Our Orthopedic Team
The team at Lancaster Regional Medical Center will initially consider non-surgical courses of treatment, including physical therapy, pain relievers, anti-inflammatory drugs, cortisone shots, splints or immobilization. If these options are not effective, surgery may be necessary to help you return to your active lifestyle. The good news is that Lancaster Regional specializes in minimally invasive surgical techniques such as MAKOplasty® Partial Knee Resurfacing and Total Hip Arthroplasty. We are the first and only hospital in Lancaster County to offer both!
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First to offer MAKOplasty® in Lancaster County
Lancaster Regional is the first hospital in Central Pennsylvania to offer MAKOplasty®, a minimally invasive, innovative surgical option for adults living with early to midstage osteoarthritis (OA) in either the medial (inner), patellofemoral (top), or lateral (outer) compartments of the knee. It is powered by the RIO® Robotic Arm Interactive Orthopedic System, which allows for consistently reproducible precision in performing partial knee resurfacing.
The RIO System empowers surgeons and hospitals to address the needs of a large and growing, yet currently underserved patient population. Patients who desire a restoration of lifestyle, minimized surgery, reduced pain and rapid recovery may benefit from MAKOplasty.
During the procedure, the diseased portion of the knee is resurfaced, sparing the patient’s healthy bone and surrounding tissue. An implant is then secured in the joint to allow the knee to move smoothly again.
MAKOplasty® partial knee replacement can:
- Facilitate optimal implant positioning to result in a more natural feeling knee following surgery
- Result in a more rapid recovery and shorter hospital stay than traditional knee replacement surgery
- Be performed on an outpatient basis
- Promote a rapid relief from pain and return to daily activities
As a knee arthroplasty procedure, MAKOplasty is typically covered by most Medicare-approved and private health insurers.
Here you can view a video that will help explain how a common robotic surgery procedure is performed.
MAKOplasty® partial knee resurfacing is an innovative procedure designed to provide quicker recovery and improved surgical outcomes for patients with joint degeneration in one or multiple parts of the knee. By selectively targeting the portion of the knee that has been damaged by osteoarthritis, surgeons can resurface the damaged area without compromising the healthy bone and tissue surrounding it. (Note: no sound on this clip.) Learn more at makosurgical.com.
MAKOplasty® Total Hip Arthroplasty
MAKOplasty® Total Hip Arthroplasty is an innovative surgical treatment for adults living with non-inflammatory or inflammatory degenerative Joint disease. As with MAKOPlasty Partial Knee Resurfacing, it is powered by the RIO® Robotic Arm Interactive Orthopedic System, which allows surgeons to achieve a new level of accuracy and precision using the newest techniques in total hip replacement.
Accurate placement and alignment of implant components are critical factors in hip replacement. RIO robotic arm assisted THA uses the patient’s CT scan data to reconstruct the anatomy and create a patient-specific surgical plan for optimal implant alignment and placement. During surgery, the patient’s hip joint is registered and matches with the surgical plan to provide dynamic information. Robotic arm guidance, 3-D visual feedback, and real-time data assists the surgeon in achieving more accurate positioning of implants to decrease the likelihood of mechanical failure and improve outcomes.
Dr. Seth Baublitz and Lancaster Regional Featured on WGAL
Board certified orthopedic surgeon, Dr. Seth Baublitz, with Orthopaedic Specialists of Central PA - proudly affiliated with Lancaster Regional - was featured performing a MAKOplasty procedure at Lancaster Regional Medical Center by Susan Shapiro and WGAL.
How may MAKOplasty benefit me?
The MAKOplasty® partial knee replacement procedure is designed to relieve the pain caused by joint degeneration and potentially offers the following benefits:
- Improved surgical outcomes
- Less implant wear and loosening
- Joint resurfacing
- Bone sparing
- Smaller incision
- Less scarring
- Reduced blood loss
- Minimal hospitalization
- Rapid recovery
How does MAKOplasty work?
