WHAT IS A SPORTS MEDICINE DOCTOR?

If you or your child sustain an injury during exercise, sports participation, or any type of physical activity, you may be advised to see a sports medicine trained doctor for treatment. A sports medicine trained doctor has specialized training in both the treatment and prevention of sports-related injuries and is also knowledgeable about preventing injury in active people. These specialized doctors are board certified and have extensive additional training through residencies and fellowships.

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WOMEN'S HEALTH AND FITNESS

While many women strive for the finish line with nutrition and exercise, there is another competitor: good posture. As the fashion industry seeks to improve our appearance with sportswear, the battle exists between what looks good and what is truly reinforcing our hard efforts to sustain good posture.   Research shows we spend upwards of 5,000 repetitions of forward bending a day. Whether we are bending over to brush our teeth, tie our shoes or do the infamous leaning over a cellphone or….

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JOINT REPLACEMENT AND YOUR HEALTH AND WELL-BEING

Joint replacement is indicated for patients who are experiencing intolerable pain and problems with daily functioning. In other words, they have end-stage arthritis. The X-rays of this type of arthritis usually show “bone on bone.” We all want to maximize our health and well-being, so common questions from these patients include, “When should I have joint replacement?” and “What will happen if I wait?”

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ROBOTIC-ASSISTED TOTAL JOINT REPLACEMENT

replacements that match the patient’s unique anatomy. This technology uses advanced haptic sensors to determine where the patient’s extremity is in space, allowing for intra-operative adjustments to achieve appropriate tensioning of the ligaments around the knee. This results in the total joint replacement being accomplished in a reproducible manner with precise alignment and less soft-tissue damage.


For patients, these advances lead to many improvements. Recent publications have demonstrated there is less soft-tissue damage with robotic-assisted total joint replace- ment compared to convention total joint replacement. The decrease in soft-tissue damage results in decreased post-operative patient pain scores and less narcotic use. This then leads to shorter stays in hospital, faster recovery and a faster return to activities. The technology also allows for exact balancing of ligaments surrounding the joint, down to millimeter increments. Compare that to conventional instrumentation, where surgeons are “eyeballing” the balance, and it becomes clear why the robotic patient’s joint feels more like a normal joint, resulting in a more satisfied outcome. Recent studies have shown 96 percent of patients are very satisfied with their robotic-assisted total knee replacement, compared to 75 percent who say they are satisfied with conventional instrumentation one year following surgery.    

As our population continues to age, total joint replacement volume is predicted to have tremendous growth. This cutting-edge technology will provide surgeons the tools to perform accurate and reproducible joint replacement surgeries, improving patient outcomes and likely decreasing complications and the need for revision surgery.

DR. DENEHY

An expert in minimally invasive hip and knee replacement surgery, Dr. Denehy earned his medical degree from Drexel University College of Medicine in 2012. He went on to complete his postgraduate residency training in orthopedic surgery at Hahnemann University Hospital in Philadelphia, PA. He concluded his training with a hip and knee adult reconstruction fellowship at the University of Louisville. He is board eligible by the American Board of Orthopedic Surgery. He is a member of the American Academy of Orthopedic Surgeons, American Association of Hip and Knee Surgeons, and International Congress on Joint Reconstruction.

more articles by Dr.Denehy

Technology is rapidly changing in all aspects of our lives. This evolution can easily be seen in the automotive and manufacturing industries, where robotic technology has revolutionized the ability to precisely perform repetitive tasks, thus achieving consistent results and minimizing errors. Likewise, installing countertops in a kitchen is now done with sophisticated laser measuring devices, ensuring a precise fit down to tenths of a millimeter. Healthcare is also undergoing a similar transition to embrace the most cutting-edge technology to improve patient care and surgical outcomes.


Robotic technology was initially introduced into orthopedics in the late 1980s but had limited adoption due its cumbersome nature, increased operative times and technical limitations of the systems. In 2000, the FDA approved the da Vinci™ robot, an intuitive surgical robot used for laparoscopic surgeries. Since then, it has revolutionized the way surgeons in other fields of medicine (general, urologic, gynecologic) perform surgeries. For example, in just over 10 years, prostatectomies performed in this country rose from 1 percent done robotically to 89 percent done robotically. The success in other fields has helped the technology in orthopedics improve in efficiency, adaptability and cost reduction. The Mako™ robot was built to help orthopedic surgeons increase their precision and accuracy during surgery.


Utilizing robotic-assisted total joint replacement, surgeons are now able to plan and execute partial knee, total knee and total hip