The Total Joint Replacement Program

Communication, Pain Management and Technology are Key in Methodist’s Total Joint Replacement Program

The Total Joint Replacement Program at Methodist Hospitals is focused on optimizing patient outcomes with the goal to eliminate pain and improve function. Improving your quality of life is our primary objective.

To accomplish that, we are emphasizing three simple yet specific points.

First, we provide open and transparent communication about the procedure with the patient and family members, who are often post-surgical caregivers. We fully explain the entire surgical experience, from pre-operative evaluation to the actual surgical experience and postoperative experience. We achieve our best outcomes when patients and family are fully prepared for surgery.

Next, we perform surgery emphasizing reduced tissue trauma surgery (RTTS) and multi-modal pain management. This approach eliminates the need for nerve blocks, epidurals or pain pumps.

Our technique involves localized injections in the hip or knee during surgery, which are very similar to what a dentist would do in the mouth. In addition, patients have the option to supplement the injection with oral and IV pain medications.

Our goal is to have all patients walk the day of the surgery.

Regarding RTTS, it is important to remember that what happens beneath the skin, including how well the implants are placed, is far more important than the size of the scar. The damage that results from the rough tissue manipulations required by a small incision affects both the recovery and results.

Finally, Methodist Hospitals has brought technologically advanced options to Northwest Indiana for both knee and hip replacement.

In addition to standard knee replacements, patients may choose between computer-guided surgical navigation or patient-specific matched knee replacement.

In computer navigation, knee replacement is accomplished using the computer to assist the surgeon in conducting an accurate surgery. For patient-specific matched technology, images from a CT scan of the affected leg are used to develop the cutting guides that assist in making appropriate cuts for the final implantation of the new knee.

These cutting blocks are customized for each patient. They eliminate the need to insert an alignment rod in the femoral (thigh bone) canal, resulting in less invasive surgery. As a result, patients experience less blood loss and thigh pain.

We also offer unique techniques not commonly seen in Northwest Indiana for hip replacement.

In addition to standard hip replacement using a posterior incision, we also perform a minimally invasive anterior approach.  e incision is made on the front of the thigh where muscles can be spread and not cut, resulting in less post-operative pain and a quicker recovery.  is approach renders greater overall stability, and there are no lifelong prohibitions against bending the leg more than 90 degrees or crossing your legs.

By combining optimal communication, comprehensive pain management, and state-of-the-art technologies, Methodist Hospitals has established a genuine center of excellence for joint replacement in Northwest Indiana.

Vineet P. Shah, DO, MPH, is a Methodist Physician Group board-certified orthopedic surgeon, who is fellowship-trained in total joint replacement.

Author
Dr. Vineet P. Shah Dr. Vineet P. Shah, DO with the Methodist Physician Group Orthopedic and Spine Center in Merrillville, Indiana specializes in joint replacement surgeries, among other things. Dr. Shah's expertise focuses on advanced reconstructive techniques for anterior hip replacement, carpal tunnel release, knee arthroscopy, and orthopedic trauma. He believes in using both surgical and non-surgical methodologies to provide his patients with safe and progressive healing options.

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