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.
- Fracture and dislocation
- Knee ligament tear (ACL, MCL, PCL)
- Patellofemoral knee syndromes
- Meniscal (cartilage) tears
- Femoral acetabular impingement (FAI)
- Total hip replacement
- Total knee replacement
- Rotator cuff tear
- Labrum tears, instability
- Frozen shoulder
- Golfer elbow (medial epicondylitis)
- Tennis elbow (lateral epicondylitis)
- Total shoulder replacement
- Reverse total shoulder replacement
- Carpal tunnel
- High-arch feet
- Ligament rupture and instability
- 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.
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. For more information, call Mary Overman, R.N., at 573.348.8120.
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.
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 arthroscope—the 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.
Camdenton High School student Karli Wolfe heard a loud pop and felt intense pain as she collapsed on the volleyball court.
It was her left knee.
“I was hitting an outside ball and rotated the wrong way,” she says. “It was awful. I was afraid to look at my leg.” Wolfe had torn her ACL and her lateral meniscus.
Knee injuries, particularly ACL injuries, are common in high school athletes. ACL stands for anterior cruciate ligament. It helps stabilize the knee and prevents the shinbone (tibia) from sliding out in front of the thighbone (femur). The lateral meniscus is a band of cartilage. It also helps stabilize the knee, plus it absorbs shocks.
“Recovering from even one of these injuries requires a serious commitment from the athlete,” says Lake Regional Physical Therapist Taren Kirk, DPT. “Tearing both the ACL and the lateral meniscus makes recovery that much more challenging.”
A strong athlete with plans to play volleyball in college, Wolfe made up her mind before she ever got off the floor that she would recover.
“I knew I had to have a positive attitude,” she says.
The first step was surgery. Then came eight months of intense rehabilitation therapy at Lake Regional Rehabilitation Therapy – Camdenton.
“The first seven months I was coming in three days a week after school,” Wolfe says, adding it was a big help to have the clinic just a few minutes away. But even if she’d had to drive farther, the care would’ve been worth it, she says.
“Everyone here was so encouraging,” she says. “My leg wasn’t bending at first like it should, but they told me to keep exercising and I would get good results. They helped me stay positive through the setbacks.”
Her care team strategized different approaches to help her, including some time in the rehab clinic’s pool for aquatic therapy. They also used a resistance band, weights, and balance and agility tools.
Wolfe’s injury happened at the start of her junior volleyball season, in the Jamboree game on Aug. 20, 2018. She worked on her recovery the rest of that school year and finally, the following summer, was released for sports — in time for her senior year of volleyball. She’s thrilled to be back with her team and looking forward to continuing to play volleyball at Central Methodist University.
When she was still in therapy, her care team told her to go full-speed when she returned to volleyball.
“And that’s what I’ve done,” she says. “They told me I could overcome anything, and I did.”
When Daniel Patitz, 71, had both of his hips replaced in 2020, it wasn’t his first joint surgery. But his experience with Lake Regional was completely different than his previous experiences with an urban health system.
Patitz, a retired systems programmer, had multiple knee surgeries before moving to Sunrise Beach with his wife of 47 years.
“When I had my knee replacement, there wasn’t any education prior to the surgery, and I didn’t know what to expect,” Patitz said. “With Lake Regional, I knew exactly what to do before my surgery, what to expect during my hospital stay, what post-operation exercises I would use and more. While I was in the hospital, everyone knew who I was and why I was there –– that wasn’t my experience at other hospitals –– and my care team anticipated all of my needs.”
An Active Life
Patitz has always enjoyed a very active life. A former Division I wrestler, he spends his free time fishing, boating and hunting. Even though exercise is a good thing, intense and repetitive physical exertion eventually left a toll on Patitz’s body. He had hoped the knee surgeries would fix him up, but then he began experiencing back pain.
“I went to the Lake Regional Emergency Department because I was experiencing a lot of back pain, but it turns out it was a transference from my hip,” Patitz said.
