Orthopedic surgeon uses state-of-the-art techniques
Dr. Philip Mulieri was recently featured in an article about his work for the Danbury News Times:
"You could compare me to a carpenter," Philip Mulieri suggested not long ago when asked to describe what he does.
In a way, he was right. He does repair and replace things, but not of wood. As an orthopedic physician at Danbury Orthopedics who specializes in disorders of the shoulder and elbow, arthroscopy, joint replacement, trauma and sports injuries, he works with bones and muscles.
Dr. Mulieri, who holds American Board of Orthopedic Surgery certification, uses state-of-the-art surgical techniques to perform complex shoulder and elbow reconstructive surgery, and several other shoulder and elbow replacement procedures. State-of-the-art means that computer imaging is used in planning and performing surgical procedures. Using the newest computer technology, he transfers CT scan images to a program which then converts them into three-dimensional images. Those images enable him to "see" all that he will encounter when he performs orthopedic surgery.
Specialists at Danbury Orthopedics are First in CT to Perform Advanced MAKOplasty® Surgeries
MAKOplasty® is an innovative surgical treatment option for patients needing total hip replacement or partial knee replacement due to degenerative joint disease. The robotic, interactive technology assists orthopedic surgeons in achieving new levels of accuracy and precision.
This past September, Dr. Robert Deveney of Danbury Orthopedics performed Connecticut’s first MAKOplasty procedure. His colleague at the practice, Dr. John Dunleavy, will also be performing MAKOplasties this fall. The two doctors are total joint specialists with advanced expertise in treating hip and knee issues.
The availability of MAKOplasty is an important advantage for patients throughout Connecticut and beyond. Currently, about 800,000 knee replacement and hip replacement surgeries are performed in the U.S. each year. As the baby boomer generation ages, the demand for these procedures – and for new technology to enhance patient outcomes – will continue to grow. Having the highly advanced MAKOplasty system in place now strongly positions Danbury Orthopedics to fulfill demand and lead the way into the future.
In traditional joint replacement procedures, X-rays have been used to identify where the surgeon should position the replacement. With this new technology, 3-dimensional CT scans enable specialists to map the surgical site with precision. The data is fed into a software program on the computer, and assists the surgeon in guiding the robotic arm to remove the exact amount of damaged tissue, and place the new joint with pinpoint precision.
3-D Mapping of the Surgical Site
“MAKOplasty gives us exact 3-D mapping of the patient’s unique anatomy,” says Dr. Deveney. “We get live feedback to see where we are in the surgical space, and built-in safety features prevent the system from moving beyond our surgical parameters. By working with exact coordinates in real time, we are able to consistently reproduce our pre-operative plans. We can remove a minimal amount of bone and prepare the joint to receive the implant with exceptionally precise positioning.”
Because the technology is so supportive of minimally invasive techniques, it will enable surgeons to treat patients in earlier stages of joint disease – preventing further deterioration and improving outcomes.
Proven in the Field
MAKOplasty technology has been used successfully for the last few years in other parts of the country, and is now available in Connecticut. Specialists in adult reconstructive surgery are eligible to learn the system. Certification requires an intensive 3-part process consisting of lab work, interactive training and on-site observation of live procedures, allowing qualified surgeons to master the exact technique.
Dr. Deveney and Dr. Dunleavy anticipate valuable benefits to their patients who are candidates for this surgical option, including better recovery and potential longer life of the replacement implant.
“Because the MAKOplasty procedure in partial knee replacements is less invasive and less traumatic,” says Dr. Dunleavy “it can be performed on an outpatient basis. Most patients will be able to return home the same day or next morning.” A leading specialist in partial knee replacements, Dr. Dunleavy adds, “The technology also offers an important new option for patients needing replacement behind the kneecap – an especially difficult procedure. It’s expanding our ability to treat patients, reduce pain and restore movement.”
MAKO Surgical Corporation defines these benefits of its technology:
- Enable surgeons to precisely resurface only the arthritic portion of the joint
- Preserve healthy tissue and bone
- Facilitate optimal implant positioning to result in a more natural feeling following surgery
- Result in a more rapid recovery and shorter hospital stay than traditional joint replacement surgery
Spring Into Action! Stress Fractures of the Foot and Ankle — How you get them … how to heal them
by Randolph Sealey, MD
The Foot & Ankle Center at Danbury Orthopedics
It’s Spring at last, and with it comes a welcome return to outdoor activity. If you’re taking your fitness regimen outside, after months of exercising indoors, be aware that running or jogging on roads and trails means a major change to the impact exerted on feet and ankles. Even strong athletes experience a big change in lower extremity forces as they move from indoor facilities to outdoor terrain … forces that can lead to stress facture.
Stress fractures are a unique type of injury that occurs when the bones are overworked. The lower extremity, and specifically the foot and ankle region, accounts for the majority of stress fractures. In fact, 80% of these fractures occur in the tibia, fibula, metatarsal or calcaneus.
Who’s at risk, and why
It’s no coincidence that a Prussian military surgeon was the first to describe stress fractures in an 1855 medical journal. Military personnel are at higher risk for these injuries, especially if there has been a change in their training. Runners also are more prone to stress fractures. Also at risk are people with certain foot types such as very high arches or a long second metatarsal fractures. And finally, hormonal imbalance such as hyperthyroidism, amenorrhea or osteoporosis can make the bones more vulnerable to stress, as can systemic problems such as smoking, alcohol abuse, nutrition problems and certain medications.
You're Never Too Old to Be "Hip"
At 97-Years-Old, a Redding Man is Pain-Free Following Total Hip Replacement
Before he underwent hip replacement surgery last November, 97-year-old Henry McQuade had been suffering for years with arthritis pain in his left hip. Then, last fall his pain became so unbearable he worried that he wouldn't be able to do many of the things he loved. Outdoor work, including caring for his stunning field of daffodils, was one of the many activities that Henry, who turns 98 in June, looked forward to each spring.
Henry, a retired Joel Barlow High School teacher who lives alone since his wife died, sought help from Dr. Robert Deveney, an orthopedic joint surgeon at Danbury Hospital and Chairman of the Board of Managers, Western Connecticut Health Network Joint and Spine, LLC. Dr. Deveney advised him that since he was in good, overall health, he was a candidate for hip replacement surgery. "He scheduled my surgery for the very next week," said Henry. "I had been in pain for such a long time. I thought if I could fool others that I wasn't in pain, I'd fool myself. But that didn't work." Henry was happy to learn joint replacement surgery might offer a solution - and that his age was not an obstacle.