At age 48, Glenn Borsky was young to be a hip replacement candidate. But when he was 29, a congenital condition of his left hip began to worsen, causing him to walk with a constant limp. Throughout his thirties and forties, pain dominated his life. Mr. Borsky found it progressively difficult to get around; the simple act of getting in and out of a car was excruciating. "Even lying in bed was agonizing," said Borsky. "I couldn’t get comfortable."
Borsky set about finding a surgeon who would be able to relieve his pain and restore his mobility. His search produced Bryan Nestor, MD, at HSS. An orthopedic surgeon experienced in both the standard and mini-incision hip replacement techniques, Dr. Nestor determined that Mr. Borsky, who was otherwise in good health and physically fit, was a candidate for the latter approach.
The mini-incision approach, pioneered by Thomas P. Sculco, MD, HSS Surgeon-in-Chief, produces a much smaller, less noticeable scar by employing customized techniques and instrumentation to lessen the trauma to the tissue. In the more than 2,000 patients Dr. Sculco and his colleagues are currently monitoring, there has been no greater incidence of problems with the modified incision.
As less trauma during surgery and reduced post-operative pain often means patients can rehabilitate more quickly, Borsky took the opportunity to enter a specially designed "fast track" physical therapy program. Just a few hours after the surgery, his physical therapist helped him get out of bed to begin his exercises.
Says Janet Cahill, PT, Clinical Supervisor of Inpatient Rehabilitation, "Patients are amazed at how well they do so quickly after surgery and that they are allowed to walk so soon."