Tag Archive: gilbert

Hip Replacement Surgery in Gilbert and Chandler AZ

Hip replacement surgery, also called total hip arthroplasty (THA) is a procedure reserved for Hip painpatients who have severe hip joint damage or degeneration. The disability and pain from arthritis can impair your ability to perform daily activities and influence your quality of life.

How long does total hip replacement last?

In general, a total hip replacement lasts over 20 years. However, it is best to consider failure rates. If you have a total hip replacement, you have a 90-95% chance that the joint will hold up for 10 years, and an 80-85% chance that it will last for 20 years. As technology improves, these numbers will go up.

Are all joint implants the same?

The majority of joint implants are similar, with the AZ orthopedic surgeon using the design that works best, lasts longest, and has the fewest complications. However, the variable to consider is the bearing surface, which is the ball and liner that attaches to the stem and the cup that adheres to the bone. Balls may be composed of ceramic or metal, and the liner can be made of metal, plastic, or ceramic.

Which approach is best?

The surgeon may perform one of the following approaches:

  • Posterior approach – This is the most common approach, and it involves surgery done from Hip-Replacement-Anterior-Approach-Incisionthe posterior (back) region of the hip.
  • Mini posterior approach – Done from the back of the hip with smaller incisions and less tissue trauma.
  • Anterior approach – Performed from the front aspect of the hip.
  • Lateral approach – Less common approach done from the side of the hip.

The Board Certified Gilbert orthopedic doctors at OSPI offer the anterior approach in a minimally invasive fashion. This reduces postoperative complications and speeds up rehab.

What type of anesthesia will I be given?

Hip replacement surgery can be performed using both general and regional anesthesia. With general anesthesia, the patient is put to sleep. With regional anesthesia (spinal, epidural, or nerve block), only a portion of the body is paralyzed. This type of anesthesia reduces complications and improves recovery time.

Is this a minimally invasive surgery?

Arthroscopic hip surgery is a minimally invasive procedure, which means smaller incisions and less tissue disruption below the incision. Less muscle cutting is involved with a minimally invasive procedure, as is less tendon detachment from the bone.

How big is the incision be and will it leave a scar?

The size of the incision depends on many factors, such as the patient’s weight and height, the surgeon’s requirements, and the complexity of the procedure. Smaller incisions mean less canstockphoto24680715(1)scarring. The scar will heal after a few weeks, and then change in appearance over time. However, most patients have a small scar for the remainder of their lives.

How long do I have to stay at the hospital?

Because hip replacement surgery involves anesthesia and immediate rehabilitation, you will stay at the hospital overnight, and possibly, for an additional 1-3 days. This depends on your rehabilitation protocol, how fast you progress, your age, your medical conditions, and the surgeon’s preference.

How soon before I can walk?

After a total hip replacement, most surgeons recommend that you get up and start moving immediately. Most people can walk with a walker the day following the procedure and with a cane in 2-3 weeks. Most people who undergo THA are able to fully participate in daily activities after 6 weeks. By the third month, many patients have regained strength and endurance and can fully participate in usual activities.

What can I expect with physical therapy?

You will receive physical therapy during your hospital stay, and for 1-4 weeks after you go home. Much of the therapy involves general stretching and muscle strengthening exercises, as well as learning to use assistive devices, such as the walker, cane, and hand held devices. The therapist works with you to return to work activities, but if you have a physically demanding job, you may have to wait 2-3 months.

What restrictions follow the surgery?

Depending your individual case (condition, type of surgery, extent of repair, etc.), you may have certain rehabilitation restrictions. Most surgeons give you instructions on which positions of the hip increase your risk for dislocation, and these positions should be avoided. After 6 weeks, the restrictions are lifted. In addition, you must avoid high-impact activities, such as long distance running, skiing, and basketball.

Total Joint Replacement at OSPI – AZ Orthopedic Surgeons

Total Joint Arthroplasties

Joint replacement surgery, also called a total joint arthroplasty (TJA), is a common procedure used to relieve pain, improve mobility, and restore quality of life. There are many types of joint replacement procedures. Joint replacement surgery is used to replace damaged cartilage and any loss of bone structure.

