Dr. Kevin Plancher is delighted to announce his membership in the British Hip Society. The British Hip Society (BHS) supports training, education and research to promote the very best care for patients with hip related conditions. The Society works closely with allied professional bodies like the British Orthopaedic Association to advise on standards of care for patients and welcomes hip specialty surgeons, at all career stages, to our membership, including trainees, SAS grades and consultants.
Kevin D. Plancher, MD, MPH, FAOA, FAOS is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.
Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice, specializing in arthroplasty with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care. plancherortho.com
Dr. Kevin Plancher is honored to to be named a Hip and Knee Surgery Research All-Star and ranked in the top 1% of surgeons nationwide. This distinction acknowledges the substantial and high-quality research contributions I’ve made through co-authored publications. Curated by Avant-Garde Health, the Healthcare Research All-Star lists feature exclusively the top 5% of hospitals and surgeons who are leading the way in innovative research. Learn more at here.
Kevin D. Plancher, MD, MPH, FAOA, FAOS is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.
Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice, specializing in arthroplasty with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care. plancherortho.com
The purpose of this study was to determine if preoperative mental health status improves following unicompartmental knee arthroplasty (UKA) in patients with single compartment knee osteoarthritis (OA). At a mean of 10-year follow-up, patients who underwent UKA for single compartment osteoarthritic knee pain demonstrated significant improvement in mental health scores. UKA resulted in normal mental health
in a majority of patients (87%). The resultant improved mental health scores were associated with improved patient pain and activities of daily living.
Kevin D. Plancher, MD, MPH, FAOA, FAOS is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.
Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice, specializing in arthroplasty with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care. plancherortho.com
Dr. Kevin Plancher was honored to attend the Australian Orthopaedic Association’s (AOA) COE2024 Hip and Knee conference as an international guest and Keynote Speaker alongside Javad Parvizi. While in attendance, Dr. Plancher presented ACL rupture in the young adult with unicompartmental OA – My approach., How I manage balancing in TKA, and Outpatient Arthroplasty. He also served on the panel for Complex Case Panel Discussion “What would I do”: Knee scenarios.
Held in Sydney, Australia, the 2024 Continuing Orthopaedic Education conference explores the dynamic theme of Hip and Knee, featuring sessions on alignment, technology’s impact, game changers, joint infection, and thromboembolism prophylaxis with engaging case panel discussions.
Kevin D. Plancher, MD, MPH, FAOA, FAOS is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.
Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice, specializing in arthroplasty with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care. plancherortho.com
After suffering a knee injury and going into surgery, swift and effective rehab is crucial for regaining your strength and mobility. This to-the-point guide cuts through the confusion to highlight key steps and exercises in the rehab after knee surgery, equipping you with the knowledge to recover with confidence. Expect to find focused advice on rebuilding your knee’s capabilities and returning to everyday life with greater ease.
Key Takeaways
Rehabilitation is critical after knee surgery to regain mobility and strength, with the potential for most patients to return to activities within three months if they adhere to a dedicated physical therapy regimen.
Physical therapy for knee rehab should begin immediately after surgery to prevent complications and starts with pain management, ice therapy, and early assisted mobilizations such as walking to promote healing.
A personalized rehab plan created by a physical therapist is essential, involving exercises to improve range of motion and strength, self-monitoring progress, setting realistic goals, and a long-term commitment to low-impact activities to maintain knee health post-recovery.
The Importance of Rehabilitation Following Knee Surgery
Undergoing knee surgery, including total knee replacement surgery, is just the first step in your journey to reclaiming your mobility. The real magic happens during the rehabilitation phase after joint replacement. Your new knee needs to be trained to function optimally, and that’s where rehabilitation comes into play.
Eliminating knee pain and regaining mobility are the core objectives of an effective rehabilitation plan after knee surgery. And, if you’re worried about the duration of this journey, here’s the good news – engaging in physical therapy exercises and adhering to your doctor’s instructions can significantly speed up your recovery time. In fact, with effective rehabilitation, you can return to most activities in just three months following knee surgery.
Benefits of Rehab
So, what exactly are the benefits of a rehabilitation program after knee surgery? Well, the first goal is to ensure more complete joint movement and safely stimulate the muscles attached to the knee. This is critical to eliminate joint and muscle stiffness, build strength, improve balance, and regain a normal gait.
Physical therapy exercises not only restore mobility, range of motion, and overall joint function following exercises but also strengthen supporting muscles and eliminate stiffness. This means that you’ll not only recover faster but also return stronger. A consistent physical therapy routine after surgery is vital to strengthening supporting muscles and eliminating stiffness.
Whether it’s returning to work or resuming your favorite sport, activity-specific rehabilitation during physical therapy helps restore the strength and skills needed.
The Role of Physical Therapy
Physical therapy is not a one-size-fits-all approach. Every individual is unique, and so are their needs and limitations. This is why physical therapists create a customized rehab program tailored to your specific needs. This could involve a range of exercises that evolve as you progress in your recovery.
