Case Study: Primary Knee replacement with custom instrumentation in a 63 year old male

A 63 year-old male who was referred to our clinic with end-stage left knee arthritis for consideration for a Total Knee Replacement. We assessed him at our clinic, including his medical history and his suitability for surgical management of his arthritis.

We ultimately deemed him to be a candidate for knee arthroplasty surgery, and were also able to offer him Patient-specific knee Instrumentation surgery. This involved sending Mr. TF for a knee MRI that he otherwise would not have received if he were receiving standard knee instrumentation surgery. This scan was then sent to the implant company who then used it to create instruments for use during the procedure that were specific to Mr. TF’s knee anatomy.

These custom instruments allowed us to make specific bone cuts that matched the inner surface of the knee prosthesis. The advantage of these cuts is that they would result in minimal amounts of bone being removed to complete the procedure. The steps in the procedure itself do not change, and the components implanted match the outer surface geometry of standard implants in order to replicate optimized biomechanics.

Mr. TF recovered very well from his procedure, and was discharged from hospital the day after his surgery. He is doing well 1 year after his surgery, and is pleased to have had the opportunity to have benefited from instrumentation specific to his anatomy, and would recommend it to anyone who has a similar opportunity.

Pre-op

Primary Knee replacement with custom instrumentation in a 63 year old malea

Post-op

Primary Knee replacement with custom instrumentation in a 63 year old maleb

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Complete Orthopedics

5.0

Based on 96 reviews

No one likes going to the doctor. But these people make it painless. I go for knees, hips and shoulders. At almost 70 Complete Orthopedics keeps my active life style running smoothly. Whether chasing my Grandson and even surfing again, I highly recommend them!!

Thomas Slavin

15:02 02 Mar 23

Dr. Kuo knowledgeable and competent surgeon- very good experience and more importantly great result.

Joseph McCoy

21:23 25 Feb 23

Dr Vaksha was so kind and helpful. He took extra time with us and explained things so thoroughly. Highly recommend. Office very clean.

Susan Bosinius

20:20 19 Feb 23

Dr Vaksha, is a great doctor very professional knows what he talking about. Treat patient with upmost respect. Thank You

Troy Spencer

16:46 19 Jan 23

Dr. Karkare is an amazing doctor, very caring and attentive, the girl at the front desk is very kind and helpful. .elizabeth .thank you so much .

blanca ventura

21:32 26 Oct 22

Been going to this place before my accident and after I had my knee surgery. So happy how I been treated and how well I am getting. Thank you all and specially Dr. VAKSHA for everything and getting back on track.

Ita Opico

19:01 25 Oct 22

Love this place From the minute I called I was treated kindly. When I arrived The Dr saw me right away he was compassionate and ordered the appropriate tests for me. I came back in for my follow up and had the same great experience.

Christine Rostock

21:28 23 May 22

Dr Vaksha and Dr karkare are 2 of the best orthopedic doctors around my wife Susan had a very serious broken ankle in March of 2019 she didn't think she was going to walk again Dr vaksha did an excellent surgery on her ankle he said it was his toughest he ever did he put a lot of hardware in her ankle and told her she would be alright she made remarkable recovery thanks to his surgery as of now she regained 100 percent use of her ankle she would highly recommend him to anyone. My own experience with Dr karkare has been wonderful he takes his time with you listens to what you have to say and prescribes various treatments and is very caring I would highly recommend him to anyone I would give both doctors a 10 plus rating we are very happy with them the best.

Harry Jones

23:31 19 May 22

Complete orthopedics is a wonderful place to go when you hurt or injured a great staff and wonderful doctors very knowledgeable and helpful I would recommend this place to all of my family and friends that is in me of orthopedic care I give them 10 thumbs up

Wayne Pemberton

17:39 18 May 22

The staff is very professional and helpful. Dr. Vaksha is excellent. He takes time to listen and offer suggestions to help you get better. I’m very thankful and happy to be a patient here at Complete Orthopedics.

Phoenix Rising

19:54 16 May 22

Dr.Karkare is the best. He listens to everything and explains everything I recommend him to everyone. I am so happy he is my doctor.

