Our Procedures
As a Level 3 Out-of-Hospital facility, we offer surgical procedures for shoulders, elbows, knees, ankles, and hips. Explore the detailed descriptions for each procedure below.
SHOULDER ARTHROSCOPY
Rotator Cuff Repair
Rotator cuff repair is a surgical procedure to fix tears in the rotator cuff, a group of muscles and tendons that help lift and rotate your arm. These tears can occur due to an injury or wear and tear over time, leading to pain, weakness, and difficulty with everyday activities.
During the procedure, the torn tendons are reattached to the bone using advanced, minimally invasive techniques. This often involves arthroscopy, where small incisions and a camera are used to guide the repair, resulting in less pain and a faster recovery.
In addition to traditional repair methods, the latest techniques in surgery and orthobiologics, such as platelet-rich plasma (PRP), may be used to promote healing and improve the quality of the repair. These cutting-edge approaches help enhance recovery, reduce pain, and increase the chances of a successful outcome, allowing you to return to your daily activities with a stronger, more functional shoulder.
Shoulder Instability Reconstruction (Labral Repair and Latarjet Procedure)
Shoulder instability reconstruction is a surgical procedure designed to restore stability to a shoulder that frequently dislocates or feels unstable. The shoulder joint's high mobility makes it susceptible to dislocations, especially after an injury or repeated strain. During the surgery, damaged tissues, such as the labrum or ligaments, are repaired or tightened arthroscopically to keep the shoulder joint in place. The goal is to prevent future dislocations, reduce pain, and restore a full range of motion, allowing you to return to daily activities and sports with confidence.
For shoulders with significant bone loss or recurrent dislocations, even after previous surgery, the Latarjet procedure may be used. In this procedure, a small piece of bone with its attached tendon is taken from the front of the shoulder blade (the coracoid) and moved to the front of the shoulder socket. This adds additional support to the shoulder joint, helping to prevent further dislocations and improve overall shoulder stability.
Shoulder Impingement and Cartilage Injuries
Shoulder impingement occurs when the tendons or bursa in the shoulder become compressed, leading to pain, inflammation, and limited movement. This condition is often caused by repetitive overhead activities or structural abnormalities in the shoulder. If left untreated, impingement can worsen and lead to rotator cuff tears.
Surgical treatment for shoulder impingement involves increasing the space around the rotator cuff by removing inflamed or damaged tissue and, sometimes, a small portion of bone. This relieves pressure on the tendons and allows for smooth, pain-free movement.
Cartilage injuries in the shoulder, which can result from trauma, repetitive stress, or degenerative conditions, may cause pain, stiffness, and limited range of motion. Depending on the extent of the injury, treatment may involve arthroscopic surgery to remove loose fragments, smooth rough surfaces, or stimulate cartilage repair through techniques like microfracture. In some cases, advanced orthobiologic treatments, such as platelet-rich plasma (PRP), can be used to support healing and improve outcomes.
The goal of these treatments is to reduce pain, restore mobility, and allow you to return to your daily activities and sports with improved shoulder function.
KNEE ARTHROSCOPY
Medial Patellofemoral Ligament Reconstruction
Medial patellofemoral ligament (MPFL) reconstruction is a surgical procedure performed to address patellar instability, often due to recurrent patellar dislocations. his procedure is intended to prevent further dislocations and restore normal patellar tracking, reducing pain and improving the overall function of the knee. Using a donor tendon from the patient (hamstrings tendon), the MPFL is reconstructed and reattached to the patella and femur.
Cartilage Repair
For patients who have symptomatic cartilage lesions of the knee, we have access to a variety of cartilage repair and/or cartilage restoration techniques including autologous matrix induced chondrogenesis (AMIC), osteochondral allograft transplantation, DeNovo NT, and Cartimax. The specific method chosen depends on the extent of cartilage damage and the patient’s individual condition. The goal of cartilage repair is to reduce pain, improve knee function, and potentially delay or prevent the development of osteoarthritis by restoring healthy cartilage in the knee.
Partial Meniscectomy and Debridement
Partial meniscectomy is a surgical procedure performed to treat a tear or damage to the meniscus in the knee. During a partial meniscectomy, the surgeon removes the torn or damaged portion of the meniscus, leaving as much healthy tissue intact as possible. This procedure is typically done arthroscopically, with small incisions, and is aimed at reducing pain, improving knee function, and preventing further damage to the knee joint
Meniscus Transplantation
In patients who have symptoms from prior partial or complete meniscectomy, meniscus replacement or transplantation surgery can be performed. A donor meniscus which is size-matched can be implanted to re-create anatomy and restore knee biomechanics, improve function, and potentially reduce the risk of future degenerative changes in the knee.
