Facts, Fads and Fiction About Joint Replacement Surgery

Living Healthy With Arthritis Lecture Series

Presenter:
Michael P. Dohm, MD, FAAOS, ABOS
Assistant Professor, Orthopaedic Surgery
The University of Arizona College of Medicine

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About the Lecture:
According to the Mayo Clinic, an estimated 4.7 million people in the U.S. have undergone total knee replacement and 2.5 million have undergone total hip replacement and are living with implants. The rates of these operations are rapidly increasingly, as the CDC reports that total hip replacements have more than doubled and total knee replacements have nearly doubled between 2000 and 2010, respectively. Medicare covered more than 400,000 knee and hip replacements in 2014 at a cost of $7 billion for hospitalizations related to those procedures. According to data from the National Hospital Discharge Survey, total knee replacement has been the most frequently performed inpatient procedure on adults aged 45 and over in recent years.   

UA orthopaedic surgeon Dr. Michael Dohm will discuss the operative and non-operative treatment of joint disease, including evidence, outcome and value of current surgical and non-surgical treatments.  He will discuss evidence on both the development and prevention of arthritis as well as the history of joint replacement surgery and the application of patient-reported and functional outcomes to joint replacement.  Current treatment guidelines, along with a Consumer Reports approach to the efficiency and effectiveness of surgical intervention, will also be presented.  Medical care and the importance of rehabilitation and nutrition in the operative and non-operative processes of treating joint-related conditions will also be discussed.
 
About Dr. Dohm:
Dr. Dohm is an Assistant Professor in the University of Arizona College of Medicine.  He earned his bachelor's degree from Northern Arizona University in 1983 and his Medical Doctorate from the University of Arizona in 1987.  He compeleted an internship in General Surgery in 1988 and a residency in Orthopaedic Surgery in 1992, both at the University of Arizona. He joined the University of Arizona College of Medicine faculty and the UA Department of Orthopaedic Surgery in 2013.  

Prior to returning to the University of Arizona, Dr. Dohm was in practice in Grand Junction, Colorado, from 1992 until 2013. During that time, he established the non-profit quality improvement organization The Western Slope Study Group (a 501 c-3) and as a clinician scientist became involved in the investigation of clinical applications of evidence in orthopaedic practice.  He participated in the American Academy of Orthopaedic Surgeon’s (AAOS) Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS™) program.  This lead to the foundation of the AAOS Outcome Special Interest Group, as well as the inaugural evidence-based practice committee for the AAOS, the Orthopedic Research Society research interest group Orthopaedic Evidence and Outcome Education Organization.  

Dr. Dohm is a member of the evidence-based practice committee for the American Association of Hip and Knee Surgeons, the guidelines committee for the North American Spine Society and the Cochrane Musculoskeletal Group Advisory Board.  He is currently involved in patient-reported measurement outcome projects as well as functional analysis of orthopaedic interventions in collaboration with iCAMP, the interdisciplinary Consortium on Advanced Motion Performance at the University of Arizona.  This group examines the intersection of patient-reported measures and objective functional measures in pursuit of best orthopaedic practice.  He serves as a Clinical Adviser to iCAMP.

Dr. Dohm is Board Certified in Orthopaedic Surgery.