80 April 2015 NJMONTHLY.COM
Special Advertising Section
A: Not long ago, if you blew out your knee you
were done with sports. Today, we are arthroscopically
building new anterior cruciate ligaments (ACL) and returning people to the activities they love. At Valley Hospital
and Ridgewood Orthopedic Group, we offer arthroscopic
care for the knee, shoulder, hip, wrist and ankle. I specialize in ACL reconstructions and the repair of torn
cartilage in the knees and shoulders. Most of this is done
arthroscopically, which involves inserting a scope into a
tiny incision in the joint and repairing the damaged tissue.
INSALL SCOTT KELLY INSTITUTE
Dr. Michael Kelly, chairman of orthopedics,
Hackensack University Medical Center
Q: How do
you track the
success of your
A: My New
York City practice
the research of
patients we’ve been
following for the
last 30 years. The
surgeries had been
performed in the
mid-1980s on active people under age 55, and the expec-tancies have been outstanding. We found that after 20
years, roughly 90 percent of knees needed no revisions,
and after 30 years more than 70 percent of knees still functioned well (in patients who were alive and mobile). This
shows that we can offer an excellent long-term solution to
young and active people.
Q: What advancements have led to the longer life
span of a reconstructed knee?
A: Plastics used to wear out and the particles
Q: What types of improvements are on the horizon
would cause the bone to deteriorate and the components
to loosen. Today’s new cross-linked plastics provide sig-
nificantly improved wear resistance for the joint’s bearing
surface. We’ve also made major improvements in implant
designs. We now have several options for femoral and
tibial implants. This allows us to reproduce the anatomy
of the knee joint far better than we’ve ever been able to
before. Proper biomechanics allows for better overall func-
tion and longevity.
in your field?
A: Today, the vast majority of implants are secured
to the bone with cement. This has been the gold standard
of care since the early 1970s, and has been a very successful approach. However, orthopedic surgeons are continuing
to advance the design and development of an uncemented
total knee, and although it is still somewhat controversial,
it is gaining popularity.
KAYAL ORTHOPAEDIC CENTER, PC
Dr. Robert A. Kayal, founder, president,
and chief executive officer
Q: You are
different type of
total knee procedure. Can you
use a technique
called personalized patient-specific total
surgery for fully
involves an MRI image and preoperative planning tools,
Michael A. Kelly, MD.
Robert A. Kayal, MD, FAAOS.