Another approach to hip surgery at Louisville KY hospital
September 18, 2006

When his hip began to hurt, Howard Carroll, a factory worker from Horse Cave, Ky., learned from his doctor that the cartilage in his right hip joint was worn away.

Bone was grinding against bone.

Simple things like getting in and out of his truck and climbing stairs were horribly painful. Medications helped but not enough.

So Carroll decided to become one of the 193,000 patients a year who get total hip replacements in the United States.

He also decided to be one of the first patients to get a hip replacement done in Louisville by a surgeon who uses a method that avoids detaching any muscles from bone, thus allowing patients to assume a normal lifestyle more easily.

The surgery -- called the anterior approach total hip replacement -- was performed by Dr. Jonathan Yerasimides at Jewish Hospital, where he joined the staff about two months ago.

Yerasimides, who is also an assistant professor of hip and pelvis reconstruction at the University of Louisville, is the only surgeon trained in this method working in the region. (The next nearest is in Nashville.)

Yerasimides recently completed a yearlong fellowship in hip and pelvis reconstruction at Good Samaritan Hospital, Los Angeles, where he learned the anterior approach total hip replacement from Dr. Joel Matta, the physician who helped introduce it to the United States about a decade ago after learning it in Europe.

The operation is done through a 4-inch incision on the front of the hip. It requires the use of a special operating table.


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