Joint Replacement

Joint Replacement

When our shoulders, hips, knees, and other joints become damaged from injury, arthritis, or wear and tear, even the slightest movement can become unbearable.

A joint is the location at which two or more bones make contact. Joints are constructed to allow movement and provide mechanical support throughout our bodies. Most of us take for granted the thousands of motions that utilize our joints each day, unless you are suffering from joint pain. Determining whether to undergo joint replacement surgery is a big decision, but one that can result in a significantly improved lifestyle. Joint replacement surgery entails replacing a diseased joint — most commonly the hip, knee, and shoulder — with a well-designed and functional artificial implant. This course of action is necessary when considerable cartilage loss occurs, causing bone-on-bone articulation, debilitation, and overbearing pain.

Joint replacement surgery has come a long way since doctors first started removing arthritic and damaged knees and hips. The orthopedic surgeons at Lakeshore Bone & Joint Institute will reconstruct your painful joint with materials that are durable. Minimally invasive and partial joint surgeries are available which can facilitate a faster recovery period enabling a quicker return to function.

In addition to treating inflammatory and arthritic joints our doctors can correct a failed joint surgery, or treat problems such as avascular necrosis or degenerative conditions. When you are faced with the difficult decision to have a joint replacement, the question of who to trust should be an easy one. Visit one of the specialists at Lakeshore Bone & Joint Institute and put an end to your discomfort.

Learn more about joint replacement surgery at Lakeshore Bone & Joint Institute by clicking a topic below.

Anterior Hip Replacement

Anterior Hip Replacement

When a patient requires a hip replacement surgery, the traditional method involves reaching the joint through the rear of the leg. But recent advances in technique have made an anterior approach a better solution for certain patients. In an anterior hip replacement procedure, the surgeon accesses the hip joint through the front of the leg instead.

Entering the joint through an anterior approach offers a number of advantages. Muscles that need to be cut and subsequently reattached for traditional hip replacement surgeries only need to be moved aside for anterior hip replacement. An anterior hip replacement provides the surgeon the ability to clearly visualize the full hip socket and allows for a variety of implant devices to be introduced.

This minimally invasive technique can lower the risk of dislocation that is more common in other hip replacement procedures. By maintaining the integrity of the muscles and the hip capsule, it also provides the stability necessary to avoid leg lengthening.

Therefore, there is a much better chance of keeping both leg lengths precisely equal.

Since less muscle damage takes place, anterior hip replacement often enables the patient to be hospitalized for a shorter period of time and to recover more quickly. In many cases, patients can walk without the use of an assistive device in two to three weeks post-surgery. Low impact forms of exercise are recommended immediately after anterior hip replacement, and higher-impact activities are typically only prohibited for three months.

The anterior hip replacement procedure may not be well suited to certain patients. Those with prior implants in the hip, some particularly muscular individuals and patients who are obese may not be ideal candidates for this type of hip replacement approach.

After a physical examination and analysis of your individual condition, your doctor can determine whether anterior hip replacement would be the best form of treatment for you.

Physicians Specializing in Anterior Hip Replacement

David J. Musgrave, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with David J. Musgrave, M.D.
  Orthopedic Surgeon, call at 219-250-5007.

David J. Musgrave, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
Eric K. Szczesniak, M.D.  <br />  <em>Orthopedic Surgeon</em>

To make an appointment with Eric K. Szczesniak, M.D.
  Orthopedic Surgeon, call at 219-250-5011.

Eric K. Szczesniak, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
LBJI Valparaiso - Cumberland Dr - 2501 Cumberland Dr.
Michael E. Kralovec, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Michael E. Kralovec, M.D.
  Orthopedic Surgeon, call at 219.250.5032.

Michael E. Kralovec, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Crown Point - 12800 Mississippi Parkway, Suite 201A
LBJI Schererville - 833 W. Lincoln Hwy Suite 110
Thomas D. Magill, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Thomas D. Magill, M.D.
  Orthopedic Surgeon, call at 219-369-0452.

Thomas D. Magill, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI LaPorte - 600 Legacy Plaza East

Hip Replacement Surgery

Hip Replacement Surgery

Whether you’re sitting, standing, walking, or bending, your hips are a fundamental component of your daily life. Connecting the thighbone to the trunk, the hip consists of a ball and socket joint that allows for a great deal of motion in a variety of directions. People of varying ages and lifestyles are susceptible to dozens of different hip conditions and diseases, including osteoarthritis and bursitis.

