Partial knee replacement
Partial Knee
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Dr. Stephen J. Incavo

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  • December 3, 2019

    December 3, 2019

    Dr. Incavo is recognized among the 2019 Texas Super Doctors and featured among the orthopedic surgeons listed in the recent issue of Texas Monthly magazine. Texas Super Doctors is a listing of outstanding doctors from more than 40 medical specialties who have attained a high degree of peer recognition and professional achievement.

    super-doctors-2019

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  • November 30, 2019

    November 30, 2019

    super-doctors-2019

    Dr. Incavo and fellow authors recently completed a textbook section entitled Antibiotic Spacers for the Treatment of Total Knee Arthroplasty Cases, appearing in Adult Reconstruction, Chapter 67, Section 4 of Atlas of Essential Orthopaedic Procedures, Second Edition. Editors Alexis Chiang Colvin, MD, Evan Flatow, MD and Stephen J. Incavo (Section 4). Published by Wolters Kluwer Health, Lippincott, Williams and Wilkins and the American Academy of Orthopaedic Surgeons, Rosemont, IL. 2020. ISBN 9781975124861

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  • November 15, 2019

    November 15, 2019

    super-doctors-2019

    Dr. Incavo was among the 2019 Arts of Healing physicians (two dozen recognized photographers, painters and musicians), who came together to share their artistic talents in The Arts of Healing annual fundraiser held recently at the Post Oak Hotel. Read more

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  • October 15, 2019

    October 15, 2019

    super-doctors-2019

    The Journal of Bone & Joint Surgery recently published Dr. Incavo’s article, The Usefulness of Meta-Analyses to Hip and Knee Surgeons, in which he and his coauthors investigated quality and clinical utility of meta-analyses for total knee arthroplasty and total hip arthroplasty – given the increasing trend of meta-analyses in orthopedic literature.

    J Bone Joint Surg Am. 2019 Oct 9. DOI: 10.2106/JBJS.19.00420 [epub ahead of print].

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  • September 19, 2019

    September 19, 2019

    super-doctors-2019

    Incavo’s article, Arthrodesis for the Failed Total Knee Arthroplasty, is featured in the recent issue of  Master Techniques in Orthopaedic Surgery:  Knee Arthroplasty Fourth Edition.  Editors Mark W. Pagnano and Arlen D. Hanssen. Published by Wolters Kluwer Health, Philadelphia, PA. 2019, Chapter 36;445-450. (Pulido L, Incavo SJ)

    The article discusses the advantages and disadvantages of arthrodesis for the failed total knee arthroplasty, as well as preoperative preparation, surgical technique and tips and candidate considerations.

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  • August 1, 2019

    August 1, 2019

    super-doctors-2019

    Dr. Incavo and coauthors evaluate the effect of preoperative warming measures on perioperative hypothermia in total joint replacement patients - in their recently published study, Preoperative Warming Reduces Intraoperative Hypothermia in Total Joint Arthroplasty. The article is featured in the Journal of the American Academy of Orthopaedic Surgeons (JAAOS).

    J Am Acad Orthop Surg. 2019 Jun 14 doi: 10.5435/JAAOS-D-19-00041. [Epub ahead of print]

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  • July 20, 2019

    July 20, 2019

    A recently published article in Bone & Joint Surgery examined the effect of different surgical techniques on the complication rate and overall outcome of total hip arthroplasty (THA). The important findings revealed that while THA has a relatively low complication rate, the surgical approach can play a role in the incidence of complications. The posterior approach had a significantly lower overall complication rate compared with the anterior approach, with an equal dislocation rate. Periprosthetic fracture and surgical site infection contributed most to the early complication rates. Read more

    Surgical Approach

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  • July 5, 2019

    July 5, 2019

    Earlier this year the American Association of Hip and Knee Surgeons (AAHKS) released a position statement on Opioid use and its impact on surgical outcomes and recovery. The organization recently posted an article, Opioid Use before Hip or Knee Surgery Can Mean Trouble. Opioid use is a growing concern for surgeons and healthcare providers responsible for patient care and outcomes.

    Opioid use and its impact on surgical outcomes and recovery

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  • June 20, 2019

    June 20, 2019

    Dr. Incavo and co-authors recently published a new research article examining the most common technical obstacles encountered during total knee arthroplasty learning. The article, Technical Obstacles in Total Knee Arthroplasty Learning: A Steps Breakdown Evaluation, is published in the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), Global Research & Reviews.

