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South Nassau in the Community
“The results of this study accentuate South Nassau’s steadfast commitment to use the latest advancements in knee replacement surgery so that our patients are relieved of the pain and debilitation caused by osteoarthritis and achieve outcomes that allow them to live and work without any limitations,” said Bradley Gerber, MD, chief of joint replacement surgery at South Nassau Communities Hospital.
The study used the Markov mathematical model to compare direct and indirect costs between surgical and nonsurgical treatment scenarios. The Markov model made it possible to study and compare the treatment scenarios by establishing a present state of the patients and then effecting a transition to a new state of patients after surgery, such a transition being dependent only on the values of the current state, and not dependent on the previous state up to that point.
Direct and indirect costs and quality-of-life measures were incorporated into the model to estimate the impact of total knee arthroplasty on costs over patients’ lifetimes and quality-adjusted life years. The assumptions used in the model were developed with use of claims and survey data as well as clinical expert opinion and the peer-reviewed literature.
Arthritis (whether osteoarthritis, rheumatoid arthritis or traumatic arthritis) is the most common condition that leads to the need for a knee replacement. Degeneration of the knee can also be caused by avascular necrosis or AVN. Mostly diagnosed in young adults and adolescents, AVN occurs in patches on the articular surface, primarily on the femoral condyles (the rounded protrusions at the end of the femur). The bone becomes soft and loses cohesion with the main bone, sometimes producing fragments that can separate and become loose bodies within the joint, resulting in instability, pain, and even joint locking.
Of course, prevention is the best method to avoid the need for a knee replacement and the cost of it. Dr. Gerber and joint replacement surgeons at South Nassau, strongly recommend taking the following steps to improve joint health:
If a joint replacement is the only alternative to eliminate the pain and debilitation caused by a degenerative joint, South Nassau provides the continuum of orthopedic care through its Center for Advanced Orthopedics (CAO), which includes the Long Island Joint Replacement Institute™ (LIJRI) and South Nassau Shoulder Center. The CAO was established to meet the rapidly rising long-term need for full-service, specialized orthopedic care. The LIJRI is a recipient of The Joint Commission’s prestigious Gold Seal of Approval™, which it earned for its compliance and continuous dedication to the national standards for health care quality and safety as recommended by the Commission’s Disease-Specific Care Certification Program.
Under the direction of Dr. Gerber, James Germano, MD, and Peter Lementowski, MD, surgeons at the LIJRI specialize in the latest advancements in total and partial knee and hip replacement techniques, including custom-fitted total joint replacement, the Uni-Knee™ partial knee replacement, the mobile-bearing knee system and minimally invasive Birmingham Hip™ resurfacing (a revolutionary alternative to total hip replacement)
LIJRI was one of the first in the United States to combine image-guided medical technology with minimally invasive knee replacement instrumentation to simplify total knee replacement surgery and significantly improve the short- and long-term patient benefits of the operation, including less scarring and faster healing.
To ensure that patients maximize the benefits of knee replacement surgery, South Nassau offers the Sports Medicine and Rehabilitation Therapy Center (SMART). Its physical therapy and rehabilitation programs combine a physiatrist’s keen understanding of the body’s mechanics with a staff of experienced physical, occupational and speech therapists. Patient-specific rehabilitative or therapeutic programs promote short- and long-term health and wellness. The staff works closely with the patient’s primary care physician in developing a personalized rehabilitation program and provides regular updates on progress. The result of this team approach is programs that are based upon individual conditions that help the patients achieve realistic levels of functioning.
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