Orthopedics

The Tallahassee Memorial Orthopedic Center offers surgical joint repairs and replacements, post-operative care and inpatient rehabilitation services. With more than 20 high-skilled orthopedic surgeons, we offer solutions for almost every part of the body including shoulders, elbows, wrists, hands, hips, knees, feet and ankles. Tallahassee Memorial HealthCare has been awarded a Certification of Distinction, by the Joint Commission, in the management of joint replacement for both the hip and knee programs. 
Prepare for Your Joint Replacement
Our free Joint Adventures class will tell you everything you need to know. Read More >
Walk the Same Day
At Tallahassee Memorial HealthCare, we understand the benefit of early mobility after surgery. Read More >
Fall Prevention Program
Falls are the number one reason people end up in the emergency room at Tallahassee Memorial HealthCare. Read More >
Fracture Prevention Program
The “Own the Bone” program is an education program aimed at reducing fractures in osteoporosis patients. Read More >
Innovative Spine Procedures
Do you or someone you know suffer from degenerative disc disease? Our surgeons offer innovative procedures that can help. Read More >
Find an Orthorpedic Surgeon
We have some of the most skilled orthopedic surgeons in North Florida working right here at Tallahassee Memorial. Read More >

Services

Our Orthopedic Services

We offer customized, individual care and access to the latest technology available for the diagnosis and treatment of orthopedic conditions.

In the past, most orthopedic surgical procedures required large incisions, lengthy hospital stays and weeks of recovery. Today, the use of small viewing scopes and much smaller surgical instruments has transformed the way that many surgical procedures are performed, particularly joint replacement surgery. We're one step ahead of you. At TMH, you can now walk the same day after receiving hip and knee surgery!

Interested in discussing treatment options or scheduling an appointment? Patients can select from two practices within the Tallahassee Memorial Orthopedic Center:

Tallahassee Orthopedic Clinic
3334 Capital Medical Blvd.
Tallahassee, Florida 32308
850-877-8174

North Florida Sports Medicine & Orthopaedic Center
1191 Miccosukee Road
Tallahassee, Florida, 32308
Phone: 850-878-2549

Joint Replacement & Repair

We perform more than 1,000 joint replacement and repair surgeries a year:

  • Total hip, knee and ankle replacements.
  • Shoulder replacements and resurfacing.
  • Elbow replacements.

Treating Sports Injuries

We also offer a variety of treatment options for individuals with sports injuries:

  • Surgical repair of ruptured Achilles tendon.
  • ACL repair.
  • Meniscectomy for a meniscus tear.
  • Open carpal tunnel surgery.
  • Osteotomy for osteoarthritis.
  • Plantar fasciitis surgery.
  • Rotator cuff repair.
  • Tennis elbow surgery.

Orthopedic Surgeries

Patients who are experiencing side effects from other joint-related and spinal conditions may benefit from some of our other orthopedic surgeries:

  • Arthroplasty and arthroscopy for surgeries for rheumatoid arthritis
  • Decompressive laminectomy
  • Discectomy
  • Kyphoplasty
  • Spinal fusion
  • Scoliosis spinal fusion
  • Hammer, claw or mallet toes surgery
  • Vertebroplasty

Anesthesia for Hip and Knee Surgery

Before your joint replacement surgery, your doctor will discuss anesthesia with you. The selection of anesthesia is a major decision that could have a significant impact on your recovery. It deserves careful consideration and discussion with your surgeon and your anesthesiologist. Here are things to consider:

  • Your past experiences and preferences.
  • Have you ever had anesthesia before?
  • Did you have a reaction to the anesthesia?
  • How do other members of your family react anesthesia?
  •  Your current health and physical condition.
  • Do you smoke?
  • Are you overweight?
  • Are you being treated for any condition other than your joint replacement?
  • Your reactions to medications.
  • Do you have any allergies?
  • Have you ever experienced bad side effects from a drug?
  • What medications, nutritional supplements, vitamins, or herbal remedies are you currently taking?

Types of Anesthesia

There are three broad categories of anesthesia: local, regional and general.

Local Anesthesia

Local anesthesia numbs only the specific are being treated. The area is numbed with an injection, spray or ointment that only lasts for a short period of time. Patients remain conscious during this type of anesthesia. This technique is reserved for minor procedures. For major surgery, such as hip or knee replacement, local anesthesia may be used to complement the main type of anesthesia that is used.

Regional Anesthesia

Regional anesthesia involves blocking the nerves to a specific are of the body, without affecting your brain or breathing. Because you remain conscious, you will be given sedatives to relax you and put you in a light sleep. The three types of anesthesia used most frequently in joint replacement surgery are spinal blocks, epidural blocks and peripheral nerve blocks.

