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Dr. Joseph Gondusky, MD, FAAOS
United States
Приєднався 29 сер 2015
Dr. Joseph Gondusky is a board-certified orthopedic surgeon who specializes in hip and knee replacements. He has extensive training in anterior approach total hip replacement, partial and total knee replacement, minimally-invasive surgery, computer-assisted surgery, and complex revision joint replacement.
Dr. Gondusky joined the Jordan-Young Institute in 2015 after finishing a career in the Navy as a Commander. He has become one of the region’s busiest hip and knee replacement surgeons, performing approximately 700 joint replacements annually. He credits his extensive training and dedication to patient care as the factors that have distinguished him as a respected surgeon in the community. His care and outcomes have led to multiple awards and outstanding patient reviews.
Dr. Gondusky joined the Jordan-Young Institute in 2015 after finishing a career in the Navy as a Commander. He has become one of the region’s busiest hip and knee replacement surgeons, performing approximately 700 joint replacements annually. He credits his extensive training and dedication to patient care as the factors that have distinguished him as a respected surgeon in the community. His care and outcomes have led to multiple awards and outstanding patient reviews.
Recovery after hip or knee replacement: Pain control, therapy, driving, work, and how long?
Hip and knee replacement are common and significant surgeries. Here you can learn about what recovery will be like. How long is recovery? What medicines will I take? How bad is the pain? What is therapy like? What about driving, golf, return to work, and other return of day-to-day activities? Learn more @JosephGonduskyMD and GonduskyMD.com
Переглядів: 300
Відео
The surgery day for knee and hip replacement: Pain control, medicines, therapy, and anesthesia
Переглядів 1652 місяці тому
If you are having a hip or knee replacement, you may wonder what the surgery day will be like. I discuss hip and knee replacement and progress through the surgery day. From the night before surgery to the actual experience throughout the day, we discuss anesthesia options, pain control plan, therapy goals, discharge criteria and more; @JosephGonduskyMD and learn more at GonduskyMD.com
What is hip replacement? Learn about arthritis, surgery, anterior approach, and implant materials
Переглядів 2,5 тис.2 місяці тому
Hip replacement is common. What is it? What do we do? What are the parts made of? How long will it last? Learn about hip replacement anatomy, surgical technique, anterior approach hip replacement, hip replacement implants, materials and frequently asked questions about hip replacement. @JosephGonduskyMD or goto GonduskyMD.com for more information.
What is knee replacement? The surgery and components used in partial and total knee replacement.
Переглядів 2,1 тис.2 місяці тому
Knee replacement is one of the most common surgeries in the world. It treats severe arthritis. Partial knee replacement can be an option for some knees. Total knee replacement resurfaces the whole knee joint. Learn about pros and cons of these surgeries, as well as topics like the replacement components and more in this video. Look @JosephGonduskyMD and GonduskyMD.com for more information.
Hip and Knee Arthritis Treatment Options: Learn about medicines, injections and surgery
Переглядів 1,5 тис.2 місяці тому
Hip and knee arthritis is common. What are your treatment options? How can therapy, medicines, injections, and surgery help? Learn more @JosephGonduskyMD and at GonduskyMD.com
What causes hip pain? Learn about hip bursitis, hip labral tears, and hip arthritis
Переглядів 8 тис.2 місяці тому
Hip pain can be causes by bursitis, larbral tears, arthritis and many more diagnoses. Many patient who think their hip is the problem learn it is not the actual hip joint at all! Back issues are common sources of pain around the hip that can be confused with a hip joint etiology. Learn about hip bursitis, hip labral tears, and hip arthritis. @JosephGonduskyMD and learn more at GonduskyMD.com
What causes knee pain ? Learn about knee anatomy, knee meniscal tears and knee arthritis
Переглядів 2222 місяці тому
Learn about what can cause knee pain. Tendonitis, sprains, strains, ruptures, meniscal tears and arthritis can really hurt and keep you away from things you enjoy. @JosephGonduskyMD and see my website GonduskyMD.com for more information.
What is Arthritis ? Learn about cartilage, joint pain, hip pain, knee pain and joint arthritis
Переглядів 2462 місяці тому
What is arthritis? What is cartilage? How can arthritis cause pain? Hip and knee arthritis is incredibly common. It can be debilitating and have severe effects on your quality of life. Learn about arthritis basics, as well as the symptoms of hip and knee arthritis. Learn more @JosephGonduskyMD and at GonduskyMD.com
Modern Joint Replacement : Walking and Home Right after Surgery
Переглядів 3,6 тис.2 місяці тому
This video shows 3 of my patients experiencing what is now routine after knee and hip replacement. Surgery and then walking, including up and down stairs, hours after surgery and home comfortably later that same day. With careful preparation and technique, almost all patients are now candidates for outpatient, day of surgery discharge. Knee and hip arthritis are common ailments that debilitate ...
