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Orthopedics

​​​​​​​​​​​​​​​​​Comprehensive Orthopedic Care

Looking for advanced capabilities in the treatment of orthopedic injuries and illnesses? Then Baylor Scott & White Medical Center – Irving is the right place for you.

Specialized orthopedic services at Baylor Scott & White – Irving include a comprehensive Total Joint Wellness program. Our program encompasses:

  • non-invasive techniques
  • advanced technology in metals and plastic for joint replacement
  • minimally invasive anterior hip replacement.
  • In addition, the program features offerings such as education services for patients and their families.

From general surgery to the most advanced procedures, we can provide the care you need, when you need it most.

Call 1.844.BSW.DOCS (1.844.279.3627) for a referral to an orthopedic specialist on the Baylor Scott & White – Irving medical staff.

General Orthopedics

​ ​​​​​​​​​​Whether you have experienced the trauma of a fracture or the chronic pain of back, neck or hand problems, the general orthopedic surgeons on the medical staff at Baylor Scott & White – Irving can help you return to a pain-free lifestyle.

At Baylor Scott & White – Irving, we know surgery is a big decision. Our staff can help ease your fears by walking you through the hospital experience, so you'll know what to expect.

While staying with us, our inpatients will also appreciate the privacy and individual attention offered through private rooms, room service for patients and unrestricted visitation hours.

The team of general orthopedic surgeons on the medical staff at Baylor Scott & White – Irving specializes in:

  • Reducing pain from herniated discs, spinal stenosis or other spine-related injuries or conditions
  • Treating ligament, cartilage or tendon injuries or arthritis in the hips, hands and other upper extremities
  • Repairing fractures, such as broken limbs, collarbones or kneecaps
  • Revising earlier, unsuccessful surgeries—no matter when or where the earlier procedure was performed

General Orthopedic Procedures

  • Hand and wrist surgery for congenital disorders, acquired conditions (including carpal tunnel syndrome), rheumatoid arthritis and trauma
  • Discectomy to remove herniated disc fragments
  • Laminectomy to ease pressure on the spine and spinal nerves, treat injuries or remove tumors
  • Laminotomy to relieve pressure on the spinal nerves
  • Spinal fusion to relieve pain from spinal stenosis, herniated discs, scoliosis and other back conditions
  • Fracture repair
  • Rotator cuff repair

In some cases, the expertise of our total joint replacement team may be required.​

Joint Wellness Program

Injury, arthritis or years of wear and tear can damage your joints, causing pain and limiting your movement. When serious joint pain interferes with your daily ability to walk, climb stairs, reach or bend, it’s time to turn to the Baylor Scott & White – Irving Joint Wellness Program.

Every day, joint replacement specialists at Baylor Scott & White – Irving help patients move better and feel better. Our minimally invasive total joint and partial joint replacement options can offer years of pain-free, independent living and help you return to the activities you enjoy quickly.

Joint Wellness Program Benefits

  • Dedicated team of physicians on the medical staff, physician assistants, nurses, patient care technicians, care managers, physical therapists and occupational therapists who specialize in the care of joint patients
  • Comprehensive patient education prior to surgery
  • Private rooms
  • A comprehensive knee replacement patient playbook and hip replacement patient playbook for patients to follow from two weeks pre-op until several months post-op
  • Coordinated care after discharge
  • A program that encourages family and friends to participate/aid in the recovery process

Procedures Offered

  • Minimally invasive hip replacement: Performed through one or two small incisions, this procedure typically results in less pain and faster recovery than traditional hip replacement.
  • Anterior supine total hip replacement: Performed through the front of the hip, this approach preserves more muscles and tissues, resulting in less pain and shorter recovery times.
  • Partial hip replacement/hip resurfacing: Rather than replacing the hip joint, the procedure reshapes and caps the hip ball with a metal prosthesis and fits the hip socket with a metal prosthesis.
  • Minimally invasive total knee replacement: Performed through small incisions, this approach leads to easier and faster recovery times, less pain and shorter hospital stays than traditional knee replacement.
  • Partial knee replacement: This procedure removes only the most damaged areas of cartilage and replaces these surfaces. Recovery time is faster than a total joint replacement.
  • Arthroscopy: Performed through a small incision with a scope, this procedure helps your orthopedic surgeon examine and possibly treat joint damage in the knees and shoulders without replacement.

For more information or a referral to a joint replacement specialist on the Baylor Scott & White – Irving medical staff, call 1.844.BSW.DOCS (1.844.279.3627).

Anterior Hip Replacement

A New Route to a New Hip

For many people who suffer from arthritis, hip pain, stiffness and/or limited hip movement, the only option for relief is a conventional total hip replacement done through the posterior (back) or lateral (side) of the body.

At Baylor Scott & White – Irving, we believe in options. That’s why we offer anterior hip replacement, a proven, minimally invasive technique that usually minimizes pain and the time from surgery to recovery.

Anterior hip replacement offers many potential benefits:

  • It allows the surgeon to get to the hip joint from the front of the hip rather than having to cut and then reattach muscles around the hip as in the conventional approach.
  • In the anterior approach, an orthopedic surgeon reaches the hip by working through natural openings between muscles. By not having to cut the muscles, there is usually decreased pain and healing time.
  • With a conventional approach, typically there are strict precautions for hip movement, which can slow down recovery. With the anterior approach, patients are allowed to bend their hip freely post-operatively and can bear full weight as soon as comfortable. This usually results in a more rapid return to normal function.
  • The HANA® operating table makes it easier to access the hip through a small, soft-tissue-preserving incision.

Baylor Scott & White – Irving offers board certified and fellowship-trained orthopedic specialists on its medical staff and quality equipment and technology. With the anterior hip replacement, we combine all of those to create a new and improved total hip surgery that provides improved results and quality of life.

