Dr. David Fischer

Yeah.

You know, it's really good.

You know, I think, and it's a combination of things.

You know, I think that failures probably can be, you know, common failures like an infection or, you know, some problems generally occur earlier, you know, in the first few years.

Hmm.

and then we all realize this i mean if it's if it's done in a senior that their activity your activity level continues to slowly decrease a little bit so as time goes on uh you're putting less stress on it than you probably had in those first four or five years so yeah so it's a combination of behavior as well as durability they're they're really quite remarkable so dr fisher i want to ask you a couple questions one is that um

probably up to an hour and a half.

It's probably that amount of time that that takes.

And we know now that because of techniques and just patient education, these are being done as an outpatient even today in both the hip and the knee in many patients.

And some patients that have been in the hospital afterwards

might have a hard time believing this that that you could actually just send people home a few hours after their operation but it's becoming fairly common in in selected patients but it's a combination of patient education preparation uh adequate care at home uh lots lots of things and uh and there's also been a state you know toward been a movement towards the uh

the short stay, which Tria really began in the Twin Cities, which was putting patients in a hotel, in Tria's case, in the Hilton across the street, and providing the physical therapy and the 24-hour nursing and everything in a hotel.

And that helped a lot because we were still able to provide the medical aspect of their care, but the hospitality aspect

uh being a patient was a lot better done by Hilton than by any uh any hospital I know of so that was that now when it comes to recovery the hip is generally faster you know the hip is a ball and socket joint it's a stable joint it's got all these big muscles around it uh it's quicker uh

I used to tell patients that I thought they should allow a minimum of six months to really start to feel like they made the right decision sometimes.

It takes that long to normalize the gait.

One of the problems in patients, particularly in the hip and the knee especially, is a bad gait pattern.

You've been limping around for a long time.

Sometimes you aren't even aware of how severe it is.

And your brain is used to that gait.