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February 01, 2016

By FRANCIS CARR Jr., Hour Staff Writer
Published 1:15 pm, Monday, February 1, 2016

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NORWALK -- A Norwalk Hospital orthopedic surgeon is the first in Fairfield County to implement a new, hi-tech knee replacement procedure.

Working with a company called ConforMIS, Dr. Michael Lynch of the Norwalk Hospital Joint Replacement Center has begun offering a new type of knee replacement that uses a 3D printer to create femoral and tibial implants that are unique for each patient.

A standard knee replacement procedure, according to Lynch, usually involves reshaping the ends of a patient's femur and tibia so that the bones will fit one of several sizes of pre-made knee prosthetics.

Occasionally, there are problems with a one-size-fits-all prosthesis, Lynch said.

"If it overhangs (the knee bones), then a tendon might rub up against it," for example, Lynch told The Hour.

By contrast, a custom-fitted knee prosthetic could have a notch cut into it to avoid contact with the tendon, Lynch added.

In the new procedure, a CAT scan of the patient's knee is fed by ConforMIS into a 3D printer which fabricates a nylon mold that is then used to cast a metal prosthetic for the patient.

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January 27, 2016

Patient Recovers Immediately at Home with Care from RVNA

Deveney Dunleavy 2 22 16DANBURY, CT. – Last month, Dr. Robert Deveney and Dr. John Dunleavy performed the first total knee replacement procedures ever done in this area on an outpatient basis.

Total knee replacements have been done on an outpatient basis on the West Coast for some time. Now, new technology allows for very specific preparation prior to surgery, reducing operating time and allowing for quicker post-operative recovery time.  

Dr. Robert Deveney and Dr. John Dunleavy, fellowship-trained orthopedic surgeons, and specialists in the treatment of hip and knee disorders at The Total Joint Center at Danbury Orthopedics, are pleased to offer outpatient joint replacements locally. In the past, patients needing joint replacements were required to stay overnight in the hospital. Dr. Deveney and Dr. Dunleavy are able to now perform this surgery, for patients meeting the criteria, right here at the new, state-of-the-art Western Connecticut Orthopedic Surgical Center (WCOSC) at 226 White Street, Danbury.

press release photo 2 22 16Gary Furtak of New Fairfield has the distinction of being the first person in this area to have a total knee replacement operation and go home the same day. His ground-breaking surgery was performed by Dr. Deveney of The Total Joint Center at Danbury Orthopedics, at the Western Connecticut Orthopedic Surgical Center in downtown Danbury, CT ( Furtak is shown here (center) with Amy Tagg, RN, (left) and Tricia Brody, physical therapist (right), both of the Ridgefield Visiting Nurse Association. Tagg and Brody provided him with nursing care and physical therapy at his home, where his recuperation took place until he was ready to go to outpatient physical therapy at Danbury Orthopedics.

Danbury Orthopedics and Ridgefield Visiting Nurse Association (RVNA) partner to provide a smooth transition from outpatient surgery at WCOSC to recovery at home.  Patients receive a home visit and safety evaluation from an RVNA physical or occupational therapist before the scheduled surgery date. An RVNA nurse meets each patient at home upon discharge, and visits each day for the first week after surgery. Meanwhile, RVNA physical therapists also make home visits every day during the first week after surgery to work with the patient and prepare him or her for outpatient physical therapy.  Additionally, RVNA can provide an occupational therapist and/or home health aide to help the patient return to functional daily activities and assist the patient at home, if the patient requests one.

RVNA Director of Clinical Operations, Summer Williams, RN, is excited to be supporting this state-of-the-art operative approach. “Our physical therapists and nurses provide care at home that is usually provided in a hospital setting, and the patient response so far has been extraordinary. Their outcomes are excellent, and they enjoy being able to recover at home.”

“Recovering at home from day 1 is a huge plus for our patients,” says Dr. Deveney. “We anticipate better recoveries and improved mobility because of the immediate and focused physical therapy they receive.”  Dr. Dunleavy concurs, “We are at a time when advanced surgical technique and the benefits of the outpatient delivery system combine to really give patients better options.  We expect reduced post-surgical pain, improved function and a better surgical experience for our patients.” The orthopedic team, including surgeon, anesthesiologist and Physician Assistant, are available by phone to each patient 24 hours a day during the first few days after surgery, as are the RVNA nurses and physical therapists.

Western Connecticut Orthopedic Surgical Center (WCOSC) opened last year to offer the highest quality, state-of-the-art orthopedic surgery on an ambulatory basis to the community. The outpatient facility offers the most advanced technology to assist surgeons with routine and complex procedures. For more information on the center and the surgical center team, please visit

About Danbury Orthopedics:
Danbury Orthopedics, founded in 1954, is a multi-specialty practice  staffed by leaders in orthopedic care; the practice is a member of OrthoConnecticut, along with New Milford Orthopedics and Coastal Orthopedics, providing comprehensive care to the community. The practice’s Centers of Excellence provide integrated treatment, offering individualized and compassionate care by a team of specialists. The goal of the practice is to help patients regain mobility, lead active lives and attain optimal well-being. To make an appointment with any of the practice’s specialists, or to learn more about this procedure, or other outpatient procedures at Danbury Orthopedics, please visit or call 203.797.1500.

