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Lloyd C. Briggs, Jr., M.D., M.S. Lloyd C. Briggs, Jr., M.D., M.S.
Grace R. Dasari, M.D. Grace R. Dasari, M.D.
Frank E. Fumich, M.D. Frank E. Fumich, M.D.
Steven P. Haman, M.D. Steven P. Haman, M.D.
Nathan T. Hensley, DPM Nathan T. Hensley, DPM
Dr. Sean R. Logan Dr. Sean R. Logan
Mark G. McDonald, M.D. Mark G. McDonald, M.D.
Joseph R. Misson, M.D. Joseph R. Misson, M.D.
Michael J. Muha, M.D. Michael J. Muha, M.D.
James M. Nieman, M.D. James M. Nieman, M.D.
James A. O'Neill, M.D. James A. O'Neill, M.D.
Sam M. Patel, M.D. Sam M. Patel, M.D.
James J. Patterson, M.D. James J. Patterson, M.D.
William A. Sanko, M.D. William A. Sanko, M.D.
Gary M. Schniegenberg, M.D. Gary M. Schniegenberg, M.D.
Dr. St. Clair Selvon F. St. Clair, MD, Phd
Michael J. Wieser, M.D. Michael J. Wieser, M.D.
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Total Joint Replacement - Hip and Knee Surgery - Hand Surgery

Spinal Surgery - Foot and Ankle Surgery - Shoulder and Upper Extremity

Total Joint Replacements

Total Hip Replacement

If your hip has been damaged by arthritis, a fracture or other conditions, common activities such as walking or getting in and out of a chair may be painful and difficult. You may even feel uncomfortable while resting.

If medications, changes in your everyday activities, and the use of walking aids such as a cane are not helpful, you may want to consider hip replacement surgery. By replacing your diseased hip joint with an artificial joint, hip replacement surgery can relieve your pain and help you get back to enjoying normal, everyday activities.

Today, more than 168,000 total hip replacements are performed each year in the United States. Please click the following link for more information regarding Total Hip Replacement Surgery.

Total Knee Replacement

If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities such as walking or climbing stairs. You may even begin to feel pain while you’re sitting or lying down.

If medications, changing your activity level, and using walking supports are no longer helpful, you may want to consider total knee replacement surgery. By resurfacing your knee’s damaged and worn surfaces, total knee replacement surgery can relieve your pain, correct your leg deformity, and help you resume your normal activities.

About 267,000 total knee replacements are performed each year in the United States. Please click the following link for more information regarding Total Knee Replacement Surgery.

Other joint replacement procedures performed at OIO

  • Hemiarthroplasty of the hip
  • Total Shoulder Replacement
  • Hemiarthroplasty of the shoulder
  • Total Ankle Arthroplasty
  • Total Elbow Arthroplasty

Knee and Hip Surgery

ACL Reconstruction

When you twist your knee or fall on it, you can tear a stabilizing ligament that connects your thighbone to the shinbone. An Anterior Cruciate Ligament (ACL) unravels like a braided rope when it’s torn and does not heal on its own. Fortunately, reconstruction surgery can help many people recover their full function after an ACL tear.

Ligaments are tough, non-stretchable fibers that hold your bones together. The cruciate ligaments in your knee joints crisscross to give you stability on your feet. People often tear the ACL by changing direction rapidly, slowing down from running or landing from a jump.

Your doctor may conduct physical tests and take X-rays to determine the extent of damage to your ACL. Most of the time, you will need reconstruction surgery. Successful ACL reconstruction surgery tightens your knee and restores its stability.

Hand Surgery

Carpal Tunnel Surgery

Some of the symptoms of Carpal Tunnel syndrome include a numbness or tingling in your hand, especially at night, and experiencing clumsiness in handling objects and a pain that goes up the arm to as high as the shoulder.

The median nerve travels from the forearm into your hand through a "tunnel" in your wrist. This tunnel contains nine tendons that connect muscles to bones and bend your fingers and thumb. These tendons are covered with a lubricating membrane which may enlarge and swell. If the swelling is sufficient, it may cause the median nerve to be pressed up against this strong ligament which may result in numbness, tingling in your hand, clumsiness or pain described above.

Mild cases may be treated by applying a brace or splint which is usually worn at night and keeps your wrist from bending. Resting your wrist allows the swollen membranes to shrink. These swollen membranes may also be reduced in size by taking non-steroidal anti-inflammatories. Your doctor may also advise a cortisone injection into the Carpal Tunnel.

In those patients who do not gain relief from these non-surgical measures, it may be necessary to perform surgery. The surgery itself is called a "release" - cutting the ligament that forms the roof of the carpal tunnel to relieve the pressure on the median nerve. The surgery is usually performed on an outpatient basis.

