Introduction

Prosthetic replacement surgery can significantly improve the quality of life for patients with limb loss or certain joint problems. In New York City, there are several hospitals that are highly recommended by people who have undergone such surgeries. These hospitals offer a wide range of services, from advanced surgical techniques to comprehensive rehabilitation programs. This article will introduce some of these top - rated hospitals in detail, helping you make an informed decision when choosing a medical institution for prosthetic replacement surgery.

Mount Sinai - New York

Overview

Mount Sinai understands the challenges faced by individuals who have lost a limb. Their compassionate and highly - skilled specialists and therapists provide a full range of rehabilitation and support services. They offer a personalized treatment plan that takes into account the patient's physical condition and life outside of the rehabilitation setting, with an emphasis on emotional support to ensure a comfortable and fulfilling life after amputation. It is also New York City's first amputation and prosthetic training program to be accredited by CARF, which shows its commitment to meeting the individual needs of patients and setting a high standard for modern amputation and prosthetic training care.

Services

Inpatient Services

• Care Coordination: The team at Mount Sinai is dedicated to supporting patients from the initial surgery through their return to the community. Rehab professionals will communicate with the patient and the surgeon to establish an individualized plan of care. This includes coordinating follow - up care with home care agencies, facilitating the transition to outpatient therapy, and referring patients to a prosthetist.
• Emotional Support and Coping Skills: They help patients develop coping skills to handle the emotional stresses that may come with amputation. Goal - setting and preparation for prosthetic prescription and training are also important aspects of the inpatient program.
• Pain Management and Complications Prevention: The program focuses on helping patients manage any pain or discomfort. They also take measures to prevent post - operative complications and provide education on how to care for the residual limb.
• Independence Training: Patients are provided with a program to increase their independence in mobility and self - care.

Outpatient Services

• Specialized Rehabilitation: The team at Mount Sinai includes physicians and therapists who specialize in the rehabilitation of individuals following amputation. They work with each patient to understand their goals and establish a personalized plan of care in conjunction with the physiatrist.
• Therapy Program: The outpatient therapy program includes care of the residual limb, community reintegration, mobility and balance training, pre - prosthetic training, prosthetic prescription and training (in partnership with an expert prosthetist), self - care and activities of daily living (ADLs), and strength training.
• Limb Loss Support Group: Whether patients are receiving inpatient or outpatient services, Mount Sinai offers a limb loss support group led by a psychologist. The group meets monthly to discuss issues such as body image, social acceptance, and techniques for maintaining a positive attitude.

Contact Information

NYU Langone Health - Center for Amputation Reconstruction

Overview

NYU Langone's Center for Amputation Reconstruction has locations in Manhattan, Brooklyn, Queens, and Westchester County. Their experts provide specialized care for people with limb loss. Surgeons partner with occupational therapists, prosthetists, and mental health professionals to help patients achieve the maximum level of movement and function after amputation. They recognize that limb loss affects not only physical functioning but also psychological and emotional well - being and bring together a team to address all related barriers to regaining mobility and independence.

Services

Limb Loss Rehabilitation

• Advanced Surgical Techniques: The surgeons at NYU Langone specialize in the most advanced surgical techniques and prosthetic technologies. They work with patients to understand their goals and achieve the best possible outcome. Procedures include targeted muscle reinnervation (TMR) to minimize chronic pain and improve prosthesis control, creation of regenerative peripheral nerve interfaces within the amputated limb to stimulate nerves, manage pain, and improve prosthetic function, revision surgery of the amputated limb and nerve procedures to ease pain from ill - fitting prostheses, osseointegration to integrate the prosthesis permanently into the bone, and fitting of myoelectric prostheses that respond to electrical impulses from muscle flexing.
• Team - Based Care: Surgeons collaborate with on - site occupational therapists and prosthetists. Prosthetists are experienced in providing a variety of prosthetic devices for all levels of limb loss and assist in surgical planning for optimal fit, integration, and comfort. Occupational therapists develop treatment and rehabilitation plans based on the patient's most meaningful roles, activities, and personal experiences.
• Referral to Rusk Rehabilitation: After surgery, patients can be referred to Rusk Rehabilitation, where specialists in physical medicine and rehabilitation, physical and occupational therapy, psychology, social work, and vocational rehabilitation provide further limb loss rehabilitation.

Continuing Medical Education

NYU Langone regularly hosts continuing medical education (CME) events. For example, the Bionic Reconstruction Conference (BRECON) in 2023 was focused on the future of integrated upper limb surgical and prosthetic innovation.

Contact Information

For questions about their services, call 646 - 987 - 9129 or email Elaine Crerar, MS, OTR/L, Clinical Program Manager, at elaine.roxanne.crear@nyu.langone.org.

Hospital for Special Surgery (HSS)

Overview

Founded in 1863, the Hospital for Special Surgery is the oldest orthopedic hospital in the United States. It performs more hip replacements than any other hospital in the United States. It is ranked the #1 hospital for orthopedics in the United States by U.S. News & World Report and the #1 orthopedic hospital in the world in Newsweek's "World's Best Specialized Hospitals".

Hip Replacement Surgery

What is Hip Replacement Surgery?

Hip replacement is the removal and replacement of portions of the pelvis and femur (thighbone) that form the hip joint. It is mainly performed to relieve hip pain and stiffness caused by hip arthritis, and can also be used to treat injuries such as a broken or improperly growing hip and other degenerative conditions of the hip.

