Dr. Samih Tarabichi Joint Replacement Center – Surgeries: total knee & hip replacement, ACL reconstruction and the rehabilitation programs.

Dr. Samih Tarabichi Joint Replacement Center is specialized in knee pain treatment, stiff knee treatment, knee osteoarthritis treatment, knee replacement surgery, revision knee surgery, full flexion knee joint, knee joint fracture treatment, hip pain treatment, stiff hip treatment, hip osteoarthritis treatment, hip replacement surgery, revision hip surgery, hip joint fracture treatment, joint osteoarthritis, ACL surgery, Ligamys, Dynamic spacer for total knee arthroplasty and Physiological total knee implant.

Knee Replacement Surgery

Total Knee Replacement Surgery:  is a very common surgical procedure in Europe and the US. It is estimated that over 4 million cases are done annually. The total knee replacement has evolved and improved significantly in the last 40 years making this a very successful surgical procedure with a great outcome  and success rate of 98%.

The main principle of total knee replacement is basically trying to substitute for the cartilage loss and bony damage that happens because of the severe arthritis. In arthritic knee, the cartilage has practically eroded and the bony surface is exposed making movement of the joint painful and affecting severity of the knee and affecting mobility of the patient.

The idea of total knee replacement is to resurface the bone again with a smooth surface allowing it to  move freely without any pain. Basically the implant placed in should really be specific for the patients  and should balance the ligament to make it a successful  surgery. Throughout the last 40 years the engineering of total knee replacement has evolved in order to better fit the patient. The concept of one size fits all or one model fits all is not acceptable. The perfection is required in this surgical procedure. Otherwise the joint will be painful and will not function properly.

Minimal surgery incision: its worth mentioning that Dr. Samih Tarabichi, through his extensive experience in joint replacement, operated through a tiny incision of not more than ( 8-12 cm ), instead of the normal surgery incision (25 cm).

the tiny incision is cosmetically acceptable and results in quicker recovery and with minimal infections.

Frequently asked questions for total knee replacement patients:

  • May a  knee replacement surgery be performed for the both knees at same time ??

More than 07% of the patient have injuries in both knees and as the problem will not be solved by replacing one joint, we make sure to perform the surgery for two knees at the same time,the dual surgery results are excellent and saving your money, time and exposure to tow surgeries, the only thing is that you stay in the operations room for another hour, and stay in the hospital for 10 Days.

  • Are they any special precautions I have to follow after the surgery ??

You have to pay attention to infections in the first year after the surgery, any surgeries performed shall be accompanied with wide range of antibiotics before and after the surgery, even if it was dentistry, also you have to treat any infection that will spread to the joint.

  • May joint replacement be performed for elderly people ??

Most of our patients are elderly and we performed above 90 years successfully with amazing results.

  • May knee replacement surgery performed for those who suffer from chronic diseases ??

Most of our patients suffer from chronic diseases such as diabetes & heart diseases with surgeries performed successfully after referring them to the specialized physician to obtain the medical approval for the surgery.

  • May knee replacement surgery performed for obesity patients ??

Obesity complicates the surgery, yet surgeries were successfully performed for the patients who are above 100-140 KG, its rather challenging to ask the patient to lose weight, as the patient weight may increase for difficulties in movement and decrease in activities.

Hip Replacement

Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures. A total hip replacement (total hip arthroplasty) consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head. Hip replacement is currently the most common orthopaedic operation, though patient satisfaction short- and long-term varies widely. The average cost of a total hip replacement in 2012 was $40,364 in the United States, and about $7,700 to $12,000 in most European countries.

Medical uses

Total hip replacement is most commonly used to treat joint failure caused by osteoarthritis. Other indications include rheumatoid arthritis, avascular necrosis, traumatic arthritis, protrusio acetabuli, certain hip fractures, benign and malignant bone tumors, arthritis associated with Paget’s disease, ankylosing spondylitis and juvenile rheumatoid arthritis. The aims of the procedure are pain relief and improvement in hip function. Hip replacement is usually considered only after other therapies, such as physical therapy and pain medications, have failed.

Revision Knee Surgery

Revision knee surgery is a challenging operation basically done for people who have  a TKR that is not performing well or  has loosened after a long time. Patients who have had previously TKR and that knee replacement is not functioning well, require what we call a revision. Revision means that we have to remove the old implant and put a new implant to offer stability and pain relief  to the patient. The challenge in revision surgery is the fact that in a revision patient, there is  some bone  loss and some ligament instability; and the need for each patient varies depending on their failure mode. The revision surgery needs to address the reason for failure and to correct it accordingly.  The surgeon has intra-operatively large spectrum of option and  the surgeon has to properly select the choice.

The reason this surgery is  done only in limited number of centers   in Europe and the United States is because,  only experienced centers can perform such surgeries.  We have been Doing revision now for over 20 years using the  highest technology. Dr. Samih Tarabichii  is one of the designer for  Persona revision knee system which will be released in the year 2018. Revision surgery is more challenging even for the physiotherapy and for the intra-operative team. However we have managed to keep at our operating room wide spectrum  of variety of implants- which is not available in every hospital in the Middle East. The revision implants variety that we have  in our institution cannot be found in any other institutions in the Middle east, since the main manufacturing company acknowledged that we are the leading  Center for revision Total Knee Replacement.

ACL Reconstruction

Anterior cruciate ligament reconstruction (ACL reconstruction) It is estimated that over  200,000  ACLs are done annually in the United States. The purpose of the ACL reconstruction is to reestablish the stability that the patient have pre-operatively. When an ACL injury occur, the knee will be unstable causing some time  cartilage damage due to the  excess movements  at the joints. In young patients,  it is always  advisable to do reconstruction  after ACL rupture. This reconstruction simply means  harvesting a tendon from around the knee and implanting it instead of the  ACL. There are large  varieties of surgical technique to do  ACL reconstruction. The surgery is done through the scope without  opening the knee per say.  The fixation  devise for the graft varies  . We utilize the latest technology  and in ACL reconstruction normally the patient is admitted  at the day of surgery and stays at  our hospital only  for one night. Our Center is  the first Center in the Middle East  to perform an ACL  repair  than reconstruction where the ACL is sutured through a  complex procedure . We utilize  this technology only in fresh  injuries  within the first 2 weeks enabling us  to repair  rather than to reconstruct the  ACL ligament. The repair technique  has been giving superior effect if compared to ACL reconstruction. Our physiotherapy is quite knowledgeable in the post -operative rehabilitation of ACL and we have been  routinely performing ACL reconstruction at  our institution.