Physical therapy techniques such as joint and soft tissue mobilization are used to alleviate pain, improve motion, and aid in healing. Physical therapy plays a pivotal role in accelerating recovery by easing pain, reducing inflammation, maintaining circulation, and restoring joint strength and mobility.
The success of your knee rehabilitation, however, requires your active involvement and adherence to the prescribed program. After all, the goal of physical therapy for knee rehabilitation is not only to restore strength but also to improve overall function and quality of life.
First Steps in Post-Surgery Recovery
Once your surgery is over, and you’re slowly waking up from the anesthesia, you might be wondering, “What’s next?” The first steps in your post-surgery recovery journey involve effective pain management, ice therapy to reduce swelling, and importantly, early mobility. Yes, you read that right! Your rehabilitation begins right after you wake up from surgery, with exercises starting in the recovery room to speed up recovery and decrease post-operative pain.
An immediate post-surgery goal is to get you out of bed and walking within a few hours. This early mobility not only promotes healing but also helps reduce the risk of complications such as blood clots. As for the hospital stay, it typically lasts for one night, with most patients being discharged the following day. However, if you’re in good health and have adequate support at home, discharge on the same day of surgery is also possible.
Pain Management Techniques
Post-surgery pain management is a crucial aspect of your recovery journey. It typically involves a combination of opioids, NSAIDs, and local anesthetics, administered according to a doctor’s instructions. Preemptive analgesia, which is administered before surgery, minimizes central and peripheral hypersensitivity and limits postoperative pain.
Pain management in physical therapy includes using modalities such as:
heat
cold
ultrasound
electric stimulation
to alleviate pain and promote tissue healing. But it’s important to know that while epidural and patient-controlled analgesia can offer effective pain management, they do come with certain risks such as urinary retention for epidurals and the need for careful monitoring with PCA. So, it’s crucial to follow your doctor’s and physical therapist’s guidance to manage pain effectively and safely.
Early Mobility
Knee surgery might limit you momentarily, but that’s not a reason for you to stay in bed. Physical therapy should begin immediately after surgery to prevent blood clots, promote healing, and avoid muscle atrophy. Assisted walking post-surgery is crucial, starting with aids like walkers or crutches, aiming to gradually transition to partial and then full weight-bearing as strength and endurance improve.
The gradual introduction of weight-bearing exercises is essential, with a focus on planning progressive increases in activity levels while maintaining a balance with rest. Achieving full knee extension within the first 48 hours and progressively increasing knee flexion according to the surgeon’s advice are critical early mobility goals post-knee surgery. So, as you can see, early mobility is key to your speedy recovery.
Developing a Customized Rehab Plan with Your Physical Therapist
Remember how we talked about the importance of a customized rehab plan? Well, your physical therapist will work closely with you to develop a plan tailored to your specific needs. This will focus on areas such as:
strength
flexibility
balance
coordination
There’s a critical window of time in which the range of motion in surrounding muscles around your new joint can be restored. Your rehab plan will guide you through different stages starting with gentle exercises and advancing towards more demanding ones as prescribed by your physical therapist.
The rehab plan isn’t just about what you do in the clinic. It can also include video visits for your physical and occupational therapist to observe your immediate surroundings. This ensures that prescribed exercises are adapted accordingly to enhance recovery at home.
Setting Realistic Goals
Setting realistic goals is a crucial part of your rehab journey. These goals are not just about improving mobility and restoring functional movement, but also about increasing your independence. A key to successful rehab is finding a balance between the desire to regain mobility and the necessity to avoid actions that cause excessive swelling or pain, which may indicate overexertion.
Personal motivation, bolstered by a positive mindset, significantly affects recovery time after knee surgery and is essential for successful rehabilitation. Whether it’s returning to your favorite sport, or simply being able to play with your grandchildren in the park, setting achievable goals that resonate with your interests can heighten motivation and commitment to your exercise regimen post-surgery.
Monitoring Progress
Just like any journey, your rehab journey also requires you to keep a check on your progress. Regular check-ins with your physical therapist are necessary to assess your progress and adjust your rehab plan, ensuring that it remains tailored to your evolving needs. Keeping track of progress through journals or charts can help visualize milestones. There are even apps that record daily exercises and achievements to contribute to your motivation and consistency with your exercise program.
It’s also important to communicate openly with your healthcare team about any struggles or concerns. This leads to tailored advice and adjustments in the rehab plan to address individual needs. So, don’t hesitate to share your feelings and doubts with your therapist. They’re here to help you.
Essential Exercises for Knee Surgery Rehab
Now, let’s talk about the heart of your rehabilitation plan – the exercises. The initial phase of post-knee surgery rehab focuses on activities designed to improve your range of motion. Then, comes strength training exercises like Quadriceps Sets, Straight Leg Raises, and Knee Straightening Exercises.
As your strength and stability improve, the exercise regimen advances to include more challenging exercises that require standing on one or both feet. After a month of sticking to your rehab schedule, you can expect a dramatic improvement in knee strength and range of motion. And, of course, gait training is incorporated to adjust your walking patterns and reduce the risk of additional knee stress or injury.
