ORTHOPAEDIC CARE

• Shoulder Arthritis

Osteoarthritis is a degenerative condition that destroys the smooth outer covering of bone. As the cartilage wears away, it becomes frayed and rough, and the protective space between the bones decreases. During movement, the bones of the joint rub against each other, causing pain.

• Shoulder Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disease that causes the membrane covering the shoulder joint to swell. Symptoms include pain and inflammation that develops gradually over time.

• Shoulder Avascular Necrosis

Shoulder Avascular Necrosis is a type of arthritis that results from a lack of blood supply to bones in the shoulder. Early symptoms include pain and swelling. Early diagnosis is associated with better outcomes.

• Post-traumatic Shoulder Arthritis

Post-traumatic arthritis is a form of osteoarthritis that can develop after an injury, such as a shoulder fracture or dislocation.

• Rotator Cuff Tear Arthropathy

Arthritis can develop when a large rotator cuff tendon tear goes untreated. The combination of a large rotator cuff tear and advanced arthritis can lead to severe pain and weakness, and the patient may not be able to lift the arm away from the side.

• Total Shoulder Replacement

If nonsurgical treatments are no longer helpful for relieving arthritic shoulder pain, your doctor may recommend total shoulder joint replacement surgery. The procedure involves replacing the arthritic joint surfaces with a highly polished metal ball attached to a stem, and a plastic socket.

• Revision Total Shoulder Replacement

Rarely, a shoulder replacement can fail because of implant loosening, wear, infection, and dislocation. If this occurs, your doctor may recommend that you have a second operation to remove some or all of the parts of the original prosthesis and replace them with new ones.

• Rotator Cuff Repair

Symptoms of a torn rotator cuff may include pain, weakness, and loss of motion. Surgery to repair a tear is minimally invasive (arthroscopic), requiring a small incision. Recovery time includes wearing a sling for four to six weeks, with a personalized physical therapy program to resume overhead lifting in three to four months.

• Impingement - Decompression/Distal Claviclectomy

Symptoms of shoulder impingement may include pain, weakness, loss of motion, and popping or clicking. Surgery is minimally invasive (arthroscopic), requiring a small incision. Recovery time includes wearing a sling for four weeks.

• Instability and Stabilization (Bankart Repair)

Bankart Repair is a minimally invasive (arthroscopic) surgery to repair shoulder dislocations or instability, and involves reattaching and tightening the torn labrum and ligaments. Recovery time includes wearing a sling for four to six weeks, with a personalized physical therapy program to resume overhead lifting and sports in three to four months.

• SLAP Repair and Biceps Tenodesis

SLAP Repair and Biceps Tenodesis surgically treat biceps tendonitis and injuries to the labrum of the shoulder. Symptoms include pain, loss of motion, weakness, and popping or clicking. Procedure may be minimally invasive (arthroscopic) or mini-open. Recovery time includes wearing a sling for four to six weeks, with a personalized physical therapy program to resume overhead lifting and sports in three to four months.

• AC Joint Reconstruction

Symptoms of a separated AC joint may include dislocations, and pain or deformity. Reconstruction surgery is a mini-open procedure, requiring a two- to three-inch incision. Recovery time includes wearing a sling for four to six weeks, with a personalized physical therapy program to resume overhead lifting in three to four months.

• Clavicle Fractures Repair

Symptoms of a fractured clavicle (collarbone) may include acute injury, and pain or deformity. Surgery is an open procedure. Recovery time includes wearing a sling for four to six weeks, with a personalized physical therapy program to resume overhead lifting and sports in three to four months.

• Signature™ Glenoid Shoulder System Replacement

We’re proud to offer our patients this newest, breakthrough technology which enables your doctor to know the exact position, orientation and size of your implant and eliminates any uncertainty with your procedure. A simple CT scan of your shoulder is performed, from which a precise 3-D model of your shoulder’s anatomy is made. Your doctor uses this model as a guide to thoroughly plan and visualize your procedure before performing your surgery.

• Elbow Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disease that causes the membrane covering the elbow joint to swell. Symptoms include pain and inflammation that develops gradually over time.

• Total Elbow Replacement

If nonsurgical treatments are no longer helpful for relieving elbow pain, your doctor may recommend total elbow replacement surgery. In this procedure, the damaged parts of the humerus and ulna bones are replaced with artificial components. 

• Tennis Elbow Release

Tennis elbow is a painful inflammation of the tendons that join the forearm muscles on the outside of the elbow. Symptoms include pain or burning on the outer part of your elbow and weak grip strength. Release surgery can take tension off the tendons in the elbow.

• Elbow Fracture Fixation

Most elbow fractures result in sudden, intense pain in the elbow and forearm. If the bone fragments are displaced after an elbow fracture, surgery may be required to ensure that the fracture heals fully.

• Elbow Dislocation Fixation

A complete elbow dislocation is extremely painful and the arm will have an obvious deformity at the elbow. When dislocations are complex, your doctor may recommend a surgery to restore bone alignment and repair ligaments.

