• Arthroscopic Surgery
• Elbow Surgery
• Foot Surgery
• Hand Surgery
• Hip Surgery
• Joint Replacement
• Knee Surgery
• Knee Ligament Surgery
• Shoulder Surgery

Shoulder Arthroscopy
A small incision is made in the front and back of your shoulder joint. A small, tube-like camera known as an arthroscope is inserted into one of the incisions in order to inspect the shoulder joint for any possible problems such as loose bodies, glenoid labral tears, rotator cuff tears, or capsule injury. The orthopedic surgeon will use a variety of small instruments to repair or clean-up any problem inside the shoulder joint which was identified through the arthroscope.

Labral Repair
The ball and socket shoulder joint is often compared to a “golf ball on a tee” due to the small surface area of the glenoid (socket) and the large round head of the arm bone (ball). One of the ways the shoulder maintains its stability is through the existence of the glenoid labrum, the fiber ring which goes around the socket. When the labrum becomes injured, it will unfortunately remain torn because it does not have a supply of blood which is essential for tissue to heal. Therefore, surgical intervention would be necessary to repair this structure. First, the surgeon uses a shaver to remove any frayed or damaged tissue around the area of the socket. Next, the surgeon inserts plastic anchors into the glenoid which have long sutures attached to one end. This allows the surgeon to close the labral tear. This is completed as an arthroscopic procedure with a rehabilitation time ranging from 2-4 months.

Rotator Cuff Repair
In some cases, injury to the shoulder results in a tear within one or more of the rotator cuff muscles. When the tear occurs within the muscle but does not tear the tendon completely, this is known as a partial tear of the rotator cuff; which can be fixed through the arthroscope. This procedure is similar to a labral repair except wire sutures are used instead of anchored sutures. The rehabilitation time will range from 3-5 months.

Capsular Plication
This procedure is performed for individuals who have complaints of the shoulder not staying in the joint. The shoulder joint is surrounded by a tight capsule which helps hold it in place. The capsule can sometimes become stretched which often occurs following a shoulder dislocation (when the shoulder goes completely out of socket and has to be manually put back in place) or subluxation (when the shoulder goes out of joint but goes back in place on its own almost immediately). This procedure is also performed through the arthroscope. The surgeon will tighten the loose capsule by wrapping it tighter around the shoulder joint and holding it in place with sutures. The rehabilitation time will range from 2-4 months.

Rotator Cuff Repair
This surgical procedure is performed by re-attaching the torn tendon to the arm bone (the humerus). During surgery, an incision is made over the top of the shoulder and the deltoid muscle of the shoulder is opened. The frayed edges of the torn rotator cuff are removed. The torn tendon is then put back onto the humerus. The arm is then placed in a sling which should be worn at all times for approximately 3 weeks.

Scapular Muscle Reattachment
There is a specific group of patients who have sustained a traumatic injury to their arm resulting in severe pain down their shoulder blade (scapula) and an inability to use the arm well in front of their body. In these cases, it has been found that one or more of the muscles that attach to the scapula have been torn away from the bone. The surgical procedure begins with a 5-6 inch incision being made down the length of the scapula along the flat edge of the bone. Once the skin and fatty tissue are pulled away, the damaged muscles can be seen. 3-4 pairs of drill holes are made along the flat edge (medial border) of the scapula. Sutures are then inserted into the muscles which are then pulled back and tied down to where they detached off of the scapula. A sling is worn for 3-6 weeks following surgery with rehabilitation taking 5-6 months to complete.

AC Joint Repair
The acromioclavicular (ak-ro-me-o-cla-vic-ular) joint (AC joint) can be injured when a person falls directly on their shoulder or falls on an outstretched hand. This is more commonly known as a separated shoulder. The AC joint may also suffer injury over time or due to overuse rather than to acute trauma. The goal of the surgery is to reconstruct the damaged or ruptured ligaments which attach the clavicle to the scapula through tissue grafts and anchors. A sling is worn for 2-3 weeks following surgery with rehabilitation time being 3-4 months.

Fracture Care
Various bones at or around the shoulder can become broken with injury. The humerus (arm bone), clavicle (collar bone), and scapula (shoulder blade) can be involved. Orthopedic surgeons utilize metal pins, wire, and specific types of plates and screws to realign the broken pieces in order to help the bone heal in as close to a natural position and shape as possible. Healing times vary depending on the severity of the fracture and the type of hardware used. In some cases, the hardware remains in the body. Other cases require the hardware to be removed, which involves an additional surgery to remove the components.

Knee Arthroscopy
A small incision is made on each side of your knee. A small, tube–like camera known as an arthroscope is inserted into one of the incisions in order to inspect the knee for any possible problems such as loose bodies, meniscal tears, ligament injury, or bone injury. The orthopedic surgeon will use a variety of small instruments to repair or clean–up any problem inside the knee which was identified through the arthroscope.

ACL Reconstruction
There are 3 options for reconstructing the anterior cruciate ligament (ACL). A patellar tendon graft, hamstring graft, or donor specimen can be used to reconstruct the new ligament. Once the graft type is selected, the surgeon will drill a hole in the femur (thigh bone) and the tibia (lower leg bone). The holes will be placed in the same direction the new graft will rest. The new graft is then inserted through the holes and positioned appropriately being held in place with plastic anchors. The rehabilitation time is typically 4-6 months.

Meniscal Repair
The meniscus is a fibrous cushion which sits inside the knee joint and acts as a shock absorber for the knee. The meniscus is divided into 2 sections, the outer one–third (1/3) and inner two-thirds (2/3). The outer one–third (1/3) has a blood supply which means an injury sustained in that area can be surgically repaired with sutures. The inner two–thirds (2/3) do not have a blood supply so an injury to this area can result in debridement or “cleaning-up” of the damaged tissue and in some cases of severe injury, the meniscus will be removed (this is known as a menisectomy). Either procedure is performed arthroscopically. Typically, weight bearing is not allowed for 3 weeks following a meniscal repair. The rehabilitation time is 6–8 weeks.

Knee and Hip Replacement
Over time, the bones which make up the knee and hip joints can become worn (often due to arthritis) or injured resulting in constant pain. One method to help alleviate the pain is a surgical treatment to replace the damaged joint with an artificial joint prosthesis. The physical examination and testing performed by the orthopedic surgeon will help determine if you are an eligible candidate for this type of procedure. A total joint replacement can help alleviate the pain and can last for years.

Carpal Tunnel
This is a condition which is brought on by increased pressure on the median nerve in the wrist. When conservative treatment fails to reduce the symptoms, surgical intervention may be of some benefit. Pressure on the nerve is decreased by cutting the ligament that forms the roof of the tunnel on the palm side of the hand. The typical rehabilitation time following surgery is 2–3 months.

Trigger Finger
Trigger finger is a thickening of the tissue around a tendon of the finger. Sometimes a nodule (knot) can develop which limits the finger’s ability to bend freely causing pain and irritation. Surgical treatment releases the thickened area allowing the finger to bend with ease. Rehabilitation following surgery is generally a few weeks.

Rheumatoid Arthritis
The joints of the hand and fingers become inflamed and swollen which causes the joint surfaces to wear down. The swelling may also stretch the ligaments of the joints making the fingers feel unstable. Preventative surgery may help alleviate this painful condition. Surgical procedures for rheumatoid arthritis (RA) include removing nodules and removing inflamed tissue. In some cases, tissue repair is necessary for stretched or damaged tissue caused by RA.