The latest on new joints

SHARON — Chances are good that someone you know has had a knee or hip replacement — especially up here in the Northwest Corner, with its aging population.

And chances are just as good that you don’t even realize that this person has had a joint replacement.

Medical science might not have found the cure for cancer yet, but it has certainly found many ways to improve the quality of life for the average man and woman. Knee replacements are one example, and a notable one.

According to surgeon and orthopedist Evan Rashkoff, the techniques and the materials available for surgeons to work with have changed dramatically over the years, he said.

“It used to be more like a rock concert. Now it’s more like a symphony.�

The parts are much more sophisticated, and are more customized to the body of the patient.

“There are about 300 different choices. Knees designed for female bodies became available in about 1996. Then they began making smaller knees for patients who are, for example, Asian.

“The new knees,� he said, “are made of different materials, they last longer, there is less resistance. And they’re modular. You don’t have to take out the whole knee, you can take out parts.�

The surgery itself is also less invasive.

“We do smaller incisions, the scars are tiny.  We don’t cut the muscle, we move it aside so there’s less pain and the recovery is faster. From the moment I make the first incision, the rehab process is beginning. I treat the tissue very gently.â€�

The life expectancy of a replacement knee can now vary from 20 to 30 years.

“The 30-year knee is a very special knee,� Rashkoff cautioned. “It’s expensive and you really need some kind of justification to use it. It would be for a person who is going to be very active for the next three decades. The knees that are used for most patients are 20-year knees.

“The best candidate for knee replacement,� he continued, “is an active healthy person who is under 60 years old.�

And even though Rashkoff estimates that the orthopedic surgeons at Sharon Hospital do thousands of these operations a year, he warns that most people who have knee pain don’t actually need (and shouldn’t actually have) a knee replaced. There are other therapeutic options. And there are lifestyle changes that can be made. Obesity, for example, adds significant stress to knee joints. Anyone interested in learning more about knee replacements and other orthopedic advances is invited to a symposium on Saturday, Jan. 29, from 9 to 11 a.m. at Noble Horizons in Salisbury. In addition to Rashkoff, the symposium will feature Dr. David Stamer and the Sharon Hospital Advanced Therapy Team as well.

Stamer, specializing in both joint replacement and sports medicine, has been in practice for 17 years.  

“With the rapid advances in total joint replacement technology and the standardization and reproducibility of techniques, knee and hip replacements can be successfully performed in much younger patients than in the past,â€� he noted. “The procedure frequently can be done in under an hour, and the hospital stay is typically two to three days.â€�  

Sharon Hospital “has advanced operating rooms, excellent staff, and top notch therapists to make one’s hip or knee replacement an enjoyable and successful experience� he said.

Rashkoff will also talk about his experiences in Haiti as a physician working with that nation’s earthquake victims.

A light breakfast will be served. This event is free and open to the public. For more information and to register, call Jim Hutchison at 860-364-4498.

The orthopedic symposium at Noble Horizons, which is open to the public, is on Jan. 29 from 9 to 11 a.m.

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