PAID ADVERTISEMENTPAID ADVERTISEMENTANTHOPAEDICCape Cod Orthopaedics andSports Medicine, PCCape Cod OrthopaedicsPhysical TherapyCape and Islands Occupational MedicineCODMERICNOut-Patient Total Joint ReplacementBy Leonard Remia, MDFellow of the American Academy of OrthopaedicSurgeonsTotal Joint Replacement (TJR) is the standardof care for disabling arthritis of the knee and hip.It was introduced in the 1960's and has a provenlong term success rate. Minimally invasivetechniques (MIS) have been developed to performTJR through smaller incisions without disruptingmuscle or tendon. These MIS techniques inconjunction with progressive Anesthesia protocols allow rapid recovery.TJR can now be performed as an outpatient procedure without the needfor a hospital stay.Current Anesthesia techniques including spinal, nerve blocks and localinjections during surgery, have allowed patients to recovery comfortablyand mobilize rapidly. The use of Multi-Modal pain management limits theneed for narcotic medication and facilitates rapid recovery. The majorityof TJR patients are walking just hours after surgery. Rapid recovery afterTJR has allowed the majority of patients to be discharged home rather thanto skilled nursing facilities (SNF's) or nursing homes, where patients mayspend 1-2 weeks in addition to their hospital stay.During your initial clinic consultation, you may inquire or be identified asa candidate for outpatient TJR. Once you choose the out-patient path, youwill receive a detailed handbook describing daly instructions spanning the'peri-operative" period. You will be encouraged to choose a "joint coach" (typicallyyour significant other or close friend) who will assist you in your recovery.After successful out-patient TJR you may expect to be discharged homewithin a few hours after surgery. Once home, your recovery will be managedvia a home health agency that facilitates nursing and physical therapy care.After 2-3 weeks patients may complete physical therapy in an outpatientsetting. Most rapid recovery TJR patients can expect to return to physicalactivity and sport within a few short weeks.Dr. Remia offers MIS TJR for both hip and knee, including the Anteriorapproach for hip and quad sparing technique for knee replacement. Dr. Remiahas been performing these MIS techniques for over a decade. If you would liketo learn more about out-patient TJR, please contact our office.Leonard Remia, M.D., is board certified by the American Board of OrthopaedicSurgery. He eamed his medical degree at Boston University School of Medicine.He completed his Orthopaedic Residency and Trauma Fellowship at HarvardMedical School. Dr. Remia is fellowship trained in Sports Medicine, which hecompleted at Kerlan-Jobe Orthopedic Clinic in Los Angeles, California. He isaccepting new patients at Cape Cod Orthopaedics and Sports Medicine, P.C.Call (508) 568-3775 for appointmentswww.capecodortho.com130 North St., Hyannis | 18 Rtc. 6A Bldg 2, SandwichCAPE PAID ADVERTISEMENT PAID ADVERTISEMENT ANTHOPAEDIC Cape Cod Orthopaedics and Sports Medicine, PC Cape Cod Orthopaedics Physical Therapy Cape and Islands Occupational Medicine COD MERICN Out-Patient Total Joint Replacement By Leonard Remia, MD Fellow of the American Academy of Orthopaedic Surgeons Total Joint Replacement (TJR) is the standard of care for disabling arthritis of the knee and hip. It was introduced in the 1960's and has a proven long term success rate. Minimally invasive techniques (MIS) have been developed to perform TJR through smaller incisions without disrupting muscle or tendon. These MIS techniques in conjunction with progressive Anesthesia protocols allow rapid recovery. TJR can now be performed as an outpatient procedure without the need for a hospital stay. Current Anesthesia techniques including spinal, nerve blocks and local injections during surgery, have allowed patients to recovery comfortably and mobilize rapidly. The use of Multi-Modal pain management limits the need for narcotic medication and facilitates rapid recovery. The majority of TJR patients are walking just hours after surgery. Rapid recovery after TJR has allowed the majority of patients to be discharged home rather than to skilled nursing facilities (SNF's) or nursing homes, where patients may spend 1-2 weeks in addition to their hospital stay. During your initial clinic consultation, you may inquire or be identified as a candidate for outpatient TJR. Once you choose the out-patient path, you will receive a detailed handbook describing daly instructions spanning the 'peri-operative" period. You will be encouraged to choose a "joint coach" (typically your significant other or close friend) who will assist you in your recovery. After successful out-patient TJR you may expect to be discharged home within a few hours after surgery. Once home, your recovery will be managed via a home health agency that facilitates nursing and physical therapy care. After 2-3 weeks patients may complete physical therapy in an outpatient setting. Most rapid recovery TJR patients can expect to return to physical activity and sport within a few short weeks. Dr. Remia offers MIS TJR for both hip and knee, including the Anterior approach for hip and quad sparing technique for knee replacement. Dr. Remia has been performing these MIS techniques for over a decade. If you would like to learn more about out-patient TJR, please contact our office. Leonard Remia, M.D., is board certified by the American Board of Orthopaedic Surgery. He eamed his medical degree at Boston University School of Medicine. He completed his Orthopaedic Residency and Trauma Fellowship at Harvard Medical School. Dr. Remia is fellowship trained in Sports Medicine, which he completed at Kerlan-Jobe Orthopedic Clinic in Los Angeles, California. He is accepting new patients at Cape Cod Orthopaedics and Sports Medicine, P.C. Call (508) 568-3775 for appointments www.capecodortho.com 130 North St., Hyannis | 18 Rtc. 6A Bldg 2, Sandwich CAPE

