In Motion Orthopedic Newsletter Fall 2017 BSWORTHO_92_2017_InMotion_NL_single | Page 2

More Than a Typical Joint Replacement Replacing bone brings new hope to people with complications Joint replacement is a favorable option for lots of people. But for some, a typical replacement isn’t enough. People with benign or cancerous tumors can have weakened bones close to a joint. These tumors need to be removed to help prevent further bone damage and the possibility of cancer spreading to other parts of the body. People with previous joint replacements that are infected or wearing out are at risk of a loosened connection between the artificial joint and the bone. Also, old joint replacements can wear out; when they do, microparticles can loosen from the surface and trigger an immune response that creates bone loss. In those cases, surgeons can replace parts of bones and connect those artificial bones to new joints in the hip, knee, shoulder or elbow. “We have the capacity to replace the entire femur bone if necessary, and marry a hip replacement to a knee replacement,” says Al Mollabashy, MD, medical director of musculoskeletal tumor services at Baylor University Medical Center at Dallas and medical director of orthopedic oncology at Baylor Scott & White Medical Center – Plano. Without this treatment option, people would be left with functionless limbs or unstable and painful joints. The procedure is similar to a typical joint replacement. “Surgery restores structural stability, so the patient is able to use the joint the next day,” Dr. Mollabashy says. People usually spend three to five days in the hospital. The replacement joints are expected to last 10 to 20 years. Talk to Someone About Joint Pain If you’re experiencing pain in a joint that was replaced, visit BSWHealth.com/JointRevision or call 1.800.4BAYLOR (1.800.422.9567) and ask for a complex joint specialist. By the Numbers Sources: Arthritis Foundation, Centers for Disease Control and Prevention New Joint Today, Home Tomorrow Some people who need a joint replacement don’t have to spend days recuperating in the hospital. With the rapid recovery program at Baylor Scott & White Health, they can go home the day after surgery. Before the procedure, they’ll learn how to prepare and what to expect. With guidance from Baylor Scott & White, they’ll arrange for the equipment and therapy they will need and make sure they’ll have assistance from a family member or a friend. On the day of surgery, the surgical team tries to schedule the procedure first thing in the morning so physical and occupational therapy sessions can start right after surgery and continue through the next morning. Mark Greenberg, MD, an orthopedic surgeon on the medical staff at Baylor Scott & White – Grapevine, says people who are highly motivated to leave the hospital quickly, are generally healthy and have a good support system are good candidates for the rapid recovery program. The rapid recovery program is available at Baylor University Medical Center at Dallas, Baylor Scott & White All Saints Medical Center – Fort Worth, Baylor Scott & White – Grapevine, Baylor Scott & White – Plano and Baylor Scott & White – Waxahachie. Is One-Day Discharge Right for You? For a referral to an orthopedic surgeon who offers one-day discharge, visit BSWHealth.com/OneDayJoint or call 1.800.4BAYLOR. 4 31% 172 million Pounds of pressure on your knees for every extra pound of body weight you carry. Obese adults who say they also have arthritis—that’s nearly double the rate for people at or below normal weight. Workdays missed annually by people with osteoarthritis and rheumatoid arthritis. 2 In Motion | Fall 2017 Visit us at BSWHealth.com