Preoperative Education for Patients before Hip or Knee Replacement
Переглядів 1,2 тис.4 місяці тому
You play an important role in the replacement process. This preoperative joint replacement educational video will help you learn about hip and knee replacement: what to expect, the surgery, logistics, pain control, therapy, and more from Dr Joseph Gondusky (Virginia, USA).
Knee Replacement Revision: Why, How and What to Expect
Переглядів 53 тис.8 років тому
Revision of a knee replacement is a significant intervention. Learn about why revision may be recommended, and what to expect in terms of surgery and recovery time.
Revision of a Hip Replacement: Why, How, and What to Expect
Переглядів 92 тис.8 років тому
Learn why you might need a hip replacement to be revised, and what is involved in the surgery and recovery.
Understanding Knee Arthritis, Partial and Total Knee Replacement
Переглядів 3 тис.8 років тому
The basics of knee arthritis, partial and total knee replacement
Hip Arthritis and Hip Replacement
Переглядів 8768 років тому
Understand the basics of hip arthritis and replacement
Anterior Approach Hip Replacement Basics
Переглядів 2,7 тис.8 років тому
Learn the basics about hip replacement, specifically the less invasive anterior approach for hip replacement.
Perfecting Component Placement in Anterior Approach Total Hip Arthroplasty
Переглядів 1,2 тис.9 років тому
Perfecting Component Placement in Anterior Approach Total Hip Arthroplasty
Thank you so much for the very precise explanation. I just realised that I have few conditions at the same. I wish my doctor will give me referral for MRI. I got results from ultrasound regarding bursitis, but I also have horrific pain in my knee, & front of my front of my tight, could be sciatica, piriformis muscle, lower back stenosis. I have the horrific pains from the beginning of This April. Did some walk today & came back and had to take 2 Panadols. I am very concerned about the steroid injection as after the Astra Zeneca I thought I will not survive. The worst pains come night pain, , hip, knee, and upper right like really agonising pain. Probably I will have to go for the injection. And pain in groin. The X-ray did not show arthritis. I was always very active & walking a lot. I live in Australia, hope the doctor will help
Very informative. Thank you.
Glad it was helpful!
Any experience or suggestions if ossification within hip labrum is found on pelvis mri..?
Ossification of the labrum can be common and is not necessarily a problem if pain is not associated with it. For pain, especially in the groin, it can signify a symptomatic labral tear or early arthritis. Other sources of groin pain can be from hip flexor strains or inflammation, and many other etiologies. I would overall see an orthopedic surgeon who specializes in hips if you have pain associated with the pathology on MRI.
I had my knee replacement July 11th anout a month ago. I went to a rehab facility July 15th. On Monday Aug 12th I had severe pain swelling and my range of motion was decreasing instead if increaseing. On Monday my knee was popping all day and some was bulging biut . All the pt and nurses said oh that's just weak quads or aoart of the healing process the pain was severe. Even using the cpm machine wasn't working my knee would bend. I messaged my irtho team. My 2nd oost otlpt was that Thursday Dr dud X-rays he said you're right something bis wrong there is something loose on xray. So on Thursday he said he has to see what happened and fux it.
He said it shouldn't take more than 30,min but I literally thought I was going nuts because a few days before Monday I kept saying my knee was extremely tight and swollen. I cried every day. I'm glad I'm nuts because now everything in my knee keeps moving and it wasn't doing that on the first pre opt the X-rays were fine. I just want relief this pain is unbearable he stopped to all PT and I wear a brace until surgery this week.
That does not sound like a good scenario. Big concerns would be infection and/or component loosening. You definitely need an orthopedic team to work that up and make a plan for you.
Does hip osteoarthritis cause lower back muscles to tighten up (or knot up) especially while walking? Thank you.
The back and hip are interconnected. Hip arthritis can cause back pain to be worse. But, isolated back pain is common as well. Overall, back and hip issues are so common that it is very frequent with patients to present with both. It’s our job to differentiate these things. I often see patients who think they have a hip problem that is certainly related to the low back, and vice versa. And often both of these things are occurring. But yes, if you do have hip arthritis, the gait abnormality that can occur due to this can cause some low back discomfort fairly frequently.