Meniscus Repair
During this procedure, the surgeon sutures or reattaches the torn edges of the meniscus, allowing it to heal and preserve its function as a cushion and stabilizer in the knee joint.
ACL reconstruction
ACL reconstruction is a surgical procedure to repair a torn anterior cruciate ligament (ACL) in the knee. The ACL is a key ligament that helps stabilize the knee joint, especially during activities that involve sudden changes in direction, like sports. During the procedure, the damaged ligament is replaced with a graft, which is typically a tendon taken from another part of your body or a donor. The goal of ACL reconstruction is to restore knee stability and function, allowing you to return to your regular activities with reduced risk of further injury.
ANKLE ARTHROSCOPY
Ankle Ligament Repair
Ankle ligament stabilization is a surgical procedure performed to address chronic ankle instability caused by ligament damage or laxity, often due to repeated ankle sprains or injuries. The procedure typically involves repairing or reconstructing the damaged ligaments, most commonly the anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), and posterior talofibular ligament (PTFL). By stabilizing the ankle joint, this surgery aims to reduce the risk of recurrent ankle sprains, improve overall ankle function, and alleviate chronic pain or discomfort. The specific technique used can vary based on the individual’s condition and the surgeon’s approach
Cartilage Repair
Cartilage repair techniques for the ankle are similar to those used in the knee and can include microfracture, osteochondral autograft transplantation (OAT), DeNovo NT, autologous matrix induced chondrogenesis (AMIC) and other methods. The goal of this procedure is to reduce pain, improve ankle function, and potentially delay or prevent the development of osteoarthritis by restoring healthy cartilage in the ankle joint. The specific technique chosen depends on the extent and location of the cartilage damage and the patient’s individual condition.
HIP ARTHROSCOPY
Labrum Repair And Pincer/Cam Decompression
Hip arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various hip joint conditions. Labrum repair and osteoplasty are often performed during hip arthroscopy. Labrum repair involves reattaching or trimming the acetabular labrum, a ring of cartilage that surrounds the hip socket, to address tears or damage. Osteoplasty is the process of reshaping or removing bone, typically to correct bone abnormalities or impingements that can contribute to hip pain and dysfunction. These procedures are often used to relieve hip pain and improve joint function.
ELBOW ARTHROSCOPY
Tommy John Procedure
Ulnar collateral ligament (UCL) reconstruction of the elbow, commonly known as Tommy John surgery, is a surgical procedure performed on the elbow to repair or replace a damaged UCL. This procedure is commonly associated with baseball pitchers and other athletes who repeatedly stress the elbow. During Tommy John surgery, the surgeon typically augments the damaged UCL with a tendon graft from another part of the patient’s body, such as the forearm or hamstring. For minor tears an internal brace can be used which is a suture and anchor construct. These procedures help to restore elbow stability and function, allowing the athlete to return to their sport after a period of rehabilitation.
Elbow Arthroscopic Decompression for Motion Loss
Elbow arthroscopic decompression is a minimally invasive surgical procedure designed to restore movement in an elbow that has become stiff or limited due to conditions like arthritis, trauma, or overuse. When tissue or bone fragments build up inside the elbow joint, they can restrict motion, cause pain, and make everyday activities difficult.
During the procedure, small incisions are made around the elbow, and a tiny camera called an arthroscope is inserted to guide the surgeon. Using specialized instruments, the surgeon removes scar tissue, bone spurs, or loose fragments that are causing the joint to become compressed and stiff. This decompression relieves pressure on the joint and allows for a greater range of motion.
The goal of elbow arthroscopic decompression is to reduce pain, improve mobility, and help you regain full use of your elbow, allowing you to return to your daily activities with greater ease and comfort.
Tennis Elbow and Golfer's Elbow Surgery
Tennis elbow (lateral epicondylitis) and golfer's elbow (medial epicondylitis) are common conditions that cause pain and tenderness in the elbow due to overuse of the forearm muscles and tendons. Tennis elbow affects the outer part of the elbow, while golfer's elbow impacts the inner part. These conditions are typically caused by repetitive motions, such as gripping or lifting, which strain the tendons and lead to small tears and inflammation.
If non-surgical treatments like rest, physical therapy, and anti-inflammatory medications don’t provide relief, surgery may be necessary. During the procedure, the damaged tissue is removed or repaired, and the tendons are released to reduce tension and promote healing. This can be done through open surgery or minimally invasive techniques like arthroscopy, which uses small incisions and specialized instruments to minimize recovery time.
The goal of surgery for tennis elbow and golfer's elbow is to relieve pain, restore strength, and improve function, allowing you to return to your normal activities without discomfort.