    JAAOS Global Research & Reviews: June 2019 - Volume 3 - Issue 6 - p e062
    doi: 10.5435/JAAOSGlobal-D-19-00062

    Research Article

     common technical obstacles encountered during total knee arthroplasty learning

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  • June 1, 2019

    June 1, 2019

    Dr. Incavo and fellow researchers recently had published, Drug Reaction with Eosinophilia and systemic Symptoms Syndrome after Total Knee Arthroplasty Infection and Placement of Antibiotic Spacer, in Arthroplasty Today. The research presents a rare case of a drug reaction complication after placement of an antibiotic-impregnated cement spacer.  Antibiotic spacers placed during the first stage have been associated with a number of potential complications, including breakage, dislocation and allergic reactions.

    Arthroplasty

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  • May 10, 2019

    May 10, 2019

    Dr. Incavo’s original research paper and published article, Tibial Resection and Coronal Alignment in Total Knee Arthroplasty, focuses on the effect of tibial resection performed at different rotational positions on coronal plane alignment in TKA.  The article was published online ahead of print in the Texas Orthopaedic Journal.

    Dr. Incavo’s original research paper

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  • April 3, 2019

    April 3, 2019

    Dr. Incavo is part of the unique group of musician physicians contributing to the healing arts that help sooth patients and their family members as they seek consult and are treated at the Texas Medical Center (TMC). He not only participates in the TMC Doctor’s Jazz group but also has several cds featuring compositions with his clarinet. See performances.

    TMC Jazz

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  • March 12, 2019

    March 12, 2019

    Dr. Incavo and colleagues presented their latest research findings recently at the 2019 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) held in Las Vegas. Among his research projects discussed include, “Open Tendon Repair into a Bone Tough Improves Outcomes for Hip Abductor Tendon Avulsion” and “Technical Obstacles in Total Knee Arthroplasty Residency Education.”

    AAOS

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  • February 12, 2019

    February 12, 2019

    Dr. Incavo and fellow researchers shared their latest findings on Technical Obstacles in Total Knee Arthroplasty Learning at the Orthopaedic Research Society (ORS) 2019 annual meeting early February in Austin, Texas.

    Computer Assisted

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  • February 5, 2019

    February 5, 2019

    Dr Incavo spoke to colleagues on the topic of Abductor Muscle Tears of the Hip, as an invited speaker at the 2019 Texas Orthopaedic Association’s annual meeting early February in Houston, Texas.

    Computer Assisted

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  • January 25, 2019

    January 25, 2019

    AAHKS Issues Two Positions: Opioids and Biologics

    The AAHKS Board of Directors approved two new position statements this week that provide opinions on the use of opioids to treat osteoarthritis prior to joint replacement surgery and the use of biologics to treat advanced hip and knee arthritis.

    The statement on opioid use advises, “The use of opioids for the treatment of osteoarthritis of the hip and knee should be avoided and reserved for only for exceptional circumstances.” Exceptions would include when other non-opioid options have failed, and patients cannot have joint replacement surgery. In this case, only the lowest dose for the shortest time is recommended. Full statement

    In the statement on the use of biologic therapies (such as stem cell and platelet-rich plasma injections), AAHKS does not recommend the routine clinical use of these therapies for the treatment of advanced hip or knee arthritis citing, “unproven benefits, high out-of-pocket costs for patients, and clear safety concerns.” AAHKS recognizes the potential benefit of these treatments and encourages clinical trials that may establish the treatments for widespread adoption. Full statement

    You can read all AAHKS position statements here.

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  • November 27, 2018

    November 27, 2018

    Dr. Incavo has co-authored an article recently published in Computer Assisted Surgery. The article, Accuracy Assessment of a Novel Image-Free Handheld Robot for Total Knee Arthroplasty in a Cadaveric Study , assesses for the first time the accuracy of a novel imageless semiautonomous handheld robotic sculpting system to perform bone resection and preparation in total knee arthroplasty (TKA) using cadaveric specimens. doi: 10.1080/24699322.2018.1519038

    Computer Assisted

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  • November 10, 2018

    November 10, 2018

    Inter-surgeon Variability in the Assembly of Modular Head-Neck Tapers in THR was the topic of Dr. Incavo’s invited presentation (a new research project) at the 2018 AAHKS Annual Meeting November 1-4, 2018 in Dallas, Texas.

    Exhibit Hall

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  • October 26, 2018

    October 26, 2018

    Dr. Incavo’s recent research article, Total Knee Arthroplasty in the Osteoporotic Tibia: A Biomechanical Evaluation of the Role of Stem Extensions and Cementing, was recently published in the Journal of the American Academy of Orthopaedic Surgeons (JAAOS) This biomechanical study evaluated the effect of stem extension on the stability of tibial fixation using different cementing techniques and found that fully cemented primary implants with stem extensions demonstrated decreased micromotion and should be considered for use in osteoporotic total knee arthroplasty patients.

