Advanced Orthopedics & Spine Surgery  

Frye Regional's Advanced Orthopedics and Spine Surgery physicians and staff focus on you, your needs, your condition or injury -- and develop a course of treatment designed to lessen pain, correct or reduce symptoms, and speed recovery. At every step, we take care to educate you on your options, what to expect, and what you can do to help in your own healing and rehabilitation process. 

Blue Cross and Blue Shield of North Carolina recognizes our quality, and has awarded Frye Regional Medical Center a Blue Distinction Center+ in both Spine Surgery and Knee and Hip Replacement. These prestigious national awards demonstrate high quality and improved outcomes for people receiving treatment, with lower rates of complications and fewer return trips to the hospital.

Whether a non-surgical or surgical approach is called for, we'll be here for you every step of the way.

Located in Hickory, North Carolina, Frye Regional's Advanced Orthopedics and Spine Surgery Center physicians and staff have served patients and families in the Unifour area since 1989. Its centralized location -- nestled between Ashville, Charlotte, and Winston-Salem -- along with its broad scope of services, has distinct
advantages for patients and families across the region. 

Our Team of Orthopedic Surgeons and Spine Surgeons

Donald A. Campbell, MD
William M. Geideman, MD
Alfred E. Geissele, MD
Peter T. Hurley, MD
Jeremy C. Johnson, MD
David M. Jones, MD
Justin B. Jones, MD
Timothy H. Kirkland, MD
Jeffrey A. Knapp, MD
Brian A. Krenzel, MD
Ralph J. Maxy, MD
Mark R. McGinnis, MD
Jason P. Norcross, MD
William M. Pekman, MD
Stephen J. Sladicka, MD

The services you need, all in one place

Frye offers a comprehensive array of surgical options including the following: 

Joint Replacement Surgery 

Joint replacement surgery involves removing a damaged joint and replacing it with a new one. A joint is where two or more bones come together, like the knee, hip, and shoulder. Sometimes the surgeon will not remove the whole joint, but will do a partial joint replacement.

Your doctor may suggest joint replacement to improve your quality of life. Joints most commonly replaced are hips and knees. Other joints may also be replaced like shoulders, fingers, ankles, and elbows. Replacing a joint can relieve pain and help with mobility and reduce pain. 

For joint replacement surgeries performed at the Tate Surgery Outpatient Center located in Tate Medical Commons, patients are typically in and out in one day. 

The Tate Surgery Center is staffed by skilled surgeons, registered professional nurses, certified anesthetists, certified operating room technologists and qualified healthcare professionals. As in the Frye Regional operating rooms, this facility is well equipped with advanced medical technology to meet the needs of our patients. 

Computer Assisted Knee Replacement Procedures

With the use of special computers and imaging technology, orthopedic surgeons can confirm proper alignment of knee replacement implants. This computer-assisted navigation technology is especially helpful with patients who are severely overweight or have knee deformity because that can increase the difficulty of the procedure.

A computer-assisted knee replacement procedure begins with the surgeon placing several small transmitters on the patient's leg. An infrared camera is used to track the movement of the transmitters via a computer that analyzes the positions and creates an anatomical drawing of the knee. Using this real-time graphic display, the surgeon makes cuts in the bone to ensure proper alignment on the mechanical axis for the implant. The implant is then secured with bone cement, tested to ensure proper alignment, and the incision is closed with stitches. 

Anterior Supine Intermuscular (ASI) Hip Replacement Technique

Many options exist for hip replacement. Minimally invasive total hip replacement techniques are becoming very popular. One of the most talked about orthopedic advancements is the ASI (Anterior Supine Intermuscular) hip replacement technique. Minimally invasive hip replacement involves more than just a shorter incision. Modern minimally invasive techniques also focus on the way surgeons gain access to the hip joint. The goal is to minimize muscle and tendon disruption, making surgery less traumatic for patients, allowing for shorter hospital stays and quicker recoveries.


Partial Knee Replacement

In partial knee replacement, only the damaged compartment is replaced with a metal and plastic implant while the healthy cartilage and bone in the rest of the knee is left in place. Prior to the procedure, the doctor examines the knee, tries to identify the location of the pain, and tests the knee for range of motion and ligament quality. Imaging tests, such as X-rays and magnetic resonance imaging (MRI), may be done to see the pattern of arthritis or better assess the cartilage.

In a minimally invasive partial knee replacement procedure, an incision is made to allow for insertion of the knee replacement. The short length of the incision and less-invasive nature of the procedure may cause less discomfort, swelling and blood loss for patients, as well as a shorter stay in the hospital and less rehabilitation compared to conventional surgery. Patients may also be able to return to work earlier. 


Arthroscopy

Most doctors agree that the single most important advance in sports medicine has been the development of arthroscopic surgery, or arthroscopy. Arthroscopy uses a small fiberoptic scope inserted through a small incision in the skin to see inside a joint. It is primarily a diagnostic tool, allowing surgeons to view joint problems without major surgery. Depending on the problem found, surgeons may use small tools inserted through additional incisions to repair the damage, such as a torn meniscus or a torn ligament that fails to heal naturally. Using arthroscopy, for example, a surgeon may reattach the torn ends of a ligament or reconstruct the ligaments by using a piece (graft) of healthy ligament from the patient or from a cadaver.

Because arthroscopy uses tiny incisions, it results in less trauma, swelling, and scar tissue than conventional surgery, which in turn decreases hospitalization and rehabilitation times. Problems can be diagnosed earlier and treated without serious health risks or more invasive procedures. Furthermore, because injuries are often addressed at an earlier stage, operations are more likely to be successful.

Surgical Options for Back Pain

Back pain can occur for numerous different reasons. Trauma, aging, incorrect body mechanics, or normal wear and tear can all injure the spine. Back pain usually responds to nonsurgical treatment, such as anti-inflammatory medicine, ice, heat, massage or physical therapy. Most people get better in four to six weeks. Surgery may be considered only when nonsurgical options have not been successful after six months to a year.

The type of surgery to treat back pain will depend on the nature of the injury. Some types of back pain cannot be treated, even with surgery. Conditions that may require surgery include scoliosis (curvature of the spine), kyphosis (humpback deformity), spondylolisthesis (segment of the spine slips forward), spinal stenosis (narrowing of the spinal canal), radiculopathy (herniated disk causes nerve irritation and inflammation), or degenerative disk disease. There are several different kinds of back surgery.

Spinal fusion involves fusing together two vertebrae (bones) in the spine. This procedure can help relieve pain by eliminating painful motion between vertebrae and providing stability. A bone graft is typically used to help the bones fuse together; screws or rods may be inserted to keep the spine stable while healing. The procedure can be performed though the abdomen, side, back or a combination. Full recovery may take a year or longer.

A diskectomy may be done to remove the herniated part of a disk to relieve pressure on a nerve that is causing irritation or inflammation. This procedure often involves removing most or part of the back portion of the vertebra to access the ruptured disk.

When nerve pressure caused by spinal stenosis is causing pain, the bone overlying the spinal canal can be removed during a surgical procedure called a laminectomy. This enlarges the spinal canal and reduces pain. This procedure involves injecting bone cement into compressed vertebrae.

As with any surgery, it is important to weigh all your options or even get a second opinion. To prevent persistent back problems, exercise to keep the muscles in your back and abdomen strong and flexible, lift heavy items properly with your legs, maintain a healthy weight, don’t smoke and have good posture.