Advanced procedures. For faster recoveries.

This procedure involves the removal of a herniated disc (or a fragment of a herniated disc) to relieve pressure on the nerve. Though typically done as an "open diskectomy," the minimally invasive techniques available at Orange Regional allow our surgeons to perform microdiskectomies utilizing special retractors, instruments and an operating microscope. This allows for a much smaller incision, less trauma to surrounding tissues and less disruption to the normal anatomy of the spine. The net result for you is a faster recovery, a shorter hospital stay (sometimes an overnight stay is not even required), and a quicker return to work and leisure activities.

Fusion >>

A spine fusion is performed to link together two or more vertebrae – restricting the motion in that portion of the spine in an effort to eliminate the source of back problems. If a patient requires greater stability in a segment of the spine, then fusion in both the front and back of the spine may be recommended.

Minimally invasive spine fusion surgery is also available at Orange Regional – and may help certain patients benefit from:

• Smaller incisions
• Reduced pain
• Less blood loss
• Faster recovery

<< Diskectomy | Kyphoplasty >>

Used to treat vertebral fractures resulting from osteoporosis, cancer or multiple myeloma, kyphoplasty is a minimally invasive surgical procedure available at Orange Regional that uses an inflatable bone tamp to reduce these fractures and help them heal. The procedure utilizes a special balloon, which is inserted and gently inflated inside the fractured vertebrae to restore height to the bone. Then, a special cement-like material is injected to help reduce deformity of the spine.

Performed as an outpatient service, kyphoplasty generally offers immediate pain relief and stabilization of the spine.

<< Fusion | Laminectomy >>

This procedure involves removing arthritic bone spurs and other material in an effort to relieve pressure on the spinal nerve – usually to address symptoms of spinal stenosis. While a traditional laminectomy often requires a 6-inch incision, the minimally invasive techniques available at Orange Regional can often allow the same procedure to be performed through a much smaller incision using a tubular retractor, allowing for quicker recoveries and fewer complications.

<< Kyphoplasty | Neurosurgery >>

Neurosurgery is the surgery discipline focused on treating the central nervous system, peripheral nervous systems and spinal column diseases amenable to surgical intervention. Modern neurosurgery has benefited greatly from advances in microsurgery, computer assisted imaging computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), magnetoencephalography (MEG) and the development of stereotactic surgery. Some neurosurgical procedures even involve the use of MRI and functional MRI intraoperatively. As one of the most research-oriented specialties of medicine, the scope of neurosurgery has expanded as new diagnostic techniques allow surgeons to perform more complicated surgeries.

<< Laminectomy | Non-Fusion Disc Replacement >>

Developed overseas and in the United States, a non-fusion disc replacement or "disc arthroplasty" is a specialized surgical procedure designed to take the place of a fusion operation for certain patients. Several of our staff spine surgeons have received specialized training in this operation, and we invite you to see one of them in consultation, to determine whether this operation is best for you.

<< Neurosurgery | Oncologic Spine Surgery >>

Orange Regional offers oncologic spine surgery utilizing the most advanced techniques available. This ranges from minimally invasive treatments, such as kyphoplasty, to complete spinal reconstructions used to treat aggressive metastatic disease. Our surgical experts work closely with our outstanding team of medical oncologists and radiation oncologists, to coordinate every aspect of your care.

<< Non-Fusion Disc Replacement | Posterior Dynamic Stabilization >>

This procedure offers an alternative to spinal fusion – utilizing flexibile materials to help stabilize the spine while still retaining some natural motion. External spacers are used to stabilize the joints and eliminate pain while a flexible implanted device permits careful controlled movement. Once the devices are attached bilaterally, the dynamic push-pull relationship between spacer and cord stabilizes the joints, keeping the vertebrae in a more natural position.

<< Oncologic Spine Surgery | Interspinous Spacers >>

Interspinous spacer devices allow for minimally invasive treatment of spinal stenosis, as well as several other common spinal disorders. Commonly known by their trade names (X-Stop or Lanx Aspen), these implants often allow for a shorter operation (with shorter duration of general anesthesia) than conventional techniques. They work by keeping the stenotic segment in a flexed position, which allows the underlying nerve roots to be decompressed.

<< Posterior Dynamic Stabilization

This procedure is typically used to treat ankles that have been severely damaged by injury or some form of arthritis. In this surgery, both sides of the ankle are removed and replaced with specially designed medical-grade plastic, titanium and cobalt chromium alloy parts. While pain relief is the chief benefit to ankle replacement, many patients see marked improvement in both movement and coordination.

Fracture Care >>

Orange Regional's team of specialty surgeons are well trained in a wide variety of complex lower extremity fracture care issues – giving our patients access to the highest quality care without having to travel far from home.

• Ankle fractures and dislocations
• Pilon fractures
• Calcaneus fractures
• Fractures and dislocations of the foot and toes
• Crush injuries to the foot

<< Ankle Replacement | Hand Surgery >>

At Orange Regional, our specially trained hand surgeons use the latest techniques and technologies to help our patients find improvement in all types of hand issues including sensation, joint motion, tendon gliding and muscle contraction – whether resulting from injury, congenital problems, growths and tumors, nerve compression syndrome, swelling of the tendons or other conditions.

