Microport for Hip Replacements

Hip replacement surgeries are very common.  Many people experience numbness and weakness after the surgery.  New technology may be able to eliminate this with a new technique called Microport.  

Doing an anterior approach has become a popular way to do hip replacement surgery.  The anterior approach was designed to preserve the muscles that prevent dislocation of the hip post surgery. During surgery, an incision is made over the cup and the hip is typically dislocated. This allows for the ball to be cut off easily before putting the implant in. Although, by doing the incision over the cup, it makes it harder to see the ball part of the hip.  

Dr. Matt Seidel has come up with a way to avoid this.  He has developed a technique where a cannula, a thin tube, can be placed through an incision in the groin.  The advantage to moving the incision allows the surgeon to clean out the cup without having to put an incision right over it. This approach avoids dislocation of the hip during surgery by cutting the ball off first and then removing it from the socket.  

Microport also provides a lower risk of cutting sensory nerves, which would cause numbness.  It moves the procedure away from the femoral nerves that lower the chances of weakness even further.  Doing a more natural incision allows for fewer wound complications and reduces pain levels by quicker healing.  

If you are interested in this technique, contact Health Vantis and we can connect you to a surgeon trained to do this technique at 877-344-3544.

Health Vantis

877-344-3544

www.healthvantis.ca

New Digital Device for Knee Replacement Physiotherapy

Physiotherapy after a knee replacement is absolutely essential for a successful rehabilitation.  A new digital support device is currently being developed to assist in this.  It is a mobile app  that will make information about the knee available to the physiotherapist.  It will allow them to closely monitor the progress and amend the rehabilitation plan accordingly.  

The technology is designed for the patient to wear the device on their ankle after surgery.  It links to their smart phone to analyze the range of knee movement progression and any pain associated with it.  The information is sent to the physiotherapist to give them a clear picture of the patients’ progress and any issues they may be having.  Patients are also able to bring any concerns to their physiotherapist via the app from the comfort of their own home.  

Trials are currently being done and the hope is to streamline the recovery process so be looking for more information in the coming months!

 

Health Vantis

877-344-3544

www.healthvantis.ca

SuperPATH for Total Hip Replacements

SuperPATH for Total Hip Replacements

SuperPATH (Super capsular percutaneously-assisted total hip replacement) is a recently developed technique that is less invasive than traditional approaches. It only requires a 3” incision, which reduces the number of muscles and tissues that are normally cut or damaged. 

During a traditional hip replacement, hip dislocation is done.  This increases your chances of having a dislocated hip post operatively.  With SuperPATH, there is no hip dislocation.  It allows the surgeon to build the implant in place, therefore, resulting in zero risk of dislocation after surgery.  By having the ability to protect all of the important structures around the hip joint, it will protect critical tendons from stretching or traumatizing the muscles that are so important to your hip function.

An additional benefit of this technique is faster recovery time.  Patients are normally able to walk with little or no assistance within a couple hours of having the surgery.  Pain level postoperatively is low.  Because it is such a small incision, scarring is kept to a minimum and rate of infection is low.  There are little or no limitations on activity. You are still able to cross your legs or bend forward.  

If you’d like to see if the SuperPATH technique is right for you, give Health Vantis a call at 877-344-3544 and we can connect you to a surgeon trained to do this technique.

Private Hip Replacement Cost

The wait times for a hip replacement in the public system can be long. Many Canadians do not wish to wait and are looking for private hip replacement options in Canada, US and other countries.  Cost considerations for a private hip replacement can lead to a long search on internet and phone calls to multiple places. Some medical facilities are able to give the pricing right away and some require multiple follow up and even then, it may not be possible to get the total price.

Health Vantis does all the logistical work for you, so you can focus on your health. We have established relationships with certain facilities in the US and Canada. We are able to provide you with a range for bundled pricing when you call. Bundled pricing includes the facility fee, anaesthesia fee and surgeon fees. Knowing the price for your private hip replacement is very important. However, price alone should not be the deciding factor in your decision where to go for surgery.

Things like surgeon’s reputation, facility accreditation and proximity to your home should be considered. If you are going to fly somewhere, make sure that you select flights that are 4 hours or less. Flights over 4hours increase the risk of DVTs considerably. It may be cheap to go to India, but you will be flying across the world.

In addition, pricing in Canada and the US can be comparable considering all the costs involved. Health Vantis works with accredited, pre-vetted facilities that offer safe and affordable private hip replacement. The price will differ depending on the location you chose to go to and will start at about CAD $25,000. *

If you are considering a private hip replacement, give us a call to get more information toll-free 877 344 3544.

