At Cayuga Medical Center we are proud to offer state of the art surgical techniques to correct a variety of orthopaedic conditions. All our surgeons are board certified in orthopaedic surgery and several have completed additional fellowship training in subspecialties. Our mission is to give our patients the opportunity to make the best recovery possible, right here, close to home.

The surgical procedures we perform include (but are not limited to):


  • Arthroscopic Rotator cuff repair
  • Arthroscopic shoulder stabilization for instability
  • Arthroscopic management of shoulder stiffness
  • Fracture repair
  • Repair of separated and dislocated shoulders
  • Total Shoulder replacements for arthritis
  • Complex revision surgery


  • Fracture fixation
  • Nerve releases and transposition
  • Total Elbow Replacement
  • Tennis Elbow (lateral epicondylitis) debridement
  • Elbow arthroscopy for elbow stiffness, loose bodies, or arthritis
  • Ligament Reconstruction (i.e. “Tommy John” surgery)
  • Biceps tendon repair
  • Complex revision surgery

Wrist and Hand

  • Wrist, hand, and finger fracture fixation
  • Carpal tunnel release
  • Trigger finger release
  • Tendon repairs
  • Nerve repairs
  • Joint replacements and fusions for arthritis
  • Ligament repairs
  • Release of contracted or deformed fingers
  • Wrist arthroscopy
  • Xiaflex injections
  • Complex revision surgery


  • Total hip replacements, including revision surgery
  • Hip fractures
  • Periprosthetic femur fractures


  • Fracture fixation
  • Ligament reconstructions, including ACL
  • Meniscus repairs and debridements
  • Articular cartilage procedures
  • Patella tendon repairs
  • Patella tendon realignment
  • Total knee replacements, including revision surgery

Foot & Ankle

  • Ankle arthroscopy
  • Fracture fixation
  • Tendon repairs, including Achilles
  • Ligament reconstruction and joint stabilization

Joint Solutions Program Overview

Preparing for Surgery
Once you and your surgeon have decided on joint replacement, the surgery is scheduled. At this time, you enroll in a pre-operative education class.

You and a caregiver, who will be your “coach” through your recovery, are invited to class to learn what to expect and how to prepare for the surgery. The class also gives you an opportunity to ask questions and interact with other people preparing for surgery. You’ll learn about the importance of pre-operative exercises in preparation for the surgery and you’ll receive an education guide outlining what to expect before, during, and after the operation.

Your Stay at Cayuga Medical Center
The surgical day involves completion of the surgery and optimal post-operative pain control to help prepare you to begin moving. Orthopedic nurses and physical therapists will teach you about total hip precautions or total knee care. The Joint Solutions team will continue to emphasize these safety factors throughout your hospital stay

The day following surgery physical therapy begins and continues twice a day, each day in the Joint Solutions gym. The therapist works with you to improve strength, range of motion and mobility. Your “coach” is invited to attend therapy group sessions to observe and assist you.

As the exercises become more advanced and walking distances increase, you will become more independent in preparation for discharge. You’ll progress to stair climbing and learn more about total hip precautions or self total knee stretches. The occupational therapist will assist you with activities of daily living and make recommendations regarding assistive devices.

Returning Home
Prior to discharge, our discharge-planning nurse will assist you in obtaining necessary equipment and will help to determine an optimal discharge plan. The discharge plan will determine whether you will qualify for acute rehabilitation or be discharged directly home. When you are ready for discharge to home, the discharge planning nurse will assist in setting-up continued services for home-care physical therapy and nursing if needed. You will work with a therapist on continuing to improve strength, range of motion, and mobility.

Your surgeon may also recommend outpatient physical therapy following home-care to further optimize your recovery. Cayuga Medical Center has two outpatient physical therapy clinics at Physical Therapy & Sports Medicine Island Health and Fitness Center or Cayuga Medical Center’s Brentwood Physical Therapy offices.

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