Elite PA Surgical

06/05/2023

05/02/2018

Many people ask after surgery if there is anything they can do to speed up or healing. Besides time and compliance to your treatment plan, also plays a role.

An orthopedic procedure can place immense stress on the body’s metabolism. A well-balanced and nutritious diet becomes indispensable for proper tissue growth, repair and speedy recovery.

This is a list of the top nutrients that act as building blocks during the post-operative period. Consuming adequate amounts of these nutrients aids a quick and healthy recovery. Most of these nutrients can be easily obtained from food that we regularly consume.

1. Protein

Protein has shown to attenuate bone loss, reduce the probability of post-surgical infections and increase bone mass.

Recommended intake:

1 to 1.2 grams of protein per kilogram body weight

2. Calcium

Calcium acts in synergy with protein for bone formation.

Recommended intake:
600-1,000 milligrams of calcium a day

3. Vitamin D

Vitamin D works with Calcium to promote bone health, helping our body absorb and utilize calcium.

Recommended intake: 800-1000IU/day

4. Vitamin C

Vitamin C boasts of antioxidant properties and hence is an integral part of our body’s immune function, especially wound healing. Vitamin C also helps in collagen synthesis, which is required for repairing tendons, ligaments and healing other surgical wounds.

Recommended intake:

500 mg/ day x 50 days or 1000mg 5 days before surgery and continue that dose for 1-2 × weeks after

5. Zinc

Zinc has been shown to aid wound healing, unite bone fractures and prevent osteoporosis due to its role in collagen synthesis.

Recommended intake: 50mg 2 weeks before and 2 weeks after

6. Omega 3

Omega 3 fatty acids are known for their anti-inflammatory properties and their role in bone formation. DHA and EPA found in fatty acids have shown to aid bone formation and prevent bone loss. They also boast of anti-inflammatory properties that that protects against the disease causing agents of the bone.

Recommended intake: 2,000-3,000mg/day for two weeks after surgery

7. Probiotic and Fiber

Antibiotics given in the peri-operative period can cause natural stomach gut flora "good healthy bacteria" to get destroyed. Consuming a probiotic before and after surgery can help to rebuild the healthy flora in your stomach. Pain medications that are prescribed after the surgery can lead to digestive problems like constipation. As such fiber-rich foods along with drinking plenty of water can have a laxative affect that can help with constipation.

Please consult with your primary care physician prior to taking any dietary supplements. The doses are generalized recommendations but each person may have different nutritional needs based on food allergies, dietary restrictions, or other gastrointestinal absorption syndromes. The benefits of having a nutritionally balanced, or even "boosted" diet in the post-surgical period have been found to have benefits for faster and healthier recovery.

07/01/2018

Start the year off right.
The health and strength of our bones rely on a balanced diet and a steady stream of nutrients, calcium and Vitamin D.

Calcium is not made in the body — it must be absorbed from the foods we eat. To effectively absorb calcium from food, our bodies need Vitamin D.

If we do not have enough calcium in our diets, it is removed from where it is stored - in our bones! Over time, this causes our bones to grow weaker and may lead to osteoporosis — a disorder in which bones become very fragile.

Some of the top calcium-rich foods are:
1. Cheese
2. Yogurt
3. Milk
4. Dark green leafy vegetables (e.g., broccoli, kale)
5. Beans and peas

The health of our bones relies on a balanced diet and a steady stream of nutrients, most importantly, calcium and Vitamin D. Calcium is a mineral that we need to build strong bones and teeth. It is not made in the body, but must be absorbed from the foods we eat.

03/01/2018

We're off to a great start to 2018! Thank you , we are excited to be able to care for such a special community in a facility that focuses on excellence. Can't wait to see what else is in store in the coming year.

Learn more about Sports Injuries in the Knee from our January Spotlight:
https://www.texashealthsouthlake.com/presidentsBlog.php

14/12/2017

As a fan and healthcare provider, it is so humbling to hear speak of his with such confidence and determination to overcome. Recovery from is part surgeon dependent part patient dependent. For all those who are in the process of let this be to you.

19/11/2017

What is a proximal injury?

With the NFL season in full swing, so are the hamstring injuries.

Muscle overload is the main cause of hamstring muscle strain. This can happen when the muscle is stretched beyond its capacity or challenged with a sudden load.

Hamstring muscle strains often occur when the muscle lengthens as it contracts, or shortens. (such as sprinting or water skiing) Although it sounds contradictory, this happens when you extend a muscle while it is weighted, or loaded. This is called an "eccentric contraction."

American Academy of Orthopaedic Surgeons
https://orthoinfo.aaos.org/en/diseases--conditions/hamstring-muscle-injuries

Thank you Arthrex for providing this great video on open versus endoscopic surgical treatment options.
https://d1psc3qesfsa61.cloudfront.net/videos/m-7i8Q97dUSrXgFO28O1OA/m-7i8Q97dUSrXgFO28O1OA_h264-high-720.mp4?Expires=1511076565&Signature=IP4HZk02iSLV4Ji5iUHwfRrL8bFLh0QMLscdA1qn~j1v4N2BXpG-lKnYIU0gjIqtS9NrQP0gPiNfsATOpHbFAK8rim3u~qNsNPERgQzMRarmxaA3EjLXvBr8Q4thcdiIw-ya2Ydltcvii1hhDy-v2mTqW-CckDSsTwW0~mparM9PGgjq3Vyar2ApKjRWOj3L8lHJJXukyZZPfyzVYF0fzJ6-wZWm2bEDppVchbVuNrVFJ9Um5jSHpidHmP2GNFdNW8lmjBbAR~zoKU~LGNQqjsvj3vIJmFHbDazEd5Ycl6-YDYe0CjJvP8S6Rf9dYjLB7zqezzp3f8sBgqlmq7o0jw__&Key-Pair-Id=APKAJMGJRW6JX5OBM5LA

10/11/2017

What is a "custom knee replacement?"
Zimmer Biomet

Zimmer® Patient Specific Instrumented (PSI) computer-assisted navigation technology using the Zimmer's® most advanced Persona® knee replacement implants.

