Dr. Todd A. Borus
|
|
Todd A. Borus, M.D.
Rebound Orthopedics
200 NE Mother Joseph Place
Vancouver, Washington 98664
Office Telephone: 800-REBOUND
Office Fax: 360-449-1146 |
Partial Knee Replacements are growing
in success and patient satisfaction.
Rosemont, IL 01/14/2008
Due to advances in surgical procedures and technology,
partial knee replacement is becoming a popular alternative
to full knee replacement in patients with knee arthritis. A
paper published in the January, 2008 Journal of the American
Academy of Orthopaedic Surgeons found more people who suffer
from arthritis are now benefiting from this surgery.
Previously this procedure was performed mainly on patients
who were older and who lived a more sedentary lifestyle.
Partial knee replacements, also known as unicompartmental
knee arthroplasty, are used to ease the pain and discomfort
that accompany arthritis in the knee joint. Arthritis is the
leading cause of disability in the United States, affecting
more than 70 million adults. The knee is one of the most
commonly affected joints in the body.
When partial knee replacement procedures were first
implemented in the 1970s, the majority of surgical
candidates had to meet specific requirements:
1. Severe localized arthritis
2. 60+ years old
3. Low activity demand
4. Not be overweight
However, as advances are being made in the procedure even
baby boomers are now benefiting from partial knee
replacements. "A major challenge in orthopaedics is treating
younger patients with knee replacements," said Dr. Todd
Borus, co-author of the study and a candidate member with
the American Academy of Orthopaedic Surgeons. "With baby
boomers being more active and wearing out their knees
earlier, partial knee replacements are an option in treating
these younger and more active patients." Dr. Borus is an
orthopaedic surgeon at Northwest Surgical Specialists in
Vancouver, Washington. In the past total knee replacements
have become one of the most common orthopaedic procedures
performed on older people, but partial replacements are
becoming more attractive for patients due to:
1. Higher patient satisfaction
2. Preserving a more normal knee motion
3. Less blood loss during surgery
4. Accelerated rehabilitation and recovery time
As technology advances in the operating room minimally
invasive variations of the partial knee replacement are also
being used. In addition, some surgeons are getting aid from
computers in the operating room. The paper points out the
need to further study both minimally invasive and
computer-assisted partial knee replacements, since more time
is needed to review those surgical outcomes.
Dr. Borus points out that even though more patients are
being accepted for partial knee replacements they are not
for everyone. "The criteria for partial knee replacements
are still relatively strict. The arthritis has to be well
confined to one part of the knee. Even though the techniques
and implants are improving, not everyone is a candidate."
Todd A. Borus, M.D.,
is an orthopedic surgeon with subspecialty interest in
arthritis and joint replacement surgery. Dr. Borus is
employing minimally invasive techniques and is one of the
first doctors in the Northwest to perform MAKOplasty, a
robotic assisted partial knee resurfacing procedure. Dr.
Borus believes in a multifaceted approach to patient care
including: a thorough understanding of the patient's needs,
use of modern diagnostic modalities, treatment with
appropriate conservative measures, and advanced surgical
reconstructive techniques when indicated. This approach
requires expert knowledge of a patient's problems and
effective state-of-the-art treatment solutions.
His fellowship training in adult reconstructive and joint
replacement surgery allows Dr. Borus to care for a wide
spectrum of joint disease from the initial onset of
cartilage degradation to complex joint replacement surgery.
Dr. Borus enjoys hiking, biking, running, tennis, golf, and
preparing barbeque meals for friends and family.
PROFESSIONAL PROFILE
Medical School:
Mount Sinai School of Medicine of New York University
New York City, NY 1996-2000
Internship:
University of Michigan Health System
Ann Arbor, MI 2000-2001
Residency:
University of Michigan Medical Center
Ann Arbor, MI 2001-2005
Fellowship:
Brigham and Women's Hospital, Harvard University
Boston, MA 2005-2006
Started Practice:
2006
Hospital Affiliations:
Southwest Washington Medical Center
Legacy Salmon Creek Hospital