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SURGERIES

Significant experience of operating thousands of complicated cases of joint replacements, using state of the art, modern techniques and applying optimal surgical approaches.

HIP REPLACEMENT CLINICAL GUIDE

This video guide was made by Assuta hospital. Interviewed: Prof. Shmuel Dekel

BILATERAL HIP REPLACEMENT

OF A 62 YEAR OLD PATIENT

The right hip operated 6 weeks prior. The patient is walking normally without any limp.

PREOPERATIVE PLANNING

A 67 year old patient who underwent bilateral sub- trochanteric osteotomy in New-York 30 years ago, in order to postpone hip replacement. Ten years ago, she had a hip replacement operation on the left hip again in New-York but due to the deformity created by the previous surgery she suffered a fracture of the trochanter which resulted in a limp and pain.the patient developed degenerative in the right hip. The operation this time was planned using the Traumacad software. An implant was selected to avoid the damage to the trochanter during surgery. After the surgery the patient has no pain or limp on the right hip.

A 72 YEAR OLD PATIENT WHO SUFFERED MULTIPLE FRACTURES AROUND BOTH KNEES​

The patient developed with time sever degenerative changes in both knees. The challenge was to correct the very significant deformities.

BILATERAL MEDIAL KNEE REPLACEMENT OF A 50 YEAR OLD HARD LABORER

The video shows the patient walking 3 weeks following the left knee operation. The right knee was operated 3 months prior.

KNEE REPLACEMENT OF A 72 YEAR OLD PATIENT

20 years ago this patient suffered from a comminuted fracture of the patella. At the time, the patient underwent a total patellectomy and after surgery was unable to extend the knee without the help of his other leg. With time, he also developed degenerative changes in the knee. During the knee replacement, it was needed to shift the quadriceps muscles to their original place to facilitate active extension of the knee.

PATELLO - FEMORAL PAIN

Picture is showing atrophy of vastus lateralis on the left leg after injection and the compensatory hypertrophy of vastus medialis which cause better balance of the quadriceps muscle.

This is very common among athletes. Many reasons are responsible for such pain. This includes mild patella subluxations or imbalance of the quadriceps muscle. It is possible to balance the quadriceps muscle by weakening of vastus lateralis with the injection of Botulinum toxin. This treatment has no side effects. It was first applied in Australia in 2008 and I have been using it ever since. 

BONE ACCELERATING SUBSTANCES

I have used this method 12 years ago, on a patient who suffered a fracture that despite undergoing 10 operations still suffered from non-union. He was referred to me to consider amputation as he was unable to walk for 18 months. After 4 month of treatment, the fracture united fully and the patient returned to his job as a bus driver.

Fractures that are not united by six months are declared as non-union. This usually necessitates more operations such as bone grafting and occasionally exchange of the fixation device. Treatment with bone accelerating subscenes has shown a great success in healing of such fractures. Currently this method is used by many countries abroad but still in Israel is not recognized by the different medical insurances.

Before treatment showing significant osteoporosis an atrophic non-union
X-ray 4 months after treatment with bone accelerating substances.
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