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ACL Repair Surgery: When Is It Needed and How Is It Performed?

The ACL, or anterior cruciate ligament, is a vital structure that provides flexibility and stability to the knees. It allows you to use your knees to their full capacity during vigorous activities and high-demand sports, such as football, volleyball, and basketball. 

Despite its strong nature, the ACL is still vulnerable to strains and injuries due to overuse or sudden trauma. Below is an in-depth discussion on why injuries happen and the treatment options available for such conditions.

Source of the Image: Medine plus - Anterior cruciate ligament (ACL) injury

What is an ACL injury?

The anterior cruciate ligament is a tough band of tissue that can be seen inside the knee joint. It holds the cartilages and bones together, specifically the shinbone (tibia) and the thigh bone (femur). By holding these two bones, the cruciate ligaments allow rotational stability and the back-and-forth movement of the knees and legs. 

An ACL injury occurs when the ligament gets overly stretched out, causing it to suffer from a partial or complete tear. Injured ligaments may be classified into four groups based on their severity:

  • Grade 1 - slight stretching or tearing of the ligament, causing minimal pain, swelling, and tenderness. 
  • Grade 2 - partial tear to the ligament causes the tissue to become loose. There’s moderate pain, bruising, and swelling, which may worsen during movement. 
  • Grade 3 - a complete tear in the ligament that causes severe pain and swelling. Patients won’t be able to walk due to intense pain and instability. 

ACL injuries typically happen when you twist your knee while running or landing from a jump. It can also occur when the knees suffer from a direct and forceful blow, like when you get tackled in football.

What are the symptoms of an ACL injury?

The signs and symptoms of an ACL tear may differ based on its severity. Sometimes, slight tears in the ligament do not cause pain, only soreness, and discomfort in the knees. Some of the more common symptoms of this injury include:

  • Pain - most patients who suffer a tear in their ACL experience instant pain, which may vary from moderate to severe. The pain may worsen with pressure or movement.
  • A “popping” sound or sensation - it is common for patients to feel or hear a loud “pop” as their ACL ruptures.
  • Swelling - you will observe swelling in the knee within the first 24 hours of the injury. This occurs as the small blood vessels also rupture, leaking blood and fluid into the knee joint.
  • Mobility problem - a Grade 2 and 3 ligament tear may create mobility problems, such as instability or feeling the knee will “give out” when trying to move. Movement may also cause intense pain.
  • Limited or loss of range of motion 

How is it diagnosed?

It’s crucial to seek medical assistance immediately if you suffer from an injury or experience the symptoms of an ACL tear. Your orthopedic doctor will perform a physical examination and medical history review. Plus, they will also need to know the events leading to the injury to determine if there are other injuries that need to be considered.

Typically, doctors can diagnose an ACL injury by thoroughly examining the knee structure. But in some cases, physicians may also order some tests to confirm their diagnosis. This include:

  • Xray and ultrasound
  • MRI
  • Diagnostic arthroscopy

These additional tests will help your doctor determine the severity of your injury and rule out other possible injuries, such as a bone fracture. 

How do you treat a torn ACL?

The treatment plan for an anterior cruciate ligament injury will depend on its severity, the age of the patient, and activity level. For mild tears with intact knee stability, doctors may recommend non-surgical treatment options, such as:

  • RICE - injuries should be met with first aid treatment while waiting for medical assistance. This includes icing, elevating, and compressing the injured knee.
  • Medication - painkillers and anti-inflammatory drugs can help counter the pain and swelling of the injured knee. Your doctor may prescribe acetaminophen, ibuprofen, or steroid injections.
  • Knee brace - bracing may help put off the pressure from the injured knee as it heals and recuperates. It can also protect the injured ligament from further damage.
  • Physical therapy - a healing ACL injury should undergo rehabilitation exercises to strengthen the muscles and restore normal function. 

But for severe ligament injuries, your orthopedic doctor may recommend surgical repair to reconstruct the partial or complete ACL tear.

How is an ACL surgery performed?

Unlike some muscles, an injured anterior cruciate ligament cannot be stitched back together. Your surgeon will need to rebuild it using a tissue graft obtained either from your own tendon (e.g., patellar, hamstring, or quadriceps tendon), a deceased donor, or a synthetic one.

Generally, doctors perform an ACL repair using a minimally invasive technique called arthroscopy. This type of surgery involves the use of a thin and flexible tube with a tiny camera called an arthroscope and a set of specialized instruments. 

Arthroscopy is more preferred over open knee surgery as it allows patients to recover quickly, produces less scarring, and has little to no complications. Here’s a general play-by-play on how your surgery might go down at your chosen ambulatory facility:

  • Your doctor will administer regional or general anesthesia to help you relax and feel no pain or discomfort during the procedure.
  • The procedure starts by creating 2 to 3 tiny incisions in the knee, which will serve as the entry point of the surgical instruments.
  • Your surgeon will remove the damaged ligament and then drill holes into the bones, which will be used to properly position the tissue graft in place.
  • Once placed in the proper location, screws will be inserted to anchor and stabilize the tissue graft. This will then heal and become the new ligament of the knee joint. 
  • Your doctor will then stitch up the incision and cover it with bandages.

Most arthroscopic surgery is done on an outpatient basis, which means you can go home the day of the surgery. 

Your doctor may recommend you use a knee brace or crutches to put the pressure off the healing knee joint. Additionally, you will need physical therapy or rehabilitation to gradually restore your normal function.

It will take at least six to twelve months for you to fully recover and get back to doing sports and vigorous activities. 