Myrna James

00:48 13 May 22

Dr.Kuo is amazing very attentive,caring,and passionate and staff is awsome too.Thank you for everything Dr.kuo.

Erick Murillo

23:17 12 May 22

I was in a car accident November 1 I was referred to Dr. Vaksha For shoulder surgery . I he was amazing he made me feel very comfortable and explained everything that was going to happen from surgery all the way through my physical therapy highly recommend Dr. Vaksha

Yolanda Ojeda

19:37 09 May 22

My appointment with Dr. Vaksha was amazing. Dr. Vaksha was very thorough and kind. I would refer this office to anyone who needs a great orthopedic doctor.

John Senechal

19:54 05 May 22

Scheduling my appointment was quick and easy. The staff was super friendly and down to earth. I was seen on time. The appropriate test, “x-rays” were taken before the conversation with doctor, something I really liked, test for analysis and conversation was done upfront. Dr. V had a great personality and was no BS, straight forward diagnosis and a play on next steps. I am happy I found them and would refer them to friends and family.

Sam

00:46 03 May 22

I have seen Dr. Kuo two times already and he's awesome along with his staff. Very friendly office and I'm glad to be a patient here.

Camaris A

20:01 28 Apr 22

Amazing team!! Very caring, profesional, and friendly!! Dr. Kevin Kuo, you are the best, very passionate, caring, and helping thank you for getting me better and being so kind to me! Elizabeth you the best thank you for you help always and you big smile and positive actitud❤️🙏🏼

breidy valerio

19:01 22 Apr 22

The staff is truly exceptional, they make you feel comfortable and welcomed. The doctors are amazing,always professional, compassionate and great listeners.

Elizabeth Collado

03:25 09 Apr 22

What a great place! The place is clean and organized.The staff is wonderful. Setting up physical therapy is right there as well.I'm so glad I found this place.

Donna Anne

22:45 05 Apr 22

This was my 1st time breaking something in my 27 years on this planet. I was recommended here by a friend Dr. Vashka helped me from day 1 and still continues to check in on me and my healing ankle. Would highly recommend

tyron davis

16:06 01 Apr 22

Brand new office, same great doctors! Rooms are clean, plenty of parking, physical therapy attached, Dr. Karkare and his staff are awesome. Thank you!

Emily B

02:49 24 Mar 22

Dr.VAksha is the best, I love the way he treats me as his patient, he is caring,understanding and very attentive to my needs

Mirna Caballero

14:53 03 Mar 22

Great staff. Dr. Vaksha is awesome and takes the time to listen to his patients. He is very compassionate. I would highly recommend this office.

Bebe Doyle

01:24 23 Feb 22

After suffering from a severe ankle injury Dr. V was able to help me heal and return back to work completely to a job where I stand for 12 hours a day. The office is very clean and I appreciated the reminders of my appointments via phone call and through text. The patient portal made it easy for me to access all my documents including work notes. The office staff is wonderful and Rebecca was able to schedule me with a busy schedule and awesome at answering all of my questions including referring me to a great physical therapy office. I highly recommend this office to anyone who’s looking for knowledgeable and kind orthopedic office.

Elizabeth Birchwell

21:31 28 Jan 21

The staff here are great, I was seen at the time of my appointment and was well taken care of!

Shaun Berry

18:14 07 Jan 21

They are an excellent practice. The front and back office people are amazing and so helpful. Rebecca is such a kind and understanding person. I had an issue with paperwork and she cleared it right up. Dr. Karkare is very knowledgeable, helpful, and caring.

Matt S.

19:31 18 Nov 20

Rebecca K. - What a true burst of sunshine. Very friendly and definitely an asset to the practice!

Laura Aston

18:17 17 Nov 20

Great experience, the Doctor is nice but the staff is incredible. I worked with Linda, who was profession and assisted me beyond what any person has done at other practices. Complete Ortho should be complimented for having such a person on their staff.I highly recommend this place!!!

Joe Allen

17:26 17 Nov 20

Linda and Becca they are so good ever time I come they are very nice I would tell everyone I no to come to this office..

