Tag Archives: Eric Grossman MD

Hip Replacement Surgery on the Rise

Posted on: March 19, 2015

Hip Replacement Surgery on the Rise

By Dr. Eric Grossman

Researchers at the Centers for Disease Control and Prevention (CDC) recently released findings iStock_3875724_LoRezthat from 2000 to 2010, the number of hip replacements for those older than 45 more than doubled.

The CDC said: “The number and rate of total hip replacements among inpatients aged 45 and over increased significantly from 2000 through 2010. The greatest increase in absolute numbers was in the 55–64 age group, where the number of total hip replacements almost tripled, whereas the greatest percentage change was in the 45–54 age group, which experienced a 205% increase. The 45–54 age group also had the greatest increase in rate, which more than doubled from 45 to 117 total hip replacements per 100,000 population.” (February 12, 2015).

I am not surprised by these trends based on improvements in surgical technique, durability of the procedure, durability of the implants, and patients’ desired active lifestyles. In my practice, I use what is called the “anterior approach” which can result in a faster recovery time, without postoperative restrictions, less muscle damage and a more natural feel to the artificial hip.

Previous generations of general practitioners were reticent to suggest hip replacement to their patients because of longer hospital stays, unproven effectiveness and longer recovery times. There was a time when doctors did not suggest hip replacement due to arthritis pain until their patients could not bear to suffer any longer.

Now, with advances in the surgical procedure, primary care physicians are more inclined to suggest the surgery. This is in part driven by their patients’ expectations. Individuals with painful arthritis are taking a proactive approach – they do not want to suffer in pain any longer than necessary. Additionally, they want to engage in an active lifestyle, and many advances in the surgery since it began to be performed approximately 50 years ago have made the new hips more durable.

The CDC also found that “In 2010, the average length of stay was shortest for the youngest age group and longest for the oldest group. Among those aged 45–54, the average stay was 3 days, lower than for each of the other age groups, while the average among those aged 75 and over was 4 days, higher than for each of the other age groups. From 2000 through 2010, the average length of stay decreased for each age group.”

These findings studied patients until 2010. Now, in 2015, I am seeing much shorter hospital stays after hip replacement surgery. Approximately 80 percent of my patients go straight home from the hospital – not to an inpatient rehabilitation facility as had been routine in the past – within 24-48 hours after surgery. Some select patients are even able to go home the same day of surgery. Our rehab protocols include rapid mobilization where the patients are expected to walk the same day as their surgery.

Watch Dr. Grossman’s patients tell their stories of
living life without pain after hip replacement.
View patient testimonials.

Hip replacement surgery has become more routine and is now being offered to a much wider demographic of patient, particularly patients ages 45-64 and it is not only helpful for senior citizens. There is no need to suffer with painful and activity-limiting hip arthritis. Talk to your doctor to see if hip replacement surgery is an option to explore.

Editor’s Note:
Eric L. Grossman, MD, FAAOS is Co-Director of Joint Replacement Surgery at the Orthopedic and Spine Institute at Northern Westchester Hospital and a member of Mount Kisco Medical Group.

Dr. Grossman is a fellowship trained, board certified orthopedic surgeon who specializes in all facets of hip and knee joint replacement surgery including primary and revision total joint replacement, with a focus on the Anterior Approach to Total Hip Replacement.

 

 

 

 

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New York Orthopedist Explains Benefits of Anterior Approach to Hip Replacement

Posted on: July 3, 2012

Benefits of Anterior Approach to Hip Replacement

by Dr. Eric Grossman

Dr. Eric Grossman Orthopedic Surgeon New YorkTypically after patients have a hip replaced with the conventional approach, they go to inpatient rehab following 3 to 4 days in the hospital.  When patients eventually return home, they are given strict “hip precautions” because of increased risk of dislocation during the first 6 -8 weeks after surgery.  These precautions include no bending more than 90 degrees from the waist and no crossing of the legs, and they must sleep with a pillow between their legs for 6 weeks.  Because the anterior approach spares major muscles and tendons, patients are at low risk for hip dislocation and therefore do not need to follow “hip precautions.” 

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Westchester Orthopedist Dr. Eric Grossman Explains the Anterior Approach to Hip Replacement

Posted on: June 11, 2012

An Effective Approach to Hip Replacement

by Dr. Eric Grossman

Dr. Eric Grossman orthopedic surgeon new yorkFor patients needing hip replacement, I utilize an anterior approach to ensure patients receive the most appropriate care possible.

While there are three main approaches to hip replacement—lateral, anterior and posterior—the anterior approach has become more popular over the last decade.  The anterior approach focuses on replacing the hip through 3- to 4-inch incisions in the front of the joint, which has many advantages during and after the procedure.

The major advantage of this procedure is the fact that muscular tendons are not detached.  Tendon detachment and splitting are unavoidable in other approaches.  This approach also doesn’t affect the gluteal muscles that are instrumental with walking, which allows patients to recover more quickly.

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