Shouldering the pain:
Joint replacement innovation puts local firefighter back to work
by Lucinda Breeding
Denton Record Chronicle
27 augustus, 2017

As a firefighter, Brian Shackelford has to be able to lift both objects and people. This includes his heavy firefighter gear and transporting people when doing EMS work. He went to Dr. Ian Wilkofsky of Orthopedic Associates in Flower Mound, Texas who suggested a shoulder replacement. In May 2016, Shackelford underwent a new surgery called a stemless shoulder replacement. This both helped relieve his chronic pain and keep him at his job.

“Before I got the surgery done, I had gotten to the point where it was hurting all the time,” Shackelford said. “A deep aching. To me it felt like the pain was on the inside of my bone. … It got to where doing anything would increase the pain. It was really limiting me on my job.”

Shackelford was diagnosed with ankylosing spondylitis, an inflammatory arthritis that typically affects the spine and the large joints.

“The anatomic replacement is, ‘I’m just going to put this back how God made it,’” Wilkofsky said. “The reverse total shoulder replacement, that’s a newer implant to the United States. It’s a technology that we started using when you’d go in to replace the joint and find that the patients didn’t have much of a rotator cuff.”

Much smaller than its predecessor, the stemless joint is an egg-shaped, coated titanium object with ridges on it — Wilkofsky describes them as “fins” — that are reminiscent of a Phillips screwdriver head. The ridges are coated with a special material.

No long rod has to be inserted down into the bone to keep the new joint in place. The stemless joints are less invasive, and involve less bone.

“I’m glad I did it,” Shackelford said. “It isn’t the easiest recovery in the world, but it’s not the worst either. But it got me back to work, and it was worth it.”

Brian was implanted with the SIMPLICITI™ Stemless Shoulder Replacement in May 2016.

The opinions of Brian Shackelford and Dr. Ian Wilkofsky are theirs alone and do not necessarily reflect the opinions of Wright Medical.

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Local doctor talks about less invasive form of shoulder replacement
Texas
The Leader
09 juni 2017

After years of renovating houses and working on a farm, Tommie’s shoulder had worn out, causing her to struggle to do household chores or to write on the board in her classroom. She received injections to help the pain, but they lasted only a short time, leading her to seek a long-term solution.

Tommie went to see Dr. Ian Wilkofsky of Orthopedic Associates in Flower Mound, Texas, who recommended she receive the SIMPLICITI Shoulder System. He explained it is a less painful option than traditional shoulder replacements for those with severe arthritis or shoulder pain, and Tommie decided to undergo the procedure.

Dr. Wilkofsky highlighted how advancements in shoulder replacement surgery involve less pain and a quicker recovery. He explained that traditional shoulder surgery used a stem that went halfway down the arm, unlike SIMPLICITI, which only sits at the top of the humerus or arm. Dr. Wilkofsky said patients can resume certain activities like playing golf and lifting weights by three months after the surgery.

Only three days after Tommie underwent the canal-sparing shoulder arthroplasty procedure, she no longer needed pain medication. After a 12-week recovery period, she no longer had any limitations, and now only experiences muscle soreness from physical therapy. She is glad the new surgery is available.

The opinions of Tommie and Dr. Ian Wilkofsky are theirs alone and do not necessarily reflect the opinions of Wright Medical.

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Naam: Nellie Sparks krijgt volledige kunstschouder
Lakewood Sentinel
21 december 2016

Nellie Sparks, gepensioneerd, uit Lakewood, begon ongeveer 4 of 5 jaar geleden problemen te krijgen met haar linkerschouder. Ze merkte het voor het eerst bij een yogahouding. Ze was niet zo lenig als ze hoorde te zijn. Druk op het gewicht veroorzaakte veel pijn, maar Nellie stelde een behandeling uit en gebruikte cortisoninjecties om verder te kunnen.

Uiteindelijk kon ze niet meer tegen de pijn, die haar verhinderde om haar favoriete activiteiten te doen. Ook dagelijkse dingen, zoals het omdoen van een veiligheidsgordel, waren moeilijk. Nellie bezocht dr. Armodios Hatzidakis bij Western Orthopedics. Hij raadde een volledige kunstschouder aan met het SIMPLICITI™ schoudersysteem. De arts beantwoordde Nellies vragen en zij besloot om het te doen.