Raleigh Orthopedic and Panther Creek

Raleigh Orthopedic and Panther Creek - Providing high-quality orthopedic care

The Orthopedic Surgery Center of Panther Creek is one of the leading outpatient surgery center in Cary when it comes to patient care and quality services. Our board-certified physicians provide one of the best treatment options using advanced technologies and medical techniques.

Contact us for more information about your surgery or condition.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Arthroscopy is a common orthopedic procedure used to visualize, diagnose, and treat various joint problems. It is a minimally invasive procedure that provides quick recovery and little to no complications, unlike traditional open surgeries.

Arthroscopy is most frequently performed on the knees, hips, and shoulders. So if you have a shoulder joint injury or condition, then there’s a huge chance that your doctor will recommend shoulder arthroscopy.

Here’s everything you need to know about this procedure, specifically what to expect before, during, and after the surgery. 

What is shoulder arthroscopy?

Shoulder arthroscopy is a minimally invasive procedure used to treat conditions involving the shoulder joints. An orthopedic doctor usually recommends it when the patient’s condition does not respond well to conservative treatments, such as medications and therapy.

Arthroscopic shoulder surgery involves using a tiny camera (arthroscope) to examine and determine the cause of the shoulder pain and immobility. A set of specialized instruments will also be used to remove damaged tissues and repair the affected joint. 

These surgical instruments will be inserted into the shoulder joints through a small or keyhole-sized incision.

When is shoulder arthroscopy recommended?

Your orthopedic surgeon will likely recommend a shoulder arthroscopy when you have a shoulder condition that does not get better with non-surgical treatments. 

Furthermore, this procedure is performed for shoulder problems that cause severe pain, swelling, deformity, and mobility problems, such as the following ailments:

  • Rotator cuff injury
  • Rotator cuff tendonitis
  • Bicep tendon injury
  • Shoulder impingement
  • Shoulder instability or dislocation
  • Labral tears
  • Osteoarthritis
  • Bone spurs

In rare cases, shoulder arthroscopy may be used to perform uncommon procedures, such as nerve release, cyst excision, and fracture repair in the shoulder.

How to prepare for an arthroscopic shoulder procedure?

Days before the surgery, your doctor will perform a complete medical evaluation to determine if you have any underlying condition that may affect your operation and recovery. Your doctor will also give you important instructions that you need to stick with before the surgery, such as the medications you should not take or when to stop eating and drinking.

Some other personal preparations you may do to ensure a safe and easy post-operative recovery include:

  • Have someone accompany you and drive you home after the surgery.
  • Arrange for someone to help you with daily tasks in your home for just a few days while you recover. 
  • Take a leave off of work for at least a week.
  • Book your physical therapy sessions in advance if your doctor recommends rehabilitative therapy.

What happens during a shoulder arthroscopy?

Before the procedure, an anesthesiologist will administer anesthesia or regional nerve block to numb the nerves in the shoulder and arm. This allows you to stay comfortable and free from any discomfort for the whole operation. 

Then, your doctor will place you in a position that will provide the best access to your affected shoulder. It’s either the beach chair position (reclined sitting position) or lateral decubitus position (lying on the side). Next your surgeon will:

  • Cut 2 to 3 small incisions in the shoulder that will serve as the entry point for the arthroscope and other thin instruments.
  • Inject irrigation fluids into the joint to manage the bleeding and improve joint visualization.
  • Different kinds of specialized instruments will be used to remove damaged tissues, shave bone spurs, and suture muscle tears.
  • Stitch the incisions close, then place a soft bandage to cover the area while it heals.

After the procedure, you’ll be transferred to the recovery area to rest until the anesthesia wears off. You can then go home and continue resting and recovering at home. The whole procedure only takes an hour or two, depending on the severity of your condition.

What to expect after shoulder arthroscopy?

Pain is a normal part of healing after a surgical operation; so it’s normal to experience discomfort during your healing process. It may take at least several weeks for patients with extensive surgery before pain and discomfort subside.

But don’t worry, your doctor will prescribe you with medications to counteract the pain and other symptoms. You’ll also receive specific post-operative instructions to help you heal faster, such as:

  • Staying off of vigorous and stressful activities for a few days, such as exercise, driving, and household chores. You should also avoid repetitive movements and lifting heavy objects.
  • Walk every day to ensure good blood circulation.
  • Sleeping in a reclining position with a thin pillow under your arm.
  • Use a sling as prescribed by your doctor so your shoulders can heal properly.
  • Stick to the incision care provided by your doctor to avoid infection.
  • Make sure to attend your follow-up check-ups regularly.

You’ll be able to do mild activities and return to work after a week or two for mild arthroscopic procedures. However, you should still take it easy and avoid vigorous activities until your doctor says so.

Additionally, physical therapy will play a major role in your recovery. So it’s important to attend every session and stick to your rehabilitation treatment plan.

Shoulder Arthroscopy

How long is the recovery time for shoulder arthroscopy?

Provided that you adhere to your treatment plan, full recovery from minor surgeries can take at least two months or more. For major shoulder arthroscopy, complete recovery can take at least six months. 

Where to find the best outpatient surgery center in Cary?

Raleigh Orthopedic and Panther Creek is one of the leading outpatient surgery centers when it comes to arthroscopic procedures. We have a team of fellowship-trained surgeons on board committed to providing the highest quality of medical care and treatment. 

Contact us now to learn more about shoulder arthroscopy and how it can help treat your condition.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Hip labral repair refers to a surgical procedure used to repair a torn labrum in the hip and reconstruct other structures that may have been causing the labral damage. Generally, orthopedic surgeons perform this procedure arthroscopically to minimize muscle damage and facilitate quick recovery.