Common conditions requiring total hip replacement include:

  • Degenerative Joint Disease
  • Avascular Necrosis
  • Surgical Treatment Options

Total Hip Replacement

Total hip replacement involves replacing the diseased bone and cartilage with a metal ball and plastic cup to relieve pain and restore movement and function to the joint. After this procedure, patients will be able to once again move without the stiff, debilitating pain of arthritis.

Recent advances in surgical technology make it possible to perform minimally invasive joint replacements. Traditionally, an incision of 10-12 inches was needed for hip replacement surgery. Now, for patients who qualify, the same procedure can be performed with smaller incisions. There are other advantages to these techniques that may help make the surgery safer.

Physicians Specializing in Hip Replacement Surgery

Thomas H. Kay, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Thomas H. Kay, M.D.
  Orthopedic Surgeon, call at 219-250-5022.

Thomas H. Kay, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
LBJI Valparaiso Cumberland - 2501 Cumberland Dr.
David J. Musgrave, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with David J. Musgrave, M.D.
  Orthopedic Surgeon, call at 219-250-5007.

David J. Musgrave, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
Eric K. Szczesniak, M.D.  <br />  <em>Orthopedic Surgeon</em>

To make an appointment with Eric K. Szczesniak, M.D.
  Orthopedic Surgeon, call at 219-250-5011.

Eric K. Szczesniak, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
LBJI Valparaiso - Cumberland Dr - 2501 Cumberland Dr.
Michael E. Kralovec, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Michael E. Kralovec, M.D.
  Orthopedic Surgeon, call at 219.250.5032.

Michael E. Kralovec, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Crown Point - 12800 Mississippi Parkway, Suite 201A
LBJI Schererville - 833 W. Lincoln Hwy Suite 110
Scott P. Fielder, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Scott P. Fielder, M.D.
  Orthopedic Surgeon, call at 219-369-0452.

Scott P. Fielder, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI LaPorte - 600 Legacy Plaza East
LBJI Knox - 402 W Culver Rd
Thomas D. Magill, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Thomas D. Magill, M.D.
  Orthopedic Surgeon, call at 219-369-0452.

Thomas D. Magill, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI LaPorte - 600 Legacy Plaza East

Knee Replacement Surgery

Knee Replacement Surgery

Knee surgical treatment options include:

  • Total Knee Replacement
  • Minimally Invasive Total Knee Replacement
  • Unicompartmental Knee Replacement

Total Knee Replacement

Common conditions requiring total knee replacement include Degenerative Joint Disease and Osteoarthritis. A total knee replacement might be more accurately termed a knee "resurfacing" because only the surface of the bones are actually replaced. The damaged cartilage surfaces at the ends of the femur and tibia are removed along with a small amount of underlying bone. The removed cartilage and bone is replaced with metal components that recreate the surface of the joint. These metal parts may be cemented or "press-fit" onto the bone. The undersurface of the patella (kneecap) is cut and resurfaced with a plastic button. Some surgeons do not resurface the patella, depending upon the case. A medical-grade plastic spacer is inserted between the metal components to create a smooth gliding surface.

Minimally Invasive Total Knee Replacement

A minimally invasive total knee replacement involves the use of a smaller incision than one used in traditional total knee replacements.

Unicompartmental Knee Replacement

This procedure is an option for a small percentage of patients with arthritis confined to a single part or compartment of the knee, either the inside part (medial compartment), the outside part (lateral compartment) or the back of the kneecap (patellofemoral compartment).

Physicians Specializing in Knee Replacement Surgery

Bruce J. Thoma, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Bruce J. Thoma, M.D.
  Orthopedic Surgeon, call at 219-250-5005.

Bruce J. Thoma, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Valparaiso - Cumberland Dr - 2501 Cumberland Dr.
Paul J. Gruszka, M.D.<br />   <em>Orthopedic Surgeon</em>

To make an appointment with Paul J. Gruszka, M.D.
   Orthopedic Surgeon, call at 219-250-5014.

Paul J. Gruszka, M.D.
   Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
LBJI Valparaiso - Cumberland Dr - 2501 Cumberland Dr.
Thomas H. Kay, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Thomas H. Kay, M.D.
  Orthopedic Surgeon, call at 219-250-5022.

