Dr. James Bresch was exposed to Smith & Nephew’s integration with VERASENSE™ Sensor-Assisted Total Knee Arthroplasty at the OrthoSensor®, Inc. exhibit at the 2014 American Association of Hip and Knee Surgeons (AAHKS) meeting in Dallas, TX. Having completed fellowship training in sports medicine, Dr. Bresch is keenly aware of the importance of soft-tissue balance in TKA but felt his manual practices were achieving good results.
Initial Impressions And Experience
Soon after AAHKS, local OrthoSensor and Smith & Nephew representation organized a follow-up meeting with Dr. Bresch to talk clinically about what VERASENSE could offer his procedures. Dr. Bresch liked the technology and decided to try VERASENSE on a selected TKA of his choosing with the JOURNEY™II Bi-Cruciate Stabilized (BCS) Knee System, thinking the true benefit would only be seen in his more complex cases. His first case, a severe valgus deformity, implemented VERASENSE in conjunction with VISIONAIRE™ Patient Matched Technology. Following bony resections, VERASENSE’s real-time articular load data showed a significant soft-tissue imbalance. Dr. Bresch performed releases based on the information, arriving at a well-balanced knee throughout the range of motion. After the case, Dr. Bresch noted he was happy with his bone cuts and overall alignment and thought the knee felt good, but the VERASENSE sensor revealed tightness and imbalance he was not able to feel manually and otherwise would have left the patient to manage post-operatively.
Based on his initial experience, Dr. Bresch considered using VERASENSE on a sequence of his more “routine” mild deformity TKA cases, wondering if there might be additional imbalance he was not able to sense keenly. Originally planning on a trial of ten consecutive cases, Dr. Bresch decided after completing only five that he wanted to have VERASENSE available on all of his TKAs. He found some knees surprised him—thinking they would be easy cases to manage, VERASENSE often revealed imbalance hidden throughout the range of motion.
“I ORIGINALLY THOUGHT VERASENSE WOULD ONLY BE USEFUL FOR MY MORE DIFFICULT CASES, BUT I WAS VERY SURPRISED. EVEN IN MY ROUTINE TKAs, VERASENSE OFTEN HIGHLIGHTS TENSION AND IMBALANCE THAT I CANNOT PERCEIVE MANUALLY.”
In addition to helping him in the operating room, Dr. Bresch and his staff have also observed benefits VERASENSE has brought patients after his initial few months of usage. He has noticed an increased range of motion at their first follow-up appointment, a dramatic reduction of their PT time, and that they are happy!
“BALANCE IS CRITICAL TO A SUCCESSFUL TKA. MY PATIENTS BALANCED WITH VERASENSE ARE COMING BACK HAPPIER, WITH INCREASED RANGE OF MOTION, AND ARE SPENDING LESS TIME IN POST-OPERATIVE PHYSICAL THERAPY.”
About Dr. Bresch
Dr. James Bresch now uses VERASENSE on all of his TKA procedures, incorporating it seamlessly into his standard workflow. He is happy with the results he is achieving and is actively sharing his experiences with colleagues. DR. JAMES R. BRESCH, M.D. is a board certified orthopaedic surgeon practicing with Orthopaedic Surgery Specialist, Ltd. in the Chicago (IL) metropolitan area. A fellow of the American Academy of Orthopaedic Surgeons (AAOS), Dr. Bresch completed a fellowship in sports medicine and has over 20 years of clinical experience. He specializes in knee reconstruction, sports medicine, and arthroscopy.
Dr. Bresch performs around 200 total knee replacements each year.
The observations and opinions described herein were not sponsored by OrthoSensor and solely reflects the opinions of Dr. Bresch.