For a referral to an orthopedic surgeon on the Baylor Scott & White – Irving medical staff who specializes in hip replacement, call 1.844.BSW.DOCS (1.844.279.3627).

Foot and Ankle

Foot and ankle pain or injury can interrupt even the most basic everyday activities. The experienced orthopedic team at Baylor Scott & White – Irving can help you get back on your feet again. Our advanced, minimally invasive treatment options help patients return to an active and pain-free lifestyle.

Our foot and ankle specialists offer:

  • Specialty training. Foot and ankle specialists on the medical staff at Baylor Scott & White – Irving are fellowship trained in how the lower extremities work together. If back or knee problems are causing your foot or ankle pain, we treat the source of the problem.
  • The right treatment. Many foot and ankle problems can be treated conservatively. Others require surgery. We’ll help find the right treatment for you.
  • Long-term care. We have the experience and training to understand your foot and ankle needs now—and help you stay on your feet if problems arise later.

The foot and ankle specialists on the Baylor Scott & White – Irving medical staff treat:

Foot Injuries

  • Osteoarthritis
  • Sprains
  • Fractures
  • Heel spurs
  • Ligament tears, where the ligament that connects the bones in the foot tears
  • Peroneal injuries
  • Peroneal tendinitis, an irritation to the tendons that run past the back outside part of the ankle
  • Stress fractures
  • Turf toe, a sprain of the metatarsophalangeal (MTP) joint of the first toe

Ankle Injuries

  • Achilles tendon rupture, if overstretched (typically in sports), the tendon connecting your heel bone to the back of your calf can tear
  • Achilles tendinitis
  • Ankle instability
  • Ankle osteoarthritis
  • Ankle sprains
  • Fractures
  • Cartilage injury, caused by wear and tear, this type of injury can lead to osteoarthritis

Diseases or Syndromes

  • Arthritis of the foot and ankle
  • Bunions
  • Charcot-Marie Tooth disease
  • Claw toes
  • Diabetic neuropathy
  • Diabetic ulcers
  • Flat feet
  • Hammer toes
  • Joint disease
  • Neurologic diseases, which include disorders of the brain, spinal cord and nerves throughout your body including your feet and ankles
  • Plantar fasciitis/heel spurs
  • Residual compartments syndromes
  • Rheumatoid arthritis
  • Stroke

Treatment Options

Baylor Scott & White – Irving's individualized approach to care means you’re getting the right treatment for your situation. Depending on your age, your injury and your lifestyle, our options include:

  • Conservative treatments (for most sprains, tendinitis and some deformities)
  • Orthopedic shoe modifications or custom-fit shoe inserts, called orthotics
  • Boots, casts, splints or braces to prevent the injured area from moving
  • Prescription medication or joint injections to reduce inflammation and pain
  • Physical therapy

Surgical Treatments

  • Ankle arthroscopy: a minimally invasive scope procedure to evaluate and treat a variety of conditions
  • Osteotomy: a bone realignment procedure to correct bunions and hammer toes
  • Tendon repair or reconstruction: a procedure to suture or lengthen tendons damaged in peroneal injuries and Achilles tendon ruptures
  • Ligament reconstruction: procedure to repair or reconstruct ligaments damaged by chronic ankle instability
  • Capsulorrhaphy: the suture of a torn joint capsule (damaged cartilage)
  • OATS, or osteoarticular transplants: transplanting of cartilage to improve deficits from injury or arthritis
  • Debridement: removal of damaged or infected tissue to treat heel spurs, Achilles tendinitis, arthritis and diabetic ulcers
  • Arthrodesis: an ankle fusion procedure used for arthritis patients that removes damaged cartilage and fuses two bones together
  • Ankle arthroplasty: total ankle joint replacement
  • Bone fracture repair
  • Joint realignment

Diabetes and Neurological Needs

  • Aggressive diabetes patient education on daily skin checks, skin care and ulcer care
  • Diabetes wound care and management through immobilization, ulcer debridement and diabetic limb salvage
  • Surgical repair of claw toes, high arches or hammer toes resulting from neurological problems, including stroke, cerebral palsy or Charcot-Marie Tooth disease

If your foot and ankle symptoms stem from diabetes or neurological disorders, we will consult with endocrinologists, neurologists or infectious disease specialists to provide a comprehensive approach to treatment.

Joint Revision Surgery

Advanced Repair or Replacement

Joint revision surgery can help relieve pain and restore function in joints that have undergone a previous procedure. It's not u​nusual for artificial hip, shoulder, elbow and knee joints to require revision. Even when the initial outcome of the original replacement procedure is good, the need for revision can arise for a variety of reasons, including:

  • Normal wear of an artificial joint. Most prostheses have a life of 10 to 20 years. As time passes, an artificial joint may fit less securely and lose effectiveness or break.
  • Pain. Any pain or discomfort that persists after recovery from a joint procedure may indicate one or more problems and could be a reason to consider revision.
  • Infection of surrounding tissue. Infection can cause weakness or damage to the joint.
  • Structural defects. Debris from components of an artificial joint can cause problems.
  • Musculoskeletal tumors. This serious condition in the joint or surrounding soft tissue can lead to functional impairment.

Specialized Treatment for Complex Challenges

Correction of a previous joint repair or replacement is typically more complex than an initial joint procedure. The cause, previous damage and structural issues complicate these cases and call for specialized expertise.

Baylor Scott & White – Irving features experienced joint revision surgeons on the medical staff.

So if you have previously undergone a joint repair or replacement procedure that may need a second look, call 1.844.BSW.DOCS (1.844.279.3627) or search our online directory for a referral.​

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