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Orthopedics

Take the first step towards deciding whether joint replacement surgery is right for you by answering these questions.

Keep your joints moving (video)

Surgery may be the answer if a painful joint is slowing you down.

Keep your joints moving (video)

Take the first step towards deciding whether joint replacement surgery is right for you by answering these questions.

reviewed 4/23/2019

At Lake Regional Orthopedics, board-certified orthopedic specialists help prevent and correct problems that affect your bones and muscles. Our specialists provide surgical and nonsurgical repair of broken bones, torn ligaments and cartilage. They also treat joint problems from osteoarthritis and repetitive use injuries in the hand. Common procedures include arthroscopic (minimally invasive) surgery to repair joints and total joint replacement surgery. Lake Regional also has a foot and ankle specialist, who provides trauma care and limb salvage and reconstruction. In addition, we provide a Sports Medicine program and spine care from a University of Missouri Health Care neurosurgeon.

Conditions Treated

Common Joint and Bone Diagnoses

  • Arthritis
  • Bursitis
  • Fracture and dislocation

Hip and Knee

  • Knee ligament tear (ACL, MCL, PCL)
  • Patellofemoral knee syndromes
  • Meniscal (cartilage) tears
  • Femoral acetabular impingement (FAI)
  • Total hip replacement
  • Total knee replacement

Shoulder and Elbow

  • Impingement
  • Rotator cuff tear
  • Labrum tears, instability
  • Frozen shoulder
  • Golfer elbow (medial epicondylitis)
  • Tennis elbow (lateral epicondylitis)
  • Total shoulder replacement

Wrist and Hand

  • Carpal tunnel

Foot and Ankle

  • Flatfoot
  • High-arch feet
  • Arthritis
  • Tendonitis
  • Ligament rupture and instability
  • Sprains
  • Bone infection
  • Congenital deformities
  • Total ankle replacement

Total Joint Replacement

Total joint replacement is a surgical procedure in which the diseased parts of the joint are replaced with new, artificial parts. Major advances in total joint replacement offer patients dealing with severe joint pain the ability to lead full, active lives. The most commonly replaced joints are the hip, knee and shoulder.

Total Joint Camp

Lake Regional's Total Joint Camp educates patients and their families about what to expect before, during and after joint replacement surgery. The two-hour class includes tips from the orthopedic surgeons, as well as from physical and occupational therapists, home health nurses, dietitians and social workers. Patients leave feeling better prepared and much more confident. Find a class time.

Your Nurse Navigator

If you have total joint replacement at Lake Regional Health System, you will meet Mary Overman, R.N. As your nurse navigator, she will lead you through the entire joint replacement experience, from preparing for surgery to recovering at home. Learn more about her role in this Q&A.

How do you support patients receiving total joint replacement?

I am their one point of contact for everything related to their surgeries. A big part of my job is educating patients about steps they can take to avoid setbacks and achieve good results. But I also help with things like scheduling appointments. That support makes the whole process a lot easier for patients.

How do you help patients achieve better outcomes?

Education is essential. One way we educate patients is through Total Joint Camp. This two-hour class covers what to expect before, during and after total joint replacement surgery. It also introduces patients to physical and occupational therapists, home health nurses, dietitians and social workers. Patients leave feeling better prepared and much more confident.

What is one simple piece of advice you give patients?

I always encourage patients to set a goal. They need to look forward to doing something with their improved mobility. It might be playing with grandchildren or maybe it’s going on a cruise. There is a lot of work to do with home exercises and outpatient therapy. Sometimes the process is slow. But that’s OK. Recovery is not a race. Steady progress is best.

New Hip, Faster Recovery

In a traditional hip replacement surgery, surgeons access the hip from its posterior, or backside. This approach requires cutting muscles and tendons that have to be repaired at the surgery's end. At Lake Regional, our orthopedic surgeons access the hip joint from the anterior, or front. This positioning enables the surgeons to work through the natural gap between the muscles, which means they do not have to cut any muscles or tendons.