Leg Strengthening Exercises
Strengthening your lower leg and muscles plays a crucial role in your recovery. Recommended exercises include:
Quadriceps Sets
Straight Leg Raises
Gluteal Sets
Short Arc Quads
Hamstring Raises
These knee-strengthening exercises help build muscle strength and support knee movement, as well as strengthen the supporting muscles around the knee.
As you progress in your recovery, resistance exercises like assisted knee bends and using light ankle weights are introduced to further promote knee strength. Stationary cycling can aid in regaining muscle strength and knee mobility, with a focus on pedaling backward initially and increasing tension over time. Remember, progression in exercises must be gradual to prevent complications and ensure proper recovery.
Range of Motion Exercises
To improve your knee’s range of motion exercises such as Ankle Pumps are recommended. These involve moving the foot up and down to prevent blood clots. Heel Slide exercises, which include sliding the heel towards the legs and buttocks and holding the position, aid in increasing knee flexibility shortly after surgery.
Bed-Supported Knee Bends and Knee Straightening Exercises help initiate the return of mobility and should be performed as soon as possible post-surgery. More advanced exercises like Sitting Supported Knee Bends and Sitting Unsupported Knee Bends further the range of motion by actively bending the operated knee. Focusing on achieving full knee extension and increasing knee flexion is crucial during the first 48 hours following surgery.
Balance and Stability Exercises
Balance and stability are as important as strength and flexibility. For this, your rehab plan will include balance exercises along with proprioceptive training and neuromuscular re-education. Initial balance exercises include standing with one foot on a chair to challenge stability and strengthen leg muscles.
As you advance, you can progress to:
Standing on your operated leg, which improves stability and core strength
Balancing on one foot with your eyes closed to better prevent falls (more advanced proprioceptive training)
Dynamic activities like walking heel-to-toe, are beneficial for coordinating movement and regaining confidence in walking after surgery.
Tips for a Successful Rehab Journey
Embarking on your rehab journey can seem daunting, but there are some things you can do to make it successful. Establishing a new routine during recovery, including set times for personal care, meals, and exercises, can provide comfort and structure, aiding in maintaining motivation.
Staying Consistent with Your Exercise Program
Consistency is key when it comes to your exercise program. Your physical therapist will educate you on the importance of adhering to your rehab program to ensure successful recovery. You can pair exercises with enjoyable activities, such as watching TV or listening to music, to improve adherence to the rehabilitation process.
Patients are recommended to perform their exercises twice a day, with 10 repetitions each session, to maintain consistency in their recovery routine. For continued benefits, patients should persist with their prescribed exercise program at least two to three times a week until eight to ten months post-operation. Incorporating virtual or real rewards can act as a motivational tool to help maintain consistent exercise habits after surgery.
Listening to Your Body
Listening to your body is just as important as sticking to your rehab program. Taking breaks when experiencing pain and stiffness can prevent discouragement and help maintain focus on recovery. If rehab exercises cause severe pain, it is essential to cease these activities and speak with a healthcare professional.
It is important to consult with a doctor before starting any new activities after knee surgery to avoid exacerbating any issues. So, pay attention to your body’s signals and take action accordingly.
Seeking Support
Recovery is often a team effort. Physical therapists may instruct family members or caregivers on how to support you through exercises, ensuring safety and aiding recovery. Joining support groups, like the ACL Recovery Club, can provide the emotional support of a community during rehab.
Some ways to stay connected and receive support during the recovery process include:
Finding a ‘rehab buddy’ who can provide direct support and encouragement by sharing experiences and participating in exercises
Accepting help from family and friends for tasks and errands, as it is not a sign of weakness
Staying connected with others and making friends in physical therapy
Staying in touch with loved ones to help prevent feelings of isolation and depression during recovery.
Long-Term Recovery and Maintaining Knee Health
Once you’ve completed your rehab program, the journey doesn’t end there. Adherence to exercise routines post-rehabilitation can lead to a return to normal daily life with minimal limitations on high-impact activities.
By 12 weeks post-surgery, most patients should be able to participate in low-impact recreational activities such as walking and swimming, with significantly reduced stiffness and pain.
Continuing Exercises
Continuing with the prescribed exercises post-rehab is vital for maintaining the benefits achieved during the rehabilitation process. Regular follow-up appointments during the first year after knee surgery are key to ensuring ongoing improvement in knee and overall health afterwards.
Engaging in Low-Impact Activities
Engaging in low-impact activities like walking, swimming, and cycling promotes weight management and knee joint longevity. Walking aids in building knee strength and can be incrementally increased in difficulty.
Swimming and water exercises offer non-weight-bearing movement that minimizes stress on the artificial knee.
Summary
In this comprehensive guide, we’ve unveiled the key aspects of a successful rehabilitation journey after knee surgery – from the importance of rehab to the role of physical therapy, from pain management techniques to early mobility, from setting realistic goals to monitoring progress, and from essential exercises to tips for a successful rehab journey. Remember, your active involvement and adherence to the prescribed rehab program play a pivotal role in your recovery.