The procedure is a resurfacing of the damaged joint, which relies on the ligaments and muscles for function and support. The replacement joint is called a prosthesis, which can be made of cobalt chrome, stainless steel, titanium, ceramic, or polyethylene.

Osteoarthritis and Joint Dysfunction

The most common conditions that cause joint dysfunction are osteoarthritis and rheumatoid arthritis. Many factors contribute to joint degeneration and damage, which leads to arthritis. Factors include:

  • Developmental abnormalities of the jointknee replacement
  • Heredity
  • Minor repetitive injuries
  • Abnormal cartilage metabolism
  • Severe trauma to the cartilage
  • Being overweight

Total Knee Replacement

The knee is the body’s largest joint, and it is necessary for walking, climbing stairs, and everyday activities. With age, excessive weight, and wear-and-tear from arthritis, the knee joint becomes damaged, making movement painful.

In a total knee replacement, the Gilbert orthopedic surgeon removes the degenerated cartilage surfaces at the ends of the shinbone (tibia) and thighbone (femur), and then replaces these areas with metal or plastic components. A spacer is inserted between the components so the joint will glide in a smooth fashion.

Patients who are candidates for a knee replacement are those with a knee deformity, people with chronic knee inflammation, persons who do not respond to conservative treatment, and anyone with limited movement of the knee. The Centers for Disease Control and Prevention (CDC) reports, in the U.S., more than 719,000 total knee replacements are performed each year.

Total Hip Replacement

The hip is a mobile joint, formed with a ball-and-socket. The ball and socket are both coveredcanstockphoto24680715(1) with articular cartilage, which can wear down from injury, trauma, or arthritis. This causes pain and limited mobility.

A total hip replacement involves removing the ball of the joint (femur head) and replacing it with a metal stem that attaches to the thigh bone. The damaged area of the socket is also replaced with a metal socket, and between these implants, the surgeon places a spacer that helps the joint glide easily. Candidates for a total hip replacement are patients who experience significant hip pain and stiffness, as well as people who have not responded to non-surgical methods. According to the CDC, there are more than 330,000 total hip replacements performed each year in the U.S.

Shoulder Joint Replacement

The shoulder joint consists of three bones: the humerus (upper arm bone), the clavicle (collarbone), and the scapula (shoulder blade). The shoulder is a ball-and-socket joint with cartilage on the ends of the structures to help them glide smoothly against one another. This cartilage breaks down due to arthritis and trauma, causing significant pain and loss of function. A total shoulder joint replacement involves use of prosthetic bone ends to replace the damaged areas. This surgical procedure is used for patients who do not respond to medications and those who have symptoms at rest.

Success Rates of Joint Replacement

The success rate of total joint replacement surgery is quite high. The need for repeat operation in the first ten years is less than 5%. Most replaced joints last from 10-20 years.

The Board Certified hip, knee and shoulder joint replacement surgeons at OSPI are highly skilled in the procedures. The Gilbert orthopedic surgeons offer contemporary, minimally invasive procedures that decrease postoperative pain, bleeding and speed recovery.

Most insurance is accepted at OSPI, call (480) 899-4333 today!

Shoulder Arthroscopy and Debridement with Top Arizona Orthopedic MDs

Shoulder arthroscopic debridement is a procedure used to relieve pain and restore function to the shoulder joint. This surgery is best for patients who have rotator cuff tears that cannot be fully repaired. The procedure is followed by a long course of physical therapy.Shoulder Surgeon Mesa AZ

What is debridement?

Debridement is the process of removing damaged tissue and debris from the shoulder joint. Considered a minimally invasive procedure, shoulder joint debridement involves use of small tools to surgically clean the area.

Who is a candidate for shoulder arthroscopic debridement?

