Dr. Andrew Martin

Products And Services

• Hip Arthroscopy

  Hip arthroscopy is a minimally invasive procedure used to diagnose and treat a wide range of conditions affecting the hip joint. This procedure can be used to confirm the diagnosis of various imaging procedures, such as X-rays and MRIs, as it provides a three-dimensional, real-time image of the affected area. If damage or abnormalities are detected during the arthroscopy, repairs can often be made during the same procedure. Reasons for Hip Arthroscopy Hip arthroscopies can be performed for a number of reasons, to definitively diagnose or repair of the following conditions: Osteoarthritis Joint cartilage (labral) tears Loose pieces of bone or cartilage, or bone spurs Snapping hip syndrome Candidates for Hip Arthroscopy Arthroscopy is considered an ideal treatment option for many conditions affecting the hip, since it offers smaller incisions, shorter recovery times and less scarring. Patients can often return home the same day as their procedure and resume their regular activities in just a few weeks, while enjoying less pain, greater range of motion and restored joint function. While arthroscopy offers many advantages over conventional hip surgery, it is not right for all patients, especially those with conditions affecting hard-to-visualize areas. In such cases, traditional surgery may be more appropriate. Hip Arthroscopy Procedure During the hip arthroscopy procedure, Dr. Martin makes a small incision near the affected area of the hip and inserts an arthroscope, a long flexible tube with a camera and a tiny light on the end. This device displays magnified images of the inside of the hip joint on a video monitor for the surgeon to view in real time. During this diagnostic part of the procedure, the hip is examined for any signs of tearing, damage or degeneration to the ligaments, cartilage and other internal structures. If damage is detected, it can often be repaired during the same procedure by creating a few more small incisions through which tiny surgical instruments are inserted. These instruments allow Dr. Martin to replace damaged cartilage, join together torn ends, remove loose bodies or realign the joint to minimize pain and inflammation. Once the repair has been performed, the tools and arthroscope are removed and the incisions are sutured closed. A dressing will be applied to the area, which will later be replaced with smaller bandages as the incisions heal. Recovery from Hip Arthroscopy After the hip arthroscopy procedure, patients may experience pain, swelling and bruising at the incision sites for several days. Pain medication and the application of ice are advised in order to manage this pain and reduce inflammation. Most patients will be encouraged to get up and walk around as soon as possible, but will need to use crutches or a walker for 7 to 10 days as healing takes place. In order to restore function and strength to the hip joint, patients will need to undergo a customized physical rehabilitation program after surgery, designed to meet their individual goals. Physical rehabilitation may include weight-bearing exercises, hip mobilization techniques, flexibility exercises and other activities that target the various muscles of the region: the quadriceps, the hamstrings, the gluteals, the abductors and adductors. The length of the rehabilitation regimen varies according the patient's specific condition and rate of healing. Most patients are able to return to full physical activity after several weeks, but other may require up to 12 weeks to fully recover. Dr. Martin uses the most advanced surgical procedures and techniques for quicker healing and overall wellbeing. If a patient is a candidate, he recommends the Mako SmartRobotics™ innovative joint replacement surgical procedure for his patients who are suffering from painful arthritis and deterioration of the hip. With a Mako hip replacement, the entire joint is replaced with a Triathlon joint implant. This new joint replacement procedure is different than traditional knee replacements because they are designed to work with the body to promote natural-like circular motion. Dr. Martin’s goal is to help get his patients back on their feet quickly. As he says, “Keep moving…life’s waiting.” Call us today at (702) 898-2663 to schedule an appointment. Downloadable forms with our list of insurances are available by clicking here. Trauma patients accepted.