As Dr. Kevin D. Plancher, an experienced orthopedic surgeon, always says, “Rehabilitation after knee surgery is not a sprint, it’s a marathon.” So, be patient, stay consistent, listen to your body, seek support, and keep moving forward, because every step you take is a step closer to reclaiming your mobility and getting back to the activities you love. Contact Plancher Orthopaedics today to learn more information!
Frequently Asked Questions
How long is rehab after knee surgery?
Rehabilitation after knee surgery typically lasts about 12 weeks, but many people can walk without assistance after 3 weeks and drive after 4–6 weeks. Most patients can take care of themselves within 3 to 6 more weeks after surgery.
What is the hardest part of knee replacement recovery?
The hardest part of knee replacement recovery is regaining knee motion in the early stages, up to 3 months postoperative. This can be a significant challenge for many patients.
What are the do’s and don’ts after knee surgery?
After knee surgery, avoid downhill skiing or contact sports like football and soccer. Instead, opt for lower-impact activities such as hiking, gardening, swimming, tennis, and golf.
How long does it take for a knee to fully heal after surgery?
It may take around 4 to 6 months, or up to a year, to fully recover after knee replacement surgery, depending on various factors such as activity level before surgery.
What exercises are recommended after knee surgery?
After knee surgery, it’s important to do exercises like Quadriceps Sets, Straight Leg Raises, and Knee Straightening Exercises to build muscle strength and support to bend your knee during movement. These exercises can aid in the recovery process.
Discover how the latest advancements in orthopaedic surgery are setting new standards for patient care. This article provides a focused look into how AI, robotic assistance, and regenerative treatments are revolutionizing surgery outcomes in orthopaedic surgeries. With these innovations, patients can anticipate less invasive procedures and faster recoveries, as we step into a new frontier of precision and personalization in orthopaedic care.
Key Takeaways
AI-driven preoperative strategies and robotic assistance are enhancing the precision of orthopaedic surgeries, improving surgical outcomes, and tailoring procedures to individual patient needs using advanced imaging and artificial intelligence.
Biologics and regenerative medicine, including the use of mesenchymal stem cells and advancements in tissue engineering, are transforming the treatment of musculoskeletal injuries by capitalizing on the body’s natural healing abilities.
Smart implants that incorporate sensors for remote monitoring and the integration of advanced imaging with 3D printing are elevating standards in customized patient care and surgical success in orthopaedics.
AI-Driven Preoperative Strategies
The realm of AI-driven preoperative strategies is revolutionizing orthopaedic surgery, with artificial intelligence being far more than merely a buzzword. Harnessing the power of AI models, surgeons can now tailor surgical decisions to the individual needs of patients, enhancing the success of complex procedures such as total knee arthroplasty. For instance, AI-based 3D preoperative planning systems for total hip arthroplasty have surpassed traditional methods in surgical precision and in patient satisfaction and outcome improvement.
Machine learning, a subset of artificial intelligence, is refining the art of joint reconstruction and preoperative planning. It’s streamlining the process for joint replacement surgeries, transcending previous accuracy and efficiency benchmarks. Moreover, Computer-Assisted Preoperative Planning (CAPP) offers a comprehensive understanding of fracture characteristics, paving the way for optimized operative approaches and improved surgical results.
Picture a future where surgical guides are crafted not from generic templates, but from a deep, AI-driven understanding of individual patients. These strategies are not just hypothetical—they are being employed by top surgeons like Dr. Kevin Plancher, who leverage advanced imaging technology and artificial intelligence to ensure each surgical procedure is as minimally invasive and effective as possible.
The influence of AI in preoperative planning is not just theoretical—it’s palpable in the operating room where robots assist our orthopaedic surgeons. Robotic systems, informed by AI, are becoming the steadfast partners of orthopaedic surgeons, guiding instruments with unerring accuracy for each unique patient—a testament to the evolution and promise of orthopaedic interventions.
Minimally Invasive Robotic Assistance
Visualize the operating room of the future, with orthopaedic surgeons and their robotic counterparts working in unison to perform joint replacement surgery with unmatched precision. Robotic-assisted surgery is not a marvel of the distant future; it is here, enhancing precision in orthopaedic procedures and thereby revolutionizing patient care through the use of both augmented reality and virtual reality alone.
In hip and knee replacements, robotic systems are the unsung heroes, ensuring the accurate alignment of replacement parts, and thus preserving the patient’s comfort and gait. These critical factors contribute to the implant’s function and longevity, which are paramount for the patient’s quality of life post-surgery. However, the integration of such cutting-edge technologies is not without its challenges. The high cost of robotic systems, a significant learning curve for orthopaedic surgeons, and the need for ongoing maintenance are hurdles that the medical community is actively working to overcome.
