn cartilage is removed and replaced with metal and polyethylene implants. The new implants allow you to have painless and improved range of motion. The procedure is a moderate size operation, which takes about an hour and a half. You could be up and walking as early as the day of surgery with the physical therapists. Because of advances in both surgical technique and newer anesthesia methods the whole experience can be relatively painless. If all goes well and your physical condition is good it is possible to go home in just 2 or 3 days after surgery.
TruMatch Custom Knee Replacement Surgery
The aging process can lead to osteoarthritis, a condition characterized by joint deterioration. Osteoarthritis, as well as other types of arthritis, and trauma often cause severe knee pain and turn favored pastimes into impossible tasks. Northern Dutchess Hospital is proud to offer TruMatch Personalized Solutions for Total Knee Replacement as the latest advance in surgery.
The TruMatch actual artificial joint is a standard implant, but tailored cuts prepare the placement for the joint, allowing physicians to insert the implant with greater precision. The bone cuts are different for each patient, so the customization is in the actual surgery, not in a product.
Total Joint Replacement Classes
Join us and find out what to expect from your Total Joint Replacement experience at Northern Dutchess Hospital. This session will provide the information needed for a smooth hospital stay and recovery.
Classes are held the Second and Fourth Thursday of every month from 2:00 - 3:30 p.m. in the Lower Level Cafeteria Conference Room at Northern Dutchess Hospital. Parking is in the main lot. Class registration is managed by the Pre-Surgical Scheduling Department, (845) 871-3201.
Revisions (including complex Revisions)
There are numerous reasons why a hip or knee replacement might not last your whole life. Some of these reasons could include wearing of the bearing surface, infection, fractures, or disruption of the cement. If any of these or other situations occurs you might need a second surgery or what is called a revision hip or knee replacement. Revision surgery can be more complicated than your initial surgery. Each revision surgery is unique and comes with its own set of challenges. Scar tissue, bone loss, infection, more sophisticated implants and longer surgical times complicate the surgery and therefore create a different set of risks. When the procedure involves removing implants, the operation and a patient's recovery time might take longer than the first hip replacement. A customized rehabilitation plan for each patient is made based on the complexity of the surgery. It could be as simple as limited exercise or limited weight bearing or as complex as using a brace with non weight bearing. Please talk to your surgeon about all of your concerns.
Minimally Invasive Surgery
Minimally invasive surgery is the technique of using smaller skin incision and disrupting less soft tissue like muscle and tendons during the procedure. In recent years there have been specially designed instruments, implants and a surgical technique to allow surgeons to perform essentially the same operation through a smaller incision. Minimally invasive surgery is not for everyone or for every procedure. Some procedures such as revision surgery or large deformity correction are too difficult and dangerous to perform through a small incision. Also, the main factors determining the length of the incision are height and weight. Therefore two individuals having the same surgery may have different incision lengths based on their body shape. We use the smallest possible incision to perform the surgery both safely and correctly. Please speak with your surgeon to determine which incision is appropriate and safe for you. Some options are:
Anterior Supine Hip Replacement Surgery
The anterior supine approach to the hip has more recently become popular. It is an approach that is performed through an incision that is placed on the front of the hip as opposed to the traditional incision over the buttock. This newer procedure utilizes a specially designed operating room table. This advanced operating room table (HANA Table) allows the surgeon to work between muscles without cutting them to access the hip and perform the operation safely. This is the main advantage of this approach is that it does not involve cutting any muscles. Therefore patients may recover faster, with less pain and it almost eliminates the chance of dislocation.
NDH Spine Program - The Backbone of Healthy Communities
The NDH Spine program offers the latest in minimally invasive surgeries, physical therapy, medication and pain management procedures.
If you have been diagnosed with vertebral compression fractures (VCF), you may be a good candidate for kyphoplasty, a new procedure designed to ease pain and correct the problem quickly and efficiently. When performing kyphoplasty, the surgeon inserts a small balloon into one of two small incisions. The balloon is inflated to reposition the bone to the correct position inside your spine, which allows the surgeon to secure the repair with a special bone cement. It is a very effective way for older patients to reduce pain and realign the spine.
X-STOP for Lumbar Spinal Stenosis
The X-STOP Spacer is a small implant that fits between two bones in the back of your spine-at the level of a pinched nerve. The minimally invasive procedure can be performed on an outpatient basis with local anesthesia. The spacer is designed to stay safely and permanently in place without being attached to bone or ligaments, by screws or other hardware, and there's no fusion involved. The spacer may relieve the kinds of pain and discomfort caused by LSS- dull or aching back pain that travels to your legs and numbness and a pins-and-needles sensation in your legs, calves, or buttocks.
Herniated Disc in the Neck
A variety of treatments now exist for treating herniated discs in the neck, which is called the cervical spine. Many times they can be healed by simple measures such as physical therapy or a pain-relieving injection. When surgery is required this can be accomplished through a tiny incision on the front of the neck to remove the herniated disc and take the pressure off the pinched nerve.
Minimally Invasive Spine Surgery
When surgery is required, the surgeon can now perform the operation in a minimally invasive manner. This means very small incisions with less scarring and pain. This allows the patient to mobilize and return to activities faster and better than before.
Herniated Disc in the Low Back
This surgery is called a Lumbar Microdiskectomy. When necessary, the herniated disc in the lumbar region can be removed through a small or microscopic incision. This takes the pressure off of the pinched nerve in the low back and allows rapid and effective recovery.
Fusion surgery is indicated for more complex spinal problems. These types of procedures involve stabilizing segments of the spine that may have become unstable. Common examples of spinal conditions that may require fusion include scoliosis and spondylolisthesis. Scoliosis is an abnormal bending, in the frontal plane, of a normally straight spine. Spondylolisthesis refers to an abnormal shifting or misalignment of the spinal vertebrae.