Becker's ASC Review

100 HIP ARTHROPLASTY Anterior hip replacements gaining steam By Laura Dyrda A nterior hip replacements are increasing in popularity as a less invasive procedure than traditional open hip surgeries, according to a report in e Philadelphia Inquirer. C. Lowry Barnes, MD, president of the Association of Hip and Knee Surgeons, said the anterior approach is used in 10 percent to 15 percent of hip replacements, but has the potential to grow. e technique requires a smaller incision and faster recovery than traditional techniques, according to the report. Both the anterior and traditional hip replacement surgeries have similar outcomes, said Dr. Barnes. "e data shows that regardless of the type of approach used to drive the hip replacement, the results are very similar, with less than 3 percent having significant issues," he said. In 2019, about 500,000 hip replacements were performed in the U.S., and Dr. Barnes estimates that number will grow to 1 million annually by 2030 because medical technologies are advancing and Americans are maintaining a more active lifestyle than in the past. Jeremy Reid, MD, an orthopedic surgeon at Marlton, N.J.-based Virtua Health, also sees the anterior approach becoming more prevalent. He began performing it in 2014 and now uses it in 90 percent of the hip replacements he performs. In 2021, CMS moved total hip replacements to the ASC-payable list, which allows surgeons to perform Medicare cases in the surgery center. n Dr. Brian Silvia marks 1,500th robot-assisted joint replacement By Carly Behm B rian Silvia, MD, PhD, completed his 1,500th robot-assisted joint replace- ment surgery, the Telegraph Herald reported April 13. Dr. Silvia, of Dubuque, Iowa-based Medical Associates Clinic, uses Stryker's Mako robot. He completed his 1,500th procedure with it March 30 at MercyOne Dubuque Medical Center. The milestone makes Dr. Silvia one of the most experienced robotic surgeons in the Midwest. He received his medical degree from the University of Connecticut School of Medicine in Farmington and completed his residency at the University of Massachu- setts Medical School in Worcester. Dr. Silvia joined Medical Associates in November 2015 and started training in robotics for joint replacements." n

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