The marvel of orthopaedic technology, robotic systems, incorporate:
accelerometers
gyroscopes
pressure sensors
advanced imaging technology
These tools aid surgeons in realizing their patients’ desired outcomes. It is a testament to the relentless pursuit of improving patient outcomes that these challenges are being addressed.
The narrative of robotic assistance in orthopaedic surgery is one of meticulous care and precision, where every incision and adjustment is calculated and executed with greater accuracy than ever before. In this high-stakes field, where the difference between success and failure can be measured in millimeters, the role of robotic systems cannot be overstated.
As the technology continues to develop, and as more orthopaedic surgeons become adept at using these tools, the landscape of orthopaedic care is being transformed. Imagine a future where every joint and broken bone reconstruction, every knee replacement, is supported by the precision of robotic assistance—a future that is rapidly becoming the present and will transform orthopaedic surgery.
Breakthroughs in Biologics and Regenerative Medicine
The burgeoning field of biologics and regenerative medicine harnesses the body’s cells to promote healing. At the core of this medical revolution are stem cells, particularly mesenchymal stem cells (MSCs), renowned for their remarkable self-renewal capacity and differentiation potential. These cells are being explored for their regenerative prowess in musculoskeletal injuries like:
rotator cuff tears
ligament and tendon injuries
osteoarthritis
cartilage defects
Therapies utilizing various stem cell sources are leading to improved patient outcomes.
The potential of regenerative medicine isn’t confined to stem cells alone. The exciting realm of 3D bioprinting is showing significant promise in bone regeneration and cartilage restoration, potentially transforming the treatment landscape for many musculoskeletal conditions and injuries. Moreover, the effectiveness of these stem cells can be amplified by modulating their microenvironments, such as controlling acidity and oxygen levels, which in turn boosts their regenerative capabilities.
New insights into the microenvironmental conditions have shed light on intervertebral disc regeneration. Specific stem cells have been identified that exhibit remarkable resilience to severe acidity, a boon for treating disc conditions. The horizon of regenerative medicine extends further with induced pluripotent stem cells and tissue-specific progenitor cells, which are garnering interest for their potential to regenerate tissues in a variety of musculoskeletal conditions.
Tissue engineering is another frontier in orthopaedics where cells, scaffolds, and signals converge to repair or regenerate tissues. For instance, the use of acellular scaffolds made from equine-derived type-I collagen and magnesium-enriched hydroxyapatite has been employed to treat fractures and osteochondral defects, yielding better outcomes and improved patient outcomes. Genetic modification and advanced biomaterials are also part of the ongoing research to regenerate damaged musculoskeletal tissues.
Orthopaedic diseases such as bone defects such as fracture nonunion, osteonecrosis, and osteochondral defects are now being addressed using tissue engineering strategies tailored to musculoskeletal pathologies. Mesenchymal stem cells implanted with morselized allograft in osteonecrosis treatment have achieved healthy trabecular bone-like outcomes in certain cases. Furthermore, the clinical use of engineered allogeneic chondrocytes expressing TGF-β1 has shown substantial improvements in patient clinical scores for musculoskeletal disorders.
The advancing field of 3D bioprinting holds promise for creating living tissues and organ analogs. However, challenges such as maintaining cell viability and functional tissue structure must be overcome to fully realize the potential of this technology.
Smart Implants and Remote Monitoring
The future of smart implants and remote remote patient monitoring, exemplifies the integration of advanced technology within medical devices, not only enhancing treatments but also empowering patients. Smart orthopaedic implants are equipped with sensors that monitor critical metrics such as pressure and temperature, offering real-time data to healthcare professionals and patients alike.
These innovative implants are used in a variety of orthopaedic surgeries, including total hip and full knee replacement, arthroplasty, and spine fusion. They play a pivotal role in tracking joint movement and forces, which is vital for an individualized approach to post-surgery treatment plans and patient engagement. The personalized data collected by these smart implants contribute to improved outcomes, steering the medical field toward the era of precision medicine.
The demand for smart medical implants is fueled by the rise in age-related diseases and advancements in sensor technology. Hospitals and clinics, as the primary end-users of metal implants, are supporting the integration of these new technologies, recognizing their potential to revolutionize orthopaedic surgery. However, ensuring the safety and reliability of these implants, navigating regulatory challenges, managing development and manufacturing costs, and protecting patient data from cybersecurity threats are all challenges that must be addressed.
The narrative of smart implants and remote monitoring in orthopaedic care is one of continuous innovation, where every implant is not just a device, but a source of valuable data that informs and improves patient care.
Advanced Imaging and 3D Printing Innovations
The synergy between advanced imaging and 3D printing innovations is evident in the creation of patient-specific implants and medical devices, which is raising the standards of surgical success and patient outcomes. 3D printing technology is driving a new epoch in orthopaedic surgery, allowing for the fabrication of personalized implants and devices that conform precisely to a patient’s anatomy.
Custom-fitted orthotics, prosthetics, and surgical instruments tailored to individual patient’s anatomy are now possible, thanks to various 3D printing methods. These innovations are offering improved outcomes for patients facing challenging pathologies. In tandem, advanced imaging technologies like CT and MRI have become indispensable for accurately visualizing anatomy, aiding in detailed surgical planning, and guiding image-based treatments.
