Serving Midland/Odessa & Permian Basin
For patients requiring surgery, most procedures such as knee and ankle arthroscopy, open and closed reduction and pinning of fractures, Carticel biopsy, as well as many others are done as outpatient surgery at Texas Surgical Center.
Total Knee and Ankle Arthroplasty (Joint Replacement Surgery) is performed at Midland Memorial Hospital.
Surgery Scheduler: Amy Mobley, LVN
- Loose bone or cartilage
- Meniscal tears
- Torn ligaments
- Synovitis (swelling of the joint lining)
- Inflamed tissue
- No cutting of muscles or tendons
- Smaller incisions
- Less bleeding during surgery
- Less scarring
- Shorter recovery time
- Shorter and more comfortable rehabilitation
While arthroscopy is considered safe for most patients, there are certain risks associated with any surgical procedure. These risks include: infection, blood clots, accumulation of blood, nerve damage or adverse reactions to medications or anesthesia. In the great majority of cases, the arthroscopy goes smoothly.
Joint Arthroplasty (Replacement)
Patients with severe pain and stiffness that does not respond to conservative treatments or more moderate surgery may require total joint arthroplasty, commonly known as joint replacement, to relieve pain and restore function. Whereas in a healthy joint smooth cartilage cushions the connecting bone ends, when osteoarthritis develops, the resulting pain and stiffness that may require surgical intervention.
In a total joint arthroplasty, 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.
The total joint replacement procedure is performed in a hospital under general anesthesia. During the procedure, an incision is made to access the joint so the damaged bone and cartilage can be removed. Once the damaged tissue is removed, the prosthetic device is inserted and may be either cemented or pressed into place.
Recent advances in surgical technology make it possible to perform minimally invasive joint replacements. Various minimally invasive techniques allow the joint to be replaced with less cutting and manipulation of muscles, tendons and ligaments around the joint. There are other potential advantages to minimally invasive surgery, including smaller incisions, less bleeding, less scarring, less pain and a speedier recovery.
A short hospital stay is likely, varying a bit depending on the type of procedure performed and the overall health of the patient. Patients usually experience immediate relief from the joint pain suffered before the replacement. However, there will be some post-operative discomfort that can be managed with prescribed pain medication.
Physical therapy starts in the hospital, as soon as possible after surgery, usually the next day, to ensure rapid healing and restoration of full function. Most patients either proceed to inpatient rehabilitative treatment for approximately a week, or return home and begin outpatient rehabilitation sessions a few times a week.
Patients in physical therapy progress from taking steps with a walker or crutches to walking without assistive devices on stairs and slopes. Continuous passive motion (CPM) machines are commonly used to reduce recovery time and prevent muscle contracture without straining the joint. Patients are also given exercises to perform at home to reinforce the rehabilitative process.
Although considered a safe procedure for most patients, there are certain risks associated with all surgery. These risks include: infection, excessive bleeding, blood clots, buildup of excessive scar tissue, limited range of motion, nerve damage, and implant rejection. For the great majority of patients, total joint arthroplasty is successful and uneventful, providing effective pain relief and greatly improved quality of life.