Joint Replacement Central
Hitting the Links Two Weeks After Hip Replacement Surgery
It didn’t take long for Jim Nussbaum of Laytonsville to get back in the swing of things after hip replacement surgery at Shady Grove Adventist Hospital. Just 10 days, in fact.
“I boldly stated I would play in an annual golf tournament with a group of my friends 10 days after surgery,” says Nussbaum, 59. “During the tournament, I was cautious, didn’t take my usual hard swing, but I was very happy with my day and my score.”
Nussbaum credits Shady Grove Adventist Hospital, home to Montgomery County’s only Hana Table, which allows doctors to use a specialized front (anterior) approach to hip replacement surgery and hip fracture repairs.
“The Hana Table has basically eliminated hip dislocation through its range of motion and its ability to spare muscle through the direct anterior approach,” explains Sridhar Durbhakula, M.D., Nussbaum’s orthopedic surgeon and chief of orthopedics at Shady Grove Adventist Hospital. “It means a shorter hospital stay and a faster recovery.”
Coming to the Table
In the 18 months since Shady Grove Adventist Hospital began offering minimally invasive hip replacement surgery, the hospital also became the only one in the Washington, D.C., metropolitan area to offer the Hana Table together with computer navigation.
“This system is state-of-the-art,” Dr. Durbhakula says. “It allows exact component positioning during the procedure with a three-dimensional rather than twodimensional view, and there is less radiation exposure to the patient and surgical staff.”
This kind of technology and surgical skill persuaded Nussbaum to schedule the procedure he had been putting off for a year.
“Another orthopedic doctor told me my left hip was shot and my right hip was bad, too,” he recalls. “But he was offering conventional hip surgery,” which entails a six-week recovery.
Months later, a family friend handed him an article about the revolutionary Hana Table at Shady Grove Adventist Hospital.
“I did some research and conferred with Dr. Durbhakula,” Nussbaum says. “I liked the doctor, I liked the approach, and my wife, Wendy, and I especially liked the shortened hospital stay and recovery time. This was what I was waiting for. I scheduled the surgery right away.”
‘Let’s Get This Fixed’
Dr. Durbhakula did try to temper Nussbaum’s 10-day golf goal, but adds: “Mr. Nussbaum was a star. A lot of his success had to do with preoperative planning, his commitment to the rehabilitation and his coordination with Shady Grove’s Joint Center to optimize pain management.”
“I was not going to be reckless,” Nussbaum says, “but I did go into this with the mind-set, ‘Let’s get this fixed, let’s move on and get on with our lives.’ Setting the golf tournament as a shortterm goal was the perfect motivator.”
Nussbaum made sure to enroll in Shady Grove Adventist Hospital’s total joint replacement class, which helps patients understand what to expect during and after the procedure, and his certified orthopedic nurses and physical therapists helped him “whiz through rehab,” he says. “By day four I was able to go up and down the stairs without a cane. I was driving after a week. Now, I am walking upright and without hip pain or a limp.”
And when the time comes to replace his right hip—“in two or three years,” he says—Nussbaum says he will “go back to Dr. Durbhakula and absolutely go with the Hana Table again.”