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<title>Total Joint Joint</title><link>http://www.totaljointjoint.com/index.php</link><description>Joint Replacement News</description><dc:language>en</dc:language><dc:creator>bjwaldman@mac.com</dc:creator><dc:rights>Copyright 2008 Barry J. Waldman&#x2c; MD</dc:rights><dc:date>2010-01-25T12:17:37-05:00</dc:date><admin:generatorAgent rdf:resource="http://www.realmacsoftware.com/" />
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<lastBuildDate>Tue, 26 Jan 2010 15:28:06 -0500</lastBuildDate><item><title>Computer Knee Navigation</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee Replacement</category><dc:date>2010-01-25T12:17:37-05:00</dc:date><link>http://www.totaljointjoint.com/files/dfd4fbbefb731c7bd9deb21137536816-23.php#unique-entry-id-23</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/dfd4fbbefb731c7bd9deb21137536816-23.php#unique-entry-id-23</guid><content:encoded><![CDATA[While it makes sense that computers in the OR could help us place the parts more accurately, in practice, these systems have been cumbersome, time consuming, and haven&rsquo;t been shown to produce any improvement in outcomes.   

...While the MRI and the molds are expensive, we do see some cost savings in less time in the OR and less instruments that need to be sterilized.   ]]></content:encoded></item><item><title>Knee Resurfacing in the News</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee Resurfacing</category><dc:date>2009-10-27T20:57:23-04:00</dc:date><link>http://www.totaljointjoint.com/files/0349368c8e3e7fd016c88626708349cf-22.php#unique-entry-id-22</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/0349368c8e3e7fd016c88626708349cf-22.php#unique-entry-id-22</guid><content:encoded><![CDATA[Our Knee Resurfacing patient J.E. who has returned to work as a martial arts instructor after her surgery has been featured on a number of local news stations.  

...Many are shocked to hear that there is an alternative that not only preserves their bone and ligaments, but can be done as an outpatient procedure.]]></content:encoded></item><item><title>German Surgeon Visit</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee Replacement</category><category>Hip Replacement</category><dc:date>2009-10-27T20:42:30-04:00</dc:date><link>http://www.totaljointjoint.com/files/a9124508f342d5dbbf09b6b0c631a674-21.php#unique-entry-id-21</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/a9124508f342d5dbbf09b6b0c631a674-21.php#unique-entry-id-21</guid><content:encoded><![CDATA[I always have a great time showing off what we are able to accomplish at the Rubin Institure, but I also get to learn a lot myself.    Out visitors never fail to teach me some technique I wasn't aware of or propose some improvement we can make.  it's this kind of interaction that forces me to always try to stay ahead of our very knowledgable and experienced visitors.]]></content:encoded></item><item><title>Progressive Knee Replacement</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee Replacement</category><category>Knee Resurfacing</category><category>Uni Knee Replacement </category><dc:date>2009-07-16T10:05:40-04:00</dc:date><link>http://www.totaljointjoint.com/files/87c71b3ae96f025c1ad2387318869bfe-20.php#unique-entry-id-20</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/87c71b3ae96f025c1ad2387318869bfe-20.php#unique-entry-id-20</guid><content:encoded><![CDATA[Now that we have so many options for treatment of knee arthritis, I&rsquo;ve been trying to formalize an algorithm for progressive replacement of the knee.  

