Stryker Knee Replacement Surgical Device
Dr. Hauser gives many great reasons to avoid signing up for the Stryker Knee Replacement Surgical Device called the GetAroundKnee
Imagine having worked a long day, you are ready to sit down to a great meal, and then hope to relax by watching a nice Hallmark movie on TV. You know those types of movies where boy likes girl, girl doesn’t like boy, but in the end boy gets girl? Okay, that is my life, I got the girl! I’m a hopeless romantic. What can I say? We start the movie and at the first thing we see is a commercial for the GetAroundKnee replacement from Stryker. The orthopedists, the actual knee replacement doctors, are now advertising on the Hallmark Channel? That being said, I decided to look into this new knee replacement.
If you want to investigate the information I present here for yourselves, feel free to review their website getaroundknee.com, where much of the information has been disseminated. The GetAroundKnee is the new design for knee replacements from Stryker Medical, which is a huge joint replacement manufacturing company. I don’t know how much the actual prosthesis itself costs, but I would venture the cost is around $60,000. Let me know if you can find that information.
Orthopedists who have converted to Prolotherapy Doctors: Prolotherapy eliminates the need for most surgeries:
Before we even go into my investigation of this knee replacement surgery, let’s first look at the facts regarding my experience with Orthopedists-turned-Prolotherapy doctors. The first orthopedic surgeon I trained in Comprehensive Prolotherapy told me that Prolotherapy eliminated 80% of his knee surgery practice. It completely eliminated his lumbar or low back surgical practice. The letter he wrote me that describes this is presented in our book Prolo Your Sports Injuries Away! I have spoken to many other orthopedists who change from surgery to Prolotherapy and the conversation is similar – Prolotherapy eliminates the need for most surgeries.
Dr. Hauser’s experience treating knees with Comprehensive Hackett-Hemwall Prolotherapy:
My team and I have published a number of papers on the use of Prolotherapy for the treatment of Knee Pain and injury. One paper combines all of the results of studies performed on the use of Dextrose Prolotherapy in a comprehensive review paper. The other studies we conducted either at Caring Medical or at a medical missionary clinic in southern IL. For information on Stem Cell Treatment for knee pain see our article: Stem Cell Injection Therapy for Knee Osteoarthritis.
- Pain Relief: 90% of patients told they needed surgery for degenerative joints or who were told that no options existed, not only were relieved of their pain with Prolotherapy, but were able to return to full function. (See table below.)
- Cure rate: The cure rate with Comprehensive Prolotherapy was 72% overall, knees 70%; and 88% of patients with chronic knee pain achieved at least 50% pain relief.
- Statistical significance of Hauser Prolotherapy Studies:
- Chronic knee pain in missionary clinic patients: Two statisticians at a local University provided the statistical analysis of our paper on knee pain in patients seen at a missionary medical clinic in rural IL. The results showed a p-value of 0 which we had never seen before. The minimum standard of statistical significance is a p value <0.05. This means the likelihood that these results occurred by chance would be 1 in 20. When asked to explain our data, they said the improvement in patients who received Prolotherapy was 1 x 1025 related to the improvement having occurred by chance. This means that the patients’ pain reduction had to have been due to the Prolotherapy and did not occur by chance.
- Chondromalacia Patella: Another type of degenerative arthritis (cartilage loss, and severe pain below the knee cap) is chondromalacia patella. Our results were recently tabulated in a large group of Caring Medical patients (publication pending): 94.2% of patients reported little or no pain after Prolotherapy. The p value before and after for pain levels met the statistically significant level at p<.0001
- Bone Marrow Prolotherapy: Our Bone Marrow Prolotherapy results may be even better than the chondromalacia patient results. In this research we studied end stage type-osteoarthritic cases, including those with severe knee arthritis who received Bone Marrow Prolotherapy in combination with Hackett-Hemwall dextrose Prolotherapy. (Publication pending.) More to come on these results!
GetAroundKnee Study Results:
Having combed the web for results-based research on this new knee replacement surgery, this is what I found:
- No research showing that this type of knee replacement eliminated pain better than any other type of knee replacement.