Do You Need a Hip Replacement?

If you have severe hip pain that is not relieved by medication and interferes with your work, sleep, and daily activities, or hip stiffness that restricts motion and makes it difficult to walk or perform routine activities like putting on shoes and socks, you should consider a hip replacement. Non - steroidal anti - inflammatory drugs (NSAIDs) and physical therapy may provide relief initially, but if symptoms persist, consult an orthopedic surgeon.

Types of Hip Replacement Surgery

• Total Hip Replacement: This is the most common and successful type, with two common surgical approaches: the posterior approach and the anterior approach. In some cases, robotic technologies may be used during the surgery.
• Hip Resurfacing: May be appropriate for some patients.
• Hemiarthroplasty or Partial Hip Replacement: Used in rare circumstances, typically for specific types of hip fractures.

Preparation for Hip Replacement Surgery

Patients should follow the instructions and guidance of their orthopedic surgeon, medical team, and rehabilitation therapist. There are preoperative hip replacement classes and patient education materials available.

Outpatient Surgery

Most healthy patients can be dismissed home on the day of surgery. If the anesthesia, medical, or physical therapy teams think it's not appropriate, patients can stay in the hospital for 1 to 2 days until they are cleared for dismissal.

Surgery Time

Total hip replacement surgery takes about one and a half hours. With setup and anesthesia time, patients are in the operating room for about two hours.

Recovery Time

Rehabilitation begins within 24 hours after surgery. Most patients can walk with a cane, walker, or crutches within a day or two. Full recovery generally takes two to eight weeks, depending on the patient's general health and other factors.

Having Both Hips Replaced

Healthy patients younger than 75 years old with no history of cardiopulmonary disease may be able to have both hips replaced at once. In some cases, staging the surgeries may be a better option.

Risks

Although total hip replacement is very safe, there are risks such as blood loss, nerve or blood vessel injury, fracture during surgery, and blood clots, dislocation of the prosthesis, or infection after surgery. HSS has one of the lowest rates of infection for hip replacement surgery in New York State.

Implant Materials

• Stem: Usually made of metal (titanium, cobalt - chrome, or stainless steel). For patients with osteoporosis, bone cement may be used to fix the stem to the bone; otherwise, the bone grows onto the metal stem.
• Ball: Commonly made of cobalt - chrome or ceramic and fits on top of the stem.
• Socket: A combination of a plastic liner and a porous titanium shell. The pelvic bone grows onto the titanium implant, and sometimes screws are used to further secure it.

Success Rate

The success rate for hip replacement surgery at HSS is high. About 95% of patients experience relief from hip pain. Two years after surgery, 99.4% of patients reported pain relief, 98.8% said their ability to move was improved, and 97.8% said their quality of life was better.

Contact Information

Address: 535 East 70th street, New York, NY 10021. Phone: (212) 606 - 1000. Website: https://www.hss.edu/

NewYork - Presbyterian Brooklyn Methodist Hospital

Overview

The Structural Heart Program at NewYork - Presbyterian Brooklyn Methodist Hospital, in partnership with Weill Cornell Medicine, provides traditional and minimally invasive catheter - based and hybrid surgical procedures for patients with severe aortic stenosis, mitral regurgitation, failing bioprosthetic valves (aortic & mitral), and several other structural heart defects. The program's team has played a leading role in clinical trials assessing the latest percutaneous valve replacement approaches, giving them greater experience in these emerging new techniques.

Services

Transcatheter Aortic Valve Replacement (TAVR)

TAVR is a minimally invasive technique for the treatment of aortic stenosis. It enables patients with aortic stenosis who are unable to have open - heart surgery (due to age or illness) to receive life - saving care. During the procedure, a catheter delivers a prosthetic valve to the heart, which is carefully positioned inside the patient's own valve and expanded, pushing aside the diseased leaflets.

Transcatheter Mitral Valve Replacement (TMVR)

TMVR is a highly specialized and minimally invasive technique that may be offered as an alternative for patients with failing bioprosthetic mitral valves.

Mitraclip®

This catheter - based treatment is available for patients with significant symptomatic degenerative mitral regurgitation who are too high - risk for surgery.

Paravalvular Leak Closure

The valve specialists repair paravalvular prosthetic regurgitation percutaneously in select high - risk patients with symptoms.

Atrial Septal Defect (ASD) Closure and Patent Foramen Ovale (PFO) Closure

For ASD and PFO, a special closure device is inserted into the heart via a catheterization procedure, and patients are usually discharged home the next day without activity limitations.

Conclusion

In conclusion, these hospitals in New York City - Mount Sinai, NYU Langone Health, Hospital for Special Surgery, and NewYork - Presbyterian Brooklyn Methodist Hospital - offer high - quality prosthetic replacement surgery services. Mount Sinai focuses on comprehensive amputation and prosthetic training with strong emotional support. NYU Langone Health uses advanced surgical techniques and a team - based approach for limb loss rehabilitation. The Hospital for Special Surgery is a leading orthopedic hospital with a high success rate in hip replacement surgery. NewYork - Presbyterian Brooklyn Methodist Hospital specializes in structural heart prosthetic replacement procedures. If you or someone you know is considering prosthetic replacement surgery, it's essential to research these hospitals further, consult with their medical teams, and make an informed decision based on your specific needs.

We encourage you to share this article with others who may be interested in prosthetic replacement surgery in New York City. Also, feel free to explore the official websites of these hospitals to learn more about their services, expertise, and patient testimonials.