Arthroplasty/Joint Replacement Surgery for the Lower Arm


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

What is a Knee Replacement Revision?

Article featured on Summit Ortho

Hundreds of thousands of Americans have total knee replacement surgery each year to treat severe knee arthritis that no longer responds to conservative treatments. Conservative treatments are those such as medications, physical therapy, or injections. In this surgery, the damaged joint surfaces of the knee are replaced with artificial metal and plastic implants. These knee implants may last individuals 20 or more years. For some people, their knee implants will last the rest of their lives. However, some knee replacements do not last as long as patients and their providers hope or wear out over time.

“I think every knee replacement surgeon hopes that the knee replacement they do for each patient is the last knee surgery for that individual. But sometimes knee replacements wear out over time or may not function as well as we hoped,” said Summit hip and knee surgeon and total joint replacement specialist Brandon Kelly, M.D.

What is a knee replacement revision?

A knee replacement revision is a surgery to replace one or multiple knee replacement parts with new ones. The specifics of each revision surgery depend on how and where the original implant is failing. Other factors include the individual patient’s age, health, activity level, and other factors.

The need for a knee replacement revision surgery is an individualized decision made between the patient and the surgeon. It is typically recommended when there is a problem with the current knee replacement implants or if the knee is not meeting the patient’s quality of life goals. The decision for knee replacement revision is individualized to each patient’s medical and social factors. Sometimes, surgical intervention may not align with every patient’s goals of care.

“Knee replacement revision is usually a big decision for patients and surgeons. I like to educate my patients on what’s going well and what’s not going well with their current knee replacements. Then we discuss what may or may not be improved with revision knee replacement surgery before proceeding with surgery. I like to understand my patients’ goals to ensure I can meet them before proceeding with surgical intervention,” Dr. Kelly noted.

What else is important to know about knee revision surgery?

Revision knee replacement surgery is typically a more complex, longer, and technically challenging surgery than total knee replacement. That’s why it’s important to choose your knee revision specialist carefully. There are many factors that contribute to postoperative recovery, but recovery time after revision knee replacement surgery in most circumstances is similar to a total knee replacement surgery.

As with a first-time knee replacement, preoperative and postoperative physical therapy is vital to help condition and strengthen the lower extremities.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Why is Physical Therapy Vital After Hip Replacement?


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

What is an Ankle Replacement?

Article featured on Mercy Health

What is an ankle replacement?

Arthroplasty — or ankle joint replacement surgery — is a procedure doctors offer to patients who suffer from arthritis in the ankle. The surgery replaces the ankle joint with an artificial one. This preserves range of motion while reducing pain.

Your doctor may recommend an ankle replacement if other conservative treatments aren’t working. Surgery is usually the last option because it has risks and requires a long recovery. Before opting for surgery, your doctor may try bracing, physical therapy, steroid injections or anti-inflammatory medications.

What to expect from ankle replacement surgery

Ankle joint replacement surgery is a major surgery that requires a hospital stay of two to three days or more. It may take longer for you to be able to walk on crutches or with a walker.

You’re either completely asleep under general anesthesia or numb from an injection during the surgery. Your doctor makes an incision in your skin above the ankle and moves soft tissues out of the way to get to the bone.

The surgeon cuts and removes the bottom of the tibia and the top of the talus. Screws attach the artificial joint in place. Your doctor will realign bones or correct deformities while working on your ankle if necessary.

After surgery, your doctor closes the incision with stitches or staples. Then he puts your ankle in a cast.

Recovery takes several weeks. Avoid putting weight on your ankle until your doctor confirms with x-rays that you’ve healed enough. You can work with a physical therapist to strengthen your muscles and improve range of motion.

