A new hip. A new knee. A new life.

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1 A new hip. A new knee. A new life. Virtua Joint Replacement Institute

2 When every move is filled with pain, it s time to take the next big step.

3 Getting out of bed takes five painful minutes. The stairs feel like a climb up Mount Everest. Golf, skiing, gardening, travel and picking up anything heavier than a small grocery bag is off limits. Forget about walking the dog or cruising the mall. You and your physician have tried exercise and oral medications, injections and massage to no end. You may be 40, 60 or 80, but your hip or knee feels 100 years old, and now you know you must take action. The question is: Where do you go and who do you trust to perform this life-changing surgery? Consider these questions before making this important decision. How dedicated is the institution to hip and knee replacement? The answer should be 100 percent. At Virtua s Joint Replacement Institute, hip and knee replacements are the only procedures performed. The Institute is a state-of-the-art surgical facility staffed by fellowship-trained orthopedic surgeons, orthopedic surgical nurses, and orthopedic physical therapists. It offers among the most scientifically advanced operating suites and recovery areas, as well as its own physical therapy unit. All rooms are private and filled with natural light. Each room has a private bath, flat screen television, internet access and a comfortable sitting area and sofa bed for a loved one to stay. The Institute is devoted to joint replacement in every aspect of care VIRTUA-3 GotMyLifeBack.org 3

4 Virtua Joint Replacement Institute Can your surgeon use a quad-sparing technique to replace your knee? Back in the saddle within eight weeks of surgery. Anne loves horseback riding. Unfortunately, the pain in her knee was getting worse and she feared that she might not be able to ride anymore. She went to the Virtua Joint Replacement Institute for a minimally invasive, quad-sparing knee replacement. Eight weeks after surgery, she was holding the reins, riding pain free. More than a decade ago, Scott Schoifet, MD, medical director of the Virtua Joint Replacement Institute, became one of the first surgeons in the country to offer patients a revolutionary quadriceps sparing technique. Using this procedure, a three-to-five-inch incision is made, and the quadriceps tendon, the largest in the body, is moved aside and not cut. Using specially designed tools, the Institute s highly skilled surgeons are able to achieve proper alignment of the prosthesis. Dr. Schoifet has trained surgeons from around the world in this breakthrough minimally invasive quad-sparing technique. Is there enough experience using the minimally invasive quad-sparing approach? Dr. Schoifet and his team have been utilizing this approach for more than 12 years and have performed over 8,000 surgeries. Patients are able to walk the day of surgery and start rehabilitation immediately. While most patients stay one night and go home the day after surgery, some are actually able to go home the same day. Most patients get back to a desk job three to five weeks after surgery, and most resume normal activity within six weeks. Patient results may vary. Patient results may vary. 4

5 What minimally invasive hip replacement procedures are available? The Institute performs minimally invasive hip replacement surgery including direct anterior and mini-posterior approaches. With these procedures, the surgeon does not cut through the large muscle surrounding the hip, so there is less trauma to the body. Choosing which type of hip replacement procedure is optimal is a decision you and your surgeon will make together. How satisfied are the Institute s patients? Virtua is known for its high level of personal care. From your initial consultation through rehabilitation, your Virtua team will help you get back on your feet fast. The Virtua Joint Replacement Institute consistently achieves the 99th percentile in patient satisfaction scores, the highest possible rating.* According to this national survey, Virtua patients are so extremely satisfied with their experience that they would enthusiastically recommend knee or hip replacement surgery at the Institute to others. *Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a standardized survey developed by the Centers for Medicare and Medicaid Services. 99 % Patient Satisfaction HCAHPS* Feeling 16 again In spite of three arthroscopic surgeries for a torn meniscus, at age 70, John Dower, couldn t do a lot of things because the pain in his knees was just too much. I couldn t stand for a long time and I couldn t walk without limping, he says. After his wife had minimally invasive, quad-sparing knee replacement at Virtua, and was back to work in three weeks, John said, I want to go where she went. After having his own replacements done at Virtua, John can dance all night. I can do anything. Patient results may vary VIRTUA-3 GotMyLifeBack.org 5