Arthroscopic hip labral repair involves creating tiny incisions in the hip area to access the hip joint. These small incisions will serve as the entry point of very thin, specialized instruments used in the procedure, such as an arthroscope (tube with a fiber-optic camera).

The arthroscope provides a live video feed of the hip joint area, allowing the surgeon to see and navigate the target area. Your surgeon may debride the damaged tissue and fix the labral damage and other hip joint problems.

Read on below to learn more about hip labral damage and the procedure involved in treating such a condition.

How serious is a labral tear in the hip?

The labrum is a tough yet soft elastic cartilage that lines the outside of the hip joint’s acetabulum (socket). It acts as a seal that stabilizes and secures the ball of the femur (thighbone) inside the hip socket. Additionally, it is also an important structure that allows the hip to move freely and rotate in every direction.

Despite its tough structure, the hip labrum can still sustain damages as a result of physical trauma, overuse, and arthritic conditions. These can cause fraying and tears in the labrum, ranging from mild to severe (complete detachment of the labrum to the bone).

Labral tears, even mild ones, can be considered a serious condition since cartilages do not heal on their own without surgery. Its symptoms may be managed, but over time, a torn labrum can cause mobility problems and even lead to the development of osteoarthritis.

What does it feel like to have a torn hip labrum?

The symptoms of a hip labral tear may vary from person to person. It also depends on multiple factors, such as the severity of the tear and the cause of the injury. Some people with labral tears do not experience any signs or symptoms. While others may feel one or more of the following:

  • Hip pain that may get worse when doing something for too long, such as sitting, standing, and other activities.
  • Hip pain that may extend to the groin area or buttocks.
  • Hip tenderness, stiffness, and inflammation.
  • Clicking and locking sound or sensation in the hip area.
  • Unsteadiness and limited mobility

If left unaddressed, these symptoms may worsen over time, causing more discomfort with every movement.

When is surgery needed for hip labral tear?

For mild tears, doctors usually recommend non-surgical treatment options first, such as medications and physical therapy. However, hip arthroscopy surgery may be needed for severe tears and those not responding well with conservative techniques.  

What happens if you don’t fix a torn hip labrum?

Cartilages do not regenerate nor heal on their own. So if left untreated, a labral tear can cause mild to extreme discomfort, restricting you from performing your day-to-day activities. Furthermore, a torn hip labrum can lead to degenerative complications, such as osteoarthritis.

How to prepare before a hip labral repair surgery?

Arthroscopic hip labral surgery may be done on an outpatient basis, which means you can go home a few hours after the surgery. However, it’s important to plan ahead to ensure a safe and hassle-free recovery. Some of the important things to do before the surgery include:

  • Having someone to drive home from the surgery center. You should also arrange for a family caregiver to help you during the first few days of recovery.
  • Talk to your doctor and ask them in advance about the assistive devices you might need for your recovery, such as crutches.
  • Schedule your physical therapy session ahead of time.
  • Pay attention to the post-operative care instructions your doctor will provide.

Additionally, your doctor will also perform a health evaluation or order a series of laboratory tests to ensure your health before the operation.

What happens during the procedure?

Your surgeon or anesthesiologist will be the one to decide whether to administer regional or general anesthesia. Both options will provide you with a pain-free and comfortable procedure.

Your surgeon will place your leg in a traction for better hip joint access. Then, they will create 2-3 tiny incisions wherein specialized instruments will be inserted. A needle will also be inserted inside the hip joint to dispense fluid that will keep the joint open and accessible. 

Your surgeon will then perform the needed procedures (e.g., debridement, removal, repair) to fix your hip joint. Once done, your surgeon will suture the wound and close it using surgical tapes. 

How long does it take to recover from a hip labral tear surgery?

After your surgery, you may be transferred to a recovery room and spend an hour or two inside while a care team monitors your condition. Once the anesthesia wears off, you may be discharged and go home the same day. Here are some important details you need to know during the recovery phase:

  • It’s normal to feel pain and soreness in the hips right after the surgery. Your doctor will prescribe pain medications to manage this during your recovery period.
  • You will need to limit movement and activity for a few days until your hip strength has returned. 
  • You’ll need to start physical therapy as soon as possible. Your therapist may recommend you use a walker or crutches for 2 weeks.

Recovery may take at least six to eight weeks, depending on the type of procedures done. Some people may return to their normal activities after full recovery. But if there’s severe damage before the hip surgery, your doctor might require you to modify your activity and lifestyle.

How do you sleep after hip labrum surgery?

It’s vital to have an ample amount of rest and sleep during your recovery. However, you should also be careful not to move the affected hip or put too much weight on it. So, here are some tips on how you can safely take a good night’s rest during your recovery:

  • Sleep on your back, but avoid crossing or bending your legs and ankles.
  • Sleep on the non-operated side, then place a pillow between the legs.
  • Use a hip positioner brace to avoid reinjury while sleeping. 
raleigh orthopedic panther creek,

Where to find the best orthopaedic surgery center in the triangle?

At Orthopedic Surgery Center of Panther Creek, we won’t let your injury stop you from having an active lifestyle. We will provide you with the proper consultation and highest quality of care and treatment that you deserve. 

Our surgery center is a partnership between UNC Rex, Raleigh Orthopedic, and Panther Creek UNC health. We are passionate about becoming North Carolina’s leading orthopedic center by providing superior patient and clinical care at a reduced cost. Contact us now to learn more about our services!

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Hip pain has been a growing problem that negatively impacts everyday life, especially for seniors and adults. In fact, current studies suggest that almost 50% of seniors experience hip pain. 

