The Basics of Orthopedics

Conditions that are commonly referred to orthopedists range from sprains, strains, and broken bones to more complex conditions such as torn cartilage, shoulder instability, carpal tunnel syndrome, fractures, and arthritis. Dr. Fejfar’s goal is to restore the highest level of movement and function with the least risk. Not every patient requires surgery; on the contrary, invasive surgery is pursued only in severe situations and if lifestyle modifications and nonsurgical alternatives are not effective.

Arthroscopic procedures are typically performed on an outpatient basis and are common in sports medicine. The procedure involves the insertion of a pencil-sized arthroscope through a small incision in the skin and into the damaged joint. The arthroscope’s tiny camera and surgical tips enable the surgeon to see inside the joint and repair torn cartilage or ligaments and remove loose bone or cartilage.

Total or partial joint replacements are inpatient procedures which typically involve a three-day hospital stay. Advancements in joint replacement have led to less-invasive techniques and dramatic improvements in pain relief and improved function. Dr. Fejfar will use a precise navigation system—much like global positioning systems—to ensure accurate alignment of the new artificial knee, hip, or shoulder.

"Over the last few years, we have improved the bearing surface and improved longevity of the implant," Dr. Fejfar explained.