Moreover, advancements in bioprinting techniques are leading to new anti-infective strategies for implants. Surfaces that repel biofilms and materials that deliver antibiotics are optimizing patient outcomes by preventing post-surgical infections. The interplay between imaging and 3D printing is revolutionizing orthopaedic surgery, yielding greater precision and deeper understanding in the creation of customized implants and smart implants.
Cutting Edge Techniques for Soft Tissue Management
The world of soft-tissue repair and management in orthopaedic surgery employs specialized surgical instruments and advanced techniques to minimize tissue damage and enhance surgical precision. Some of the specialized soft tissue instruments used in orthopaedic surgery include:
Curettes
Retractors
Rongeurs
Elevators
Forceps
These instruments enable surgeons to manipulate tissues with precision while minimizing collateral damage. They are typically made from high-grade German surgical stainless steel, which provides the durability and sterility essential for effective soft tissue management.
Tungsten carbide-edged instruments offer enhanced cutting and gripping capabilities, enabling more refined handling of soft tissues and reducing trauma. Various retractors, like Weitlaner and Volkman, are crucial for maintaining clear surgical visibility and protecting the integrity of surrounding tissues. In the context of total knee arthroplasty, smart implant technology exemplified by VeraSense assists surgeons in achieving optimal soft-tissue balancing and implant positioning, thanks to the real-time data it provides.
Some essential tools for surgical procedures include:
Tungsten carbide-edged instruments for enhanced cutting and gripping capabilities
Retractors like Weitlaner and Volkman maintain clear surgical visibility and protect surrounding tissues
Smart implant technology like VeraSense for achieving optimal soft-tissue balancing and implant positioning
These tools help surgeons perform procedures with greater precision and improve patient outcomes.
Orthoplastics and new microsurgical techniques are significantly improving outcomes in soft tissue management, enhancing the potential for limb salvage in severely injured extremities. Some key considerations for managing soft tissue injuries include:
Individualizing the treatment plan based on each patient’s unique factors
Taking into account general recommendations from clinical trials like the LEAP project
Utilizing orthoplastics and microsurgical techniques to optimize outcomes
By considering these factors, healthcare professionals can improve the management of soft tissue injuries and increase the chances of full tissue healing and successful limb salvage.
New Horizons in Spinal Surgeries
Discover the new horizons of spinal surgeries, where treatment options and patient outcomes are being reshaped by minimally invasive techniques and advanced technologies. Minimally invasive spine surgeries (MISS) offer numerous advantages over conventional open spine surgery, including growth factors such as:
Smaller incisions
Reduced tissue damage
Quicker patient recovery
Shorter hospital stays
Technological advancements in MISS, such technological advances such as microscopic-assisted methods and the combination of endoscopy with microscopy, are broadening the scope of minimally invasive interventions. Surgeries like MIS-TLIF and OLIF/XLIF, which utilize smaller incisions and technology for procedures like pedicle screw fixation and lumbar interbody fusion, are gaining popularity due to their ability to preserve normal spinal architecture and minimize muscle and ligament injury.
Endoscopic spine surgery, which uses high-magnification cameras for clear visualization, has evolved into a universal method offering precise differentiation between normal and pathological structures. Robotics in spine surgery, such as the ROSA Robotic Surgical Assistant and the MAZOR X Stealth Edition Robotic Guidance System, exemplify the integration of real-time intraoperative data and image guidance, enhancing surgical precision. These advancements have improved patient outcomes by reducing surgical time, lessening pain, and promoting faster recovery.
The Impact of Digital Templating and Computer-Assisted Planning
The transformative impact of digital templating and computer-assisted planning on orthopaedic surgeries is worth noting. Digital templating represents an innovative approach that assists orthopaedic implant representatives in accurately selecting implant sizes pre-surgery, benefiting patients and improving collaboration between orthopaedic surgeons and reps.
Digital templating offers several benefits for orthopaedic care, including:
Enhancing operating room utilization
Reducing turnover times
Lowering costs associated with inventory handling and sterilization
Optimizing resource management and operational workflows
Improving patient engagement and satisfaction
Facilitating detailed discussions of preoperative plans
Ensuring accurate implant fit
Shortening recovery times
Contemporary digital templating systems feature:
The ability to import studies
System access from various locations
Accurate measurements without calibration markers
A constantly updated template library
These elements enhance the precision and reliability of orthopaedic surgical planning. As orthopaedic technology itself continues to evolve, digital templating and computer-assisted planning are proving to be indispensable tools in the orthopaedic surgeon’s arsenal.
Summary
The landscape of orthopaedic surgery is undergoing a seismic shift, thanks to the remarkable advancements in AI-driven preoperative strategies, minimally invasive robotic assistance, regenerative medicine breakthroughs, smart implant technology, and imaging and 3D printing innovations. These developments and emerging technologies are not only revolutionizing the way orthopaedic surgeries are performed but are also significantly enhancing patient outcomes.
