Orthopaedic Services

● Adult Forearm Fractures● Arthritis of the Shoulder● Biceps Tendinitis● Biceps Tendon Tear at the Elbow● Biceps Tendon Tear at the Shoulder● Brachial Plexus Injuries● Burners and Stingers● Chronic Shoulder Instability● Clavicle Fracture (Broken Collarbone)● Common Shoulder Injuries● Compartment Syndrome● Dislocated Shoulder● Distal Humerus Fractures of the Elbow● Elbow (Olecranon) Bursitis● Elbow (Olecranon) Fractures● Elbow Arthroscopy● Elbow Dislocation● Elbow Fractures in Children● Elbow Injuries in the Throwing Athlete● Erb's Palsy (Brachial Plexus Birth Palsy)● Forearm Fractures in Children● Frozen Shoulder● Nursemaid's Elbow● Osteoarthritis of the Elbow● Radial Head Fractures of the Elbow● Recurrent and Chronic Elbow Instability● Rotator Cuff Tears● Rotator Cuff Tears: Frequently Asked Questions● Rotator Cuff Tears: Surgical Treatment Options● Rotator Cuff and Shoulder Conditioning Program● SLAP Tears (labral Tears)● Scapula (Shoulder Blade) Fractures● Shoulder Arthroscopy● Shoulder Impingement/Rotator Cuff Tendinitis● Shoulder Injuries in the Throwing Athlete● Shoulder Joint Tear (Glenoid Labrum Tear)● Shoulder Pain and Common Shoulder Problems● Shoulder Separation● Shoulder Surgery● Shoulder Surgery Exercise Guide● Shoulder Trauma (Fractures and Dislocations)● Tennis Elbow (Lateral Epicondylitis)● Thoracic Outlet Syndrome● Throwing Injuries in the Elbow in Children● Ulnar Nerve Entrapment at the Elbow (Cubital Tunnel Syndrome)

● Animal Bites● Arthritis of the Hand● Arthritis of the Thumb● Arthritis of the Wrist● Boutonnière Deformity● Carpal Tunnel Syndrome● Compartment Syndrome● Complex Regional Pain Syndrome (Reflex Sympathetic Dystrophy)● Congenital Hand Differences● De Quervain's Tendinosis● Distal Radius Fractures (Broken Wrist)● Dupuytren's Contracture● Finger Fractures● Fingertip Injuries and Amputations● Flexor Tendon Injuries● Ganglion Cyst of the Wrist and Hand● Hand Fractures● Human Bites● Lawn Mower Injuries in Children● Mallet Finger (Baseball Finger)● Nerve Injuries● Scaphoid Fracture of the Wrist● Sprained Thumb● Thumb Fractures● Trigger Finger● Ulnar Tunnel Syndrome of the Wrist● What is a Hand Surgeon?● Wrist Arthroscopy● Wrist Sprains

● Acetabular Fractures● Adolescent Hip Dysplasia● Burning Thigh Pain (Meralgia paresthetica)● Deep Vein Thrombosis● Developmental Dislocation (Dysplasia) of the Hip (DDH)● Femoroacetabular Impingement● Femur Shaft Fractures (Broken Thighbone)● Hamstring Muscle Injuries● Hip Bursitis● Hip Conditioning Program● Hip Dislocation● Hip Fractures● Hip Strains● Inflammatory Arthritis of the Hip● Intoeing● Limb Length Discrepancy● Muscle Strains in the Thigh● Osteoarthritis of the Hip● Pelvic Fractures● Perthes Disease● Preventing Blood Clots After Orthopaedic Surgery (video)● Slipped Capital Femoral Epiphysis● Snapping Hip● Sports Hernia (Athletic Pubalgia)● The Limping Child● Thighbone (Femur) Fractures In Children● Transient Osteoporosis of the Hip

