Orthopedics

  • Home »
  • Treatments & Services »
  • Orthopedics
  • Surgical and Non-Surgical Solutions

    for Musculoskeletal Disorders, Degenerative Diseases, & Trauma

    The Center for Advanced Orthopedics at Larkin

    The Center for Advanced Orthopedics at Larkin is Miami-Dade’s most sophisticated orthopedic specialty center. Opened in October 2013, headed by internationally recognized orthopedic surgeons, The Center has established itself as a pioneer in hip and knee arthroplasty surgery and physical and occupational therapy giving their patients renewed hope for a life free of pain and restrictions.

    The Center for Advanced Orthopedics at Larkin specializes in the surgical treatment for musculoskeletal disorders, degenerative diseases, and trauma-related injuries. Musculoskeletal disorders encompass the bones, joints, cartilages, muscles, tendons, and ligaments, which are responsible for maintaining the body's structure and supporting body movement. Our internationally recognized orthopedic surgeons utilize minimally invasive techniques and robotic technologies that shorten recovery time, decrease complications, and provide optimal patient outcomes. For example, our MAKOplasty® Robotic Arm Interactive Orthopedic (RIO) System for hip replacement assists our surgeon's inaccurate implant positioning and surgical precision compared to manual techniques using anatomical 3-D modeling, guidance, and real-time visual feedback.

    The 10,000 sq. ft. Center for Advanced Orthopedics, which includes a rehabilitation area and 12 patient consultation rooms, occupies the 6th floor of the One 7000 Place Building and is located directly across the street from Larkin Community Hospital at 7000 SW 62nd Ave, Suite 600, South Miami, FL 33143.

    Appointments & Inquires

    Call or click for an in-person or virtual visit. Click Here

    If you are experiencing any of the symptoms listed below, you should seek the advice of a medical professional. 

    Pain, Swelling, or Inflammation of:

    • Joint 
    • Knee 
    • Hip 
    • Wrist 
    • Ankle 
    • Muscle 
    • Neck 
    • Low Back 

    Pain Swelling, Inflammation, Numbness, or Weakness of:

    • Arm 
    • Leg 
    • Hand 

    Difficulty with using:

    • Hands
    • Legs
    • Musculoskeletal Disorders
    • Spine Disorders
    • Extremity Disorders
    • Arthritis
    • Back pain
    • Bunions
    • Bursitis
    • Carpal Tunnel Syndrome
    • Dislocation
    • Fibromyalgia
    • Fractures
    • Golfer's or Baseball Elbow (Medial Epicondylitis)
    • Incontinence
    • Kyphosis
    • Lymphedema
    • Osteoporosis
    • Osteoarthritis (hip, knee, and hands)
    • Paget's Disease of the bone
    • Sciatica
    • Scoliosis
    • Soft Tissue Injuries
    • Strains, Sprains, Tears
      • ACL
      • LCL
      • MCL
      • PCL
      • Rotator Cuff
      • Hip Labral
    • Tarsal Tunnel Syndrome
    • Temporomandibular Joint Disorders (TMD)
    • Tennis Elbow (Lateral Epicondylitis)
    • Trauma Related Injuries
      • Sports
      • Accident

    Our Services

    No two hip or knee abnormalities are precisely alike. This is why The Center for Advanced Orthopedics at Larkin offers a wide variety of surgical and non-surgical services designed to help our patients achieve and regain their highest possible levels of independence.

    Focusing on total hip and knee replacement, The Center For Advanced Orthopedics at Larkin’s world-renowned surgical team has helped hundreds of patients from Florida and worldwide return to the active lifestyle they previously enjoyed.

    The Center for Advanced Orthopedics at Larkin is a main orthopedic center in Miami-Dade county utilizing the MAKO SmartRobotics .With its accurate three-dimensional planning advanced technology, our surgeons achieve a new level of precision, which can be challenging to achieve using traditional surgical techniques.