Tissue damage of the shoulder joint occurs due to various reasons. The most common reason for tissue damage is degeneration from osteoarthritis. However, damage can also occur due to trauma or injury. As the tissue of the joint deteriorates with normal wear-and-tear as the body ages, debris and loose tissues form in the joint. This can lead to impaired shoulder range of motion and significant pain.

What is the success rate of shoulder arthroscopy and debridement?

Based on clinical studies, shoulder arthroscopic debridement has over a 70% success rate with orthopedic surgeons in Gilbert and Chandler AZ. This success rate is based on reduction in pain and return to normal activities.

What type of anesthesia is involved?

Shoulder ArthroscopyShoulder arthroscopy and debridement is usually done using general anesthesia, and the total procedure takes approximately one hour. For pain relief after the procedure, a local anesthetic and or regional anesthetic (nerve block) may be used. Regional anesthesia is used for patients who have certain medical conditions and those who wish to avoid post-operative side effects.

How do I prepare for the shoulder debridement procedure?

Two weeks before your scheduled surgery, make the Chandler orthopedic surgeon aware of all your medications, and assure that he has copies of your medical records. Don’t smoke, avoid alcohol, and pass on over-the-counter medications. Do not eat or drink the night before the procedure, and leave valuables at home. Arrange to have someone to drive you home from the hospital. When you arrive, a nurse will have you sign a consent form, change into a gown, and place an IV in your arm to administer necessary medications.

How is the surgery done?

The sports medicine surgeon first makes several small incisions around the shoulder. The arthroscope is inserted so the doctor can see inside on a monitor. The first part of the procedure involves evaluating the shoulder for damaged tendons and arthritis of the joint. When shoulder ospi_smallmovement is restricted, the ligaments are released.

If the biceps tendon is trapped or painful when the arm is lifted, the tendon is also released. In order for the tendon to move adequately, a small portion of bone may need to be removed as well. After all debridement is done, the incisions are closed with sutures, and the area is covered with bandages. Then, the shoulder is placed in a sling.

What does recovery involve?

After the procedure, you are moved to a recovery room where a nurse monitors your condition for several minutes. Most patients will stay overnight in the hospital. The next day, a physical therapist works with you to teach necessary exercises for regaining strength and joint function. The sling is worn for 2-3 weeks, and at this time, you may use your hand as needed. After the sling comes off, you can drive and gradually return to usual activities over the next 3-6 weeks.

Current Concepts in Anterior Cruciate Ligament Repair

Anterior cruciate ligament (ACL) repair is a procedure used to rebuild the ligament in the center portion of the knee. The ACL keeps the tibia (shinbone) in place. When this ligament is torn or damaged, it can cause the knee to buckle during physical activity.

How common is ACL ligament repair?

The ACL is one of the most commonly injured ligaments in the knee. Around 200,000 people ACL Tear2suffer some sort of injury to the ACL, and 100,000 ACL repair surgeries are performed annually. ACL injury incidence is higher in people who participate in high-risk activities, such as skiing, football, basketball, and soccer. It is common to see an injured ACL in combination with injury to the meniscus, collateral ligament, articular cartilage, and/or joint capsule.

What tissue is used to make the repair?

The ACL is often repaired using tissue grafting. The graft taken from the patient’s own body is called an autograft. The most common area for taking tissue is the hamstring tendon (kneecap tendon). When not possible to use the patient’s own tissue, an allograft (cadaver tissue) is used.

Why is ACL repair necessary?

ACL repair is done because the knee becomes unstable after a tear in this ligament. This will increase the chance of a meniscus tear. ACL repair is also used for treating knee problems, such as:

  • Knee pain
  • Knee instability
  • Inability to participate in usual activities

How do I prepare for ACL surgery?

After surgery, you will not be able to bear weight on the knee, so you should prepare your home. Have items you need within reach, and stock up on supplies. You need to arrange to have ACL Graftsomeone drive you home, and should notify the doctor of all blood thinners you are taking, as some of these must be held for several days before the procedure.

What happens when I arrive at the surgery center?

