order requiring return of health information

Constantly Evolving Patients Requiring Constantly Evolving Care
===============================================================

Jeff Butler, MD
Orthopedic Surgeon with the Orthopedic Institute of Wisconsin,
Assistant Clinical Professor in the Department of Orthopedics for the
Medical College of Wisconsin

Fortunately for patients and doctors alike, today orthopedic surgeons
have some of the newest high-tech materials available for use in joint
replacement surgery. According to Dr. Butler, who has performed over
4,200 joint replacements to date, "The materials used in making
implants continue to improve. For example, the ceramics and metals
that we use now in hip replacements wear much better than what was
once available. In the past, we were doing replacements again after
ten years or so because of loosening of the cement and failure of
polyethylene liners. The new material wear better and last longer,
which is important as our patients are living longer and staying
active."

These longer-lasting implants are being put to the test with some of
the sports-related injuries that bring many of Dr. Butler's patients
into his office. He stressed, however, that the face of sports
medicine has changed and now includes an aging baby boomer generation
that has shown few signs of slowing down.

"We are performing surgery on hips, knees, elbows and shoulders on
people of all ages," he said. "Years ago, people might go through
their life with a bad shoulder or knee, but that's no longer the case.
We are seeing patients who come in because they want to remain active
and continue playing sports," he explained. In fact, a 2003 survey
cited sports injuries as as the number 2 reason for a doctor's visit
among Baby Boomers, right after the common cold.

In addition, the Midwest is no longer lagging behind the coasts when
it comes to state-of-the-art procedures, Dr. Butler stressed. "We are
doing alot of remarkable surgeries, including the "Tommy John' surgery
on the elbow - named for the Los Angeles Dodgers pitcher - and
referred to by doctors as the Ulnar Collateral Ligament reconstruction
or UCL, as well as arthroscopic rotator cuff repairs. "What I like
about orthopedics is the fact that I can actually repair damaged
joints for patients and they can return to the quality of life they
had prior to being injured," said Dr. Butler. "If you have a patient
come in to see you using a walker and after surgery, they can be out
enjoying activities again, it's a very rewarding feeling," he added.

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