Mark Juneau Jr., M.D.
Matthew R. Grimm, M.D.
R. Douglas Bostick III, M.D.
Wesley A. Clark M.D.
Barton L. Wax M.D.

Surgical Procedures

Arthroscopic Surgery

» Shoulder | Knee | Hip | Wrist | Ankle

arthroscopic replacementArthroscopy uses tiny incisions to insert a probe-like camera and surgical instruments, allowing our doctors to fully examine the area before performing corrections. These small incisions allow for more precise movement and reduce the risk of infection and other complications of surgery. Arthroscopy is especially effective in treating joint conditions.

Hand Surgery

Hand surgery is a specialized type of procedure that may be performed to correct a wide range of diseases, injuries and defects that may cause symptoms and/or affect the appearance of the hand. Hand surgery can be performed for both medical and cosmetic purposes. Your hand surgery procedure will be customized in order to repair your individual condition and leave your hands looking and feeling their best.

Because of their frequent use, the hands are a common location for injuries and degenerative disorders such as arthritis. Many people are born with birth defects of the hand as well. Hand surgery can restore function, relieve pain and improve the appearance of the hands for patients suffering from cysts, nerve conditions such as carpal tunnel syndrome, arthritis, birth defects and other problems. Hand surgery may also be performed to re-attach or reconstruct severed fingers after trauma.

Effective hand surgery requires the skill and precision of an experienced surgeon, in order to successfully treat the condition and restore full function to the hand. At Jefferson Orthopedic Clinic, our surgeons have years of experience performing a full range of hand surgery procedures, and utilize the latest techniques while doing so.

Hand Surgery Procedures

The actual procedure will vary depending on the type and severity of each patient’s individual condition, but may include:

  • Carpal Tunnel Surgery – tissue that is causing pressure on the nerve is removed to relieve pressure.
  • Rheumatoid Arthritis Surgery – damaged tissue is removed from the joint, tendons and ligaments are repositioned, or the entire joint is replaced with a prosthetic.
  • Dupuytren’s Contracture Surgery – thickened, scar-like tissue is separated to improve range of motion and prevent nerve damage.
  • Grafting – transfers bones, nerves or other tissue from healthy areas of the body to the damaged area, commonly performed after trauma.

Hip Replacement

hip replacementIn a total hip replacement, the diseased bone and cartilage are replaced with a metal ball and plastic cup. The artificial joint, called a prosthesis, may be cemented in place, may be cementless, or may be a hybrid of both. The surgery takes from two to four hours, followed by another few hours spent under observation in a recovery room. Patients usually enjoy immediate relief from joint pain after the surgery.

Joint Replacement

Sometimes the best way to relieve pain and restore function to a joint is to replace all or part of it with a prosthesis (an artificial joint). Prostheses are intended to restore function to the joint and relieve pain associated with arthritis, other chronic conditions, or traumatic injury.

Prostheses are designed to move like a regular joint. They are made of durable plastic and metal parts that fit together snugly but glide smoothly (as opposed to the painful friction associated with the worn cartilage of arthritic joints). The pieces are shaped like the structures they replace – for example, the damaged bones in a ball-and-socket joint of a hip or shoulder are replaced with a metal ball and plastic socket. They are held to the surrounding bone either with a locking mechanism or with a special bone cement.

Partial Knee Replacement

knee replacementIn a total knee replacement, the damaged ends of the bones are removed and replaced with a prosthesis made of metal and plastic. A partial knee replacement for patients with damage on only one side of the joint can delay or prevent a total knee replacement. These artificial parts allow the joint to move smoothly so the patient experiences pain relief and a better quality of life. Knee replacement can also help restore motion to the joint, straighten the leg and improve stability.

Ultrasound Guided Injections

Joint injections are a minimally invasive treatment option used to relieve pain caused by inflammatory joint conditions such as rheumatoid arthritis, tendonitis, bursitis and gout. Certain medications, such as corticosteroids or viscosupplementation, used to reduce inflammation and minimize pain, are injected into the affected joint. This medication only affects the targeted area and does not usually cause side effects. Joint injections are administered under local anesthesia and only cause mild, brief discomfort for patients.

In order to ensure the precise administration and most effective results from joint injections, Our doctors performthese treatments under ultrasound guidance. Ultrasound uses high-frequency sound waves to produce real-time images of the internal structures of the body, with no radiation and no side effects.

Joint injections can be used to relieve pain in the:

  • Knee
  • Shoulder
  • Ankle
  • Elbow
  • Wrist
  • Thumb
  • Hip

Most patients can benefit from ultrasound-guided joint injections and are good candidates for treatment, unless they have an infection in the joint or an allergy to one or more of the medications to be used. We will develop a customized treatment plan for each individual patient in order to achieve long-lasting pain relief.

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