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  • Revision Knee Replacement

News Articles

Early indicators of bone loss after hip replacement discovered

Hip replacements relieve pain and restore mobility for hundreds of thousands of patients in the United States each year, but about 40,000 of the more than 280,000 of these procedures performed annually in the U.S. are to replace failed previous hip replacements, at a direct cost of more than $1 billion. One main cause of the need to perform a second hip replacement surgery (known as a revision surgery) is the destruction of bone tissue around the replacement joint, a condition called osteolysis, which may cause the joint to loosen.

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Urinary markers predict bone problems after hip replacement

Investigators have identified urinary markers that differentiate total hip replacement patients who eventually develop bone tissue destruction, or osteolysis, from patients who do not.

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AAHKS Contingent Represents Patients, Surgeons at NOLC

This week, members of AAHKS and staff were in Washington D.C. for the American Academy of Orthopaedic Surgeons (AAOS) National Orthopaedic Leadership Conference (NOLC) advocacy event. The AAHKS team used the time in the Capitol to meet with members of Congress and Senate to discuss a bipartisan approach to the issues facing our patients and physicians. The topic of changes in opioid prescribing habits was addressed, and the AAHKS team gave advice and recommendations on post-surgical prescribing freedom to meet the needs of our patients.

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Early Indicators of Bone Loss After Hip Replacement Discovered

Hip replacements relieve pain and restore mobility for hundreds of thousands of patients in the United States each year, but of the more than 400,000 hip replacements performed in the U.S. annually, about 10 percent will fail within 10 to 15 years. One main cause of this failure — which results in a need for a second hip replacement surgery (known as a revision surgery) — is the destruction of bone tissue around the replacement joint, a condition called osteolysis, which may cause the joint to loosen.

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Dr. Frisch was recently selected as the Advocacy Committee Liaison of the Young Arthroplasty Group (YAG) Committee for AAHKS (American Association of HIp and Knee Surgeons) from June 2018 to March 2020.

Pictured left to right: Jeff Lange, Brian Culp, Nicholas Frisch, and Brad Waddell

Pictured left to right: Jeff Lange, Brian Culp, Nicholas Frisch, and Brad Waddell

Dr. Frisch and Dr. Waddell were featured in the May issue of American Association of Hip and Knee Surgeons' Special Edition Member Resource Guide.

Mobile app helps rural patients with pre and post-op care

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Mobile app helps rural patients with pre and post-op care

The state of rural healthcare is dwindling, and with 46 million Americans living in rural areas, the lack of resources can pose a threat to the care they receive and overall outcomes. In the case of hip, knee and other joint replacement procedures, the most common elective surgeries in the U.S., this presents unique challenges

Mobile app helps rural patients with pre and post-op care

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Here’s An App To Help You Get Ready For Joint Replacement Surgery

Dr. Nicholas Frisch, an orthopedic surgeon who focuses on knee and hip replacement surgery at Ascension Crittendon Hospital in Rochester Michigan joined me on a podcast to talk about pre-hab (what patients need to know and do before they go in for elective surgery) and rehab (what they should do to get better quickly after the surgery).

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Dr. Nicholas B. Frisch: 5 best patient safety practices for ASC and outpatient settings

Nicholas B. Frisch, MD, MBA, is an orthopedic surgeon specialized in hip and knee replacement. Dr. Frisch performs inpatient cases at Ascension Crittenton Hospital in Rochester, Mich., and outpatient cases at Michigan Institute for Advanced Surgery in Lake Orion, Mich.

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Orthopedic surgeons aim to forgo opioids in pilot study — 6 insights

Rob Keller, MD, and Nicholas Frisch, MD, are testing a proactive medication protocol, ClickOn Detroit reports. The approach may benefit physicians in the outpatient setting, who have less control over the medication patients take or how they're using it after discharge.

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Testing a new approach to post-surgery pain

ROCHESTER, Mich. - Joshua Cox can easily raise his arms above his head. It's a simple move that was excruciating for Cox just four months ago.

"I'm a union ironworker, so we do the steel structures, buildings, bridges, skyscrapers," Cox said. "It's just wear and tear over the years between the manual labor that I do and lots of softball, baseball over the years."

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The appropriate use of opioids in surgical patients can be a challenge for surgeons to manage. Engaging the patients throughout the process is critical to decreasing opioid consumption.