    What’s more, our state-of-the-art rehabilitation Physical and Occupational Therapy facility was explicitly designed with our patient’s needs in mind. We are proud to have only the finest physical and occupational therapists working on our staff. With over 30 years of combined experience, our therapists are dedicated to helping our patients achieve and regain their highest possible levels of independence by utilizing the most up-to-date techniques and research-based treatment approaches while working closely with our highly trained medical team to ensure a positive outcome.

    The Center for Advanced Orthopedics Rehabilitation Center implements the latest and most relevant evidence-based rehabilitation techniques at our state-of-the-art facility. Our exceptional team of Physicians and Physical and Occupational Therapists delivers the highest standards of care. Our commitment to personalized attention and hand-on approach to therapy facilitates our patients’ return to the activities that enhance their lives.

    Services:

    Neuromuscular Medicine

    Osteopathic Manipulative Medicine

    Sports Medicine

    Physical Therapy

    Occupational Therapy

    Speech Therapy

    Neurological

    Rehabilitation

    Cardiopulmonary

    Balance

    Spinal

    Pre/Post surgery

    Pain Management

    Pain Relievers

    Anti-inflammatories

    Injections

    Acupuncture

    Fall Prevention

    Manual Therapy

    Massage Therapy

    Craniosacral Therapy

    Platelet Rich Plasma Therapy

    Prolotherapy.

    Total Hip Replacement
    Total hip replacement is a surgical procedure in which a prosthetic implant replaces the hip joint.
     
    Total Hip Revision
    It is the redoing of a previously done failed total hip replacement.
     
    Total Knee Replacement
    Total knee replacement is a surgical procedure in which a prosthetic implant replaces the knee joint.
     
    Total Knee Revision
    It is the redoing of a previously done failed total knee replacement.
     
    Core Decompression of the Shoulder, Knee, or Hip
    It is a surgical procedure where the internal bone pressure in the shoulder, knee, or hip is relieved by drilling a hole into the bone.
     
    Open Reduction and Internal Fixation (ORIF) of the Hip
    ORIF is a surgical procedure that involves the surgical correction of fractures and the implantation of hardware to stabilize and guide the repair of bone.
     
    Injections
    It is liquid into the joints and bursas with a syringe.
     
    Robotic-Assisted Surgery
    It is any surgical procedure where the surgeon’s skills are complemented by using a mechanical arm to increase precision and reproducibility.
     
    Anterior Hip Replacement
    Anterior total hip replacement is a surgical procedure in which a prosthetic implant replaces the hip joint, and it is performed from an incision located in front of the hip. This contrasts with the standard approach where the incision is located on the side of the hip.
     
    Partial Knee Replacement
    Partial knee replacement is a surgical procedure in which a prosthetic implant replaces only one knee joint compartment. This contrasts with total knee replacements, where all three knee compartments are replaced.

    You may be in the Hospital anywhere from 2 to 5 days depending on the specific type of procedure that you receive and how fast you recuperate. The first day you will get out of bed and attempt to walk. Our experienced Physical Therapy team will work with you starting the day of surgery. Most patients will have a catheter in their bladder so that you won’t have to worry about urination in the first 24 hours. This catheter is usually removed the next day after the surgery. Initially you will start walking with a walker and we will move you on to crutches or a cane as soon as our team deems it safe.

    Keep your wound clean and dry at all times and do not allow anyone to put any ointments or any other substances on the wound. We prefer dry dressing changes only.

    Staples are removed anywhere from Days 10 to 14 from the day of surgery for most patients or at Day 18-21 for diabetic or rheumatoid patients. This happens either at the Rehab Center/Skilled Nursing Facility or at home by the Home Health Team.

    Steri-strips will then be applied to the wound. These strips will then fall off on their own. Please DO NOT remove them. We allow you to shower 2 days after the steri-strips have been applied.

    You will be on a blood thinner anywhere from 4 or 6 weeks. It is most important that you have your blood drawn at least once a week to monitor the thinning out level during that time.

    Please wear the special stockings we prescribed for you at all times for 6 weeks after the surgery.

    Normally we allow patients to drive anywhere between 3 and 8 weeks from the day of surgery.

