Sports are a big part of Jeff Farland's life. In addition to a
nearly 30-year career in parks and recreation, including eight years as
Director of Leisure Facilities and Services for the city of Davenport,
Iowa, he enjoys his own athletic and recreational pursuits. So when hip
pain curtailed his activity, he sought a doctor's help.
"I haven't been able to golf much and I'd love to play
softball again," said Farland. "Not being able to walk the dog, work
around the house or garden, it's really restricted my life."
Now, Farland is on his way back to an active lifestyle,
after undergoing a total hip replacement surgery that will be broadcast
The live panel webcast, which will include Farland, now a
professor in the Department of Recreation, Park and Tourism
Administration at Western Illinois University, will originate from the
Adler Health Education Center, in the lower level of the Genesis Heart
Institute on the Genesis Medical Center, East Rusholme Street campus.
The hip replacement surgery is performed by Joseph Martin,
M.D., Orthopaedic and Rheumatology Associates, P.C (ORA). ORA, one of
the largest practices of its kind between Chicago and Denver, has seven
locations and more than 20 doctors providing bone and joint care to
residents of eastern Iowa and western Illinois.
According to the National Hospital Discharge Survey, more
than 234,000 hip replacement surgeries are performed in the United
States each year. That number is expected to continue growing as the
The most common reason for hip replacement is
osteoarthritis in the hip joint. Osteoarthritis is a degenerative
disease that breaks down cartilage in the joint, causing bones to rub
Total hip replacement also is a treatment for rheumatoid
arthritis (a disease that causes joint pain, stiffness, and swelling),
osteonecrosis (a disease that causes the bone in joints to die), injury
of the hip joint and bone tumors that break down the hip joint.
In the webcast, Dr. Martin uses an anterolateral approach
to perform the hip replacement procedure. This approach allows the
patient to lie on his or her side during the surgical procedure. After
making a four-inch incision, Dr. Martin divides only a small amount of
muscle to gain access to the joint.
"This approach has been associated with a lower dislocation
rate," explained Dr. Martin, who is certified by the American board of
Orthopaedic Surgery. "It is designed to minimize muscle injury, while
still providing a clear view of the joint during surgery."
Advantages of modern total hip replacement include
accelerated recovery time; potential for fewer restrictions during
recovery because patients more freely bend their hip and bear their
full weight immediately or soon after surgery; reduced scarring because
the technique allows for one relatively small incision; and greater
stability of the implant sooner after the surgery.
The pain control protocol used results in less discomfort
during the important recovery period while minimizing the side effects
associated with some pain medicines.
During the procedure, Dr. Martin will dislocate the hip,
ream the acetabulum, or hip socket to allow placement of a metal cup,
remove the head, or ball of the femur (thigh bone) and some of the
inner bone; insert a metal stem into the femur and add a metal ball to
the end of the stem. Once the artificial ball and socket are realigned,
the small amount of muscle that was divided to allow access to the
joint is reattached and the incision closed.
In addition to highlights of the surgical procedure, the webcast also
will provide a glimpse of the inpatient physical therapy Farland goes
through before his discharge from the hospital. Discussion also will
include durability of hip replacements, recovery, life after hip
replacement and the importance of having the procedure done in a
"It's been well documented that complication rates are
lower if you are at a hospital where these procedures are done often,"
says Dr. Martin. "That ensures the surgeons, nurses and physical
therapists are experienced in caring for joint replacement patients. It
makes for a safer environment and that's definitely the case at