Gamekeeper's Thumb or Skier's Thumb

Gamekeeper's Thumb or Skier's Thumb is most commonly associated with a work-related or sports-related injury. The most common cause is a skier's hand landing on a ski pole, causing a twisted force on the thumb.

Other hand conditions treated at OIO:

  • Trigger Finger
  • Dupuytren's Contracture
  • Ganglion Cyst

Spinal Surgery

Spinal Fusion

Spinal fusion is a "welding" process by which two or more of the small bones (vertebrae) that make up the spinal column are fused together with bone grafts and internal devices such as metal rods to heal into a single solid bone. The surgery eliminates motion between vertebrae segments, which may be desirable when motion is the cause of significant pain. It also stops the progress of a spinal deformity such as Scoliosis. Most spinal fusions involve relatively small spinal segments and thus do not limit motion very much.

About 258,000 spinal fusions were performed in 1999. For more information, please click the following link Spinal Fusion.

Other spinal conditions treated at OIO

  • Microdiscectomy for Herniated Disc
  • Spinal Instrumentation for fractures, Instability and Deformity (Scoliosis, Spondylolisthesis, Kyphosis)
  • Lumbar Laminectomy for Spinal Stenosis
  • IDET - Intradiscal Electrothermal Therapy


Orthopaedic Trauma and Fracture Surgery

Fracture surgery/major trauma refers to the orthopaedic care of multiple-injured patients. Usually the victims of motor vehicle accidents or falls from great heights, these patients often suffer from numerous fractures, as well as life-threatening injuries to other organ systems. Orthopaedic management differs from treatment of less complicated or isolated fractures. Surgery is usually required to reestablish stability of the fracture and proper skeletal alignment.

Foot and Ankle Surgery

Bunion Surgery

Most bunions can be treated without surgery. But when nonsurgical treatments are not enough, surgery can relieve your pain, correct any related foot deformity, and help you resume your normal activities. An orthopaedic surgeon can help you decide if surgery is the best option for you.

Please click the following link for more information regarding Treatment of Bunions.

Other foot and ankle conditions treated at OIO

  • Hammer Toes
  • Claw Toes
  • Achilles Tendonitis
  • Stiff Big Toe (Hallux Rigidus)
  • Foot and Ankle Reconstruction
  • Heel "Spurs"
  • Ankle Arthroscopy

Shoulder and Upper Extremity Surgery

Shoulder Surgery

Your shoulder is the most flexible joint in your body. This flexibility also makes your shoulder susceptible to instability and injury. Depending on the nature of the problem, conservative nonoperative methods of treatment often are recommended before surgery. However, in some instances, delaying the surgical repair of a shoulder can increase the likelihood that the problem will be more difficult to treat later. Early, correct diagnosis and treatment of shoulder problems can make a significant difference in the long run. You may be given the option to have an arthroscopic procedure or an open surgical procedure.

Arthroscopy allows the orthopaedic surgeon to insert a pencil-thin device with a small lens and lighting system into tiny incisions to look inside the joint. The images inside the joint are relayed to a TV monitor, allowing the doctor to make a diagnosis. Other surgical instruments can be inserted to make repairs, based on what is with the arthroscope. Arthroscopy often can be done on an outpatient basis.

Open surgery may be necessary and, in some cases, associated with better results than arthroscopy; open surgery often can be done through small incisions of just a few inches. Recovery and rehabilitation is related to the type of surgery performed inside the shoulder, rather than whether there was an arthroscopic or open surgical procedure.

Other shoulder and upper extremity conditions treated at OIO

  • Operative shoulder stabilization including laser and electrothermal capsulorrhaphy
  • Ganglion Cyst
  • Rotator Cuff repair - open and arthroscopic
  • Bankart repair - open and arthroscopic
  • Acromioplasty - open and arthroscopic

Institute for Orthopaedic Surgery

The Orthopaedic Institute of Ohio is affiliated with the Institute for Orthopaedic Surgery (IOS), an orthopaedic hospital adjacent to the OIO facility in Lima. IOS is equipped with three state-of-the-art operating rooms and 12 comfortable patient suites for over-night stays.

With this facility, OIO surgeons have control and full access of operating time. They work in operating rooms outfitted for their specialty. The Institute for Orthopaedic Surgery was designed for the comfort and care of orthopaedic patients.

The staff is committed to making a positive contribution to the wellness of patients and their families. It is their goal to deliver care focused toward the improvement of human life.

They know that you have a choice when choosing your healthcare facility. The staff treats everyone - patients, their families, significant others, and colleagues - with kindness and compassion. They value your rights as a patient and look forward to working with you.

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