Although disruptive and debilitating, a lot of people think that hip discomfort is a normal and inevitable part of aging. But it shouldn’t be. With today’s medical innovations, many hip injuries and conditions are now treatable and can be managed using minimally invasive procedures, such as hip arthroscopy.

If you’re suffering from hip problems, read on below to learn more about hip arthroscopy, the different conditions it can treat, and how it can benefit you.

What is hip arthroscopy?

Hip arthroscopy refers to a minimally invasive procedure performed by creating 2-3 small incisions. These will serve as the entry point of the specialized instruments used in the operation. 

Using an arthroscope (small camera), your surgeon will look into your hip to diagnose your condition and assess the severity of the hip problem. They may also use the arthroscope to visualize the inside of the hip joint as they repair its damages or remove severely impaired structures. 

Unlike traditional open surgeries, hip arthroscopy is a much less invasive procedure, which means there’s also less pain, tissue damage, scarring, and risk for complications. Furthermore, the operation only takes at least 30 minutes to 2 hours and is usually done as an outpatient procedure.

What injuries and disorders can be treated by hip arthroscopy?

Generally, doctors manage hip conditions using conservative treatment options first, such as medications, injectables, and therapy. But if it doesn’t work and symptoms persist, your physician will usually recommend arthroscopic surgery.

Some of the most common conditions that can be treated using this procedure include: 

Osteoarthritis

Osteoarthritis refers to a degenerative condition that gradually impairs the hip joints by damaging the cartilage that protects it. Over time, the cartilage will wear away, exposing the two bones of the joints. This results in both bones rubbing against each other, causing pain, swelling, and mobility difficulties. 

If left unaddressed, the friction between the bones can give rise to bone spurs, which can cause severe pain, weakness, and muscle cramps.

Femoroacetabular impingement (FAI)

Hip impingement occurs when there’s an abnormal growth of bone spurs in either the femoral head (ball) or acetabulum (socket). This bone overgrowth can prevent the hip joints from moving smoothly, thus causing pain, especially during motion.

As the ball and socket joint continues to rub against each other, it can cause damage to the labrum and articular cartilage of the joint. 

Through hip arthroscopy, your surgeon can remove the main culprit for your aching hip, which is the bone spurs. They can also arthroscopically repair any damages or tears to the labrum, thus preventing further issues, such as arthritis.

Hip dysplasia

Hip dysplasia refers to an abnormality of the hip joint wherein the acetabulum (socket) does not entirely cover the head of the femur (thigh bone). As a result, the hip joints will become unstable, increasing the likelihood of dislocation episodes.

Furthermore, hip dysplasia can also cause damage to the cartilage and labrum of the joint, thus causing pain when moving. This condition can also develop into osteoarthritis or hip labral tear if not treated.

Snapping hip syndrome

Snapping hip syndrome is a hip disorder characterized by clicking or cracking noise or sensation in the hip during motion. This happens when an inflamed tendon slides over a bone structure in the hip joint. As you move, the muscle stretches and produces tension, making a popping sound or sensation as it’s released.

Some patients with snapping hip syndrome won’t feel any symptoms, while others may experience pain and hip discomfort. But in some cases, this condition can cause hip damage, so it’s better to consult an orthopedic specialist if you think you have this problem.

Synovitis

Synovitis refers to a condition wherein the synovium一a tissue that lines the synovial joints of the hips一become inflamed. As the synovium swells, it will become thicker, thus making it painful to move. Over time, the inflamed synovium may also damage the cartilage and bones in the joint.

Bursitis

On the other hand, bursitis is a disorder characterized by an inflamed bursa. Normally, the fluid-filled bursa sac eases motion by cushioning the tendons, bones, and muscle structures surrounding the hip joint. This happens due to joint overuse or constant pressure in the bursa. 

People with bursitis often feel pain during movement, swelling, redness, and limited mobility. Your surgeon may perform hip arthroscopy to ease pain by removing the inflamed bursa sac.

outpatient surgery center in Cary

Where to find the best outpatient surgery center in Cary

At the Orthopaedic Surgery Center of Panther Creek, your comfort is our top priority. We strive hard to bring you back on your feet and get you moving by providing the highest quality treatments and services. 

By choosing our ambulatory surgery center, you can rest easy knowing that our specialized orthopedic surgeon will handle your care and treatment on an outpatient basis for an efficient and convenient process. 

If you’re experiencing hip pains or other musculoskeletal conditions, then Raleigh orthopedic and Panther Creek is the right choice.

 Contact us now so you can start exploring different treatment options that will give you the best chance to achieve full recovery!

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

If you are currently plagued by severely painful knee arthritis or injury, you are not alone. Knee problems are a fairly common condition experienced by people of all ages. Its symptoms may vary in degree and severity, but one thing’s for sure一it can definitely affect your mobility and decrease your quality of life.

Fortunately, there’s a treatment option that can save your knees and help you get back to your active lifestyle一a surgical technique called total knee replacement.

Are you considering this type of procedure? Read on below to learn more about total knee replacement: what it is, how it’s done, and when you should get it.

What is total knee replacement?

Total knee replacement or knee arthroplasty refers to a surgical procedure used to treat moderate to severely damaged knee joints. It involves removing the diseased knee boned and cartilage and then replacing them with artificial implants. 

This procedure is also known as knee “resurfacing” since the process only involves removing and replacing the surface portion of the knee joint.

The main goal of knee arthroplasty is to relieve knee pain and other symptoms by replacing the damaged knee parts with their artificial counterparts. 

When does a doctor recommend knee replacement surgery?

Doctors and orthopedic specialists usually perform total knee replacements to treat knee pain and disability. One of the most common causes of such symptoms is degenerative joint diseases, like osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis. 

