Patient Education

Hip & Knee Articles

Arthroscopic Treatment of Hip Injuries

The success of hip replacement has been well documented over the years; however, treatment of the young, active patient with hip pain has remained a difficult problem. We have come to understand that the majority of the time this pain is due to a discrete injury or overuse resulting in tears of the labrum (a ring of cartilage that surrounds the socket), damage to the cartilage, or irritation of the muscles surrounding the hip.


Unicompartmental Knee Replacement

  A unicompartmental knee replacement (uni) resurfaces one of the knee's three articular compartments with prosthetic surfaces made of metal and plastic. A total knee replacement (TKR) resurfaces all three compartments with similar materials. Patients with osteoarthritis that is limited to just one part of the knee are candidates for this procedure. For these individuals (approximately 30 percent of patients), a uni offers quicker recovery, less pain after surgery and the potential for a "normal" knee in that no ligaments are sacrificed. All total knee replacements are cruciate deficient post-op thus limiting vigorous activities due to the resultant abnormal kinematics. ...


Anterior Cruciate Ligament (ACL) Tears

ACL tears are one of the most common (and most well known) injuries of the knee, and are more common among athletes who participate in intense running and jumping sports. The cruciate ligaments are located in the knee joint connecting the femur (thigh bone) to the tibia (shin bone). Common causes for ACL injury include stopping running suddenly, incorrect landing, or direct impact (such as a football tackle).


Partial Knee Replacement

A knee has three compartments; one where the knee cap [patella] moves back and forth on the thigh bone [femur] and two weight bearing compartments where the femur moves upon the tibia separated by the two cruciate ligaments in the middle. Where these surfaces meet and move one on the other [articulate] the bone is covered with a thin [about 1/8th inch] layer of articular cartilage that is very smooth and slick. If this layer is disrupted for any reason and is no longer a low friction surface, the joint [arthro] becomes inflamed [itis] and the knee's owner has...


Hip Pain Treatment

There have been a myriad of changes during the past 10 years in the management of patients with hip pain. Improvements in implants, refinements in surgical techniques, and advances in non-arthroplasty treatments have led to excellent outcomes and many satisfied patients.


Meniscal Repair

Post Operative Instructions

Meniscal repair is usually performed in conjunction with anterior cruciate ligament reconstruction, but occasionally is performed as an isolated procedure. Specific to meniscal repair is the need to use postoperative bracing. Weight bearing is allowed only in extension (with the leg fully straight).


Computer-Assisted Navigation for Total Knee Replacement

Patients who choose to undergo total knee replacement will benefit from the most exciting use of technology in orthopaedics in the last decade, according to Asheville orthopaedist Dr. Tally H. Eddings III. New computer-assisted navigation allows highly trained orthopedic surgeons to achieve precise positioning, sizing and alignment during the procedure, and Dr.


Anterior Cruciate Ligament Reconstruction

Post Operative Instructions

Anterior Cruciate Ligament Reconstruction is usually done with a graft from one of two sources: from a donor (allograft) or from your own tissue (autograft).


Arthroscopy of the Knee

Post Operative Instructions

Arthroscopy of the knee is done as an outpatient procedure. Some of the most common knee arthroscopy procedures I perform are listed below. You were given a set of instructions after your surgery explaining the basics of what is coming now that your surgery is complete. Hopefully this site will answer any further questions you may have regarding your surgery and post operative course. This section is broken down to the following procedures:


Total Knee Arthroplasty

General Post-Operative Instructions

Following total knee arthroplasty, you will be involved with several care providers. Our office will coordinate physical therapy and home health to make sure that your surgery has been a success and you obtain maximum benefit from this procedure. I routinely use a rotating platform knee (knees that bend and rotate).


Total Hip Arthroplasty (Total Hip Replacement)

SPECIAL RESTRICTIONS Total hip arthroplasty post-operative patients have several unique and specific restrictions. These instructions and precautions are initially introduced during the preoperative class and continue for as long as you live. Specific precautions for total hip patients include restrictions on position of the hip after surgery. The hip should not be flexed, adducted, and internally rotated at the same time or a dislocation may occur. This set of positions of the hip is best illustrated in the seated position with the hip flexed or bent at the waist. Adduction is when the leg crosses the...