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Dr. Nicholas D. Genovese, MD is an orthopedist in Chula Vista, CA specializing in orthopedics/orthopedic surgery and hand surgery. He graduated from Drexel University College of Medicine in 2018 and has 8 years of experience. Dr. Nicholas D. Genovese, MD is affiliated with Sharp Chula Vista Medical Center, Sharp HealthCare, Scripps Mercy Hospital Chula Vista, Scripps Memorial Hospital La Jolla, Scripps Health, ST LUKES WARREN PHYSICIAN GROUP PC and Scripps Mercy Hospital San Diego.
Scripps Mercy Hospital San Diego
Replacement Arthroplasty (Joint Replacement)
Joint replacement, sometimes also called arthroplasty, is an option when a joint becomes severely damaged by disease or injury. The damaged cartilage of the joint is surgically removed, the ends of the bones in the joint are resurfaced, and a prosthetic is installed. Most prosthetic joints are made of a metal piece that fits into a plastic sleeve so that they glide smoothly. A joint replacement increases stability in the damaged area and decreases pain. The hip and knee are the two joints most commonly replaced, but joint replacement can also be performed on the ankle, shoulder, elbow and even fingers.
Although joint replacement is one of the safest and most reliable medical procedures available, it is still a major surgical procedure. All surgical procedures carry risks, such as infection or blood clots. For this reason, doctors try to help their patients avoid surgery for as long as they can. Taking arthritis medications, losing weight, avoiding high impact sports such as running, taking supplements such as glucosamine or chondroitin, or having joint injections may allow a patient to enjoy life without the need for surgery.
After having joint replacement surgery, patients can expect some pain the first few days as they recover. Physical therapy is an important part of recovery, and it can decrease complications and increase future mobility. As soon as possible, returning to low impact sports such as swimming, walking or biking can stretch and heal the new joint. A prosthetic joint can last 15 - 20 years and cannot be further damaged by degenerative diseases such as arthritis, so once it is done patients should be pain-free for many years.
Tendon Transfer
Tendons are rope-like fibers that connect muscles to bone. Tendon transfer surgery is a procedure that can be used to restore function to a muscle or tendon that no longer works due to injury or nerve damage. During the procedure, a neighboring tendon is 'borrowed' from an area where it is not necessary and repositioned to function in place of the damaged muscle or tendon.
Tendon transfer surgery can be performed on the arms, hands, feet, or other areas of the body where a muscle becomes unable to pull on its tendon. A nearby tendon is detached from its bone, but kept connected to its muscle, nerves, and blood supply. The loose end is connected to the bone that the patient could not move. After the attachment heals, the patient will be able to move that part of the body by flexing the newly connected muscle.
One of the benefits to tendon transfer surgery is that it does not have to be performed right away after an injury. It can be successful even if the affected area has been paralyzed for years. It does take time to retrain the brain to use a different muscle for movement, but the surgery is a powerful option to restore needed motion.
Dr. Nicholas D. Genovese, MD graduated from Drexel University College of Medicine in 2018. He completed residency at UMDNJ-Robert Wood Johnson Medical School Affiliated Hospitals. He has a state license in New Jersey.
Medical School: Drexel University College of Medicine (2018)
Residency: UMDNJ-Robert Wood Johnson Medical School Affiliated Hospitals (2023)
Licensed In: New Jersey
Dr. Nicholas D. Genovese, MD is associated with these hospitals and organizations:
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Dr. Nicholas Genovese is a specialist in orthopedics/orthopedic surgery in San Diego, CA and Chula Vista, CA. He graduated from Drexel University College of Medicine.
