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Dr. Buchalter talks about the Anterior Approach to Hip Replacement

Q: My neighbor asked, “What is the new anterior approach to the hip that allows for a faster recovery by not cutting any muscles?”

Dr. Buchalter talks about the Anterior Approach to Hip ReplacementA: Total hip replacement is a highly successful surgical procedure that has been performed since 1960. The success rates are outstanding. The prosthesis may last for over 30 years. The standard posterior incision is successful but patients need to be in the hospital for several days and often are on a walker or cane for up to a month.

For the past few years, Dr. David N. Buchalter has been performing the direct anterior approach to the hip for most of his total hip replacements. This approach uses a special operating room table which allows him to perform surgery without cutting muscles. Patients are often walking the same day as the surgery, and many are able to go home the next day. It is not uncommon for the patients to leave the hospital with only a cane. Within a short amount of time, they’re able to regain an active lifestyle without any pain.

Dr. Buchalter is quite excited to be one of the very few surgeons in this area with the expertise in this technique. He is a member of the American Association of Hip and Knee Surgeons. Less than 5% of the orthopedic surgeons are members of this highly prestigious society and are considered the experts in the field of hip and knee replacement surgery.


Dr. Buchalter answers all your questions about today’s advances in Knee Replacement Surgery!

"I’m having a lot of pain in my knee. My doctor told me that I have arthritis and may need to have a total knee replacement. I’ve been told the operation is painful and there’s a very long recovery. Is that true?"

Knee replacements have been around for over 40 years. Over 90% of knee replacements will last more than 20 years. Recent advances are allowing for faster recoveries and less pain. Surgery can be done with a "MIS" or a minimal incision approach. These incisions are 3-4 inches in length instead of the 8-12 inch incisions in traditional knee replacements. In addition, computer GPS systems allow for accurate and reproducible placement of the components.

Not only have the length of hospital stays been decreased, but patients are now ableto walk for 30 minutes without  the use of a cane just one month after surgery. By using the computer, the accuracy of the surgery has been dramatically improved. The better the alignment, the faster the recovery, and the more likely that the knee replacement will last over 20 years.

The reason you may not have heard about this innovation isn’t because it’s experimental. The equipment is so expensive that surgeons must perform hundreds of procedures in order for it to be cost-effective. It takes a significant amount of training and dedication to learn this method. As a surgeon who performs 200 total knee replacements a year, I am one of the very few surgeons in the country using this technique. Many of my patients who have had knee replacement drive to my office two weeks after surgery telling me they’re no longer in pain!

Even more technological advances are under way. I’ve just been chosen to be a leading investigator who will be performing custom knee replacements. Before surgery, special x-rays are taken and sent to a company that makes instruments that are designed to be used only in that selected individual. I am quite excited about the opportunity to offer this to the community.

Knee replacements no longer have to be a painful procedure with a lengthy recovery.

If you are suffering with chronic knee pain from arthritis, schedule a personal consultation with me today. We will review your history and discuss your options for minimally invasive knee replacement and start you on a permanent road to recovery.

Call (561) 496-6622 to schedule an appointment today or request a consultation securely online now!


Former record company exec is back in action after hip replacement

By David DiPino dddipino@tribune.com

Artie Kornfeld needed to have his ailing right hip replaced. A record producer and avid golfer, he wanted to avoid a long recovery.

In February, orthopedic surgeon David Buchalter of South Palm Orthopedics performed a SUPERCAP hip replacement procedure on Kornfeld.

Last week, Kornfeld shot a 40 on the back nine at Villa Delray Golf Club. The 70-year-old producer, a former Capitol Records vice president who has worked on 120 platinum albums and promoted the Woodstock Festival, said he's feeling good and is back to hosting his Internet radio show on ArtistFirst.com.

"I have a degenerative disease in both knees and hips," he said. "I was relentless in pushing myself to the point that I needed a hip replacement. My regular doctor spotted it. It was degenerative, and I noticed it when I had an ache on the right side."

Buchalter performed the surgery Feb. 23 at Delray Medical Center, 5352 Linton Blvd. After a day at the hospital in which he said staffers "got me up and walking," Kornfeld went to Cornell Rehab at Bethesda Memorial Hospital, 2815 S. Seacrest Blvd. He was supposed to be at Cornell for a week. "But the hip worked so well I was out in three days," he said.

A resident of The Colony neighborhood in Delray Beach, Kornfeld had a physical therapist come to the house three times a week for a month. Then he put the headphones back on and picked up the golf clubs.

"I really didn't feel any pain," he said. "Everything went so well that I wouldn't be afraid having my other hip replaced. I have confidence in my doctor."

