AR-170809961

On the Cutting Edge: Seacoast Surgeon Trains Others in Use of Latest Technology in Knee Replacement

PORTSMOUTH – Recent advancements in robotic technology will help patients achieve better results during total knee replacement, says a surgeon who is training his peers on new methods.

Dr. Akhil Sastry, of Atlantic Orthopaedics and Sports Medicine in Portsmouth, was one of the first surgeons to try the Mako Total Knee with Triathlon Knee System for Stryker, one of the largest developers and manufacturers of total knee replacement systems in the world. When the company began selling their newest technology for total knee replacements last year, Sastry started teaching surgeons in the United States and around the globe how to use it.

“Now, 5,000 robotic assisted total knees have been performed by over 200 surgeons worldwide. The projected number of surgeons will be almost 1,000 by the end of next year,” Sastry said.

Sastry trained the first surgeon to use the technology in Germany, and during the last week of September, he will be traveling to India to teach surgeons there how the newest Mako robot works.

The concept of robotics being used in knee surgery has been around since 2006, but patients still have only a 75- to 80-percent satisfaction rating post-operation, Sastry said. He believes the latest technology will improve that because surgeons can take into account a knee’s complete range of motion when planning and performing their procedures.

“We can fine-tune the positioning of the implants to not only take account for the static positioning of the knee, but the dynamic position of the knee,” Sastry said. “So, it creates a perfect plan each and every time.”

Sastry performs total knee replacements at Portsmouth Regional Hospital and York Hospital in Maine.

In Laconia, surgeon Arnold Miller says he is using the newest Mako robot for total knee replacements. Miller started using robotics five years ago for partial knee replacements and hip replacements.

“I have been impressed with the results, and patients seem very happy with their outcomes,” Miller said.

Miller works at the Laconia Clinic, and performs total knee replacements at Lakes Region General Hospital in Laconia.

Dr. Jeremy Hogan also uses Mako robots during his surgeries at Lakes Region General Hospital. He works at Advanced Orthopaedic Specialists in Gilford.

Hogan was first exposed to Mako robots seven years ago. He says he has been using them at the hospital for five years.

Hogan says using robots has enhanced his accuracy.

“I can measure single degrees and millimeters, which is super human, and the robot assist ensures that I carry out my patient specific plan precisely,” Hogan said. “The goal is always a ’forgotten joint’ where the patient does not notice the presence of a replacement. A patient that had a traditional total knee by me a few years ago and recently underwent a robot assisted total knee feels that the rehab process is easier this time.”

In a video created for the Mako Total Knee with Triathlon Knee System, Stryker’s Chief Executive Officer Kevin Lobo says the new technology is a great example of modern collaboration and innovation.

“The health care landscape is consistently evolving. Stryker is committed to partnering with our customers to bring innovative solutions for our patients,” Lobo said.

Stryker’s global headquarters are located in Kalamazoo, Mich.

Experts project that total knee replacements in the United States are expected to increase 673 percent by 2030.

 

Article seen in the New Hampshire Union Leader. 

19983613_1306955726087758_6408347888804822170_o

Dr. Noerdlinger of Atlantic Orthopaedics Leads the Northeast in Shoulder Surgery

York, ME – Dr. Mayo Noerdlinger, Board-Certified Orthopaedic Surgeon and provider at Atlantic Orthopaedics & Sports Medicine, recently became the first surgeon in the Northeast to perform a shoulder replacement surgery using ExactechGPS-guided technology, an innovative new procedure for shoulder replacement. Already one of the top shoulder surgeons in the Northeast, Dr. Noerdlinger and his patients will benefit even more with this new technology, a major advancement in shoulder replacement. Dr. Noerdlinger performed his first surgery of this procedure at York Hospital, the first hospital in the Northeast to purchase ExactechGPS. This was the premier surgical case north of the Mason-Dixon line of the Mid-Atlantic.

ExactechGPS shoulder replacement, also called ExactechGPS Shoulder Application, improves the precision and predictability of shoulder surgery from preoperative planning to real-time execution. This new technology helps the surgeon better understand his or her patient’s anatomy before entering the operating room, and while during surgery ExactechGPS provides a real-time view of the implant placement process and guides the surgeon toward any necessary adjustments.

“ExactechGPS gives us much more flexibility when it comes to treating shoulder pain operatively,” Dr. Noerdlinger said. “Without a doubt, surgeons will be able to operate more precisely thanks to the computer navigation, which will decrease complication and speed up recovery for our patients.”

