You have been teaching this to other surgeons?
Dr. Kreuzer: Yes. We have a very comprehensive teaching program including visitation sites. Frequently, we have visiting surgeons that can scrub in and observe and then we teach cadaver courses with different companies, like Stryker, Zimmer, MAKO, Biomet and Corin. Then we also do some live surgeries where surgeons can observe on the computer at home to further fine tune their technique. We also have some websites with content on there that the surgeons can go on and watch the different steps of the surgery to further help them become proficient in this operation.
Are you talking around the country or around the world?
Dr. Kreuzer: We do it all over. We have been all over the United States. We have been to Australia. We have been to Europe. We have been to Japan.
Can you talk about Jill’s case?
Dr. Kreuzer: I remember her very well. She is a very high demand patient and we spent a lot of time in the clinic discussing different treatment options. She had severe pain in her hip and really wanted to proceed with some surgical options as she had already exhausted conservative management. We discussed different implant designs and for her we picked a shorter implant. It allows more physiologic loading in the proximal femur and also more anatomic reconstruction of the hip joint because she is such a high level functioning patient.
This surgery is better for people who are highly active, is that correct?
Dr. Kreuzer: Yes. We certainly believe so because the highly active patient goes back to activity earlier and by having more muscles intact postoperatively, it not only facilitates the recovery, but gait studies have shown that even at a year out the gait improvement is quite significant.
What is the traditional recovery time versus the anterior?
Dr. Kreuzer: So far the record is a patient, that was a stockbroker, had surgery on Tuesday, went home Wednesday, and was back at work on Thursday. However, that is probably not the norm. We tell our patients to consider taking off work for at least 4 weeks, but will allow them to go back to work in a week or two.
What is the traditional? Is it months?
Dr. Kreuzer: Traditional is usually months. I have not done very many traditional so I can’t really remember. From what patients tell us, sometimes 6 weeks; sometimes even 8 weeks, but it is variable and it is really dependent on the motivation of the patient as well.
So the hospital stay is definitely cut down?
Dr. Kreuzer: The hospital is significantly cut down; 98% of our patient’s stay 1 or 2 days in the hospital and with traditional, it was usually 3 to 4 days.
How quickly are they able to get back and walk with either assistance or by themselves?
Dr. Kreuzer: We usually get them out of bed 4 hours after surgery with an assistive device with a physical therapist and then they frequently walk out of the hospital without any assistive devices. In our series of patients we looked at utilization of assistive devices and 75% of the patients did not use a cane or a walker within 2 weeks of surgery.
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