  Link: Hip Arthroscopy

• Knee Arthroscopy

  Arthroscopy is a minimally invasive procedure that allows Dr. Andrew Martin to examine tissues inside the knee. During an arthroscopic procedure, a device known as an arthroscope is inserted into a small incision in the knee. Through this tube, a thin fiberoptic light, magnifying lens and tiny video camera are inserted, allowing the doctor to examine the joint in great detail. Arthroscopy may be a diagnostic procedure following a physical examination and imaging tests such as MRI or CT scans or X-rays. It may also be used as a method of treatment to repair small injuries in the knee. Knee Arthroscopy as Treatment Relatively minor knee damage is frequently treated using arthroscopic techniques. Most knee damage results from sports injuries or osteoarthritis. During an arthroscopic procedure, the surgeon may be able to treat: Loose bone or cartilage Meniscal tears Torn ligaments Synovitis (swelling of the joint lining) Misalignment of the patella (knee cap) Inflamed tissue In patients with osteoarthritis of the knee, arthroscopy is also used in the removal of dead tissue, a process known as debridement. Benefits of Knee Arthroscopy Because it is minimally invasive, arthroscopy offers the patient many advantages over traditional, more invasive, surgery. These include: No cutting of muscles or tendons Smaller incisions Less bleeding during surgery Less scarring Shorter recovery time Shorter and more comfortable rehabilitation Candidates for Knee Arthroscopy Dr. Martin’s goal is to help get his patients back on their feet quickly. As he says, “Keep moving…life’s waiting.” Call us today at (702) 898-2663 to schedule an appointment. Downloadable forms with our list of insurances are available by clicking here. Trauma patients accepted.

  Link: Knee Arthroscopy

• Shoulder Arthroscopy

  Arthroscopy is a minimally invasive surgical technique that involves making several small incisions and inserting a fiber-optic device (arthroscope) and tiny surgical instruments to diagnose or treat certain conditions. Connected to a camera that displays images of the internal structure of the shoulder on a computer screen, the arthroscope allows the surgeon to precisely identify and target joint abnormalities. Dr. Martin may perform a shoulder arthroscopy to diagnose and treat several different conditions of the shoulder. With this type of procedure, patients benefit from less tissue damage, shorter recovery times, less scarring and less post-operative pain than traditional open procedures. The use of this technique also avoids cutting any muscles or tendons in order to gain access to the affected area. Arthroscopy is an ideal treatment option for many patients suffering from shoulder conditions. Candidates for Shoulder Arthroscopy Shoulder arthroscopy, also known as shoulder scope, is often performed to confirm a diagnosis after a physical examination and other imaging tests have been performed. Some shoulder conditions may also be treated during the same procedure by inserting a few additional instruments into the joint area. Arthroscopy may be used to treat conditions that affect the shoulder joint which may include: Rotator cuff tears Labral tears Impingement syndrome Tendonitis Bursitis Joint arthritis Arthroscopy provides many benefits over traditional open shoulder surgery, including smaller incisions, less trauma and shorter recovery times. The Shoulder Arthroscopy Procedure The shoulder arthroscopy procedure is performed while the patient is sedated under general anesthesia and is usually performed on an outpatient basis. During the procedure, Dr. Martin will insert the arthroscope into a tiny incision in order to thoroughly examine the cartilage, bones, tendons and ligaments within the joint. Any damaged areas may be repaired during the same procedure by making several other small incisions through which surgical instruments are inserted. The type of repair performed will depend on the patient's individual condition, but may include removing inflamed tissue, reattaching torn tissue or replacing damaged cartilage. Once the repair is completed, the incisions will be closed with stitches and a dressing will be applied to the area. Dr. Martin’s goal is to help get his patients back on their feet quickly. As he says, “Keep moving…life’s waiting.” Call us today at (702) 898-2663 to schedule an appointment. Downloadable forms with our list of insurances are available by clicking here. Trauma patients accepted.

