3D Knee Replacement

Is knee pain affecting your daily activities? Are you considering a knee replacement? Don't replace your knee, recreate it with the Conformis 3D Knee Replacement.

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Meet Dr. Jason Davis

Dr. Davis brings sports medicine expertise to The Dallas Limb Restoration Center. He also completed a fellowship in hip and knee replacement and honorably served in the U.S. Army…

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Regenerative Orthopedics & Stem Cells

Utilizing Regenerative Medicine and Stem Cells we can get you back to doing the things you want to faster and without surgery.

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Outpatient Joint Replacement


Dr. Buch discusses New Joint Today, Home Tomorrow:

Dr. Buch discusses the New Joint Today, Home Tomorrow Program:

New Joint Today, Home Tomorrow

Dr. Richard Buch is the first joint replacement surgeon in Dallas Fort Worth to consistently perform outpatient hip and knee replacements. Knee and hip replacements are often associated with having a lengthy recovery and not long ago these patients required a 7-10 day hospital stay. Improvements in pain management, surgical techniques, and implant technology allow these patients to have surgery today and recover at home tomorrow. We are seeing a shift in younger patients requiring joint replacement, many of these patients are healthy and can bypass the standard recovery in a hospital. Performing these procedures in the outpatient setting will also decrease the infection rate for these healthy patients as they are not exposed to sick patients. These patients can safely get back to their healthy lifestyle quickly. Dr. Richard Berger a joint replacement surgeon at Rush Medical Center in Chicago is a pioneer in outpatient joint replacements and has been performing these procedures for years with great success.

Traditionally general anesthesia is administered to joint replacement patients and dispersed through the blood stream affecting the nervous system. This makes the patient wake up tired and groggy in the recovery room. They may also feel sick to their stomach, have a sore throat, or feel cold or restless until the anesthesia wears off. Sometimes they experience nausea and vomiting. It can take hours for general anesthesia to wear off and sometimes a couple days to feel back to normal. New anesthesia techniques allow patients to receive femoral regional blocks causing a centralized anesthetic effect allowing the patient to feel no pain.

The implant technology we utilize for our outpatient knees and the surgical approach we use for hips allow patients to be up and walking within a couple hours following surgery. The Conformis knee implants utilize 3-D modeling from a CT scan to create custom implants for each patient. Our patients are literally having their exact natural knee recreated not replaced with a mass produced prosthesis. These implants allow Dr. Buch to do minimal cutting or damage to the soft tissues as we know the implant will be a precise fit prior to the surgery. Utilizing the Anterior Minimally Invasive Approach (AMIS) for hip replacement we perform the surgery through a significantly smaller incision not cutting any muscle or disturbing tendons. We work between the muscles which allows most patients to have a significantly faster recovery with minimal restrictions.

Appropriate patient selection and an experienced joint replacement surgeon are the most important factors in outpatient joint replacement. Pre-operative education, pain management, home health, and many other facets of healthcare must be coordinated to work together. There is also a considerable cost savings to outpatient joint replacement procedures. If you are considering knee or hip replacement and would like return to your active lifestyle quickly and recover at home instead of spending days in the hospital schedule an appointment to see if you can have a new joint today and go home tomorrow.