Newsletter
28 OCTOBER 2018                         2nd Edition

ROBOTIC PARTIAL KNEE SURGERY

Dr. Messieh is an experienced and certified partial knee replacement surgeon. 
Partial knee replacement is a potential alternative to total knee replacement for patients with early to mid stage osteoarthritis. The procedure removes and replaces only the damaged portion of the knee sparing the ligaments and preserving healthy bone and cartilage in contrast to total knee replacement. Partial knee replacement offers patient generally with less pain, a more normal feeling knee, smaller incisions and a quicker recovery.
Using traditional methods, cutting blocks or guides are placed on the bones to help direct the surgeon in removing the diseased bone. This method is technically challenging . Advanced surgical techniques using robotic assistance has been developed to provide a higher level of accuracy and precision. The robotic system  provides robotic assistance through an advanced computer program that relays precise information about your knee to a robotic-assisted handpiece used by the surgeon during the procedure. By collecting patient specific information, the surgeon is able to established boundaries for the robotic-assisted handpiece to assist in removing the damaged surfaces of your knee with great accuracy and precision. 
​Robotic surgery uses computer assisted planning software to help position the knee implant at the time of surgery. Robotic surgery may be the best match for your shape of your knee.
                                                              (results may vary): 

     Why replace the shoulder joint?

                                There are a some reasons that shoulder joint replacement is the better choice for a patient:

• Severe or irreparable damage to the rotator cuff
• The rotator cuff is a group of four muscles that connect the scapula to the humerus and surround the shoulder joint. The rotator cuff can become damaged or torn either from a sudden acute injury or from years of gradual wear and tear. This damage causes the shoulder joint to become unstable and too weak to support the movement of the shoulder and arm. In severe cases, the shoulder may even feel paralyzed.  A severe rotator cuff tear that cannot be repaired and significantly affects shoulder movement. The shoulder may feel paralyzed or partially paralyzed. replacing the joint can take pressure off the rotator cuff, because the muscles powering the movement of the arm transfer to the shoulder’s deltoid muscles rather than the rotator cuff muscles.


• A traditional shoulder replacement that has failed
  A traditional shoulder replacement can fail if, for example, the artificial components come loose from the bone. Rather than redo a traditional replacement, the surgeon may recommend a reverse shoulder replacement.


• Fractured shoulder
  If the shoulder is fractured, it could cause instability and weakness the same way a rotator cuff injury can. This makes a reverse shoulder replacement a better option.

     If you suffer from the following, a shoulder replacement may be right for you:

• Moderate to severe pain during activity and, in many cases, also during sleep
• Weakness in the affected shoulder that makes it difficult to perform daily tasks, such as washing hair
• Stiffness and pain when lifting the arm overhead
• Inadequate pain relief from non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy, steroid injections, or other non-surgical treatments

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• Most people who undergo reverse shoulder replacement report:
• Less pain
• Increased shoulder strength
• Better range of motion

Enjoy golf, swimming and more after shoulder replacement surgery