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Knee & Leg

The Knee

The knee is the body’s largest joint. It’s the place where three bones meet: the tibia, the femur, and the patella. The knee is a “hinge” joint, allowing the leg to bend in only one direction. The knee supplies strength for running, squatting, jumping, and turning. But it doesn’t have the range of motion of other joints, and has almost no ability to rotate.

The knee is a complex system of supportive and moving parts, including bones, cartilage, muscles, tendons, and ligaments – each of which is subject to injury or disease. Because of this, treatment of knee-related injuries and disorders requires a distinct set of skills and experience.

Florida Orthopaedic Institute has expert surgeons who are board certified by the American Board of Orthopaedic Surgery and fellowship trained in adult knee reconstruction. The following represent specific evidence and examples of how our surgeons consistently put into practice progressively advanced practices in the knee area.

Partial Knee Replacement With The Navio® Surgery System

The NAVIO® Surgery System allows Florida Orthopaedic surgeons to perform precise and accurate partial knee replacements. This system, developed by medical device maker Smith & Nephew, involves only a simple x-ray rather than a time-consuming and radiation-intensive CT scan, before the surgeon uses advanced planning software to tailor the surgery to the patient’s anatomy, align the implant, and balance the knee.

As the only location in Florida with the NAVIO robotic assisted surgical system, Florida Orthopaedic surgeons can visualize their patient’s X-rays. By making partial knee replacements a more accessible option through improved precision, patients receive a surgical procedure that is generally associated with smaller incisions, less scarring, and quicker recovery when compared to the total knee replacement alternative. In our Orthopaedic Surgery Center, this procedure is performed as outpatient surgery not requiring a hospital stay.

Using the NAVIO assisted partial knee replacement, patients typically walk and climb stairs the same day of surgery. It helps them return quickly to an active lifestyle.

Florida Orthopaedic Institute is the first and only location in Florida with NAVIO Robotics, and is one of only 79 locations worldwide.

Learn more about Navio Surgery System

Total Knee Replacement

In 2016, Florida Orthopaedic Institute performed an innovative and sophisticated total knee replacement surgery using the MAKO Robotic-Arm Assisted Surgery System. The MAKO system is a surgeon-controlled robotic arm technology that enables accurate alignment and placement of implants. Before the surgery, the MAKO Robotic-Arm Assisted Surgery System creates a 3-D model of your knee to pre-plan the procedure. Your surgeon guides the robotic arm, using the pre-plan guidelines, and removes only the diseased bone. A tremendous advantage of this procedure is that it preserves your healthy bone and soft tissue as well as assisting the surgeon in positioning your implant. 

Learn more about the MAKO surgery system

The Florida Orthopaedic Institute board certified surgeons provide attentive all-inclusive knee care beginning with a concentrated discussion with each patient about your specific pain or distress. Following this discussion, your surgeon will likely recommend additional assessments including x-rays to assist in determining the source of the cause of your pain. When your comprehensive evaluation is complete, your knee surgeon will explain the diagnosis. They will also discuss all available treatment options. Treating your pain with conservative options is always our priority. However, if non-surgical options won’t accomplish complete success for your needs, our knee surgeons are trained on (and at times assist in the development of) the latest surgical procedures and advancements, including cartilage, restoration, and total knee replacement.

The Leg

The leg is composed of muscles, bones, blood vessels and tissues and activities associated with walking, jumping, skating, etc. rely on the interactive support of your leg’s construction for you to move. Common leg injuries occur during sports, recreational and personal or professional work-related activates.

If the problem with your leg is not related to a specific injury, your discomfort may be associated with a different cause. For example, mature adults, who tend to lose muscle mass as they age, tend to be at higher risk for certain issues. Overactivity in children or a rapid growth of their bone and muscle may threaten a child’s muscles. The following includes some examples of complications to your leg that may not be related to a particular injury occurrence.

