Dr. McGarry 's Top 10 Orthopedic Surgical Procedures
- Knee arthroscopy: This includes the latest in minimally
invasive techniques to address injuries to articular
cartilage, meniscus and ligaments. Articular cartilage
injuries can be improved by procedures such as chondroplasty,
microfracture or osteochondral transplants. Meniscus
injuries are evaluated and either repaired or resected
depending on the type of tear. Anterior cruciate ligament
injuries are addressed with ligament reconstruction using
allograft (cadaver) or autograft (patient’s tissue).
- Shoulder Arthroscopy: This minimally
invasive procedure is used to repair issues such as shoulder
instability, shoulder impingement, rotator cuff tears,
and pathology to the long head of the biceps. I use the
latest bioabsorbable implants so there is no permanent
metal retained inside the patient's bone. I also utilize
the latest techniques in anesthesia to decrease post
operative pain which improves patient satisfaction and
function.
- Total knee replacement: I utilize
a quadriceps sparing technique which allows significant
improvement in post operative rehabilitation and allows
earlier return to activities of daily living. I use Stryker’s
Triathlon knee which allows greater range of motion
and excellent longevity of the implants.
- Wrist
fractures: These types of fractures can lead
to significant loss of function and arthritis if not
treated properly. I use Stryker’s
low profile locking volar distal radius plate to anatomically
fix the radius. This allows earlier range of motion to
reduce the risk of stiffness and permanent loss of motion.
- Ankle
fractures: These are very common injuries and
if not diagnosed and treated properly they can lead to
instability and arthritis in the ankle joint. I use basic
AO principles to anatomically fix these fractures to
restore normal ankle joint kinematics.
- Hip fractures: These are very common
injuries in the elderly. It is most commonly the result
of a fall in conjunction with osteopenia or osteoporosis.
The treatment of choice for these injuries depends on
the pattern of the fracture. If the fracture pattern
allows bone to bone healing, I will use a Stryker Gamma
nail to hold the fragments in anatomical position to
allow healing. If the fracture pattern is such that the
proximal femur needs to be replaced, I will use a bipolar
prosthesis to take the place of the fractured hip.
- Total
Hip Replacement: I perform these procedures
for patients with end stage hip arthritis. I utilize
a lateral approach to the hip which decreases the likelihood
of post operative hip dislocations. I use the latest
technology of press fit implants which means no complications
from cement fixation.
- Tibia fractures: These types
of fractures are common in motor vehicle accidents. I
fix most tibial shaft fractures with an intramedullary
nail which allows early weight bearing and excellent
strength of fixation. The incision for this procedure
is very small, measuring about 2.5 cm.
- Femoral
shaft fractures: These fractures are also common
in high energy accidents such as motor vehicle or motorcycle
collisions. These injuries are often fixed with an intramedullary
nail which provides excellent strength and allows early
weight bearing.
- Patella fracture: This type of
fracture presents a difficult problem because the entire
function of the leg depends on the patella. When this
bone is fractured and the extensor mechanism of the leg
is disrupted then it needs to be adequately fixed. I
use the AO technique of pins and a tension band to allow
compression across the fracture site which normally experiences
a distraction force. The tension band technique turns
distraction forces into compressive forces and therefore
allows good bony apposition for excellent healing.
Dr.
John E. McGarry's Bio »
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