• Ulnar Nerve Transposition

When the Ulnar nerve in the elbow becomes compressed or irritated, Ulnar Nerve Transposition surgery may be recommended to move the nerve into a suitable position to relieve pressure. This is typically an outpatient procedure.

• Radial Head Replacement

The radial head is a commonly fractured bone of the elbow joint. In cases of severe fractures that cannot be repaired with screws and/or plates, the radial head may be surgically replaced with a prosthesis.

• Elbow Ligament Reconstruction (“Tommy John surgery”)

Symptoms of a torn elbow ligament include pain, weakness, and instability. Surgery involves replacing the torn ligament with a healthy tendon extracted from the patient’s arm or leg. The procedure is a mini-open technique, requiring a two- to three-inch incision. Recovery time includes wearing a sling for four to six weeks, with a personalized physical therapy program to resume sports in four to six months.

• Elbow Arthroscopy (OCD lesion treatment)

Symptoms of Osteochondritis Dissecans (OCD) in the elbow include pain, loss of motion, and catching or locking. Mini-open arthroscopic surgical techniques may be used, requiring a two- to three-inch incision. Recovery time includes wearing a sling for four to six weeks, with a personalized physical therapy program to resume sports in three to four months.

• Wrist Open Reduction and Internal Fixation (ORIF)

In cases of a severe wrist fracture that can’t be corrected in a cast, surgery may be required. This procedure involves making an incision to directly access the broken bones to improve alignment.

• Carpal Tunnel Release

Carpal tunnel syndrome is a common condition caused by a compressed nerve. Symptoms include pain, numbness, and tingling in the hand and arm. In severe cases, an outpatient surgery may be performed to relieve pressure on your median nerve.

• Palmar Fasciectomy

Dupuytren's disease is a condition that affects the fibrous layer of tissue underneath the skin in the palm and fingers, causing it to thicken and tighten over time and pull the fingers inward. In a Fasciectomy, your doctor will make an incision in your palm and then divide the thickened cords of tissue to increase movement of the affected finger.

• Thumb Fracture Repair

For thumb fractures affecting the MP (Metacarpophalangeal) joint or Ulnar Collateral Ligament (UCL), surgery may be needed to realign the bone fragments. These fragments must be held in place either with internal or external fixation while the bone heals.

• Rheumatoid Hand Reconstruction

If nonsurgical treatment fails to give relief to severely arthritic hands, your doctor may recommend surgery to reconstruct or replace the affected joints.

• Trigger Finger Injection and Release

Trigger finger is a condition caused by a nodule on the finger’s tendon, limiting finger movement. When you try to straighten your finger, it will lock or catch before popping out straight. Outpatient surgery can be performed to cut the sheath tunnel covering the tendon, allowing for improved movement.

• Hip Arthritis

Osteoarthritis is a degenerative condition involving the breakdown of cartilage in the hip joints. When the surface layer of this tissue breaks down, the bones rub together during joint movement, causing pain, swelling, and restricted movement.

• Hip Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disease that causes the membrane covering the hip joint to swell. Symptoms include pain and inflammation that develops gradually over time.

• Total Hip Replacement

Total joint replacement is a surgical option to treat hip joint pain that limits your everyday activities. In a total hip replacement surgery, the surgeon replaces the worn surfaces of the hip joint with an artificial hip joint.

• Hip Avascular Necrosis

Hip Avascular Necrosis is a type of arthritis that results from a lack of blood supply to the hip bones. Early symptoms include pain and swelling. Early diagnosis is associated with better outcomes.

• Revision Total Hip Replacement

Over time, a hip replacement can fail for a variety of reasons. When this occurs, your doctor may recommend that you have a second operation to remove some or all of the parts of the original prosthesis and replace them with new ones.

• Conversion to Total Hip Replacement

If a previous surgery to treat hip pain is no longer providing relief, your doctor may recommend a conversion of your previous surgery to a total hip joint replacement.

• Mako Robotic Total Hip Replacement

Symptoms of a separated AC joint may include dislocations, and pain or deformity. Reconstruction surgery is a mini-open procedure, requiring a two- to three-inch incision. Recovery time includes wearing a sling for four to six weeks, with a personalized physical therapy program to resume overhead lifting in three to four months.

• Shoulder Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disease that causes the membrane covering the shoulder joint to swell. Symptoms include pain and inflammation that develops gradually over time.

• Rotator Cuff Tear Arthropathy

Symptoms of a Femoroacetabular Impingement (FAI) or labral tear include pain, loss of motion, and popping or clicking. Surgical procedures are typically minimally invasive (arthroscopic), using a fiber optic scope through a small incision. Recovery time with a personalized physical therapy program is four to six months.

• Hip Arthroscopy – FAI and Labral Repair

Symptoms of a Femoroacetabular Impingement (FAI) or labral tear include pain, loss of motion, and popping or clicking. Surgical procedures are typically minimally invasive (arthroscopic), using a fiber optic scope through a small incision. Recovery time with a personalized physical therapy program is four to six months.

