Joint Center

WE ARE FOCUSED ON BOTH HIP AND KNEE REPLACEMENT AND REVISION SURGERY

qualified specialists and state-of-the-art technology

OSA has helped many athletes and orthopedic patients improve their health and quality of life throughout the years. If you are experiencing discomfort or pain in your joints, consult our specialists to get a thorough assessment and accurate diagnosis of your condition.

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OUR TEAM

Meet the Joint Center Team.

joint center

Elvis L. Grandic, MD

Adult Reconstructive Surgery and Total Joint Replacement in Palm Beach County

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joint center

Jonathan B. Courtney, MD

Adult Reconstructive Surgery and Total Joint Replacement in Palm Beach County

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joint center

Matthew J. LaVelle, MD

Adult Reconstructive Surgery and Total Joint Replacement

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HIP REPLACEMENT

A hip replacement surgery is one of the most successful operations performed by orthopedic surgeons. A hip replacement restores function, removes pain, and has some of the highest patient satisifaction of all surgeries preformed today. If a patient with hip arthritis is no longer getting relief from their non-operative treatment for hip arthritis and their life is significantly impacted from their hip arthritis, then perhaps they should consider getting their hip replaced.

A hip joint is basically a ball and socket joint. A hip replacement involves removing the ball (femoral head) and replacing it with a metal or ceramic prosthetic ball. The femoral prosthesis is inserted into the hollow part of the femoral shaft. The socket of the pelvis is machined into a hemisphere and a metal hemisphere is inserted into the socket. The new femoral prosthesis and new socket form the new hip joint and allow the same and often times more motion than the native hip joint

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types of hip replacements

SuperPath Hip Replacement

Supercapsular Percutaneously-Assisted Total Hip surgery or SuperPATH ® surgery is a novel method of hip replacement where your surgeon can perform total hip replacement through 2-3 inch incision into the tip of the hip and without dislocating the hip or damaging the surrounding soft-tissue (muscles and tendons).

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types of hip replacements

Anterior Hip Replacement

Direct Anterior Hip Replacement is a minimally invasive, muscle sparing surgery using an alternative approach to traditional hip replacement surgery.

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types of hip replacements

Total Hip Replacement

A Total Hip Replacement is one of the most successful operations that orthopedic surgeons perform.

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types of hip replacements

Hip Joint Resurfacing

The surgery (Hip Resurfacing) will be performed using general, spinal or epidural anaesthesia. A combination of techniques is often used.

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types of hip replacements

Hip Revision

Revision Hip Replacement means that part or all of your previous hip replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone.

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non-operative joint treatments

Additional Supplements

Chrondroitin sulphate and glucosamine are naturally occurring substances in the body that prevent degradation of cartilage and promote formation of new cartilage.

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non-operative joint treatments

Steroid Shots

These injections of steroids are given directly into the affected joint for severe pain when use of NSAIDs does not bring much relief.

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non-operative joint treatments

Anti-Rheumatic Drugs

Anti-rhuematic drugs include nonsteroidal anti-inflammatory drugs (NSAIDs), disease modifying anti-rheumatic drugs (DMARDs) and biologic agents. NSAIDs are anti-inflammatory agents that are devoid of steroidal components but effective in relieving the pain & inflammation.

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surgical approach & technology: hips

Bearing Surfaces

The goal of hip replacement surgery is to help regain natural hip function. Hip replacement surgery involves replacement of the damaged hip joint with an implant.

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surgical approach & technology: hips

Surgical Approach: Hips

Hip replacements can be preformed through a direct anterior approach, an anterior lateral approach, a lateral approach, a posterior approach, and a superior approach. Some surgeons will use 2 incisions, both the anterior and superior approach. Each approach has advantages and disadvantages.

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causes of hip pain

Osteoarthritis

Osteoarthritis, also called degenerative joint disease is the most common form of arthritis. It occurs most often in older people. This disease affects the tissue covering the ends of bones in a joint (cartilage). In a person with osteoarthritis, the cartilage becomes damaged and worn out causing pain, swelling, stiffness and restricted movement in the affected joint.

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causes of hip pain

Femoroacetabular Impingement

Femoroacetabular impingement (FAI) is a condition where there is too much friction in the hip joint from bony irregularities causing pain and decreased range of hip motion. The femoral head and acetabulum rub against each other creating damage and pain to the hip joint.

