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Our skilled orthopedic surgeons diagnose and treat all types of musculoskeletal injuries in patients of all ages. We specialize in evaluating and treating joint, muscle, bone, and nerve injuries and conditions, including problems with the foot and ankle, shoulder and elbow, wrist and hand, and hip and knee. We can help diagnose and care for orthopedic conditions including:

• Arthritis
• Broken bones/orthopedic trauma
• Bursitis
• Cartilage Tears
• Deep Lacerations
• Dislocations
• Fractures
• Overuse Syndromes
• Repetitive Stress Disorders
• Sports injuries
• Sprains and strains
• Tendonitis

Meet our surgeons

Santosh George, M.D.
Joshua Niemann, M.D.
Ryan Snyder, M.D.
Les Thomas, M.D.

Dr. Les Thomas, M.D.

Total Joint Reconstruction

Our board-certified orthopedic surgeons are experienced in the most advanced types of hip, knee, and shoulder total joint replacement methods, also called arthroplasty. Osteoarthritis is the most common condition that leads to the need for total joint replacement of the knee, shoulder, and hip. Sometimes injuries can hasten the process of cartilage degeneration, which causes the painful bone-on-bone rubbing that characterizes arthritis. Depending on your condition, we may recommend one of the following total joint reconstruction procedures:

• Total or partial knee replacement
• Total or reverse shoulder replacement
• Total hip replacement
• Anterior minimally invasive hip replacement
• MAKO robotic arm-assisted surgery

Hand, Upper Extremity & Microvascular Surgery

Hand and wrist problems can be caused by arthritis, sports injuries, work injuries, nerve injuries, and overuse or repetitive motion, while shoulder or elbow pain may be the result of arthritis, repetitive joint motion, sports injuries, and lifting heavy objects. Common conditions include:

• Arthritis
• Carpal Tunnel
• Tendon injuries
• Radial Tunnel
• Fractures
• Tendonitis
• Pitcher's, Golfer's or Tennis Elbow
• Rotator Cuff
• Shoulder Dislocations

Sports Medicine

• Achilles Tendonitis and Tendon Tears
• ACL, PCL, MCL, and LCL Tears of the Knee Ligaments
• Dislocations
• Fractures
• Hamstring Injuries
• Meniscus (Knee Cartilage) Tears
• Rotator Cuff Tears
• Shoulder Impingement
• Shoulder Instability

Dr. Josh Niemann, M.D.

Orthopedic Trauma

Though bones are the hardest tissues in your body, an excess of pressure or force can break (fracture) them. Fractures can range from hairline cracks, which may be treated by splinting or casting, to more complex fractures with multiple breaks, which may require surgery to help in the healing process.

Our surgeons are affiliated with Liberty Hospital’s Level II Trauma Center, which means we are uniquely qualified to provide comprehensive orthopedic care for traumatic injuries such as broken bones, pelvic fractures, compound fractures, and other types of fractures.

Depending upon the location and severity of your fracture, our comprehensive orthopedic trauma care includes:

• Nonsurgical treatment including braces, splints, and casts to stabilize the fracture
• Minor surgery using pins, plates, wires, and/or screws to stabilize the bone
• Complex surgery including bone grafting, reconstruction, and limb lengthening for severe injuries

Our team also includes a post-fracture care and recovery plan to help restore your area of injury to its original condition and prevent stiffness and atrophy of the joints, ligaments, and muscles surrounding the fractured area.