- No prospective research that followed patients with the GetAroundKnee replacements over time and reported the results.
- One study that seemed to use a similar knee replacement (though nowhere was Stryker’s knee replacement mentioned) and this study was done in Spain and did not include pain scores.
- No data that supported using this exact knee replacement.
- No research as it related to this exact knee replacement device. Not one research paper stating that this exact knee replacement was studied and the patients were followed over time and reported on in a study.
It is my opinion that total knee replacement surgery is too often offered in cases where all other less-invasive options were not first offered. This information comes directly from the GetAroundKnee.com website. So please feel free to check it out yourselves!
Who is a good candidate for total knee replacement surgery?
Total knee replacement surgery is not intended for mild-moderate osteoarthritis. Total knee replacement surgery is intended for use in individuals with severe joint disease resulting from degenerative, rheumatoid and/or post-traumatic arthritis, and for moderate deformities of the knee.
However, makers of these knee replacement devices state, “… surgery may be considered when arthritis limits your everyday activities, such as walking and bending, when pain continues while resting, or when stiffness in your knee limits your ability to move or lift your leg. Knee replacement may be recommended only after careful diagnosis of your joint problem. It is time to consider surgery if you have little pain relief from anti-inflammatory drugs, or other treatments, such as physical therapy, do not relieve knee pain.”
They go on to discuss the fact that a knee replacement is a surgical procedure—performed in the US since the 1960s—in which a diseased or damaged joint is replaced with an artificial joint called a prosthesis. They state, “Made of metal alloys and high-grade plastics (to mimic the function of bone and cartilage, respectively), the prosthesis is designed to move much like a healthy human joint. Over the years, knee replacement techniques and instrumentation have undergone countless enhancements.”
Surgeons typically do not perform joint replacement surgeries in patients who have certain types of infections or diseases that would produce an unsuccessful surgery. Even mental or neuromuscular disorders which would create an unacceptable risk of prosthesis instability are avoided. Severe instability of the knee or excessive body weight are also factors that eliminate the candidacy for knee replacement surgery – both of which are treatable conditions – with Prolotherapy and diet.
Risks associated with knee replacement surgery:
As with any surgery, knee replacement surgery has serious risks which include, but are not limited to increased pain, infection, nerve damage, circulation issues including blood clots, kidney or GI issues, blood loss, blood pressure issues, breathing problems, stroke, pneumonia, emboli, heart attack or even death.
The implanted knee comes with its own set of potential risks including problems with the placement that may require a revision, loosening, fractures, nerve damage, abnormal bone growth, excessive wear, allergy or sensitivity to the components of the device, soft tissue imbalance, progressive bone loss, and reaction to particle debris that may have remained after surgery.
Warnings such as the above are located all over the GetAroundKnee website. They also state that knee implants may not provide the same feel or performance characteristics experienced with a normal healthy joint. They encourage you to “Speak to your doctor to decide if joint replacement surgery is appropriate for you. Individual results vary and not all patients will return to the same activity level. The lifetime of any device is limited and depends on several factors like weight and activity level. Your doctor will help counsel you about strategies to potentially prolong the lifetime of the device, including avoiding high-impact activities, such as running, as well as maintaining a healthy weight. Ask your doctor if the GetAroundKnee is right for you.”
Goals with knee replacement surgery
This knee design is supposed to “promote ligament balance through the active range of motion to enhance stability and mobility and even during mid-flexion.”
Read this again: This knee design is supposed to promote ligament balance through the active range of motion to enhance stability and mobility and even during mid-flexion. Are they saying that when you get other knee replacements something happens to the ligaments and the joint becomes unstable? Why not use our knee replacement because the knee stability is a lot better and the ligaments are healthier? If this is the case, then why not get Prolotherapy? I believe that Stryker Orthopedics advocating Prolotherapy! Is this a step in the right direction? I doubt it, but I hope you see my point!
Stryker Orthopedics makes three points comparing this knee replacement to other knee replacements.
