JEFF L. STICKNEY, MD | ORTHOPEDIC SURGEON

    425.823.4000

    JEFF L. STICKNEY, MD | ORTHOPEDIC SURGEON

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    Meet Dr. Stickney

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    Jeff L. Stickney, MD, subspecializes in sports medicine and joint reconstruction. He is board-certified in orthopedic surgery and specialty board-certified in sports medicine. His primary interest is in knee, hip, and shoulder problems. His joint replacement practice emphasizes minimally invasive procedures and computer-guided navigation in knee replacements.

    Dr. Stickney is the chief of the department of orthopedics at Evergreen Medical center. He is an active member of the Arthroscopy Association of North America and the American Academy of Orthopaedic Surgeons.

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    Education

    Undergraduate
    Pacific Lutheran University - 1976-1978
    Tacoma, WA

    Bachelor of Science, Cellular Biology
    University of Washington - 1978 - 1982
    Seattle, WA

    Medical School
    University of Washington School of Medicine 1982 - 1986
    Seattle, WA

    Residency
    Orthopedic Surgery • University of South Florida - 1986 - 1990
    Tampa, FL

    Department of Orthopedics • University of Washington - 1990 - 1992
    Seattle, WA

    Affiliations
    Member, American Academy of Orthopaedic Surgeons
    Member, Arthroscopy Association of North America
    Director of Surgical Services, Evergreen Hospital
    Former Chief of the Department of Orthopedics, Evergreen Medical Center



    Dr. Stickney believes that one of the most crucial aspects of his orthopedic surgery practice is his relationships with his patients. His nearly 25 years of experience has taught him that communicating with patients to help them understand what has happened to them, what the options are for solving their problem, and what to expect during and after surgery, are keys to successful treatment and recovery. One of the most gratifying things for him is when a patient comes to him disabled by their injury or arthritis, then returns a few months after surgery excited about how much their lifestyle has improved.

    As a SwiftPath surgeon, Dr. Stickney is at the cutting edge of joint replacement excellence. SwiftPath methods are shown to decrease the trauma and pain associated with joint replacement. When combined with proven rapid rehabilitation methods and multimodal pain management, SwiftPath allows outpatient joint replacement for properly selected patients, and improves the surgical experience for all patients.

    Accomplishments

    Board Certification
    Diplomat, National Board of Medical Examiners, Parts I-III
    American Board of Orthopaedic Surgeons Board Certified 1994, 2006
    Board Certified, Orthopedic Sports Medicine 2009
    Board Certified, Orthopedics, Orthopedic Sports Medicine 2016

    Licensure to Practice
    Washington State Medical License
    Florida State Medical License
    Advanced Pediatric llizarov Techniques
    Midas Rex

    Awards & Honors
    Seattle Met Magazine - Top Doctor
    Healthgrades Honor Roll
    Alpha Omega Alpha Society
    Medical Thesis Honors
    Doctorate of Medicine:
    Graduate "With Honors"
    Top 10% of Class

    About SwiftPath

    An Educated Patient: A Safer Patient

    You, as the patient, have an active involvement in your joint replacement, which proves to be one of the most powerful predictors of success. Dr. Stickney has adopted the SwiftPath Method to equip you with the knowledge and tools needed for the best possible result. These include an integrated Patient Guide and JointCamp family engagement, identifying and managing health risk factors, modern pain management, homecare and online reporting.

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    Optimize Health Before Surgery

    Patient optimization focuses on improving your health before surgery. Dr. Stickney will help you identify and manage patient related risks for better results and to reduce complications.

    A Personal Road Map to a Safe Surgery

    Dr. Stickney provides you with a SwiftPath Patient Guide that he has authored. It includes standardized protocol, evidence-based medicine and his specific therapies. It serves as a comprehensive surgical road map to help you and your caregiver learn and understand your active roles in the joint replacement journey.

    State-of-the-Art Patient Education

    You and your caregiver attend a JointCamp, focusing on the importance of patient engagement and family support. It teaches the key elements that help decrease pain, improve rehabilitation, reduce length of stay and enhance recovery following surgery.

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    Less Pain and Decreased Narcotics

    Dr. Stickney is committed to the reduction of narcotics in our communities. The SwiftPath Method used a systematic approach of modern pain management that has been vetted in Surgeon RoundTables and proven with outcomes. Minimizing the amount of narcotic pain medications will help avoid complications like nausea and constipation, as well as overuse of narcotics. This approach includes joint injection, anti-inflammatories, Tylenol and cryotherapy.