My recent xray shows calcification in the hip joint that is causing friction that is really painful. My orthopedic appt is not until November 2024. Is it common to have the calcification removed for relief? I'm afraid the orthopedic will start with treatment that is too conservative, such as cortisone shots and NSAIDs which haven't worked on me ever over the past year.
Yes, I learned a lot, thank you.
Very informational, thank you.
Excellent video and information. Thanks. I did LTKR at Mayo with good outcomes.
Great to hear and thank you. Total knee replacement is the most common major surgery in America. It is excellent, but not perfect. And, it has gotten better and better over the years with improved technology and less invasive surgical techniques. Patients are often scared to have knee replacement, which is entirely reasonable. I would be too! But, it really helps everyone to hear that the vast majority of knee replacement patients do well and are glad they sought a fix for their knee pain. Thank you for sharing.
What's the best way to improve range of motion after hip replacement?
You will notice range of motion immediately after surgery. Had my surgery May 20th. 7 weeks later I was playing Golf. Daily range of motion exercises will help. My rehab was at home. Good luck
@@paulmcwatters4200 My surgery was 5 weeks ago about When should I be able to squat down to pick up something off the floor? Or how about cross my Leg over the opposite need to put on socks and shoes?
@@sandramae1772 I had the anterior approach surgery. I didn’t have any restrictions. But I did wait until the 4th week before picking stuff up as I was nervous. After 2 months I was able to put a sock on by Myself without aid. Everyone is different. Your body will tell you when it’s okay. Kind of like taking steps the 1st time after surgery. You’ll just do it.
@@paulmcwatters4200 thank you
@@sandramae1772 What surgical approach did you have? It makes a difference. If it was Anterior you should have better resistance to any problems. You PT should know about all precautions.
scolioses can be corrected ….
True! As a hip replacement surgeon I generally think of scoliosis as either younger, adolescent idiopathic scoliosis or older, degenerative scoliosis. Most patients I see have degenerative scoliosis. Almost all people over 60 have some form of back degenerative disease, whether symptomatic or not. And, degenerative scoliosis is very common. It is the most common reason why older people lose height. The back goes from a straight line to a curved “S” and you may go from 5’6” to 5’4”. True scoliosis deformities can only be corrected with surgery. Which, as you can imagine, is a fairly massive surgical procedure which does not make sense for most people.
Thank you. This was very, very helpful. Finally a way to understand terms found on x rays and MRI.
Glad it was helpful! X-ray and MRI reads can be confusing. Glad this helped you. Dr G
Hi i have no time to listen , right now, do you offer suggestions , i was diagnosed with bursitis of the hip in a after1981 car wreck. I don’t think i have., it gets agitated.
That’s lazy. Listen to the video and ask the right questions. If you don’t care about you, the doctor isn’t going to care either and you’re prolonging your care as well as not being able to properly advocate for yourself. It’s the truth, it nay be triggering, but don’t shoot the messenger.
@amedmullins1239, your comment was not needed
@@amedmullins1239 it was not being lazy !!!!!! I don't need to even open, listen, if u wanted to waste my time.
Besides i asked that question i went into a 6 week coma, so i so not know what i did in my accident to cause what Drs said was bursitis, ?
Amazing information sir thanks ... Hakam churna from Planet Ayurveda are very good and effective results on Arthritis
God bless you Doctor
Great Video I had my TKR on May 29th having some pain at night yet going through my physical therapy and I will have to have my left knee replaced as well this Video was very informative to me
Great, I’m glad it helped you !
I am about to do knee replacement surgery and this information is very helpful to me, thank you.
Hope everything went well and glad my video helped !
Best video on knee replacement surgery I’ve found on UA-cam so far! So comprehensive and easy to understand. Answered pretty much every question I had about the procedure.
Thank you so much, glad it helped ! Informed patients help minimize risk and do better !
I had a TKR done about 4 yrs now. Im not 100%, but it feels as if it needs a new part.. idk
Needing a new part is generally never really the answer. Pain after knee replacement can occur for many, many reasons. It’s like a car that is not running properly, you need to bring it to a good diagnostician (mechanic) to work it up. Knee need a good evaluation and x-rays to determine if they are OK or need something done. It’s a complex issue to determine, and I would encourage you to get a few opinions from fellowship trained knee replacement surgeons.