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PAID ADVERTISEMENT PAID ADVERTISEMENT ANTHOPAEDIC Cape Cod Orthopaedics and Sports Medicine, PC Cape Cod Orthopaedics Physical Therapy Cape and Islands Occupational Medicine COD MERICN Out-Patient Total Joint Replacement By Leonard Remia, MD Fellow of the American Academy of Orthopaedic Surgeons Total Joint Replacement (TJR) is the standard of care for disabling arthritis of the knee and hip. It was introduced in the 1960's and has a proven long term success rate. Minimally invasive techniques (MIS) have been developed to perform TJR through smaller incisions without disrupting muscle or tendon. These MIS techniques in conjunction with progressive Anesthesia protocols allow rapid recovery. TJR can now be performed as an outpatient procedure without the need for a hospital stay. Current Anesthesia techniques including spinal, nerve blocks and local injections during surgery, have allowed patients to recovery comfortably and mobilize rapidly. The use of Multi-Modal pain management limits the need for narcotic medication and facilitates rapid recovery. The majority of TJR patients are walking just hours after surgery. Rapid recovery after TJR has allowed the majority of patients to be discharged home rather than to skilled nursing facilities (SNF's) or nursing homes, where patients may spend 1-2 weeks in addition to their hospital stay. During your initial clinic consultation, you may inquire or be identified as a candidate for outpatient TJR. Once you choose the out-patient path, you will receive a detailed handbook describing daly instructions spanning the 'peri-operative" period. You will be encouraged to choose a "joint coach" (typically your significant other or close friend) who will assist you in your recovery. After successful out-patient TJR you may expect to be discharged home within a few hours after surgery. Once home, your recovery will be managed via a home health agency that facilitates nursing and physical therapy care. After 2-3 weeks patients may complete physical therapy in an outpatient setting. Most rapid recovery TJR patients can expect to return to physical activity and sport within a few short weeks. Dr. Remia offers MIS TJR for both hip and knee, including the Anterior approach for hip and quad sparing technique for knee replacement. Dr. Remia has been performing these MIS techniques for over a decade. If you would like to learn more about out-patient TJR, please contact our office. Leonard Remia, M.D., is board certified by the American Board of Orthopaedic Surgery. He eamed his medical degree at Boston University School of Medicine. He completed his Orthopaedic Residency and Trauma Fellowship at Harvard Medical School. Dr. Remia is fellowship trained in Sports Medicine, which he completed at Kerlan-Jobe Orthopedic Clinic in Los Angeles, California. He is accepting new patients at Cape Cod Orthopaedics and Sports Medicine, P.C. Call (508) 568-3775 for appointments www.capecodortho.com 130 North St., Hyannis | 18 Rtc. 6A Bldg 2, Sandwich CAPE PAID ADVERTISEMENT PAID ADVERTISEMENT ANTHOPAEDIC Cape Cod Orthopaedics and Sports Medicine, PC Cape Cod Orthopaedics Physical Therapy Cape and Islands Occupational Medicine COD MERICN Out-Patient Total Joint Replacement By Leonard Remia, MD Fellow of the American Academy of Orthopaedic Surgeons Total Joint Replacement (TJR) is the standard of care for disabling arthritis of the knee and hip. It was introduced in the 1960's and has a proven long term success rate. Minimally invasive techniques (MIS) have been developed to perform TJR through smaller incisions without disrupting muscle or tendon. These MIS techniques in conjunction with progressive Anesthesia protocols allow rapid recovery. TJR can now be performed as an outpatient procedure without the need for a hospital stay. Current Anesthesia techniques including spinal, nerve blocks and local injections during surgery, have allowed patients to recovery comfortably and mobilize rapidly. The use of Multi-Modal pain management limits the need for narcotic medication and facilitates rapid recovery. The majority of TJR patients are walking just hours after surgery. Rapid recovery after TJR has allowed the majority of patients to be discharged home rather than to skilled nursing facilities (SNF's) or nursing homes, where patients may spend 1-2 weeks in addition to their hospital stay. During your initial clinic consultation, you may inquire or be identified as a candidate for outpatient TJR. Once you choose the out-patient path, you will receive a detailed handbook describing daly instructions spanning the 'peri-operative" period. You will be encouraged to choose a "joint coach" (typically your significant other or close friend) who will assist you in your recovery. After successful out-patient TJR you may expect to be discharged home within a few hours after surgery. Once home, your recovery will be managed via a home health agency that facilitates nursing and physical therapy care. After 2-3 weeks patients may complete physical therapy in an outpatient setting. Most rapid recovery TJR patients can expect to return to physical activity and sport within a few short weeks. Dr. Remia offers MIS TJR for both hip and knee, including the Anterior approach for hip and quad sparing technique for knee replacement. Dr. Remia has been performing these MIS techniques for over a decade. If you would like to learn more about out-patient TJR, please contact our office. Leonard Remia, M.D., is board certified by the American Board of Orthopaedic Surgery. He eamed his medical degree at Boston University School of Medicine. He completed his Orthopaedic Residency and Trauma Fellowship at Harvard Medical School. Dr. Remia is fellowship trained in Sports Medicine, which he completed at Kerlan-Jobe Orthopedic Clinic in Los Angeles, California. He is accepting new patients at Cape Cod Orthopaedics and Sports Medicine, P.C. Call (508) 568-3775 for appointments www.capecodortho.com 130 North St., Hyannis | 18 Rtc. 6A Bldg 2, Sandwich CAPE