*Prices may change without notice

Do Cortisone Shots Posses Potential Dangers?

Cortisone shots have been used for decades.  In years past, it was thought that there was no real harm or risk involved in having a steroid injection.  There have always been side effects such as dizziness, headaches, trouble sleeping, mood swings, or weight gain but no long term effects identified.  According to a new report, cortisone injections may have more serious side effects than previously reported such as damage to the joints as well as other serious dangers.  

Steroid injections have effectively been used in treating conditions such as back pain, bursitis, gout, osteoarthritis, lupus and tendonitis.  Osteoarthritis (OA) alone affects nearly 5 million Canadians (1 in 6). When medications, physiotherapy and lifestyle no longer work, doctors will often try a cortisone injection to treat the pain.  Although this does not cure the problem, it can be a temporary fix to mitigate pain and swelling to avoid more extreme measures such as surgery.  It can also give you the opportunity to rehabilitate the affected area by reducing the swelling to allow for easier ability to strengthen the joint and surrounding muscles.  

Potential Dangers

Although cortisone has many benefits, there have been more recent concerns identified with regards to knee and hip osteoarthritis.  Some of those include: Rapidly progressive osteoarthritis, subchondral insufficiency ie. a type of stress fracture, osteonecrosis – when bone tissue dies, or causing a delay in surgery.  The study recently done could not provide an exact explanation why these things occur, however, it was thought that the anesthetic that is combined with the injection could be toxic to the cartilage.  More studies would be needed to understand the full effects.

The list of side effects from cortisone shots can be long and exhaustive, however, the advantages can be significant.  It is important to discuss all of the pros and cons with your doctor prior to having one, especially if they are required multiple times or if a surgery may be in the near future.  

Private Shoulder Surgery

Your shoulder is the most flexible joint in your body. It allows you to move your arm in front, above, to the side, and behind your body. Such flexibility also makes your shoulder prone to instability and injury.

If you exhausted all the non-surgical methods to help your shoulder pain, surgery should be considered. In some cases, delaying a surgical procedure of a shoulder can increase the likelihood that the problem will be more difficult to treat later. Early, correct diagnosis and treatment of shoulder problems can make a significant difference in the long run.

There are many shoulder surgeries that exist today. Some of them are minimally invasive, or arthroscopic and some are more traditional open surgeries. Some of the more common private surgeries Health Vantis can facilitate are:

  • Rotator Cuff Surgery

This one repairs the rotator cuff. During the procedure identified damaged parts of the rotator cuff are cleaned and any torn or damaged tendons are reattached. Smaller injuries can be repaired arthroscopically.

  • Subacromial Decompression

Sometimes the tendons of your rotator cuff are intermittently trapped and compressed during movement. This condition is called impingement syndrome. It causes progressive damage to the tendons and the cushions inside the joint space. Another name for this syndrome is rotator cuff tendonitis or bursitis. The condition can be relieved by arthroscopic surgery subacromial decompression.

  • Shoulder replacement

Just like in hip replacement, this surgery replaces the ball and socket joint of the shoulder with artificial parts. The surgery is reserved for severe arthritis or advanced fractures of the shoulder. Partial shoulder replacements are also performed

If you are experiencing a delay in getting a shoulder surgery in Canada, contact Health Vantis to find out your private options in the USA. An initial evaluation is free of charge – call us toll free 1 877 344 3544.

Hip Replacement Do’s and Don’ts

Hip replacement surgery is one of the most successful surgeries to relieve pain from arthritis. Your doctor will give you a set of specific instructions for after surgery recovery.  To help set up the stage for a speedy recovery, however, here are a few points:

Do:

  • Try to maintain a healthy weight prior to surgery
  • Do light exercise and stretching daily – prehab can help tremendously in recovering faster
  • Talk to your doctor and ask questions – clearing some unknowns will help lower anxiety before surgery
  • Prepare your home for your return from surgery
  • Line up a physiotherapist – we can help with this one!
  • Talk to your family and friends about who will be helping you after your surgery

Don’t

  • Stop exercising, if you can
  • Drink alcohol 48 hours prior to surgery
  • Get discouraged – keep up with your social activities
  • Expect an overnight recovery – you will be able to walk but it will take time to get back to your regular activities

If you are curious about your private options for hip replacement, give us a call – toll-free 1 877 344 3544

How Long Does a Joint Replacement Last?