● Achilles Tendinitis● Adult Acquired Flatfoot● Ankle Fractures in Children● Anterior Cruciate Ligament (ACL) Injuries● Arthritis of the Foot and Ankle● Bunion Surgery● Bunions● Claw Toe● Clubfoot● Collateral Ligament Injuries● Combined Knee Ligament Injuries● Common Knee Injuries● Corns● Diabetic (Charcot) Foot● Distal Femur (Thighbone) Fractures of the Knee● Flexible Flatfoot in Children● Foot and Ankle Conditioning Program● Fractures of the Proximal Tibia (Shinbone)● Growth Plate Fractures● Hammer Toe● Heel Pain● Ingrown Toenail● Intoeing● Lawn Mower Injuries in Children● Meniscus Tears● Meniscus Tears (video)● Morton's Neuroma● Orthotics● Osgood-Schlatter Disease (Knee Pain)● Plantar Fasciitis and Bone Spurs● Posterior Tibial Tendon Dysfunction● Rheumatoid Arthritis of the Foot and Ankle● Sesamoiditis● Shin Splints● Stiff Big Toe (Hallux Rigidus)● Stress Fractures● Tarsal Coalition● Vertical Talus

● Adult Spondylolisthesis in the Low Back● Back Pain in Children● Cervical Fracture (Broken Neck)● Cervical Radiculopathy (Pinched Nerve)● Cervical Spondylosis (Arthritis of the Neck)● Cervical Spondylotic Myelopathy (Spinal Cord Compression)● Congenital Muscular Torticollis (Twisted Neck)● Fracture of the Thoracic and Lumbar Spine● Herniated Disk● Herniated Disk in the Lower Back● Idiopathic Scoliosis in Children and Adolescents● Kyphosis (Roundback) of the Spine● Low Back Pain● Lumbar Spinal Stenosis● Neck Pain● Neck Sprain● Osteoporosis and Spinal Fractures● Sciatica● Scoliosis: Frequently Asked Questions● Spinal Deformity in Children with Myelomeningocele● Spinal Injections● Spine Conditioning Program● Spondylolysis and Spondylolisthesis

● ACL Injury: Does It Require Surgery?● Adolescent Anterior Knee Pain● Arthritis of the Knee● Bowed Legs (Blount's Disease)● Burning Thigh Pain (Meralgia paresthetica)● Compartment Syndrome● Deep Vein Thrombosis● Discoid Meniscus● Exertional Compartment Syndrome● Intoeing● Knee Arthroscopy● Knee Arthroscopy Exercise Guide● Knee Conditioning Program● Knee Exercises● Limb Length Discrepancy● New Study Measures the Value of ACL Repair Surgery● Osgood-Schlatter Disease (Knee Pain)● Osteonecrosis of the Knee● Osteotomy of the Knee● Patellar Dislocation and Instability in Children (Unstable Kneecap)● Patellofemoral Arthritis● Pes Anserine (Knee Tendon) Bursitis● Prepatellar (Kneecap) Bursitis● Patellar (Kneecap) Fractures● Patellar Tendon Tear● Posterior Cruciate Ligament Injuries● Quadriceps Tendon Tear● Shin Splints● Tibia (Shinbone) Shaft Fractures● Preventing Blood Clots After Orthopaedic Surgery (video)● The Limping Child● Trauma Induced Compartment Syndrome● Unstable Kneecap● Viscosupplementation Treatment for Knee Arthritis

● Calcium, Nutrition, and Bone Health● Healthy Bones at Every Age● Osteoporosis● Osteoporosis Prevention● Osteoporosis Prevention Starts Early● Osteoporosis Tests● Osteoporosis and Spinal Fractures● Osteoporosis in Men● Transient Osteoporosis of the Hip● Weightbearing Exercise for Women and Girls