  Link: Shoulder Arthroscopy

• Arthroscopic Rotator Cuff Repair

  The rotator cuff is the thick band of muscles and associated tendons that cover the top of the upper arm and hold in it place, providing support and stability to the shoulder joint. The rotator cuff also allows for a full range of motion while keeping the ball of the arm bone in the shoulder socket. These tendons can become partially or completely torn as a result of a rotator cuff tear or injury. A rotator cuff tear often occurs as a result of injury or overuse of the muscles over a long period of time. Rotator cuff tears typically involve pain when lifting or lowering the arm, muscle weakness and atrophy, and discomfort at rest, particularly if pressure is placed on the affected shoulder. In most cases, surgery is recommended for tears that cause severe pain or that do not respond to more conservative treatments. Most rotator cuff repair procedures are performed through arthroscopy, which uses a few tiny incisions rather than one large incision. This technique offers patients minimal trauma, less scarring and less damage to the surrounding muscles and tissue. The smaller incisions also result in less pain in the shoulder joint after the surgery. Arthroscopic Rotator Cuff Repair Procedure The purpose of arthroscopic rotator cuff repair is to attach the tendon back to the arm, along with removing any loose fragments from the shoulder area. Arthroscopy is a minimally invasive surgical technique that involves making several small incisions and inserting a fiber-optic device (arthroscope) and tiny surgical instruments to diagnose or treat certain conditions. Connected to a camera that displays images of the internal structure of the shoulder on a computer screen, the arthroscope allows the surgeon to precisely identify, target and treat joint abnormalities. During arthroscopic rotator cuff repair, the patient is sedated under general anesthesia, and several small incisions are made in the shoulder, into which a thin tube and tiny instruments are inserted. Dr. Martin repairs the tendon through visualization on a television monitor. During the surgery, rotator cuff tears are repaired, and any bone spurs are removed. The rotator cuff muscle is stitched back to the bone, which helps the rotator cuff to heal in its proper location. Once the repair is complete, any incisions will be stitched closed and patients will be moved to a recovery room where they will be monitored post-operatively for a few hours. Recovery from Arthroscopic Rotator Cuff Repair After surgery, the arm is immobilized to promote proper healing. A sling may be recommended to keep the arm from moving for the first several weeks post-surgery. Physical therapy often begins shortly after surgery to help restore strength and movement and allow patients to gradually resume their regular activities. It is important for patients to commit to their physical therapy program in order to achieve the most effective surgical results. Rotator cuff repair surgery is usually successful in relieving shoulder pain, although full strength cannot always be restored. After surgery, physical therapy may be necessary for up to 4 months and full recovery may take up to 6 months. Most patients experience effective pain relief, restoration of function and improved range of motion after their procedure. Dr. Martin’s goal is to help get his patients back on their feet quickly. As he says, “Keep moving…life’s waiting.” Call us today at (702) 898-2663 to schedule an appointment. Downloadable forms with our list of insurances are available by clicking here. Trauma patients accepted.

  Link: Arthroscopic Rotator Cuff Repair

• Joint Reconstruction And Replacement

  Because joints are in constant use, they often wear out over time due to overuse or aging. Joint reconstruction or replacement may be required to relieve the resulting pain and restore function. Most joints in the body, including the neck, shoulders, elbows, wrists, hands, hips, knees, ankles and feet, are synovial, permitting movement and articulation. When these joints suffer traumatic injury, or when the cartilage that normally protects them wears away, surgical repair or replacement may be necessary. Reconstruction and Replacement Surgeries Depending on the extent of the damage, there are several surgical options to repair or replace joints, varying in complexity, durability and recovery time. Joint Replacement Surgery Joint replacement is a complicated procedure, usually performed on the hip, shoulder or knee. Prosthetic joints used in the process are made of plastic and/or metal and are designed to move the same way natural joints do. Joint replacements may be cemented or uncemented. Cemented prostheses are often used in older patient whose bones are weaker and who are less active, while uncemented prostheses are used in younger, more active patients. The procedure with the uncemented device takes longer to heal because it requires growth of the patient's bone, but it results in greater mobility. In either case, the artificial joint typically lasts for 10 to 15 years, so the surgery may have to be repeated. In the case of younger patients, it may have to be repeated two or more times. Arthroscopy Arthroscopy is a minimally invasive procedure that is diagnostic as well as reparative. It is performed with a device called an arthroscope which enables Dr. Martin to magnify, as well as visualize, the site on a video monitor. The arthroscope is inserted through tiny incisions at the site through which the doctor can also make minor adjustments, such as trimming cartilage, removing bone spurs or releasing tight ligaments. Resurfacing Surgery Most commonly performed on the hip, resurfacing is helpful to young patient and patients with medical conditions that make a hip replacement inadvisable. During resurfacing, only damaged cartilage is removed and a metal cap is placed over the ball portion of the hip. Although the surgery is less complex than hip replacement, resurfacing does not have as long a track record and maybe associated with a higher risk of complications. Arthrodesis Arthrodesis, commonly known as joint fusion, is a surgical procedure during which Dr. Andrew Martin uses various wires, pins, screws and plates to position the bones correctly until they fuse. This fusion will prevent painful movement. If there has been significant bone loss, a bone graft may be necessary. The bone to be grafted may be taken from another area of the patient';s body, obtained from a donor bank, or may be made of synthetic material. Mako SmartRobotics™ Dr. Martin uses the most advanced surgical procedures and techniques for quicker healing and overall wellbeing. If a patient is a candidate, he recommends the Mako SmartRobotics™ innovative joint replacement surgical procedure for his patients who are suffering from painful arthritis and deterioration of the hip or knee. With a Mako hip or knee replacement, the entire joint is replaced with a Triathlon joint implant. This new joint replacement procedure is different than traditional knee or hip replacements because they are designed to work with the body to promote natural-like circular motion. Dr. Martin’s goal is to help get his patients back on their feet quickly. As he says, “Keep moving…life’s waiting.” Call us today at (702) 898-2663 to schedule an appointment. Downloadable forms with our list of insurances are available by clicking here. Trauma patients accepted.