...While this concept has been working very well for my patients, it&rsquo;s extremely important to pick the right operation for the right patients, otherwise, they may continue to have pain.  ]]></content:encoded></item><item><title>Parital Knee Replacement Around the World</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee Replacement</category><category>Uni Knee Replacement </category><category> Knee Resurfacing</category><dc:date>2009-07-16T09:39:47-04:00</dc:date><link>http://www.totaljointjoint.com/files/e9c9cc6def0282a058715182ea904005-19.php#unique-entry-id-19</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/e9c9cc6def0282a058715182ea904005-19.php#unique-entry-id-19</guid><content:encoded><![CDATA[My talk on partial knees was very well received in Vienna, while it took much more explaining and convincing in Japan.  ...  It encourages us to constantly examine what we are doing and make sure we know exactly why we are recommending different treatments for different patients.    ]]></content:encoded></item><item><title>Trip to Japan</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee Replacement</category><dc:date>2009-01-21T10:11:22-05:00</dc:date><link>http://www.totaljointjoint.com/files/ffd9bfa1b11d76e47a4ab3440f76b7bc-18.php#unique-entry-id-18</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/ffd9bfa1b11d76e47a4ab3440f76b7bc-18.php#unique-entry-id-18</guid><content:encoded><![CDATA[I am very excited to have been invited to speak at the Japanese Orthopaedic Association Annual Meeting in May.     I&rsquo;m going to be speaking on total knee replacement and partial knee replacement in younger patients.  ]]></content:encoded></item><item><title>More Knee Resurfacing</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee</category><category>Knee Resurfacing</category><category>Arthrosurface</category><dc:date>2009-01-21T10:08:32-05:00</dc:date><link>http://www.totaljointjoint.com/files/0e8c6b2f866c5b390239fff2d68724ca-17.php#unique-entry-id-17</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/0e8c6b2f866c5b390239fff2d68724ca-17.php#unique-entry-id-17</guid><content:encoded><![CDATA[Most of our patients are able to walk without a cane in just a few days and return to driving and exercising in about a week.    It&rsquo;s been so impressive, that I often have to get people to slow down, because they are feeling so much better.   ]]></content:encoded></item><item><title>Knee Resufacing Update</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee</category><category>Knee Replacement</category><category>Knee Resurfacing</category><dc:date>2008-11-07T10:55:01-05:00</dc:date><link>http://www.totaljointjoint.com/files/d2d72b0c64b36cebd7accbecfc687c41-16.php#unique-entry-id-16</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/d2d72b0c64b36cebd7accbecfc687c41-16.php#unique-entry-id-16</guid><content:encoded><![CDATA[It can be done athroscopically with a small incision for the femoral (thing bone) component which allows most patients to go home the same day.  ...  Not everyone is a candidate, but I think this procedure will spare a lot of people from a premature knee replacement]]></content:encoded></item><item><title>Hip Recalls</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Hip</category><category>Hip Replacement</category><dc:date>2008-09-25T08:21:04-04:00</dc:date><link>http://www.totaljointjoint.com/files/0d425b763977fc6f6b90a25be48ecac4-15.php#unique-entry-id-15</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/0d425b763977fc6f6b90a25be48ecac4-15.php#unique-entry-id-15</guid><content:encoded><![CDATA[A number of my patients have been calling with concern about the hips that they have in place or are getting.  ...  Patients depend on us, as surgeons, to pick an implant that works the best for them, but will also last a long time.  ]]></content:encoded></item><item><title>Arthrosurface</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee</category><category>Knee Replacement</category><category>Arthrosurface</category><dc:date>2008-09-03T11:44:56-04:00</dc:date><link>http://www.totaljointjoint.com/files/e90519557f785b0ffdf3f37d161ec9ea-14.php#unique-entry-id-14</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/e90519557f785b0ffdf3f37d161ec9ea-14.php#unique-entry-id-14</guid><content:encoded><![CDATA[This is a much smaller operation than a knee replacement, and patients can go home the same day and walk on the knee immediately.  ...  Not everyone is a good candidate for this new procedure, but I think it will save many patients from a much larger operation.  ]]></content:encoded></item><item><title>Gender Knee Update</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee</category><category>Knee Replacement</category><dc:date>2008-06-16T07:50:00-04:00</dc:date><link>http://www.totaljointjoint.com/files/881ad58eedd4bc67d65327ebd629b416-13.php#unique-entry-id-13</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/881ad58eedd4bc67d65327ebd629b416-13.php#unique-entry-id-13</guid><content:encoded><![CDATA[Knees vary not just by gender, but by age, race, height, weight and the type of arthritis that the patient is suffering from.   

...I try to pick the knee that is most appropriate for a specific problem, and then use the wide variety of differnent sized to get a perfect fit.  ]]></content:encoded></item><item><title>Birmingham Update</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Hip</category><category>Hip Resurfacing</category><dc:date>2008-06-10T21:51:51-04:00</dc:date><link>http://www.totaljointjoint.com/files/c24b879c19c0ed87598e13f5898637ee-12.php#unique-entry-id-12</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/c24b879c19c0ed87598e13f5898637ee-12.php#unique-entry-id-12</guid><content:encoded><![CDATA[It&rsquo;s also important to examine the bone for cysts and other problems that might lead to early failure.    For younger patients who don&rsquo;t fit these criteria, they do extremely well with metal-on-metal total hip replacement.  