Mayo Noerdlinger, MD, FAAOS, CIME, specializes in orthopedic, reconstructive and arthroscopic surgery; shoulder surgery and replacement; reverse shoulder replacement; treatment of torn tendons and ligaments; sports medicine and others. He is also the physician behind Seacoast Shoulder, which offers patients the latest in state-of-the-art treatment for shoulder ailments of all kinds. Visit www.seacoastshoulder.com for more information, or call 603.431.1121 or 207.363.3490.

Atlantic Orthopaedics & Sports Medicine is a group of Board-Certified physicians who utilize the latest concepts in orthopaedics and sports medicine, coupled with preventive and surgical techniques. For more information, visit www.atlanticorthopaedics.org, or call the Portsmouth clinic at 603.431.1121.

dr.-sastry-_option-1_

MAKO Event At Portsmouth Regional Hospital A Success

Portsmouth, NH – Atlantic Orthopaedics & Sports Medicine recently held an event with Portsmouth Regional Hospital to showcase the MAKO Robotic-Arm for orthopaedic surgery. Lead by Dr. Akhil Sastry, Board-Certified Orthopaedic Surgeon and provider at Atlantic Orthopaedics, the evening included a live demonstration of the MAKO Robot followed by an educational session in the hospital’s classroom.

MAKO is the newest addition to robotic surgery at Portsmouth Regional Hospital, and a groundbreaking technique worldwide. In his presentation, Dr. Sastry discussed the customizable procedure for knee and hip replacements, including the benefits of using MAKO. These include greater surgical precision than alternative technologies, a minimalized hospitalization period, and more rapid recovery for the patient.

The event was filmed and will soon be uploaded to the Atlantic Orthopaedics website. Approximately 60 people were in attendance, and engagement was high during the Q&A portion of the evening. Both Atlantic Orthopaedics and the hospital look forward to future events like this one to keep community members engaged with their health care.

Dr. Akhil Sastry, M.D., FAAOS is a Board-Certified and Fellowship-Trained surgeon with specialties in joint replacement, direct anterior hip replacement, and arthroscopic and robotic surgery of the knee. Certified in both Partial and Total Robotic-Assisted Knee Replacements, Dr. Sastry is renowned on the national and international level for robotic-assisted joint replacement surgery and surgical technique. He is the first physician in New Hampshire to offer total knee surgery using the MAKO Robot.

Atlantic Orthopaedics & Sports Medicine is a group of Board-Certified physicians who utilize the latest concepts in orthopaedics and sports medicine, coupled with preventive and surgical techniques. For more information, visit www.atlanticorthopaedics.org, or call the Portsmouth clinic at 603.431.1121.

17855558_1214579915325340_8430301707550756689_o

Dr. Welch Publishes Article in Orthopaedic Journal

Portsmouth, NH – Dr. Tyler Welch, a physician at Atlantic Orthopaedics and Sports Medicine, recently published an article in the Journal of Experimental Orthopaedics. It is titled The Effect of a Dynamic PCL Brace on Patellofemoral Compartment Pressures in PCL-and PCL/PLC-Deficient Knees.

The study examines the PCL, or posterior cruciate ligament, located in the back of the knee. One of four major ligaments of the knee, it connects the femur (thighbone) to the tibia (shinbone). In a controlled laboratory study, Dr. Welch and five colleagues explored a deficiency of the PCL leading to arthritis in the patellofemoral knee joint, and evaluated the hypothesis that dynamic bracing reduces pressure in the knee joint in PCL-deficient knees. Coauthors of the study were Thomas Keller, Ruben Maldonado, Melodie Metzger, Karen Mohr and Ronald Kvitne.

The Journal of Experimental Orthopaedics is an international journal that aims to bridge the gap between orthopaedic basic science and clinical medicine, and publishes works that examine the field of experimental orthopaedics. Each published article goes through peer review and is upheld to the high quality standards of the Journal.

Dr. Welch is a physician at Atlantic Orthopaedics who specializes in cartilage restoration, sports medicine, joint replacement, and arthroscopic surgery of the hip, knee and shoulder. He is the lead doctor of the clinic’s Cartilage Center, a place for patients experiencing joint pain and early arthritis. Dr. Welch is affiliated with the American Orthopaedic Society for Sports Medicine, American Academy of Orthopaedic Surgeons, and the Arthroscopy Association of North America.

Atlantic Orthopaedics & Sports Medicine is a group of Board-Certified physicians who utilize the latest concepts in orthopaedics and sports medicine, coupled with preventive and surgical techniques. For more information, visit www.atlanticorthopaedics.org.

Noerdlinger

Dr. Noerdlinger Named One of NH Magazine’s Top Doctors

Portsmouth, NH – Dr. Mayo Noerdlinger, Board-Certified Orthopaedic Surgeon and provider at Atlantic Orthopaedics & Sports Medicine, was recently named a Top Orthopaedic Surgeon in New Hampshire Magazine’s list of 2017 Top Doctors.

