kevinjchoomd
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17/01/2024
Thank you for the recognition!
We’re proud to be included in the Castle Connolly Top Doctor list since 2022.
12/01/2024
Our postoperative patient asked us to share this.
Prior to hip surgery, he was in significant pain and having limitations with one of his favorite activities: golf. Within months of the procedure he was back to playing at a high level, walked 50 rounds of golf this summer and successfully shot his age— which was one of the goals we talked about prior to surgery. Thanks for sharing!
15/11/2023
Total knee replacement
Patients often ask what actually happens during total knee replacement. A lateral XR can be helpful to show that this is, essentially, a knee resurfacing procedure.
Remnants of cartilage as well as a thin layer of underlying bone are removed, and replaced with size-matched metallic “end caps.” Between them is a radio-opaque (invisible on X-ray) plastic cushion.
Similarly, when there are severe degenerative changes to the patella (kneecap), the backside is removed and a plastic cushion inserted in its place.
14/11/2023
Total hip replacement
23/08/2023
Total knee replacement
23/08/2023
I’m proud to be a faculty member at the upcoming AAOS/MSIS course “Diagnostic and Treatment Dilemmas in Periprosthetic Hip and Knee Infections”
The course is taking place virtually on October 13, 2023.
Registration information available on the AAOS website.
03/05/2023
Total hip replacement (anterior approach)
18/04/2023
Total hip replacement (anterior approach)
24/03/2023
Bilateral total knee replacements (computer assisted)
Improving mechanical alignment can make a significant difference for patients with valgus (“knock-knee”) deformity.
08/02/2023
Total hip replacement (anterior approach)
13/01/2023
Total knee replacement (computer assisted)
04/01/2023
Total hip replacement (anterior approach)
16/12/2022
Patellar resurfacing has potential advantages and disadvantages in total knee replacement.
Similar in concept to partial joint replacement, the philosophy is to only replace affected portions of the knee joint and leave the remainder untouched.
In some patients, a selective approach can be appropriate.
13/12/2022
Total knee replacement (computer navigated)
06/12/2022
Total hip replacement (anterior approach)
02/12/2022
Knee revision/ conversion from a unicompartmental knee replacement (partial knee)
This patient presented for a consultation after aseptic (non-infectious) loosening of his partial knee replacement. The tibial component was loose and rotated.
We began by removing the prior components. Computer navigation can be helpful to plan the new bone cuts in this scenario ( ). To fill the contained bone defect in the tibia, we used screw/ reinforced cement (“rebar”)
28/11/2022
Total hip replacement (direct anterior)
17/11/2022
Total knee revision arthroplasty (replacement)
This patient presented with aseptic (non infectious) loosening after a total knee replacement performed several years ago.
X-rays showed loosening, subsidence and bone loss to the medial tibia.
To address the bone loss, we reconstructed with a porous metal cone, an augment (thicker portion medially) and long stems to anchor the implants.
09/11/2022
Total knee replacement (computer navigated)
18/10/2022
Total hip replacement/ conversion hip replacement.
Patient presented with hip osteomyelitis (infection) treated with a hip resection (removal) and antibiotic- loaded spacer [left]. The spacer delivers high concentration of antibiotics directly to the affected area.
Following prolonged antibiotics, and clearance of the infection, they can be “converted” to a hip replacement [right].
20/09/2022
Total knee replacement (cementless/press-fit, computer-navigated)
Cementless/ press-fit knee replacements can be a good option for younger patients with good bone density. They achieve a biological bond through bone ingrowth, compared to cement/grout fixation.
04/09/2022
Total hip replacement (anterior approach)
10/08/2022
I’m honored to be selected as one of the ‘40 under 40’ for Westchester County!
Thank you to the
09/08/2022
Total hip replacement (anterior approach)
28/06/2022
28/06/2022
Total knee replacement (computer navigated)
24/06/2022
Total hip replacement (anterior approach).
For certain patients with lower bone density (osteopenia/ osteoporosis), we often use a slightly different implant design which is cemented into place. The advantage is a lower risk of femur fracture. This can be done through an anterior approach.
23/06/2022
Hip hemiarthroplasty conversion after failed fixation for intertrochanteric femur fracture
22/06/2022
Conversion Total hip replacement (anterior approach). Removal of hardware was possible through the anterior incision; we were able to cannulate the screws and remove at the time of replacement.