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ARTHROSCOPIC ROTATOR CUFF REPAIR

February 9, 2017 in OADOC Blog

ARTHROSCOPIC ROTATOR CUFF REPAIR

Rotator cuff tears are a common cause of shoulder pain and disability.  While most tears are due chronic wear in middle-aged and older patients, they can also be caused by trauma in younger patients.  Patients usually complain of shoulder pain to the top and side of their shoulder and report difficulty with overhead activities.  The rotator cuff functions to provide stability for the shoulder as it is moved throughout it’s wide range of motion by the other muscles of the shoulder.  Any disruption to the tendon can cause significant weakness and pain due to altered biomechanics of the shoulder.  For partial thickness tears or inflamed tendons, non-operative treatments such as anti-inflammatory medication, injection and therapy can provide good long term improvement. However once a rotator cuff tear becomes full thickness where the tendon is no longer attached to the bone, surgery is typically the best option.  Because of the already chronic wear of the tendon and the constant pull on the tear, full thickness tears do not heal by themselves.  In fact there is a higher likelihood of worsening of the tear due to increased stress on the remaining portions of the tendon that are still intact, just like a tear in a seam in a piece of clothing.  Shoulders with chronic tears that are untreated have a higher likelihood of developing arthritis (figure 3). The surgery to repair the rotator cuff is done arthroscopically.  This is less invasive as it preserves the surrounding muscle, which allows earlier return of motion and is usually associated with less post operative pain than an open incision.  Arthroscopy also provides better visualization of the shoulder and allows the surgeon to address other injuries in the shoulder such as labral tear, biceps tendinitis, acromioclavicular joint arthritis.  The goal of surgery is to reestablish the tendon attachment to the bone and restore the normal biomechanical function of the rotator cuff tendon.  This is typically done as an outpatient procedure with 3 small incisions in the shoulder for the camera and instruments (Figure 1 and 2).   Patient are typically placed under general anesthesia and also given a regional anesthetic which numbs the shoulder and arm for post operative pain control. After surgery, patients are placed in a sling for comfort.  Immediately after surgery, they are allowed to do light daily activities such as typing, using eating and writing utensils.  Driving is allowed once patients no longer need narcotics for pain control.  Heavy lifting beyond 5 pounds is not allowed until at least 2 months after surgery to allow for adequate tendon healing.  Patients are allowed to do some limited lifting immediately post op as long as it is done with the elbow against the body (eg. pulling levers, assembly on a work bench etc.)  Return to full activities or sports usually takes 6 months; however patient may take upwards of 9 month to a year to fully regain strength and function of their...

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Dr. Alan Rechter Performs Three, First Of A Kind, Outpatient Total Joint Replacement Surgeries At OakBend Health System

December 1, 2016 in What's New

Dr. Alan Rechter Performs Three, First Of A Kind, Outpatient Total Joint Replacement Surgeries At OakBend Health System

Dr. Alan Rechter has successfully completed three, first of a kind, outpatient Total Joint replacement surgeries at OakBend Health System’s Metro Ortho and Spine Surgery Center. Until fairly recently, outpatient Total Joint replacements were rare. Now, because of advances in anesthesia, pain control and surgical techniques, outpatient Total Joint replacements are becoming a viable option for many patients. Ambulatory Surgery Centers (ASC) offer the same surgical team, anesthesia and implants as found in a more traditional hospital setting; however, an ASC provides a more intimate setting with an environment designed to optimize personalized care, attention and efficiency. While outpatient Total Joint replacement may not be an option for all patients, for the right patient, it can result in better outcomes, less risk of complications and infection, and a quicker road to recovery. Instead of being in the hospital for four to five days, the patients in an outpatient setting are in the ASC for less than 24 hours. “We have been at work on this initiative for over a year, and we are thrilled with the results seen today. We have already booked several more patients for either a total knee or total shoulder replacement surgery and based on these outcomes, we will continue to do so indefinitely,” stated Dr. Alan Rechter, the Orthopedic Surgeon who led the clinical team responsible for the successful surgeries. Metro Ortho and Spine Surgery Center of OakBend Health System located in Houston is managed by Elite Surgical Affiliates, a development and management company of surgical facilities, in conjunction with OakBend Health System. Elite and OakBend take great pride in seeking innovative and creative solutions for our surgical patients, making a difference in the communities we...

