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Dr.
Thomas Gross , MD
Board Certified Orthopaedic Surgeon
South Carolina Joint Replacement Center of Midlands
Orthopaedics
1910 Blanding St.
Columbia, S.C. 29201
1013 Lake Murray Blvd.
Irmo, S.C. 29063
phone: 803-256-4107 |
Dr. Thomas Gross, M.D.
Dr. Thomas Gross is a specialist in joint replacement surgery
of the hip and knee. He has been in private practice in Columbia, South Carolina
with Midlands Orthopaedics, a premier group of orthopaedic subspecialists, since
1994.
He attended medical school at Johns Hopkins University, and
completed his orthopaedic surgery residency there as well. During ten years at
America's most renowned medical training centers, he was able to learn from some
of the world's leaders in medicine, surgery and especially joint replacement.
Under the influence of experts such as Drs. Brooker, Riley, Krackow and Hungerford,
he began developing an interest in complex joint reconstruction and joint implant
design.
He further honed these skills and became expert in custom
implant design during fellowship training with one of the world's foremost experts
in custom implants and surgical rebotics, Dr. William Bargar, Sacramento, California.
Since 1994 in Columbia, South Carolina, he has developed first
a regional and now a national referral practice of complex joint reconstruction
problems. In addition to routine hip and knee replacement surgery, his interests
include:Metal-on-metal hip surface replacements
* Minimally invasive hip and knee surgery
* Custom implants
* Unicompartmental knee replacement
* Large bearing metal-on-metal hip replacements
* Uncemented total knee replacement
* Femoroacetabular Hip Impingement
He has become one of the national leaders in developing metal-on-metal
hip surface replacement. This is a durable solution for the young, highly active,
patient, who wants to avoid the bone loss and limitations inherent in standard
total hip replacement. He first performed this procedure in July of 1999. Since
then he has led a multicenter FDA Study with CORIN to bring this procedure to
the United States. This study was submitted in March of 2005.
During this time he has refined the procedure, which was developed
in England. He is now able to routinely perform this operation using a minimally
invasive approach through a four-inch incision. He has performed over 1100 of
these operations with patients traveling from all over the country and several
from overseas for this procedure.
He has also developed a technique for minimally invasive Total
Hip Replacement through a single three inch posterior approach which has been
safely performed on hundreds of patients since 2001. With minimally invasive
techniques and a comprehensive multimodality pain management system, most hip
replacement surgery now only requires a single night’s stay in the hospital.
For the last five years, he has worked with BIOMET to design
and develop a new and improved Metal-on-Metal Hip Surface Replacement System
as well as a Large Bearing Total Hip Replacement System. The BIOMET Recap Femoral
and Magnum Acetabular System as well as the Magnum Large Bearing Femoral Head
for Stemmed Total Hip Replacement were cleared by the FDA and released for sale
in the United States in December 2004. In the U.S. use of the Recap Femoral component
together with the Magnum Acetabular component for a Total Hip Resurfacing Procedure
constitutes an off-label use. (This is legal: It is up to the surgeon to decide
how he wishes to use these implants). In the remainder of the world, total resurfacing
faces no restrictions, and BIOMET can market the Recap and Magnum as total hip
resurfacing devices. Because of our FDA, this country is probably the only one
where is it difficult to get a total hip resurfacing done.
The new BIOMET implant was designed to my specifications.
There have been numerous improvements made over previous implants. Primarily,
the instrumentation has been improved to allow the surgeon to more accurately
and reproducibly prepare the bone for the implant. The implants are thinner than
all others on the market. They are also supplied in 2 mm. increments to allow
very accurate matching of the implants to the patient’s actual size. We now have
available the first porous coated, uncemented femoral component.
Other areas of development include a large bearing metal-on-metal
acetabular component system for severe dysplasia and revision Total Hip Replacement
as well as an uncemented mobile bearing Total Knee Replacement System coupled
with minimally invasive instrumentation and surgical navigation. However, it
may be years before these become available.
Educational Background
Undergraduate
University of Southern California
University of the Pacific, June 1981
Medical
Johns Hopkins University School of Medicine
1981 - 1985
Internship
Johns Hopkins University Department of Surgery
July 1985 - July 1986
Residency
Johns Hopkins University Department of Surgery
July 1986 - July 1987
Johns Hopkins University Department of Orthopaedics
July 1987 - July 1991
Fellowship
Joint Reconstructive Surgery Fellowship with Dr. William Bargar
Sacramento, California
August 1991 - July 1992
Affiliations
Hospitals
Providence Hospital Northeast, Columbia, South Carolina
Palmetto Baptist Medical Center, Columbia, South Carolina
National Society Memberships
Fellow, American Academy of Orthopaedic Surgeons
March 10, 1998
American Board of Orthopaedic Surgery
Board Certified, July 11, 1996
American Association of Hip and Knee Surgeons - 2006
State Society Memberships
South Carolina Orthopaedic Association
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