Worldwide, over 1.2 million total joints are being done each year. Approximately, 800,000 of these total joints are done in the US alone. Americans are therefore the biggest consumers of this very successful technology.

Traditionally, TJR is done in a hospital set up because most patients undergoing TJR are the elderly with medical comorbidities (the presence of other illness like Hypertension, Heart Disease, uncontrolled Diabetes etc).

The current generation of baby boomers however, are much healthier, live a longer life and tend to stay active at an older age. On the other hand, a lot of younger patients are having TJR because of damage to the joints at an early age caused by sports related injuries.

Improved perioperative anesthesia, development of new analgesics like Exparel, and the increasing sophistication and safety of Surgicenters, prompted the development of outpatient TJR. Approximately, 20 percent of TJR are now done safely, expediently and at a big savings to the insurance company at surgicenters. The recovery time is shortened, infection rate is cut down, certain institutions like the Northern Monmouth Surgicenter in Manalapan NJ, where I do most of my outpatient work is close to zero percent.

There are certain reasons why TJR cannot be done in an outpatient setup. Medicare and certain private insurance companies will not authorize the TJR to be done as outpatient. It is my belief that the insurance companies will eventually see the value of doing outpatient TJR.

Any surgical patient with a severe medical condition obviously should be done in a hospital setup.

Examples of TJRs being performed in a Surgicenter, Total Hip Replacement (THR), Total Knee Replacement (TKR), Total Shoulder Replacement (TSR), Reverse Total Shoulder Replacement ( rTSR), Total Ankle Replacement (TAR) If you have any questions regarding surgery in an outpatient setup, please call for in office consultation.

Manuel T Banzon MD FAAOS
04-20-2015

 Turf toe, or sprain of the first metatarsal phalangeal joint (MTP), can be one of the most painful and debilitating injuries an athlete can face. The condition was originally described in 1976 by Bowers and Martin at the University of West Virginia, where they noted an average of 5.4 turf toe injuries per season among football players. 1 In 1990, Rodeo et al reported on professional football players in the National Football League2 and found that out of 80 active players, 45 percent had suffered turf toe injuries in their professional careers, with 83 percent occurring on artificial turf

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FREEHOLD, NJ, February 4, 2015 — Advanced Orthopedics and Sports Medicine Institute (AOSMI) is announcing its latest achievements in doctor ratings and patient reviews, including multiple perfect scores from ratings sites. In addition to the many patient ratings that rank AOSMI professionals as the top New Jersey orthopedic surgeons, the practice’s doctors have also achieved distinction across all medical specialties.

AOSMI has been at the forefront of the field since its founding, enjoying the top ratings in the area for orthopedic specialists. The practice’s latest achievements further distinguish AOSMI as the foremost authority in orthopedics for its region. On Healthgrades, a major online resource aggregating patient ratings for leading doctors, AOSMI professionals occupy all five of the top spots for Healthgrades’ listings for orthopedics in Freehold, NJ, and every doctor who has been practicing with AOSMI for more than a year rates in the top 10 orthopedic surgeons in the area. All of the doctors on staff at AOSMI enjoy star ratings of 4 and above, with two professionals honored with 5-star ratings. These perfect scores belong to Alan S. Nasar, MD, FAAOS, a fellowship-trained orthopedic surgeon specializing in joint replacement surgery, and Alison DeWaters, DPM, a board-certified specialist in foot and ankle surgery.

RateMDs, another popular site patients use to locate and review medical professionals, lists two of AOSMI’s leading professionals among the top 10 doctors in Freehold, NJ, across all specialties. These doctors are Dr. Nasar and Michael J. Greller, MD, FAAOS, a fellowship-trained expert in sports medicine. Representative of the entire practice’s commitment to quality care, these two doctors have earned accolades that further illustrate AOSMI’s professional standards. AOSMI is proud to announce these latest high ratings in patient satisfaction and dedicated to improving on the remarkable success they indicate with every patient interaction.

To learn more about AOSMI’s orthopedic specialists, prospective patients can visit http://www.aosminj.com, or call 732-720-2555. The practice is also active on social media, including Facebook at http://www.facebook.com/AdvancedOrthoSports and Twitter at http://twitter.com/OrthopedicsNJ.

 Sports participation results in 70 percent of anterior cruciate ligament (ACL) tears and the majority of these occur in 15 to 45 year olds. Approximately 70 percent of ACL injuries are noncontact injuries that occur during a sudden change in direction with a planted foot (i.e., cutting) or stopping rapidly. In the United States there are between 100,000 to 250,000 ACL ruptures annually.

The ACL is one of the main stabilizing ligaments of the knee and helps provide the hinge that allows the knee to remain stable while moving. When an ACL tear occurs the athlete often reports hearing a pop and usually cannot walk on the injured limb. During the injury it is common for the knee to partially dislocate, resulting in bruising and sometimes a small fracture at the back of the tibia and on the femur. Also common is a sprain of the medial collateral ligament (MCL) which is located on the inside of the knee. These injuries result in a painful swollen knee that is tender outside and deep within the knee.

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AOSMI is committed to welcoming new talent to the practice, ensuring the latest information is available to our team of orthopedic specialists and an even greater breadth of expertise exists within our company. In the spirit of collaboration and in recognition of a singular talent, Advanced Orthopedics and Sports Medicine Institute is proud to welcome Dr. Jessica Arias Garau, MD, to the practice. A double board certified physician in Physical Medicine and Rehabilitation as well as Interventional Pain Management, Dr. Arias specializes in performing spinal and peripheral nerve injections. Among these procedures are epidural, facet, temporomandibular and other fluoroscopic and ultrasound-guided injections, as well as radiofrequency ablations, sympathetic blocks, and spinal cord stimulation.

Dr. Arias shares her experience through regular articles as well as clinical instruction: she has given educational lectures to residents and fellows at Temple University Mid-Atlantic Spine and Pain Program. Committed to minimizing pain and restoring function to provide a better quality of life for her patients, Dr. Arias brings a new perspective and a history of success to our practice at AOSMI. Those interested in speaking with her about medical concerns can now contact Dr. Arias through the AOSMI website or her profile page. The AOSMI site also hosts a wealth of helpful information about scheduling and preparing for appointments.