● Biceps Tendon Tear at the Elbow● Biceps Tendon Tear at the Shoulder● Burners and Stingers● Chronic Shoulder Instability● Common Shoulder Injuries● Dislocated Shoulder● Elbow Injuries in the Throwing Athlete● Rotator Cuff Tears● SLAP Tears● Shoulder Impingement/Rotator Cuff Tendinitis● Shoulder Injuries in the Throwing Athlete● Shoulder Joint Tear (Glenoid Labrum Tear)● Shoulder Separation● Tennis Elbow (Lateral Epicondylitis)● Throwing Injuries in the Elbow in Children

● Mallet Finger (Baseball Finger)● Scaphoid Fracture of the Wrist● Sprained Thumb● Wrist Sprains

● Femoroacetabular Impingement● Hamstring Muscle Injuries● Hip Bursitis● Hip Strains● Muscle Strains in the Thigh● Snapping Hip● Sports Hernia (Athletic Pubalgia)

● ACL Reconstruction Module● Subchondroplasty● Adolescent Anterior Knee Pain● Anterior Cruciate Ligament (ACL) Injuries● Collateral Ligament Injuries● Combined Knee Ligament Injuries● Common Knee Injuries● Compartment Syndrome● Meniscus Tears● Meniscus Tears (video)● Osgood-Schlatter Disease (Knee Pain)● Patellar Dislocation and Instability in Children (Unstable Kneecap)● Patellar Tendon Tear● Patellofemoral Pain Syndrome● Pes Anserine (Knee Tendon) Bursitis● Posterior Cruciate Ligament Injuries● Prepatellar (Kneecap) Bursitis● Quadriceps Tendon Tear● Shin Splints● Stress Fractures● Unstable Kneecap

● Achilles Tendon Rupture (Tear) (video)● Ankle Fractures (Broken Ankle)● Ankle Fractures in Children● Lisfranc (Midfoot) Injury● Sprained Ankle● Stress Fractures of the Foot and Ankle● Turf Toe

● Back Pain in Children● Low Back Pain● Neck Pain● Neck Sprain

● ACL Injury: Does It Require Surgery?● Alternative Methods to Help Manage Pain After Orthopaedic Surgery● Arthroscopy● Articular Cartilage Restoration● Cortisone Injections● Elbow Arthroscopy● Foot and Ankle Conditioning Program● Hip Arthroscopy● Hip Conditioning Program● Knee Arthroscopy● Knee Conditioning Program● Managing Pain With Medications After Orthopaedic Surgery● New Study Measures the Value of ACL Repair Surgery● Orthotics● Platelet-Rich Plasma (PRP)● Rotator Cuff Tears: Surgical Treatment Options● Rotator Cuff and Shoulder Conditioning Program● Shoulder Arthroscopy● Spine Conditioning Program

● Athletic Shoes● Baseball Injury Prevention● Basketball Injury Prevention● Creatine Supplements● Football Injury Prevention● Golf Injury Prevention● Gymnastics Injury Prevention● Helmet Safety● Hockey Injury Prevention● Horseback Riding Injury Prevention● Martial Arts Injury Prevention● Return To Play● Safe Exercise● Shoes: Finding the Right Fit● Skiing Injury Prevention● Soccer Injury Prevention● Sports Injury Prevention for Baby Boomers● Sports Nutrition● Swimming Injury Prevention● Tennis Court Safety● Tennis Injury Prevention● The Risks of Steroid Use● Tips for a Safe Running Program● Train Smart and Stay Strong● Trampoline Injury Prevention● Volleyball Injury Prevention● Winter Sports Injury Prevention● Yoga Injury Prevention