Your last video was eight years ago. Glad you are back. I am hoping to have total hip replacement next year. I just returned to pouring over surgery info a few days ago. I was born with dislocated hip. A surgeon corrected it when I was 15 months old. My mother was told the reason my femur ended up one inch shorter was because healing slowed the growing of that femur. I have always walked with a limp due to the shorter femur. When I delivered my child in my late 30's, my hip was damaged. Instead of a 1/2 inch lift I needed a 1-1/8 inch lift inside my shoe to even out my legs. I have just have a difficult and exhausting gait. Could you do a video that discusses leg lengthening options that can be included during total hip replacement? I understand you can only go so far before the nerves can no longer stretch. At this point getting back to 1/2 inch leg length discrepancy would greatly improve the quality of my life.
Leg lengthening can issue through hip replacement to some extent. Lengthening over a very long distance would generally be considered by an orthopedic trauma surgeon or oncologist, I would seek care from these specialists to consider this.
Very good explanation. I’m praying that my knee is just sore for all the walking I do. 👍
Appreciate the update 🇺🇸
Hello, if the AP and Lat views of the knee xray are taken in laid position and not standing, will the diagnosis of cartilage loss(joint space)be still accurate?
Good evening am from Ghana can u help me solve my leg problem , I have got accident then my hip got dislocation please
How can I show my xray & consult you?
How to show and consult you?
Cost of the revision operation
My 83 yrs old grandmom had a partial hip surgery last december 2021, 8 months after she developed an infection and the suggestion was a 2 stage revision. Family is against it due to her age to get another major surgery. Since the 1st surgery made her develop a dementia. Im trying to look for survival rate since im pro surgery but ill be blamed if something bad happen to her
ua-cam.com/video/zlghmA56k0Q/v-deo.html Something about hip revision surgery.
Dr. Gondusky replaced my right knee approximately 2 years ago. I highly recommend him. My recovery was easy and not painful, I was up and about the same day after surgery. Did not need pain medication after the first day. I am scheduled for my left knee soon.
First hip replacement in Chicago was installed at an obtuse angle. Revision surgery 2 weeks later. Months later Iwas very sick and the hip was infected. 16th surgery tomorrow and 8th hip. Hip infections are a bitch to recover from. I had 8 seperate pics lines. Ive been dealing with this for 5 years now
Thank you for sharing you have helped me live with my arthritic hip . I’m going to get a cane and call it good . I don’t have the stomach for surgeries
I am extremely sympathetic as I went through one revision and it was quite a difficult experience.
@@intensivemanagement Mine was neglect and total disservice. I am walking with pain and a limp. Never give up. I had my shoulder reaplaced in October of 2023. No pain. Went perfect.
@@greggiuliani4830 sir I respect your knowledge and what you’ve been through but my bone on bone is painful when I limp walk but I couldn’t stomach infections and revisions at 59 . Do you feel there’s too much of a risk in trying to replace or do you think improvements are coming in the near future?
@@intensivemanagement I understand I was terrified to get the shoulder replaced after what I went thru.
Joint replacement is a failed treatment for arthritis so why have it. Actually it should be banned totally being inhuman
My problem is how much money can be spent to help me
How much money can this problem cost me?
Thank you, this was very helpful and clear.
OMG.dont make me do this again..my knee is from a necrotic break that didn't heal
Had a knee replacement done in the Philippines In 2020, had a terrible infection the surgeon done a debridlement without removing the implants, in Jan 2021 I still have infection knee is painful, now I have to travel back to the USA and have corrected surgery, my advice to anyone who is planing on have replacement knee surgery done in the Philippines don't do it there you'll regret it, these surgeon are not the brightest, they use antiquated equipment, infections are very high.
I got my knee opened third time on 29th June.Now have a ten cm. long rod in femur bone. So far all good.No pain and can move around with a stick. 😂
@@drajayatri what does the rod do?
Hello, Sir, my mother is having her 2nd knee surgery as the 1st surgery was not successful. Dr. Advised the process in 2 stages due to the infection being there in her knee. So first they will operate and cover the cement part and then once the infection is out in 1 or 2 months then they operate again. I am worried about the 2-operation process her age is 51 I am from India. how was your experience now after your 2nd surgery pls provide your feedback it will really help me. Thanks, Adarsh
When am I ready to travel by bus
Where are you located
i had my right knee replaced a second time almost 20 years ago ,,now i significant pain in the knee upon standing , there is also grinding it concerns me because my femur shattered with the last replacement and im wondering if it could happen again can you advise me please the pain is getting worse
U poor thing
Thank you for the information. Over time, the original components of a hip replacement procedure can wear and loosen from bone surfaces. A revision hip replacement involves an operation to replace some or all of the original prosthetic components with new ones. The complexity of your revision surgery depends on the amount of loosening or damage that has occurred to bone surfaces, and the specialized components and bone graft material that may be required to rebuild the hip joint. For more details about Revision Hip Replacement visit: www.bharathorthopaedics.com/revision-hip-replacement/
How long does a typical knee replacement last?
