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About Our Practice

Our Services

A sudden injury or a long-term health issue leading to damage to joints, ligaments and bones are painful in so many ways.  No one enjoys the idea of surgery followed by an extended road to recovery. Knowing that you have a team focused on your total wellness is important if you find yourself faced with the need to have a knee or hip replaced or repair to a torn rotator cuff or ACL.  With today's advances in orthopaedic medicine there are many things to be optimistic about.  You can experience an end to pain and discomfort and resume the lifestyle you once enjoyed or get back in the game if an injury has you sidelined.  

At Effingham Orthopaedic Services, patients have more than just an experienced team of medical professionals at their side; they also have advocates for their health and well-being close to home and always committed to excellence.

The advances in orthopaedic medicine are making it possible for people who are living with chronic knee and other joint pain regain control of their health.  

Is knee replacement for you?  How do you know if it's necessary to have invasive surgery?  What are some of the methods Dr. Mudano will use to determine if surgery is the best option for your care?  Effingham Orthopaedic Services wants to be your connection to care when it comes to your bones and joints and all of those important connections in your Musculoskeletal System

How Can Effingham Orthopaedic Services Help You?

Knee Arthroscopy  
Arthroscopy is a common surgical procedure in which a joint is viewed using a small camera. Arthroscopy is primarily used to help diagnose joint problems -- a procedure suited to only the most skilled orthopaedic surgeons.  Within a joint, ligaments attach bones to other bones, tendons attach muscles to bones and synovial fluid cushions and lubricates the structures. Looking inside the joint allows a surgeon to see exactly which structures are damaged.  

Knee arthroscopy is done through several small incisions.  A surgeon uses an arthroscope (a small camera instrument about the size of a pencil) to look directly into the joint. The instrument contains magnifying lenses and glass-coated fibers that send concentrated light into the joint. A camera attached to the arthroscope allows the surgeon to see a clear image of the joint. This image is then transferred to a monitor located in the operating room.  On the monitor, your surgeon can see the structures of the knee in great detail and can determine if surgical treatment is needed. 

Arthroscopy for the knee is most commonly used for:

  • Removal or repair of torn meniscal cartilage
  • Reconstruction of a torn anterior cruciate ligament
  • Trimming of torn pieces of articular cartilage
  • Removal of loose fragments of bone or cartilage
  • Removal of inflamed synovial tissue

Knee arthroscopy, is typically done on an outpatient basis and most patients should be able to go home within 1 or 2 hours.  Recovery from knee arthroscopy is much faster than recovery from traditional open knee surgery.  Still, it is important to follow Dr. Mudano's orthopaedic instructions carefully after you return home.  The use of crutches is commonplace after arthroscopy, followed by a progression to independent walking. Generally, it will be important that you undergo some physical therapy following your arthroscopic procedure.   This will help you patient regain mobility and strength.   Effingham Health System offers patients a full complement of rehabilitative therapy services located on our main campus in Springfield. Our team of experienced therapists and trainers work closely with Dr. Mudano and his team to provide a full spectrum of health services designed to meet your needs.

Hip and Knee Replacement 
Hip and knee replacement are surgical options for the treatment of severe arthritis, which can cause significant pain that can limit a patient's ability to move. In 2009, about 773,000 Americans had their hip or knee replaced, and this number is expected to increase.

In fact, Arthritis Care & Research predicts that 600,000 hip replacements and 1.4 million knee replacements could be performed in 2015 if current trends continue. 

What factors are contributing to this trend? First, the senior population is growing, and seniors are more prone to develop obesity and arthritis. Carrying extra weight, meanwhile, increases a person's risk of developing arthritis. 

Hip replacement involves removing the arthritic parts of the joint (the cartilage and bone), replacing the "ball and socket" part of the joint with artificial components (made from metal alloys) and placing a high-performance bearing surface between the metal parts. During a knee replacement, a surgeon cuts away damaged bone and cartilage from the thigh bone, shin bone and kneecap and replaces it with an artificial joint made of metal alloys, high-grade plastics and polymers. 

The good news is, post-surgical risks from both procedures -- including infection, blood clots and extreme pain -- have been reduced, and refinements and advancements in surgical techniques and anesthesia have also reduced recovery time. 

Rotator Cuff Tendon Repairs
Rotator cuff injuries usually result from lifting, falls and repetitive arm activities and especially those done overhead, such as throwing a baseball or placing heavy items on overhead shelves. About half the time, a rotator cuff injury can heal with self-care measures and/or exercise therapy, but sometimes the best option is surgery.

A rotator cuff consists of the muscles and tendons in a shoulder. These muscles and tendons connect the upper arm bone with the shoulder blade. They also help hold the ball of the upper arm bone firmly in the shoulder socket. The combination results in the greatest range of motion of any joint in the human body.

When surgery is required to repair a tear, a surgeon makes an incision of between 3 and 10 centimeters or as an arthroscopic repair with the assistance of a small camera inserted through a smaller incision. At the same time, the surgeon may remove a bone spur or calcium deposits.

The recovery time from rotator cuff tendon surgery is slow and methodical, often with a patient moving from passive motion, active motion, strengthening and then to full activity.

Ligament Reconstruction
The anterior cruciate ligament is one of the most commonly injured ligaments of the knee. About 200,000 Americans suffer ACL injuries every year, and about half of these are repaired through reconstruction. People who participate in high-risk sports are more likely to suffer an ACL injury.

Torn ACLs are generally replaced by a substitute graft made of tendon.  The goal of ACL reconstruction surgery is to prevent instability and restore the function of the torn ligament to create a stable knee. Before surgical treatments, patients are usually sent to physical therapy. Someone with a stiff, swollen knee lacking full range of motion at the time of ACL surgery may have significant problems regaining motion after surgery. 

It usually takes three or more weeks after ligament reconstruction to achieve a full range of motion. It is worth the wait: patients enjoy long-term success rates of between 82 percent and 95 percent.

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