Brian Gladnick MD

Services & Procedures

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Total Hip Replacement

Total hip replacement surgery is a tremendously successful procedure for eliminating pain and restoring function in patients with severe hip arthritis. Most simply put, a total hip replacement involves removal of the damaged cartilage and bone from the ball and socket of the patient’s arthritic hip and replacing these with a new ball-and-socket implant that allows the patient to walk with smooth motion and without pain. 

The Direct Anterior Approach utilizes an intermuscular plane of dissection, meaning no muscles or tendons need to be cut during the surgery. Because of this preservation of the soft tissues, patients do not require any hip precautions or restrictions during their rehabilitation period.  Immediate weight bearing as tolerated is prescribed, with no restrictions.

Total Knee Replacement

Total knee replacement surgery is a highly successful procedure for eliminating the pain and stiffness associated with knee arthritis. Most simply put, this procedure involves removing the damaged cartilage and bone from the inside of the knee and then replacing the weight-bearing surfaces with a new implant (similar to capping a tooth) that allows a smooth arc of motion and the ability to walk without pain.

Partial Replacement

The main advantage of a unicompartmental knee replacement is that the surgery is limited solely to the region of the knee (either medial, lateral, or patellofemoral compartment) where there is arthritic damage; the other two intact compartments are left untouched. Additionally, the cruciate ligaments and the meniscus in the normal compartment are all left intact. This can result in a knee that has a feel and functionality that seems “more normal” for the patient and may facilitate enhanced participation in sports and other activities.

Revision Hip and Knee Replacement

Occasionally, patients are unsatisfied with their hip or knee replacement outcome. If the patient has a joint replacement that is not functioning adequately, further surgery may not be required, but rather the patient can be treated with physical therapy, activity modification, or medications.

However, if there is a more serious problem with the joint, it may rarely require revision surgery to fix the problem.

Contact The Carrell Clinic

To arrange an orthopaedic hip or knee consultation with Dr. Gladnick, call The Carrell Clinic located in Dallas, TX at (214) 220-2468.

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