Outpatient Surgery Magazine - Subscribers

The Secret of Gritflowness - October 2020 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1295137

Contents of this Issue


Page 54 of 75

simply does what many surgeons do — put the knee back right where it was with arthritis. Maybe one day we'll have enough algorithms and data for a robot to match pre-arthritic knees, but we're not even close. Numerous prospective randomized studies show it performs to the average. Some surgeons who perform knee replacements do less than 20 a year and never master the tech- niques and methods needed to become experts. A robot can help these low-volume surgeons. If their skills are below average, the technology will help make them better. In my opinion, accomplished knee surgeons who have mastered manual tech- niques don't benefit from using robotic assistance, and opt to stick with tried-and-true methods that they have confidence in and that they know work. Clear expectations Today's implants probably last about 25 million steps. An average person takes between one and two million steps a year — but not all steps are the same. A six-foot-eight, 400-pound man has a differ- ent step than a grandmom who's five feet, 100 pounds. There's not an exact answer. I tell patients that if you take two million steps a year, they'll hopefully get 12 years out of a new knee. Some studies report up to 25% of patients are unhappy with their knee replacements to the point where they wish they never had the surgery. I'm pleased to report that 98% of my patients are happy with their knees and would have the operation again. With unsatisfied patients, the problem is often mismatched expectations. If a patient isn't very mobile but enjoyed running 20 years ago, and wants to run again, the chances of them running after surgery are almost zero. I talk to patients about expectation mismatches, but they don't always completely understand. That's why it's important to lay it all out for them in clear language by describing exactly how their new knee will func- tion after surgery and the life activities in which they can expect to participate. OSM Help provide excellent visibility and ligament protection during Total and Unicondylar Knee Replacement Surgery 1 MI Small Hohmann Retractor 1 2 MI Large Hohmann Retractor 2 3 MI Condylar Retractor 3 4 MI Superior Retractor 4 MI Patellar Retractor 5 5 MI Soft Tissue Retractor 6 6 PRODUCT NO'S: S3035 [Small Hohmann Retractor] S3036 [Large Hohmann Retractor] S3037 [Condylar Retractor] 1 2 3 S3038 [Superior Retractor] S3039 [Patellar Retractor] S3042 [Soft Tissue Retractor] 4 5 6 Minimally Invasive Knee Retractors Robb Leg Positioner FREE TRIAL ON MOST INSTRUMENTS 1 . 8 0 0 . 5 4 8 . 2 3 6 2 103 Estus Drive, Savannah, GA 31404 www.innomed.net info@innomed.net Phone 912.236.0000 Fax 912.236.7766 © 2020 Innomed, Inc. bb Leg Positioner Provides stable positioning of the knee during surgery Designed by William Robb, MD PRODUCT NO: 2630 Instruments & Patient Positioners for Orthopedic Surgery ISO 13485:2016 Dr. Berger (richard.berger@rushortho.com) is an assistant professor at Rush University Medical Center in Chicago. O C T O B E R 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 5 5

Articles in this issue

Links on this page

Archives of this issue

view archives of Outpatient Surgery Magazine - Subscribers - The Secret of Gritflowness - October 2020 - Outpatient Surgery Magazine