Services and Procedures

Services

Some of the conditions we treat are:

  • Arthritis
  • Bursitis
  • Dislocations
  • Fractures
  • Frozen Shoulder
  • Glenoid Detachment/Tear
  • Golfer’s Elbow
  • Rotator Cuff Injuries
  • SLAP Tear
  • Sprains
  • Tendonitis
  • Tennis Elbow
  • Tumor Removal

Some of the conditions we treat are:

  • Carpal Tunnel Syndrome
  • Cubital Tunnel Syndrome
  • DeQuervain’s Syndrome
  • Dislocations
  • Dupuytren’s Contracture
  • Fractures
  • Ganglion Cysts
  • Osteoarthritis
  • Tendonitis
  • Trigger Finger
  • Tumor Removal

Some of the conditions we treat are:

  • Arthritis
  • Avascular Necrosis (AVN)
  • Bursitis
  • Dislocation
  • Dysplasia
  • Femoroacetabular Impingement (FAI)
  • Fractures
  • Osteoarthritis
  • Snapping Hip Syndrome
  • Tumor Removal

Some of the conditions we treat are:

  • Anterior Cruciate Ligament (ACL) Injuries
  • Arthritis
  • Baker’s Cyst
  • Dislocations
  • Fractures
  • Meniscal Tears
  • Runner’s Knee
  • Posterior Cruciate Ligament Injuries
  • Tendon Tears
  • Tumor Removal

Some of the conditions we treat are:

  • Congenital Conditions (Bowed Legs, Fibular/Tibial Hemimelia, Limb Length Discrepancy, etc.)
  • Dislocations
  • Fractures
  • IT Band Syndrome
  • Tumor Removal

Some of the conditions we treat are:

  • Achilles Tendon Injury
  • Arthritis
  • Bunions
  • Calluses
  • Charcot-Marie-Tooth Disease
  • Corns
  • Diabetic Foot Care
  • Dislocations
  • Flatfoot
  • Fractures (Especially Pilon/Plafond)
  • Hammer Toe
  • Ingrown Toenails
  • Lisfranc Injuries
  • Plantar Fasciitis
  • Tumor Removal

We work closely with UMC’s Rehabilitation Services Department to ensure our patients get the rehab they need post-injury/procedure.

Click here for their website.

 

Procedures

Broken bones can be fixed in a variety of ways. Some of the most common procedures we do are:

  • Closed Reduction and Percutaneous Pinning (CRPP): Instead of opening the injury up to the fracture, the skin remains closed and pins are inserted through the skin (percutaneous) to help set the bones back in place.
  • Open Reduction and Internal Fixation (ORIF): For more serious fractures, the skin is opened up and the bones are set back in place internally with hardware such as plates and screws.
  • External Fixation (“ex fix”): This treatment involves inserting pins around the fracture and attaching them to a stabilizing frame that is outside of the body. Some devices allow for patients to make gradual adjustments at home to help align and heal the fracture over time.
  • Casting: Most fractures that are treated with CRPP or ORIF are then placed into a cast for a few weeks to prevent the arm/leg from moving while the bone heals.

Some cancers, such as sarcoma, can occur in the various parts of the soft tissue in and around the bone. Removing these tumors while saving the limb is important for both getting rid of the cancer and preserving function for the patient.

Bone tumor removals in children requires careful planning, in order to help save healthy (and still growing) bone. Special adjustable prostheses are used in these cases to help equalize limb length between both sides as the child grows.

For some people with really bad arthritis, joint abnormalities or bad enough fractures, a joint replacement may be recommended.

Also called an arthroplasty, this procedure replaces a damaged joint (usually in the shoulder, hip or knee) with an artificial one. The new joint can be made of plastic, ceramic or metal, and looks and acts like a natural joint. Sometimes, only part of a joint is replaced, though usually the entire joint is replaced.

Sometimes injuries occur that affect tissues around the bone, but not the bone itself. Some of these soft tissue injuries can be treated non-surgically, but depending on the circumstance, surgery may be recommended.

Ligament and tendon repairs help the patient resume function and strength of their extremity. These kinds of injuries are most commonly seen in athletes and active people, though accidents and wear-and-tear can also lead to soft tissue injuries.

In younger patients with limb length discrepancies (where one side is longer than the other), complications can arise if left untreated, including hip/knee/ankle problems, or even scoliosis.

Surgery can be done to encourage new bone growth to help balance out both sides.

This often starts with a procedure called an osteotomy, where part of the bone is cut away and the bone spread apart. Hardware is inserted to stabilize the bone while new cells begin growing in that newly created gap to create new bone.

Correction procedures can be done on other similar conditions, whether congenital or caused by trauma.

While saving the injured limb is a major priority to our surgeons, patient welfare and quality of life matters more. Sometimes, this means making the difficult decision to amputate.

Amputations may be necessary after a bad accident, cancer, or in infected diabetic limbs. This can occur on a small level, such as a finger or toe, or on a larger scale like an entire leg.

Some people are missing portions of their body from birth. These are called congenital amputations.

In any case, most patients have the option to use a prosthetic. A new procedure called osseointegration helps to improve overall function, mobility, and comfort for amputees by eliminating socket-related issues with prosthetics.