The GetAroundKnee will
- Mimic natural knee kinematics (motion).
- Allow the ligament balance through the active range of motion.
- Offer enhanced stability.
They also emphasize that you will soon see the GetAroundKnee on TNT, People Magazine, Facebook, ABC, You Tube and now even on Caring Medical’s Newsletter. Wow, this is popular.
If this is what this knee replacement does, then why not just get Prolotherapy? You can keep your own natural ligaments and receive Prolotherapy to strengthen them. Would this not enhance stability, give ligament balance, and produce normal knee kinematics (or more normal) since you are using your knee muscles, ligaments, and tendons without having an artificial joint inside of you containing strange metals and plastics (composites)?
Knee replacement surgery alternative: Prolotherapy!
I challenge any of you to find anything on the website or in research that shows that this knee replacement actually eliminates people’s pain any better than any other knee replacements. Do you see the problems?
10 problems with the GetAroundKnee replacement:
- These new knee replacements don’t even have to be tested it seems and not only can they be used, insurance companies pay for them!
- The main reason for surgery is for the elimination of pain. No where do I see that pain levels were even measured in the knee replacement patients they are promoting.
- How can a company apparently come up with a new design for a knee replacement and not have to test it over many years before they start allowing its placement into tens of thousands of people?
- Shouldn’t a person have failed Prolotherapy before these tremendously invasive, toxic substances are placed in their bodies?
- Shouldn’t companies be responsible and do what I am doing, researching if this product is really doing what it claims to do?
- Why didn’t they check to see if this product eliminates pain? One can only assume it does not? Why were no studies done that followed patients over time (prospective), looking at pain relief as a measure? What are they hiding if anything?
- Why aren’t orthopedic surgeons looking into the above before they get trained in this new type of knee replacement?
- If there is a need for a ‘”new type” of knee replacement device, why don’t the companies making the “old types” of knee replacements tell everyone what is wrong with them and that a new type of device is needed?
- Is the human supposed to have a large metal, plastic, composite object placed into their bodies? If no, what can we most assuredly know is going to happen? Yes, the body will eventually erode it and parts of the metals, plastic and composite will leak into the person’s tissues and blood stream. Is this one of the reasons for so much cancer and other diseases like Alzheimers, MS and the like that modern medicine doesn’t seem to know the cause? What are the long term effects on the human body of these metals, plastics and composite materials getting dissolved and slowly leaked into the body?
- Shouldn’t there be a minimum standard of efficacy before a surgeon can perform a new type of surgery or put a new type of knee replacement into a patient? Why can’t I just just go get some new type of herb or something from another country and start injecting it into people? That is illegal but yet, surgeons can basically invent a new operation or a company makes a ‘new’ type of knee replacement and a surgeon can just start doing it, with what looks like none or little testing, and the FDA allows it? Why?
This just is not right! At minimum, for you or your loved ones who are thinking of getting the GetAroundKnee replacement, tell them there is a way to get around it: Prolotherapy!
It seems only logical that one would choose Prolotherapy over knee joint replacement surgery. The Prolotherapy studies show dramatic improvement in pain and function, while the surgery studies show….oh wait, there are no surgery studies for this device. The choice is yours.
Until the next injection,
Ross A. Hauser, M.D.
- Wang H, Simpson KJ, Ferrara MS, Chamnongkich S, Kinsey T, Mahoney, OM. Biomechanical differences exhibited during sit-to-stand between total knee arthroplasty designs of varying radii. J Arthroplasty. 2006;21(8):1193-1199.
- Designed to maintain collateral ligament stability throughout the range of motion. Stryker-Initiated Dynamic Computer Simulations of Passive ROM and Oxford Rig Test, Stephen Piazza, 2003.
- Gómez-Barrena E, Fernandez-García C, Fernandez-Bravo A, Cutillas-Ruiz R, Bermejo-Fernandez G. Functional performance with a single-radius femoral design total knee arthroplasty. Clin Orthop Relat Res. 2010;468(5):1214-1220.