Those suffering from arthritis in their joints are probably aware that a hip or knee replacement will relieve the pain for good. However, going through a total joint replacement surgery is undertaking a serious, albeit considered very successful surgery. If all non-surgical methods fail, your doctor will recommend a total hip or knee replacement.

One of the questions for your doctor should be “How long will my hip or knee last?”. It is an important factor to consider. Younger people are advised to wait to avoid future revisions. A standard answer to the longevity of the joint replacement has been 10-15 years.

A new study for hips and knees that came out in February 2019, tells us that joint replacements last longer. The study looked at almost 300,000 total knee replacements and over 200,000 total hip replacements. 58% of total hip replacement lasted 25 years. Total knee replacements had even longer longevity – 82% lasted 25 years.

Those numbers are encouraging for the ageing population of North America. It is worth to note, however, that the study collected data from joint replacement surgeries performed in New Zealand, Australia, Denmark, Finland, Norway and Sweden. The results can differ for Canada.

It is ultimately your decision if you prefer to wait or get it done sooner. If you are put on a waitlist for a joint replacement and no longer can deal with waiting, Health Vantis can help access private hip or knee replacements. Give us a call to find out the details. Toll Free 1 877 344 3544

Minimally Invasive Spine Surgery

Minimally Invasive Spine Surgery

Many people ask what exactly is minimally invasive spine surgery?  In just a few words, it is minimal cutting to avoid significant damages to the muscles surrounding the spine.  The benefit to this is that it presents less risk for blood loss, a quicker recovery, less post-operative pain, less soft tissue damage and less chance for surgical complications.  Most doctors prefer doing minimally invasive spine surgery if their patients are a candidate for it.

In recent years, there has been advancement in MRI imaging that allows surgeons to see spinal nerves, small disc fragments and bone spurs.  It gives them the ability to spread and push muscle out of the way as opposed to cutting through it and allows them to get to the exact place they need to.  

There are several different techniques surgeons utilize when doing a minimally invasive spine surgery.  Some of them have become so precise that only a 1” incision is necessary.  Common procedures such as fusions and decompression can be done in this manner, however, not all patients are candidates for this.  

Just like all patients are not candidates for minimally invasive surgery, not all surgeons are trained to do the techniques.  It takes special training and skill and the right technology and tools to do these kinds of surgeries. 

If you have been advised to have spinal surgery and minimally invasive techniques have not been discussed, contact us for a second opinion.  We have several facilities that can offer this kind of surgery and are happy to review your records.  

Health Vantis

www.healthvantis.ca

877-344-3544

info@healthvantis.com

Conformis Knee Replacement

Conformis Knee Replacement

There are many ways to do a knee replacement. One of them is to have a custom knee replacement. While there are a couple of ways to have a custom knee replacement, Conformis is the only custom implant used.

Traditional Knee Implant

In a traditional knee implant, the implant designs are based on a set of pre-determined measurements. The doctor will determine which one is the closest fit for each patient. The flaw that can occur is that there are 2 joints in each knee and they can be different heights, which can result in an imperfect fit. It can also create more cutting of the bone depending on the surgeons technical abilities.

Custom Knee Replacement

There are other types of knee replacements that are ‘custom’. This does not mean that the implant is custom made to your knee. With this type of custom replacement, a MRI is done prior to the surgery to map the anatomy of the knee out. Specific cutting guides are designed to give the surgeon a more precise pattern to follow. It provides a guide for bone cuts around the knee which would be specific to the knee anatomy. This helps preserve as much of the natural knee as possible.

Conformis Knee Implant

A Conformis knee replacement is a custom implant specific to the patients anatomy. A 3D image of the patients knee will be done prior to the surgery through CT Scan. The image is used to design an implant that will fit their anatomy as well as design cutting guides for the surgeon to follow as in a custom knee replacement. It prevents the surgeon from removing bone and can correct alignment issues more reliably within the knee. Another bonus is that the implant itself is thinner in size, which allows for less healthy tissue and bone removal. The less bone removed, the less trauma the knee endures and less soft tissue disruption.

The surgery itself is much quicker.  You don’t have to try and fit the implants with off the shelf options or utilize stabilizing rods. It provides a more natural fit, less pain, swelling and faster recovery time. There will be less difficulties within the knee down the road and longer life of the implant.

Our facilities are equipped to do all 3 forms of knee replacement. If you are on the wait list and want to explore your options, please contact us and we’d be happy to help!

Health Vantis
www.healthvantis.ca
877-344-3544
info@healthvantis.com