Hip & Knee Procedures


Hip Arthroscopy for Treatment of Femoroacetabular Impingement Syndrome

Hip Arthroscopy is recommended for treatment of femoroacetabular impingement syndrome if nonsurgical therapy fails to improve the pain. Hip Arthroscopy is a minimally invasive surgery performed through tiny incisions using a special viewing instrument called an arthroscope and special surgical tools. During arthroscopy, your surgeon can repair any labrum or cartilage tears, remove bony bumps or trim off damaged or abnormal parts of the hip bones facilitating free movement of the hip. Arthroscopy is much less traumatic to the muscles, ligaments, and tissues than the traditional hip surgery.

Hip Labrum Repair

The hip labrum is a ring of cartilage that surrounds the socket of the hip. Tears of the hip labrum can be treated by hip arthroscopy, a minimally invasive surgery performed through tiny incisions. Labral tears may be repaired by suturing the torn ends of the labral tissue and removal of the frayed and damaged portion of the labrum.

Arthroscopic Trochanteric Bursectomy

Trochanteric bursitis is a painful hip condition caused by inflammation of the fluid-filled sac (bursa) on the outside of the hip. Arthroscopic trochanteric bursectomy is the surgical removal of the bursa through tiny incisions using specialized instruments. It is performed when hip pain is not relieved with conservative treatments such as pain medications, ice, and physical therapy.

Endoscopic Sciatic Nerve Release for Piriformis Syndrome

Piriformis syndrome is characterized by numbness, tingling, and pain in the buttocks that is caused by irritation of the sciatic nerve by the piriformis muscle. Endoscopic sciatic nerve release is a minimally invasive surgical solution to this condition which can be difficult to diagnose and treat. The advantages of this procedure include better visualization and less soft tissue damage.


Cartilage Repair and Implantation

Articular Cartilage is the white tissue lining the end of bones where these bones connect to form joints. Cartilage acts as cushioning material and helps with the smooth gliding of bones during movement. An injury to the joint may damage this cartilage which cannot repair on its own. Cartilage can be damaged with increasing age, normal wear and tear, or trauma. Damaged cartilage cannot cushion the joints during movement and the joints may rub over each other causing severe pain and inflammation.

Cartilage restoration is a surgical procedure where orthopedic surgeons stimulate the growth of new cartilage to restore normal function. Arthritic conditions can be delayed or prevented through this procedure.

Several techniques are employed for cartilage restoration including microfracture, drilling, abrasion arthroplasty, osteochondral autograft, and allograft transplantation.

Corrective Osteotomy - Leg Realignment

Corrective osteotomy is the surgical excision of bone to aid in realignment of the leg for improved function and aesthetics. Advanced techniques such as computerized navigation are used to provide the surgeon with a high-degree of accuracy during the leg realignment. Corrective osteotomy can be successfully used to preserve leg function in active individuals who are developing arthritis.

Biologic Joint Preservation Procedures

Biologic joint preservation procedures use components derived from living things to preserve joint health and function. These procedures can be used by patients who wish to avoid or delay more invasive treatments such as joint replacement surgery. The various biologic joint preservation procedures include autologous chondrocyte implantation, osteochondral autograft transplantation, and osteochondral allograft transplantation.

Stem Cell and PRP Injections

Stem cells are undifferentiated cells that have the unique potential of regeneration and differentiation into different types of cells. They act like a repair system replacing cells and tissue lost due to injury or disease. Stem cell therapy has shown promising results in the treatment of various orthopedic conditions such as arthritis and other forms of degenerative joint disease.

Platelet rich plasma injections are an innovative non-surgical treatment option for certain orthopedic conditions. The healing properties of platelets from the patient’s own blood are utilized to treat slow-healing ligament and tendon injuries. A small quantity of the patient’s own blood is drawn and centrifuged or spun to derive platelet rich plasma, which is then injected into the site of injury speeding up the healing process.

Minimally Invasive ACL Surgery

The anterior cruciate ligament (ACL) is an important ligament which provides knee stability. Because knee stability is critical for pivoting and cutting sports, ACL tears are dreaded injuries for athletes. ACL tears necessitate surgery to restore stability.

The all-inside ACL reconstruction is a new and advanced arthroscopic technique that provides the least invasive approach for ACL reconstruction to date. It offers anatomic ACL reconstruction, less postoperative pain and better joint stability.

Meniscus Repair and Transplant

A torn meniscus can result in pain and instability in the knee. Some meniscus tears can be repaired by surgical excision of the damaged portions and suturing the stable portion of the meniscus. When a large portion of the meniscus is damaged a meniscal transplant is indicated. Advanced cutting-edge surgical techniques allow for a quick recovery.

Custom Patient Specific Partial and Total Knee Replacement

Custom fitted total knee arthroplasty is one of the latest advancements in total knee replacement surgery. An individualized patient-specific knee implant is used for replacement of all three components of the knee. The difference with custom knee replacement as compared to other knee replacement surgeries is the use of an MRI scan prior to the surgery that provides a clear view of the shape and structure of the different components of the joint. The implants are then designed specifically to match the natural shape of the articulating surfaces of the patient’s knee based upon the MRI. Unlike other knee replacement surgeries, custom fitted total knee replacement can also be used for severe knee arthritis.