6 Virtua Joint Replacement Institute Who will guide you through the surgical process? Nothing s going to stop me from working... or working out. David was 44 when an X-ray showed his hip had deteriorated to that of a 70-year-old man. The pain was interfering with his construction job and his passion for fitness. David had minimally invasive hip surgery at Virtua. He says, I was walking with a cane in two weeks. My first day back at work, I rode my bike. It s about a 4-mile ride. Nobody could believe I could do that. Following your first visit with your surgeon, a Joint Replacement Institute orthopedic nurse navigator will guide you step by step through the details of your joint replacement surgery. She will help you arrange pre-surgical testing and education. We are known for our high level of personal care and attention. From the initial consultation all the way through recuperation, the Virtua team will be at your side to help you get back on your feet quickly. What about care and recovery after your surgery? Your surgery at the Institute may involve an overnight stay. Before leaving, the Institute will ensure that any pain you may experience is properly managed and that you know how to practice your knee or hip exercises at home. Many patients proceed directly to outpatient physical therapy, while others begin after a brief recuperation at home. Choose any of seven Virtua in Motion physical rehabilitation locations throughout the region. Your nurse navigator will help you make arrangements. Now, take the final steps to a new, active and engaged life. For more information, call VIRTUA-3. Patient results may vary VIRTUA-3 GotMyLifeBack.org

7 Meet the Institute s Surgeons Scott D. Schoifet, MD, FACS, FAAOS, AAHKS Medical Director Dr. Schoifet obtained his Bachelor s Degree at Cornell University, graduating with honors, his medical degree at Columbia University and his surgical internship at St. Vincent s Hospital in New York. His orthopedic residency was completed at Strong Memorial Hospital, University of Rochester, New York. Dr. Schoifet completed his fellowship in Total Joint Replacement and Adult Reconstructive Surgery at the Mayo Clinic in Rochester, Minnesota, where he was appointed an instructor in Orthopedic Surgery. Philadelphia Magazine named him one of the Top Doctors in the region. Rajesh K. Jain, MD, MPH, FAAOS, FAAHKS Dr. Jain is a board-certified fellowship trained orthopedic surgeon. He earned a Master s Degree in Public Health in Epidemiology at The University of Michigan and earned his medical degree from SUNY Upstate Medical University. He also completed his residency training with a distinction in total joint research while at SUNY Upstate. He then completed the Aufranc Fellowship in adult reconstructive surgery at the New England Baptist Hospital in Boston. Dr. Jain specializes in minimally invasive total hip and quad-sparing knee replacement as well as partial knee replacement. Dr. Jain is on the editorial board of The Journal of Arthroplasty. Manny D. Porat, MD Dr. Porat is a board-certified, fellowship trained orthopedic surgeon who graduated from Temple University Medical School where he was inducted into the national AOA Medical Honor Society. He then went on to complete both residency and fellowship training at Thomas Jefferson University Hospital. He has published multiple articles in the field of Adult Reconstruction/Replacement and is an expert in minimally invasive knee and muscle sparing hip surgery. Dr. Porat has presented at national conferences and has been featured in the media on the topic of joint replacement. Gregory G. Klingenstein, MD Dr. Klingenstein is a board-certified, fellowship trained orthopedic surgeon. He earned his medical degree from the Mount Sinai School of Medicine with a distinction in research, completing a residency at the Tufts Affiliated Hospitals Orthopedic Surgery Program, which included a chief resident position at New England Baptist Hospital. Dr. Klingenstein completed two fellowships at the Hospital for Special Surgery in New York for adult reconstruction and joint replacement, followed by a second year of hip preservation training. Jeremy J. Reid, MD Dr. Reid is a fellowship trained orthopedic surgeon. He graduated from Columbia University School of Medicine and completed residency training at the UCLA Medical Center and Orthopaedic Hospital in Los Angeles, California. He spent an additional year as a post-doctoral research fellow supported by a grant from the California Institute of Regenerative Medicine. Dr. Reid completed a surgical fellowship in adult reconstruction and joint replacement at the Hospital for Special Surgery in New York. 7

8 To hear more patient stories, go to GotMyLifeBack.org Virtua Joint Replacement Institute Virtua Health & Wellness Center 200 Bowman Drive, 4th Floor Voorhees, NJ VIRTUA-3