Dr. Junius: Knee replacements have been around for a very long time and traditionally, that has been on of the most successful surgeries ever invented. In one sense, they aren’t really reinventing the wheel, which is good, because when we start doing things that are too radical, that’s when we open ourselves up in terms of orthopedic surgeons and industry to problems. I’ve seen in the relatively short time I’ve been an orthopedic surgeon – now for about 14 years – I’ve seen a lot of products come in and go out just as fast as they came in. The nice thing about the ConforMIS knee is that it’s building on existing technology, but then making an improvement. So, it is a radical difference in terms of the fit, the way that it performs, but it also has built on technology that’s been around for a long time. So, that gives me the confidence that we aren’t going to have issues that have been plaguing other particular implants over the course of time.
Based on patient feedback and your experience, what would you say is the level of satisfaction with ConforMIS implants?
Dr. Junius: The measures that I look for to grade myself are things like flexion level, extension level, and what the x-rays they look like. So from those standpoints, I’ve seen tremendous increased in satisfaction from my standpoints. The x-rays, I think, look better because I’m not having problems with overhang of a component, underhang of a component; I’m not worried about notching the femur, which is a particular problem with undersizing an implant. So, the x-rays certainly look more natural. The knee implant actually fits better. From the patient’s perspective using some objective measures of the patient, I’ve noted on average, an improvement in range of motion of the patient. In terms of patient satisfaction, I think once that the patient understands what they are getting, that they are getting a knee replacement that’s actually built for them, I think that automatically improves their satisfaction level right there. And in our particular patients, on average, we’ve noted a much higher satisfaction rate as reported to us by the patient.
On average, how quickly are your patients getting back to their normal activities?
Dr. Junius: I can tell you this. On average, our patients, I’m finding are doing better with the ConforMIS knee than with the off-the-shelf brand, on average. One particular patient that I can think of off the top of my head – she returned to work after three weeks and came to our office with a normal gate, with no limp, not utilizing a cane or a crutch. We did both of her knees, ultimately. Her first knee was an extraordinary procedure for us because of the difference that we saw in the patient’s recovery and how here satisfaction was.
What is your implant of choice?
Dr. Junius: For young, active patients that are candidates for the ConforMIS knee replacement, yes, it is my standard at this point. I think that the customization that’s allowed is better for the patient the recovery that I’ve seen from those particular patients has really changed my opinion of who does well with what particular knee replacement. I certainly think that patient-specific is better. It seems to me to be common sense that putting something in me that is closely shaped to me is much better than something that is shaped to fit a population of people rather than me specifically. And I think that’s something that’s new, is here to stay, and is the future of joint replacement.
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