  • Overuse injuries, although not actual injuries, are associated with activities that you repeatedly perform on a regular basis. Athletes who “overdo” a muscle or series of muscles may include swimmers, pitchers, basketball players, etc. Overuse injuries are not limited to sports. They can include any individual who repeatedly performs the same activity. An overuse injury may result in tendonitis, stress fractures, bursitis, or additional muscle strain.
  • Leg problems that affect your blood vessels – referred to as “vascular disease” – may include a blood clot or complications with your arteries.
  • Stiffness, swelling and joint pain may suggest of a type of arthritis.

Many leg problems repair themselves on their own with home treatments that promote healing. Serious leg problems will need the attention of an experienced orthopedic specialist. If in doubt, make an appointment to discuss your symptoms with one of our physicians listed below. The Florida Orthopaedic Institute’s team of board certified surgeons stay current on that latest treatments and innovative research.

Knee Replacement: Teaming Up for Success

See how Dr. Bernasek helped one patient stay active after a knee replacement.

Doctor Profile: Dr. Christopher W. Grayson

January 16, 2017

Total Knee Replacement

May 10, 2016

Knee Replacement: Teaming Up for Success

May 10, 2016

New Life for Aging Joints

May 10, 2016

Same Day Total Knee Surgery

May 9, 2016

Dr. Grant Garlick

May 8, 2016

Dr. Thomas Bernasek

May 8, 2016

Dr. Kenneth Gustke

May 8, 2016

Dr. Steven Lyons

May 8, 2016

Dr. Michael Miranda

May 8, 2016

Doctor Profile: Dr. Brian Palumbo

May 6, 2016

Common Knee & Leg Conditions

  • Anterior Cruciate Ligament (ACL) Injuries
  • Anterior Cruciate Ligament (ACL) Tear
  • Avascular Necrosis (Osteonecrosis) of the Knee
  • Deep Vein Thrombosis (DVT)
  • Fractures of the Tibial Spine
  • Goosefoot (Pes Anserine) Bursitis of the Knee
  • Meniscus Tears
  • Osgood-Schlatter Disease
  • Osteoarthritis of the Knee
  • Osteochondritis Dissecans of the Knee
  • Patellar Fracture (Broken Knee Cap)
  • Patellar Tendon Rupture
  • Patellar Tracking Disorder
  • Patellofemoral Pain Syndrome (Runner’s Knee)
  • Prepatellar Bursitis (Kneecap Bursitis)
  • Quadriceps Tendon Tear
  • Septic Arthritis of the Knee
  • Shin Splints (Medial Tibial Stress Syndrome)
  • Supracondylar Femoral Fracture
  • Tibial Fractures
  • Tibial Plateau Fracture
  • Torn Posterior Cruciate Ligament (PCL)

Common Knee & Leg Procedures

  • ACL Reconstruction
  • ACL Reconstruction with Hamstring
  • ACL Reconstruction with Hamstring using Arthrotek® and EZLOC™ Devices
  • Arthroscopic Chondroplasty
  • Arthrosurface® Hemicap® Resurfacing
  • Autologous Chrondrocyte Transplantation
  • Cartilage Repair
  • Fluoroscopic Guided Steroid Injection for Knee Pain
  • High Tibial Osteotomy
  • Hylagan® Injection for Knee Pain (Flouroscipic Guided)
  • Joint Arthroscopy
  • Knee Resurfacing
  • Lateral Release and Medial Imbrication
  • Loose Body Removal (Knee)
  • Meniscal Transplant
  • Meniscus
  • Microfracture Drilling Procedure for Isolated Chondral Defect
  • Mini-Incision Total Knee Replacement
  • Oats Cartilage Repair Surgery
  • Orthoglide® Medial Knee Implant
  • Partial Knee Replacement (using Oxford® Implant)
  • Partial Meniscectomy
  • Patellogemoral Replacement
  • Posterior Cruciate Ligament (PCL) Reconstruction
  • Revision Knee Surgery
  • Revision Knee with Tibial Tubercle Osteotomy
  • Tibial Osteotomy with Closed Wedge
  • Tibial Osteotomy with Open Wedge
  • Total Knee Replacement
  • Visco-Supplementation for Arthritis of the Knee

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