Current News

Minimally invasive spine surgery being done by Dr Antoine Tohmeh in Spokane Hospital.
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Minimally-Invasive Hip & Knee Replacement
Dr David Scott is performing total hip replacements with a minimally-invasive technique, which may decrease postoperative pain, and allow a faster recovery.

He has been involved with these techniques over the past several years. Total hip replacement can be performed through an approximately 3-4 inch incision, with less soft tissue trauma. Partial knee replacement can also be performed through substantially smaller incisions. The UniSpacer procedure (see separate news links) is also another form of minimally invasive knee replacement. Additionally, total knee replacement is being adapted to this new technique.

The goals of minimally invasive hip and knee surgery are:
  • Reduce soft tissue trauma
  • Minimize blood loss
  • Reduce the need for narcotic pain medicine
  • Shorten hospital stay and speed recovery
An MIS total hip replacement patient can go home the next day after surgery, and can even go home the same day if they are motivated. Patients may not require narcotic pain medication within a few days to a week, and they can return to a sedentary job within two weeks.

The news media have in some cases portrayed minimally invasive hip and knee replacement as a totally new procedure, unlike current hip and knee replacement procedures. This is not completely accurate, and is not fair to the many orthopedists performing conventional hip and knee replacement. It is important to understand that this is not a radically new procedure, but is a modification and improvement to existing techniques.

MIS hip and knee replacement is not necessarily for every patient. While there are definitely increased benefits, there may also be increased risks. If you or someone you know are interested or may be a candidate for this surgical procedure, please call to make an appointment with Dr Scott.

Computer-Assisted Total Hip Replacement Surgery Performed in Spokane

Dr David Scott has performed Spokane's first computer-assisted total hip replacements. Dr Scott has utilized a new development in the field of joint replacement, using a computer with real-time 3-D visualization of the patient's anatomy navigation, to perform total hip replacements with greater accuracy and precision.

Our new state-of-the-art Orthopaedic center is now open! Our new facility offers complete patient care including physical therapy, in-office x-ray and Bone Density services.



Knee Replacement Alternative Offered Here -- Metal insert touted as less invasive option for some osteoarthritis sufferers.
Read full story!
Journal of Business, February 13, 2003

Implant Helps Keep People with Knee Problems Healthy -- Painful knee joints can sideline active people. A new knee implant, developed by an engineer who injured his knee in a hockey game, may ease the pain and delay the need for a total knee replacement. "It's a simple idea with complex geometry behind it," said Dr. David Scott, a Spokane orthopedic surgeon who was the first in the region to use the UniSpacer implant. Read full story!
The Spokesman-Review, July 9, 2002

Simple Device May Offer Alternative to Total Knee Replacement -- Spokane, WA-Since December 7, 2001, David F. Scott, MD is one of a few select surgeons across the country who has been approved to perform a new surgical procedure for patients with arthritis of the knee. Read full story!

Bone Density Evaluation and Total Hip Replacement -- The bone density of the femur has been found to change after total hip replacement surgery. Dr. David Scott has been involved in pioneering research studying the changes in bone density that occur after hip replacement. He is currently providing bone density evaluations before and after total hip replacement.

First Metal-on-Metal Hip Replacement Performed in Spokane -- Dr. David Scott, who participated in U.S. Food and Drug Administration trials of the device, is scheduled to perform the first hip replacement procedure here at Holy Family Hospital... "Total (artificial) hips are really quite sophisticated these days, and this is really the last major problem that limits longevity," Scott says. Read full story!
The Journal of Business, September 16, 1999

A Local Expert in Vertebroplasty -- Dr. Antoine Tohmeh has published a landmark study on management of vertebral compression fractures in patients with osteoporosis. He is currently conducting a clinical research project on patients undergoing vertebroplasty. He is comparing two vertebroplasty techniques in order to optimize results with the simplest procedure possible. Dr. Tohmeh and his vertebroplasty patient were interviewed on 3/14/01 by Spokane KREM2 News.

Lumbar Fusion Outcomes -- Dr Antoine Tohmeh has just completed an outcome study on lumbar fusion patients. This study evaluates pain levels and function in patients before and after a lumbar fusion procedure. It also evaluates patient's satisfaction with the office staff, their hospital stay and the treatment they received.

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