    If you have any wound drainage, excessive pain, redness or warmth, fever or chills after your surgery please call our office immediately.

    Do not allow anyone to prescribe you any type of antibiotics without our knowledge and prior authorization.

    You will either be full weight bearing as tolerate or you will be allowed partial weight bearing until your hip or knee heals.

    We continue our hip replacement precautions for a total time of 6 weeks.

    MAKO SmartRobotics

    Helping patients understand joint replacement surgery

    Hungarian physiologist Albert Szent-Györgyi once said, “Research is to see what everybody has seen, and to think what nobody else has thought.” At The Center For Advanced Orthopedics at Larkin, finding new answers to old questions is the cornerstone of our approach to research. Whether it’s determining the optimal timing between bilateral knee replacements, studying the correlation between patient-perceived outcomes and actual physical performance, or evaluating the relationship between self-perceived severity of illness and hospital costs, our high quality, high profile research program is helping our doctors and patients make more informed decisions regarding pre- and post-operative orthopedic care.

    The patient population that composes the joint registry includes all patients who have been intervened surgically by our orthopedic surgeons. Patients are all interviewed by bilingual members of the research team in the pre-op clinic visit usually held two weeks prior to the scheduled date of surgery. If the patients are intervened on an emergency basis, the research team interviews the patients and tracks their stay. All of the patient information is kept in individual patient files and the information is entered into a database that is administered and managed by the research team.

    The surgical procedures that are monitored as part of our study since August of 1992 are:

    • Core Decompressions (Hip and Knee)

    • Primary Total Joint Replacements (Hip and Knee)

    • Revision Joint Replacements (Hip and Knee)

    • Removals and Reimplantations

    • Hemiarthroplasties

    Arthritis: inflammation of joints due to infectious, metabolic, or constitutional causes

    Arthroscopy: a minimally invasive surgical procedure involving visual examination of the interior of a joint with an arthroscope to diagnose or treat various conditions or injuries of a joint and especially to repair or remove damaged or diseased tissue or bone

    Anterior Cruciate Ligament (ACL):  a cruciate ligament of each knee that attaches the front of the tibia with the back of the femur and functions especially to prevent hyperextension of the knee and is subject to injury especially by tearing
    — called also ACL

    Arthrogram: a radiograph of a joint made by arthrography.

    Arthrography: the radiographic visualization of a joint (as the hip or shoulder) after the injection of a radiopaque substance.

    Bursa: a small serous sac between a tendon and a bone.

    Bursitis:  inflammation of a bursa (as of the shoulder or elbow)

    Cartilage: elastic tissue that composes most of the skeleton of vertebrate embryos and except for a small number of structures (such as some joints, respiratory passages, and the external ear) is replaced by bone during ossification in the higher vertebrates

    Computed Tomography Scan (Also called a CT or CAT scan): radiography in which a three-dimensional image of a body structure is constructed by computer from a series of plane cross-sectional images made along an axis
    — called also computed axial tomography, computerized axial tomography, computerized tomography

    Dislocation: displacement of one or more bones at a joint.

    Femurthe proximal bone of the hind or lower limb that extends from the hip to the knee
    — called also thighbone

    Inflammation: a local response to cellular injury that is marked by capillary dilatation, leukocytic infiltration, redness, heat, and pain and that serves as a mechanism initiating the elimination of noxious agents and of damaged tissue.

    Joint: the point of contact between elements of an animal skeleton with the parts that surround and support it.

    Ligaments:  a tough fibrous band of tissue connecting the articular extremities of bones or supporting an organ in place.

    Lateral Collateral Ligament (LCL): a ligament of the outer knee that connects the lateral epicondyle of the femur with the lateral side of the head of the fibula and that helps to stabilize the knee by preventing lateral dislocation
    — called also fibular collateral ligament, LCL

    Musculoskeletal System: the complex system that includes: bones, joints, ligaments, tendons, muscles, and nerves. of, relating to, or involving both musculature and skeleton.

