The website for American Academy of Orthopaedic Surgeons contains over 400 articles about fractures, sports injuries, joint replacement and other orthopaedic topics written specially for patients and families.  We recommend this reading to help you understand more about your body, and the orthopedic procedures performed by the experienced physicians at Pinehurst Orthopedic Group, P.A.

"Yesterday my Dad had his first appointment with Dr. Marino at Pinehurst Orthopedic Group, P.A. and he has been singing his praises ever since!! My Dad went in for issues he was having with his elbow and they were addressed. While there, Dr. Marino noticed my Dad's gait, the way he sat, and other issues during his assessment.

Dr. Marino began asking questions and discovered other problems my Dad has been having for a while now that have been getting persistently worse and made the appropriate referrals. Thanks so much Dr. Marino for being so thorough!

Love my friends at Pinehurst Orthopedic Group!"

- Teresa Talbert

Total Hip & Knee Replacements

While total joint replacement can be performed on a variety of joints in the body, including the ankle, shoulder, fingers, and elbow, the most common joint replacement relates to hip, knee and shoulder replacement. 

Joint replacement surgery is a specialty unto itself. Because infection involving the bone can be disastrous, the operating suite must be set up for joint replacement to lessen risk of bone infection during the surgery. Joint replacement surgery is best performed by specialists who are board-certified orthopaedic surgeons. This training enables the physician to include non-surgical treatment options to relieve joint pain, or use less invasive surgeries that can relieve joint pain symptoms and restore motion. When all those options have been exhausted, then the joint replacement surgeon will consider and advise complete replacement of the damaged joint with an artificial joint implant.

Arthroscopic Surgery

Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope, an endoscope that is inserted into the joint through a small incision.

Shoulder & Reverse Shoulder Replacement

A conventional shoulder replacement device mimics the normal anatomy of the shoulder: a plastic "cup" is fitted into the shoulder socket (glenoid), and a metal "ball" is attached to the top of the upper arm bone (humerus). In a reverse total shoulder replacement, the socket and metal ball are switched. The metal ball is fixed to the socket and the plastic cup is fixed to the upper end of the humerus.

A reverse total shoulder replacement works better for people with cuff tear arthropathy because it relies on different muscles to move the arm. In a healthy shoulder, the rotator cuff muscles help position and power the arm during range of motion. A conventional replacement device also uses the rotator cuff muscles to function properly. In a patient with a large rotator cuff tear and cuff tear arthropathy, these muscles no longer function. The reverse total shoulder replacement relies on the deltoid muscle, instead of the rotator cuff, to power and position the arm.

Elbow Replacement

In total elbow replacement surgery, the damaged parts of the humerus and ulna are replaced with artificial components. The artificial elbow joint is made up of a metal and plastic hinge with two metal stems. The stems fit inside the hollow part of the bone called the canal.

There are different types of elbow replacements, and components come in different sizes. There are also partial elbow replacements, which may be used in very specific situations. A discussion with your doctor will help to determine what type of elbow replacement is best for you.

Cartilage Transplants
Upper Extremity Fractures
Arthroscopic Surgery

Arthroscopy is a surgical procedure orthopaedic surgeons use to visualize, diagnose, and treat problems inside a joint.

The word arthroscopy comes from two Greek words, "arthro" (joint) and "skopein" (to look). The term literally means "to look within the joint."

In an arthroscopic examination, an orthopaedic surgeon makes a small incision in the patient's skin and then inserts pencil-sized instruments that contain a small lens and lighting system to magnify and illuminate the structures inside the joint. Light is transmitted through fiber optics to the end of the arthroscope that is inserted into the joint.

By attaching the arthroscope to a miniature television camera, the surgeon is able to see the interior of the joint through this very small incision rather than a large incision needed for surgery.

The television camera attached to the arthroscope displays the image of the joint on a television screen, allowing the surgeon to look, for example, throughout the knee. This lets the surgeon see the cartilage, ligaments, and under the kneecap. The surgeon can determine the amount or type of injury and then repair or correct the problem, if it is necessary.

Shoulder, Elbow, Hand Injuries & Disorders
Intra-Articular Injections
  • Cortisone
  • Synvisc One
  • Fracture Treatments