• Knee Arthritis

Osteoarthritis is a degenerative condition involving the breakdown of cartilage in the knee joints. When the surface layer of this tissue breaks down, the bones rub together during joint movement, causing pain, swelling, and restricted movement.

• Knee Osteochondritis Dissecans and Avascular Necrosis

Both of these are types of arthritis that result from a lack of blood supply to knee and leg bones. Early symptoms include pain and swelling. Early diagnosis is associated with better outcomes.

• Knee Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disease that causes the membrane covering the knee joint to swell. Symptoms include pain and inflammation that develops gradually over time.

• Unicompartmental (Partial) Knee Replacement

Partial knee replacement is an alternative to total knee replacement for patients whose disease is limited to just one area of the knee. In this procedure, only a portion of the knee is resurfaced, allowing for a smaller incision and faster recovery time.

• Total Knee Replacement

During knee replacement surgery, damaged bone and cartilage is resurfaced with metal and plastic components.

• Mako Robotic Total Knee Replacement

Mako is a robotic arm that can be used for Total Knee Replacement surgery, providing your surgeon with a patient-specific 3-D model to pre-plan the procedure. During surgery, your surgeon guides the robotic arm based on a personalized plan.

• Meniscus Surgery (Partial Meniscectomy and Repair)

Meniscal tear symptoms may include swelling, popping, clicking or locking with medial or lateral joint pain. Surgical procedures are minimally invasive (arthroscopic) and recovery time with a personalized physical therapy program is four to six weeks.

• ACL Reconstruction

Symptoms of an anterior cruciate ligament (ACL) tear include a sensation of feeling or hearing a “pop”, swelling, or instability. During surgical reconstruction, the ACL is replaced by another tendon from your own body, using either a minimally invasive (arthroscopic) or mini-open procedure. Recovery time with a personalized physical therapy program is three months for running, six months for sports.

• Multi-ligamentous Knee Reconstruction

Surgery to reconstruct the knee after dislocations or major combined knee trauma may involve a minimally invasive (arthroscopic) procedure with a small incision, or open surgery. Recovery time with a personalized physical therapy program is six to nine months for sports.

• Patella Stabilization

To repair kneecap instability or treat anterior knee pain, minimally invasive (arthroscopic) surgery or a mini-open procedure requiring only a two- to three-inch incision can be used to stabilize the kneecap or patella. Recovery time with a personalized physical therapy program is three months for running, four to six months for sports.

• Cartilage Restoration

Symptoms of a torn quadriceps or patella (kneecap) ligament may include the sensation of a “pop”, pain, swelling, and inability to walk. Repair typically requires open surgery. Recovery time with a personalized physical therapy program is three months for running, six months for sports.

• Quadriceps and Patella Ligament Repairs

SLAP Repair and Biceps Tenodesis surgically treat biceps tendonitis and injuries to the labrum of the shoulder. Symptoms include pain, loss of motion, weakness, and popping or clicking. Procedure may be minimally invasive (arthroscopic) or mini-open. Recovery time includes wearing a sling for four to six weeks, with a personalized physical therapy program to resume overhead lifting and sports in three to four months.

• Patella Fracture Repairs

Symptoms of a fractured patella may include an acute injury, pain, swelling, and inability to walk. Repair typically requires open surgery. Recovery time includes wearing a brace for six weeks, with a personalized physical therapy program for three to four months for sports.

• STAR™ Total Ankle Replacement

If you are still experiencing arthritis pain in the ankle after all other conservative measures have been taken, your doctor may suggest ankle replacement surgery. We offer STAR?, the first and only three-piece approved mobile bearing ankle implant available in the United States.

• Ankle Fusion (Arthrodiesis)

Ankle arthritis is degeneration of the cartilage that covers the ends of the bones that form the ankle joint. Depending on the type and severity of arthritis in your ankles, your doctor may recommend a surgery called Arthrodesis, which fuses the joint for greater support.

• Ankle Arthroscopy – Cartilage Restoration (Osteochondral lesions

An osteochondral lesion is an injury or small fracture of the cartilage surface of the talus in the ankle. Symptoms may include pain, swelling, and locking or catching. Minimally invasive (arthroscopic) surgery can be performed to restore the cartilage. Recovery time with a personalized physical therapy program is four to six months.

• Lateral Ligament Repair and Reconstruction

When an unstable ankle does not respond to nonsurgical treatment, your doctor may recommend surgery to repair or reconstruct the lateral ligament of the ankle. This outpatient surgery tightens and firms up one or more ankle ligaments on the outside of your ankle.

• Ankle Ligament Repairs

Symptoms of a torn or damaged ankle ligament include recurrent or chronic instability. Mini-open surgical techniques can be used to repair the ligaments, requiring a two- to three-inch incision. Recovery time with a personalized physical therapy program is four to six months.

• Bunion (Hallux valgus) Correction

A bunion looks like the joint at the base of the big toe has bulged out along the side of the foot, and pain may occur at the base of the big toe. Surgery to correct a bunion involves removing the unwanted bony growth and re-aligning the big toe.