2015-16 Sentara Orthopedics Annual Report

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Surgical Procedure Innovations

Sentara strives to improve patient care by developing, adopting and implementing the most sophisticated techniques, technology and procedures.

Efficiency, Quality Initiatives and Consistent Models of Care

Sentara OrthoJoint Center®: Ten Sentara specialty centers are dedicated entirely to hip and knee replacement.


Orthopedic Patient Navigators: Specially trained orthopedic nurse liaisons ensure a more seamless experience for orthopedic patients and their families.

Express Track: An optional program intended for healthy, younger people looking for a shorter hospital stay and recovery in the comfort of their own home.

Anesthesia and Medications

A long-lasting local anesthetic that can dramatically decrease postoperative pain and recovery time after hip or knee replacement surgery.

Focus on perioperative pain control and multi-modal analgesia (treating pain before it starts) in lieu of narcotics.

Regional anesthesia: Sentara is committed to fostering the growth and availability of surgery requiring no general anesthesia. Regional anesthesia results in less grogginess and less nausea than general anesthesia. Our commitment to this advancement is unique within the region. Patients are able to be up and moving the same day as their surgery.

Muscle-Sparing Procedures

Minimally Invasive Anterior Approach Hip Replacement (also known as JIFFY HIP*): A minimally invasive advancement in hip replacement surgery that may provide an easier recovery for patients.
*Registered trademark of Mitzuho Orthopedic Systems, Inc.

Mini-Posterior approach is another minimally invasive technique for  hip replacement that can offer patients an easier recovery.

After the surgery, I was anticipating some pain or discomfort. I was pleasantly surprised that there was none at all.

— Frank, both hip joints replaced with anterior approach surgery
Tissue-sparing knee replacement approach: Minimally invasive total knee arthroplasty technique that spares the quadriceps muscle and may lead to quicker patient recovery.

I walked into the hospital with pain and left it at the hospital. I was amazed at the recovery.

— Ron, tissue-sparing knee replacement patient
There is extensive work in shoulder arthroplasty and surgeons are forging ahead with newer techniques and muscle-sparing procedures. An example is the subscapularis total shoulder replacement technique.

Subscapularis total shoulder replacement technique: A muscle-sparing approach to total shoulder replacement that preserves the subscapularis muscle, reduces the risk of tendon failure, provides fewer postoperative restrictions and potentially shortens rehabilitation time.

Other innovative shoulder replacements include the stemless and mini stem procedures.

Robotic-Assisted Surgeries

NAVIO® robotic-assisted surgery for partial knee replacement: With NAVIO, surgeons use a hand-held robotic tool to aid in the precise alignment of partial knee implants without the need for a CT scan.
MAKO robotic-assisted surgery for partial knee and hip replacement: MAKOplasty® technology assists surgeons with both partial knee replacement and total hip joint replacement. MAKOplasty® allows for the preservation of natural bone tissue and uses a three-dimensional, computer-generated model created from a CT scan for implant positioning tailored to each patient.

We can do the surgery through a much smaller incision with improved accuracy and precision.

— Dr. Patrick O’Connell, orthopedic surgeon, Sentara Virginia Beach General Hospital

Specialized Surgical Procedures:

Surgeons at Sentara facilities have pioneered cutting-edge, minimally invasive surgeries for total joint replacement surgery, fracture care, and arthroscopic surgery. These surgeries involve smaller incisions, which preserve the patient’s natural tissue planes and blood supply. This offers our patients procedures with less postoperative pain and quicker healing.

  • Bone-preserving implants for shoulder replacement surgery.
  • Less invasive implants for fracture care.
  • Innovative arthroscopic surgical procedures include tissue engineering for cartilage defects.
  • Subchondroplasty, a joint-preserving solution for chronic knee pain and osteoarthritis.
  • Less invasive ACL reconstruction surgery.

This offers our patients procedures with less postoperative pain and quicker healing.