Outpatient focus
For appropriately selected patients, hip or knee replacement may be performed with discharge home the same day and a structured recovery plan.
Patient-focused information about advanced outpatient hip and knee replacement—designed to help you understand your options, prepare with confidence, and get back to the life you enjoy.
The practice emphasizes advanced, minimally invasive hip and knee replacement, outpatient pathways when appropriate, and techniques intended to preserve soft tissues and support early mobility. Surgical approach and outpatient eligibility are individualized.
For appropriately selected patients, hip or knee replacement may be performed with discharge home the same day and a structured recovery plan.
Dr. Hirshorn uses approaches designed to limit unnecessary disruption of muscles and tendons while still allowing accurate joint reconstruction.
Medical optimization, medication review, testing, strength and mobility before surgery are treated as important parts of the surgical plan.
Dr. Kurt Hirshorn is an orthopaedic surgeon specializing in hip and knee replacement and revision surgery. Patients throughout Tampa Bay can visit the St. Petersburg and South Pasadena offices.
Learn about minimally invasive hip replacement and recovery.
Explore outpatient, quad-sparing and tourniquetless knee replacement.
Evaluation and planning for an existing joint replacement.
Replaces the worn ball-and-socket surfaces of the hip with durable implant components. The goal is to reduce arthritis pain and improve function, walking and everyday activity.
Resurfaces damaged portions of the femur and tibia and places smooth implant components with a bearing surface between them. The goal is to reduce arthritic pain, restore alignment and improve useful motion.
Evaluation and surgical treatment of more complex joint-replacement problems, including selected revision situations.
A coordinated pathway that may allow selected patients to return home the day of surgery, with preoperative optimization, anesthesia planning, pain control and early mobilization.
Dr. Hirshorn uses a quad-sparing subvastus approach, reaching the knee beneath the vastus medialis muscle while keeping the quadriceps muscle and tendon intact.
Dr. Hirshorn’s subvastus approach: The muscle is lifted to access the joint from beneath it, without cutting the quadriceps muscle or quadriceps tendon.
Traditional medial parapatellar approach: Access typically involves an incision through part of the quadriceps tendon. Other approaches, such as midvastus, split muscle fibers.
“Quad-sparing” describes preservation of the quadriceps muscle and tendon during surgical access. Skin and joint capsule are still opened to reach the knee.
Dr. Hirshorn’s stated technique avoids routine tourniquet inflation. Reviews report that tourniquet-less TKA can be associated with less postoperative pain and improved early function; evidence does not show every proposed benefit in every patient, and blood-management technique remains important.
A mini-posterior approach reaches the hip through a smaller posterior exposure while aiming to limit soft-tissue disruption. A “SPARE” or muscle-sparing variation is intended to preserve selected tendons and muscles when anatomy and surgical conditions allow.
Potential advantages of tissue-sparing approaches can include less early discomfort and easier early mobility, but results depend on patient factors, implant positioning, rehabilitation and surgeon technique. The safest approach is the one appropriate for the individual patient.
Credential details on this page reflect information supplied by the practice for this patient-facing draft.
See your primary care provider for medical optimization and clearance before surgery. Keep moving and stay as strong as you comfortably can while following your clinicians’ advice.
Review your medical history, current conditions and medications.
Your provider may order blood work and other testing, such as an EKG, when appropriate.
Discuss all medications with your surgical team, including blood thinners, GLP-1 medications, rheumatologic medications, supplements and vitamins. Follow individualized instructions from your clinicians.
Physician Surgical Administrator
Fax: 727-369-0316
Kadean will call you to schedule surgery and help coordinate medical clearances, insurance authorization and work/FMLA paperwork.
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