    - 2018 Oct 23 epub ahead of print, doi: 10.5435/JAAOS-D-17-00736.

    JAAOS logo

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  • October 8, 2018

    October 8, 2018

    Dr. Incavo and his colleagues were invited to present their latest research project, The Continuum of Hip Range of Motion: From Soft Tissue to Bony Impingement, at the 2018 meeting of ISHA, the Hip Preservation Society recently held in Melbourne, Australia.

    2018 meeting of ISHA

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  • October 6, 2018

    October 6, 2018

    Along with colleagues, Dr. Incavo presented his latest research project, Open Tendon Repair into a Bone Trough Improves Outcomes for Hip Abductor Tendon Avulsion at the 2018 Summer Meeting of the Hip Society October 4-6, 2018 in New York, NY.

    Hip Society

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  • July 10, 2018

    July 10, 2018

    While it may not be well known that Dr. Incavo’s second passion is music, he and many of his physician peers with shared musical interests comprise the Texas Medical Center Orchestra, perform periodically at the Margaret Alkek Williams Crain Garden and the University of St. Thomas. Dr. Incavo, who was also featured late last year in the TMC News, On the Side section.

    www.tmc.edu/news/

    Incavo Playing Clarinet

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  • April 26, 2018

    April 26, 2018

    Dr. Incavo and colleagues were invited to present their latest research studies at the 2018 Annual Meeting of the Mid-America Orthopaedic Association (MAOA) held recently in San Antonio, Texas. The research projects discussed include:

    Do Anteroposterior Radiographs Taken in the Lateral Position During Total Hip Arthroplasty Accurately Assess Cup Position?

    Effect of Tibial Slope and Rotational Mismatch of the Tibial Cutting Guide on Coronal Plan Alignment in Total Knee Arthroplasty

    Total Knee Arthroplasty in the Osteoporotic Tibia: A Biomechanical Evaluation of the Role of Stem Extensions and Cementing Techniques

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  • April 23, 2018

    April 23, 2018

    Dr. Incavo’s research study, "Total Intravenous Anesthesia and Short Acting Spinal Anesthetic in Primary Hip and Knee Arthroplasty: Does it Facilitate Early Hospital Discharge?" was recently published in the Journal of the American Academy of Orthopaedic Surgeons. The study assessed the effect of total intravenous anesthesia (TIVA) with short-acting spinal anesthesia and aggressive day-of-surgery postoperative day 0 physical therapy (POD#0 PT) on hospital length of stay (LOS) in patients who underwent primary total joint arthroplasty.

    Journal AAOS

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  • March 15, 2018

    March 15, 2018

    Recently published in Techniques in Orthopaedics, Dr Incavo's research study, The Medial Stabalized Knee Guides Knee Motion, explores the clinical results and long-term survivorship of medial stabilized implants during primary total knee arthroplasty.

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  • December 30, 2017

    December 30, 2017

    H Texas magazine names Dr. Incavo a 2017 H Texas Top Doctor following nominations from patients and peers!

    Total Femur

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  • December 5, 2017

    Healing through music is part of the multidisciplinary program of Houston Methodist Hospital. Dr. Incavo is among the extraordinary group of "physician musicians" participating in this effort. Clarinetist and Section Chief of Adult Reconstructive Orthopedic Surgery, he was joined by violist and La Speranza founder Yvonne Smith, along with other members of the Sorrisa Quartet, in a performance of Brahms Clarinet Quintet, Opus 115, in the Crain Garden Thursday, November 30, 2017.

    Total Femur

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  • November 27, 2017

    November 27, 2017

    Dr. Incavo’s article, “Hypothermia in Total Joint Arthroplasty: A Wake Up Call” was published in the Journal of Arthroplasty. The article is a retrospective review of 204 patients undergoing primary hip and 179 undergoing primary knee replacement surgeries, time and temperature parameters collected from the electronic health records from preoperative and postoperative recovery room nursing assessments, intraoperative anesthesia records, and floor nursing notes. Read more.

    Total Femur

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  • November 6, 2017

    November 6, 2017

    Dr. Incavo and co-authors were asked to present their newest research project, "Total Knee Arthroplasty in the Osteoporotic Tibia: A Biomechanical Evaluation of the Role of Stem Extensions and Cementing Techniques," at the 2017 Annual Meeting of the American Association of Hip and Knee Surgeons (AAHKS) in Dallas, Texas, November 1-4, 2017. .

