Vail Health Magazine 2013 - page 17

They’ve found most patients are
more than willing to share their
opinions on the outcomes — those
patients are tracked for as long as
20 years following a surgery.
“It’s a long-term commitment by
the research institute to improve
orthopaedic care throughout the
world,” says Briggs.
SPRI’s latest research paper,
“Ten Year Survivorship Following
Knee Arthroscopy in Patients with
Moderate to Severe Osteoarthri-
tis of the Knee,” won the Richard
O’Connor Research Award at the
Arthroscopy Association of North
America annual meeting in April.
The paper — co-authored by
Henry B. Ellis, MD, and Lauren M.
Matheny, BA, along with Steadman
and Briggs — details the long-term
results of 81 knees that received
Steadman’s surgery-delaying
treatment. All the patients involved
in the study had osteoarthritis
and were candidates for total knee
replacement (called total knee ar-
throplasty, or TKA) due to pain and
symptoms. However, for various
reasons, none of these patients
wanted to actually go through with
the surgery at that time, and so
they opted to try and delay it.
These patients received Stead-
man’s arthroscopic regimen for
knee osteoarthritis, a treatment
package he calls, simply, “The Pack-
age,” and tracked the results. Over
the course of a decade, The Stead-
man Clinic learned that patients
who underwent arthroscopy for
the treatment of osteoarthritis of
the knee were able to delay TKA for
five to 10 years, with approximately
40 percent of patients who were
originally candidates for TKA able
to delay arthroplasty for 10 years.
“The patient satisfaction on this
is huge,” says Briggs. “People who
can put it off for two years are
very happy, and when you get into
three, four, five and beyond, they’re
even more relieved.”
Needs beyond knees
While SPRI’s Richard O’Con-
nor-award winning research was
limited to the knee, joint preserva-
tion and the ability to delay total
replacement has been embraced
by The Steadman Clinic as a whole.
Dr. Marc Philippon, hip specialist
at The Steadman Clinic, is using a
joint-preserving arthroscopic tech-
nique he personally developed to
cure a painful condition in the hip
that was once extremely difficult
to fix. His results were presented
in the summer of 2012 at the
American Orthopaedic Society for
Sports Medicine (AOSSM) meeting
in Baltimore.
“In our review of 21 male, elite
athletes who had hip pain and
instability issues (hypoplastic or
labrum tear), 81 percent returned
to play at a similar level as before
they were hurt, after receiving an
arthroscopic reconstruction tech-
nique using an ipsilateral iliotibial
band autograft,” says Philippon.
Ed Reed, who won the Super
Bowl with the Baltimore Ravens
in 2013 and now a Houston
Texan, sought Philippon out
for his arthroscopic reconstruc-
tion technique.
“I knew I was making the right
decision,” says Reed. “Dr. Philippon
is a great man, very smart and very
cool to be around.”
Dr. Tom Hackett, an elbow,
shoulder and knee specialist at The
Steadman Clinic, says “expanding
the frontiers of joint preservation”
is among his goals as a surgeon.
“What happens with arthritis is
your brain tries to trick your body
into not being able to use that part
anymore,” says Dr. Hackett. “Our
joint preservation techniques don’t
work for everybody, maybe six or
seven out of 10 people, but with
those people you can buy them
several years, or sometimes even
more, before they have to look at
joint replacement.”
The Steadman Clinic shoulder
specialist Dr. Peter Millett is the
pioneer of a joint preservation
technique for the shoulder called
Comprehensive Arthroscopic
Management, or the CAM proce-
dure. The CAM procedure treats
osteoarthritis of the shoulder and
offers a precise combination of
surgical procedures aimed at treat-
ing all of the major pain generators
in the shoulder region. Clinical
studies have shown it to decrease
pain and improve function and
can be performed in young, active
patients with arthritis who wish to
preserve their shoulder joints, or in
older patients who wish to avoid
joint replacement surgery.
For more information about The
Steadman Clinic or The Steadman
Philippon Research Institute, visit
Steadman, MD
TomHackett, MD
Shoulder & Elbow
Marc J.
Philippon, MD
Peter J. Millett,
Shoulder & Elbow
Viola, MD
Wrist & Elbow
Thomas O.
Clanton, MD
Ankle & Knee
Donald S.
Spine & Neck
Rob LaPrade,
David C.
Karli, MD
Spine & Neck
Michael Cassat, MD
Care Sports Medicine
“The patient sat-
isfaction on this is
huge. People who
can put it off for
two years are very
happy, and when
you get into three,
four, five and be-
yond, they’re even
more relieved.”
—Karen Briggs
our doctors
Photos by Barry Eckhaus
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