Clinical Services
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Clinical Services
Orthopedics
Overview
Phelps has long been recognized for excellence in orthopedics – especially joint replacement surgery for hips and knees. Orthopedic surgeons on Phelps’ staff offer a wealth of expertise in not only joint replacement surgery but also injuries of the ankles, shoulders, hands and lower back, sports medicine and complex spine surgery.
Back to TopJoint Replacement
Joint replacement is not a one-answer-fits all situation. Hip and knee replacements must be tailored to an individual’s specific needs, because each person is different. A customized plan takes a number of factors into account, including age, occupation, hobbies, recreational activities, weight, sex, health, the existence of other arthritic joints, concurrent illnesses and medical conditions.
Back to TopHips
Hip replacements have provided good service and relief to hundreds of thousands of Americans over the last half century. Some of the changes to the basic hip replacement have made the operation safer and more reliable for younger, heavier and more active individuals.
Anterior Approach Hip Replacement:
Phelps orthopedic surgeons offer patients the latest techniques and technology, including Anterior Approach Hip Replacement. With this advanced procedure, surgical entry is from the front. The surgeon is able to work within the natural space between the muscles and does not have to cut any muscles or tendons to reach the hip. The most important muscles for hip function — the gluteal muscles, which attach to the pelvis and femur — are left undisturbed and therefore do not require a healing process.
Compared to standard and mini-incision hip replacement surgeries, the anterior approach has been shown to have fewer postoperative complications, less pain, and quicker recovery. It produces a more fixed hip, less likely to “pop out of the joint” with rigorous exercise or sudden movements. Hip replacement was once reserved for sedentary adults over the age of 60, but the anterior approach is appropriate for younger patients as well.
Back to TopKnees
Orthopedic surgeons focus on knees from the sub-disciplines of trauma, sports medicine and reconstruction via joint replacement. A fracture can be repaired even when it disturbs the actual joint surfaces. A sports medicine specialist can address instability or wobbliness by repairing or replacing torn ligaments immediately after an injury or years later. End-stage arthritic joints, the result of progressive erosion of surfaces, can be replaced, even when there is severe damage or when limbs have become crooked, deformed or stiffened.
Several recent developments have helped to make the knee replacement recovery less difficult. The main reason for this is that implants that are easier to bend, Which makes post-operative physical therapy much easier to endure. The knee bends more easily because the replacements come in multiple sizes, enabling a fit that is generally more exact and suited precisely to the shape of each individual’s knee bones.
Knee replacement isn’t always necessary. There are non-surgical treatment goals aimed at eliminating painful inflammation and maintaining the knee’s cushioning strength and flexibility through the surrounding and supporting muscles and joints. Damaged areas are allowed to wear down naturally while pain is limited and function is preserved.
Back to TopSpine Surgery
State-of-the-art diagnostic tools are used to determine the cause of back or neck pain. Patients may be referred to the Pain Center for treatment, or surgery may be recommended. Phelps spine surgeons have vast experience in performing highly complex spine surgeries of a level typically seen only in major university teaching hospitals.
Phelps has the largest case experience in disc replacement in Westchester County for both the back and neck.
Back to TopRehabilitation After Surgery
At Phelps, post-surgical rehabilitation takes place in the Hospital’s Inpatient Rehabilitation Unit, adjacent to the surgical floor, enabling continued monitoring by the surgeon throughout rehabilitation. The Rehab Unit’s Board Certified Physical Medicine physicians, therapists, and nurses design specifically tailored therapy programs for each individual patient. A benefit of having rehab in a hospital as opposed to a distant rehab facility is that medical specialists are readily available if a medical problem unrelated to the orthopedic surgery occurs.
Back to TopPain Management
Pain can be described as burning or discomfort that interferes with activities of daily living. People used to think that pain after surgery was something they “just had to put up with.” With the latest treatments, that is no longer true. Today, you can work with your nurses and doctors before and after surgery to prevent or relieve pain. From non-drug pain relief methods to more traditional pain relief medicines, our staff provides the most advanced strategy to keep your post-op pain to a minimum.
Back to TopOrthopedics: Doctors/Staff
- Corey Burak, M.D.
- George Burak, M.D.
- Gregg Cavaliere, M.D.
- Damon A. DelBello, M.D.
- John Galeno, M.D.
- Samuel A. Hoisington, M.D.
- Adam Lazzarinii, M.D.
- Anthony V. Maddalo, M.D.
- Richard M. Magill, M.D.
- Richard E. Peress, M.D.
- George Pianka, M.D.
- Iris E. Schlesinger, M.D.
- J. Robert Seebacher, M.D.
- Krishn Sharma, M.D.
- Rudolph Taddonio, M.D.
- Daniel Zelazny, M.D.
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