    Total Femur

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  • November 1, 2017

    November 1, 2017

    Dr. Incavo is featured in the Texas Medical Center (TMC) magazine, in a spotlight section “A Side Note.” A member of an elite group of physician musicians who were selected to play in the Texas Medical Center Orchestra, Dr. Incavo occasionally delights patients and family members with his musical talents

    Click here for more information

    Incavo playing clarinet

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  • September 20, 2017

    September 20, 2017

    Dr. Incavo and colleagues publish What’s New in Hip Replacement – 2017 in the Journal of Bone and Joint Surgery. The article is part of a Specialty Update developed in collaboration with the Board of Specialty Societies (BOS) of the American Academy of Orthopaedic Surgeons and highlights the trends in hip replacement surgery and recovery following the review of over 600 peer-reviewed studies on the topic of hip replacement. Read more.

    Total Femur

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  • September 17, 2017

    September 17, 2017

    Dr. Incavo presents results from one of his latest studies, “Effect of Tibial Slope and Rotational Mismatch of the Tibial Cutting Guide on Coronal Plan Alignment in Total Knee Arthroplasty,” at the annual meeting of the Knee Society in New Albany, Ohio, September 14-16, 2017. .

    Total Femur

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  • August 10, 2017

    August 10, 2017

    Custom total femoral spacers are useful in the management of infected femoral megaprostheses and cases with ipsilateral injected hip and knee arthroplasties and severe femoral bone loss. Dr. Incavo’s recently published article, Antibiotic Impregnated Total Femur Spacers: A Technical Tip, in Arthroplasty Today reports on the outcome of a surgical technique used in two cases. Read more.

    Total Femur

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  • July 1, 2017

    July 1, 2017

    Dr. Incavo and fellow orthopedic surgeons were recently interviewed by Prevention magazine on the four best exercises following knee replacement surgery. Read more.

    Knee Replacement

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  • June 5, 2017

    June 5, 2017

    Dr. Incavo’s recently published article in Arthroplasty Today, External Fixator Immobilization after Extensor Mechanism Reconstruction in Total Knee Arthroplasty, discusses active range of motion after extensor mechanism reconstruction and external fixation. See one patient’s range of motion (10°-100° with a 10° flexion contracture and no extensor lag). Read more.

    External Fixator Immobilization

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  • April 26, 2017

    June 1, 2017

    Dr. Incavo and his colleagues presented their latest research projects at the 35th Annual Meeting of the Mid-America Orthopaedic Association (MAOA) held recent at Amelia Island, Florida. The research included, “Eighty-six percent failure rate of a modular neck-stem design 3-5 years: Lessons Learned; and Antibiotic Spacers for THR Infection: Hemiarthroplasty or Constrained Metal on Polyethylene.”

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  • April 15, 2017

    May 5, 2017

    The publication, Orthopedics Today, features a Perspective from Dr. Incavo on the recently published article, Serum D-dimer Seen as Ineffective for Diagnosing DVT after TJA, which was published in the Journal of Arthroplasty. Read more.

    Serum D-dimer Seen as Ineffective for Diagnosing DVT after TJA

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  • April 5, 2017

    April 5, 2017

    A physician and musician, Dr. Incavo releases his second cd – Colorful Clarinet Duets! Preview some of his latest pieces.

    Colorful Clarinet Duets - Dr. Incavo

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  • March 30, 2017

    April 1, 2017

    Dr. Incavo and coauthors publish, Range of Motion after Dual Mobility Total Hip Arthroplasty: Femoral Head Size and Surgical Approach – Does it Matter? The newly published article appears in the Texas Orthopaedic Journal online ahead of print and evaluates the effect of DM-THA on active hip range of motion (ROM), compares functional scores with large femoral head THA, and assesses the effect of a posterolateral approach versus a modified Hardinge anterolateral approach on postoperative hip ROM. Read more.

    Hip Arthroplasty:  Femoral Head Size and Surgical Approach

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  • March 20, 2017

    March 20, 2017

    .) March 20, 2017 – Dr. Incavo and colleagues publish their research study, Corrosion and Adverse Local Tissue Reaction after Total Hip Arthroplasty with a Modular Titanium Allow Femoral Neck, in Arthroplasty Today. The study describes a case of mechanically assisted crevice corrosion and secondary adverse local tissue reaction in a patient following a total hip arthroplasty utilizing a modular neck (bi-modular) femoral component. Read more.

    Corrosion and Adverse Local Tissue Reaction after Total Hip Arthroplasty with a Modular Titanium Allow Femoral Neck

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