● Active Families: The Foundation for a Lifetime of Bone and Joint Health● Aerobic Exercise● Athletic Shoes● Bicycle Safety● Creatine Supplements● Cross Training● Distracted Walking● Diving Safety● Effects of Aging● Exercise Walking● Exercise and Bone Health● Exercise and Bone and Joint Conditions● Female Athlete Triad: Problems Caused by Extreme Exercise and Dieting● Fitness for Kids● Flexibility Exercises for Young Athletes● Healthy Bones at Every Age● Helmet Safety● Osteoporosis Prevention Starts Early● Physical Activity for Persons with Mental Retardation● Rehabilitation Exercise and Conditioning Handouts● Safe Exercise● Selecting Home Exercise Equipment● Seniors and Exercise● Seniors and Exercise: Starting an Exercise Program● Sports Injury Prevention for Baby Boomers● Sports Nutrition● Starting a Strength Training Program● Starting an Exercise Program● Staying Active As You Age● The Impact of Childhood Obesity on Bone, Joint, and Muscle Health● The Risks of Steroid Use● Tips for a Safe Running Program● Train Smart and Stay Strong● Vitamin D for Good Bone Health● Warm Up, Cool Down and Be Flexible● Weightbearing Exercise for Women and Girls● Why Exercise?

● Arthroscopy● Articular Cartilage Restoration● Elbow Arthroscopy● Exercise and Arthritis (video)● Exercise and Bone and Joint Conditions● Glucosamine and Chondroitin Sulfate● How to Use Crutches, Canes and Walkers● Knee Arthroscopy● Knee Arthroscopy Exercise Guide● Makoplasty of the Hip● Makoplasty of the Knee● Managing Arthritis Pain With Exercise● Spinal Injections● Stem Cells and Orthopaedics● Subchondroplasty of the Knee● Total Hip Replacement Module● Total Knee Replacement Module● Viscosupplementation Treatment for Knee Arthritis● What Are NSAIDs?

● Alternative Methods to Help Manage Pain After Orthopaedic Surgery● Anesthesia for Hip and Knee Surgery● Before and After Total Joint Replacement (video)● Cortisone Injections● Managing Pain With Medications After Orthopaedic Surgery● Obesity, Weight Loss, and Joint Replacement Surgery● Platelet-Rich Plasma (PRP)● Preparing for Joint Replacement Surgery● Preventing Blood Clots After Orthopaedic Surgery (video)● Preventing Infection After Joint Replacement Surgery (video)● Total Joint Replacement● Total Joint Replacement: Questions Patients Should Ask Their Surgeon

● Reverse Total Shoulder Replacement● Shoulder Joint Replacement

● Wrist Joint Replacement (Wrist Arthroplasty)

● Activities After Hip Replacement● Dislocation After Total Hip Replacement (video)● Fracture After Total Hip Replacement● Hip Resurfacing● Minimally Invasive Total Hip Replacement● Makoplasty of the Hip● Preventing Blood Clots After Orthopaedic Surgery (video)● Total Hip Replacement● Total Hip Replacement Exercise Guide

● Activities After a Knee Replacement● Knee Replacement Implants● Subchondroplasty of the Knee● Makoplasty of the Knee● Minimally Invasive Total Knee Replacement● New Study Finds that Knee Replacement Is A Cost-Effective Treatment Option● Preventing Blood Clots After Orthopaedic Surgery (video)● Revision Total Knee Replacement● Total Knee Replacement● Total Knee Replacement Exercise Guide● Unicompartmental Knee Replacement

● Deep Vein Thrombosis● Fracture After Total Hip Replacement● Joint Replacement Infection

● Cortisone Injections● Discography● Epidural Steroid Injections● Facet Joint Injection● Intradiscal Therapy / Biacuplasty● Intrathecal Drug Delivery (IT-Pump)● Kyphoplasty/Vertebroplasty● Lumbar Sympathetic Block● Platelet-Rich Plasma (PRP)● Nerve Root Block● Non-Surgical Treatment for Disc Herniation (Percutaneous Discectomy)● Radiofrequency Ablation● Radiofrequency Neurotomy● Regenerative Medicine: Stem Cell Autologous Transplantation● Shoulder, Hip, and Knee Joints Injection● Spinal Cord Stimulator● Stellate Ganglion Block

● If you call in advance – and we appreciate 24-hour notice – we will have your images ready for pickup at the reception desk.