Every day, 115 Americans die after overdosing on an opioid. The rate of opioid-related deaths increased nearly threefold between 2002 and 2015, and heroin-related overdose deaths increased more than six times over during that same time period. These statistics highlight an imperative to reevaluate the use of opioids in pain management and how opioids factor into the patient experience.

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Optimal engagement, satisfaction & outcomes — How PeerWell helps Dr. Nicholas Frisch enhance the outpatient joint experience

In a value-based environment, patient satisfaction is more important than ever. And many healthcare organizations are turning to technology to help boost patient engagement for positive outcomes.

In November 2017, the company unveiled an addition to its platform designed for outpatient joint replacement centers. Nicholas Frisch, MD, an orthopedic surgeon at Rochester, Mich.-based Ascension Crittenton Hospital, shares how PeerWell has encouraged engagement among his outpatient joint patients.

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How ASCs Can Ace Patient Satisfaction

Patient ratings can help make or break an ambulatory surgery center. An orthopedic surgeon shares his top tips for ensuring satisfied consumers.

Ambulatory surgery centers (ASC) can be an appealing option for patients-and a sound revenue stream for systems and physicians. Patient satisfaction scores can play a key role in an ASC's success, but obtaining high patient ratings can be difficult.

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Physicians should be involved in health care leadership and development. At a minimum the opportunity should exist for them to invest in the very systems under which they deliver healthcare. www.beckersasc.com

The Journal of Arthroplasty just published in the December edition, our research on the role that volume plays in outcomes after total hip and knee replacement. When looking at Medicare and Medicaid data from over 2700 hospitals, those that performed more than 100 total joint replacements per year had lower mean charges, lower complication scores and higher hospital star ratings. http://www.arthroplastyjournal.org/article/S0883-5403(17)30677-0/fulltext

In the latest December issue of Arthroplasty Today, they published our research on, “Intraoperative chlorhexidine irrigation to prevent infection in total hip and knee arthroplasty”. During surgery, we routinely use irrigation to clean out the surgical wound. We were unable to find a difference between using chlorhexidine gluconate irrigation or dilute Betadine for total hip replacement, and saline for total knee replacement. https://www-ncbi-nlm-nih-gov.ezproxy.rush.edu/pubmed/29204500

Dr. Frisch will be hosting "What's New in Joint Replacement?" an Educational Forum at the Older Persons' Commission in Rochester.

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Top Story of the Week on AAOS Now

PeerWell Launches Daily Patient Preparation and Recovery App for Outpatient Joint Replacement

Same-day hip and knee replacement patients now have access to fully-automated PreHab and ReHab technology

PeerWell, the healthcare technology company helping patients prepare for and recover from orthopaedic surgery, has announced an extension of its platform designed specifically for outpatient joint replacement centers. The announcement coincides with CMS greenlighting coverage for knee replacement surgery in ambulatory surgery centers (ASCs).

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Dr Nicholas Frisch was featured in October 2017 Top Docs Issue of Hour Magazine.

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Dr Nicholas Frisch was featured in  October 2017 Top Docs Issue of Hour Magazine.

AAHKS Annual Meeting: Outstanding meeting this year! Huge turnout and great evidence-based content to translate into clinical practice. Plus the first Young Arthroplasty Group meeting was very well attended and is gaining incredible momentum! Thank you to all who participated.

 

Outstanding meeting this year

We have rolled out a new program called PeerWell. This program offers direct patient engagement before and after surgery to improve surgical outcomes and recovery times. We are very excited to offer this to our patients and early feedback has been overwhelmingly positive! Know more at www.peerwell.co

Ascension Crittenton Gourmet Gala: The annual fundraiser for our hospital was a big success and a fun night. I feel very privileged to be working with such a wonderful group of people. Paige and I had a blast.

 

Ascension Crittenton Gourmet Gala Ascension Crittenton Gourmet Gala

Dinner with the Docs: “PRP, Stem Cells and the Future…What’s New in Joint Replacement” – Great turnout for this event! Dr. Keller and I want to thank everyone who showed up and were impressed by all of the thoughtful questions and active participation.

 

Dinner with the Docs

Credibility Links

  • American Academy of Orthopaedic Surgeons
  • American Medical Association
  • American Association of Hip and Knee Surgeons
  • Mid-America Orthopaedic Association
  • Michigan Institute for Advanced Surgery Center