    Shared Decision Making

    The SwiftPath Method includes a shared decision-making process between Dr. Stickney, you and your caregiver on the best pathway. He will confirm the need for a joint replacement and determine if you are a candidate for outpatient surgery, 23 hour stay, or reduced hospital stay.

    Minimally Invasive Techniques & Rapid Recovery

    Dr. Stickney is trained in minimally invasive techniques that result in less blood loss, less pain, shorter stays, the possibility of rehabilitation in your own home and faster patient recovery.

    Cloud-Based Patient Reported Outcomes

    The SwiftPath Method uses a post-surgery protocol for homecare to minimize post-surgery issues. It combines modern pain management with a secure, on-line or reporting results to Dr. Stickney can closely monitor your pain levels and recovery.

    Patient Testimonials

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    My hip replacement surgery was 9/20/2017 and I left the hospital the same day. I was able to walk up a flight of stairs to my home recovery room. I walked a few times every day by using a walker and switched to a cane not long after. The pre-operation instructions were very clear and thorough, The recovery care was amazing with at home physical therapy, and the aftercare therapy and checkups were thorough and attentive. Dr. Stickney and all related healthcare associates were excellent. Steve W in. Kirkland, WA

    Great doctor. Did a total knee replacement and I couldn't be happier. Pete G. in Bothell, WA

    My overall experience was great. From the first appt. to the surgery, to the follow up appt. my needs were met. I had a total left knee replacement. I should have done it a year to two ago. Checked into hospital at noon, went into surgery at 2:00pm was home in my recliner at 6:00pm the same day. Experienced little or not pain. Constantly took tylenol and Rx anit-inflammatories and used lots of ice. Had good range of motion right away. Could bend to 110 degrees the day after surgery. Sarah M. in Bothell, WA

    News

    March 19th, 2018

    According to a recent study published by The Journal of Bone & Joint Surgery in partnership with Wolters Kluwer, most patients who live alone can safely be discharged home from the hospital to recover after knee or hip replacement surgery...


    Frequently Asked Questions

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    • How often should I ice?

      We recommend that you ice as much as you can throughout the day. Utilize your polar care machine and make sure that ice is not in direct contact with your skin. Here are some safety tips when working with your polar care unit:
      1) Avoid direct skin contact with the ice bladder
      2) Avoid any chemicals in the ice bath that can cause a further reduction in temperature
      3) Avoid pressure/tight straps over anterior knee
      4) Allow the skin to return to room temperature at multiple times throughout the day/night.
      5) Move the bladder to different areas of the limb to help cool other areas

    • How much time do I need to take off work following hip replacement surgery?

      Most surgeons try to return you to work as soon as possible. This may be as early as 2 weeks, depending on your job description. If you are able to sit at a desk or do minimal walking in a day, 2-3 weeks is reasonable. However, if you are required to be on your feet all day or walk extensively, this could take 6-8 weeks. The goal is to get you back to work when you are safe and your pain is controlled.

    • How much time do I need to take off work following knee replacement surgery?

      It may be necessary to take 3-6 weeks off work depending on the physical demands of your job. If you are able to sit at a desk or do minimal walking in a day, 2-3 weeks is reasonable. However, if you are required to be on your feet all day or walk extensively, this could take 6-8 weeks. Our goal is to get you back to work when you are safe and your pain is controlled.

    • Is it the plastic that wears out?

      There are many reasons for a knee or hip replacement to wear out over time. Historically, one reason has been related to the plastic. More recently however, sequential cross-linking and other advances in plastic technology have improved so plastic wear is of little issue. Joint replacements are now lasting longer and, when they wear out, it's frequently related to other issues. Be sure do discuss this with your surgeon, as it depends on the implant, bearing surfaces, and age at the time of surgery.

    • How long will I need assistance after surgery?

      It is always better to be over-prepared than under-prepared. We suggest you plan on having someone with you consistently for 3-5 days after surgery. However, plan to have someone available to help you for the following week or two after that.

    • Am I too young or too old for knee replacement?

      Joint replacements are composed of metal and plastic parts, and they simply do not last forever. Younger patients put more demands on their joint replacements and tend to wear them out. Historically, the replacements last between 15 and 20 years, and the average age for joint replacement surgery is between 60-65 years old. For that reason, conservative replacement surgeons prefer to hold surgery off until patients are older than 60 years.

      There are occasions, however, when symptoms of deformity, pain, stiffness, and the associated immobility become intolerable and patients opt for surgery-even though they're younger than 60 years old. Younger patients are more likely to wear out their joint replacements. Their first joint replacement should be done by specialists in joint replacement techniques, with bone preserving implants, minimally invasive techniques, and after careful counseling.