  • Spinal Block. In a spinal block, anesthesia is injected into the fluid surrounding the spinal cord in the lower part of your back. This produces a rapid numbing effect that wears off after several hours.
  • Epidural Block. An epidural block uses a catheter inserted in your lower back to deliver local anesthetics over a variable period of time. The epidural block and the spinal block are administered in a very similar location; however, the epidural catheter is placed in a slightly different area around the spine as compared to a spinal block.
  • Peripheral Nerve Block. A peripheral nerve block places local anesthetic directly around the major nerves in your thigh, such as the femoral nerve or the sciatic nerve. These blocks numb only the leg that is injected and do not affect the other leg. One option for a peripheral block is to perform a one-time injection around the nerves in order to numb the leg just long enough for the surgery. Another option for this type of block is to keep a catheter in place, which can deliver continuous local anesthesia around the nerves for up to several days after surgery. 

Advantages to regional anesthesia may include less blood loss, less nausea, less drowsiness, improved pain control after surgery and reduced risk of serious medical complications, such as heart attack or stroke that may occur with general anesthesia. Side effects from regional anesthesia may include headaches, trouble urinating, allergic reactions, and rarely nerve injury.

General Anesthesia

General anesthesia is often used for major surgery, such as joint replacement. General anesthesia may be selected based upon patient, surgeon or anesthesiologist preference or if you are unable to receive regional or local anesthesia. Unlike regional and local anesthesia, general anesthesia affects your entire body. It acts on the brain and nervous system and renders you temporarily unconscious.

  • Administration. With general anesthesia, the anesthesiologist administers medication through injection or inhalation. The anesthesiologist will also place a breathing tube down your throat and administer oxygen to assist your breathing.
  • Risks. As with any anesthesia, there are risks, which may be increased if you already have heart disease, chronic lung conditions or other serious medical problems.

General anesthesia affects both your heart and breathing rates, and there is a small risk of a serious medical complication, such as heart attack or stroke. The tube inserted down your throat may give you a sore throat and hoarse voice for a few days.

Pain Relief After Surgery

The goals of postoperative pain management are to minimize discomfort and allow you to move with less pain in order to participate in physical therapy after surgery. Postoperative pain relief may be achieved using a combination of oral medications or intravenous medications.

A common method of pain control is called “patient-controlled anesthesia” or “PCA.” With PCA, you will be bale to control the flow of intravenous medication, within preset limits, as you feel the need for additional relief.

If an epidural or peripheral nerve block was used for your surgery, the epidural or peripheral catheter can be left in place and anesthesia can be continued in the postoperative period to help control pain. You may also have control over the amount of pain medication you receive in these catheters, within preset limits. You will be closely monitored to avoid complications, such as excessive sedation or falls.

The proper use of pain relievers before, during and after your surgery is an extremely important aspect of your treatment. Proper use of pain medication can encourage healing and make your joint replacement a more satisfying experience. Take your time to discuss the options with your doctor and be sure to ask questions about things you do not understand.

Support Services

  • Free class on what to know before and surgery called “Joint Adventures.”
  • Fragility fracture prevention program called "Own the Bone”.
  • Inpatient post-operative rehabilitation care geared towards getting you back home and on the road to recovery.

Our Providers

Bellamy David 1107

David Bellamy, MD

  • Orthopedic Surgery
Bellamy Raymond 264

Raymond Bellamy, MD

  • Orthopedic Surgery
Berg David 788

David Berg, MD

  • Orthopedic Surgery
Borom Andrew 1105

Andrew Borom, MD

  • Orthopedic Surgery
Bryant Tony 2357

Tony Bryant, MD

  • Orthopedic Surgery
Fahey Mark 784

Mark Fahey, MD

  • Orthopedic Surgery
Guyer Aaron 1392

Aaron Guyer, MD

  • Orthopedic Surgery
Haney Thomas 288

Thomas Haney, MD

  • Orthopedic Surgery
  • Sports Medicine
Hutchinson Hank 1420

Hank Hutchinson, MD

  • Orthopedic Surgery
Jaggears Floyd 1011

Floyd Jaggears, MD

  • Orthopedic Surgery
Lee Matthew 2083

Matthew Lee, MD

  • Orthopedic Surgery
Loeb Peter 717

Peter Loeb, MD

  • Orthopedic Surgery
  • Sports Medicine
Mejia Hector 1870

Hector Mejia, MD

  • Sports Medicine
  • Orthopedic Surgery
Oberste David 1825

David Oberste, MD

  • Orthopedic Surgery
Park Thomas 1115

Thomas Park, MD

  • Orthopedic Surgery
Rolle Garrison 922

Garrison Rolle, MD

  • Orthopedic Surgery
Stoetzel R 1360

R. Stoetzel, MD

  • Orthopedic Surgery
Thornberry Robert 489

Robert Thornberry, MD

  • Orthopedic Surgery
  • Sports Medicine
Wong Andrew 1080

Andrew Wong, MD

  • Orthopedic Surgery

Related Events

Joint Adventures

Learn information about what to do before surgery, what to expect during your stay in the hospital, and how to care for yourself afterwards.