MDNews - Lower Hudson/Bronx

Dr. Greisberg, a foot, ankle and trauma specialist, leads an expanded orthopedic trauma team offering advanced care for complex musculoskeletal injuries in a local setting. ba la nce, he adds. His tra ining a nd experience equip him to def tly ha nd le ca ses involv ing dif ferent reg ions of the foot a nd a nk le. "I perform a wide ra nge of procedures," Dr. Greisberg says. "Some surgeons perform the sa me operations ever y day, but I treat injuries to ever y pa r t of the foot." MINIMALLY INVASIVE KNEE AND HIP REPL ACEMENT At one time, knee surgery was a major procedure involving significant hospital stays. Today, however, NYP Lawrence oŠers minimally invasive partial replacements that can preserve two-thirds of the original joint, Dr. Geller says, along with all the knee ligaments. Preser ving the a nterior a nd posterior cruciate liga ments is especia lly impor ta nt to ma king the knee "feel like a knee," he says. Patients a re more likely to be able to ma ke dyna mic cutting and twisting movements with these ligaments in place. The abilit y to spa re both is a technolog ica l brea kthrough, a nd patients return home the sa me day as surger y. "This is life-a ltering," Dr. Geller says. "Partia l knee replace- ments work well for ma ny yea rs, a nd patients ca n go back to ma ny intensely strenuous activities. Simila rly, we now have the technolog y to do full knee replacements while keeping a ll of the native knee liga ments, a groundbrea king procedure ava ilable only at highly specia lized or thopedic facilities." Hip surger y is performed in a nterior, minima lly invasive fashion at N Y P Lawrence, with the accompa nying reduction in pa in a nd leng th of hospita l stay. Dr. Geller a lso performs hip a nd knee revision surgeries. These a re cha lleng ing, he says, but rewa rding for patients who have suf fered w ith a badly impla nted joint. "Some of my happiest patients a re those who have had a poorly done knee replacement revised," he says. " W hen you can turn an unstable, swollen joint into a sturdy knee, you give patients back the ability to pa r ticipate fully in the activities of life that they va lue." ACHILLES TENDON REPAIR A not her specia l i zed procedu re, Ach i l les tendon repa i r, involves restoring function a f ter the tendon ha s r uptured. Typica lly an outpatient procedure, the repair involves locating a nd rejoining the ends of the Achilles tendon. The surger y of ten may be performed via minima lly invasive techniques, Dr. Greisberg notes. "Achilles tendon repa ir is one of the procedures I perform most frequently," he says. "This is a highly successful surgery." NON-RECONSTRUCTIVE ACL REPAIR Given the frequency of ACL injuries, ACL reconstr uction ha s lon g been i n h i g h dema nd . However, su rgeon s w it h Columbia Doctors a re now able to per form repa ir w ithout reconstruction, a ra re but effective a r throscopic procedure, Dr. Za mbetti says. W hereas reconstruction uses a gra f t from the patient's body or a donor, in repair, the surgeon uses a series of sutures and attachment devices to reconnect the ligament. A similar operation was performed in the 1980s, Dr. Zambetti adds, but it involved open surger y a nd leng thy rehabilitation. " Now, the instr umentation ha s been ref ined to ma ke it more accurate, a nd we have the necessa r y experience with these instr uments," he says. " Therefore, repa ir of the ACL has become more feasible a nd desirable." A PARTNERSHIP FOR SUCCESS N Y P Lawrence's commitment to or thopedic success benef its patient s t h roug hout t he a rea . In addition to Dr. G el ler 's s t ron g a nd s t ea dy lea dersh ip a nd t he new fa cu lt y f rom Columbia Doctors, the hospita l ha s made a n institutiona l commitment to investing in state-of-the-a r t equipment a nd is opening clinics throughout the a rea . " We are building a larger orthopedic trauma referra l center for Westchester," Dr. Geller says. "Once that 's set up, we will have a hotline patients ca n ca ll if they fa ll or other wise need or thopedic ca re — even if they a re in a nother hospita l — a nd we will tra nsfer them in." This mea ns a ny patient in the a rea has access to top-f light academic or thopedic specia lt y ca re. " W hether you see us in Westchester or in New York Cit y, we a re pa r t of the sa me g roup," Dr. Geller says. " We a re the only academic New York City hospita l providing or thopedic ca re for patients in Westchester." To learn more, visit nyp.org/ lawrence. ■ Expertise Close to Home In partnership with ColumbiaDoctors, NewYork- Presbyterian Lawrence Hospital offers sports and orthopedic medicine at locations in Bronxville and Tarrytown. 1 0C O V E R F E A T U R E

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