Besides exercise, diet and lifestyle choices, bone health is of critical importance as we age. A house is only as strong as its foundation, and bones are the body’s foundation. People reach peak bone density in their 30s, then bone loss begins to exceed the rate of bone formation. While you can’t regain full bone…
The patient A 31-year-old otherwise healthy man presented with an enlarging and increasingly symptomatic left posterior ilium tumor. Biopsy revealed high grade osteosarcoma. Additional staging studies demonstrated no distant metastases. He was treated with neoadjuvant MAP chemotherapy (methotrexate, Adriamycin, cisplatin). The challenge Pelvis osteosarcomas have lower overall survival than those of the extremities. Positive surgical…
A bone health program to prevent fractures, and platelet-rich plasma (PRP) injections for overuse injuries, joint arthritis and other tendon and ligament injuries are among the nonsurgical interventions offered by Norton Orthopedic Institute. Platelet rich plasma therapy Patients with orthopedic injuries such as tennis elbow or chronic joint arthritis often improve with platelet-rich plasma (PRP)…
Specialists at Norton Orthopedic Institute and Norton Cancer Institute work together in a team approach for treatment of bone and soft tissue tumors. As an orthopedic oncologist, I work closely with medical and radiation oncologists, musculoskeletal radiologists, and surgical pathologists to determine the best course of treatment for each patient. Timing of the various treatments…
When patients are considering joint replacement surgery, we look at several important benchmarks to see if the patient is ready. The first consideration is pain. Is the pain they’re experiencing in their knee intermittent, occurring only during strenuous activity, or is it constant and interfering with their daily lives? If it’s only intermittent, the patient…
Norton Louisville Arm & Hand, part of Norton Orthopedic Institute, is growing in size and scope. Norton Louisville Arm & Hand currently has eight surgeons and a ninth arriving in September. This practice provides comprehensive coverage of issues with upper extremities, from the elbow to fingertips. As the practice grows, Norton Orthopedic Institute’s role with…
More patients choose Norton Orthopedic Institute for hip or knee replacements and other orthopedic procedures than any other health care provider in Louisville, Kentucky, or Southern Indiana. Cyna Khalily, M.D., serves as Medical Director of NOI and is a practicing orthopedic surgeon who specializes in surgeries of the hip and knee. Education & Training Bachelor’s…
Bone health often is overlooked and undertreated in postmenopausal patients, even though appropriate management is critical to lower the risk of fracture and potentially catastrophic falls. Estrogen protects bones by inhibiting osteoclast cells, which break down bone. With menopause and lower estrogen levels, bone mass starts declining. A person can lose up to 20% of…
For knee replacement patients who want to return to a more active lifestyle, robot-assisted arthroplasty offers another level of precision to fine-tune the alignment of the new joint. “Not every patient is going to select to have a robot-assisted procedure done, because the standard instrumentation can produce a fantastic result,” said Jeffrey Stimac, M.D. “But…
Riding his bike on a trail, Dan Lillpop tried to turn around in tall grass. The bike stopped and Dan fell. The 65-year-old braced himself with his left arm, tearing the rotator cuff in his shoulder when he hit the ground. After a trip to the emergency room, X-rays, and a magnetic resonance imaging (MRI)…
Kevin Himschoot, M.D., orthopedic surgeon, is the newest member of the team at Norton Orthopedic Institute – Brownsboro, specializing in knee and hip replacements. Dr. Himschoot recently completed a joint replacement fellowship at Norton Brownsboro Hospital, where he learned anterior approach hip replacement surgery using intraoperative fluoroscopy. The technique allows for precision down to the…
Lee Dulaney did her best to ignore the pain in her right hip for years. Steroid injections helped, but the pain persisted. “I’d get steroid injections, and it would feel better for a while; and then the pain would come back.” Lee said. “People would say, ‘You’re limping,’ and I’d say, ‘I know. It hurts.’”…