Our orthopedic surgeons are able to take the anterior approach because they use a hana® table, a high-tech table with moving parts that enable precise patient positioning. Because no cutting and repair is necessary with the anterior approach, patients tend to recover much more quickly and with less pain.

Arthroscopic (Minimally Invasive) Surgery

Orthopedic surgeons use arthroscopy to repair joint problems without open surgery. Using a thin instrument with a video camera and lighting tool—the arthroscopethe doctor can see inside the joint to examine the bone, cartilage and ligaments. In many cases, the surgeon can make repairs during the same procedure. Compared to traditional, open surgery, arthroscopy usually costs less, is less painful and leads to a faster recovery.

Patient Stories

Moving Again: A New Hip for Whitney Nepote

Kansas woman chooses "wonderful" Lake Regional team for hip replacement

Whitney Nepote of Paola, Kan., could have had her hip replaced closer to home, but she chose to make the three-hour drive to Lake Regional Orthopedics.

“My son lives in Sunrise Beach, and he said, ‘You need to come down here,’” Nepote says. “His wife had two hip replacements with Dr. Jones, and my son said: ‘He’s wonderful. He does the surgery a new way that has a faster recovery time. Come down here, and we’ll take care of you.’”

A Better Approach

Jeff Jones, D.O., is a board-certified orthopedic surgeon at Lake Regional Orthopedics. He performs total hip replacement surgeries, like Nepote’s, using a hana® table. This high-tech surgical table has moving parts that enable surgeons to access the hip joint from the front of the hip. The traditional, back approach requires cutting muscles and tendons, but with the front, anterior approach, surgeons can work through the natural gap between the muscles.

“Using the traditional, posterior approach, after we finished replacing the hip, we had to surgically repair the muscles and tendons we had cut,” Dr. Jones says. “Because no cutting and repair is necessary with the anterior approach, patients recover much more quickly and with less pain.”

The hana® table also allows for X-ray imaging during the surgery, which improves outcomes “because we can see precisely what we’re doing during surgery, instead of taking an X-ray after we’re done,” Dr. Jones says.

Impressive Results

Nepote was glad to go to the surgeon who had taken excellent care of her daughter-in-law and found her own care to be excellent, as well.

“I spent two days in the hospital, and the staff was wonderful, always coming in to see if I needed anything,” Nepote says. “Even the cleaning staff was caring. It was outstanding. I’d recommend it to anybody.”

After leaving the hospital, Nepote spent two weeks at her son’s home. Lake Regional Home Health helped care for her, and Nepote reports the nurses and therapists were “wonderful.”

Nepote continued her therapy back home in Kansas and six weeks after her surgery is excited at the changes she sees.

“Before I had the surgery, I hurt terribly, and it got to where I couldn’t even walk,” she says. “Now I’m able to drive, go to the store, clean our house, do laundry — I do everything.”

Total Joint Camp

Lake Regional’s Total Joint Camp, offered the second and fourth Wednesday of each month, helps patients know what to expect before, during and after total hip or total knee replacement surgery. The camp includes tips from physical and occupational therapists, dietitians, and social workers. Plus, participants are welcome to ask questions.

To register, call Lake Regional Rehab Therapy at 573.302.2230.

Contact Us

Lake Regional Orthopedics - Camdenton
226 E. Highway 54
Camdenton, MO 65020
573.346.3700
Map and driving directions
Hours: Monday through Friday, 8 a.m. to 4:30 p.m.

Lake Regional Orthopedics - Osage Beach
Lake Regional Imaging Center (Building 1)
1075 Nichols Road
Osage Beach, MO 65065
573.302.3990
Map and driving directions
Hours: Monday through Friday, 8 a.m. to 4:30 p.m.

Lake Regional Clinic - Eldon
416 S. Maple St.
Eldon, MO 65026
573.557.2553
Map and driving directions

Lake Regional Clinic - Lebanon
441 W. Elm St.
Lebanon, MO 65536
417.532.2805
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