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.
  
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