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Dr. Alejandro Gonzalez Della Valle, MD
Orthopaedic Surgeon
18 years of experience
Video profile
Accepting new patients

Education ?

Medical School
Universidad De Buenos Aires (1992) *
Foreign school
Residency
Hospital Italiano de Buenos Aires (1997) *
Orthopaedic Surgery
Fellowship
Hospital Italiano de Buenos Aires (1998) *
Orthopaedic Surgery
Hospital for Special Surgery (1999) *
Orthopaedic Surgery
Hospital for Special Surgery (2004) *
Orthopaedic Surgery
* This information was reported to Vitals by the doctor or doctor's office.

Awards & Distinctions ?

Awards  
One of America's Leading Experts on:
Hip Replacement Arthroplasty
Patients' Choice 5th Anniversary Award (2012)
Patients' Choice Award (2008 - 2013)
Compassionate Doctor Recognition (2009 - 2013)
Top 10 Doctor - City (2014)
New York, NY
Orthopaedic Surgeon
Top 10 Doctor - Neighborhood (2014)
Upper East Side
Orthopaedic Surgeon
On-Time Doctor Award (2009)
Acta Orthopaedica Scandinavica Research Award *
Nicholas Andry Award of the American Association of Bone and Joint Surgeons *
The Hip Society John Charnley Award *
Appointments
Hospital for Special Surgery
Attending Orthopaedic Surgeon
Weill Medical College of Cornell University
Associate Professor of Orthopaedic Surgery

Affiliations ?

Dr. Gonzalez Della Valle is affiliated with 1 hospitals.

Hospital Affilations

Score

Rankings

  • Hospital For Special Surgery
    Orthopaedic Surgery
    535 E 70th St, New York, NY 10021
    • Currently 4 of 4 crosses
    Top 25%
  • Publications & Research

    Dr. Gonzalez Della Valle has contributed to 7 publications.
    Title Demographics, Outcomes, and Risk Factors for Adverse Events Associated with Primary and Revision Total Hip Arthroplasties in the United States.
    Date January 2011
    Journal American Journal of Orthopedics (belle Mead, N.j.)
    Excerpt

    We conducted a study to analyze nationally representative data on patient and health care system characteristics and in-hospital outcomes associated with primary and revision total hip arthroplasties in the United States. Between 1990 and 2004, there were an estimated 2,748,187 hospital discharges after total hip arthroplasty. The risk factors we identified for procedure-related complications and in-hospital mortality included revision procedures, increased age, and male sex. Compared with smaller hospital capacity (number of beds), large hospital capacity was associated with a decreased odds ratio for complications but an increased risk for in-hospital mortality. Additional studies are warranted to determine causal relationships.

    Title A New Technique to Improve Cup Inclination Accuracy in Primary Total Hip Arthroplasty.
    Date January 2010
    Journal Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
    Excerpt

    Accurate inclination and anteversion of the acetabular component is paramount to achieve a stable total hip arthroplasty, prevent prosthetic dislocation and minimize long- term wear. We present and evaluate a simple new technique to improve consistency in cup inclination during primary total hip arthroplasty, based on information available from the preoperative plan. The technique consists of assessing the distance and relationship between the inferomedial border of the acetabular cup and the inferomedial margin of the teardrop, with the use of a measuring probe. This simple surgical gesture improved consistency in cup inclination during total hip arthroplasty.;

    Title Potent Anticoagulants Are Associated with a Higher All-cause Mortality Rate After Hip and Knee Arthroplasty.
    Date April 2008
    Journal Clinical Orthopaedics and Related Research
    Excerpt

    Anticoagulation for thromboprophylaxis after THA and TKA has not been confirmed to diminish all-cause mortality. We determined whether the incidence of all-cause mortality and pulmonary embolism in patients undergoing total joint arthroplasty differs with currently used thromboprophylaxis protocols. We reviewed articles published from 1998 to 2007 that included 6-week or 3-month incidence of all-cause mortality and symptomatic, nonfatal pulmonary embolism. Twenty studies included reported 15,839 patients receiving low-molecular-weight heparin, ximelagatran, fondaparinux, or rivaroxaban (Group A); 7193 receiving regional anesthesia, pneumatic compression, and aspirin (Group B); and 5006 receiving warfarin (Group C). All-cause mortality was higher in Group A than in Group B (0.41% versus 0.19%) and the incidence of clinical nonfatal pulmonary embolus was higher in Group A than in Group B (0.60% versus 0.35%). The incidences of all-cause mortality and nonfatal pulmonary embolism in Group C were similar to those in Group A (0.4 and 0.52, respectively). Clinical pulmonary embolus occurs despite the use of anticoagulants. Group A anticoagulants were associated with the highest all-cause mortality of the three modalities studied.