The RIO® Robotic Arm Interactive Orthopedic System features three dimensional pre-surgical planning. During surgery, the RIO provides the surgeon with real-time visual, tactile and auditory feedback to facilitate optimal joint resurfacing and implant positioning. It is this optimal placement that can result in more natural knee motion following surgery.
Who would be a good candidate for the MAKOplasty procedure?
Typically, MAKOplasty patients share the following characteristics:
- Knee pain with activity, usually on the inner knee and/or under the knee cap, or the outer knee
- Start up knee pain or stiffness when activities are initiated from a sitting position
- Failure to respond to non-surgical treatments or nonsteroidal anti-inflammatory medication
If I undergo MAKOplasty, what can I expect?
MAKOplasty can be performed as either an inpatient procedure or on an outpatient basis depending on what your orthopedic surgeon determines is right for you. Hospital stays average anywhere from one to three days; ambulatory patients return home the same day. In many cases, patients are permitted to walk soon after surgery, drive a car within two weeks and return to normal daily activities shortly thereafter.
What is the lifespan of a MAKOplasty implant?
All implants have a life expectancy that depends on several factors including the patient’s weight, activity level, quality of bone stock and compliance with their physician’s orders. Proper implant alignment and precise positioning during surgery are also very important factors that can improve the life expectancy of an implant. Through the use of RIO, implants can be optimally aligned and positioned to ensure the longest benefit. RESTORIS® MCK implants enable the treatment of one or two compartments with OA disease. With single compartment disease, a second compartment may be treated in the future if OA spreads. In addition, because very little bone is actually removed during a MAKOplasty procedure, the implants can be replaced with another procedure such as a total knee replacement, if necessary.
*Individual results may vary. There are risks associated with any knee surgical procedure, including MAKOplasty. Your doctor can explain these risks and help determine if MAKOplasty is right for you.
Understanding Bone Cancer
By William M. Parrish, MD, Orthopaedic Specialists of Central PA, (717) 735-1972
Dr. Parrish is the only board certified orthopedic oncologist in Lancaster County. He specializes in musculoskeletal oncology, total joint arthroplasty, and the diagnosis of bone and joint disease.
Bone cancer is a term commonly used when discussing the condition of many patients who have been diagnosed with a malignant process. However, the term “bone cancer” can mean many things. There are many types of malignant tumors that can affect bone and the diagnosis and treatment may vary dramatically.
The most common type of malignant tumor affecting bone is metastatic bone cancer. Metastatic means that the tumor started in another location and spread through the blood system to the bone. The cancers which most commonly spread to bone include lung cancer, kidney cancer, prostate cancer, breast cancer and thyroid cancer. Other cancers such as colon cancer and uterine cancer may spread to the bones but much less commonly. When metastatic tumors develop, they often involve the bones of the spine, shoulders, hips or pelvis. This is because of a system of valve-less veins which supply these areas of the body and allow cells to move relatively freely in those areas. It is very rare to see metastatic disease develop distal to the elbows and the knees.
Treatment of metastatic bone disease should be focused on preventing fractures from occurring and may include chemotherapy, radiation and surgery for stabilization. The effectiveness of each of these modalities is different for different tumors. For instance, metastatic breast cancer responds to radiation treatment much more reliably than metastatic kidney cancer. Bisphosphonate therapy has been proven to decrease the progression of bone loss associated with metastatic bone disease and should be considered as a part of the treatment program for patients with bone metastasis. Bracing or surgical intervention may become necessary if the structural integrity of a bone is weakened to the point that a fracture is imminent. The decision to brace or surgically stabilize should be made after collaboration with the treating physicians while considering the patients overall condition, type of tumor, risk of fracture and expected response to treatment.
When a tumor begins in a bone, it is called a primary bone tumor. Multiple myeloma is the most common primary malignant bone tumor and arises in the bone marrow. This tumor is treated primarily with chemotherapy but radiation; bracing and surgical intervention may all be required to prevent fractures. This tumor is treated very similar to metastatic disease. Sarcomas are malignant tumors arising from bone, cartilage, muscles or other connective tissues. Bone sarcomas such as osteogenic sarcoma or Ewing’s sarcoma occur most commonly in teenagers. These tumors are treated very differently.