<< Fracture Care | Hip Arthroscopy >>

Much less invasive than traditional hip surgery, hip arthroscopy is a relatively new procedure that is mainly used for dealing with tears of the labral of the hip joint. This procedure is performed using a series of small incisions and, therefore, often allows for shorter recovery with less pain.

<< Hand Surgery | Hip Replacement >>

This procedure typically involves removing an arthritic hip joint and replacing it with specially designed parts comprised of biomaterials (synthetic or partially synthetic materials including metal and plastic). Extensive postoperative physical therapy is required.

Newer minimally invasive techniques available at Orange Regional allow our surgeons to use x-ray guidance to perform this procedure through two small incisions (rather than one large one) – allowing for smaller incisions, less blood loss and decreased muscle dissection. Benefits of these newer techniques include shorter recovery times, less pain, and can often improve function and range of motion.

<< Hip Arthroscopy | Hip Resurfacing >>

For some patients, hip resurfacing can offer a viable alternative to hip replacement. This advanced, minimally invasive procedure, available at Orange Regional, involves reshaping an arthritic or damaged joint and then covering that joint with metal prosthetic implants. This helps to preserve bone stock on the femur in case a revision is ever needed.

Benefits include less pain and reduced recovery time.

<< Hip Replacement | Knee Replacement Surgery >>

This procedure involves removing damaged cartilage in the thigh and shinbone area and replacing it with specially designed parts comprised of biomaterials (synthetic or partially synthetic materials including metal and plastic). Extensive postoperative physical therapy is required.

New minimally invasive techniques available at Orange Regional allow surgeons to use advanced image-guided technology in many knee replacement procedures that is more precise – allowing for smaller incisions, less blood loss and decreased muscle dissection. Benefits of these newer techniques include shorter recovery times, less pain and, often, improved function and range of motion.

<< Hip Resurfacing | Orthopedic Spine Surgery >>

Orthopedics is the medical specialty that focuses on injuries and diseases of your body's musculoskeletal system. This complex system includes your bones, joints, ligaments, tendons, muscles, and nerves and allows you to move, work, and be active. While orthopedic surgeons are familiar with all aspects of the musculoskeletal system, many orthopedists specialize in certain areas such as the spine.

<< Knee Replacement Surgery | Pediatric Orthopedics >>

Orange RegionalŐs team of specially trained surgeons and staff are uniquely qualified for addressing orthopedic issues in children. We have the latest techniques and technology for treating conditions such as:

• Brachial Plexus injuries
• Cerebral Palsy
• Congenital Foot and Hip Deformities
• Metabolic Disorders
• Metachromatic Leukodystrophy
• Scoliosis
• Spina Bifida
• Spinal Deformity
• Traumatic Injuries

<< Orthopedic Spine Surgery | Podiatry Services >>

Orange Regional offers a wide range of expertise for addressing various common podiatry issues – from bunions and heel pain to ingrown toenails, Morton's neuroma or just general foot pain.

We also provide advanced reconstructive surgery including arthroscopy, joint replacement, fracture repair, Shock Wave Therapy, laser surgery, minimally invasive percutaneous surgery and more.

<< Pediatric Orthopedics | Reconstructive Foot and Ankle Surgery >>

Many disorders of the foot and ankle can be treated with shoewear modification and other noninvasive means. But for conditions that are too advanced or have already failed conservative treatment, reconstructive surgery of the foot and ankle (including minimally invasive arthroscopic surgery), remains a viable option for achieving a pain-free foot and ankle.

<< Podiatry Services | Shoulder Replacement >>

This procedure is generally performed to address persistent pain that canŐt be controlled by non-surgical therapy. Surgery involves replacing the top of the arm bone and the socket with specially designed parts comprised of biomaterials (synthetic or partially synthetic materials including metal and plastic).

New minimally invasive techniques, available at Orange Regional, allow surgeons to use advanced image-guided technology in many shoulder replacement procedures that is more precise – allowing for smaller incisions, less blood loss and decreased muscle dissection. Benefits of these newer techniques include shorter recovery times, less pain and, often, improved function and range of motion.

<< Reconstructive Foot and Ankle Surgery | Sports Medicine >>

Encompassing both non-surgical and surgical treatment, sports medicine treats a variety of injuries resulting from both overuse syndromes and acute trauma – typically focused around the knee and shoulder joint (although injuries in the elbow, ankle, hip and spine are also common). The most common shoulder surgeries involve repairing the rotator cuff cartilage, stabilizing dislocated shoulders, and repairing a torn labrum, or cartiliage tear in the shoulder. Common knee surgeries include reconstruction of ligaments. Surgery is largely performed arthroscopically or through a series of small holes around the joint, eliminating the need for large incisions. This encourages a less painful and more speedy recovery.

<< Shoulder Replacement

If you and your doctor decide that surgery is the best option, a pre-surgical medical evaluation will be scheduled. During this appointment, a registered nurse will perform a medical assessment and interview to determine what tests are required prior to surgery, obtain your medical history and prepare you for your surgery. This enables your doctor to have a better understanding of your current medical condition, catch any potential risk factors and avoid possible delays on the day of your surgery. You will also be given instructions and information for the day of your surgery and have the opportunity to ask and address any questions or concerns.

Pre-surgical testing is conducted at the Orange Regional Medical Pavilion (first floor), located at 75 Crystal Run Road, Middletown and can be reached at 845-695-5800.