Hip replacements move to outpatient-style model

Hip and knee replacements have come a long way in Dr. Stephen Zabinski’s career as an orthopedic surgeon.

But one advancement is something unheard of 20 years ago – patients getting hip replacements in an ambulatory surgical center in the morning and returning home early in the afternoon.

This approach avoids possible days-long recoveries in a hospital and rehabilitation center, ultimately making it more cost effective for health care reform, he said.

Zabinski, vice president of Shore Orthopaedic University Associates, has performed these types of surgeries for more than three years and has been doing them at the Jersey Shore Ambulatory Surgical Center in Somers Point for about six months on certain patients.

“It really achieves all the goals we want to provide better care to patients in a safe way that’s more cost effective,” said Zabinski, who is the director of the Division of Orthopedic Surgery at Shore Medical Center and President of the Jersey Shore Ambulatory Surgical Center.

The hip replacements use a “direct anterior approach” that avoids cutting muscles to put the hip implant in, he said.

The procedure still cuts bone and puts in implants, but avoiding slicing muscles gives patients less pain and more mobility at home, he said.

“A lot of these hip patients because you’re staying away from these muscles, you don’t need crutches or a walker, you can just use a cane,” he said.

Knee replacements, likewise, do not cut the quadriceps muscle, but instead involve sliding the muscle over.

Performed outside of the hospital, the surgeries involve several hours of recovery, a physical therapist’s help at the surgical center and usually a return home by 2 p.m.

Visiting nurses and physical therapists then return to the home for about a week before patients can get treatment at outpatient therapy.

Zabinski said this home-based approach is suitable for about 20 percent to 25 percent of patients.

It is not based necessarily on age, but physical health, muscular build, medical history and the ability of patients to get help from loved ones at home, he said.

He said the approach meshes with where healthcare reform in going in the U.S.

“It keeps me on the curve if not slightly ahead of it,” he said.

A recent study by the American Academy of Orthopaedic Surgeons indicates about 2 percent of Americans are living with artificial joints.

The numbers of these surgeries are anticipated to grow significantly over the years. A study in the Journal of Bone and Joint Surgery found increasing total knee replacements strongly tied to obesity trends in the U.S., particularly with younger patients.

 

https://www.pressofatlanticcity.com/wellness/senior_health/hip-replacements-move-to-outpatient-style-model/article_f7de444c-003d-5967-8e98-6628f92ea80c.html

Shore Orthopaedic Welcomes Dr. Greene

Shore Orthopaedic University Associates
Is Pleased To Welcome
Damon A. Greene, M.D. 
Orthopaedic Surgeon
Fellowship-Trained in Sports Medicine 

Orthopaedic Surgery (Board Qualified)
Year began practicing: 2017
Undergraduate School: University of Maryland
Medical School: New York Medical College
Residency: SUNY Downstate Brooklyn, NY
Sports Medicine Fellowship: Ochsner Medical Center

Specializing in: Acute and chronic ligament, tendon, or cartilage injuries to all major joints; primarily shoulders, elbows, knees and hips.

Dr. Damon Greene is an orthopedic surgeon who is fellowship trained in sports medicine, arthroscopy, and cartilage surgery. He spent an extra year of surgical and medical training after residency to concentrate on the diagnosis and treatment of athletic injuries. He has worked with various professional athletic organizations including the New Orleans Saints and New Orleans Pelicans; collegiate teams such as University of New Orleans; and numerous high school teams in both New Orleans and Brooklyn. He was also selected to be an assistant orthopedic surgeon at the NBA All Star Game and NFL Combine.

Dr. Damon Greene was born and raised in Maryland in a small community just outside Baltimore. He obtained his medical degree from New York Medical College in 2011 He completed his orthopedic surgical residency and training at SUNY Downstate in Brooklyn in 2016 where he served as chief of academics. He went on to the prestigious sports medicine fellowship at Ochsner which he completed in 2017.

Dr. Greene aims to treat all of his patients with the same high quality orthopedic care that professional athletes receive. He utilizes a minimally invasive approach to the treatment of injuries when possible in order to return patients to sport and work as quickly and safely as possible. He also aims to prevent musculoskeletal injuries before they occur.  He does this through patient education and a direct focus on proper athletic technique.

Now accepting New Patients at:
24 MacArthur Blvd, Somers Point, NJ 08244       609-927-1991
9 Stites Ave, Cape May Court House, NJ 08210   609-465-2774

SHOREORTHODOCS.COM

Shore Orthopaedic University Associates
Getting you back …to what you love to do™

 

Shore Orthopaedic Welcomes Dr. Lai

Shore Orthopaedic University Associates
Is Pleased To Welcome
Ted C. Lai, D.P.M.
Fellowship-Trained foot & Ankle Surgeon

 

Fellowship-Trained
Foot and Ankle Surgery (Board Qualified)
Undergraduate School: West Chester University
Medical School: Temple University School of Podiatric Medicine
Residency: Aria-Jefferson Health Systems, Philadelphia, PA
Fellowship: ACFAS Mon Valley Foot & Ankle Traumatic and Reconstructive Surgery

Specializing in: Trauma, Reconstructive Surgery, and Deformity Correction of the lower extremity

Dr. Lai is a fellowship-trained foot and ankle surgeon treating all aspects of the foot and ankle. He specializes in trauma and fractures of the lower extremity, adult and pediatric reconstructive surgery, ligament and tendon repair, arthroscopic and minimally invasive procedures, diabetic limb reconstruction, and neurologic conditions of the foot and ankle.

Now accepting New Patients in all three offices:
24 MacArthur Blvd, Somers Point, NJ 08244 609-927-1991
18 E. Jimmie Leeds Rd, Galloway,NJ08205 609-404-3353
9 Stites Ave, Cape May Court House, NJ 08210 609-465-2774

SHOREORTHODOCS.COM

Shore Orthopaedic University Associates
Getting you back …to what you love to do™

Shore Orthopaedic Welcomes Dr. Lai

Shore Orthopaedic University Associates Is Pleased To Welcome Ted C. Lai, D.P.M. Fellowship-Trained foot & Ankle Surgeon   Foot and Ankle Surgery (Board Qualified) Year began practicing: 2017 Undergraduate School: West Chester University Medical School: Temple University School of Podiatric … Continue reading

Shore Orthopaedic “Best of the Press 2016”

Voted Best Orthopaedic Surgeons “Shore Orthopaedic University Associates” GOLD – 2016 Voted Best Orthopaedic Surgeon “Frederick G. Dalzell, MD” BRONZE- 2016 Voted Best Physical Therapy “Shore Ortho Physical Therapy” BRONZE- 2016