Thomas H. Kay, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
LBJI Valparaiso Cumberland - 2501 Cumberland Dr.
David J. Musgrave, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with David J. Musgrave, M.D.
  Orthopedic Surgeon, call at 219-250-5007.

David J. Musgrave, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
Anthony C. Levenda, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Anthony C. Levenda, M.D.
  Orthopedic Surgeon, call at 219-395-2109.

Anthony C. Levenda, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
Ryan J. Plank, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Ryan J. Plank, M.D.
  Orthopedic Surgeon, call at 219-250-5017.

Ryan J. Plank, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Crown Point - 12800 Mississippi Parkway, Suite 201A
LBJI Schererville - 833 W. Lincoln Hwy Suite 110
John A. Guzzo, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with John A. Guzzo, M.D.
  Orthopedic Surgeon, call at 219-250-5009.

John A. Guzzo, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Crown Point - 12800 Mississippi Parkway, Suite 201A
LBJI Schererville - 833 W. Lincoln Hwy Suite 110
Eric K. Szczesniak, M.D.  <br />  <em>Orthopedic Surgeon</em>

To make an appointment with Eric K. Szczesniak, M.D.
  Orthopedic Surgeon, call at 219-250-5011.

Eric K. Szczesniak, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
LBJI Valparaiso - Cumberland Dr - 2501 Cumberland Dr.
Michael E. Kralovec, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Michael E. Kralovec, M.D.
  Orthopedic Surgeon, call at 219.250.5032.

Michael E. Kralovec, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Crown Point - 12800 Mississippi Parkway, Suite 201A
LBJI Schererville - 833 W. Lincoln Hwy Suite 110
Scott P. Fielder, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Scott P. Fielder, M.D.
  Orthopedic Surgeon, call at 219-369-0452.

Scott P. Fielder, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI LaPorte - 600 Legacy Plaza East
LBJI Knox - 402 W Culver Rd
Thomas D. Magill, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Thomas D. Magill, M.D.
  Orthopedic Surgeon, call at 219-369-0452.

Thomas D. Magill, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI LaPorte - 600 Legacy Plaza East

Shoulder Replacement Surgery

Shoulder Replacement Surgery

Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle). The shoulder is a ball-and-socket joint: The ball, or head, of your upper arm bone fits into a shallow socket in your shoulder blade. This socket is called the glenoid. The surfaces of the bones where they touch are covered with articular cartilage, a smooth substance that protects the bones and enables them to move easily. The muscles and tendons that surround the shoulder provide stability and support. All of these structures allow the shoulder to rotate through a greater range of motion than any other joint in the body. The shoulder rotates through a greater range of motion than any other joint in the body.

The primary goal of shoulder replacement surgery is pain relief, with a secondary benefit of restoring motion, strength, function, and assisting with returning patients to an activity level as near to normal as possible.

Total Shoulder Replacement

The typical total shoulder replacement involves replacing the arthritic joint surfaces with a highly polished metal ball attached to a stem, and a plastic socket. Patients with bone-on-bone osteoarthritis and intact rotator cuff tendons are generally good candidates for conventional total shoulder replacement

Stemmed Hemiarthroplasty

Depending on the condition of your shoulder, your surgeon may replace only the ball. This procedure is called a hemiarthroplasty. In a traditional hemiarthroplasty, the head of the humerus is replaced with a metal ball and stem, similar to the component used in a total shoulder replacement. This is called a stemmed hemiarthroplasty.  Indications for a hemiarthroplasty include:

  • A humeral head fracture
  • Arthritis that involves only the head of the humerus
  • Some shoulders with severely torn rotator cuff tendons and arthritis

Resurfacing Hemiarthroplasty

Resurfacing hemiarthroplasty involves replacing just the joint surface of the humeral head with a cap-like prosthesis without a stem. With its bone preserving advantage, it offers those with arthritis of the shoulder an alternative to the standard stemmed shoulder replacement.  For patients who are young or very active, resurfacing hemiarthroplasty avoids the risks of component wear and loosening that may occur with conventional total shoulder replacements in this patient population. Due to its more conservative nature, resurfacing hemiarthroplasty may be easier to convert to total shoulder replacement, if necessary at a later time.

Reverse Total Shoulder Replacement

For patients who have large rotator cuff tears, your surgeon may recommend a reverse total shoulder replacement. In this procedure, the socket and metal ball switch places. The metal ball is fixed to the socket and the plastic cup is fixed to the upper end of the humerus. This allows the patient to use the deltoid muscle instead of the torn rotator cuff to lift the arm.