    • What is outpatient joint replacement?

      Historically, all joint replacements were done as inpatients. This is largely because joint replacement surgery has involved large incisions, significant blood loss, significant pain management issues, and a wide variety of complications. For that reason, it's always been felt that joint replacement patients needed to be in the hospital. Now, with minimally invasive surgical techniques, long acting joint injections, and multimodal pain management, patients are simply able to go home on the day of surgery and do not require hospitalization. This carries significant advantages in terms of decreased pain, decreased complication risks, improved patient satisfaction, and decreased exposure to the potential for hospital-acquired complications and infections.

    • Is there any harm in waiting to have a joint replacement?

      For the most part, joint replacement surgery should be postponed as long as is feasible. Most joint replacement patients have surgery after months and months of debilitating pain, stiffness, and worsening symptoms. Joint replacement is considered appropriate only after all non-surgical options have failed. Therefore, in most cases, if surgery can be put off, it should be.

      There are a few exceptions to this. Worsening alignment, instability, progressive deformity, bone loss, and severely progressive symptoms may warrant considering surgery. These are exceptions to the rule and should be discussed specifically with your surgeon.

    • What will happen in the operating room?

      Your nurse will take you to the operating room and you will be placed on the operating table. In the operating room you will notice there will be several people; a surgical tech, the anesthesiologist, your surgeon and surgical assistant, and others.

    • How long is recovery?

      • Typically, it takes about two days to start decreasing narcotic use.
      • It takes 7 to 10 days before patients are independent enough to start thinking about driving or considering community ambulation, getting to the clinic and starting outpatient physical therapy.
      • It takes 4 to 6 weeks before patients are reaching activity levels they were at prior to surgery. It takes up to two months before the joint replacement is truly beginning to improve to its maximum.
      • Your experience may differ from this, so be sure to discuss this with your provider.

    • When can I return to activity after my hip or knee replacement?

      This is a commonly asked question that is very difficult to answer. The answer depends a lot on surgical techniques and the specific protocols being used. When joint replacements are done the traditional way with full-sized surgical approaches and prolonged hospital stays, it typically takes patients 6 months to 2 years to resume daily activities.

      The SwiftPath Program emphasizes minimally invasive surgical methods, a reduction in narcotics, modern pain management, and early mobilization. The SwiftPath patients participate in an online patient reported outcomes platform that informs us when they are able to return to activities. Over half of these patients are reporting return to full routine daily activities (community ambulation, return to work, etc.) by 3-4 weeks.

      Many SwiftPath patients are anxious to return to all activities, including sports, as early as 6 weeks. "When can I start hiking? When I can I start traveling? When can I start cycling, golfing, squatting, playing tennis, racquetball?" When it comes to returning to recreation, it is important to understand that while the surgery might be healed and the implant is in a good position, the soft tissues around the joint (tendons, ligaments, muscles, and the capsule around the joint) have been engaged in this arthritis process for ten years, and they have to be rehabilitated over a period of 2 years.

      As they heal, the scarring, the contracture, the deteriorated muscles all loosen up, become more elastic, and develop better resilience. These tissues that haven't really moved over the excursion of the joint is now going to start moving over a normal excursion of the joint. If the tissues are forced to work too hard, too soon, injury will result. Those injuries can take six months to recover. It's like any other pulled muscle, like any other torn muscle.

      Most surgeons and therapists encourage a gradual, incremental return with careful attention to symptoms of pain, stiffness, and swelling. Return to one activity at a time. Don't start running, jogging, cycling and traveling and doing a lot of things all at once.

      Start with simple, low-impact activities first (walking programs, elliptical, stationary bike, water aerobics). Avoid high-intensity, decelerating activities that can lead to injury. Allow your return to recreation to occur incrementally, being careful to note any problems that arise with each increment. Pay attention to and record any symptoms of pain and swelling and allow yourself to recover before resuming. Work with your doctor or physical therapist to adjust your program and/or add medications, injections, or other therapies. Consider working directly with your physical therapist as you return to recreational activities.

      Avoid high-risk, high-impact activities that could lead to fracture or implant failure.

    Contact Info

    12911-120th Avenue NE Suite H-210
    Kirkland, WA 98034
    Phone (425) 823-4000

    OFFICE HOURS
    Monday – Friday:
    8am – 5:00pm
    Weekends: Closed
    Closed during most major holidays.