better try it this way first: ua-cam.com/video/zXhqCdJE-wk/v-deo.html
No one has mentioned my problem: my new hip makes that leg much longer! I had hip surgery, and after 12 years I needed a revision. The plastic between the ball and joint became dislodged, so my surgeon put a larger ball in. I am one month short of 69 years old. I went home the same day of surgery. Hardly any pain. No PT because I am familiar with it since I have had both hips as well as both knees and both shoulders replaced over the years due to wear and tear. I feel fine, only used the walker 3 days. No cane. I just want to know when I will be able to get back to my active life: skiing, cycling, tennis, walking, exercise classes.
Must have been a typo: I had the revision after 7.5 years. I think I needed the revision because my other hip has no restrictions since I had anterior surgery, but this newer hip has restrictions since I had posterior surgery, and I am an active person who has a difficult time following restrictions.
ua-cam.com/video/YbYrWRIhbGc/v-deo.html Zimmer lcck knee replacement
I am a 60 year old male and I had total hip replacement 20 days ago the first 5 days where a little tough but no hip pain. I then received PT therapy in house the first three sessions were great no pain no problems the last of the pt was on day 15 she had me doing squats step ups and walking 10,000 steps a day plus 7 other exercises three sets of 10 each which I had no problem doing. Unit the next day I could not walk or could not put pressure back on that new hip and the pain was just like before, I went to the doctor yesterday he took an x-ray and said everything was fine that I am overworked the area that I need to let it rest and recover and that the pt person was wrong for pushing me on the PT. Today is day two of icing and not moving at all other than needed and I’ve have no relief it feels like it’s dislocating at the top of the hip it’s when I roll off the tip of my toes I feel pressure at the top of the hip in the front and down my leg and a lot of pain in my right knee. Has anyone else ever experienced this and do you think it’s just swelling or a pinched nerve my surgeon is a little aloof he has a great reputation and has been doing anterior hip replacements for 12 years averaging 4 to 8 a week he also does knee replacement. I’m fearful that I’ve done something that he does not want to disclose to me ? Thanks for your help or advice Howard.
Hello sir I hope all is well. Wow that PT was crazy. I tell ppl all the time to be very careful with therapy because they will over work you and push you too fast if you let them. The quicker they get you back to doing better the better it makes them look. It seems to me that your doctor gave correct assessment at the time. But if rest and ice doesn't work it could have loosened a bit which will cause the symptoms you described and the right knee could be from over compensating to ease the pain from the hip. How's it going now
HELP...I AM 23 DAYS OUT OF FULL LEFT HIP ARTHROPLASY....ALL OK...... WORKING OUT BUT STILL TIGHT......NORMAL 4 TO 10 WEEKS OF REHAB..I HOPE!!
@@tommythompsonsurfer had mind done aug 2019 the healing was quick no pain until a few days ago feeling pain from groin area to back and front up and down to the knee hoping its nothing that requires another surgery
Dr. Gondusky did my knees which was IMHO, the absolute Top of the Line! Knowledgeable, Courteous, with great bedside manner! Technique and Surgery were perfect with lowest pain of all patients in the therapy sessions by far as I observed IMHO! I got my 90 degree range of motion the first therapy session! I can walk now!! Very satisfied!! :)
Thank you. Getting a revision in 3 days. Hospital stay is overnight and expected to be a straight-forward procedure. Hopefully it will be. Original hip replacement done almost 20 years ago and worn out.
Hi Anita, would love to hear how it's been. Greetings from Spain.
Hello, how are you today?
After total hip replacemnf i cnt walk proper
Are you better now?
My right hip was the same been like this 22 year I'm 56 I can write what I've done with my life on a postage stamp I'm now a recluse
This was very helpful... I need to get a revision after two 2 yrs of a partial replacement
Hi Marjorie, I was wondering if you had your revision? You are the only person I have see to have the same situation as myself. I am going in for revision on Sept. 3.
lois miller 13 years for me, got cancelled due to Covid-19. Still waiting for a date. Wishing you good healing.
Almost 3 years for me and the pain and swelling is worse than before my replacement!
@@debbieblunden9672 How did it go?
@@ITCSCdogaholic0:25
My knee replacement surgery is not good. I have fell several times, today doctor, he didn't seem to care. 2016 and I'm still in pain. Numbness, bruise s.