During its early stages, arthritic conditions can be managed using conservative methods, like medications and physical therapy. However, your physician will recommend a knee replacement surgery when:

  • Non-surgical techniques do not work or improve the patient’s condition anymore. This includes prescription drugs, injections, and physical therapy.
  • There’s severe pain in the knees that causes mobility problems, limiting the patient from doing their daily living activities.
  • There’s moderate to severe pain and inflammation in the knees even when the patient is at rest, either day or night.
  • Knee deformity can be seen in the affected joints.

Furthermore, your orthopedic surgeon will conduct a full assessment of your joint condition first before surgery. A physical exam will help determine your knee’s limited range of motion, flexibility, and strength. Additionally, an x-ray or CT scan imaging can identify the extent of the joint’s damage, thus helping your surgeon decide what kind of surgical technique is appropriate.

How is it performed?

Knee replacement surgeries require patients to be put under spinal or general anesthesia. Your doctor will discuss this with you before your operation. Generally, here’s what happens during a total knee replacement procedure:

  • Your orthopedic surgeon will make an incision to expose the full surface of the affected knee joint. The damaged cartilage at the end of the tibia and femur will be removed. Your doctor will also take out the impaired bones underneath the cartilages.
  • Next, your surgeon will position the metal implants on the surface of the knee joint to cement it in place. Your doctor will discuss the best type of artificial joint that suits your medical needs.
  • The surgeon may also insert a spacer in between the metal prosthesis to ensure a smooth gliding surface of the artificial joint. 
  • Once everything is in place, the incision will be closed with stitches and topped with a sterile bandage.

Typically, doctors attach three prosthetic components to their patient during a total knee replacement: the tibial (shinbone), femoral (thigh bone), and patellar component.

How long does it take to recover from a total knee replacement?

Right after the surgery, it’s normal to feel pain, as this is a part of the healing process. Your doctor will prescribe you medications for pain management and infection. You will also be instructed about proper wound care, diet, breathing exercises, and activity restrictions.

Additionally, you’ll be advised to move your foot and ankle to avoid blood clots and reduce leg swelling. A physical therapist will also work with you during your recovery to help you regain leg movements and improve your healing process.

Recovery from a total knee replacement surgery will take three to six weeks. By this time, you can resume most of your day-to-day activities, such as walking and shopping. Remember to talk to your doctor first about your specific activity limitations. 

How long do you stay in the hospital for a total knee replacement?

How long you stay in the hospital or orthopedic surgery center depends on your individual medical needs. But most patients can go home the same day, a few hours after the operation. However, it’s essential to have someone with you to drive you home and assist you with personal tasks for the first few days. 

What is the most commonly reported problem after knee replacement surgery?

Complications rarely happen for patients who don’t have an underlying medical condition. In fact, severe problems like knee joint infection only occur in less than 2% of patients who undergo knee joint replacement. Although uncommon, here are some risks that you should be aware of:

  • Infection in the wound area or around the prosthesis.
  • Bleeding during the surgery
  • Blood clots
  • Nerves or blood vessel injury during the operation

This study delves deeper into some of the other complications patients might encounter after a knee replacement surgery.

There’s nothing to worry though, since your orthopedic specialist will give a thorough medical evaluation to ensure a safe and successful operation.

outpatient surgery center in Cary

Get the best orthopedic care at Panther Creek UNC.

At Panther Creek’s outpatient surgery center in Cary, we provide the highest quality of patient care and services to treat your musculoskeletal conditions. Our board-certified team of orthopedic specialists ensures that each patient gets an individualized plan of care tailored to address their medical needs. 

Take back your pain-free life by getting in touch with us! Contact our team to learn more about total knee replacement and other orthopedic procedures that we offer. 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Injuries to the elbow can be especially troublesome. The elbow is required for many daily tasks, such as getting dressed. Disruption in the functioning of the elbow can impact our ability to drive or perform at work. When you experience pain or mobility issues, your daily life can be significantly impacted. 

The elbow is a large and complicated joint. Injury or disease to the bones, ligaments, or muscles that support the elbow can cause debilitating symptoms. Orthopedic physicians can best assist with diagnosis and treatment because of their knowledge of this complicated joint. 

Which Orthopedic Conditions Require Elbow Surgery?

There are many causes of orthopedic conditions in the elbow. Through proper diagnosis, orthopedic physicians and surgeons can best treat the root cause of your elbow pain. 

Elbow Bursitis

Elbow (olecranon) bursitis is inflammation in the part of the elbow called the bursae. Bursae are tiny, fluid-filled sacs that cushion the joint's bones, tendons, and muscles. The inflammation of these sacs causes elbow bursitis. 

Surgery is not always required, and in many cases, you can manage elbow bursitis with conservative treatments. However, in severe cases, an orthopedic surgeon needs to drain the sac or even remove it in rare cases. 

Most often, surgery is minimally invasive and performed arthroscopically. It is usually performed at outpatient surgical centers with high success rates. Surgeons make small incisions where a small camera and tiny instruments are used to perform the repair. 

Tennis Elbow

Tennis elbow occurs when the tendons of the elbow become strained. It is called tennis elbow because it is most often seen in patients who use repetitive wrist and arm motions. It is not exclusive to tennis players and athletes. Many people in certain occupations also can have the condition if their arms are used repetitively for required tasks. 

Tennis elbow also is treated with conservative treatments before surgery, such as over the counter Non-steroidal anti-inflammatory medication such as ibuprofen or Advil, rest and ice, and physical therapy. When these efforts fail, surgery may be considered. 