10/11/2017

How do you make your look good?
One word... . I tell my patients that the success of your is partly in your hands. And it starts BEFORE surgery.

Aim to , surgery is just a part of your journey.

https://www.healthline.com/health/total-knee-replacement-surgery/exercises

Discover 10 exercises you can perform prior to knee replacement surgery that will strengthen your knee and help you recover faster.

30/10/2017

It may surprise many to learn that, even if joint replacement patients live alone, the overwhelming majority recover equally well and may experience fewer complications if they go home directly from the hospital and get outpatient rehabilitation instead of spending days or weeks in a costly rehab facility.



https://www.nytimes.com/2017/04/24/well/live/after-knee-or-hip-replacement-no-place-like-home.html

Patients recover equally well and may experience fewer complications with outpatient rehabilitation, studies show.

28/10/2017

The Female Athlete Triad is an interrelationship among menstrual cycle changes, inadequate calorie intake and decreased bone density in female athletes.

If you suspect that you or someone you know is affected by the Triad, you should make an appointment with a sports medicine physician familiar with the Triad

The mainstay of treatment of the Triad is increasing calorie intake to improve energy availability.

http://www.stopsportsinjuries.org/STOP/STOP/Prevent_Injuries/Female_Athlete_Triad.aspx

Female Athlete Triad Injuries injury prevention information. Tips on preventing Female Athlete Triad Injuries injuries and identifying overuse and trauma injuries in women.

18/10/2017

Hip arthroscopy is a surgical procedure that allows doctors to view the hip joint without making a large incision (cut) through the skin and other soft tissues. Arthroscopy is used to diagnose and treat a wide range of hip problems.

During hip arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your hip joint. The camera displays pictures on a video monitor, and your surgeon uses these images to guide miniature surgical instruments.

Because the arthroscope and surgical instruments are thin, your surgeon can use very small incisions, rather than the larger incision needed for open surgery. This results in less pain for patients, less joint stiffness, and often shortens the time it takes to recover and return to favorite activities.

http://orthoinfo.aaos.org/topic.cfm?topic=A00572

15/10/2017

Managing combined ACL–MCL injuries with early surgical ACL reconstruction and bracing of the MCL offers many theoretical and practical advantages to late surgical reconstruction.

https://t.co/f3QNSmwEi0

13/10/2017

Healthy Bones at Every Age

Between 30 and 50 Years of Age
After you reach your peak bone mass, you will begin to gradually lose bone. All through your life, your body is continually removing old bone and replacing it with fresh bone.

After age 40 less bone is replaced. At this stage in life, getting enough exercise and calcium (1,000 mg) and Vitamin D (1,000 IU) every day, are crucial to minimizing bone loss.

http://orthoinfo.aaos.org/topic.cfm?topic=A00127
AAOS Members

07/10/2017

A Closer Look at ACL Tears in Male and Female Athletes

Female athletes sustain ACL ruptures at a higher rate than their male counterparts. The cause of this discrepancy is unknown and likely multifactorial.

The results of this work suggest that landing on a stiff, extended knee may predispose athletes to anterior tibial translation and put them at risk for ACL rupture.

As athletic participation continues to increase, especially among females, a focus on maintaining appropriate knee flexion during high-risk activities may help to prevent future injury and improve postoperative rehabilitation.

https://www.aaos.org/AAOSNow/2017/Oct/Clinical/clinical06/?ssopc=1

Study aims to improve understanding of the knee position at the time of ACL  rupture

03/10/2017

SHOULDER REPLACEMENT DOES NOT MEAN GOODBYE TO SPORTS

"Individuals with chronic shoulder pain from degenerative arthritis, rotator cufftears that are not repairable, and fractures are the most common candidates for shoulder replacement...
The standard recovery period following shoulder replacement surgery is six months...
Multiple studies have monitored shoulder replacement patients for short- and long-term outcomes and have reported exceptional results. Various studies report between 75–90%return to their exercise of choice; specifically research indicates the highest return to swimming, fishing, golf, and tennis... Instead of limiting patients’ activities, shoulder replacement surgery has proven to be tremendously successful at returning individuals to their activities and passions they were once unable to enjoy due to pain."

http://www.sportsmed.org/AOSSMIMIS/members/downloads/InMotion/index.html?page=1

In the Fall 2017 publication of In Motion by the American Orthopedic Society of Sports Medicine

27/09/2017

Cortisone injections for the management of knee osteoarthritis - a nonsurgical option.

AAOS Online Newsroom official site for press releases, photos, video, audio, pr contact information, presskits and more.

20/09/2017

What does my blood glucose have ANYTHING to do with surgery?

Preoperative glucose control can dramatically affect surgical outcome. "more than 8 % of patients undergoing primary or revision total hip and knee arthroplasty had diabetes... these patients had increased odds of specific perioperative complications such as pneumonia and need for transfusion, and experienced greater incidence of stroke, urinary tract infection" and surgical site infection.

The aging of the U.S. population is leading to an increasing number of surgical procedures performed on older adults. At the same time, the quality of medical care is being more closely scrutinized. Surgical site infection is a widely-assessed outcome. ...