Posted on: December 19, 2013
Meet the O-Arm: New technology in the OR
By John Abrahams, MD, FAANS, Chief of Neurosurgery, Co-Director of Spine Surgery, Orthopedic and Spine Institute
The Orthopedic & Spine Institute of Northern Westchester Hospital recently brought new technology into the operating room – the O-Arm from Medtronic.
The O-Arm is an intra-operative CAT Scanner with Image Guidance used to make placement of spinal instrumentation more accurate and safer.
Typically, the O-Arm would be mainly used for patients undergoing spine surgery that need instrumentation placed such as rods and screws. During these procedures, patients are put to sleep with general anesthesia and prepped for surgery. An incision is made over the surgical site and then the O-Arm is brought in to obtain a CAT Scan with three-dimensional imaging. Continue reading
Posted on: June 24, 2013
The Pain of Ankle Sprains
By – Dr. Kurt Voellmicke, Director of Foot and Ankle Section for the Orthopedic and Spine Institute, Northern Westchester Hospital.
As a doctor I find that it is common for many to be confused over what constitutes a sprained ankle. What is a sprain, and what should you do if you have one? You’ll be happy to know that the answers are pretty straightforward.
A sprain is defined as a stretched or torn ligament — the tough, fibrous tissue that connects one bone to another and supports your joints. By far the most common type of sprain is in the ankle. Typically people roll their ankle outward and damage the ligaments on the outside of the ankle. Basketball and volleyball players are the most susceptible to sprains, followed by soccer and lacrosse players. Jumping and then landing unevenly or on the side of another player’s foot is the typical cause of a sprain. Ankle sprains can also occur sliding into a base or running on an uneven surface. Having high arches can put you at higher risk of a sprain: The foot is like a tripod. The higher one’s arch, the more the tripod tends to tilt to the side. Other risk factors include weakness of the supporting leg muscles or poor balance.
Posted on: May 10, 2013
Although they rank among the most common sports-related injuries, anterior cruciate ligament (ACL), medial collateral ligament (MCL), and meniscus injuries are often misdiagnosed and/or perpetuated.
To understand the issues around diagnosis, we sat down with Victor Khabie, M.D. , FAAOS, FACS, Chief of the Department of Surgery, Co-Director of the Orthopedic and Spine Institute and Chief of Sports Medicine at Northern Westchester Hospital…
To achieve timely diagnosis and treatment, Dr. Khabie stresses the importance of physicians and athletic coaches recognizing the signs of each injury and knowing when it is appropriate to refer to a specialist.
According to Dr. Khabie, the signature characteristic of an ACL injury is an audible pop in the knee accompanied by swelling, difficulty walking and an inability to continue certain activities. While MCL and meniscus injuries also result in swelling and pain, athletes may still be able to move and participate, albeit in a diminished capacity. Patients may attempt to treat these injuries at home with propping and icing; however, many find their injuries do not improve. Continue reading
Posted on: August 6, 2012
3-D Computer-Aided Design: Building Better Knee Replacements
An Interview with David Yasgur, MD, FAAOS
Until recently, a surgeon’s only option for customizing knee replacements was to make adjustments during the actual surgery. Once the patient was under anesthesia and incisions were made, the surgeon would fine-tune the fit of the replacement joint. If you think that sounds like a less-than-ideal way to proceed, you won’t get any argument from Dr. David Yasgur, Director of Quality and Outcomes at the Orthopedic & Spine Institute at Northern Westchester Hospital. “During surgery we needed to have a large variety of instruments out and available for making adjustments to the size and alignment of the implants—all while the patient was undergoing the procedure. This wasted time and placed additional stress on the patients.” Continue reading
Posted on: July 3, 2012
Benefits of Anterior Approach to Hip Replacement
by Dr. Eric Grossman
Typically 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.” Continue reading