About RVNA:
RVNA cares for patients in their homes in 28 towns in Western Connecticut, including seven day a week physical therapy by experienced orthopedic therapists.  Founded in 1914, RVNA is a non-profit, fully-accredited, Medicare-certified home health care agency that also supports public health and safety, and promotes the highest quality of life. Services include skilled nursing, rehabilitation therapies, social work services, disease management, and private pay home health care, along with many community programs.  To learn more about RVNA or to request RVNA services, call 203-438-5555 or visit

January 18, 2016

Dr. Michael M. Lynch of Coastal Orthopaedics has brought new total knee joint technology to Fairfield County in the form of custom knee replacement. This new procedure promises to revolutionize knee replacements for many individuals experiencing knee pain that limits their activity in terms of what they can do physically.

A customized implant, no two alike, is manufactured with 3-D printing technology to fit each patient’s unique anatomy. Using CAT scan generated mapping, each replacement is individually sized and shaped to mimic the natural shape of a knee, which gives the patient the potential to feel and move more naturally.

In traditional knee replacement surgery, the surgeon shapes the patient’s anatomy to fit a range of sizes of premanufactured implants. Human anatomy has subtle variations that can be hard to account for with the standard technique. While they have an excellent track record in most instances, there can be problems with implant fit.

The customization of the implant also allows for less bony resection which helps to limit surgical trauma. Additionally, the instrumentation used to perform the surgery is lower profile which facilitates the use of smaller incisions. These benefits can mean less pain and faster recovery in many instances.

ConforMIS is the manufacturer who has developed the technology to create customized knee implants and surgical instrumentation that are designed to fit your knee’s natural shape and curves.

Sue, a ConforMIS iTotal recipient explains, “ Within four months I had two total knee replacement done with a custom knee replacement. To me, it was made to fit MY knee, not somebody else’s knee, not a guy’s knee, not another woman’s knee. They didn’t pull it out of a box. It was made to fit ME, and to me that made more sense.” Sue is now back running on a treadmill and swimming.

Dr. Michael M. Lynch is a board-certified orthopedic surgeon specializing in treating severe joint pain. His main objective is to restore his patient’s mobility and help them return to the lifestyle to which they were accustomed as quickly as possible. He favors non-surgical and minimally invasive surgical techniques in order to minimize the time and physical impact of treatment and recovery.

However, when osteoarthritis becomes too severe for non-surgical treatment options, you might be a candidate for knee replacement surgery (also called knee arthroplasty).

“This technology is very promising. There are studies that indicate improvements in recovery time and functional achievement. My early results are very satisfying and I am excited to offer this approach to my patients when applicable”, says Dr. Lynch.

In addition to treating patients at Coastal Orthopaedics in Norwalk, Dr. Lynch serves as Co-Director of the state-of-the-art Total Joint Replacement Center at Norwalk Hospital.

Coastal Orthopaedics offices are located in Norwalk, Darien, Westport and New Canaan. A special walk-in urgent care center known as Coastal Ortho Express is located at iPark Medical Center, 761 Main Avenue in Norwalk.

For more information or to make an appointment call 203 845-2200 or visit

January 15, 2016

Coastal Orthopaedics of Norwalk is proud to announce that Dr. Joshua B. Frank has earned one of the most highly recognized certifications in the industry – a credential that is known as the Gold Standard around the world – the American Board of Orthopaedic Surgery Subspecialty Certification in Orthopaedic Sports Medicine. This award is a valuable way to demonstrate commitment to the highest quality care and recognition for the many long years of work put into achieving expertise. This sets Dr. Frank apart as a recognized specialist in the eyes of patients, hospitals, employers and insurers.

The Subspecialty Certificate in Orthopaedic Sports Medicine is for those Board certified orthopaedic surgeons who have demonstrated qualifications in sports medicine beyond those expected of other orthopaedic surgeons by virtue of additional training, a practice characterized by a majority of cases in sports medicine, and contributions to this field.

Dr. Frank received his medical school training at UPenn and the Hospital for Joint Diseases and the Kerlan-Jobe Clinic. He focused on the care of injured athletes and their return to function. During that time he participated in the care of the LA Lakers, Dodgers and Kings as well as in Arena Football, Lacrosse and with the Anaheim Ducks and USC Football Teams.

While in private practice, Dr. Frank has been treating many high school and college football teams where he is participating in the advancements of “sports medicine”. In particular, he has been focusing on the training and care of young athletes. He has taken the sports medicine exam for certification in order to confirm he continues to be at the forefront in the field of sports medicine.

Coastal Orthopaedics offices are located in Norwalk, Darien, Westport and New Canaan. A special walk-in urgent care center known as Coastal Ortho Express is located at iPark Medical Center, 761 Main Avenue in Norwalk. Many sports injuries are treated promptly at the walk-in center. For more information or to make an appointment with Dr. Frank or any of his colleagues, call 203 845-2200 or visit