Jake Stanfield MD

Dr. Jake Stanfield is a board certified, fellowship-trained orthopaedic surgeon specializing in all aspects of hip and knee arthroplasty.

[Jake Stanfield MD @Stanfield_MD]

@chirineturk @RIDICULO_pathy Not at all. I would expect a hospitalist who is trained in internal medicine to assist in caring for a patient with their expertise.

[Jake Stanfield MD @Stanfield_MD]

@Jxn2333 @generalorthomd @DominicMarley @jointdocShields @CenterRotation @aschwartz45 @kneedoclond @PeltMD @stevemchale @EdinburghKnee @BrianChalmersMD If it isn’t used , no charge. In some more remote areas, it is difficult to have a “full” revision set on hand at all times (likely multiple trays. So having a simple extra tray to have on hand is nice option.

[Jake Stanfield MD @Stanfield_MD]

@BrianChalmersMD @generalorthomd @DominicMarley @jointdocShields @CenterRotation @aschwartz45 @kneedoclond @PeltMD @stevemchale @EdinburghKnee Since that occurred i have been a bit more choosy. About who gets pressfit. Generally, I use cemented Microport knees. I use DJO pressfit for younger patients. Also use DJO system for knees i may need constraint.

[Jake Stanfield MD @Stanfield_MD]

@BrianChalmersMD @generalorthomd @DominicMarley @jointdocShields @CenterRotation @aschwartz45 @kneedoclond @PeltMD @stevemchale @EdinburghKnee Probably poor patient selection for pressfit. >70 year male. His lateral subchondral bone just collapsed. if cemented may not have occurred. I meant to say hard to blame this pressfit implant specifically.

[Jake Stanfield MD @Stanfield_MD]

@Eccles_MD @generalorthomd @DominicMarley @jointdocShields @CenterRotation @aschwartz45 @kneedoclond @PeltMD @stevemchale @EdinburghKnee @BrianChalmersMD I believe DJO/Enovis has been pretty upfront about their use of stryker’s pressfit design. I believe its an “open patent”. I believe DJO also has an open patent on their dual pivot design.

[Jake Stanfield MD @Stanfield_MD]

@DrSomedayMaybe As a doc on the larger bmi side. I have conversations about weight loss quite a bit. Not to shame, but encourage and educate. Producing that metal would be effective at communicating your fairly unique situation. I give you a high five.

[Jake Stanfield MD @Stanfield_MD]

@IrvG_Official Public school, lower middle class, father is a carpenter, Community college, state university, don’t watch sports, went into Ortho.

[Jake Stanfield MD @Stanfield_MD]

@ChrisGraysonMD1 @orthotraumamd I smell a class action lawsuit coming.

[Jake Stanfield MD @Stanfield_MD]

This is out there

[Jake Stanfield MD @Stanfield_MD]

My wife says It is difficult to find gifts for me…..not sure if she even knows me.

[Jake Stanfield MD @Stanfield_MD]

@PeltMD It was an option, but certainly not ideal. Hoping it will last him a bit.

[Jake Stanfield MD @Stanfield_MD]

Learning case for me. Revision 8 years ago. Returned to high level of activity until increased pain over last year, but still don’t reasonably well. saw 3 surgeons prior to me, All told him to leave it. I also gave him that option but he was insistent that symptoms were worsening

[Jake Stanfield MD @Stanfield_MD]

@BrianChalmersMD @jointdocShields Noticed that after the fact. Will look for that more closely in this implant next time.

[Jake Stanfield MD @Stanfield_MD]

@jointdocShields In this case I was not aware that the sigma revision set had been removed from the hospital, so I made the assumption that it was available, and did not confirm. Thus the learning…

[Jake Stanfield MD @Stanfield_MD]

@NaanDerthaal @bonesmith_ @stevemchale @traumaticum @generalorthomd @JArthroplasty @womenAAHKS @JennaBernstein7 @BrdgPlt2Nowhere @CenterRotation @kimtuckinAZ @KevinWeiszMD @DrPeterGold @AlexisGaskin32 @ashtongoldmanmd Not sure how to design this, I think it would be an interesting study to compare outcomes of patients that were performed on days with x number of cases vs y number of cases. Is there a number where complications increase and outcomes get worse? I don’t know.

[Jake Stanfield MD @Stanfield_MD]

@NaanDerthaal @bonesmith_ @stevemchale @traumaticum @generalorthomd @JArthroplasty @womenAAHKS @JennaBernstein7 @BrdgPlt2Nowhere @CenterRotation @kimtuckinAZ @KevinWeiszMD @DrPeterGold @AlexisGaskin32 @ashtongoldmanmd I’m happy to admit the deficiencies of my system and realize other setups may be better suited for higher volume, I certainly think there is always room for improvement. I am just wondering at what speed does the surgery become unsafe.

[Jake Stanfield MD @Stanfield_MD]

@EdinburghKnee I can’t even imagine seeing people wait years. And people with influence and money (including people In charge of these systems) will always get the care they desire. It’s the most vulnerable that will have to wait.

[Jake Stanfield MD @Stanfield_MD]

@EdinburghKnee I am personally tormented when I need to schedule a patient 2-3 months out for surgery when they are suffering. And some people are really suffering. It’s frustrating to know that there are people who can hardly walk with a bad hip and could be fixed with a 60 minute surgery.

[Jake Stanfield MD @Stanfield_MD]

@generalorthomd @bonesmith_ @NaanDerthaal @stevemchale @traumaticum @JArthroplasty @womenAAHKS @JennaBernstein7 @BrdgPlt2Nowhere @CenterRotation @kimtuckinAZ @KevinWeiszMD @DrPeterGold @AlexisGaskin32 @ashtongoldmanmd I’ve certainly had some patients whose cases goes quickly, a skinny posterior THA is the quickest and easiest case I do. Fastest incision -> hardware is about 20-30 min. but not every hip can or should be completed in 20 minutes.