Patient Education

Welcome to Puget Sound Orthopedics

The physicians at Puget Sound Orthopaedics are here to help you return to your normal lifestyle as soon as possible. We’ve earned our reputation by offering the same attentive care to every patient, whether you’re facing the challenges of a sports injury, a recent accident, or chronic pain. Our commitment to partnering with each patient for the best solution brings people from across Washington to our doors.

Joint Replacement

Total joint replacement is a surgical procedure in which parts of an arthritic or damaged joint are removed and replaced with a metal, plastic or ceramic device called a prosthesis. The prosthesis is designed to replicate the movement of a normal, healthy joint.

 

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http://orthoinfo.aaos.org/topic.cfm?topic=A00233

A partial knee replacement is surgery to replace only one part of a damaged knee. It can replace either the inside (medial) part, the outside (lateral) part, or the kneecap part of the knee. Surgery to replace the whole knee joint is called total knee replacement.

 

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Although both procedures have the same goal—to relieve pain and improve function—revision surgery is different than primary total knee replacement. … During primary total knee replacement, the knee joint is replaced with an implant, or prosthesis, made of metal and plastic components.

 

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Minimally invasive surgery is becoming more and more common in hospitals. These procedures are performed through tiny incisions instead of one large opening. Because the incisions are small, patients tend to have quicker recovery times and less discomfort than with conventional surgery — all with the same benefits.

 

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Sports Medicine 

Meniscectomy is the surgical removal of all or part of a torn meniscus. A meniscus tear is a common knee joint injury. Surgeons who perform meniscectomies (orthopedic surgeons) will make surgical decisions based on the meniscus’s ability to heal as well as your age, health, and activity level.

 

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http://orthoinfo.aaos.org/topic.cfm?topic=A00358

If you tear the anterior cruciate ligament in your knee, you may need to have reconstructive surgery. The anterior cruciate ligament (ACL) is a tough band of tissue joining the thigh bone to the shin bone at the knee joint. It runs diagonally through the inside of the knee and gives the knee joint stability.

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http://orthoinfo.aaos.org/topic.cfm?topic=A00549

A stress fracture is a small crack in a bone, or severe bruising within a bone. Most stress fractures are caused by overuse and repetitive activity, and are common in runners and athletes who participate in running sports, such as soccer and basketball.

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http://c. http://orthoinfo.aaos.org/topic.cfm?topic=A00112

A sprain is a stretch or tear in a ligament (the bands of fibrous tissue that connect our bones at the joints). A strain is also a stretch or tear, this time affecting the muscle itself or a tendon (the tissue that connect the muscles to the bones).

 

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Upper Extremity 

Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small cut (incision) in your skin.

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http://c. http://orthoinfo.aaos.org/topic.cfm?topic=A00589

A rotator cuff tear is a tear of one or more of the tendons of the four rotator cuff muscles of the shoulder. A rotator cuff ‘injury’ can include any type of irritation or overuse of those muscles or tendons and is among the most common conditions affecting the shoulder.

 

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http://c. http://orthoinfo.aaos.org/topic.cfm?topic=A00064

During open carpal tunnel release surgery , the transverse carpal ligament is cut, which releases pressure on the median nerve and relieves the symptoms of carpal tunnel syndrome. An incision is made at the base of the palm of the hand. This allows the doctor to see the transverse carpal ligament

 

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http://c. http://orthoinfo.aaos.org/topic.cfm?topic=A00005

Trigger finger is a condition that affects the tendons in your fingers or thumb. In this photo, the patient’s finger sticks in the bent position as she tries to straighten it. The tendon sheath attaches to the finger bones and keeps the flexor tendon in place as it moves.

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Lower Extremity 

Hip pinning surgery to repair a hip fracture involves two main steps:

–  Reduction (getting the bone lined up correctly)

–   Internal fixation (stabilizing broken bones)

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http://orthoinfo.aaos.org/topic.cfm?topic=A00334

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Sprains and strains are common injuries that share similar signs and symptoms, but involve different parts of your body.

A sprain is a stretching or tearing of ligaments — the tough bands of fibrous tissue that connect two bones together in your joints.

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Spine Condition 

A herniated disk refers to a problem with one of the rubbery cushions (disks) between the individual bones (vertebrae) that stack up to make your spine. A spinal disk is a little like a jelly donut, with a softer center encased within a tougher exterior.

 

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Cervical discs absorb shock between the bones. The bones, ligaments, and muscles of your neck support your head and allow for motion. Any abnormalities, inflammation, or injury can cause neck pain or stiffness. … Sometimes, neck pain is caused by injury from a fall, contact sports, or whiplash.

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Spinal stenosis is a narrowing of the open spaces within your spine, which can put pressure on your spinal cord and the nerves that travel through the spine to your arms and legs. Spinal stenosis occurs most often in the lower back and the neck.

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A cervical epidural steroid injection delivers steroids into the epidural space surrounding spinal nerve roots to help alleviate pain in the upper spine/neck. Sacroiliac Joint Block Video. Learn about sacroiliac joint blocks and how they are performed in this video.

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Dr. John Blair
Dr. Michael Martin

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A fracture is a partial or complete break in a bone. Fractures in the ankle can range from the less serious avulsion injuries (small pieces of bone that have been pulled off) to severe shattering-type breaks of the tibia, fibula or both.

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The excessive force causes the muscles to swell and increases the pressure against the bone, leading to pain and inflammation. Shin splints can also result from stress reactions to bone fractures. The constant pounding can cause minute cracks in the bones of the leg.

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If you have corns or calluses, your health care provider can trim them for you. Your health care provider can also trim your toenails if you cannot do so safely. Because people with diabetes are more prone to foot problems, a foot care specialist may be on your health care team

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Bunions are a deformity of the joint connection between the big toe to the foot. This occurs when the big toe pushes against your other toes, which in turn forces the big toe to stick out and become enlarged. Bunions can be caused by wearing tight, narrow shoes or because of structural defects within the foot.

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Dr. Peter Krumins,
Dr. Gavin Smith
Dr. Philip Yearian

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