Be sure to arrive at the surgery center 60 minutes before your scheduled procedure. A nurse will go over the risks and benefits of the procedure, and ask you to sign a form of consent. After you change into a gown, the nurse will place an IV catheter in your arm.

How is the ACL repair performed?

After receiving anesthesia, the Gilbert sports medicine surgeon makes small incisions over the knee. The tiny, lighted camera is inserted into the knee so the doctor can visualize the structures (arthroscopic). The surgeon uses the camera and monitor to check the ligaments and repair the

physical therapy1damaged structure using graft tissue. The graft is attached using screws and pins to hold it in place. After all repairs are made, the surgeon closes the incisions with sutures, and covers the area with a dressing.

What happens after surgery?

You will need time and effort if you wish to fully recover. You must follow a rehabilitation program for 4-6 months, and your ability to return to full activity depends on how well you follow this program.

What is the success rate of surgical ACL reconstruction?

Patients who have surgical reconstruction of the ACL have a success rate of 82-95%, according to clinical studies. Only 8% of patients experience graft failure or recurrent instability.

Whiplash Treatment at a Top Gilbert Pain Management Practice

FAQs on Whiplash

 

About 120,000 Americans are treated for whiplash pain every year. At least two percent of Auto-Accident-2-300x199estimated two million men and women injured in nonfatal auto accidents face the risk of suffering from this medical condition. Taking together injuries from contact sports, slip and fall injuries, physical assault, amusement park rides and neck blows from various other activities, about 2 to 3 million people experience whiplash injuries of various degrees.

What is whiplash injury?

Whiplash injury indicates a traumatic condition associated with sudden jolt to the cervical spine. It is caused by violent or abrupt pressure on the neck forcing it to whip backward and forward. The unexpected jerking impacts and harms neck muscles, disks, ligament and even nerves. The pressure exerted causes disruption in the cervical spine alignment and entrapment of nerve roots by the vertebra. This triggers recurring pain and restricted neck movement, two important signs of whiplash injury.

Whiplash commonly occurs in victims of auto accidents and sports injuries. Rear-end motor collisions perpetrates the highest number of cases. Those suffering from work injuries, collision injuries and fall injuries are at increased risk. The severity and need for treatment vary from patient to patient.

How does whiplash injury occur?

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The neck comprises of bony structures, cervical spine, muscles, ligaments and nerves. When there is a quick blow on the neck, the muscles and ligaments are forced to overstretch beyond their typical ability to absorb the shock. This phenomenon is observed when the neck whips backward and forward. As a result, there may be injuries to neck muscle, ligament and the cervical spine or even physical changes in the cervical vertebra alignment.

If the alignment is affected, nerve roots are likely to be entrapped or stretched and irritated leading to inflammation and pain. If there is damage to disc, muscles or ligaments, there is the likelihood of injury and inflammation, which also contribute to painful symptoms and reduced neck mobility.

What are signs and symptoms of whiplash injury?

A patient with whiplash injury is likely to have one or more of the following symptomps.

  • Stiff neck
  • Neck pain immediately or 24 hours after the accident
  • Cervical pain restricting neck motion to front, back or sides
  • Restricted neck mobility
  • Headaches at the backside or base of your skull
  • Spasms and tenderness in muscles of the neck, shoulder, upper back and arm
  • Pain, numbness or tingling sensation in arms
  • Dizziness, weariness, blurred vision, headaches, concentration difficulty, irritation
  • Neck ligament injury
  • Myofascial injuries
  • Facet joint syndrome
  • Paresthesias, fatigue, upper back pain, Sleep disturbances, shoulder pain

What are the causes of whiplash injury?

Whiplash injury to the neck occurs when it is subject to excessive stress or jolt from

  • auto accidentsAuto-Accident3
  • physical assault
  • contact sports injuries
  • cycling accidents
  • injuries from slip and fall
  • blows to the head from a heavy object
  • inappropriate landing during a jump
  • carrying heaving objects for long or weightlifting
  • injury from horse riding
  • injury from intense activities

Who are at the increased risk of whiplash injury?

