Archive for the ‘Orthopedics’ Category

Drs. Janke and Naide Perform An Anterior Hip Replacement Using The hana® Table

November 10, 2010

Many individuals have joint pain that hampers everyday activities, either because of arthritis, a fracture or other conditions. If medications and use of aids such as a cane are not helpful, patients, after consultation with their doctor, may find relief from their pain with joint replacement surgery. The goal of joint replacement surgery is to relieve joint pain caused by damage to the cartilage or bone.

At North Broward Medical Center, Drs. Janke and Naide use what is called a hana® table. The hana® table is a specially designed surgical table that allows for hyperextension, adduction and external rotation of the hip to an extent not possible with conventional tables. While utilizing the table, surgeons are able to replace the hip without detachment of the muscles or tendons from the hip or thigh bones.

With the anterior approach, a small four-inch incision is made just below and to the outside of the groin. Two muscles are then pushed aside, giving the surgeons access to the hip socket to perform the replacement. No muscles at any time during the procedure are split or detached. For the patient, that results in a faster recovery, less pain, smaller incision, less blood loss and less scarring.

Click here to learn more and to see an actual video of these doctors perform the procedure live.


The Troubling Rise of ACL Injuries in Young Female Athletes

October 25, 2010

Dr. Erol Yoldas, Orthopedic Surgeon

Dr. Erol Yoldas, Orthopedic Surgeon

Tears of the anterior cruciate ligament (ACL) have been the scourge of male athletes for decades, causing everyone from star NFL quarterbacks to high school lacrosse players to miss entire seasons while devoting months to rehabilitation. Today, ACL tears are having an even more significant impact on young female athletes as more girls begin participating in sports at an early age.

Erol Yoldas, MD, orthopedic surgeon and fellowship-trained sports medicine specialist at Broward Health, has witnessed the shift firsthand. When Dr. Yoldas underwent training two decades ago, he witnessed many more ACL tears in male athletes than their female counterparts. Today, he sees four female patients for ACL tears at the Orthopedic Sports Medicine Center for every one male patient with the injury. Dr. Yoldas points to three risk factors to explain girls’ susceptibility to ACL tears.

• Girls use their muscles differently than males when jumping, landing and cutting in non-contact activities, and their reaction times seem to predispose them to ACL injury.

• Female anatomy, such as a wider pelvis, distributes force differently across the knee than in males and exposes the ACL to increased stress.

• Female hormones, which can change the elasticity and shape of the body, have sometimes been shown to affect the strength of the ACL.

“Preventing ACL tears in young female athletes involves re-educating them on how to jump and land,” says Dr. Yoldas. “They must learn how to avoid landing in a valgus position and instead do so with their kneecaps pointed forward. Re-education can certainly be addressed by a practice like the Orthopedic Sports Medicine Center, but it should most properly be covered by coaches and athletic trainers in preseason conditioning beginning in middle school.”

Watch Dr. Yoldas perform a LIVE ACL Repair on a young female athlete.

Improved Results From New Approach To Hip Repair

September 22, 2010

Dominic Carreira , M.D., Orthopedic SurgeonDominic Carreira, M.D.
Orthopedic Surgeon
Specializing in Hip Arthroscopy, Foot and Ankle

Read the story of a 33-year old female spin instructor who underwent advanced minimally invasive hip surgery. The patient, Tracey Anderson, damaged the cartilage in her hip, resulting in a labral tear. Anderson went through a minimally invasive surgery to remove the damaged cartilage, but the pain didn’t go away.

Dr. Carreira then decided to try a new approach, referred to as advanced hip arthroscopy. Within weeks of the procedure, Anderson was finally pain free and back in the gym. Read more