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For those suffering arthritis in the knee, total or partial knee replacement may be recommended by a surgeon, based on the severity of the arthritis in your personal situation. Both procedures involve the orthopaedic surgeon guiding Mako’s robotic arm to remove diseased bone and cartilage. Mako SmartRobotics™ for Partial Knee replacement is a treatment option for adults living with early- to midstage osteoarthritis (OA) that has not yet progressed to all three compartments of the knee. Depending on where the arthritis affects the knee, patients may have an implant inserted in any of the following areas: • In a unicondylar knee replacement, only one area (or compartment) of the joint is replaced. • A patellofemoral knee replacement replaces the kneecap (or patella) and the grove at the lower end of the thighbone (or femur). • A bicompartmental knee replacement affects two compartments of the knee – the inside (medial) and knee cap. In comparison, Mako SmartRobotics™ for Total Knee replacement is a treatment option for adults living with mid- to late-stage osteoarthritis of the knee. With a Mako Total Knee replacement, the entire knee joint is replaced, and the surgeon inserts a Triathlon Total Knee implant. With over a decade of clinical history, Triathlon knee replacements are different than traditional knee replacements because they are designed to work with the body to promote natural-like circular motion. Mako SmartRobotics™ for Total Hip replacement is intended for patients who suffer from noninflammatory or inflammatory degenerative joint disease (DJD). Some forms of DJD include osteoarthritis (OA), post-traumatic arthritis, rheumatoid arthritis (RA), avascular necrosis (AVN) and hip dysplasia. Each patient is unique and can experience joint pain for different reasons. It’s important to talk to us about the reason for your knee pain so you can understand the treatment options available to you. Like any surgery, joint replacement surgery has serious risks. Be sure to visit with your physicians about these risks and other concerns.

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At Sioux Center Health, we are here to serve you and your family throughout the continuum of care — from birth to end of life, and every stage in between. As a health ministry guided by Christian values, we are committed to consistently delivering an excellent experience to every person at every encounter to fulfill our mission of bringing hope, health, and healing to life.

• Family Medicine and Clinics • Behavioral Health Clinic • Hospital and Outpatient Care • Birthing Center • Therapy and Rehabilitation • Senior Living • Hospice and Home Care • Childcare and Preschool • Occupational Health • Home Medical Equipment

For more information about our services, visit siouxcenterhealth.org.

THE INVADER IMMORTALIZED AS A RUGGED ROAMER

One of the worst weed infestations in world history began less than 75 miles west of the Sioux County border. Salsola tragus – common known as Russian thistle – got its accidental start in the United States in 1873. A train car load of flax seed contaminated by thistle seeds imported from Russia was shipped by rail to Yankton and then planted near Scotland, S.D. By the late 1800s, tumbleweeds had become a widely detested farming pest and fire threat. Nevertheless, the tumbleweed became immortalized in 20th-century Western songs and movies as rugged roamers, symbols of our national reverence for resilient individualism, wide open spaces and rambling frontier freedom. Several Western movies were named for these shrubby lone drifters — a 1925 silent film called “Tumbleweeds” and a 1953 Audie Murphy flick named "Tumbleweed." A 1935 Gene Autry movie titled "Tumbling Tumbleweeds" also featured a hit song by the same name. Later Roy Rogers and the Sons of the Pioneers sang the most famous version of the song, including these verses:

Roy Rogers and the Sons of the Pioneers sang a classic version of “Tumblin’ Tumbleweeds.”

See them tumbling down Pledging their love to the ground Lonely but free I'll be found Drifting along with the tumbling tumbleweeds

Cares of the past are behind Nowhere to go, but I'll find Just where the trail will wind Drifting along with the tumbling tumbleweeds

Songwriter: Bob Nolan Tumbling Tumbleweeds lyrics © Williamson Music, Inc. A poster for the 1925 silent movie “Tumbleweeds” starring iconic cowboy actor William S. Hart.

“Tumblegeddon” was a massive collection of tumbleweeds which closed highways in Washington State on Dec. 31, 2019, and Jan. 1, 2020. Snowplows were brought in to clear the highways of the tumbleweeds. Photo by Chris Thorson, Washington State Patrol.

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