  Link: Joint Reconstruction And Replacement

• Mako SmartRobotics™

  Dr. Andrew Martin understands that each patient is unique and can experience joint pain for different reasons. During your examination, he will discuss the reason for your knee or hip pain so you can understand the treatment options available to you. Pain from arthritis and joint degeneration can be constant or come and go, occur with movement or after a period of rest, or be located in one spot or many parts of the body. It is common for patients to try medication and other conservative treatments to treat their knee pain. If you haven’t experienced adequate relief with those treatment options, you may be a candidate for Mako SmartRobotics™ for Total Knee, Total Hip, or Partial Knee replacement. How Mako SmartRobotics™ works Mako SmartRobotics™ is an innovative solution for many suffering from painful arthritis of the knee or hip. Mako uses 3D CT-based planning software so Dr. Martin can know more about your anatomy to create a personalized joint replacement surgical plan. This 3D model is used to preplan and assist your surgeon in performing your joint replacement procedure. In the operating room, Dr. Martin follows your personalized surgical plan while preparing the bone for the implant. He guides Mako’s robotic arm within the predefined area, and Mako’s AccuStop™ technology helps Dr. Martin stay within the planned boundaries that were defined when the personalized preoperative plan was created. By guiding him during surgery, Mako’s AccuStop™ technology allows Dr. Martin to cut less by cutting precisely what’s planned to help protect your healthy bone. Dr. Martin’s goal is to help get his patients back on their feet quickly. As he says, “Keep moving…life’s waiting.” Call us today at (702) 898-2663 to schedule an appointment. Downloadable forms with our list of insurances are available by clicking here. Trauma patients accepted. Total Hip Replacement Testimonial Trish Vogel, TV Producer in Los Angeles A passion for writing and performing has taken Trish, a Midwest girl, from New York City to Los Angeles. Currently, Trish is a TV Producer in LA where she has long but rewarding days. One day on set Trish started to feel pain in her hip but she kept working through it. The pain became so severe that she decided to get an MRI done between filming shows. She didn’t expect to be diagnosed with osteoarthritis (OA) of the hip. Trish tried different treatment options in an attempt to relieve the hip pain. From changing the type of shoes she wore to physical therapy, the pain wouldn’t go away. Trish’s doctor recommended that she get a total hip replacement. “I kept putting it off. I thought that I was too young to have a hip replacement.” Slowly she started to come to terms with her diagnosis. Now that the surgery is over, Trish is partnering closely with her doctor and physical therapist to continue to strengthen her hip and core muscles. She’s walking, practicing yoga and using the elliptical at the gym. “My Direct Superior Hip replacement surgery allowed me to get back to the things I love!” Click here to learn of another Total Hip Replacement testimonial in this video by Carolyn Fahey. Total Knee Replacement Testimonial Fred Funk, PGA TOUR Professional and knee replacement recipient I’ve been playing professional golf since 1989 and it’s been a great career. I am really excited to be working with the Stryker team because I have had a history with my knee. In 2008, I had a surgery which left me bone on bone on the lateral side of my right knee and had a tremendous amount of pain. A lot of instability. I had to have it drained 18 times that year. By the end of the season, I was pretty much shot because I was limping around. I had weakness in my knee and my game deteriorated. I couldn’t stay in the game anymore. I decided to have my knee replaced. I wanted to have a chance to have my lifestyle back. To this day I am just so glad with the decision I made to have my knee replaced. It was a fantastic decision. Probably one of the smartest ones I’ve ever had if you go back to the history of decisions I made in my life. “To this day I am just so glad with the decision I made to have my knee replaced.” Fred Funk is a paid spokesperson of Stryker, and his statements represent his personal views based on his personal experiences. Click here to learn of another Total Knee Replacement testimonial in this video by Robert Malitz. Learn about the Mako robotic arm assisted surgery - Total Hip Replacement in this video by clicking here.

  Link: Mako SmartRobotics™