Victims of rear- or side-impact car collisions and sportspersons are at the increased risk of whiplash injuries. Those with cervical spine arthritis and adventure sports enthusiasts also face the risk.

When to see a doctor?

Minor whiplash injuries resolve within a short period. However, a major injury may lead to recurring pain that lasts for weeks. Consult a doctor, if you experience recurring severe neck pain, cervical strain or stiffness in the neck or upper back within a few weeks of the injury.

How is whiplash injury diagnosed?

  • Physical verification of symptoms and pain area
  • X-ray or MRI to rule out injuries to the vertebrae
  • CT scan to verify injuries to soft tissues
  • Any other test required to rule out potential existence of other conditions causing neck pain

What are complications of whiplash injury?

Whiplash injury left untreated may cause prolonged pain and neck disability. Damaged vertebra and muscles may aid in the onset of paraplegia and other spinal disabilities.whiplash 2

What are treatment methods for whiplash injury?

Whiplash injury treatment has two objectives – reduce or suppress pain and facilitate improved neck movement.

  • Self-Care and Conservative Methods

Rest, physical therapy, ice pack use, massage, acupressure and certain cervical, flexibility and breathing exercises help reduce pain and recover from minor whiplash injuries.

  • Medication and Medical Devices

NSAIDs, muscular relaxants and other pain killers are prescribed to patients complaining of whiplash pain. Patients wearing cervical collars are most common examples of whiplash injury treatment. Made from foam, these devices are mostly suggested immediately after the injury. However, their long-term use negatively affects the recovery, as muscular strength is eroded.

  • Long-Term Pain Management Methods
  • Electrical stimulation: It stuns the irritated nerves and affects their ability to carry pain signals.
  • Trigger point injections: Injections of numbing medication with or without steroid mixed deaden the painful muscle spot and treat inflammation and facilitate neck movement without pain.
  • Botox: Injections containing botulinuTrigger_Point_Injectionsm toxin paralyze muscles causing cervical stiffness and pain and assure pain relief.
  • Medial branch block: Numbing medication blocks the ability of medial branch and treat their inflammation and irritation. It is best in case of whiplash pain from entrapped nerve roots.

OSPI offers top notch orthopedic, pain management and chiropractic treatment in Gilbert, Chandler, Mesa, Queen Creek and surrounding areas. All types of nonoperative treatment are offered at the practice, including medications, manipulations, electrical stimulation, TENS unit, facet/medial branch injections, radiofrequency ablation, trigger point injections and more.

Most insurance including personal injury liens are accepted at OSPI. Quick appointments are available. Call (480) 899-4333 for more information and scheduling with the top chiropractic, orthopedic and pain management providers in the East Valley!

 

All about Hand Fractures – Info from a Gilbert AZ Hand Surgeon

Anatomy of the Hand

 

A number of bones join together to make up the human hand. These bones also form and act as the appendage’s supporting framework which attaches the muscles together at the wrists and shoulder and enables the fingers and arm to move.

A considerable amount of pressure directly to a bone is needed to break it, i.e. a hand fracture hand wrist carpal tunnel pain photooccurs due to direct force to the hand. What usually comes next, is pain, swelling, and a decrease in usage of the injured hand.

Kinds of Hand Fractures

While some fractures may be considered as simple, with bone pieces being perfectly aligned and stable, there are other kinds of fractures that are just the opposite, where bone fragments tend to shift or lose their place. There are also some fractures that happen in the main body of the bone, while there are others that only break the surface of the joint.

Comminuted Fractures: These are fractures where the bone is broken into many pieces and is often highly unstable.

Open Fracture: Also known as the compound fracture, it usually happens when a bone fragment tears through the skin. There is a level of risk associated with this type of fracture.

Signs and Symptoms of a Hand Fracture

If you have a hand fracture, you will experience;

  • Pain
  • Stiffness
  • Loss of movement

To help determine the exact plan of action to take in the case of a hand fracture, your orthopedic hand surgeon in Gilbert or Chandler will first undertake a medical evaluation and x-rays. A number of treatment options will be made available to you, depending on what type of fracture you are suffering from.