Reverse total shoulder replacement is used for people who have:

  • Completely torn rotator cuffs with severe arm weakness
  • The effects of severe arthritis and rotator cuff tearing
  • Had a previous shoulder replacement that failed

Physicians Specializing in Shoulder Replacement Surgery

Bruce J. Thoma, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Bruce J. Thoma, M.D.
  Orthopedic Surgeon, call at 219-250-5005.

Bruce J. Thoma, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Valparaiso - Cumberland Dr - 2501 Cumberland Dr.
Paul J. Gruszka, M.D.<br />   <em>Orthopedic Surgeon</em>

To make an appointment with Paul J. Gruszka, M.D.
   Orthopedic Surgeon, call at 219-250-5014.

Paul J. Gruszka, M.D.
   Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
LBJI Valparaiso - Cumberland Dr - 2501 Cumberland Dr.
Thomas H. Kay, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Thomas H. Kay, M.D.
  Orthopedic Surgeon, call at 219-250-5022.

Thomas H. Kay, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
LBJI Valparaiso Cumberland - 2501 Cumberland Dr.
David J. Musgrave, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with David J. Musgrave, M.D.
  Orthopedic Surgeon, call at 219-250-5007.

David J. Musgrave, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
Anthony C. Levenda, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Anthony C. Levenda, M.D.
  Orthopedic Surgeon, call at 219-395-2109.

Anthony C. Levenda, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
Aaron G. Anderson, M.D.<br />  <em>Hand Surgeon</em>

To make an appointment with Aaron G. Anderson, M.D.
  Hand Surgeon, call at 219-921-1306.

Aaron G. Anderson, M.D.
  Hand Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
LBJI Schererville - 833 W. Lincoln Hwy Suite 110
Rebecca B. Anderson, M.D.<br />  <em>Hand Surgeon</em>

To make an appointment with Rebecca B. Anderson, M.D.
  Hand Surgeon, call at 219-921-1306.

Rebecca B. Anderson, M.D.
  Hand Surgeon sees patients at the following locations:

LBJI Chesterton - 601 Gateway Blvd.
LBJI Portage - 3691 Willowcreek Rd., Suite 100
Ryan J. Plank, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Ryan J. Plank, M.D.
  Orthopedic Surgeon, call at 219-250-5017.

Ryan J. Plank, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Crown Point - 12800 Mississippi Parkway, Suite 201A
LBJI Schererville - 833 W. Lincoln Hwy Suite 110
John A. Guzzo, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with John A. Guzzo, M.D.
  Orthopedic Surgeon, call at 219-250-5009.

John A. Guzzo, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Crown Point - 12800 Mississippi Parkway, Suite 201A
LBJI Schererville - 833 W. Lincoln Hwy Suite 110
Michael E. Kralovec, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Michael E. Kralovec, M.D.
  Orthopedic Surgeon, call at 219.250.5032.

Michael E. Kralovec, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI Crown Point - 12800 Mississippi Parkway, Suite 201A
LBJI Schererville - 833 W. Lincoln Hwy Suite 110
Scott P. Fielder, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Scott P. Fielder, M.D.
  Orthopedic Surgeon, call at 219-369-0452.

Scott P. Fielder, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI LaPorte - 600 Legacy Plaza East
LBJI Knox - 402 W Culver Rd
Thomas D. Magill, M.D.<br />  <em>Orthopedic Surgeon</em>

To make an appointment with Thomas D. Magill, M.D.
  Orthopedic Surgeon, call at 219-369-0452.

Thomas D. Magill, M.D.
  Orthopedic Surgeon sees patients at the following locations:

LBJI LaPorte - 600 Legacy Plaza East

Thank you for voting Lakeshore Bone & Joint Institute Best of the Region AGAIN!!!

"Lakeshore Bone & Joint Institute practices advanced orthopedic health care, tailored to each patient's unique needs. A culture has been fostered amongst our medical staff in which our comprehensive care is centered around the patient. This attitude, combined with our providers' skills has led to many successful outcomes for our patients. It is an honor to have earned the trust of our patients and their families, as resulted in being voted #1 as Best of the Region."
Thomas Kay, MD
President
Lakeshore Bone & Joint Institute

 

 

 

 


Lakeshore Bone & Joint Institute has been a participating member of the American Orthopedic Assocation's Own the Bone program for the past five years and has received Star Performer recognition all five years