Barbara Victor

16:45 17 Nov 20

I was rear ended in an auto accident , Dr Vashka was recommended by a friend of mine .I was experiencing Back , neck , and shoulder pain . After a thorough examination and given exercises to do at home , I am feeling much better , and I ended up avoiding surgery . The staff at Complete Ortho is extremely attentive and show great care when making an appointment and are very friendly and i never waited more than 5 minutes for my appointment . So I would strongly recommend Complete Orthopedics for any aches and pains that one might be experiencing.....

Bill Becht

04:44 17 Nov 20

It was the afternoon of Friday Sept. 24. We were in Pt. Jefferson and my wife, Mary Ann, broke her hip. We went to Mather Hospital and it was determined that she would have to have an operation to have it repaired. This would be her third time under the knife in the past year. It just so happened that we were very fortunate enough to have Dr. Karkare, who was on standby, perform the surgery. He put in a rod and two screws in her hip. She spent a few days in the hospital and then went to Gurwin rehabilitee for another few weeks.It has now been almost six weeks and we both worked the election the other day. If it wasn’t for Dr. Karkare’s expertise she never would have been able to work. She is able to walk with a walker and is doing physical therapy three times a week.We can not thank the doctor enough for the compassion and dedication that he puts into his work. It allows Mary Ann do the things that she likes to do, even on a limited basis for a while. I know that with her will, perseverance and the great work that the surgeon performed she will be back on her feet in no time.Sincerely:John V. PlumpEast Northport, NY 11731

Jack Harris

14:36 06 Nov 20

In the year of 2018 I was referred to Dr. Karkare because I was experiencing severe knee joint pain. After exhausting physical therapy and trying to labor through the pain, I had to make a quality of life decision. Total knee replacement was the only viable option. Dr. Karkare made my decision easy as he walked me through the whole process from surgery to recovery.On 12/13/19 ( Friday the 13th) I enter Lenox Hill Hospital in great hands. From the time I entered Dr. Karkare’s office for the first time until now, his staff has been amazing. Andrea the medical coordinator walked me through all the paper work and necessary preparations for the surgery. Courtesy and kind would be an understatement. Dr. Karkare went over and beyond from the wellness checks and phone calls all to assure me that I was important to him. This was the right decision no pain and no limp. Complete Orthopedics should be your choice!

Kenneth Randolph

22:18 25 Sep 20

Dr. Vadshka has a great bedside manner. He really takes his time and explains treatment options.

T Lee

12:33 09 Sep 20

I suffered with pain in both knees for years. My orthopedic doctor kept recommending knee replacement . I fought it for years, as I was just afraid. When I had no choice and could barely walk , it was recommended I see Dr. Karkare. We set up a consultation and my wife and I left his office feeling totally confident and comfortable with moving ahead with the surgery. He explained everything to us, and the office staff set everything up for us and made the process easy. So about one month after our initial meeting I had the first knee done. I was up walking mere hours after the surgery, and on the workout machines the next morning. I went home two days after the surgery, and yes walked my daughter down the aisle at her wedding only one week after the surgery without even a cane! Three months later I had the other knee done and went home the very next day. Dr. Karkare put my fears to rest . I would highly recommend him. His expertise gave me my life back. Thank you Dr. Karkare.SincerelyVito Congro

Ethel Congo

23:58 12 Aug 20

Dr Rhodin really cares for his patients. When I see him he makes sure to review my progress in detail.

Micki Cahill

15:03 08 Feb 20

My mom had a total hip replacement by dr karkare. He is the BEST orthopedic doctor.Her incision is almost invisable.She is going back for her other hip next week. The office staff is the best, love Andrea.You wont find a better doctor.

Ryan Brigandi

21:06 13 Jul 18

There is no better Orthopedic doctor you will find. Broke my ankle three places on a Saturday. Called Dr. Karkare. He had is team ready at the hospital and operated on me within 6 hours after my injury. Now After 3 months of great care by him and his staff, I am walking to normalcy.

Spacecom Tel

04:13 23 Mar 18

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