Robert Holland - Handbook of Hip & Knee Joint Replacement: Through the Eyes of the Patient, Surgeon & Medical Team

The Handbook

of Hip & Knee

Joint Replacement:

Through the Eyes of the Patient, Surgeon

& Medical Team

by

Ronald R. Hugate Jr., MD

and

Robert D. Holland, PMP

Handbook Copyright 2012 by: Ronald R. Hugate Jr., MD, Innovative Orthopedics LLC and Robert D. Holland, PMP, Roxytone LLC

Illustrations, avatars and cartoons Copyright 2012 by James Ryan Counts

All photos (except those provided by Ronald R. Hugate, Jr., Gianni Checa, Inger Brueckner and Francine Campone) Copyright 2012 by Robert D. Holland

ALL RIGHTS RESERVED:

NO PART OF THIS PUBLICATION MAY BE USED OR REPRODUCED, STORED IN A RETRIEVAL SYSTEM OR TRANSMITTED IN ANY FORM OR BY ANY MEANS, ELECTRONIC, MECHANICAL, PHOTOCOPYING, RECORDING, SCANNING, OR OTHERWISE, EXCEPT AS PERMITTED UNDER SECTIONS 107 OR 108 OF THE UNITED STATES COPYRIGHT ACT, WITHOUT EITHER THE PRIOR WRITTEN PERMISSION OF BOTH COAUTHORS AND THE PUBLISHER OF RECORD, EXCEPT IN THE CASE OF BRIEF QUOTATIONS EMBODIED IN CRITICAL ARTICLES AND/OR REVIEWS.

Smashwords Edition, License Notes

This ebook is licensed for your personal enjoyment only. This ebook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each person you share it with. If youre reading this book and did not purchase it, or it was not purchased for your use only, then you should return to Smashwords.com and purchase your own copy. Thank you for respecting the hard work of this author.

LIMIT OF LIABILITY/DISCLAIMER OF WARRANTY

No handbook can take the place of professional medical advice and/or care. Therefore, this handbook is for informational purposes only. Moreover, the authors, contributors, collaborators, and publishers are not engaged in rendering any medical, health, or other kind of personal, or professional, advice or services herein. The reader should consult with a both a licensed physician and licensed physical therapist (and any other medical professionals as needed) before adopting any of the suggestions in this handbook.

This handbook includes a few examples of moderate strengthening exercises provided as informational resources only. These are not intended to substitute for the advice of a physician, and/or physical therapist. The exercises are shown in context with physical support when necessary for both stability and safety, and must be done correctly as shown. However, whether the exercise examples and their instructions are followed or not, the reader must be aware that there is always the possibility of injury. Again, the reader is strongly advised to consult with both a licensed physician and licensed physical therapist (and any other medical professionals as needed) before doing any of the exercises in this handbook.

Every effort has been made by the authors, contributors, collaborators, and publishers to ensure that the information contained in this handbook is timely, accurate, and reliable. However, with rapidly changing medical practices, extremely rapid transformation concerning information in general, as well as rapid technological change nowadays, it is difficult (in the extreme) to ensure that all information provided is entirely timely, accurate and reliable.

Accordinglyin relationship to all of the above statements, disclaimers and warningsthe authors, contributors, collaborators, and publishers accept no responsibility of any kind whatsoever for errors, omissions, or inaccuracies, and specifically disclaim any liability, loss, or risk, whether personal, financial or otherwise, that is incurred as a consequence, directly or indirectly, of the use and/or application of any of the contents of this handbook.

TRADEMARKS

All terms mentioned in the handbook that are known to be trademarks, or service marks, are capitalized. The authors and publisher of record cannot attest to the accuracy of this information. Any such term used in this handbook should not be regarded as affecting the validity of any trademark or service mark.

Dr. Hugates Dedication

T his book is dedicated to my beautiful wife, Kristina and my three wonderful children Peyton, Quintin, and Isabella, who patiently and graciously share their husband and daddy with his patients and with his profession.

Mr. Hollands Dedication

I dedicate this handbook to my wife, Vicki, for putting up with her husband working all night, so many nights, and the many weekends throughout the creation of this handbook. She has been by my side for thirty-six years of trials and tribulations and a whole lot more than a couple of knee replacements. Vickis wisdom, encouragement, support, chiding, and lots and lots of back and leg rubs have made all the difference. She is my best friend, sweetheart, editor, harshest critic, and greatest fan.

Foreword by Dr. Ross Wilkins

Very often in considering decisions about an upcoming surgical intervention, patients can become intimidated, confused, or disorganized with their thoughts and decisions. This is due to the natural anxiety that patients may experience and the complex medical world through which they must navigate to make the right decisions for themselves. To most people, surgery is associated with negativity- losing ones consciousness, having to deal with pain, and significant physical and emotional stress. Dr. Hugate and Mr. Holland have collaborated to produce a very unique approach to answering the questions and guiding the decisions required when considering joint replacement. The knowledge they impart in this handbook will help to disarm the natural anxiety that patients may experience and make for a better overall experience and outcome.

Simply put, Dr. Hugate and Mr. Holland have developed a format for the conversation between the physician and the patient to assure that appropriate information is exchanged, explained, and understood. The end effect is that both patient and physician have significant understanding of the process and expected results. This is basically a common sense approach to major decisions that will affect the patient for the rest of their life. I encourage patient and physician alike to read this handbook and learn by its example. It sets a new standard for surgeon-patient communications.

Congratulations to the authors for this outstanding contribution.

Ross M. Wilkins, MD

Medical Director, Denver Clinic for Extremities at Risk

Founder and President, Limb Preservation Foundation

Table of Contents

Dr. Hugates Acknowledgements

I d like to take a moment to acknowledge those who were instrumental in my personal development and in bringing this handbook to fruition.

Thanks to my many mentors who worked tirelessly to help make me the best surgeon and person I could be. It is said that mentors are individuals who turn their hindsight into your foresight. Dr. Vincent Pellegrini, Dr. Franklin Sim, Dr. David Goodspeed, Dr. James Holmes, and Dr. Ross Wilkins are among many who have selflessly donated their hindsight.

Thank you to my wonderful family for supporting me every step along the long and difficult road to becoming a surgeon. Without your support, love, and pride, I would certainly not have the privilege of doing what I do.

Thanks to Dr. Gianni Checa for contributing his expertise in anesthesiology to our handbook. He is one of only a handful of anesthesiologists whom I entrust with the care of my patients. He has distinguished himself through his extraordinary skill and bedside manner. Dr. Checa is not only an excellent anesthesiologist, he is a friend as well.

My gratitude also goes to Inger Brueckner, MSPT for lending her significant expertise to this handbook in a way that brings her subject to life for the reader. Physical therapy is as much about effectively interacting with patients as it is about technical excellence, and Inger is good at both.