The fusion of cutting-edge technology with surgical expertise, as exemplified by leaders like Dr. Kevin Plancher, is paving the way for a future of orthopaedic interventions where personalized care is the norm, recovery times and pain are reduced, and the precision of treatments is unparalleled. As these technologies become more accessible and their applications more widespread, the potential for transformative patient care in orthopaedics is limitless.
Embrace the latest advancements in orthopaedic surgery, and look forward to a future where the intricate dance between surgeon, technology, and the human body leads to outcomes that were once deemed impossible. The journey of orthopaedic surgery is one of constant evolution—a testament to the relentless pursuit of excellence in patient care. Contact Plancher Orthopaedics to learn more about our experience in orthopaedic surgery!
Frequently Asked Questions
How has technology changed in orthopaedic surgery?
Technology in orthopaedic surgery has reduced complications and surgical revisions by using digital templates for incisions, bone mapping, and joint replacements with synthetic components. These advancements have led to improved outcomes for orthopaedic surgery patients.
What is new in orthopaedics?
In orthopaedics, the Mazor X Stealth from Medtronic is a new robotic-assisted surgical platform that enhances precision during spinal surgeries. This technology helps improve the accuracy of pedicle screw placement for orthopaedic surgeons.
What is the future of orthopaedic surgery?
The future of orthopaedic surgery will be marked by rapidly advancing technology, including the expansion of robotic-assisted surgery and artificial intelligence, as well as an increase in the use of orthobiologics for sports medicine and orthopaedic surgeries. These advancements will likely result in improved patient outcomes and surgical techniques.
How does AI enhance preoperative orthopaedic planning?
AI enhances preoperative orthopaedic planning by predicting patient suitability for procedures and creating personalized surgical guides, ultimately improving accuracy and outcomes in surgeries such as total knee arthroplasty.
What are some of the challenges associated with robotic-assisted orthopaedic surgery?
Some challenges of robotic-assisted orthopaedic surgery are the high cost of technology, the learning curve for surgeons, and the requirement for ongoing maintenance. These factors can present obstacles in adopting this surgical approach.
Dr. Kevin Plancher attended the American Academy of Orthopaedic Surgeons (AAOS) 2024 Annual Meeting this week in San Francisco. While in attendance, Dr. Plancher presented Office-Based Arthroscopy: Shoulder and Knee during the Office-Based Orthopaedic Surgery: Open, Arthroscopic, and Ultrasound-Guided moderated by Shaft Sraj. Dr. Plancher joined John G. Kennedy in discussing the advances made by adopting the office as a surgical setting, as compared to wide-awake surgery which is defined by the choice of anesthesia. They also demonstrated various application in shoulder, hand and elbow, as well as foot and ankle surgery, including US-guided surgery.
Kevin D. Plancher, MD, MPH, FAOA, FAOS is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.
Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice, specializing in arthroplasty with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care. plancherortho.com
The purpose of this study was to compare return to sport, functional outcomes, recurrence of instability, and osteoarthritis(OA) between collision/contact and limited/non-contact athletes following arthroscopic labral reconstruction with a modified inferior capsular shift for anterior shoulder instability. The research team concluded Arthroscopic labral reconstruction with a modified inferior capsular shift addressed anterior instability with return to sport for both collision/contact and limited/non-contact athletes with excellent functional and clinical outcomes, full shoulder ROM, and a low
prevalence of advanced OA at minimum 5-year follow-up. This modified technique resulted in a low failure rate in both limited/non-contact and collision/contact athletes.
Kevin D. Plancher, MD, MPH, FAOA, FAOS is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.
Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice, specializing in arthroplasty with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care. plancherortho.com
The purpose of this study was to determine if athletes are able to return to the same level of vigorous and moderate sports after fixed-bearing intramedullary nonrobotic UKA and the specific sports activities that these athletes continued to participate in at a minimum of 5 years. We hypothesized that UKA in the appropriately selected middle- aged/older athlete would yield high return to sport after UKA with high patient satisfaction. We also hypothesized that UKA would allow athletes to return to their sports of choice.
Kevin D. Plancher, MD, MPH, FAOA, FAOS is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.
Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice, specializing in arthroplasty with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care. plancherortho.com
Kevin D. Plancher, MD, MPH, FAOA, FAOS attended three conferences across the United States this past week. Dr. Plancher attended AANA 2023 in New Orleans, DOCSF2023 in San Fransisco, and AAHKS Spring Meeting in Chicago.
Dr. Plancher attended The Digital Orthopaedics Conference San Francisco (DOCSF), a high impact experience focused on the implementation of digital technologies in health care. He was honored to moderate Session 6 while at DOCSF 2023. This session focused on the use of robotics in an ASC along with value proposition and cost analysis. Discuss centered around “A European Stand Alone ASC”, “Next Ten Robotics”, and “Future of Robotics in the ASC”.