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causes of hip pain

Hip dysplasia

Hip dysplasia is a condition which is seen in infants and young children as a result of developmental problems in the hip joint. The femur (thigh bone) partially or completely slips out of the hip socket causing dislocation at the hip joint.

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causes of hip pain

Labral Tear

Labral tear may be caused by trauma, femoroacetabular impingement (FAI), hip hypermobility, dysplasia, and degeneration.

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KNEE REPLACEMENT

Knee replacement surgery is the most common joint replacement procedure. A person may be a candidate for knee replacement surgery if their knee has become stiff and painful or if the knee has developed an angular deformity. These include knock knee deformity (genu valgus) and bowlegged deformity (genu varus). An individual may also benefit from knee replacement surgery if their knee is preventing them from engaging in activities that are important to them and other non operative or operative treatments are not working.

When a knee replacement is performed, the bone and cartilage on the end of the thigh bone (femur) and top of the shin bone (tibia) are removed. This is performed using precise instruments to create surfaces that will accommodate the implant perfectly. Computer navigation and robotic technology have wonderfully improved our precision and made the results even more predicable.

A metal implant that is shaped like our natural femur is placed on the femur. A metal tray and plastic insert are implanted on top of the tibia. The underneath surface of the patella or kneecap is also removed and replaced with a plastic button. Now as the new knee moves, only specialized plastic moves against the new metal femoral component and pain is relieved.

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non-operative joint treatments

Additional Supplements

Chrondroitin sulphate and glucosamine are naturally occurring substances in the body that prevent degradation of cartilage and promote formation of new cartilage.

Read More →

non-operative joint treatments

Steroid Shots

These injections of steroids are given directly into the affected joint for severe pain when use of NSAIDs does not bring much relief.

Read More →

non-operative joint treatments

Anti-rheumatic drugs

Anti-rhuematic drugs include nonsteroidal anti-inflammatory drugs (NSAIDs), disease modifying anti-rheumatic drugs (DMARDs) and biologic agents. NSAIDs are anti-inflammatory agents that are devoid of steroidal components but effective in relieving the pain & inflammation.

Read More →

surgical approach & technology: knees

Robotic Surgery

MAKOplasty® Partial Knee Resurfacing is an innovative treatment option for adults living with early to midstage osteoarthritis (OA) in either the medial (inner), patellofemoral (top), or both compartments of the knee. It is powered by the RIO® Robotic Arm Interactive Orthopedic System, which allows for consistently reproducible precision in performing partial knee resurfacing.

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surgical approach & technology: knees

Computer Navigation

Computer navigation provides the surgeon with the real time 3-D images of the mapped patient’s knee and the surgical instruments during surgery.

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surgical approach & technology: knees

Surgical Approach: Knees

Knee replacements are preformed through an incision on the front of the knee. There are some different ways to handle the soft tissue and extensor mechanism of the knee which are discussed below. Each approach has advantages and disadvantages.

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types of knee replacements

Revision Knee Replacement

The knee is made up of four bones. The femur or thighbone is the bone connecting the hip to the knee. The tibia or shinbone connects the knee to the ankle. The patella (kneecap) is the small bone in front of the knee and rides on the knee joint as the knee bends. The fibula is a shorter and thinner bone running parallel to the tibia on its outside. The joint acts like a hinge but with some rotation.

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types of knee replacements

Custom Knee Replacement

The ConforMis iTotal® CR is an individualized patient specific implant for replacement of all the three compartments of the knee. It is thus most appropriate for patients with knee arthritis and knee damage requiring implant for not one or two but all the three compartments of the knee. It is designed specifically to match the natural shape of the articulating surfaces of the patient’s knee.

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types of knee replacements

Partial Knee Replacement

(Unicondylar) knee replacement simply means that only a part of the knee joint is replaced (i.e. Partial Knee) through a smaller incision than would normally be used for a total knee replacement.

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types of knee replacements

Total Knee Replacement

A Total Knee Replacement (TKR) or Total Knee Arthroplasty is a surgery that replaces an arthritic knee joint with artificial metal or plastic replacement parts called the ‘prostheses'.

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ACL Tear

A strain or tear in the ACL muscle usually from sports involving sudden stops and starts.

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We provide personal care.

Our team offers a high level of expertise and experience combined with a sincere and authentic approach to patient care.

CONTACT US

We’d love to hear from you.

Whether it’s post-injury help or consultation about your first symptoms, our orthopedic doctors provide total management of patient care. Contact us find out more about OSA, our doctors, and our facilities, or to get started as a patient.

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