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Orthopaedic Center of Excellence
With advanced subspecialty training and years of experience, Phelps’ highly skilled orthopaedic surgeons offer comprehensive, individualized care to help each patient enjoy a return to the activities he or she enjoys. Treatment plans and even surgeries are customized for each patient, because we know that no two people are the same. The surgeons can provide the surgical or nonsurgical option that will achieve the best results.
Physicians, nurses, physician assistants and rehabilitation specialists work together to give their patients support, from pre-operative education and pre-surgical testing through surgery, rehabilitation and a return to a healthy and active life.
While in the hospital, personalized care provided by hospitality staff gives patients an added level of comfort, making them feel cared for every step of the way.
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The Phelps Total Joint Replacement Institute offers a comprehensive diagnostic and surgical treatment program for people with disability or pain caused by arthritis, degenerative or congenital problems or trauma. When conditions do not improve with non-surgical treatments, joint replacement may be the best option.
The Phelps orthopaedic team has vast experience in performing advanced joint replacement surgery, offering hope for patients with chronic pain by restoring function and mobility to the maximum level.
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The hip is one of our most stable joints, but excessive pressure from bearing the body’s weight makes it susceptible to arthritis. In addition to arthritis (osteoarthritis, rheumatoid arthritis or post-traumatic arthritis), other causes of hip pain include bone loss (avascular necrosis), bursitis or a hip pointer (bruise or tear in the muscle). While these conditions do not always call for a hip replacement, it is often the best choice. Close to 300,000 Americans undergo total hip replacement each year.
Phelps’ highly trained joint replacement surgeons perform hip replacement surgery with the most advanced techniques and technology in the region.
Anterior Approach hip replacement surgery: The Anterior Approach for total hip replacement is sometimes referred to as a “minimally invasive muscle-sparing alternative to traditional hip replacement surgery,” because the surgeon does not have to cut any muscles. An incision is made in the front of the hip, and the hip is accessed by going between two muscles, rather than by detaching and then reattaching a muscle. With this innovative approach, there is quicker recovery and improved mobility compared to the traditional method. Keeping the muscles intact can also reduce the risk of many complications, including dislocations. In addition, because the patient lies on his or her back, image guidance can be used, which allows for more accurate placement of the implants and restoration of leg lengths.
Phelps’ orthopaedic surgeons are experts at performing the anterior approach for hip replacement and consider it to be the preferred method. Occasionally there are cases when the traditional posterior approach is performed, which involves accessing the hip joint through an incision close to the buttocks. Recovery time following surgery is typically longer than with the anterior approach.
How do you know when you should see an orthopaedic surgeon about your hip?
- Does hip pain cause you to have trouble putting on your shoes and socks?
- Does hip pain limit how far you can walk or cause you trouble going up and down stairs?
- Do you have difficulty getting in and out of a car?
- Do you have pain in your groin and buttock area?
- Has one leg become shorter than the other?
- Did you have a hip problem in childhood or have family members had their hip replaced?
If you answer “yes” to any of the questions above, a consultation with an orthopaedic surgeon may be warranted.
Phelps orthopaedic surgeons specializing in hip replacement are:
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There are a number of reasons for knee pain, including sprains or strains of ligaments or muscles, tendonitis (inflammation resulting from overuse), cruciate ligament (ACL) tears, meniscus tears, or posterior cruciate ligament tears. Some injuries can be treated with icing, inflammation-reducing medication and physical therapy. Some injuries need to be repaired surgically.
The most common cause of knee pain among people over age 45 is the “wear-and-tear” arthritis – osteoarthritis. It is the result of the thinning of the natural cushioning (cartilage) between joints. Without that protection, bones rub against each other, causing pain, swelling and stiffness. Nonsurgical treatment such as physical therapy and medication may relieve pain enough to postpone or even prevent surgery. But when conservative treatments fail, knee replacement surgery may be the best option.
Phelps orthopaedic surgeons are skilled in various knee surgery techniques:
Partial knee replacement surgery – In some patients, arthritis affects only one part of the knee. When this is the case, partial knee replacement may be an option. Also known as uni-compartmental knee replacement, this surgical treatment replaces part of the knee that is damaged with an implant and keeps the healthy cartilage and bone in the rest of the knee. The benefits of partial knee replacement include a smaller incision, less blood loss, faster recovery time, and quicker return to normal activities.
Total knee replacement – During total knee replacement, diseased bone and cartilage are removed, and the knee joint is resurfaced with a metal and plastic implant. The implant helps alleviate the pain of arthritis and also increases mobility and function. Knee implants come in many sizes so an implant can be selected to specifically to accommodate bone size for different patients and help ensure durability of the implant.
Phelps orthaopedic patients benefit from “Patient Specific Instrumentation” (PSI), which enables more accurate knee implant placement and sizing. PSI uses precise 3D MRI imaging and special software for 3D printing to make customized instruments for each patient and identify exactly how the new knee should be positioned.
Video: Jason Hochfelder, MD on Knee Injuries – When to Seek Medical Attention
Phelps orthopaedic surgeons specializing in knee replacement are:
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The shoulder is able to move in many directions – more than any other joint in the body. Its impressive range of motion, however, makes it more unstable than other joints. Instability can lead to dislocation and shoulder injuries.
The rotator cuff, located over the head of the upper arm bone, helps to lift and rotate the arm and to stabilize the joint. Sometimes, as a result of a fall, other injury or normal wear, the rotator cuff may tear and cause pain in the front of the shoulder and down the side of your arm.
The shoulder’s stabilization is also supported by a soft tissue rim around the socket called the labrum, which can be damaged from an acute injury or through repetitive motion. Symptoms of a tear include pain (especially when lifting arms overhead), loss of strength and range of motion, and a catching or locking in the shoulder.
Another cause of shoulder pain called “frozen shoulder” occurs when connective tissue surrounding the joint thickens and becomes tight. At the same time, less lubricating synovial fluid is produced. The resulting dull ache over the outer shoulder area begins to subside over time, but the freezing can last for months or years.
Shoulder specialists at Phelps, are experts in treating shoulder conditions with surgical procedures that include shoulder arthroscopy, total shoulder replacement and reverse total shoulder replacement.
When should you see an orthopaedic surgeon who specializes in treating shoulder pain and injuries?
- Did you experience a specific injury to your shoulder?
- Has your shoulder been hurting for longer than three months?
- Does your shoulder hurt when you reach above your head?
- Does your shoulder hurt when you carry something heavy?
- Does your shoulder feel unstable?
- Have you had previous surgery on your painful shoulder?
If you answered “yes” to any of the questions above, a consultation with an orthopaedic surgeon may be warranted.
Phelps’ orthopaedic surgeon specializing in shoulder replacement:
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Pain can be described as burning or discomfort that interferes with activities of daily living. People used to think that pain after surgery was something they “just had to put up with.” With the latest treatments, that is no longer true. Today, you can work with your nurses and doctors before and after surgery to prevent or relieve pain. From non-drug pain relief methods to more traditional pain relief medicines, our staff provides the most advanced strategy to keep your post-op pain to a minimum.
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