Treatment Options for Hand Fractures

In order to treat a fracture that isn’t displaced, a splint or cast is usually recommended. Your orthopedic hand specialist may also prescribe one to protect a fracture that has been set.

There are some fractures that need to be held in place with the help of wires or pins. This is known as a closed reduction and internal fixation, because no incision is made to carry out the procedure. On the other hand, some fractures require surgery known as open reduction.

Articular fractures or those that disrupt the joint surface require a precise setting of bone fragments to smoothly restore the joint.

In some cases, a bone graft might be necessary, especially when the bone is severely broken. In this procedure, your orthopedic surgeon will take bone fragments from another part of the body or from a cadaver and attach it to the area to be repaired, which provides stability to it. Depending on the case, substitutes for bone graft are also used at times, instead of taking it from the body part of the patient.

Once the fracture has been set and gains enough stability, your orthopedic surgeon will lead you through a range of motion exercises aimed at reducing stiffness and improving mobility with physical therapy.    

The top hand specialists in Gilbert, Chandler, Mesa and Queen Creek are at OSPI. All types of nonoperative and operative treatment are offered at Orthopedic and Sports Performance Institute for hand injuries. Most insurance is accepted. Call OSPI today at (480) 899-4333!

What Are the Most Common Ankle and Foot Injuries?

What Are the Most Common Ankle and Foot Injuries, and the Surgeries to Make Them Better Again

 

Out of all the musculoskeletal injuries, the most common injuries among people are related to the foot and ankle. Here, we will look at the 3 most common ankle and foot injuries that require surgery to get better.

What Are Acute Sprains?

Such sprains involve a disruption of the fibers, especially of the lateral ankle ligaments. This usually happens due to a twisting of the foot, where the anterior calcaneofibular and talofibular

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ligaments are affected the most. Immediate swelling that is experienced in the area is largely due to internal bleeding.

Most acute ankle sprains can be handled without any adverse results or need for surgical intervention, by following the simple yet very effective RICE method i.e. rest, ice, compression, and elevation. This therapy should be administered as soon as possible following an acute ankle sprain.

Chronic Ankle Sprain

The ankle sprain that doesn’t heal well can become instable, due to which a surgical procedure is needed. One of the techniques that is used to analyze and evaluate the instability of an ankle i.e. the drawer test; will demonstrate an excessive motion, especially in the anteroposterior direction at the ankle joint.

Surgical Procedure for This Sprain:

The most common surgical procedure that is undertaken in the case of chronic lateral ankle instability or chronic ankle sprain is known as the lateral ankle ligament reconstruction/repair procedure. Stability is brought to the damaged ligaments by tightening them, via a technique Achilles Tendon Tears2called double breasting which means that the layers are overlapped one upon the other.

Achilles Tendon Rupture

The one way to determine whether patients are suffering for acute Achilles tendon rupture is by asking them to lie in a prone position. If there is significant amount of loss in the plantar flexion tone, as compared to both the sides; then patients will need to undergo surgery, but for young patients, the same can be treated or managed with the help of a cast.

The patients that are eligible for this type of operative repair need to meet with the following criteria, i.e. they should be healthy , active, and aspiring to return to sporting events and activities.

Surgical Procedure for This Injury:

A number of surgical techniques can be used when it comes to repairing a torn Achilles tendon. The most common surgical procedures that are used to repair Achilles tendon involve the re-approximating of the torn ends, and sometimes, reinforcing them by another tendon.    

Ankle Fracture

Ankle joints are most commonly affected by bone fractures. The injury occurs when the malleoli around the ankle joint are broken, which results in patients experiencing severe pain and swelling, followed by the inability to put their weight on the injured foot.

