Expert Health & Care Blog | Louisville Orthopaedic Clinic KY

Article List

Knee and Hip Replacement: The 3 week Post-Op Visit

Richard “Alex” Sweet II, MD Kate S. Hamilton, PA-C Richard A. Sweet, M.D. (Retired 2022)

Patients who are at low risk for developing blood clots are typically placed on aspirin 325mg once daily for 6 weeks post op. Patients with bleeding risks may be placed on baby aspirin (81mg) instead. Patients at higher risk for blood clots may be placed on more aggressive blood thinners such as Plavix, Coumadin, Xeralto, or Eliquis for varying lengths of time.

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Ankle Fractures: Surgical vs. Non-Surgical

Richard “Alex” Sweet II, MD

The ankle is made up of two bones, the tibia (shin bone) and fibula (the bone on the outside/lateral aspect). The tibia ends with two bony prominences, the medial (inside) malleolus and the posterior (in the back) malleolus.

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The Anterior Approach to Total Hip Replacement

Richard “Alex” Sweet II, MD

“Anterior” is a medical term used to describe a location on the body more towards the front. The incision is in the area near your front pants pocket. A tradition posterior approach has an incision near your back pants pocket.

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Computer Navigation Total Hip Arthroplasty – The Hip “Xpert”

Richard “Alex” Sweet II, MD

A computer is used to improve implant positioning compared to traditional methods in an attempt to reduce complications. Robots and computers offer levels of precision and accuracy far beyond the natural capabilities of any surgeon. Recently, there has been an increasing trend towards incorpo-rating robots and computers in surgery.

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Elbow Fracture: Olecranon, Radial Head, Distal Humerus

Richard “Alex” Sweet II, MD

The elbow joint is made up of three bones, the radius and ulna (forearm bones) and the humerus (upper arm bone). Any of these three bones can be broken and most require surgery to regain any function of the elbow. These bones work in synergy with a complex set of ligaments and tendons to form the elbow “hinge” joint that allows for forearm rotation.

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Hip Fractures: Intertrochanteric, Subtrochanteric, and Femoral Neck

Richard “Alex” Sweet II, MD

The femur (thigh bone) at the level of the hip is made up of 4 different parts: the head, neck, greater trochanter, and lesser trochanter. Fractures can occur anywhere within these 4 regions. Typically, isolated greater trochanteric fractures can be treated non-operatively.

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The Journey II Total Knee System: A Step Ahead – An Evolutionary New Design

Richard “Alex” Sweet II, MD Kate S. Hamilton, PA-C Richard A. Sweet, M.D. (Retired 2022)

It is a common misconception that the human knee functions as a simple hinge joint, with straight up and down flexion and extension. In reality the motion of the knee is much more complex, with six degrees of motion (not just the two of a hinge). As the knee bends and straightens, it also rotates internally and externally and slides front to back.

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Knee Trauma: Fractures of the Patella, Tibial Plateau, and Distal Femur

Richard “Alex” Sweet II, MD

The knee joint is made up of three bones. The femur (thigh bone), the tibia (shin bone) and the patella (kneecap). These three bones work together with a complex group of ligaments to form the knee joint. Fractures of the knee are very common and typically require surgical stabilization.

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How to Prepare for Knee & Hip Replacement Surgery – What the Patient Can Do

Richard “Alex” Sweet II, MD Kate S. Hamilton, PA-C Richard A. Sweet, M.D. (Retired 2022)

There are many things a patient facing knee or hip replacement surgery can do for themselves in preparation for surgery to increase their odds of a favorable outcome and a smooth rehabilitation. Some of the things listed below are easy to accomplish, while others require a great deal of effort.

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Rapid Recovery Total Joints

Richard “Alex” Sweet II, MD Kate S. Hamilton, PA-C Richard A. Sweet, M.D. (Retired 2022)

With newer advancements in minimally invasive surgical techniques along with the development of multimodal pain control, the timeline after total joint replacement is dramatically improved. Early efforts at mobilizing the patient are made on the day of surgery.

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What our patients are saying

Shaun H.

I was able to get a office visit on short notice. It seemed to be a very busy day. Rebecca took the time to listen to all of my issues and discuss a plan for additional treatment. I have always been impressed with her knowledge and bed side manner.

Joanna S.

Dr Goodin has replaced both of my knees this year with excellent results. He and Carly listen to my concerns, act promptly and work hard to make this journey the best it can be. Carly and Dr Goodin both have GREAT bedside manner and I feel I am in expert care with them.

Sara G.

Dr. Richardson is the best! He did shoulder decompression surgery for me many moons ago and has continued to treat me for other shoulder, arm, and back issues since. I would recommend him to anyone!

Juanita S.

The New Albany office of Louisville Orthopedic is full of terrific people who know what excellent customer service is about! From the front desk to the lab, they are great. Doctor Lewis is my surgeon and I love him. He’s good at what he does and he’s compassionate. I would recommend him to anyone.

Erin Z.

This was my first time at Louisville Orthopaedic Clinic and I saw Melissa Parshall PA-C. I was very impressed with how fast I got in, had x-rays, and met with her. She was very thorough and extremely friendly. So glad A friend told me to come see you guys! Thank you!

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