I Can’t Even Comb my Hair!

I can’t even comb my hair!

My shoulder has become so stiff and painful that I can’t comb my own hair! An MRI said the rotator cuff was not torn but I had arthritis in my joint. My general orthopedist said I need a shoulder replacement, but he does not do them. Do you do shoulder replacements? Do they work well?

Submitted by Theresa R.

Stuart C. Kozinn, MD Responds:

Yes and Yes! Shoulder arthritis is actually less common than hip and knee arthritis, so less shoulder replacements are done. Relatively few orthopedic surgeons are trained to do Total Shoulder Replacements, and you should seek a specialist. Both myself and my associate Dr. Evangelista are fellowship trained and we do shoulder replacement surgery on a regular basis.
 The results are very good, but somewhat less predictable than knee and hip replacements which routinely give 95% success rates. This is because the shoulder joint relies so much on muscles and soft tissues for stability, and even a perfectly placed shoulder implant can have soft tissue weakness or stiffness. Most total shoulder patients are better than before surgery, but some still have some limitations. Recovery is rapid and most patient use the arm for simple daily activities immediately. It takes about 3 months for full recovery, and physical therapy is usually needed post-op.

 

Is it realistic to see you for surgery outside the metro Phoenix area?

Is it realistic to see you for surgery outside the metro Phoenix area?

I have been researching Doctor’s credentials and philosophy on complete knee replacement. I suffered trauma to the knee from a car accident years ago. If I have transportation to and from your facility is it realistic to schedule surgery with you if physical therapy can be performed in my immediate area (Tucson)?

Submitted by Debbie C..

Stuart C. Kozinn, MD Responds:

dear debbie :

Of course!  We see many patients from out of state, and out of the country! (I think I am the official USA total joint orthopedist for Hermosillo, Mexico!)  In fact, I would like to develope Scottsdale healthcare as a “Travel medicine” destination for joint replacement, and may get that together soon.   Tucson is easy, because you can go home from the hospital after a few days and then return in 2 weeks to get your sutures out. rehab can be done locally in Tucson.  Call my office and ask for Gerry, she can help you make any travel arrangements that are necessary. i hope to see you soon for a consultation in the office.

Stuart Kozinn

 

Do I really need a hip specialist?

Do I really need a hip specialist?

My regular ortho doctor told me I need a hip replacement for arthritis in my hip. I asked him about his experience, and he only does about ten of these operations a year, but he’s more than capable of performing the operation. I didn’t feel too great about his answer, and I’m very unsure of what to do next.

Submitted by Jim S.

Stuart C. Kozinn, MD Responds:

Some people spend more time researching their car mechanic than they do their surgeon. It has been shown that Total Joint centers, and surgeons who do more than 100 hips or knees a year have better results with less complications. I have done a fellowship in joint replacement at Harvard Medical School, and specialize in joint surgery. I do over 600 total joint surgeries a year, and my results are extraordinarily  good. We partner with Scottsdale Health Care, and I am the Medical Director of the SHC Total Joint Center where you recover on a special VIP floor with private rooms. A team approach is used to get you up and moving as fast as possible. Pre-operative teaching in the form of our free Joint Center class helps get you mentally prepared before surgery and leads to a faster recovery as well. Come on in for an appointment, and I’ll be happy to evaluate your hip and go over your options.