    Title Extravascular Compression of the Femoral Vein Due to Wear Debris-induced Iliopsoas Bursitis: a Rare Cause of Leg Swelling After Total Hip Arthroplasty.
    Date June 2007
    Journal The Journal of Arthroplasty
    Excerpt

    We present a patient with unilateral, spontaneous, late leg swelling that developed 4 years after total hip arthroplasty. The etiology was the compression of the internal iliac vein by a voluminous iliopsoas bursitis caused by polyethylene debris. The expansive lesion was detected by ultrasound, arthrography, and magnetic resonance imaging. An ultrasound-guided aspiration provided transient relief of the patient's symptoms. The patient later required surgical excision through an abdominal approach. A second recurrence was detected and treated with revision surgery. We present the diagnosis and the treatment of this rare cause of late, unilateral leg swelling after total hip arthroplasty together with a review of the literature.

    Title Inflatable Pillows As Axillary Support Devices During Surgery Performed in the Lateral Decubitus Position Under Epidural Anesthesia.
    Date December 2001
    Journal Anesthesia and Analgesia
    Excerpt

    The lateral decubitus position can cause dependent shoulder discomfort or result in traction on the brachial plexus. We measured pressure beneath the dependent shoulder and lateral angulation of the cervical spine in patients positioned in the lateral decubitus position for total hip replacement under epidural anesthesia. Inflatable pillows (Shoulder-Float) beneath the chest wall and head reduced pressure beneath the dependent shoulder from 66 to 12 mm Hg (P < 0.001) and lateral angulation of the cervical spine from 14 degrees to 4 degrees (P < 0.001). In a randomized crossover study of a further 15 patients, the use of inflatable pillows resulted in significantly less pressure beneath the dependent shoulder and chest wall than either a gel-pad or a 1000-mL lactated Ringer's bag. Inflatable pillows placed beneath the chest wall and head in the lateral decubitus position provided lower pressure beneath the dependent shoulder than other support devices and facilitated alignment of the cervical spine. IMPLICATIONS: When patients lie on their side, this results in pressure beneath the shoulder and tilting of the head and neck to one side. These problems were effectively corrected with an inflatable pillow (Shoulder-Float).

    Title Bilateral Total Knee Arthroplasty: Risk Factors for Major Morbidity and Mortality.
    Date
    Journal Anesthesia and Analgesia
    Excerpt

    Bilateral total knee arthroplasty (BTKA) performed during the same hospitalization carries increased risk for morbidity and mortality compared with the unilateral approach. However, no evidence-based stratifications to identify patients at risk for major morbidity and mortality are available. Our objective was to determine the incidence and patient-related risk factors for major morbidity and mortality among patients undergoing BTKA.

    Title Complications After Patello-femoral Versus Total Knee Replacement in the Treatment of Isolated Patello-femoral Osteoarthritis. A Meta-analysis.
    Date
    Journal Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the Esska
    Excerpt

    PURPOSE: Both patellofemoral arthroplasty (PFA) and total knee arthroplasty (TKA) are successful in treating isolated patellofemoral osteoarthritis, but the complication rates after PFA are concerning. We performed a meta-analysis to compare the incidence of complications, re-operations, and revision following PFA and TKA for patellofemoral osteoarthritis. METHODS: We systematically identified publications with patients who underwent PFA or TKA for patellofemoral osteoarthritis with minimum 1.5 year follow-up. Demographics, implant (TKA, first [1G] or second-generation [2G] PFA), complications, and cause of re-operations were extracted. Random-effects meta-analysis was used to pool incidence data, which was compared between groups using logistic regression to adjust for length of follow-up. RESULTS: Twenty-eight observational studies and no randomized trials were included in this meta-analysis, which limits its generalizability. There was a higher likelihood of any re-operation (odds ratio 8.06) and revision (OR 8.11) in PFA compared to TKA. Re-operation (OR 4.33) and revision (OR 4.93) were more likely in 1G-PFA than 2G-PFA. When comparing 2G-PFA to TKA, there was no significant difference in re-operation, revision, pain, or mechanical complications. CONCLUSIONS: Patients who undergo PFA rather than TKA are more likely to experience complications and require re-operation or revision, but subgroup analysis suggests a relation to implant design. There is no significant difference in re-operation, revision, pain, or mechanical complications between 2G-PFA and TKA. LEVEL OF EVIDENCE: Systematic review of Level III therapeutic studies, Level III.

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