Nellies linkerschouder werd vervangen op 23 september, 2015 en gebruikte de zeven weken fysiotherapie om haar mobiliteit terug te krijgen. Ze kan nu zonder pijn dagelijkse activiteiten uitvoeren en heeft haar eerdere actieve leven weer opgepakt, zoals fietsen en wandelen wanneer ze maar tijd heeft.

In het voorgaande gaat het om de eigen standpunten van Nellie Sparks, die niet noodzakelijkerwijs overeenkomen met die van Wright Medical.

Verbeterde ingreep kunstschouder door nieuw hulpmiddel.
Washington DC
NBC 4 Washington
14 november 2016

John Bowling uit Hollywood, Maryland, had jarenlang last van ernstige schouderpijn. In 2015 begon het zijn dagelijkse activiteiten op zijn boerderij te belemmeren. Toen het zo erg werd dat hij niet langer eenvoudige taken kon uitvoeren, zoals zich aankleden, maakte zijn vrouw een afspraak bij dr. Peter Johnston van het Southern Maryland Orthopedic and Sports Medicine Center.

Dr. Johnston stelde vast dat beide schouders van John Bowling waren versleten door artritis. Vervanging van beide schouders was de enige optie. Hij raadde aan een nieuwe, steelloze kunstschouder te implanteren. Dr. Johnston legde uit dat een kunstschouder traditioneel gebruik maakt van een metalen steel, die tot halverwege de arm komt. De nieuwe, steelloze implantaten zijn acht keer zo kort. Met de nieuwe ingreep is er ook minder bloedverlies dan bij eerdere ingrepen en de voorlopige resultaten wijzen ook op een lager risico op infectie.

Bowling is nu vrij van pijn met zijn dubbele kunstschouder. Hij heeft alleen spijt dat hij zo lang heeft gewacht met het aanpakken van de pijn.

In het voorgaande gaat het om de eigen standpunten van dr. Johnston en van John Bowling, die niet noodzakelijkerwijs overeenkomen met die van Wright Medical.

Anatomy of the small-joint sector: small devices, big growth
Orthopedic Design & Technology
31 mei 2008

This article addresses how large medical technology companies have been slow to pick up the ball with regard to small joints and replacements. This has left an opening that small and mid-size companies like Wright Medical Technologies have been able to fill while helping aid patients with joint distress in the extremities caused by arthritis, obesity, and other problems.

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Wright steps to forefront in foot, ankle device field
The Commercial Appeal
4 april, 2008

This article from The Commercial Appeal discusses Wright’s drive to become the top firm in the foot and ankle surgery market, and it also addresses how growth in the market benefits both the company and patients. Acquisitions of other providers and savvy selling have allowed Wright to shore up market share in a critical field that’s been comprehensively overlooked for a long time.

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Minimally invasive wrist treatment provides fast recovery
The Dispatch
26 juni 2007

This article profiles Ricky Rummage, who was tired of wearing casts when he broke his wrist. Rather than deal with a cast, which would leave him immobilized for weeks, Rummage opted to try Wright Medical Group’s minimally invasive wrist treatment, MICRONAIL® Fixation. Rather than wrapping the wrist to heal, MICRONAIL® Fixation lets the wrist heal from inside, allowing the patient mobility much sooner, with smaller scars – and with much less pain than with traditional techniques.

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Group of Cape Girardeau doctors using new method to heal fractured wrists that reduces healing time
Southeast Missourian
3 april, 2007

Dr. Brian Schaefer of Orthopaedic Associates in Cape Girardeau relates and how he has embraced Wright’s MICRONAIL® Fixation system for many broken wrists, allowing patients to heal faster and have a greater range of motion. The MICRONAIL® implant uses an internal fixation technique and results in little more than a removable splint for the patient to wear after the surgery. Schaefer sees many benefits to the new procedure that outweigh those of traditional bone-setting techniques like casts.

New procedure fixes broken wrist on the spot
Times Herald-Record
14 februari 2007

Although many wrist fractures are treated with a cast or a combination of cast and pins, such treatments can fail to maintain the bone alignment. By some estimates, 70 percent of patients experience pain and/or decreased wrist function because of alignment problems. Dr. Samir Sodha has been using the Wright MICRONAIL® implant, thus allowing his patients immediate use of their wrist with minimal scarring and mobility loss.

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