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Dr. Gregory P. Harvey was featured on Fox-26

January 28, 2016 in What's New

Dr. Gregory P. Harvey was featured on Fox-26

Humble Surgical Hospital’s Dr. Gregory Harvey was recently featured on FOX-26 TV’s morning news Health Watch. He discussed orthopedic needs for runners in conjunction with the marathon and half marathon that took place over the weekend in Houston. This was a wonderful opportunity to share news with the greater Houston area about our hospital and we thank Dr. Harvey for taking the time to participate in the...

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Dr. Harvey named 2014 Texas SuperDoctors®

January 1, 2015 in What's New

Dr. Harvey named 2014 Texas SuperDoctors®

Dr. Gregory P. Harvey has been named by Texas Super Doctors® as one of the top doctors in Texas for 2014. The number of doctors receiving this honor is limited to approximately five percent of the region’s active physicians. Each year, MSP Communications undertakes a rigorous multi-phase selection process that includes a survey of doctors, independent evaluation of candidates by the research staff, a peer review of candidates by practice area and a good standing and disciplinary check. As a part of this evaluation, physicians are asked to consider the following question: “If you needed medical care in one of the following practice areas, which doctor would you choose?” Since 2005, MSP Communications, has published Super Doctors lists across the country in newspapers, inserts and magazine special sections devoted to Super Doctors. Honorees are also found online at www.superdoctors.com, where selected doctors can be searched by name, medical specialty and...

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Orthopaedic Associates Adds Justin Chronister, M.D. to Practice

August 5, 2014 in What's New

Orthopaedic Associates Adds Justin Chronister, M.D. to Practice

Orthopaedic Associates is proud to add Justin Chronister, M.D. to their practice. Dr. Chronister practices general orthopaedics, which includes treatment of all types of sports related injuries, arthritic conditions and complex traumatic injuries of the extremities. Additionally, he specializes in less invasive and arthroscopic surgical techniques for conditions of the shoulder, elbow, knee and hip. Dr. Chronister will officially start with Orthopaedic Associates on August 18th. Dr. Chronister is a fellowship trained Orthopaedic Surgeon and a native of Houston, Texas. He has a keen interest in the management of cartilage and soft tissue injuries of athletes, as well as partial and total joint replacement of the knee and shoulder. Dr. Chronister’s training during his fellowship at the world-renowned Andrews Sports Medicine and Orthopedic Center focused on the management of complex sports injuries in elite level athletes and overhead throwers. As a result, he performs ulnar collateral ligament reconstruction in the elbow (Tommy John surgery), arthroscopic shoulder surgery for labral and rotator cuff tears, meniscal repair, ACL and multi-ligamentous reconstruction of the knee, cartilage preservation, patellar stabilization procedures, arthroscopic management of non-arthritic hip conditions and minimally invasive repair of athletic pubalgia (sports hernia). The physicians of Orthopaedic Associates, L.L.P., the oldest ongoing orthopaedic group in Houston, believe in the philosophy established by their founding fathers: a conservative approach to surgery, combined with personal attention, provides the best treatment of orthopedic injuries. Founded in 1950, Orthopaedic Associates was formed to provide excellent orthopedic treatment and surgery. State of the art facilities located in downtown Houston, Bellaire, Kingwood and in Katy, offer patients comprehensive treatment and surgery services close to...

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Which Houston Hospitals do Best in Surgery?

August 7, 2013 in What's New

Which Houston Hospitals do Best in Surgery?

HOUSTON — When you need to have surgery, how do you know which hospital is the best? Consumer Reports came out with its first-ever comparison of hospitals and how they do in surgery, and the big and famous hospitals didn’t do the best. Consumer Reports rated nearly 2,500 hospitals for common surgical procedures. They used medicare billing records and compared 27 kinds of surgeries, including hip and knee replacement, back surgery and surgery to clear blocked arteries. “We rated hospitals based on the percent of Medicare patients undergoing surgery who died or were hospitalized longer than expected which could indicate complications,” Consumer Reports’ Dr. John Santa said. In the Houston area, Consumer Reports says the top hospital for surgery in our area is Houston Orthopedic and Spine Hospital in Bellaire. “We concentrate on the things we specialize in that’s specifically bone, joint, and spine surgery. Our people do that all day every day and they become very confident and competent in it,” said Dr. Lee Ansell, the medical director of Houston Orthopedic and Spine Hospital. The next four hospitals rated as good places to have surgery are: St Luke’s Lakeside Hospital, Tops Surgical Specialty Hospital, Brazosport Regional Health System, and Houston Physicians Hospital. Consumer Reports lists the bottom five hospitals as Clear Lake Regional Medical Center, Memorial Hermann Memorial City, Nacogdoches Memorial, St. Luke’s Episcopal, and the Methodist Hospital. It was just a couple of weeks ago that Methodist was rated No. 1 in Houston and No. 1 in Texas in US News and World Reports’ survey of the best hospitals. People at Houston’s big hospitals tell me they disagree with Consumer Reports’ ratings. They say the Houston Medical Center hospitals take care of the sickest patients who are more likely to have a longer stay and worse outcome. “We know the ratings aren’t a perfect measurement but we think they’re an important first step in giving patients the information they need to make an informed choice,” Dr. Santa said. Experts agree we need to be able to compare surgery at different hospitals. The question is: Are Medicare billings the best way to do that? And here’s another thought: People who don’t have Medicare, are probably going to have surgery in the hospital that takes their...

