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.


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.


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.


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.

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