Surgery involves:

  • Cutting the affected tendon;
  • Removing inflamed tissue around the tendon;
  • Occasionally reattaching tendons to nearby tissues.

The surgery can also be completed arthroscopically at an outpatient facility. In rare cases, the surgeon performs an open surgery. 

Rheumatoid Arthritis 

Rheumatoid arthritis is one of the most common causes of inflammation and pain in the elbow. It is an autoimmune disorder. The body's immune system attacks itself, breaking down the cartilage and affecting tissue around the joint. It can cause both painful joints and swelling. 

There are several conservative treatment options, including medication, physical therapy, and steroid injections. If it has progressed past the point where conventional methods no longer are helping, then surgical options are available. 

Surgery is often performed at outpatient surgical centers. Patients have successful results, often restoring mobility and eliminating pain in the joint once healed. 

Orthopedic Surgery Center Panther Creek

At Orthopedic Surgery Center Panther Creek We Provide the Exceptional Care You Deserve

Our surgery center is a partnership between Raleigh Orthopaedic clinic, UNC Rex, and Panther Creek UNC health. Our mission is to be North Carolina's premier orthopedic destination by providing exceptional care that is personalized and cost-effective. 

Orthopaedic Surgery Center of Panther Creek has an experienced team of board-certified fellowship-trained surgeons committed to safe results. Our patients can return to their active and healthy life through individualized treatment and education. 

Our outpatient surgical center located in Panther Creek is the most modern facility in East North Carolina. Why should you choose us? 

  • We care about you and your treatment
  • We offer world-class services
  • We use the most modern equipment at our surgical center
  • We are dedicated to being with you every step of the way

Contact us if you require orthopedic care and get started on your journey to healing.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Your hips consist of a ball and socket joint that mainly provides stability and function to the body. It has a cup-like structure called the acetabulum, which stabilizes the femur (thighbone) together with a network of surrounding muscles and ligaments. 

This structure helps the hip joints bear the weight of your entire upper body while facilitating flexibility and mobility. So you can imagine why trauma and injuries in the pelvic area, like a dislocation, are deemed an emergency, requiring immediate medical assistance.

Source: https://orthoinfo.aaos.org/globalassets/figures/a00352f01.jpg 

Read on below to know more about hip dislocation, its symptoms, leading causes, and what to do during such situations. 

What is hip dislocation?

A hip dislocation happens when the femur’s head gets pushed out of the pelvis (acetabulum) socket. As a result of this abnormal displacement, pelvic tissues and bones may also attain some damages, such as fractures and tears in the soft tissues. Additionally, nearby muscles, nerves, and blood vessels may also get impaired depending on the cause and severity of the injury.

A dislocated hip can occur due to several reasons, namely:

Additionally, dislocation may also happen in the first few months after a hip replacement surgery.

What are the types of hip dislocation?

Hip dislocation injuries may be classified as simple if there are no associated fractures and complex if it involves bone fractures in the acetabulum or femur. 

Another classification of hip joint displacements depends on the direction of the dislocated thigh bone or femur head. It can either be anterior or posterior dislocation.

Posterior Dislocation

This type of misplacement happens when the femur or thigh bone slips out of the pelvic bone backward or posteriorly. This occurs in 90% of reported hip dislocations and usually involves sciatic nerve injuries and thigh bone fractures.

Anterior Dislocation

On the other hand, anterior dislocations in the pelvic area involve the femur’s head getting pushed out of the socket in a forward direction. This type of displacement rarely happens since the anterior ligaments (iliofemoral) are much stronger than the posterior ones. 

What are the symptoms of hip dislocation?

As soon as your hips get dislocated, you will immediately feel a severe kind of pain in the pelvic area. Sometimes, this pain may even radiate onto the knees as some muscles in the thigh directly connect to it. Some of the other symptoms usually felt by patients during a dislocated hip include:

  • Inability to move or bear weight onto the affected leg.
  • Reduced range of motion
  • Swelling
  • Deformity in the leg (e.g., protruding femur head)
  • Numbness and weakness if the sciatic nerve is damaged.

What to do if you have a dislocated hip?

Hip dislocations should be treated as an emergency situation. So during such times, you should not move the injured pelvic area and call for medical assistance at once. An orthopedic specialist will then conduct a physical examination of the affected area. Usually, they can already confirm a case of hip dislocation just by looking at it.

However, they may also order specific imaging tests to see if there are other injuries involved or to see the direction of the displacement. Some examples of diagnostic tests include:

  • X-ray scanning
  • CT scan
  • MRI or magnetic resonance imaging - used only if there are damages in the labrum and surrounding cartilages.

How to treat hip dislocation?

Doctors should treat dislocated hips immediately to avoid further damage to the surrounding nerves or blood vessels. Physicians follow two approaches in fixing hip dislocation:

Nonsurgical Treatment

Most hip displacements can be fixed using nonsurgical techniques, like doing a closed reduction procedure.  

In this method, an orthopedic doctor will put your hips back in place by manipulating the displaced bones. Your doctor may either administer anesthesia or sedative before doing the procedure.

After that, your physician may also request an X-ray or CT scan to confirm proper alignment or see any other injuries.

Surgical Treatment

Surgical methods may only be considered if there’s a failed initial reduction or presence of fractures or loose tissues and bone fragments. Some surgical techniques commonly used involve:

  • Hip arthroscopy - a minimally invasive procedure that uses only a tiny incision to repair fractures or remove damaged tissues.
  • Open Reduction - an open surgical procedure used for complex hip dislocations.
  • Total Hip Replacement - this procedure involves removing the damaged bones and replacing them with prosthetic ones. This is only used for severe hip dislocations that reduction and other surgical procedures cannot correct.

