Green Mountain Orthopaedic Surgery

Since 2002, our board-certified fellowship-trained, orthopedic surgeons at Green Mountain Orthopaedic Surgery have delivered comprehensive non-surgical and surgical orthopedic care with superior results and unsurpassed service to get you back to a healthy lifestyle you can enjoy. 

With an office conveniently located on the campus of Central Vermont Medical Center, you don’t have to travel anywhere else for outpatient surgery, diagnostic imaging or physical therapy. Being able to access these services all in one place minimizes your hassle and maximizes your time!

Our Procedures

Our orthopedic surgeons treat a variety of orthopedic conditions utilizing a variety of leading-edge surgical and non-surgical techniques. The following is a list of procedures conducted by our surgeons (click on procedure for full description, including where the procedure is done, hospital stay requirements, and type of anethesia):

Anthroplasty

• Total Hip Replacement (Total Hip Arthroplasty)
• Total Knee Replacement (Total Knee Arthroplasty)
• Total Shoulder Replacement (Total Shoulder Arthroplasty)
• Wrist Joint Replacement (Wrist Arthroplasty)
• Basal Joint Arthroplasty

Arthroscopy

• Knee Arthroscopy
• Shoulder Arthroscopy
• Ankle Arthroscopy
• Hip Arthroscopy
• Wrist Arthroscopy

Other Procedures

• Surgical Fixation of Fractures (Ankle, Foot, Wrist, Finger, Elbow, Patella, Hip, Shoulder, Tibia, Fibula, Humerus)
• Endo Carpal Tunnel Release
• Open Carpal Tunnel Release
• Endo/Open Cubital Tunnel Release
• Excision (ganglon cyst, mass, etc.)
• PIP Joint Replacement
• Trigger Finger Release
• Dupuytren's Release
• Aponeurotomy
• Xiaflex Injection and Manipulation (for treatment of Dupuytren's Contracture)
• DeQuervain's Release

Total Hip Replacement (Total Hip Arthroplasty)

Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement orthopaedic surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage as part of hip fracture treatment.

Total Knee Replacement (Total Knee Arthroplasty)

Knee replacement, or knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint, with a prosthetic implant, to relieve the pain and disability of osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis.

Knee Arthroscopy

Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. Arthroscopic procedures can be performed either to evaluate or to treat many orthopedic conditions including torn floating cartilage, torn surface cartilage, ACL reconstruction, and trimming damaged cartilage. 

Total Shoulder Replacement (Total Shoulder Arthroplasty)

Total shoulder replacement or shoulder arthrosplasty is a surgical procedure to replace the joint surfaces of the shoulder with a prosthetic implant to relieve arthritis pain.

Wrist Replacement (Wrist Arthroplasty)

Wrist Replacement involves an incision made on the back of the wrist. The damaged ends of the lower arm bones are removed and the first row of carpal bones may also be removed. The radial component of the prosthesis is inserted into the center of the radius bone on the outside of the lower arm. It is held in place with bone cement.

Surgical Fixation of Fractures

(Ankle, Foot, Wrist, Finger, Elbow, Patella, Hip, Shoulder, Tibia, Fibula, Humerus)

Open Reduction Internal Fixation (ORIF) involves the implementation of implants to guide the healing process of a bone, as well as the open reduction, or setting, of the bone itself. Open reduction refers to open surgery to set bones, as is necessary for some fractures. Internal fixation refers to fixation of screws, rods and/or plates to enable or facilitate healing. Open Reduction Internal Fixation techniques are often used in cases involving fractures such as comminuted or displaced fractures.

Shoulder Arthroscopy

Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. Arthroscopy is commonly used for treatment of various diseases of the shoulder including subacromial impingement, acromioclavicular osteoarthritis, rotator cuff tears, frozen shoulder (adhesive capsulitis), chronic tendonitis and partial tears of the long biceps tendon, SLAP lesions, labral tears and shoulder instability.

Ankle Arthroscopy

Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. Arthroscopy is commonly used for treatment of loose bodies, osteochondral defects, and traumatic arthritis.

Hip Arthroscopy

Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. Hip arthroscopy may relieve painful symptoms of many problems that damage the labrum, articular cartilage, or other soft tissues surrounding the joint.

Endoscopic Carpal Tunnel Release

Endoscopic Carpal Tunnel Release (ECTR) refers to a method of performing Carpal Tunnel Release Surgery using an endoscope or an arthroscopic device. ECTR releases the transverse carpal ligament (TCL) that overlies and compresses the median nerve within the carpal tunnel. It is this compression on the median nerve that leads to the characteristic 'pins and needles' paresthesia in the thumb, index, long and ring fingers. The primary benefit of endoscopic releases versus traditional open carpal tunnel release is the smaller incision size.

Open Carpal Tunnel Release

Open surgery involves an incision on the palm about an inch or two in length. Through this incision, the skin and subcutaneous tissue is divided, followed by the palmar fascia, and ultimately the transverse carpal ligament.

Endo/Open Cubital Tunnel Release

Cubital Tunnel Syndrome is compression of the ulnar nerve at the elbow.  To relieve the pressure on the nerve, surgery requires shifting the nerve to the front of the elbow.  This relieves pressure and tension on the nerve.  The nerve may be placed under a layer of fat under the muscle or within the muscle.

Wrist Arthroscopy

Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision.  Arthroscopy of the wrist is used to investigate and treat symptoms of repetitive strain injury, fractures of the wrist and torn or damaged ligaments. It can also be used to ascertain joint damage caused by arthritis.

Excision (ganglon cyst, mass, etc.)

Ganglion cyst removal is the removal of a fluid-filled sac on the skin of the wrist, finger, or sole to the foot. It entails aspiration, or draining fluid from the cyst with a large hypodermic needle. The cyst may also be excised (removed by cutting).

PIP Joint Replacement

This procedure is done when a patient has a finger that is painful, stiff or cannot move because or arthritis or injury. The implants will be press fit into the bones to create new joint surfaces to allow some motion and pain relief.

Trigger Finger Release

The sheath that surrounds the tendon is opened to enlarge the space and release the swollen tendon.

Dupuytren's Release

Surgery for the treatment of Dupuytren's Contracture.  The surgeon divides or removes the thickened bands to restore finger motion.

Aponeurotomy

Needle aponeurotomy is a minimally invasive technique where the cords are weakened through the insertion and manipulation of a small needle. Once weakened, the offending cords may be snapped by simply pulling the finger(s) straight. The advantage claimed for needle aponeurotomy is the minimal intervention without incision (done in the office under local anesthesia) and the very rapid return to normal activities without need for rehabilitation, but the nodules are not removed and might start growing again.

Xiaflex Injection and Manipulation (for treatment of Dupuytren's Contracture)

Basal Joint Arthroplasty

Surgical procedures include removal of arthritic bone and joint reconstruction.

DeQuervain's Release

The sheath that surrounds the tendons is relased so the tendons can move more easily.