Ladue News Cover: A New Standard of Care

In the photo:
Seated from left to right: Jeffrey Martin, MD, Chad Schmitz, PA, Robert Barrack, MD, Ryan Nunley, MD
Standing from left to right: Douglas McDonald, MD, MS, John Clohisy, MD, Rick Wright, MD, Muyibat Adelani, MD, Paul Lux, MD, Cara Cipriano, MD. Not pictured: Regis O'Keefe, MD, PhD

A time-tested tradition of dedication to orthopedics and hip replacement holds steadfast as Washington University Orthopedics opens a new location at Barnes-Jewish West County Hospital. “As we move forward, standardization, quality and efficiency of care remain very important,” Dr. John Clohisy, chief of adult reconstructive surgery service and director of the Adolescent and Young Hip Disorders Center, says. “This move is a result of the increasing demand for total hip-replacement surgeries and associated costs. There’s a major need for more efficient and effective high-quality delivery of care for patients. Barnes-Jewish West County Hospital lends itself to that. Our goal is to have all disciplines involved in total-care hip replacement for patients through participation in an integrated program, which focuses on rapid recovery and high efficiency.”

Typical conditions seen at Washington University Orthopedics include hip and knee osteoarthritis, while common procedures focus on hip and knee replacement. “Adult reconstruction and hip-preservation services focus on treatment of degenerative conditions, with hip preservation focused on comprehensive management of adolescent and young-adult hip disorders,” Clohisy explains. “Many patients have associated disorders, such as low-back pain, or medical comorbidities, like diabetes. The goal of our practice is to treat patients in a comprehensive manner. With different specialists available, we can treat patients at the same facility and optimize better control for patients with comorbidities, so they can undergo surgery at a lower risk for complications.”

Research is another important component of Washington University Orthopedics, allowing for further investigations into better medical care for patients. “Our most exciting research has demonstrated the newer baring surface materials introduced 10 to 15 years ago are holding up extremely well in follow-up,” he shares. “Expectations for replacement durability are changing. Traditionally, we thought of hip replacements lasting 10 to 20 years, and it’s now reasonable to expect replacements to last 20 to 30 years in some patients.”

Focus on multidisciplinary treatment includes anesthesia, physical therapy, occupational therapy, operating room staff, clinical nursing staff, care coordination and social work, concierge services, home health services and post-acute care facilities. “This large group of multidisciplinary providers integrated in one location offers the best possible care for our patients,” Clohisy says. “We have a history of tremendous success for our program at Barnes-Jewish Hospital . We routinely rank amongst the nation’s best in outcome metrics for replacement surgery and recently were designated as a best hospital for hip and knee replacement [by] U.S. News & World Report. This track record of excellence in care establishes us as a national leader in total joint-replacement surgery.”

Amanda Dahl, A New Standard of Care, Ladue News
Photos by Sarah Conard

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