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Surgeon stays active with U.S. Olympic Skiing Team

July 13, 2013 in What's New

Surgeon stays active with U.S. Olympic Skiing Team

Dr. Harvey continues as U.S. Ski Team surgeon.

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Spine surgeon backs least-invasive method

July 11, 2013 in What's New

Spine surgeon backs least-invasive method

Dr. Navin Subramanian operates Orthopaedic Associates LLP in Bellaire, the oldest ongoing orthopedic group in Houston. He says most spinal conditions can be treated without surgery, but when it is necessary, he performs them at Humble Surgical Hospital. “I at-tempt to use the least-invasive techniques available,” he said. “This generally allows most patients a quicker return to both work and enjoyable activities.” Download the PDF file...

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Dr. Harvey acknowledged in “Ultimate Kingwood” – Surgeon minds bedside manners

June 13, 2013 in What's New

Dr. Harvey acknowledged in “Ultimate Kingwood” – Surgeon minds bedside manners

by Mark DeHaven Seeing patients at Orthopaedic Associates LLP, performing surgeries at Grand Texas Surgery Center, PLLC and HHS Joint Venture, teaching at the University of Texas Health Sciences Center and acting as team physician for the U.S. Olympic freestyle ski team, Dr. Gregory Harvey is a busy man. Harvey enjoys his relationship with Grand Texas Surgery Center, PLLC and HHS Joint Venture, where he performs surgeries for patients he sees at his practice. “The hospital staff is very oriented toward patient comfort and recovery from surgery,” he said. “The hospital is physician-owned, so we can really dedicate our efforts to providing patients with superb medical care.” He says arthroscopic knee and shoulder surgeries for cartilage, ligament and tendon injuries are the most common surgeries with athletes. Can some of these injuries be avoided with certain preventive care? “Sometimes it is difficult to prevent serious injuries, but athletes can perform daily conditioning exercises that can be preventative for injury,” Harvey said. He said soccer and football seem to bring the most injuries. The sports medicine doctor, through his work with the U.S. Olympic freestyle ski team, travels annually to races around the world, where he acts as a triage doctor and medical advocate for the athletes in foreign countries as they compete in various tournaments. When on U.S. soil, Harvey takes time to teach his residents about positive patient interaction and appropriate bedside manner. “I tell my residents to take the time to really listen to the patients’ complaints and to be compassionate in their care,” he said. Harvey says the most enjoyable part about practicing sports medicine is seeing his patients bounce back from their injuries and resume daily and sports activities in a timely fashion. When he’s not at one of his many work obligations, Harvey can be found participating in 5K running races around the Houston area with his family. For more information on Orthopaedic Associates, call 281-358-4145 or visit www.oadoc.com. For more information on Grand Texas Surgery Center, PLLC and HHS Joint Venture, call 281 964-2100 or visit www.humblesurgical.com. PHYSICIAN INFORMATION NAME: Gregory Harvey, M.D. AGE: 55 OCCUPATION: Partner at Orthopaedic Associates LLP and clinical assistant professor of orthopedics at University of Texas Health Sciences Center COMMUNITY CONNECTION: Works in Kingwood FAST FACT: Harvey also has trained as a classical...

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Dr. Gregory Harvey awarded for his participation in Texas

June 1, 2013 in What's New

Dr. Gregory Harvey awarded for his participation in Texas

HealthTap is an Interactive Health company, founded by Stanford graduate in 2010. HealthTap’s stated mission is to provide personalized health information and to connect patients and doctors worldwide around the most basic interaction in health care: the medical question and answer. Download the PDF file...

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