Congenital hip displacements may be corrected using a hip brace or harness. But if not, then doctors may opt to resort to surgical means.

Get the proper treatment and care you need from the best surgeons at our Orthopedic Surgery Center Panther Creek

Our surgery center is a partnership between Raleigh Orthopaedic clinic, UNC Rex, and Panther Creek UNC health. Our mission is to be North Carolina's premier orthopedic destination by providing exceptional care that is personalized and cost-effective. 

You can trust our board-certified fellowship-trained surgeons to create an appropriate treatment plan to address your hip condition, including hip dislocation. We strive to help you recover with minimal pain to regain maximum mobility. 

Get back to your daily life pain-free! For additional information, contact our surgery center at 919-582-3050. We look forward to being your partner in care. 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Carpal tunnel syndrome is a common condition. It can cause pain, numbness, and tingling down the arm into the hand. The cause? One of the hand's major nerves (the median nerve) is squeezed or compressed through the wrist. 

If left untreated, carpal tunnel syndrome usually gets worse over time. Early intervention, such as wearing a wrist splint and avoiding triggering activities, can help relieve symptoms. 

However, if the pressure on the median nerve continues, it may eventually cause nerve damage, and symptoms worsen. That is when you may require surgery to relieve pressure off the nerve. 

When Would a Doctor Recommend Carpal Tunnel Surgery

Non-surgical treatment methods are usually recommended first. These may include over-the-counter pain medications, physical therapy, splints, or steroid injections. 

Surgery may be recommended if: 

  • Non-surgical methods do not provide relief.
  • An electromyography test of the median nerve confirms that you have carpal tunnel syndrome.
  • The muscles of the hand or wrist have weakened due to the condition.
  • Symptoms have lasted six months or longer. 

What Happens During a Carpal Tunnel Release

Carpal tunnel release is often an outpatient procedure, so you will go home the same day as the surgery. There are two surgical options for carpal tunnel release: open release and endoscopic. 

Traditional Carpal Tunnel Release

With a traditional release, the surgeon cuts the wrist open. The surgeon makes about a two-inch incision on the wrist. Surgical instruments are then used to sever the carpal ligament to enlarge the carpal tunnel. 

Endoscopic Release

For an endoscopic release, the surgeon makes two small half-inch incisions. One of the incisions is on the wrist, the other on the palm. Then an endoscope is inserted into the wrist incision, which helps guide the surgeon to sever the ligament in the palm side. 

For both procedures, once the carpal ligament is released, the wounds are closed and covered with bandages or steri-strips. The hand and wrist are splinted to prevent mobilization. 

Post-operative Care Following Carpal Tunnel Surgery

Expect to spend about an hour in the recovery room after the surgery for monitoring. This allows for the anesthesia to wear off. 

Depending on your pain level, you may be given medication. Many patients do well with over-the-counter Tylenol after the surgery. 

After you recover, you will be discharged, but a friend or family member must drive you home. 

What Should I Know About Recovery and Healing?

If you have a dressing, make sure to follow provider instructions on how to change your dressing to reduce the risk of infection. You may need to wear a splint or brace for a month or more after surgery. It is also important to avoid excessive lifting or strenuous movement. 

Your surgeon will refer you to physical therapy, where you will learn exercises to improve strength and movement. Wrist extension and flexion exercises are key components to recovery. Expect to be in therapy at least a month and possibly longer for maintenance if needed. 

Make sure you keep all follow-up appointments with your provider and report any adverse symptoms you notice. You can expect a full recovery three to four weeks after your procedure. 

Concerned About Carpal Tunnel Syndrome? Connect with us at our Orthopedic Surgery Center Panther Creek

Our surgery center is a partnership between Raleigh Orthopaedic clinic, UNC Rex, and Panther Creek UNC health. Our mission is to be North Carolina's premier orthopedic destination by providing exceptional care that is personalized and cost-effective. 

You can trust our board-certified fellowship-trained surgeons to create an appropriate treatment plan to address your carpal tunnel syndrome condition. We strive to help you recover with minimal pain to regain maximum mobility. 

Get back to your daily life pain-free! For additional information, contact our surgery center at 919-582-3050. We look forward to being your partner in care. 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Rotator cuff injuries can cause severe pain and weakness. They are caused by small tears in the tendons and tissues around the shoulder. Sometimes the injury will heal without surgical intervention, but if the damage is significant, it may be required to prevent permanent damage. 

What is a rotator cuff repair? It is often repaired arthroscopically. The surgeon will make small incisions to insert a camera called an arthroscope into the joint along with small surgical instruments. The camera allows the surgeon to visualize the joint on a television screen to help guide the repair. 

Patients can generally expect approximately four to six months before pain is reduced and movement is restored after the surgery. Patients need to know that they must restrict shoulder movement for several weeks. Physical therapy is also necessary to have the best possible outcome. 

Why do Patients Need to Have a Rotator Cuff Repair?

How does the damage happen to begin with? Usually, it is caused by the repetition of movements or a sudden injury. Rotator cuff tears can involve more than one muscle or tendon, and tears can be partial or complete. Without treatment, symptoms worsen over time. 

Here are some common symptoms of rotator cuff tears:

  • Pain when lifting and lowering the arm
  • Pain at rest
  • Limited range of motion
  • Weakness in the shoulder
  • A cracking sound or sensation 

The main reason patients elect surgery is due to pain and diminished mobility. Patients may try non-surgical treatments, such as rehabilitation, medications, or injections first. If these methods are ineffective, surgery is an option to repair the tear and surrounding tissues. 

Patients who have surgery find relief from these symptoms after recovery from an arthroscopic rotator cuff repair. 

