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For more information on Uni-Knee or Partial-Knee
surgery, as well as a list of my
upcoming seminars, please visit...
WWW.UNIKNEE-NEBRASKA.COM or
WWW.PARTIAL-KNEE.COM
Animation
of partial knee replacement
Animation
of total knee replacement
Animation
of total hip replacement
Upcoming Free Seminars
Curriculum
Vitae
Dr.
Kelly’s Hip and Knee Information
Things
for the patient to do before having surgery
Dr
Kelly Feature from Alegent's 2003 Annual Report
 
Dr
Kelly’s Hip
and Knee Information
I have been in the
practice of Othopaedics in Omaha, Nebraska since July 1985. I was raised
in Rochester, Minnesota and had early exposure to Orthopaedics as my
father was in charge of the Orthopaedic Training Program at the Mayo
Clinic. My Undergraduate training was at the University of Minnesota.
I attended Medical school at Creighton University in Omaha. My
Orthopaedic training was in Cleveland, Ohio at Case Western Reserve
University. Following this, I took a Fellowship in Total Joint
Replacement Surgery at the Mayo Clinic in 1984.
My practice is almost
exclusively that of the care of arthritis of the hip and knee. As of
March 16th, 2004 I have performed 3129 joint replacements
of which there have been 1219 total knee replacements,
315 partial-knee, 211 total knee revisions, 1014
total hip replacements and 370 hip revisions.
Arthritis is more
common as we get older. Conservative treatment would be avoiding impact
loading activities such as running, using soft soled shoes, and some times
using assistive deceives such as canes or walkers to keep us form falling
if we have an unstable joint. Medications used to treat arthritis could
be Tylenol or anti-inflammatory medication or nutritional supplements
such as Glucosamine and Chondroitin Sulfate. Injections can be done such
as Cortisone to provide temporary relief.
In the last three
years, I have used lubrication injections to help knee arthritis.
This is called viscosupplementation. Three brands are currently
available, Synvisc, Hyalgan, and Supartz. I have used all three
brands and find their use beneficial in about 40% of people three months
after treatment.
I believe that
education is an integral part of the treatment of arthritis affecting the
hip and knee. I offer educational seminars three times a month
dealing with the subjects of hip and knee arthritis and the surgical and
nonsurgical treatment of those conditions. Seminar brochures are
generally available in my office or you can always call my secretary,
Kris, or check my website for a list of upcoming seminars.
I have a learning
center in the waiting room of my office. At that site, handouts are
available for patients to read on hip and knee arthritis. There is a
computer station available where you can view animated videos of total
hip, total knee, and partial knee replacements through a small incision.
You can also access these animated videos through your internet at home
by visiting the link at the top of this page.
Approximately 58%
of my knee surgeries at this time are partial knee
replacements (uni-knee) through small 3” incision – called a mini
knee incision.(EXAMPLE PHOTOS click here)
Since August 2001, I have performed 257 uni-knees with this
mini 3-inch incision. Candidates for this surgery are those that have
relatively good range of motion of the knee and most of the pain is
located to one particular part of the knee which is either the medial
part or “big toe” side of
the knee or the lateral or “small toe” side of the knee. If you are
interested in this type of surgery, you will get an MRI scan of
your knee prior to surgery to see if you are a candidate. The
rehabilitation is fairly rapid with many patients getting onto a cane by
two weeks after surgery and not needing as much physical therapy. To
learn more about this procedure visit the link on our website or go to
the national website www.uniknee.com.
GETTING READY FOR
SURGERY
If you decide to
proceed with surgery, you will call to schedule that with my nurse. I
perform surgery on Monday and Tuesday of every week. The
majority of my patients go to the Joint Camp at Bergan Mercy Hospital.
Our Joint Camp has National recognition as one of the best in the
country.
SURGERY-
You will come to the
hospital approximately tow hours prior to surgery to the MAC Office. You
will then be transferred to the preoperative surgical area. You will be
in a hospital gown and will have and IV placed and you will meet with the
anesthesiologist. I will also meet with you in the preoperative
area before we go into the operation room.
If you have
questions, please do not hesitate to call. My nurses are Donna and Sara
and can answer many of your medical questions or have me get back to you
if there is a problem. My secretary is Kris and she can also help with
scheduling appointments.
Sincerely,
C. Michael
Kelly, M.D.
THINGS FOR THE
PATIENT TO DO BEFORE HAVING KNEE OR HIP SURGERY
1)
Make sure you have seen you dentist recently (in the last 6
months). If cleaning or dental work needs to be done it should be
completed before any surgery.
2)
If
you have heart disease such as a cardiac bypass, angioplasty, or stent, then
ask you medical doctor or cardiologist if you need a cardiac stress test
prior to surgery.
3)
If
you have anemia or recurrent bladder infections, notify my nurse, (Donna
or Sara), and we will arrange a blood count and urine analyses well
before surgery so this can be treated before surgery.
4)
Take
care of your skin. If you have open sores on your legs they must be
treated and cleared up before surgery to minimize the chance of
infections.
5)
If you
are considering a uni-knee (Partial Knee) then call my nurse,(Donna or
Sara), and thy will schedule an MRI to see if you are a candidate.
6)
My
surgeries take place on Monday and Tuesday of each week. Once you have
decide to have surgery, give Donna or Sara a call and they will set up a
surgical date for you.
UNI-KNEE
SURGERY
 
BEFORE SURGERY
AFTER SURGERY
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