]]></content:encoded></item><item><title>Magnum Hip Replacement</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Hip Replacment</category><dc:date>2008-01-15T08:43:41-05:00</dc:date><link>http://www.totaljointjoint.com/files/1660e44db81734365f1266948d1e96d7-11.php#unique-entry-id-11</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/1660e44db81734365f1266948d1e96d7-11.php#unique-entry-id-11</guid><content:encoded><![CDATA[The patients say that they don't notice any difference from their natural hip, other than it doesn't hurt and can move much further. ...  The large head size and metal on metal bearing are a great combination and may result in a hip that lasts significantly longer than the 10-20 years most patients can expect for a hip containing plastic.]]></content:encoded></item><item><title>Advertising</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Advertising</category><dc:date>2008-03-15T08:43:24-04:00</dc:date><link>http://www.totaljointjoint.com/files/9d229aa3844eeaec6b4dda218fe9a755-10.php#unique-entry-id-10</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/9d229aa3844eeaec6b4dda218fe9a755-10.php#unique-entry-id-10</guid><content:encoded><![CDATA[One of the surgeons in our area is advertising a procedure he's only done a few of, and some others are promoting older technology as if it were invented yesterday.   Of course, it's important for patients to discuss the type of prosthesis they may be getting, but I think the advertising can interfere with that process.]]></content:encoded></item><item><title>Anterior Hip Replacement</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Hip</category><category>Hip Replacement</category><category>Hip Approach</category><dc:date>2008-02-15T08:42:50-05:00</dc:date><link>http://www.totaljointjoint.com/files/d640270e425bf3cbc51655b23c344b4d-9.php#unique-entry-id-9</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/d640270e425bf3cbc51655b23c344b4d-9.php#unique-entry-id-9</guid><content:encoded><![CDATA[We are able to perform the hip replacement without using special tables or x-ray machines, which makes it quicker and easier to set up. ...  Patients appear to have little to no pain, although, I'll have to collect more data to know for sure. ]]></content:encoded></item><item><title>3D Knee</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee Replacement</category><dc:date>2008-03-15T08:42:29-04:00</dc:date><link>http://www.totaljointjoint.com/files/2ed181b3a7495abb8a6f32e32821ff3c-8.php#unique-entry-id-8</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/2ed181b3a7495abb8a6f32e32821ff3c-8.php#unique-entry-id-8</guid><content:encoded><![CDATA[It's an interesting concept that should work well for younger patients who need a total knee replacement.   By changing the shape of the surface that the patient walks on, the implant can compensate for the ACL, which has to be removed during total knee surgery. ]]></content:encoded></item><item><title>Gender Specific Knees</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee</category><category>Knee Replacement</category><category>Gender Specific Knee</category><dc:date>2008-04-15T08:42:10-04:00</dc:date><link>http://www.totaljointjoint.com/files/048f732d40f6ae285f14ad1d1bb110a2-7.php#unique-entry-id-7</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/048f732d40f6ae285f14ad1d1bb110a2-7.php#unique-entry-id-7</guid><content:encoded><![CDATA[It is true that femaie knees are generally smaller and have a slightly different groove for the knee cap than men do. ...  Unfortunately, we often spend a lot of time talking about non-issues like gender specifics rather than important things, like getting through the surgery in the safest and smoothest fashion possible.]]></content:encoded></item><item><title>Tapered Titanium Stems</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Hip</category><category>Hip Replacement</category><dc:date>2008-03-15T08:41:46-04:00</dc:date><link>http://www.totaljointjoint.com/files/6286a41dd005587642c2e5ab9c06ce1b-6.php#unique-entry-id-6</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/6286a41dd005587642c2e5ab9c06ce1b-6.php#unique-entry-id-6</guid><content:encoded><![CDATA[The bone grows into the roughened surface plasma sprayed onto the titanium to make the new part literally part of the natural bone.   