Orthopedic Surgery Cedarhurst
Orthopedic Surgery Cedarhurst
Orthopedic Surgery CedarhurstOrthopedic Surgery CedarhurstOrthopedic Surgery Cedarhurst

Our Services

Shoulder Resurfacing

Because of its prominent location and frequent use, the shoulder is often affected by chronic conditions such as arthritis and osteonecrosis (bone death) that cause patients to suffer from pain, swelling, stiffness and a limited range of motion that often progresses over time and restricts patients from engaging in activities they enjoy.

Treatment for these conditions can range from anti-inflammatory medication to corticosteroid injections to joint replacement surgery for the most severe cases. For patients who are not candidates for joint replacement or do not yet wish to undergo this procedure, a less invasive alternative is now available through shoulder resurfacing, which relieves symptoms while preserving the healthy areas of the joint.

Shoulder resurfacing uses a HemiCAP® implant that is precisely shaped to fit each patient's area of damaged cartilage so that all remaining healthy cartilage remains intact while the implant provides effective symptom relief. The implant is placed using arthroscopic means to provide patients with less scarring, less bleeding and shorter recovery times.

After undergoing shoulder resurfacing, patients will begin a rehabilitation program to restore strength and range of motion to the treated joint. Return to work and other regular activities can usually commence shortly after treatment. The results of the shoulder resurfacing procedure tend to last for many years and can effectively postpone or eliminate the need for joint replacement, depending on each patient's individual condition.

Shoulder Arthroscopy

Arthroscopy is a minimally invasive surgical technique that involves several small incisions into which a fiber-optic device (arthroscope) and tiny surgical instruments are inserted. Orthopedic surgeons can diagnose and treat many different shoulder conditions with arthroscopy, while patients can benefit from less tissue damage, shorter recovery times, less scarring and less post-operative pain. This technique also avoids cutting any muscles or tendons in order to gain access to the affected area.

Shoulder arthroscopy is often performed to confirm a diagnosis after a physical examination and other imaging procedures have been performed. Some conditions can also be treated during the same procedure by inserting a few additional instruments into the joint area.

Arthroscopy can be used to treat many conditions that affect the shoulder joint. Shoulder arthroscopy, also known as shoulder scope, can be used to treat:

  • Rotator cuff tears
  • Labral tears
  • Impingement syndrome
  • Biceps tendonitis
  • AC joint arthritis

While arthroscopy offers many benefits over a traditional open procedure, it is not for everybody. Some conditions, especially those that are not easily visible with the arthroscopic camera, may be better suited for traditional surgery. Your doctor will decide which type of procedure is right for you.

SLAP Repair

A superior labral anterior-posterior (SLAP) lesion is an injury to the labrum of the shoulder joint, the cuff of cartilage that forms a cup for the arm bone to move within, increasing shoulder stability. Injury to the labrum is often caused by a pulling on the biceps tendon during an overhead throw or from other types of trauma.

Patients with a SLAP lesion may experience pain with movement, limited range of motion, frequent dislocation and a catching sensation in the shoulder. There are several different types of SLAP lesions, each of which may require its own specific treatment.

Some SLAP lesions may only cause mild pain that patients can choose to deal with if they do not want to undergo surgery, as this condition does not usually worsen with time. For those that cause more severe pain, surgery is usually performed, which may include:

  • Debridement of fraying tissue to prevent a tear
  • Securing the loose labrum to the cup of the joint
  • Repair or removing torn labrum tissue
  • Removing labral tear and repairing biceps tendon

Surgery for SLAP lesions is performed on an outpatient basis and takes about 90 minutes. These procedures can usually be performed arthroscopically through several small incisions, into which a camera and tiny surgical instruments are inserted. Physical therapy may be required for six to 12 weeks after surgery to ensure that the joint heals properly.

Total Hip Replacement

The hip is a "ball-and-socket" joint where the "ball" at the top of the thigh bone (femur) fits inside the "socket" in the pelvis (acetabulum). A natural substance in the body called cartilage lubricates the joint. When the bone and/or cartilage of the hip becomes diseased or damaged from arthritis, hip fractures, bone death or other causes, the joint can stiffen and be very painful. A total hip replacement may be recommended for patients who experience severe hip pain and whose daily lives are affected by the pain.

Initial treatment for advanced hip conditions often includes nonsurgical techniques such as medication, physical therapy and using assistive devices such as orthotics or a cane. If these methods are unsuccessful, patients often turn to surgery to relieve their symptoms and resume a more active and enjoyable life.

Total hip replacement involves replacing the diseased bone and cartilage with a metal ball and plastic cup to relieve pain and restore movement and function to the joint. After this procedure, patients will be able to once again move without the stiff, debilitating pain of arthritis.

Total Knee Replacement

The knee is a "hinge" joint where the thigh bone (femur) and the shin bone (tibia) meet. The knee cap (patella) glides over the femur when the knee moves. In a healthy joint, a layer of smooth cartilage cushions the bone ends, working together with muscles, tendons and ligaments to allow you to bend your knee easily. Arthritis -- particularly "wear-and-tear" arthritis or osteoarthritis -- as well as certain knee injuries and diseases can damage the cartilage, causing the bones to rub together and leading to pain and stiffness.

While there are several nonsurgical and surgical treatment options available for patients with arthritis and other serious conditions, those with severe pain and stiffness that does not respond to conservative treatments may require joint replacement surgery to relieve pain and restore motion to the joint.

In a total knee replacement, the damaged ends of the bones are removed and replaced with a prosthesis made of metal and plastic. These artificial parts allow the joint to move smoothly so the patient experiences pain relief and a better quality of life.

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