 

Dr. Noerdlinger joins 273 leading physicians in 55 specialties across New Hampshire, nominated by their peers in a wide range of medical needs, from pediatrics to surgical care. Health-care research and information company Castle Connolly Medical Ltd. conducted the survey process, whose research, screening and selection carefully chose top doctors for traits like medical specialty, educational and professional experience, and dedication to their patients.

 

“I’m so honored and humbled to be recognized among the state’s leading physicians,” said Dr. Noerdlinger. “I always hope my patients leave the practice feeling truly cared for, and that their needs were listened to throughout the treatment process. It’s what I love to do, and I’m glad my peers can see that shining through.”

 

Dr. Noerdlinger, MD, FAAOS, CIME, specializes in orthopedic, reconstructive and arthroscopic surgery; shoulder surgery and replacement; reverse shoulder replacement; treatment of torn tendons and ligaments; sports medicine and others. He is a member of the Department of Orthopaedic Surgery at Portsmouth Regional Hospital, the Medical Director of ProCare Physical Therapy & Hand Center and of Hampton Physical Therapy, and a Team Physician at Wells High School and the University of New Hampshire.

 

Atlantic Orthopaedics & Sports Medicine is a group of Board-Certified physicians who utilize the latest concepts in orthopaedics and sports medicine, coupled with preventive and surgical techniques. For more information, visit www.atlanticorthopaedics.org, or call the Portsmouth clinic at 603.431.1121.

Sastry Seacoast Online 2

Total Knee Replacements with Dr. Sastry

YORK, Maine – Since January 2016, orthopaedic surgeon Dr. Akhil Sastry began performing partial knee replacements using the Stryker MAKO Robotic-Arm Assisted Surgery System at York Hospital.

He is now using the procedure on total knee replacements, and of the 150 knees he’s operated on since last January, 20 of them have been total knee replacements.

Sastry is the first surgeon on the Seacoast to use the MAKO system for a total knee replacement. He and York Hospital are one of only 25 providers worldwide to offer this innovative knee replacement procedure.

The MAKO system is a surgeon-controlled robotic arm technology that enables accurate alignment and placement of implants.

“Planning is a major component,” Sastry said. “The patient has a CT scan of the knee and the MAKO system will create a patient-specific 3-D model to pre-plan the knee replacement.”

Following the personalized pre-operative plan, the surgeon guides the robotic-arm during bone preparation to execute the pre-determined surgical plan and to position the implant. By selectively targeting only the part of the knee damaged by osteoarthritis, surgeons can resurface the diseased portion of the knee while helping to spare the healthy bone and ligaments surrounding the knee joint.

During surgery, the surgeon guides the MAKO robotic-arm with surgical equipment based on the patient-specific plan. This allows for the removal of only the diseased bone, preserving healthy bone and soft tissue, and assists in positioning the implant based on the patient’s anatomy.

“Our patients get customized procedures, tailored specifically to them,” Sastry said. “Sensors are placed on the bones and signals are sent to the robot. If the surgeon strays just one millimeter from the specific measurements, the robot will stop.”

Sastry, who is the premier robotic-assisted orthopaedic surgeon of Atlantic Orthopaedics and Sports Medicine, said the robot “allows us creative license to reposition the implant in any direction we want to achieve consistent range of motion.

“The new knee feels more natural,” Sastry said. “This level of precision allows for quicker recovery and the likelihood of fewer issues for the patient once fully rehabilitated.”

Sastry is certified in both partial and total robotic-assisted knee replacements and has been selected to be one of 15 surgeons to teach this technology to other orthopaedic surgeons worldwide. Sastry will be participating in multiple educational programs throughout the country teaching the full knee replacement on the robotic platform.

“By using this new technology, it results in a home run every time,” Sastry said.

Eder

Hand in Hand: Doctor Treats Colombian man’s Rare Disease

This is an excerpt from an article written by Suzanne Laurent for seacoastonline.com. You can read the full article here.

PORTSMOUTH – Luis Guillermo Fernandez was all smiles as he played a game of pick-up soccer with his 13-year-old son Luciano Fernandez in the parking lot of Atlantic Orthopaedics & Sports Medicine, just off Route 1.

Fernandez, 57, suffers from Dupuytren’s contracture, a disease that leads to limited use of the hand when tissues in the palm thicken forming a cord, eventually making it unable to straighten the fingers.

Usually a slowly progressing disease, Fernandez first noticed the symptoms about seven years ago, but they became more pronounced over the last couple of years, leading him to do some research on the disease and treatment through the Internet.

To continue reading, click “here”.