Surgical Procedure for This Fracture:

ORIF or open reduction and internal fixation are the surgical procedures that are most frequently used when it comes to repairing ankle fractures. This is where fractured bones are openly operated upon and realigned. Metal plates and/or screws are then used to keep the bones secure and in place, in the correct position.

At OSPI, the orthopedic and pain management doctors offer comprehensive foot and ankle treatments. This includes top notch foot and ankle specialists treating patients from Gilbert, Chandler, Mesa, Queen Creek, Casa Grande, Maricopa and surrounding areas.

Most insurance is accepted at Orthopedic and Sports Performance Institute. CALL US NOW    480-899-4333

An Overview of Ankle Fracture Fixation

The surgical procedure that is done to fix the broken bones of an ankle fracture is known as Open Reduction and Internal Fixation (ORIF). The procedure is carried out with the help of screws, wires, plates and/or pins, which are inserted by the Arizona orthopedic surgeon to keep the bones in place while they heal.

Diagnosis of an ankle fracture is done with the help of the patient’s complete history of the problem, a detailed physical exam, and after carrying out diagnostic ankle%20fracture%201tests such as MRIS, X-rays etc. A CT scan may be also needed if a much more complex fracture is suspected.

Most of these procedures are performed acutely, so you may already be in the hospital. Your procedure may be performed acutely, or it could be that the swelling needs to be allowed to go down first. The last thing you would want is a procedure performed on damaged soft tissues that are swollen and susceptible to infection. It’s also wise to arrange for transport after the completion of the surgery as you won’t be fit to drive your own car.

Discuss the type of anesthesia you will receive during the operation and if there are any options. Also, a form of consent will be provided to you which either you or a family member will have to sign. Be sure to ask your orthopedic surgeon any and all questions regarding the surgery, before signing the form.

What to Expect During the Procedure

This procedure is carried out with the help of screws, wires, plates and/or pins as stated above. First, the fracture specialist will make a small incision on or near the ankle. In the case of defects, bone grafts may be required, which will make the grafting process much stronger.

Ankle_fractureLoose bone fragments will be removed, and the fractured pieces will be put back into place as accurately as possible. If the joint surface has been damaged, the orthopedic surgeon will attempt to accurately put those pieces back together as well to minimize the chance of post-traumatic arthritis. Sutures are then used to close the operation site, but before that, several x-rays are taken to make sure all the bones are in their proper place.

Helpful Guidelines for Home Care

In-home care management after an open reduction and ankle fracture fixation generally requires that patients follow the RICE method to help reduce the swelling and pain. The use of crutches is highly encouraged; ice should be applied on the operated site 3-4 times in a day for 10-20 minutes, and the leg should be elevated at all times so that the fluid inside the joint can resume its normal circulation and swelling is minimized.

To help ease the pain and inflammation that normally follows after this procedure, you will be given pain medication and crutches as well. It may take a few months for the fracture to heal properly. The end result may be a pain free existence, or chronic aches and pains may occur as a result.

The Board Certified orthopedic doctors at OSPI are experts in  fracture care and most insurance is accepted. If you or a loved one is suffering from a suspected fracture, call the top doctors today serving Mesa, Gilbert, Chandler and Mesa AZ.

The Diagnosis and Treatment of Arthritis in Gilbert and Chandler AZ

Arthritis; Its Treatment and Diagnosis

There are many nonoperative treatment options for arthritis; such as alternative therapies, occupational therapy, and medications. Here is a short list of potential those treatments:

  • Anti-inflammatory Medications
  • Topical Prescription Pain Medication[ File # csp11032144, License # 2179054 ] Licensed through http://www.canstockphoto.com in accordance with the End User License Agreement (http://www.canstockphoto.com/legal.php) (c) Can Stock Photo Inc. / pixologic
  • Bracing
  • Physical Therapy
  • Exercise program such as CrossFit
  • Cane
  • Injections with Hyaluronic Acid, Steroid, PRP Therapy, Stem Cell Therapy
  • TENS Unit

Arthritis Patients Opting For Joint Replacements

As a last resort, an orthopedic surgeon in  Mesa AZ may perform a joint replacement. For the hip and knee, these have been incredibly successful. But they should only be performed as an elective procedure after considerable conservative options have been tried. One of the most common forms of surgery when it comes to arthritis patients is joint replacement surgery, with hip and knee replacements being particularly popular among older patients.

