In the most advanced cases where severe joint, bone and cartilage damage has developed, there’s simply no way to avoid surgery.
When this occurs, we’ll treat your injury using a comprehensive team approach to make sure you receive the world-class care you deserve. We will directly collaborate with a field-leading orthopedic surgeon to repair your injury, and we’ll frequently supplement your procedure with platelet-rich plasma injections or bone marrow stem cell therapy to ensure an optimal and expedited healing process.
When is surgery necessary?
At the Orthohealing Center, our Los Angeles physiatrists believe in minimally-invasive approaches first. While there is an overall trend “from knife to needle,” some injuries will not mend with conservative care and injections.
As such, we’ll do everything within our power to repair your injury and relieve your pain without surgery, so you can avoid a lengthy recovery and rehabilitation period. With that said, surgical repair is necessary in some, very severe cases. For example, surgery may be in your best interest if you experience:
If x-rays and imaging tests show advanced joint damage and fracture/bone edema due to osteoarthritis and other conditions, surgery may be necessary.
Severe pain and stiffness
We may recommend surgery if your condition or injury has progressed to the point where it’s causing chronic and severe pain and stiffness that is no longer responsive to conservative measures.
When the damage is severe enough, your joint may become visibly deformed. This is another circumstance in which surgical repair will likely be in your best interest.
Enhancing joint surgery with biologic regenerative treatments
At the Orthohealing Center, our Los Angeles physiatrists are proud to use our biologic regenerative treatments – including bone marrow stem cell therapy and platelet-rich plasma therapy – to supplement various joint surgeries. These techniques offer a very effective way to improve the outcomes and recovery periods associated with many different procedures, including:
Using a small needle-sized camera, an orthopedic surgeon can view your knee’s pathology in high definition color to selectively debride and remove damaged tissue while conservatively preserving healthy intact tissue. Afterwards in the operating room, regenerative cells can be administered directly to the lesion site to potentially accelerate healing and reduce infection risks associated with surgery.
A critical stabilizer in the knee, tearing the ACL can cause significant instability, pain and is associated with an increased risk of developing arthritis. Our team of expert orthopedic surgeons can integrate the latest advancements including soaking the graft and injecting the knee joint with PRP or Bone Marrow Stem Cells to potentially accelerate healing and recovery time while regulating inflammation, swelling, and post-operative pain.
Total hip replacement
With a total hip replacement, cartilage and bone that is damaged due to arthritis, a fracture or another condition is removed and surgically replaced with an artificial hip joint.
Revision hip replacement
Hip implants are designed to endure and function optimally for many years. However, certain components can become damaged over time, causing pain and instability. When this occurs, a revision hip replacement may be necessary to exchange the damaged pieces.
Total knee replacement
A total knee replacement is designed to replace an entire knee joint that is severely damaged by arthritis. In the most advanced cases, it’s a great way to restore function, eradicate pain and get you back on your feet.
Partial knee replacement
If your arthritis has only affected a single part of the knee, you may qualify for a partial knee replacement. A less intensive surgery when compared to a total knee replacement, this procedure can replace the kneecap, the inside portion of the knee or the outside portion of the knee.
Revision knee replacement
In most cases, total knee replacements are successful surgeries that allow patients to live without chronic knee pain for years. However, the implant can fail for a number of reasons. When this occurs, it may need to be replaced to ensure joint stability and function.