Common conditions ankle replacement surgery

Doctors use ankle joint replacement surgery to treat arthritis in the ankles. Your ankle joints have cartilage between the bones that act as a cushion. Arthritis causes the cartilage to wear down. This causes the bones to rub against each other. Other reasons cartilage might wear out and cause your joints to fail are:

  • Infection
  • Wear and tear
  • Ankle fractures
  • Trauma to the ankle

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

5 Signs You Should See a Joint Replacement Specialist


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Arthritis Symptoms and Joint Replacement

Article featured on Mass General Brigham

What is Arthritis?

Both osteoarthritis and rheumatoid arthritis are conditions that can affect your joints and cause joint pain, stiffness, and swelling. Over time, this can cause cartilage damage. Cartilage is a smooth tissue that protects the movement of the joint. As arthritis progresses, the cartilage continues to break down, causing more pain and reduced range of motion.

What are common arthritis symptoms?

Common symptoms of arthritis include:

  • Swelling
  • Stiffness
  • Pain
  • Limited range of movement

Managing arthritis pain

There are nonsurgical options available if you want to reduce the pain associated with arthritis. Eating healthy foods and losing weight can be a good place to start. “One pound off the body is 4 pounds off the hip and knee. I always tell patients to celebrate when they take 1 pound off, because that’s 4 pounds off of all their joints. This makes them feel better and can help them move better too,” says Dr. Chen.

Other non-surgical treatment options include:

  • Over-the-counter medications, to manage the pain
  • Joint injections like steroids or hyaluronic gel
  • Low-impact strength training to strengthen the muscles to support your joints

Arthritis and joint replacement

“If your joint pain persists after trying these options, and you can’t do your daily activities, it might be time for you to get your joint replaced,” says Dr. Chen.

The most common arthritis joint replacement procedures are:

  • Hip replacement
  • Knee replacement
  • Partial knee replacement (depending on where your arthritis is located)

Hip replacement surgery

If you have hip arthritis, the cartilage in the ball and socket joint wears away. During a hip replacement, your surgeon makes an opening from the front, the side, or the back of your hip. They remove the ball and resurface the socket. They then place a new socket, liner, ball, and stem in your hip.

Knee replacement surgery

If you have knee arthritis, the cartilage between your thigh bone, shin bone, and kneecap wears away. During a knee replacement, your surgeon makes an opening to the front of the knee. They remove the damaged cartilage, replace it with metal, and add a plastic insert in the middle of the joint that allows your knee to glide smoothly. Depending on where your arthritis is located, your surgeon also may remove the back part of your kneecap and replace it with plastic.

Joint replacement surgery recovery

Everyone’s recovery is different, but most patients can walk with an assistive walking device immediately after their surgery. These devices can include:

  • Walkers
  • Canes
  • Crutches

“The most important thing to do is to move as much as possible after surgery,” Dr. Chen says. “Walking is a great option. Not only does it make your mobility better, but it also reduces your risk of blood clots.”

Following surgery, you need to do exercises either on your own or with a physical therapist. A physical therapist can develop a routine targeted to your needs to help you recover from your surgery.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

The Common Joint Reconstruction Surgeries

Article featured on Movement Orthopedics

Aching and tired joints can be due to the natural aging process, playing sports, repetitive-motion injury from work or a hobby, or even from previous injuries. Degradation of the protective cartilage in a joint (osteoarthritis) and/or reduction of the lubricating synovial fluid (usually caused by rheumatoid arthritis) can cause stiff, achy, and swollen joints. This often occurs in the neck, back, shoulders, elbows, hands, hips, knees, or feet.

When less-invasive treatments – like pain-relief injections and physical therapy – do not work to relieve your joint pain, then your orthopedic doctor may recommend joint reconstruction surgery. There are different types of joint reconstruction surgery that can be performed to repair or replace the painful tissues and structures of the joint, and bio-grade prosthetic materials may be implemented to replace damaged areas of the joint.

