78 April 2015 NJMONTHLY.COM
Special Advertising Section
Dr. Paul Lombardi, partner
Q: How does
a patient know
when to consider
a joint replacement specialist,
you can imagine
how many people
I see in search of
pain relief, primarily in the knees
and hips. When
pain and function
loss become significant, and medications and nonsurgical
treatments no longer provide relief, it is time to consider
replacing the joint—and my patients don’t regret the decision. For example, an anterior approach hip replacement
procedure allows most patients to be up and walking pain-free without restrictions within a week.
Q: That is amazing. What is the profile of a typical
total hip replacement patient?
A: Most are about 50 or 60 years old with severe
pain and limited mobility. Their hip pain is usually the
result of worn-down cartilage, overuse of surrounding
muscles and tendons, or a fall that has caused the bone to
fracture. To be considered for the anterior approach, however, patients must have noncongenital degenerative arthritis and be under a certain body mass index (BMI).
Q: How long have you been offering this type of pro-
cedure to your patients?
A: I started employing the anterior approach 15
years ago, and after 1,000 cases I have determined which
patients are best suited for it. About 90 percent of my total
hip replacement procedures are performed anteriorly each
year because of the tremendous successes people experi-
ence during and after recovery. It is now same-day surgery
or an overnight stay in the hospital. There are no hip
replacement precautions ( 90 degree rule, pillow between
the legs at night) and there is less of a chance to have a
dislocation or uneven leg lengths.
Dr. Anthony Delfico, director of orthopedic surgery
Q: How is com-
Hospital was one
of the first in the
country to offer
joint replacement surgery. As a
specialist in total
and partial knee
rely on computer
navigation to help me cut the bone at precisely the right
location and align the prostheses accurately for a better fit,
better overall performance and longer-lasting result. We’ll
soon introduce a robotic arm to help with the cuts, making
us one of the first hospitals in the country to offer robot-assisted total knee replacements.
Q: How does one decide between a total knee
replacement and a partial knee replacement?
A: It is based on the amount of arthritis in the
knee. Partials last for about 15 years and offer smaller incisions, quicker recoveries and the mobility and function of
a natural knee. However, only a small number of patients
are candidates. The majority of patients have arthritis in
multiple areas within the knee, and the only way to eliminate their pain is with a total knee replacement.
Q: How is arthroscopy helping young athletes and
Anthony J. Delfico, MD.