For specialized joint care, Patitz was referred to Lake Regional Orthopedics where he connected with orthopedic surgeon Ryan Morris, D.O.
“Dr. Morris, who was absolutely fantastic throughout the entire process, recommended that I have total hip replacement surgery, so I did in February,” Patitz said. “The expertise and counseling I received gave me the confidence to go forward with the procedure.”
Thankfully, Patitz had a smooth recovery process. After his surgery, he attended physical therapy at Lake Regional Clinic –– Laurie.
“My team at the Laurie clinic were tremendous in helping accelerate my recovery,” Patitz said. “Everyone was an absolute pleasure to work with as they helped me regain strength and mobility.”
Patitz was impressed with the excellent communication between his support teams at Lake Regional. Especially after Patitz decided to go forward with replacing his other hip, which initial consultations had also shown was in poor shape, with Dr. Morris in August 2020.
“The communication between Imaging, Physical Therapy, Dr. Morris and my primary care provider, Dr. Neil, was fantastic,” Patitz said. “I know they were all focused on providing the best care and treatments for me.”
Part of the Game Again
Patitz did not want to experience life from the sidelines and believed that the hip replacement surgeries would help him be more active again. His hopes were surpassed as the results from both of his surgeries were even better than he expected.
“Dr. Morris has restored quality of life to my 71-year-old frame,” Patitz said. “Prior to his surgical solution, every life event was a challenge fortified with pain. The first hip replacement awarded me with improved sleep and motion. The second hip replacement restored liveliness I had forgotten. I feel like I can enjoy my life more now.”
Patitz is thankful for the exceptional care he received from Dr. Morris and Lake Regional. He is grateful to no longer experience pain when engaging in physical activity or performing daily activities.
“I feel like the sky’s the limit after my surgery,” Patitz said. “My advice for fellow joint patients is to go to Lake Regional because you will get the best care.”
Matthew Amsberg, 33, laced up his running shoes with the goal of starting a rigorous exercise routine. But his right knee had other ideas. Every time he ran, he experienced pain, which quickly progressed to pain even when he walked. When the problem didn’t ease with home remedies, Amsberg, vice president of lending at Heritage Bank in Lebanon, sought help from his primary care provider.
Lake Regional Internist Jeffrey Fears, M.D., ordered an MRI. It revealed a torn meniscus. Dr. Fears referred Amsberg to Lake Regional Orthopedic Surgeon Scott Hofer, D.O., so he could get specialized care.
“I appreciate that Lake Regional continued to see my care through, even when the solution wasn’t simple,” Amsberg said. “Dr. Hofer took time to listen and address the full problem. When exercises and a cortisone shot didn’t stabilize my knee, I was worried that my case might be dismissed because of my young age and ability. However, Dr. Hofer was adamant about finding a resolution that worked for me.”
Dr. Hofer performed an arthroscopic repair surgery on Amsberg in February. The surgery was low-risk, but the recovery, which includes physical therapy, generally takes months.
Amsberg was scheduled for a post-operative appointment with Dr. Hofer two weeks after his surgery. He found himself in the doctor’s office earlier than expected, but his knee wasn’t the problem.
“My son broke his arm, and Dr. Hofer treated him too,” Amsberg said. “I was once again impressed with the level of care. Not only was Dr. Hofer attentive to my son, but he was respectful of my time as well. Dr. Hofer had me go ahead with my post-op appointment since I was already there.”
Two months after his surgery, Amsberg is on the road to recovery and looking forward to pain-free physical activities.
“I’m continuing with my physical therapy and will hopefully start jogging soon,” Amsberg said. “I have another follow-up appointment with Dr. Hofer, but overall, I think my recovery is ahead of schedule.”
This experience has taught Amsberg the importance of never delaying your care.
“When I had the surgery, they found more damage than expected, which could have been debilitating on down the road,” Amsberg said. “I’m glad I listened to my body, fully explained my situation and continued to follow through with my care. I felt involved all the way through, which increased my confidence about the whole process.”