2 2 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E A U G U S T 2 0 1 7
days after surgery to control pain in the immediate
post-op period, which is when patients are typically
in the most discomfort.
Dr. Ball touts the increased use of local anesthetic
injection cocktails at the surgical site to numb the
pain of surgery. "The injections are helping to get
patients up and moving soon after surgery, because
they're simply not hurting as much," he says.
Joint replacement patients are surprisingly com-
fortable for the first 36 hours post-op, says Dr. Ball.
When inflammation sets in and the perioperative
cocktail of pain medicines wears off, however, the
pain returns. "We've solved controlling pain on post-
op days 1 and 2," says Dr. Ball. "Over the next 10
years, I think we'll solve days 2 through 21. After
that period, inflammation typically subsides and
patients are in minor discomfort, not acute pain."
2. Robotic-assisted surgery
Steven Harwin, MD, FACS, chief of advanced tech-
nology of total hip and knee arthroplasty at Mount
Sinai Hospital in New York, N.Y., has performed
more than 12,000 joint replacements in his career.
Despite that level of experience, he stopped per-
forming partial knee replacements, because, in his
mind, he couldn't complete the required intricate
cuts well enough by hand. He's now back at it,
thanks to robotic technology, which he says has
significantly improved partial knee replacement
outcomes.
For minimally invasive
anterior (DAA), antero-
lateral approaches in THR,
hip arthroscopies and lower
extremity fractures
Motorized extension and
flexion of the leg
Extended ROM in all
anatomical planes, can be
controlled by the surgeon
Space saving storage,
time saving setup
Converts almost all surgical
tables into DAA solution
…in Orthpaedic Day Surgery
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