Results of several studies demonstrate the clinical benefits of robotic arm-assisted MAKOplasty® Partial Knee Resurfacing. Initial results of an ongoing study found that MAKOplasty resulted in more accurately placed implants and less pain for the first eight weeks after surgery when compared with patients receiving manually placed implants.

Comparing American Knee Society Scores, a common measure of knee functionality, the study also found MAKOplasty patients had increased post-operative functionality at three months post-surgery.

As a knee replacement procedure, MAKOplasty is typically covered by Medicare and most private insurance carriers.

No, MAKOplasty is performed by an orthopaedic surgeon, who uses the surgeon-controlled robotic arm system to pre-plan the surgery and to accurately resurface the bone with consistently reproducible precision.

The robotic arm does not perform the surgery, nor can it make decisions on its own or move in any way without the surgeon guiding it. During surgery, RIO® provides the surgeon with real-time visual, tactile, and auditory feedback to facilitate optimal joint resurfacing and implant positioning. It is this optimal placement that can result in more natural knee motion following surgery.

Unlike manual surgery, MAKOplasty provides consistent and reproducible accuracy through the use of RIO and the contouring design of RESTORIS® implants. Compared to total knee replacements, MAKOplasty preserves healthy bone, soft tissue, and ligaments which allows for an overall less invasive procedure, more rapid recovery, shorter hospital stay, and more natural knee function.

All implants have a life expectancy that depends on several factors, including the patient’s weight, activity level, quality of bone stock, and compliance with their surgeon’s orders. Proper implant alignment and precise positioning during surgery are also very important.

There are different types of DJD that may cause hip pain. These include but are not limited to:
● Osteoarthritis (OA): also called “wear-and-tear arthritis,” in which the cartilage wears down over time.● Post-traumatic arthritis: which results from a severe fracture or dislocation of the hip.● Rheumatoid arthritis (RA): an inflammatory arthritis of the joints.● Avascular necrosis (AVN): a condition where the “ball” or femoral head has lost a healthy supply of blood flow, causing the bone to die and the femoral head to become misshapen.● Hip dysplasia: a developmental deformation or misalignment of the hip joint.If you are one of the millions of Americans suffering with hip pain from degenerative joint disease, you may be a candidate for MAKOplasty® total hip arthroplasty, also known as MAKOplasty® total hip replacement.

MAKOplasty® is an innovative, breakthrough solution for those suffering from painful DJD of the hip and needing a total hip replacement. MAKOplasty®, powered by the RIO® Robotic Arm Interactive Orthopaedic System, allows your surgeon to treat your specific hip condition with accuracy and precision.

If your surgeon determines that you are a good candidate for the MAKOplasty® procedure prior to your surgery date, you will have a hip CT scan performed. This is used to create a 3-D model of your hip, pelvis, and femur. The surgeon uses the RIO® software with information from the model to plan your surgery based on your unique anatomy. During surgery, the software provides real-time information to optimize implant positioning and alignment, and the robotic arm is used to prepare your socket and guide the accurate placement of the implants.

Accurate placement and alignment of implant components are critical factors in hip replacement. MAKOplasty® Total Hip Arthroplasty (THA) is powered by the RIO® Robotic Arm Interactive Orthopaedic System and provides a new level of accuracy and precision in total hip replacement.
The RIO® System software uses patient-specific anatomic information from a pre-operative CT scan to enable the accurate position of the implants so that the likelihood of implant or bony impingement is reduced as well as a possible reduction in the rate of dislocation.
The RIO® System allows the surgeon to know and control the position of the cup and stem in addition to the final correction of leg length accomplished by the hip replacement before closing the incision.

If you have one or more of the following symptoms, talk to your doctor – you may be a candidate for MAKOplasty®.
● Pain while putting weight on the affected joints.● Limping to lessen the weight-bearing pressure on the hip.● Hip pain or stiffness during walking or other impact activities.● Failure to respond to non-surgical treatments or pain medication.● Be sure to discuss all treatment options with your doctor.