Buchalter said Kornfeld owes his quick recovery to the SUPERCAP technique that was used in his procedure. Devised by Wright Medical Technology, SUPERCAP is designed to be minimally invasive. Because the hip is never dislocated during the procedure, the surrounding soft tissue is preserved. And because the incision is up to 7 inches smaller, there is less blood loss and less pain.

Not every patient is a candidate for SUPERCAP surgery. The procedure works best on those with tall, thin builds. During the operation, the muscle is split and the surgeon goes upward with the incision. A device that resembles a rod fit into a socket is inserted to replace the hip.

Buchalter said about 80 percent of his patients are candidates for SUPERCAP surgery. Kornfeld operation took about 45 minutes.

"The SUPERCAP is state-of-the-art," Buchalter said. "I like it because we're getting the best possible results with it and minimizing complications later."

For more information, visit SouthPalmOrthapedics.com or call South Palm Orthopedics and Dr. David Buchalter at 561-496-6622 or request an appointment online and visit Dr. Buchalter for a consultation today!

Copyright © 2012, South Florida Sun-Sentinel.

Click here to read the article on Sun-Sentinel


An exciting new option for South Florida residents suffering with chronic knee pain and arthritis

Delray Beach, Florida Orthopedic surgeon David N. Buchalter of South Palm Orthopedics leads the way with a minimally invasive knee replacement technique dramatically cutting recovery time and improving outcomes!

Knee replacements have been around for 40 years but traditional surgery has, in the past meant lengthy hospital stays, substantial pain and a long recovery for the patient. Delray Beach Orthopedic Surgeon, Dr. David Buchalter has turned the world of knee replacements on its head in South Florida by offering a minimally invasive procedure using incredibly advanced computer-assisted techniques and equipment ( that's right, a global positioning system GPS) that decreases the size of a patient's incision without sacrificing precision.

For patients, minimally invasive knee replacement surgery means significantly less scarring and much smaller incisions, less pain, less risk of infection and much speedier recovery times. Patients in South Florida contemplating knee replacement surgery will be thrilled to learn that Dr. Buchalter is one of the few surgeons in the country using this technique and has already perfected and successfully performed hundreds of these operations on patients who were reluctant to undergo knee replacement and instead lived with chronic pain and debilitation.

Dr. Buchalter commented, "Not only have the length of hospital stays been decreased, but patients are now able to walk for 30 minutes without the use of a cane just one month after surgery. With the computer I am able to use detailed information to assist with the alignment of the implants during surgery, dramatically improving the accuracy of the surgery. The better the alignment, the faster the recovery, and the more likely the knee replacement will last over 20 years. It takes a significant amount of training and dedication to learn this method. As a surgeon who performs 200 total knee replacements a year, I am one of the very few surgeons in the country using this technique. Many of my patients who have had knee replacement drive to my office two weeks after surgery telling me they're no longer in pain! I am thrilled to be offering this exciting procedure to the community."

Boynton Beach resident Jean Hammer had lived with chronic arthritis and severe knee pain for years. In recent months, she had been unable to walk more than a few feet and needed assistive devices to get around and was in constant pain. In January of this year Dr. Buchalter performed the one-hour procedure on her and within weeks she was walking again with no assistive device. "I am so grateful to Dr. Buchalter. I had been terrified to have my knee replaced because of the long and hard recovery", commented Mrs. Hammer. "To my astonishment, the pain was manageable and within a few weeks I was walking again without any help or device. By week four, I was able to walk the entire mall with no pain or difficulty! I am completely pain-free and have my life back."

Even more technological advances are underway. Dr. Buchalter been chosen to be a leading investigator who will be performing custom knee replacements. Before surgery, special x-rays are taken and sent to a company that makes instruments that are designed to be used only in that selected individual. Dr. Buchalter is looking forward to bringing this latest innovation to South Florida.

Dr. David N. Buchalter 

Dr. Buchalter has performed well over 1000 total hip and total knee replacements and is a member of the American Association of Hip and Knee Surgeons. Less than 5% of the orthopedic surgeons in the country are members of this society, which includes physicians who specialize in total hip replacements and total knee replacements. He is one of the few surgeons performing the less invasive hip replacement surgery and the only one locally who is performing the less-invasive knee replacement using GPS.

Knee replacements no longer have to be a painful procedure with a lengthy recovery.

If you are suffering with chronic knee pain from arthritis, schedule a personal consultation with Dr. Buchalter today by calling South Palm Orthopedics.

Delray Beach, FL – March 16, 2009


Dr. Buchalter discusses benefits of hip replacement in ITV
Delray Beach, FL - February 22, 2009
Dr. Buchalter was featured in ITV's Healthy Body Healthy Mind episode, "Back on your Feet, The Benefits of Hip Replacement."

Watch the video here: http://www.itvisus.com/programs/hbhm/episode_1504_hip_replacements.asp