HIP PRESERVATION SURGERY
Technologies and procedures for care and repair of the hip have evolved significantly in recent years. If oral medication and physical therapy are not effective, patients are now offered the latest advanced technique – hip arthroscopy. For patients with pain related to torn or loose cartilage, or early arthritis with bone impingement, minimally invasive arthroscopic hip surgery is an excellent option which is performed as an out-patient procedure, through one or two small incisions. In many cases, arthroscopic treatment can minimize or significantly delay the need for a hip replacement. The specialists of Florida Orthopaedic Institute are among only a handful within the state of Florida qualified to provide this state-of-the-art therapy.
PRIMARY HIP & KNEE ARTHROPLASTY SURGERY
The arthritis specialists of Florida Orthopaedic Institute use numerous methods to treat arthritis depending on its severity including activity modification, exercise programs, and oral medications to manage milder forms of the disease. For more moderate forms of the disease, cutting-edge regenerative techniques including platelet rich plasma, and stem cell injections are offered to minimize the pain associated with the disease. When the hip or knee joint is either too arthritic, deformed, or both, a variety of replacement options are available, including total hip, partial hip, and total knee replacements.
Hip and knee replacements are one of the most successful operations ever developed, with patient satisfaction rates typically in excess of 90%. Florida Orthopaedic Institute surgeons perform thousands of these joint replacements each year. All have received Fellowship training in their specialty, from some of the world’s best universities and research centers, and now teach younger surgeons these same techniques, lecturing nationally and throughout the world.
These same surgeons have pioneered many of the operative procedures, and designed the very implants used to replace the hip and knee joints. All are board certified and recertified. As a result, these surgeons consistently use the most advanced techniques available, making them leaders in their field.
SAME DAY OUTPATIENT HIP & KNEE JOINT SURGERY
Florida Orthopaedic Institute surgeons have helped pioneer outpatient joint replacement, where patients can go home the same day as the surgery. Traditionally, patients have been admitted to the hospital for a period of two to four days. But with team control, excellent anesthesia, and surgeon expertise, same day replacements can be performed on selected patients. Patients come in an hour before the operation, have surgery, usually stay between three to four hours in the recovery unit, and then go home.
ROBOTIC JOINT REPLACEMENT SURGERY
One recent technique that the Florida Orthopaedic Institute Joint Replacement team has helped pioneer is the Mako® robotic-assisted surgery. This technology helps with the removal of diseased bone while preserving healthy bone and assists the surgeon in the ideal positioning of the implant, based on the patient’s anatomy. Mako technology provides surgeons with patient-specific 3-D models to pre-plan hip and knee replacements. Surgeons guide the Mako robotic arm during surgery, based on a patient-specific plan.
REVISION JOINT REPLACEMENT SURGERY
As high volume joint replacement surgeons, the Florida Orthopaedic Institute team has a tremendous understanding of the problems associated with failed surgery. This expertise has resulted in exceptional experience in solutions for infected joints, loose implants, complex deformities, fractures around these implants, and patients with metabolic bone problems. As one of the leading revision hip and knee centers in the United States, Florida Orthopaedic Institute surgeon’s expertise has restored many failed joint replacements so patients may successfully return to a normal lifestyle.
FOOT & ANKLE SURGERY
With over 20 years of experience, performing thousands of ankle fusions, triple arthrodeses, subtalar fusions and over 300 total ankle replacements, our surgeons are leaders in the field. Over 1,000 procedures were done in 2017 alone.
Since 1989, Florida Orthopaedic Institute surgeons have helped thousands of patients get back on their feet with Tampa Bay’s most advanced orthopedic lower extremity service. Knowledgeable and experienced physicians, therapists and nurses work in concert to cover the total spectrum of foot and ankle musculoskeletal care.
CONSERVATIVE MANAGEMENT BEFORE SURGERY
Whether tendon, ligament, bone injuries, arthritis, or acute/chronic conditions, Florida Orthopaedic Institute surgeons are fellowship trained and have extensive knowledge in the management of all conditions affecting this region of the body. Thankfully, many of these problems require conservative management before requiring surgery. Shoe modifications, bracing, physical therapy, and medications are only a part of what is offered.
When surgery is indicated, the operative experience of the surgeon is critical. With the largest combined experience in Florida, the Florida Orthopaedic Institute team has performed tens of thousands of these procedures including flat foot corrections, ankle and subtalar fusions, midfoot osteotomies, bunion surgery, soft tissue reconstructions, as well as fracture reconstruction.
The foot and ankle surgeons are well respected fracture specialists, managing the most complex of these problems with a national and international reputation. In addition, the devices used to treat these injuries (plates, screws and intramedullary nails) have been developed by members of the team. This expertise is unique in the region and allows for managing problems with predictable outcomes, as well as teaching others through courses, lectures, and publications.
Unfortunately, this is a rather common problem and requires careful management to maintain motion while minimizing pain. The first line of treatment remains oral medications, but stem cell injections are frequently used by the staff to minimize the inflammation within the ankle that causes the pain. When this is not effective, arthroscopy may be used remove irritating tissue.
These minimally invasive procedures are designed to prevent the need for an open procedure. However, when arthritic pain and deformity prevents patients from maintaining a normal lifestyle, either a fusion or an ankle replacement is required.