Dr. Plancher joined in on the fun at Arthroscopy Association of North America 2023 Annual Meeting. While at AANA23, he presented “Unicomparmental Knee Arthroplasty: My Journey and Results to Avoid Failure”.
Dr. Plancher closed out the week by attending the AAHKS Spring Meeting which is intended to equip practicing orthopaedic surgeons with state-of-the art information and cutting-
edge strategies to enhance overall surgeon competence related to the care of patients with arthritis and degenerative disease.
Kevin D. Plancher, MD, MPH, FAOA, FAOS is a board-certified orthopaedic surgeon and founder of Plancher Orthopaedics & Sports Medicine. Dr. Plancher is a Clinical Professor, Department of Orthopaedic Surgery, at Montefiore Medical Center/Albert Einstein College of Medicine and an Adjunct Clinical Assistant Professor of Orthopaedic Surgery, at the Weill Cornell Medical College, Cornell University in New York. Since 2001, he has been listed annually in the Castle Connolly directory as a “top doctor” in his field.
Plancher Orthopaedics & Sports Medicine is a comprehensive orthopaedics and sports medicine practice, specializing in arthroplasty with offices in New York City and Greenwich, CT. Leaders in orthopaedics, sports medicine, and acute emergency treatment of sports injuries and rehabilitation utilizing the latest techniques in orthopaedic care. plancherortho.com
William D. Murrell, MD
Fellowship Year 2021-2022
Post Fellowship: Orthopaedic Surgeon, Gardner Orthopaedics and Sports Medicine/Institute for Mobility and Longevity
Ft. Meyers, FL
Thomas B. Evely, DO
Fellowship Year: 2020-2021
Post Fellowship: Orthopaedic Surgeon, University of Alabama (UAB);
Assistant Professor, Department of Orthopaedic Surgery, Heersink School of Medicine
Birmingham, Alabama
Clifford Voigt, MD
Fellowship Year 2021-2022
Post Fellowship: Orthopaedic Surgeon, SUNY Downstate Medical Center
Brooklyn, NY
Karthikeyan Chinnakkannu, MD
Fellowship Year: 2020-2021
Post Fellowship: Orthopaedic Surgeon, Bronx Care Health System
Bronx, New York
Max N. Seiter, MD Shoulder, Hip and Knee Reconstruction, Sports Medicine, and Acute Trauma Vail Summit Orthopaedics / 108 S Frontage Rd W, Vail, CO 81657
Demetris Delos, MD Knee & Shoulder Reconstruction, and Sports Medicine
Orthopaedic & Neurosurgery Specialists (ONS) / 6 Greenwich Office Park, Greenwich, CT 06831
Lauren M. Fabian, MD Shoulder, Knee & Elbow Reconstruction and Sports Medicine Orthopaedic Specialty Group (OSG) / 305 Black Rock Turnpike, Fairfield, CT 06825 and 762 River Road, Shelton, CT 06484
Dr. Kevin Plancher is delighted to announce his membership in the British Hip Society. The British Hip Society (BHS) supports training, education and research to promote the very best care for patients with hip related conditions. The Society works closely with allied professional bodies like the British Orthopaedic Association to advise on standards of care for patients and welcomes hip specialty surgeons, at all career stages, to our membership, including trainees, SAS grades and consultants.
Dr. Kevin Plancher is honored to to be named a Hip and Knee Surgery Research All-Star and ranked in the top 1% of surgeons nationwide. This distinction acknowledges the substantial and high-quality research contributions I’ve made through co-authored publications. Curated by Avant-Garde Health, the Healthcare Research All-Star lists feature exclusively the top 5% of hospitals and surgeons who are leading the way in innovative research. Learn more at 
Dr. Kevin Plancher was honored to attend the Australian Orthopaedic Association’s (AOA) COE2024 Hip and Knee conference as an international guest and Keynote Speaker alongside Javad Parvizi. While in attendance, Dr. Plancher presented ACL rupture in the young adult with unicompartmental OA – My approach., How I manage balancing in TKA, and Outpatient Arthroplasty. He also served on the panel for Complex Case Panel Discussion “What would I do”: Knee scenarios.
Dr. Kevin Plancher attended the American Academy of Orthopaedic Surgeons (AAOS) 2024 Annual Meeting this week in San Francisco. While in attendance, Dr. Plancher presented Office-Based Arthroscopy: Shoulder and Knee during the Office-Based Orthopaedic Surgery: Open, Arthroscopic, and Ultrasound-Guided moderated by Shaft Sraj. Dr. Plancher joined John G. Kennedy in discussing the advances made by adopting the office as a surgical setting, as compared to wide-awake surgery which is defined by the choice of anesthesia. They also demonstrated various application in shoulder, hand and elbow, as well as foot and ankle surgery, including US-guided surgery.
William D. Murrell, MD
Thomas B. Evely, DO
Clifford Voigt, MD
Karthikeyan Chinnakkannu, MD
Max N. Seiter, MD
Demetris Delos, MD
Lauren M. Fabian, MD