Popular Types of Joint Reconstruction Surgery

Orthopedic medicine is constantly improving with new innovations and techniques. These are the most common joint reconstruction surgeries:

Joint Replacement Surgery

Joint replacement surgery is an orthopedic surgery that is performed to remove and replace an arthritic or otherwise damaged joint with prosthetic parts. An orthopedic doctor may conduct a partial or total joint replacement, depending on the severity of the injury or damage.

Surgeons today can perform many types of total joint replacements as an outpatient procedure, especially with the knees and hips. Total joint replacement is most often done on the shoulder, elbow, finger, hip, knee, and ankle.

Joint Resurfacing Surgery

Joint resurfacing is often recommended for younger patients who may not benefit from a total joint replacement. Orthopedic surgeons usually perform this on the hip joint, where an injury tends to accelerate damage to the joint surfaces. This is done mainly where the ends of the hip bones rub against one another and move awkwardly.

Hip joint resurfacing surgery includes filing down part of the femoral head, which is the curved top of the femur (upper leg bone) which fits into the hip socket. The orthopedic surgeon then removes the socket area and replaces it with a metal prosthetic socket to support bone integrity.

Osteotomy

Osteotomy, or bone cutting and repairing, is the process of removing a specific section of bone – usually to straighten it or to make it even with the other limb or joint. The procedure is usually performed by orthopedic surgeons on the knees, hips, or legs of younger patients, and it is often an alternative to joint replacement surgery.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

When Is the Right Time for Joint Replacement?

Article featured on Summit Orthopedics

Hip or knee arthritis is a long-term, chronic condition that tends to get worse over time. While there are many things you can do to protect your arthritic joint and ways to make getting through a flare-up easier, the broken-down cartilage in the joint will provide less protection, making the pain, stiffness, and inflammation worse. But when is the right time for joint replacement? How do you know when it’s time to talk with your doctor? We spoke with a hip and knee replacement specialist Kevin Lindgren, M.D., to find out.

Did I wait too long for joint replacement?

“I hear patients say all the time in my practice, ‘Did I wait too long?’ or ‘I wish I hadn’t waited so long’ for joint replacement,” Dr. Lindgren said. “I tell them, ‘You didn’t wait too long. You waited the right amount of time for you.’”

The fact is, joint replacement is major surgery. It’s understandable that patients may choose to wait. When a patient finally feels comfortable pursuing surgery, they can still reap life-changing effects. “It’s a big surgery, but it’s life-changing,” Dr. Lindgren said. “The process around joint deterioration takes years, which means it has already changed the person’s life — it affects decisions about what to do and what activities to avoid. The fix for severe arthritis can be equally great. There is a significant improvement in quality of life.”

Some patients worry that they have further damaged their joint by waiting too long for joint replacement surgery, but Dr. Lindgren is quick to reassure them. “You didn’t do anything to your joint by waiting that can’t be fixed,” he said.

Am I too old — or too young — for joint replacement? When is the right time?

In a word, no. “I’ve performed joint replacements on teenagers, and I’ve performed joint replacements on people in their 90s,” Dr. Lindgren said. “There tends to be an average age for joint replacement, but there’s no perfect age or time.”

Younger people seeking joint replacement are often very active and athletic. “They would rather have joint replacement surgery now, so they can use the joint earlier and reap the benefits for longer,” Dr. Lindgren said.

On the other hand, older adults may say, “I’ve made it this far — perhaps I should just continue to deal with it.” Dr. Lindgren encourages people dealing with arthritis pain — no matter how old they are — to talk with a joint replacement specialist. “You don’t need to suffer just because you’re older,” he said.

When to seek treatment for your arthritis

Arthritis doesn’t have to spell the end of an active life. If you are experiencing worrisome symptoms or persistent pain, contact your doctor to get started. We work with you to confirm a diagnosis and develop an appropriate conservative treatment plan. If nonsurgical treatments fail to support your lifestyle goals, fellowship-trained orthopedic surgeons will consult with you and discuss appropriate surgical options.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic surgeons in Portland Oregon, contact OSM today.

Phone:
503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm