Direct Sports Medicine & Joint Preservation — No Wait, Transparent Pricing.

Modern alternative to traditional orthopaedics—high efficiency, premium service, and outcomes focus

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About Us

SURGEON-LED SPORTS MEDICINE & JOINT PRESERVATION—WITHOUT THE WAIT

Journey Orthopaedic Institute (JOI) is a modern orthopaedic sports medicine practice serving the Carolinas. We’re built around access and clarity: rapid evaluation, a precise diagnosis, and a straightforward plan—without the delays, confusion, and surprise billing that patients often experience in large health systems.

Care is led by Dr. Justin T. Smith, a fellowship-trained orthopaedic sports surgeon & Dr. Christie B Smith, a fellowship-trained orthopaedic manual physical therapist. JOI integrates high-level clinical decision-making with performance-minded rehab and non-operative options, including advanced injections and biologic treatments when appropriate. The goal is simple: reduce pain, restore function, and return you to sport, training, and life with confidence.

MEET OUR TEAM

Justin T. Smith, MD

Orthopaedic Sports Surgeon

Double Board Certified , Fellowship-Trained Orthopaedic Sports Surgeon

Christie B. Smith, DPT

Orthopaedic Manual Physical Therapist

Doctor of Physical Therapy | Orthopaedic Manual Physical Therapist (OMPT)

Rebecca Tucker, ATC

Orthopaedic Sports Athletic Trainer

Certified Athletic Trainer (ATC) | Clinical Team Lead

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COMPREHENSIVE ORTHOPAEDIC SPORTS MEDICINE

Surgeon-led diagnosis, transparent options, and a clear plan to get you back to full function.

Rapid Orthopaedic Evaluation

Get answers and a plan—fast—on site care with state of the art Mobile Medical Unit (Click for more information)

Shockwave Therapy (StemWave)

Non-invasive option for chronic tendon pain

Sports Injury & Surgical Care

ACL • Meniscus • Shoulder—when surgery is the best option

Physical Therapy & Performance Rehab

Hands-on care + return-to-sport progressions

Image-Guided Injections

Cortisone • HA • PRP • Biologics (when appropriate)

Professional Associations

Sports Injuries & Joint Pain

Lower Extremity

Words matter.

“Degenerative” often describes age-related change, not failure.

Symptoms are sometimes more important than images. Clinical correlation is crucial.

Save this!

Simple > fancy.

These three movements cover:
• strength
• control
• resilience

Do them consistently.

Save this

#strengthtraining #injuryprevention #sportsmedicine #orthopedics #athletetraining #fitnessover40

Most knee pain isn’t a “broken part.”
It’s a mismatch between load and capacity.

Fix the system before cutting the joint.

Follow for more real-world sports cases

Injections are not magic.
They’re a tool.

Best used to:
• calm inflammation
• restore motion
• allow proper rehab

Used alone, results fade.

Follow for evidence-based sports care

#sportsmedicine #orthopedics #cortisone #injuryrehab #athletelife #painmanagement

The shoulder doesn’t work in isolation.
If the scapula is unstable, the cuff pays the price.

Fix mechanics before chasing injections or surgery.

Save this and follow for more.

#shoulderpain #rotatorcuff #sportsdoc #orthopedics #shoulderrehab #injuryprevention

MRIs don’t treat people.
Clinicians do.

Imaging must match:
• symptoms
• physical exam
• functional limitations

Otherwise, it’s just information.

Comment “MRI”

#sportsmedicine #orthopedics #mriresults #injurymyths #kneepain #shoulderpain #backpain #athletecare

Arthritis is rarely an overnight event.
It’s usually a long runway.

Early signs to respect:
• pain that lingers into the next day
• swelling after activity
• changing mechanics (limp, shorter stride, avoiding stairs)

If you want to stay active, don’t ignore these.

Share this with someone blaming age.

#kneearthritis #kneepain #sportsmedicine #orthopedics #activeaging #injuryprevention #runnersofinstagram #fitnessover40 #weekendwarrior

Tendons don’t “randomly” get weak.
They respond to what you repeatedly do.

If your pattern is:
• minimal strength work
• big weekend effort
• repeat

…you’re setting up tendon pain.

Want a simple strength template?
DM “STRENGTH” (I’ll send you my weekly strengthening protocol)

#tendonhealth #injuryprevention #strengthtraining #fitnessover40 #sportsdoc #orthopedics #achilles #kneepain #golferelbow #longevity

January injuries are usually not “bad luck.”
They’re a volume spike.

Three rules to stay out of trouble:
1. Increase volume 10–20% per week
2. Don’t add intensity + volume at the same time
3. If pain changes mechanics, stop for the day

Save this and send it to your workout group.

#sportsmedicine #orthopedics #injuryprevention #weekendwarrior #runningtips #kneepain #shoulderpain #fitnessover40 #athletelife

#ThrowbackThursday to an epic high-water day at the US National Whitewater Center 🌊🚣‍♂️. Had the chance to rip through the rapids alongside a couple Olympians—nothing like testing yourself against the water when it’s moving fast.

Even better? My little dude was on the sidelines taking it all in 👀💙. Future kayaking buddy in the making… can’t wait for the day he’s on the river next to me.

#Whitewater #Kayaking #USNWC #FuturePaddler #SportsSmithLife

🏈 Friday Night Lights are back! Proud to be on the sidelines this season, keeping our local high school athletes healthy, strong, and ready to conquer the field. 💪⚡️

From injury prevention to game-time decisions, my goal is simple: help these young athletes perform at their best and stay in the game.

Let’s make it a safe, dominant season. 👊

#FridayNightLights #SportsMedicine #AthleteCare #SportsSmithMD

Wrapped up an Expert Talk on Artificial Intelligence in Orthopaedic Sports Medicine at the South Carolina Orthopaedic Association Annual Meeting in Charleston.

We’re standing at the edge of a technological shift—AI is no longer a future concept, it’s here now, reshaping how we diagnose, plan, and personalize orthopaedic care.

Grateful for the opportunity to share the stage with leaders in our field and to push this conversation forward. Big thanks to SCOA for the invitation and to all who showed up and engaged.

Let’s keep building the bridge between innovation and evidence-based practice.

#Orthopaedics #SportsMedicine #AIinMedicine #SCOA #OrthopaedicSurgery #DigitalHealth #ExpertTalk #JustinTSmithMD #MedicalInnovation #CharlestonSC

Honored to step into the role of Technology Editor for the Journal of Shoulder and Elbow Surgery (JSES).

As innovation in orthopaedics accelerates—through AI, robotics, wearable tech, and beyond—this role represents a unique opportunity to help shape the future of scholarly communication at the intersection of technology and shoulder/elbow surgery.

Looking forward to highlighting cutting-edge research, curating meaningful dialogue, and supporting authors who are driving digital transformation in our field.

Let’s raise the bar.

#JSES #AIinMedicine #DigitalHealth #MedicalInnovation

Grateful for the opportunity to speak on The Evolution of Technology and AI in Orthopaedics and Business at the 2025 Arthrex Peerless Distributor Meeting in Charlotte.

The future of orthopaedics won’t just be about the scalpel—it’ll be about smarter systems, integrated data, and AI-enhanced decision-making. Huge thanks to the Peerless team and fellow presenters for an energizing weekend of ideas, strategy, and collaboration.

Let’s keep pushing the edge of what’s possible. #AIinMedicine #Orthopaedics #Arthrex #SportsMedicine #Peerless2025 #DigitalHealth #InnovationInSurgery #JustinTSmithMD

🕒 #TBT to June 2025 — Zaragoza, Spain 🇪🇸
Honored to speak at the KEOMT International Global Congress held 19–21 June at the University of Zaragoza, bringing together clinicians from over 15 nations. It was a privilege to share my insights on AI in Medicine, showcasing how artificial intelligence is reshaping diagnostics, treatment planning, and surgical decision support.

💡 Engaging alongside leading voices in manual therapy and orthopaedic research, our 3‑day course fostered robust discussion on blending AI tools with KEOMT principles—enhancing musculoskeletal care through data-driven strategies and hands‑on technique.

🌍 The synergy of global expertise, multinational collaboration, and cutting-edge technology in one academic forum reflects our collective commitment to advancing patient care. Thank you to KEOMT International and the University of Zaragoza @omtspain for this exceptional platform.

⸻

#AIinMedicine #Orthopaedics #ManualTherapy #KEOMT #GlobalConference #MedTech #Zaragoza #UniversityOfZaragoza #MedicalEducation #DrSmithMD

Just wrapped a fantastic bioskills lab in Dallas with Dr. Nathan Boes and Dr. Todd Walker diving into the Catalyst reverse shoulder system. Always a privilege to teach alongside sharp minds and close friends.

This implant line continues to raise the bar—multi-planar osteotomies, subscap-sparing techniques, and instrumentation that actually simplifies surgery without compromising outcomes. Big thanks to the National Bioskills Lab for hosting an exceptional educational environment.

And of course… no trip to Texas is complete without some clay shooting under the lights at @the_porchvenue . Great way to cap the day with good friends and even better aim (some of us at least).
Disclaimer: Clay shooting fun courtesy of yours truly.

#ShoulderReplacement #OrthopaedicSurgery #CatalystCSR #ReverseShoulder #OrthoLife #DallasLab #SportsMedicine #OrthopedicEducation #SurgeonLife

Just returned from an intensive week immersed in cutting-edge knee surgery education at two exceptional events: the Minnesota Anatomic Complex Knee International Symposium (MACKIS) in Minneapolis and OSSIO’s FIBERFest in Scottsdale.

At MACKIS, the focus was on advanced, anatomic-based techniques for complex knee injuries. We explored the latest in primary and revision ACL reconstruction, meniscal root and ramp repairs, and posterolateral corner reconstructions. The emphasis on preserving native structures and restoring biomechanics was evident throughout the sessions.

FIBERFest provided a platform to delve into innovative solutions for subchondral bone injuries. I had the privilege of participating in a panel discussion alongside Drs. Brian Cole (Rush), Seth Sherman (Stanford), and Ryan Auckerman (Wyoming Team Physician), where we examined a novel bio-integrative polymer technology designed to repair subchondral fractures and gradually transform into bone over two years.

These experiences underscore the importance of continuous learning and collaboration in advancing patient care.

#OrthopaedicSurgery #KneeReconstruction #MeniscusRepair #SubchondralFracture #MedicalInnovation #MACKIS2025 #FIBERFest2025 #OSSIO #SmithAndNephew #SportsMedicine #OrthopaedicEducation

Top 5 Takeaways from the 2025 Minnesota Anatomic Complex Knee International Symposium (MACKIS)
Refined pearls from cadaver lab, case reviews, and surgical strategy discussions—tailored for practicing orthopaedic surgeons.

—

1️⃣ Meniscus > Meniscectomy
Root, radial, and ramp repairs—when done anatomically—protect cartilage long-term.
- Visualization and double-portal access continue to evolve.

2️⃣ ACL Revision Requires a Systems-Based Approach
Tunnel placement. Tibial slope. Concomitant pathology.
Get the MRI, review the op note, and plan accordingly—2-stage is often the right answer.

3️⃣ LET in the Right Patient is Standard of Care
High-demand athlete? Revision ACLR?
Modified Lemaire or Cocker-Arnold improves rotational control.
-Tunnel collision is avoidable—plan isometry + fixation carefully.

4️⃣ OCA Isn’t Always the Answer
Lesion-specific algorithms beat one-size-fits-all.
Trochlea ≠ condyle. Consider moldable scaffolds for irregular geometry.

5️⃣ POL = Precision
Posterior oblique ligament reconstruction matters.
Get your tunnel behind the sMCL.
Tension right. Choose your timing based on stress films + chronicity.

—

Clinical Bottom Line:
These aren’t trends—they’re surgical truths. Know your anatomy. Respect the biomechanics. Match technique to pathology.

—

- Drop your favorite takeaway or technique below.
👇 DM if you want the full carousel or a lecture version for your department.

#Orthopaedics #SportsMedicine #MACKIS2025 #MeniscusRepair #ACLRevision #LET #OCA #KneeSurgery #MCL #POL #OrthopedicEducation #Arthroscopy #OrthopedicSurgeon #SmithAndNephew #OrthoConferencePearls

2025 Hawk Society Annual Meeting – Hilton Head
Top 5 Takeaways for the Practicing Orthopaedic Surgeon
Swipe through the carousel for distilled pearls from cases, panels, and strategy sessions.

⸻

1. Management of Massive Rotator Cuff Tears
There’s no one-size-fits-all. Outcomes vary widely across techniques—repair, SCR, patch, balloon, reverse, tendon transfer.
Key determinant: whether the goal is pain relief or function.
In-space balloons can relieve pain, but won’t restore strength.
Counsel honestly. Plan accordingly.

⸻

2. Augmented Rotator Cuff Repair
Next-generation dermal grafts show improved mechanical strength and early biologic incorporation.
MRI at 3–6 months confirms integration.
Cost ($2,000–$2,500) and surgical complexity are barriers.
Selectively use in high-risk or high-demand patients—and streamline your technique to justify it.

⸻

3. Artificial Intelligence in Orthopaedics
AI tools like ChatGPT, DAX in Epic, CapCut, and HeyJen are now part of the modern workflow.
They’re improving documentation, education, and pre-op planning.
Surgeons who don’t engage with AI risk falling behind on efficiency, burnout mitigation, and patient communication.

⸻

4. Advocacy is Not Optional
Medicare reimbursements are on track to fall below operating costs by 2029.
Private practice viability is deteriorating under consolidation pressure.
Less than 10% of surgeons contribute to advocacy PACs.
If you value reimbursement, scope protection, and surgical autonomy—get involved now.

⸻

5. Reverse Shoulder Arthroplasty for Fracture
Tuberosity healing is the single greatest predictor of function in RSA for fracture.
Prioritize tagging, cerclage, implant tensioning (6 mm lateralization, 135° angle), and preservation of interval tissue.
It’s not just fixation—it’s biology. Get it right the first time.

⸻

What are you changing in your OR or clinic after Hawk 2025?
#Orthopaedics #ShoulderSurgery #RotatorCuff #ReverseShoulder #OrthopedicSurgeon #HawkSociety #OrthoLeadership #PrivatePracticeOrtho #SurgicalStrategy #AIinMedicine

Extra Step, Extra Stability! 🦵💪 JBJS top articles in sports medicine review the growing literature supporting adding a procedure called Lateral Extra-Articular Tenodesis (LET) to ACL reconstruction to significantly improve knee stability and reduce the chance of re-injury.

What is LET? Despite the complex name, it’s basically an extra reinforcement on the outer side of the knee added during ACL surgery. Think of it as a supportive tether that helps control knee rotation. This means the knee is less likely to “give out” during quick pivots or cutting movements.

Key points:
• Fewer re-tears: Lower ACL graft failure rates – one study saw re-injury drop from ~11% to 4% with the addition of LET.
• More stability: Improved rotational stability (less wobble or instability in the knee).
• High-risk patients: Especially beneficial for young athletes or those returning to pivot-heavy sports (e.g. soccer, basketball), who typically face higher re-injury risk.
• No added complications: Achieved these benefits with no significant increase in surgical complications.

Whether you’re a clinician or a patient, this is exciting news in knee surgery. An extra step like LET could mean more confidence in your ACL repair and a safer return to sports after injury. Source: JBJS top articles in sports medicine, 2025.

Know someone recovering from an ACL injury or working in sports/ortho? Share this post with them! Knowledge is power – by spreading the word, we can help others recover stronger and prevent future injuries. 🙌

#ACLRecovery #SportsMedicine #Orthopaedics #KneeSurgery #AthleteHealth #InjuryPrevention #ACLReconstruction

Hawk Society 2025 — an incredible 3 days with the world’s best in shoulder and sports surgery, where innovation, mentorship, and collaboration took center stage.

Truly honored to have had the opportunity to give a talk on Artificial Intelligence in Orthopaedics — exploring how emerging tech is reshaping the way we diagnose, operate, and care for patients.

Even more humbled to receive the Journey Award with Todd Walker, MD and Nate Boes, MD for co-creating Morning Rounds Coffee — a philanthropic passion project that supports healthcare workers and foundations like the Hawkins Foundation, helping fund fellow education and research that moves our field forward.

This community continues to inspire — and we’re just getting started.

#HawkSociety #JourneyAward #MorningRoundsCoffee #AIinOrthopaedics #ShoulderSurgery #SportsMedicine #OrthopaedicInnovation #HawkinsFoundation #FellowshipStrong #Orthopreneurship

Excited to share the latest episode of the American Shoulder and Elbow Surgeons Podcast, where I had the privilege of joining hosts Dr. Brian Waterman and Dr. Peter Chalmers alongside Dr. Surena Namdari to discuss how generative artificial intelligence is being integrated into the practice of shoulder and elbow surgery. It’s an exciting time to explore how AI can shape the future of our field and improve patient care!
**link in saved stories: AI**
#ASESPodcast #AIinMedicine #ShoulderSurgery #ElbowSurgery #Orthopaedics #GenerativeAI #MedicalInnovation #futureofmedicine

I am thrilled to announce my appointment as an Assistant Professor at the new Charlotte campus of Wake Forest University School of Medicine! This state-of-the-art facility, located in The Pearl innovation district, is set to welcome its inaugural class this fall.

I am eager to contribute to this groundbreaking endeavor and help shape the next generation of physicians. The Charlotte campus will offer a dynamic learning environment, integrating cutting-edge technology and innovative teaching methods to prepare students for the future of medicine.

Stay tuned for more updates as we approach the opening of this exciting new chapter in medical education!

#WakeForestSchoolOfMedicine #CharlotteCampus #MedicalEducation #FutureDoctors #InnovationInMedicine #TeachingTheFuture #MedicalSchool #MedicalProfessor #WakeForestUniversity #CharlotteNC #HealthcareInnovation #DoctorsOfTomorrow

Had an incredible day out on the Ocoee River! Nothing beats the thrill of whitewater kayaking and sharing that adventure with family. The water was epic, and the scenery was stunning – a perfect blend of adrenaline and family time. Love these moments where we get to be in nature, pushing boundaries and creating memories together.

#WhitewaterKayaking #OcoeeRiver #FamilyAdventure #SportsMedicineDoc #OutdoorThrills #OrthoLife #FamilyFun #GetOutside #WeekendWarrior #SportsSurgeon #LifeInMotion #AdventureAwaits #KayakLife

Go Dawgs! that is all. #uga #georgiabulldogs @ugaathletics @georgiafootball #AI #midjourney

Big moves in the OR today. Integrating the @apple VisionPro with the @arthrex_inc PanoScope is seriously changing the game for orthopedic sports surgery. We’re talking live arthroscopic views combined with augmented reality, all set up to maximize precision and improve the workflow.

Picture this: no more shifting your focus between monitors. I can position the live scope feed and pre-op images like X-rays and 3D plans exactly where I need them in space, making it way easier to keep things efficient. The lag? Barely noticeable – we’re talking milliseconds – so instrumentation is smooth.

And this is just the beginning. The future is AI recognizing anatomy, instruments, and helping guide us through complex procedures. It’s going to make challenging cases a whole lot easier to navigate.

Check out the video to see what’s coming next. This tech is taking us to a whole new level in ortho.

#SportsMedicine #OrthopedicSurgery #AugmentedReality #AIInSurgery #AppleVisionPro #Arthrex #OrthoInnovation #GameChanger #PrecisionSurgery #FutureOfOrtho @ircadfrance @arthrexmeded @aaos_1 @aossm1972 @aanaorg

Inside the OR: Arthroscopic Rotator Cuff Repair

Take a closer look at this minimally invasive procedure where precision meets technology. The arthroscope provides a high-definition view of the shoulder joint, allowing us to repair the rotator cuff with minimal trauma to surrounding tissues. The goal? To restore function and relieve pain so patients can get back to doing what they love.

In this procedure:

1. Identify and prepare the torn tendon.
2. Insert anchors into the bone.
3. Secure the tendon with sutures.
4. knotless lateral row anchors to lock down sutures for a robust repair.

This technique enhances the strength of the repair and reduces risk of retear for these large cuff tears.

Follow along for more insights into the world of sports surgery and orthopedic innovation.

#OrthopedicSurgery #RotatorCuffRepair #Arthroscopy #MinimallyInvasiveSurgery #SportsMedicine #ShoulderSurgery #RecoveryJourney #SurgeonsOfInstagram #SportsSmithMD #Orthopedics #ShoulderPain #Rehab #MedicalEducation #SurgicalTechnique”

Just wrapped up an incredible open mic session focused on advancing rotator cuff repair outcomes and optimizing tendon-to-bone healing. We had some of the world’s top shoulder surgeons sharing their insights and cutting-edge techniques. Don’t miss out—catch the full discussion via the link in my bio! #RotatorCuffRepair #SuperchargedHealing #Rotium #Atreon #Entheses #SharpeyFibers #ImprovingOutcomes #JOEI #OpenMic #TopSurgeons

Hot off the press! State of the art: Patellofemoral Instability (Dislocating Knee Cap). I am pleased to share my latest research published in the Journal of ISAKOS: "Patellofemoral Instability Part 1 (When to Operate and Soft Tissue Procedures): State of the Art."

This comprehensive review delves into the intricacies of patellofemoral instability, exploring both operative and non-operative treatment options. Our findings emphasize a patient-specific approach, combining the latest advancements in imaging and surgical techniques to guide optimal care decisions.

My sincere gratitude to my co-authors and the research team for their exceptional work and dedication. This publication underscores our commitment to enhancing the field of orthopaedic sports medicine and improving patient outcomes.

For more details, please refer to the full article available through the link in my bio.

#Orthopaedics #SportsMedicine #Research #Publication #ISAKOS #OrthopaedicSurgeon #MedicalInnovation #PatientCare

Exciting News! I’m thrilled to share a sneak peek of my upcoming lecture at the Hawk Society Annual Orthopaedic Conference, titled “AI/AR in the Operating Room & Clinic”. We’re pushing the boundaries of medical technology by integrating Apple Vision Pro into our surgical simulations. This video gives you a glimpse of how augmented reality can enhance our training and improve patient outcomes. Stay tuned for more insights and breakthroughs!
Join us as we explore the future of surgery with AI and AR technologies!

#Orthopaedics #SurgicalInnovation #AppleVisionPro #AIAugmentedReality #MedicalConference #HawkSociety2024 #SurgicalEducation #TechInMedicine

As an orthopaedic surgeon deeply invested in the advancement of our field, I am excited to highlight the transformative potential of the Apple Vision Pro. This device is not merely an innovation; it represents a paradigm shift in how we approach orthopaedic surgery. The Apple Vision Pro is poised to redefine the precision and efficacy of arthroscopic procedures, offering a level of clarity and interaction with surgical imaging and templating that was previously unimaginable.

With this technology, we are not just observing an evolution; we are at the helm of a revolution in surgical precision and patient care. The Apple Vision Pro will enable us to enhance our surgical accuracy, improve patient outcomes, and set new benchmarks in orthopaedic surgery.

I am currently exploring the integration of this groundbreaking technology into my practice, recognizing its potential to transform our conventional surgical methodologies. The era of augmented reality in surgery is upon us, and with the Apple Vision Pro, we are stepping into a future where the boundaries of what is possible are continually expanding.

#OrthopaedicSurgery #AppleVisionPro #SurgicalInnovation #Arthroscopy #SurgicalImaging #FutureOfSurgery #MedicalTechnology #SurgicalGuidance #DigitalHealth #AugmentedReality

Today, I’m eager to share a remarkable story from my clinic—a complex shoulder replacement that truly showcases the cutting edge of orthopedic surgery.

I recently treated a patient with severe glenoid bone loss, a challenging condition that significantly complicates shoulder replacement surgery. Traditional implants weren’t an option due to the extent of the bone loss. Our team turned to a groundbreaking solution: a custom 3D printed implant designed specifically for their unique anatomy.

This tailor-made implant allowed us to reconstruct the glenoid accurately, creating a stable foundation for a reverse shoulder replacement. The precision of 3D printing technology ensured a perfect fit, crucial for the success of this intricate procedure.

The surgery was a triumph, marking a significant milestone in the patient’s journey towards recovery. Thanks to this innovative approach, they are on the path to regaining full function of their shoulder, with the promise of a more active and pain-free life ahead.

This case highlights the incredible potential of personalized medicine and the role of advanced technology in transforming patient outcomes. We’re proud to be at the forefront of these developments, offering hope and healing to those facing the most complex orthopedic challenges.

For more information on how we’re using cutting-edge technology to improve lives, click the link in my bio.

#ComplexShoulderReplacement #3DPrintedImplants #GlenoidBoneLoss #ReverseShoulderReplacement #OrthopedicSurgery #InnovativeSolutions #CustomImplants #PatientRecovery #AdvancedTechnology #Orthopedics #ShoulderSurgery #SurgicalSuccess #HealingHands

Hello everyone! Today, I’m excited to share with you a closer look into anatomic shoulder arthroplasty, a transformative procedure for those suffering from shoulder osteoarthritis resulting in pain and dysfunction.

Anatomic shoulder arthroplasty is tailored to mimic your shoulder’s natural anatomy, offering a solution that’s both effective and comfortable. It’s an outpatient procedure, so you can head home on the same day.

For your comfort, we routinely use a nerve block to significantly reduce pain during and after the procedure, facilitating a smoother recovery and a quicker return to daily activities.

Post-surgery, patients can expect significant pain relief and improved function, enabling a return to sports and favorite activities with ease. This surgery opens the door to a quality of life you may not have thought possible.

Swipe left to see a reel of the procedure and hear from patients who are now enjoying their lives to the fullest, thanks to this innovative approach. Your journey to a pain-free, fully functional shoulder begins now.

Interested in learning more? Click the link in my bio to be directed to my website for further details. Your path to recovery is just a step away.

#AnatomicShoulderArthroplasty #ShoulderPainRelief #OutpatientSurgery #NerveBlock #PainFreeLife #SportsRecovery #OrthopedicSurgery #HealthAndWellness #ActiveLifestyle #SurgeryReel #PatientCare #InnovativeSurgery #RecoveryJourney #EmbraceYourFuture

Since starting practice, I’ve had the profound honor of performing life-changing trauma surgeries. From intricate fracture repairs to emergency reconstructions. It’s a reminder that at the heart of orthopedics, whether we specialize in sports medicine, pediatrics, or hand surgery, we’re all trained in the art and science of fracture care. Taking call for our local community means we’re ready to tackle acute injuries, 24/7, ensuring everyone has access to the care they need when they need it most. Together, we’re making a difference, one patient at a time. #OrthopedicExcellence #FractureCare #TraumaSurgery #CommunityHealth #EmergencyCare #AllHandsOnDeck #HealingHands #LocalHeroes

Just wrapped up an incredible course learning shoulder-to-shoulder with some of the top pro and collegiate team surgeons in the country! From mastering complex reconstructions to refining my arthroscopic techniques, every moment was a deep dive into excellence. Grateful for the opportunity to learn from the best, share insights, and bring cutting-edge care back to my patients. Let’s elevate the game together! #OrthoLife #SurgicalPrecision #TeamSurgeons #ProHealthTips #CollegiateCare #LearningFromTheBest #ArthroscopyAdvances #PatientCareFirst

"Effects of Vitamin D Supplementation in Elite Athletes: A Systematic Review" by Phillip B. Wyatt et al., 2024, investigates the impact of vitamin D supplementation on elite athletes across various dimensions. Here's a summary based on the initial sections of the study:

Background
The study addresses the growing concern regarding vitamin D deficiency and its potential to increase the risk of injury among elite athletes. It aims to consolidate the findings from placebo-controlled randomized trials to understand the effect of vitamin D supplementation on athletic performance and health.
Findings:
Aerobic Capacity: Significant improvements in maximal oxygen uptake and physical working capacity in supplemented versus non-supplemented athletes were observed in two out of three studies.
Anaerobic Performance: Five out of seven studies showed consistent increases in anaerobic power and strength for supplemented groups compared to non-supplemented groups.
Sprint Speed: Four out of six studies found no significant differences between supplemented and non-supplemented groups.
Inflammation: Supplementation did not consistently affect serum biomarkers of inflammation, except for one study showing significantly lower interleukin-6 levels in supplemented athletes.
Bone Health: The results were mixed regarding the benefits of supplementation on bone health, with one study noting improved bone mineral density in response to supplementation.

"Tranexamic Acid for Rotator Cuff Repair: A Systematic Review and Meta-analysis of Randomized Controlled Trials" by Eoghan T. Hurley et al., 2024, aims to evaluate the efficacy of tranexamic acid (TXA) in arthroscopic rotator cuff repair (ARCR) by conducting a systematic review and meta-analysis of randomized controlled trials (RCTs). This study addresses the mixed results from previous RCTs regarding the benefits of TXA in terms of intraoperative visualization, operative times, and postoperative pain levels.

Key components of the study include:

Background: Despite the existence of several RCTs assessing TXA in ARCR, results have been inconsistent. Some studies suggest improvements in intraoperative visualization, shorter operative times, and reduced pain levels, while others do not find significant differences.
Purpose: The study aims to systematically review RCTs to understand the impact of TXA on ARCR outcomes better.
Study Design: This is a meta-analysis, classified as Level of evidence, 1.
Methods: Literature search was conducted according to PRISMA guidelines by two independent reviewers, focusing on RCTs comparing TXA with a control in ARCR. The study examined variables such as visualization, postoperative pain, operative time, pump pressures, and shoulder swelling, considering a P value < .05 as statistically significant.
Results: The review included six RCTs with a total of 450 patients. It found that TXA significantly improved intraoperative visualization in three out of five studies assessed. Postoperative pain levels were lower in the TXA group (mean VAS score of 3.3) compared to the control group (mean VAS score of 4.1), with a P value of .001. The mean weighted operative time was significantly less in the TXA group (79.3 minutes) compared to the control group (88.8 minutes), also with a P value of .001. No differences were found in intraoperative pump pressures or swelling.
Conclusion: The use of TXA in ARCR significantly enhances intraoperative visualization, reduces operative time, and decreases postoperative pain levels without affecting pump pressures or swelling.
This study provides strong evidence supporting the use of TXA in arthroscopy.

Young Athlete with Medial Compartment Osteoarthritis & Genu Varum alignment🏃‍♂️

I recently treated a young, active athlete facing a challenging situation: severe medial compartment osteoarthritis coupled with genu varum alignment. At such a young age, a total knee replacement wasn’t the ideal solution, especially considering their desire to continue high-level activities.

To address this, we implemented a multi-faceted treatment approach:

1. Kneebar Subchondroplasty
2. Bone Marrow Aspirate Concentrate (BMAC)
3. Medial Opening Wedge Osteotomy
4. Arthroscopic meniscus and cartilage clean up

These procedures are designed to off-load the diseased portion of the knee, facilitating healing while preserving the joint’s natural structure. It’s important to note that while this approach won’t regrow someone’s 15-year-old cartilage, but it significantly improves pain and enhances function, enabling the athlete to stay active.

Remember, every case is unique, and this treatment might not be suitable for everyone. Always consult with a specialist for personalized advice.

#OrthopedicSurgery #SportsMedicine #KneeOsteoarthritis #GenuVarum #Subchondroplasty #BMAC #Osteotomy #JointPreservation #AthleteCare #ActiveLifestyle #PainManagement #FunctionalImprovement #OrthopedicCare #YouthAthlete #KneeHealth

🚨 Today, I’m sharing a unique case that highlights the importance of MRI in evaluating first-time knee cap dislocations.

📸 watch to see a series of intra-operative photos from a young patient who experienced a first-time patellar dislocation. While such dislocations are often treated nonoperatively, this case was different.

🔍 The MRI revealed a large osteochondral defect - a serious cartilage injury that demanded surgical intervention. This type of damage, if left untreated, could lead to long-term joint problems.

🔧 During surgery, not only did we address the cartilage damage, but we also performed an MPFL (Medial Patellofemoral Ligament) reconstruction. This procedure is crucial for stabilizing the kneecap and preventing future dislocations.

💡 This case underscores the importance of thorough evaluation and the role of MRI in guiding treatment decisions for knee injuries.

👨‍⚕️ Whether you’re a fellow surgeon, a physical therapist, or a patient, understanding these nuances can make a significant difference in treatment outcomes.

🙌 Let’s spread the word about the importance of accurate diagnosis and comprehensive treatment in orthopaedic injuries!

#OrthopaedicSurgery #KneeInjury #PatellarDislocation #MPFLReconstruction #CartilageRepair #SurgicalPrecision #MRI #KneeSurgery #PatientCare #SportsInjury

“In case you thought I was cherry-picking good cases, here is another recent shoulder replacement success story!”

🌟 Here is a 60-year-old woman who came to me with debilitating shoulder pain and limited movement due to osteoarthritis. Like many patients, she was eager to regain her active lifestyle.

🛠️ We performed a reverse total shoulder replacement, focusing on meticulous technique to ensure the best possible outcome. Jane’s commitment to her post-operative rehab played a vital role in her recovery.

🏋️‍♀️ Just 8 weeks post-surgery, she has made incredible progress. She’s not only pain-free but also enjoying a range of motion she hasn’t experienced in years. She’s back to gardening, yoga, and even planning a kayaking trip!

🎉 this patient’s story is a testament to the power of modern orthopaedic surgery combined with the determination and spirit of our patients.

👩‍⚕️ As a specialist in shoulder reconstruction surgery, it’s immensely gratifying to help patients like her reclaim their active lifestyles.

💬 If you’re experiencing shoulder pain or mobility issues, don’t hesitate to get in touch. Let’s explore how we can help you get back to doing what you love!

#ShoulderReplacement #OrthopaedicSurgery #PatientJourney #ActiveLifestyle #PainRelief #StrengthAndMobility #EmpoweredLiving #HealthyAging #GetMovingAgain

👋 Hello everyone! Today, I want to share a remarkable journey of one of my patients who underwent a reverse shoulder replacement. This case exemplifies the incredible range of motion achievable with meticulous positioning and balancing during surgery.

🏥 The patient, mid 70s, active individual, suffered from severe shoulder arthritis and rotator cuff tears, significantly limiting their mobility and quality of life. After thorough evaluation, we decided that a reverse shoulder replacement was the best course of action.

🔧 The key to a successful reverse shoulder replacement lies in accurate positioning of the implant and precise balancing of the soft tissues around the shoulder. This ensures not only pain relief but also a significant improvement in range of motion.

🎉 Post-surgery, the patient followed a tailored rehabilitation program. Just 3 months post-op, theh achieved an impressive range of motion, returning to their sport with less pain and more power.

📈 This case highlights how advanced surgical techniques, combined with dedicated post-op rehab, can lead to exceptional outcomes in reverse shoulder replacements.

🤝 If you’re a patient struggling with shoulder issues, or a physical therapist looking to learn more about these procedures, feel free to reach out or comment below!

#ShoulderSurgery #ReverseShoulderReplacement #Orthopaedics #PatientSuccess #MobilityMatters #GolfLife #PhysicalTherapy #SurgicalPrecision #PainFree #ActiveAging

As an orthopaedic surgeon, i love my tools! This is one of the coolest new technologies I use in the operating room. This is a cutting-edge technique in knee surgery using patient-specific osteotomy guides by BodyCad. 🏥🔬

🎥 In this video, we’re showcasing the use of a custom-made osteotomy guide, designed from preoperative CT imaging and meticulously planned on a computer. This innovation allows us to perform extremely precise bony corrections during a revision ACL surgery.

👨‍⚕️ The goal? To correct the patient’s tibial slope. This is crucial in reducing the risk of ACL rerupture and alleviating stress on the ACL. The precision of the BodyCad system ensures that each surgical step is executed with the utmost accuracy, tailored specifically to the patient’s unique anatomy.

🌟 The benefits of this approach include improved alignment, stability, and a perfect correction of mal-alignment. It’s a game changer in orthopaedic sports surgery, offering personalized solutions for complex cases.

📊 Stay tuned for more updates and insights into the latest advancements in orthopaedic surgery. Let’s embrace innovation for better patient outcomes!

#OrthopaedicSurgery #InnovationInSurgery #BodyCad #PatientSpecific #OsteotomyGuide #KneeSurgery #ACLRecovery #PrecisionMedicine #SurgicalTechnology #HealthcareInnovation# @bodycad_

Explore the transformative power of a reverse shoulder arthroplasty. Here is a detailed look at the procedure through before and after X-rays, showcasing the remarkable improvements in shoulder structure and function. Discover how this advanced surgical technique can provide relief and enhanced mobility to those suffering from shoulder conditions. Shoulder arthroplasty procedures are growing in volume every year and are highly successful cases. Some of my happiest patients are my shoulder replacement patients!!

#ReverseShoulderArthroplasty #ShoulderReplacement #OrthopedicSurgery #PatientEducation #ShoulderSurgery #MedicalEducation #HealthAwareness

Join me on a journey through the intricate process of pectoralis major muscle repair and reconstruction. In this series, we delve into the details of treating pectoralis major tendon tears using Achilles allograft. These intra-operative images provide a unique insight into the surgical techniques and considerations involved in restoring strength and functionality to the affected area. A rare injury, roughly 1/100,000/yr, typically in males 20-40. Typically occurs during benchpress lowering the bar with elbows passing below chest level (final 30* of shoulder extension). Most all get repaired to get strength and function back. If missed or chronic, reconstructed with allograft (donor) tissue.

#PectoralisMajor #MuscleRepair #OrthopedicSurgery #AchillesAllograft #SurgicalTechniques #PatientEducation #MuscleReconstruction #Orthopedics #MedicalEducation #HealthAwareness

4 years of undergraduate school, 4 years medical school, 5 years surgical residency, 1 year of sports surgery fellowship, 1.5 years in practice. Lets go!! #journey #education #medicalstudent #resident #fellow #orthopaedicsportssurgeon

Peri-Operative (around surgery) nutrition is HUGE! Very easy way to enhance recovery healing of tissues and aide in the success of surgery. Your body will be stressed out, you may be sleeping but its a full body workout. Recovery demands new building blocks: protein, carbs, essential fats, & vitamins. Current recommendations based on ERAS (enhanced recovery after surgery protocols) is to take in: PREOP (1-2g protein/kg body weight/ day for 10 days leading up to surgery) and a carbohydrate rich drink the night before and morning of surgery (check with your anesthesia team or surgeon about timing of day of drink, usually >2 hrs). POST-OP (2-3g protein / kg body weight / day for 4-6 weeks after surgery). Also make sure you are taking in 2000-5000 IU/day Vitamin D, omega-3 fatty acids, ribonucleotides, and L-arginine. For more information, check out my website <https://www.sportssmithmd.com/s-projects-basic> #ERAS #nutrition #surgeryplanning #perioperativenutrition #enhancedrecoveryaftersurgery #enhancedrecovery

Surgical illustration taken from a recent patient encounter. I often draw these for my patients so that they better understand what is wrong and how we will treat their problem. I perform very complex procedures and sometimes it is difficult to grasp everything. With something to take home. Patients have the ability to better remember their encounter, explain the conversation with family, and can look more information on my website by scanning the QR code. #takeaway #understand #complexsurgery #knee #kneepain #cartilagerestoration #acl #aclsurgery #osteotomy #ortho #orthopedics #surgeon #bedsidemanner

Excited to teach our Winthrop University athletic trainers all about sports surgery of the knee. Hands on experience harvesting all types of ACL grafts, meniscus repairs, knee arthroscopy and a ACL quad autograft all inside reconstruction with internal brace and lateral extra-articular tenodesis 💪🏼💪🏼🙌🏻. #atc #winthropuniversity #simulation #cadaverlab #surgery #sportssurgery #orthopedic #sportsdoc #orthopedicsurgery #teamphysician @winthrop_athletictraining @winthropu

🔬 MACI: A Breakthrough in Knee Cartilage Repair! 🦵

Excited to share about #MACI, an innovative treatment that uses your own cells to regenerate knee cartilage. 🌟

👉 What is MACI?

• A cutting-edge procedure for adults with knee cartilage damage.
• Uses your own cells to create a personalized treatment.
• Aims to reduce pain, improve knee function, and provide lasting results.

🔍 How it Works:

1. Harvesting: A small cartilage sample is taken from your knee.
2. Cultivation: Your cells are grown in a lab.
3. Implantation: The new cells are implanted back into your knee on a collagen membrane.

🏃‍♀️🏃 Regain your active lifestyle with #MACI. A treatment designed to help you move without pain and get back to the things you love!

📚 Want to learn more? Check out maci.com

#Orthopedics #KneePainRelief #CartilageRepair #JointHealth #ActiveLifestyle #HealthInnovation #PatientCare #Surgery #MedicalScience #KneeSurgery #RegenerativeMedicine

Big thanks to KEOMPT Physical therapy organization for having me a guest lecturer to help educate physical therapists regarding various musculoskeletal sports pathologies. This last week we dove deep into all things elbow. From tennis elbow to ulnar collateral ligament repair / reconstruction (Tommy john's surgery). #KEOMPT #PT #DPT #OMPT #Ortho #sports #sportsurgeon #bridgethegap #interprofessionalcollaboration #interprofessionaleducation #orthopaedic #UCL #tommyjohn #elbow #tenniselbow #golferselbow #elbowinstability #distalbiceps

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Specialist Care for Every Major Joint

Surgeon-led care for the joints that keep you active. Whether it’s shoulder, elbow, wrist, hip, knee, or ankle pain, JOI delivers a precise diagnosis and a clear plan—fast. We prioritize the least invasive option that will reliably work, including targeted rehab, image-guided injections and biologics when appropriate, and surgical care when it’s the best path forward.

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“Dr. Smith took the time to actually listen, explained my MRI in plain language, and gave me a clear plan. I went from daily shoulder pain to training again without feeling rushed into surgery.”

“I’d been told my knee pain was ‘just arthritis.’ JOI confirmed what was going on, walked me through my options, and we chose the least invasive path that made sense. The process was straightforward and the pricing was transparent.”

“From the first visit to follow-up, everything was efficient—no runaround, no surprise bills. The rehab plan was specific, and when I did need a procedure, it was coordinated quickly. I’m back to sport with confidence.”