Bone sarcomas are best treated with chemotherapy followed by surgical removal of the tumor and all tissues involved. This will give the patient the best chance for long term survival. The survival rate for a patient with one of these tumors has improved greatly from 20% to 67% with appropriate chemotherapy and surgery. Advances in imaging and reconstructive techniques have also made it possible for surgeons to save the extremities of many patients who not so long ago would have required an amputation.
Regardless of the type of bone tumor a patient has, a multidisciplinary approach to treatment will provide them with the best result possible. Collaboration between medical oncology, interventional radiology, radiation oncology and surgical oncology is important. These specialists at the Cancer Care Network at Lancaster Regional Medical Center work closely together to provide all patients with the best cancer care possible in Central Pennsylvania.
Considering Knee Replacement? Know your options...
By Seth D. Baublitz, DO, Orthopaedic Specialists of Central PA, (717) 735-1972
Dr. Baublitz is a board-eligible orthopedic surgeon and practices general orthopedics with an emphasis on sports medicine and arthroscopic surgery. He has a particular interest in conservative surgical management of knee, shoulder and hip disorders.
World-wide, millions of people are living with osteoarthritis, also known as degenerative joint disease. The condition commonly involves the knee joint and is characterized by the breakdown of cartilage and the underlying bone. The degeneration of these tissues and bony overgrowth leads to pain and stiffness in the joint. These symptoms often interfere with quality of life and prompt many to explore treatment alternatives.
At the present time, there is no cure for osteoarthritis. Treatment strategies center on alleviating pain and improving function. Orthopedic surgeons, specialists who focus on bone and joint health, often encounter patients suffering with knee arthritis. Most prefer to initiate a conservative treatment approach which can include a combination of education, weight loss, physical therapy, medications, and bracing.
Numerous patients exhaust non-surgical modalities and continue to experience symptoms that interfere with activities of daily living. Many are offered a knee replacement, a surgical procedure performed by an orthopedic surgeon. The knee is a hinge joint and consists of three individual compartments. These parts are referred to as medial (inside), lateral (outside) and patellofemoral (under the knee cap). A total knee replacement involves replacing the entire diseased joint with artificial material. Typically, the end of the thigh bone (femur) and top of the shin bone (tibia) are removed and replaced with metal. A durable piece of plastic is placed between the metal and serves as the bearing surface. The knee cap is often replaced with a plastic button.
A total knee replacement is the treatment of choice for patients having arthritis in all compartments of the knee. The surgery predictably reduces pain and in most cases improves function. Complete recovery from the procedure can range from several months to a year. Longevity of the artificial knee can vary and some younger patients may require repeat surgery to replace worn out parts.
A substantial number of patients are living with arthritis that affects a limited area of the knee joint. These individuals may be excellent candidates for a partial knee replacement. Instead of replacing the entire knee, the surgeon only removes the diseased bone and tissue from the involved area. The metal and plastic implants are placed; however, the healthy parts of the knee and the native knee ligaments remain intact. Partial knee replacement surgery is often referred to as “minimally invasive” because it typically requires a smaller incision and less bone removal. Other potential advantages include less blood loss, shorter hospital stay, and faster time to functional recovery.
Technological advances have resulted in wider adaptation of partial knee replacement surgery. Sophisticated surgical instrumentation and implant design have helped eliminate many of the pitfalls once associated with the procedure. Recently, robotic assisted knee surgery has emerged and holds promise for enhancing patient outcomes.
Surgeon experience and appropriate patient selection are crucial to the success of partial knee replacement surgery. Patients who qualify for the procedure can expect good long-term results. Conversion of a partial knee to a total knee replacement is possible and may be required in rare cases.
Whatever your orthopedic needs, rest assured you will receive the best of care with Lancaster Regional Medical Center’s Orthopedic Care Network.