I recently wrote a short monograph, along with some other well know physicians, that was published in one of the orthopaedic trade journals. ]]></content:encoded></item><item><title>Pain Control After Surgery</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Hip</category><category>Knee</category><category>Shoulder</category><dc:date>2008-04-15T08:41:22-04:00</dc:date><link>http://www.totaljointjoint.com/files/d4610ca2bc71a3723c42a911fb0e6ff4-5.php#unique-entry-id-5</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/d4610ca2bc71a3723c42a911fb0e6ff4-5.php#unique-entry-id-5</guid><content:encoded><![CDATA[The nurses who take care of our patients after surgery have seen a dramatic difference in the amount of pain that patients report to them after surgery.   I see this as one of the most important aspects of our care and does more to ensure rapid recovery than any other method we employ. ]]></content:encoded></item><item><title>Birmingham Hip Resurfacing</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Hip Resurfacing</category><category>Hip</category><dc:date>2007-05-15T08:40:51-04:00</dc:date><link>http://www.totaljointjoint.com/files/d1dc889fda977d468ba1b2718d84291f-4.php#unique-entry-id-4</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/d1dc889fda977d468ba1b2718d84291f-4.php#unique-entry-id-4</guid><content:encoded><![CDATA[The other hip resurfacings in the US are still being investigated and haven't been approved, mostly due to the lack of good long term data. ...  If you want some more in depth information on hip resurfacing, take a look at SurfaceHippy, an independent site which had collected a lot of excellent information on hip resurfacing.]]></content:encoded></item><item><title>Knee Implants</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee Replacement</category><category>Knee</category><dc:date>2008-04-15T08:40:27-04:00</dc:date><link>http://www.totaljointjoint.com/files/79caf627e98cf28f79ebf0cd1684764e-3.php#unique-entry-id-3</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/79caf627e98cf28f79ebf0cd1684764e-3.php#unique-entry-id-3</guid><content:encoded><![CDATA[What are all these ads on TV about woman's knees?   See our new article under the Knee Replacement link for more info!]]></content:encoded></item><item><title>Deuce Knee Implant</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee</category><category>Knee Replacement</category><dc:date>2008-05-15T08:39:47-04:00</dc:date><link>http://www.totaljointjoint.com/files/fa0d828a2679f6388297d24843fb4b88-2.php#unique-entry-id-2</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/fa0d828a2679f6388297d24843fb4b88-2.php#unique-entry-id-2</guid><content:encoded><![CDATA[The implant can be put in with a minimally invasive technique and retains all the knee ligaments, which isn't possible with traditional total knee replacements.   The thigh bone side of the implant is made of a ceramic, called Oxinium which may not wear out as fast as standard metal implants. ]]></content:encoded></item><item><title>Advertising Part II</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Advertising</category><dc:date>2008-04-15T08:38:28-04:00</dc:date><link>http://www.totaljointjoint.com/files/94a98cf8c9a5012123714769deec482c-1.php#unique-entry-id-1</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/94a98cf8c9a5012123714769deec482c-1.php#unique-entry-id-1</guid><content:encoded><![CDATA[This particular knee has been available for many years and have never been proven to be superior to other knees in any way. ...  If you are considering any kind of knee surgery, discuss the implant with your doctor until you both feel comfortable with it. ]]></content:encoded></item><item><title>Knee Tourniquet</title><dc:creator>bjwaldman@mac.com</dc:creator><category>Knee Replacement</category><category>Knee</category><dc:date>2008-04-23T22:03:35-04:00</dc:date><link>http://www.totaljointjoint.com/files/3d06fe5e473ccf204e4b059dddb5dfd8-0.php#unique-entry-id-0</link><guid isPermaLink="true">http://www.totaljointjoint.com/files/3d06fe5e473ccf204e4b059dddb5dfd8-0.php#unique-entry-id-0</guid><content:encoded><![CDATA[When a patient undergoes a knee replacement surgeons almost always use a tourniquet around the thigh to cut down on blood loss and make it easier to see during the surgery.&nbsp; 

...There have been many studies published by The Journal of Bone and Joint Surgery that agree with these findings and I think a lot of surgeons haven't changed just because they are comfortable with the tourniquet.&nbsp; ]]></content:encoded></item></channel>
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