    Magnetic Resonance Imaging (MRI): a noninvasive diagnostic technique that produces computerized images of internal body tissues and is based on nuclear magnetic resonance of atoms within the body induced by the application of radio waves
    — called also MRI

    Medial Collateral Ligament (MCL): a ligament of the inner knee that connects medial parts of the femur and tibia and helps to stabilize the knee joint — called also MCL

    Menisci: a crescent or crescent-shaped body.

    Osteoarthritis: a common form of arthritis typically with onset during middle or old age that is characterized by progressive degenerative changes in the cartilage of one or more joints (as of the knees, hips, and hands) accompanied by thickening and overgrowth of adjacent bone and that is marked symptomatically chiefly by stiffness, swelling, pain, deformation of joints, and loss of range of motion —abbreviation OA

    Osteoporosis: a condition that affects especially older women and is characterized by decrease in bone mass with decreased density and enlargement of bone spaces producing porosity and fragility.

    Posterior Cruciate Ligament (PCL):  a cruciate ligament of each knee that attaches the back of the tibia with the front of the femur and functions especially to limit the backward motion of the tibia.

    Prosthesis: an artificial device to replace or augment a missing or impaired part of the body.

    Rheumatoid Arthritis: a usually chronic autoimmune disease that is characterized especially by pain, stiffness, inflammation, swelling, and sometimes destruction of joints —abbreviation RA.

    Synovial Membrane: the dense connective-tissue membrane that secretes synovial fluid and that lines the ligamentous surfaces of joint capsules, tendon sheaths where free movement is necessary, and bursae.

    Synovial Fluida transparent viscid lubricating fluid secreted by a membrane of an articulation, bursa, or tendon sheath.

    Tendon: a tough cord or band of dense white fibrous connective tissue that unites a muscle with some other part (such as a bone) and transmits the force which the muscle exerts.

    Tendonitis: inflammation of a tendon typically associated with acute injury and usually accompanied by pain and swelling,

    Tibia: the inner and usually larger of the two bones of the vertebrate hind or lower limb between the knee and ankle.

    Ultrasound:  the diagnostic or therapeutic use of ultrasound and especially a noninvasive technique involving the formation of a two-dimensional image used for the examination and measurement of internal body structures and the detection of bodily abnormalities
    — called also sonography

    X-ray: any of the electromagnetic radiations that have an extremely short wavelength of less than 100 angstroms and have the properties of penetrating various thicknesses of all solids, of producing secondary radiations by impinging on material bodies, and of acting on photographic films and plates as light does.

    These are Web-based resources for hip and knee replacement patients and their families. The following links to Internet sites are compiled from a variety of sources that are not linked to The Center for Advanced Orthopedics at Larkin and do not constitute medical advice. The Center for Advanced Orthopedics at Larkin does not provide any warranties on the accuracy, timeliness or availability of these sites, which represent the individual opinions of the site owners and are not necessarily endorsed by The Center for Advanced Orthopedics at Larkin. The information is intended to help you become educated about your options and find support from other individuals facing total hip or knee replacement. People seeking specific medical advice or assistance should contact an orthopedic surgeon or other health care provider.

    The Hip
    MAKOplasty® robotic arm assisted Total Hip Replacement
    The Hip National Osteonecrosis Foundation 

    Implants
    Wheeless’ Textbook: Total Hip Arthroplasty
    Wheeless’ Textbook: Total Knee Arthroplasty

    The Knee Society
    The Knee Society

    The Hip Society
    The Hip Society

    Arthritis Foundation 
    Arthritis Foundation

    General
    National Osteonecrosis Foundation

     

    What People Say About Us
    “I am writing to tell you how grateful I am to you and all the nurses and doctors at Larkin Community Hospital that took care of me during my recent surgery and recovery. Your excellent team and the hospital staff gave real quality professional service.
    Linda –
    None
    These people really care and are absolute caring about the patient. There are not enough accolades I can express about the following people in the nursing staff. They all deserve special recognition for their untiring attention to my care.
    Diana –
    None

    Facilities

    Orthopedics | Larkin Health Please Visit or Call The Following Facilities.

    Physicians

    Physicians Treating Orthopedics | Larkin Health.