Over 500,000 hip and knee replacements are performed annually in the US and it rises every year. Considered to be far more successful than any other surgery, joint replacements can last up to 20-30 years after which a revision surgery may be required.

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The Procedure

Total hip and knee replacement procedures take approximately two hours, and involve removal of the arthritic joint spaces. In their place, the orthopedic joint replacement doctor will implant a combination of plastic and metal for the new joint surfaces. Modern joint replacement procedures allow patients the ability to start walking the day after surgery with physical therapy assistance. Recovery takes approximately three months in total.

Outcomes

Overall, joint replacements have some of the best outcomes imaginable at 90% good to excellent. It is crucial for patients to participate in their post-surgical physical therapy regimen, as that is “half the battle.”

The Board Certified providers at OSPI offer expert joint replacement procedures for the hip and knee. Some can even be done as an outpatient depending on the patient’s baseline health. Most insurance is accepted at the practice, with physical therapy being offered at the office as well.

For the top hip and knee replacement doctors in Gilbert, Chandler and Mesa AZ, call OSPI today!

 

The Latest Advancements in Knee Replacement for Active Boomers

The majority of patients coming in for knee replacement surgery are in their 50s, according to Steven Haas who is heading the Knee Surgery and Attending Orthopedic Surgeon Department at the Hospital for Special Surgery based in New York City. If these statistics are compared with those of 20 years ago, there has been a rapid shift in demand for knee replacement surgery, especially for people in their 50s.

Why the sudden interest and growth of demand for the surgical procedure? The points responsible for this are new and innovative technologies that are being used now, especially in implant design and far more improved surgical techniques that are being used by orthopedic surgeons to meet with the growing demand for knee replacements. In addition, the growing number of baby boomers reaching older age has increased the numbers in need of the procedure.

The Latest in Knee Replacement Surgery

Only recently, the orthopedic community announced the arrival of the newest advancement for the surgery, i.e. a knee replacement implant that can last the patient as much as 30 years instead of the standard 10-15. Moreover, the implant has also been cleared by the FDA which means that those looking for ways to make their implants last longer, can opt for this.

VERILAST technology is used for making the implant that will make it possible for patients to possibly outgrow the implant, rather than the other way round. In addition to this, the implants are thought to be much more functional than the earlier versions, as is proved by a series of tests that researchers underwent before giving that verdict.

Adoption of Better Surgical Procedures and Techniques

Orthopedic surgeons have also changed their way of performing surgical procedures, by introducing techniques such as minimally invasive surgery, which helps in decreasing trauma to the patient, as much as possible, which in turn leads to a faster recovery.

Another development is the usage of small surgical instruments for performing the procedure, where the goal is to cut as little as possible, which will minimize the collateral damage and trauma that came with previous surgical procedures that were extremely invasive in nature.

Better Recovery Rate Due To Minimal Invasive Surgical Procedures

The entire point of such a surgery is not to make the cut big enough to fit the instruments, but rather, to use smaller instruments during the procedure that would best fit the cut made. This is the reason why, smaller incisions are used to get access to the knee area after providing local anesthetic to the patient.

One point in favor of the minimal invasive procedure is that, no need is felt to cut the quadriceps tendon or flip the kneecap upside down in order to gain access to the area, which was required in the case of previous surgical techniques. This has also improved the recovery rate far more significantly and at a much faster rate, than old surgical techniques, so now patients are up and about after only 6 weeks of having the procedure done as compared to 3 months.

OSPI offers expert knee replacement doctors in Gilbert, Chandler and Mesa AZ who specialize in the latest technologies including computer navigation, minimally invasive and even outpatient procedures. Call OSPI today to receive treatment with the top orthopedic doctors in the entire East Valley!

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