Health Feature: Dr. David Dominguez
Photos by Ben
By Jennifer Torres
Whether you’re a weekend golfer, triathlete or just a couch potato, joint pain, particularly of the hips and knees, is a major medical issue that affects many people at some point in life.
According to the most current figures from the National Center for Health Statistics, 310,800 total hip replacements were performed on patients 45-and-older in 2010 alone – a substantial increase from the 138,700 performed in 2000. And from 2000 – 2010 there were 5.2 million knee replacements performed.
Most commonly, arthritis, including; osteoarthritis, rheumatoid, post-traumatic, and avascular, is the culprit that precipitates the need for surgery.
According to the Centers for Disease Control and Prevention approximately 57.9 million people over the age of 18 in the United States, have been diagnosed with arthritis.
Traditional hip replacement usually involves an 8-12” incision, extended recovery time, pain, and a host of post-operative precautions.
But through his practice at 3D Sports Medicine and Orthopaedic Center in Indian Harbour Beach, Sports Medicine Specialist and Orthopaedic Surgeon, Dr. David Dominguez specializes in minimally invasive orthopaedic surgical techniques aimed at minimizing pain and speeding up recovery time from procedures including knee and hip replacement.
The Mako system is used to perform total hip replacements, and partial and total knee replacements. Since it was first performed in 2006, more than 83,000 MAKO hip and knee replacement surgeries have been performed around the world.
During the procedure, the surgeon guides the robotic arm, offering a high degree of accuracy and precision. The robotic arm does not make decisions – or move on its own. Everything is guided by the surgeon.
“The Mako Robotic Assisted Arm is a surgical tool that is used to measure and balance the ligamentous structures of the knee during a knee replacement surgery,” Dominguez said. “With the Mako Robotic Technology, the placement of the surgical prosthetic and more importantly the balancing required to optimize the longevity of the device are customized to each patient resulting in a machined perfect result.”
Dominguez said that patients have less post-operative pain and a shorter rehabilitation, which can typically be performed at home or at an outpatient facility.
“It is with utmost sincerity and confidence that I can perform a knee replacement that is absolutely perfectly fit for the particular patient’s unique anatomy, every time,” Dominguez said. “The results have been spectacular.”
For hip replacements, the direct anterior approach Dominguez employs – which is a frontal approach – results in an incision of only 3-4”. And because the approach is anterior as opposed to lateral (side) or posterior (back) – the surgeon can access the hip without detaching muscles and tendons.
Under a doctor’s care, patients may be able to move their hip immediately and could avoid the restrictions typically associated with traditional hip replacement and advantages usually include decreased hospital stay, quicker rehabilitation, less scarring, and less post-operative pain.
“Maintaining joint health is important because it allow the body stay in motion. Without joint health, it becomes difficult to maintain good cardiovascular fitness,” Dominguez said. “Carrying out even the most mundane task, such going to the grocery store can become a major obstacle due to the pain that ensues.”
3D Sports Medicine and Orthopaedic Center is located at 2194 Highway A1A Suite 104 in Indian Harbour Beach. The phone number is (321) 610-8939.