What are the Benefits of an Arthroscopic Rotator Cuff Repair? 

There are several benefits to having an arthroscopic rotator cuff repair instead of open surgery. The surgery is both safe and effective. Almost all arthroscopic repairs can be completed outpatient at a surgery center. 

Benefits to arthroscopic repairs include:

  • Decreased risk of infection
  • Decreased pain
  • Less chance of damage to surrounding tissues 
  • Restored mobility
  • Less healing time

Because of these factors, patients can generally return to activities of daily living much faster with an arthroscopic procedure. 

How Can I Have a Successful Recovery after an Arthroscopic Rotator Cuff Repair?

Expect that it will take four to six weeks for the repair to heal after surgery and up to six months for a full recovery. Arm slings are necessary for several weeks after surgery to limit mobility. Based on how the shoulder is healing, your surgeon will advise when it is no longer required. 

To have the best possible recovery, follow all aftercare instructions from your surgeon. In addition, patients need to keep follow-up appointments so the surgeon can assess healing. Patients also need to participate in physical therapy and regularly do the exercise at home as instructed. 

Why You Should Choose our Outpatient Surgery Center in Panther Creek

Orthopedic Surgery Center Panther Creek is a team of surgeons who are experts in the diagnosis and treatment across the spectrum of orthopedic injuries and disease. 

Our team consists of board-certified fellowship-trained surgeons who work with you on the best treatment plan tailored to your needs. We use cutting-edge technology at our outpatient surgery center in Cary to minimize pain and maximize mobility after your procedure. 

For additional information, contact our surgery center at 919-582-3050. We look forward to being your partner for all your orthopedic needs. 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

Have you experienced chronic pain in your lower back? If conservative options have failed to relieve your pain, then it may be time to discuss lumbar microdiscectomy surgery.

A lumbar discectomy is a surgery that will fix a disc in your lower back. Small incisions are used during a microdiscectomy versus an open lumbar discectomy.

In a healthy back, discs sit between each vertebra. They provide cushioning and support of the bones of the spinal column. 

With age or injury, the outer wall of spinal discs can dry out and weaken. Eventually, this causes the discs to bulge out. It may be referred to as a herniated or bulging disc. The disc can put pressure on the spinal column, which can cause pain, tingling, or weakness. 

Why Would I Need a Lumbar Microdiscectomy Surgery? 

You may need surgery to help relieve the symptoms of a bulging disc. It can help patients find relief from symptoms that come with the condition. 

Not everyone is a candidate for the surgery. Usually, conservative treatments such as physical therapy and anti-inflammatory medications (N-SAIDS) are first suggested. 

If conservative methods fail, then speak with an orthopedic doctor about the risks and benefits of surgery. They can explain the difference between an open surgery versus minimally invasive surgery. 

Notably, minimally invasive surgeries are often preferred as recovery is faster and the patient experiences less pain. 

How is Minimally Invasive Surgery Performed?

There are several steps for lumbar microdiscectomy surgery. The orthopedic surgeon often performs the procedure under a local anesthetic. You will have no pain, but you will be awake. However, sometimes general anesthesia is used where you will then be asleep. 

The surgeon makes a small incision in your back with the bulging disc. They use a special x-ray to ensure they are performing the surgery in the correct location. 

The surgeon uses a wire which they insert into the vertebrae. A tube is placed over the wire, and then the surgeon pushes a second large tube over the first. The procedure will push the tissue of the vertebrae apart. 

The next step is where the surgeon puts special tools, including small surgical instruments, a camera, and a light, through the tube. The herniated disc is then removed, and the surgeon performs any necessary repairs. 

Finally, the tools and tubes are removed. A small bandage is placed over the incisions. 

How Quick is the Recovery After the Surgery?

The minimally invasive surgery is performed as an outpatient procedure. You go home the same day, a couple of hours after your surgery. You will not be able to drive, so you must have someone to take you home. 

Importantly, your orthopedic doctor’s team will give you discharge instructions on recovery. You will likely have to limit any heavy lifting or bending. The doctor will recommend you wear a back brace for a few weeks. 

Though many people can go back to work a week or so after the procedure, it is important to discuss this with your doctor. 

Also, to help in recovery, you will need physical therapy to help strengthen your back. It is important to keep all follow-up appointments with your orthopedic doctor and physical therapist for a successful recovery. 

Know that some drainage from the small incision sites is normal. If you notice an excessive amount of drainage, develop a fever, or increased pain, be sure to call your doctor.

Understand, some amount of pain is expected, even weeks after surgery. Talk to your physician about the best way to manage pain after surgery. It will eventually decrease, and you will find the pain is minimal compared to before your surgery. 

lumbar microdiscectomy surgery

You can Find Relief at our Orthopedic Surgery Center in NC

Why should you choose the Orthopedic Surgery Center of Panther Creek? To start with, we are leaders in diagnosing and treating patients with orthopedic conditions. 

Our board-certified and fellowship-trained physicians can help you recover with minimum pain, including patients who are candidates for back surgery. 

We know you want to get back to your daily life. That is why we work with our patients on a treatment plan to have a successful recovery, even after the most complicated procedures. 

Our surgeons utilize the best and most advanced surgical techniques to ensure the best possible outcomes. 

Contact us at Raleigh Orthopaedic Surgery Center of Panther Creek. We can be reached at 919-582-3050 for additional information and look forward to assisting you as your partner in care. 

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

outpatient orthopedic surgery cary
6715 McCrimmon Parkway
Suite 205 A 
Cary, NC 27519
Monday – Friday: 6:00 a.m. to 5:00 p.m.
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