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When is it Time for a Knee Replacement?
When is it Time for a Knee Replacement?

Research has shown that more than 600,000 knee replacements are performed each year in the United States, a number that will continue to increase. If chronic knee pain is affecting your daily lifestyle, don’t ignore it, because you could be setting yourself up for more pain, less mobility, and increased possibility for injuries such as slips and falls. It might be time to ask your physician about the possibility of undergoing a knee replacement, and what that procedure may involve.

Have you ever been in so much pain and stiffness in your knees, that you have trouble with your mobility? Well, these symptoms are often associated to injured or diseased joints. Your knee joint can be damaged by osteoarthritis, or from other conditions or injuries. 

Arthritis, or simply years of use, may cause a lot of wear and tear on your joints. Bones are alive, and they need blood to be healthy, grow, and repair themselves. Someone with a degenerative joint, a patient may experience a host of complications, such as limited blood flow, pain, stiffness, and swelling. If not treated properly or early enough, there is a good chance that your orthopedist may tell you that you need to have joint replacement surgery, especially after other treatments such as physical therapy, anti-inflammatory medications, or exercise, has failed.

Joint replacement surgery has progressed leaps and bounds in the last couple of decades and is regarded as the most successful surgery in the field Orthopedics. There are millions of people around the world who suffer from crippling joint disorders and pain, who may ultimately need a form of joint replacement surgery.

Knee replacement surgery is the remedy for people to come back to an active and productive life. The present-day knee replacement surgery is well advanced with better understanding of human anatomy, refined surgical techniques, technological advancement in accuracy and design of implants to ensure complete and painless mobility.

If a knee replacement is the right course of action, your orthopedic surgeon will do a thorough examination of your knee using MRI or X-rays, and go over your medical history, before making a final decision.

Here are signs that the time might be right for a knee replacement: 

  1. Other treatments besides surgery don’t work to ease your pain.
  2. You have difficulty performing everyday tasks.
  3. You need the aid of durable medical equipment (DME) such as a cane, wheel chair, or walker to get around. 
  4. Your pain is severe and chronic, even when your knee is at rest.
  5. Your knee has become degenerated for conditions such as arthritis, or from injury.

With certain injuries or prolonged suffering from arthritis, the bones in the knee joint can actually change shape and become disfigured, sometimes making surgery almost a necessity. Depending on the severity of damage, your surgeon may suggest either a full knee replacement, or a partial knee replacement. With a partial knee replacement, only the damaged or diseased portions of the knee are removed and replaced with prosthetic material.

If you think you may be a candidate for a knee replacement, call South Palm Orthopedics at (561) 496-6622 or request an appointment online.


Physician Spotlight: Dr. William Peyton Toole
Physician Spotlight: Dr. William Peyton Toole

Getting to know your doctor isn’t always easy to do. Many doctors like to keep to themselves, and may not take the time to get to know and understand their patients. Here at South Palm Orthopedics, we are different. Not only are we happy to know you, we’d like you to get to know the newest addition to our team, Dr. William Peyton Toole.

With a knack for helping people, Dr. Toole developed a passion to be a doctor. His philosophy of care is to give his patients the opportunity to get back to an active and healthy lifestyle, as quickly as possible.

Originally from Charleston, SC, Dr. Toole is a graduate of the Calhoun Honors College at Clemson University. He went on to graduate from the University of South Carolina School of Medicine with honors. After medical school, Dr. Toole completed his residency in Orthopaedic Surgery at the University of Florida (and Mayo Clinic Florida).

After residency, a love for sports led Dr. Toole to complete a prestigious fellowship in sports medicine at the University of Houston and Baylor College of Medicine in Houston, TX. During fellowship, Dr. Toole served as the assistant team physician for the University of Houston, Houston Texans (NFL), Houston Astros (MLB), Houston Rockets (NBA), and the Houston Dynamo (MLS).

Dr. Toole’s training is associated with diagnosing conditions and injuries of the shoulder and knee. His extensive training includes the latest arthroscopic techniques for the surgical management of complex shoulder and knee issues. He has special interest in complex knee ligament procedures and rotator cuff repairs, as well as performing the latest cartilage techniques to preserve as much of the patient’s joint as possible.

Dr. Toole is a member of the American Academy of Orthopaedic Surgeons (AAOS), American Orthopaedic Society for Sports Medicine (AOSSM), and the Arthroscopy Association of North America (AANA).

South Palm Orthopedics is a practice that specializes in the most cutting-edge techniques and technology for shoulder and knee replacements, including patient specific implants and robotic assisted joint replacements. Dr. Toole joined the team this year, and is looking forward to helping patients in the South Florida area restore their quality of life to its full potential.

To request an appointment with Dr. Toole, call South Palm Orthopedics at (561) 496-6622 or request an appointment online.


Ground Breaking Surgery: Reverse Shoulder Replacement
Ground Breaking Surgery: Reverse Shoulder Replacement

The shoulder is an extremely complex ball and socket joint, and happens to have the greatest range of motion of any joint in the body. However, this large range of motion can cause the shoulder to become unstable, leading to joint problems and the site of multiple injuries.

Your shoulder joint is composed of four joints, over 30 muscles, six major ligaments, and three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone).  The edge of the scapula, called the acromion, forms the top of the shoulder.

Rotator cuff tears are one of the most common reasons why people have shoulder pain. Torn rotator cuffs can be caused by repeated overhead movements from sports, work, traumatic injury, or disease. The rotator cuff is made up of four muscles and tendons that control how well the shoulder functions, and connects the humerus (upper arm bone) with the scapula (shoulder blade). If a tear in the rotator cuff is large enough it can affect how well the shoulder will function.

With age, the blood supply to the tendons in the rotator cuff decreases. This causes the tendons and muscles to degenerate, weaken, and become susceptible to tearing. In many cases, the injury can be treated with physical therapy, anti-inflammatory medication, rest, and limiting overhead movement. When these treatments fail, surgical intervention may be needed to repair the tear. In severe cases where the tendons are torn beyond repair or severely degenerated, there is often a dramatic loss of mobility and severe chronic pain. Until recently, there has been no solution for these severe cases.

Today, a breakthrough shoulder surgery called reverse shoulder replacement (Arthroplasty) is restoring function and relieving pain in people who have lost the mobility in their arm from a damaged rotator cuff, a previously failed shoulder replacement surgery, or conditions such as arthritis.

During a reverse shoulder replacement, this innovative procedure changes the mechanics of the shoulder by reversing the normal position of the ball and socket. This procedure offers a major advancement for those patients whose rotator cuffs no longer function and cannot be repaired with other methods of treatment.

Even though reverse shoulder replacement is a relatively new procedure, results have shown that it can bring a substantial decrease in shoulder pain and significant increase in function to your shoulder.

Dr. Steve Meadows of South Palm Orthopedics in Delray Beach, FL is one of only a few surgeons in the South Florida area who is performing this groundbreaking new surgery.

If you think you may be a candidate for reverse shoulder replacement surgery, and need more information, call South Palm Orthopedics at (561) 496-6622 to request a consultation with Dr. Steve Meadows.


Dr. Meadows launches new website introducing The Stem Cell Therapy Center at SPO!
Steve E. Meadows, MD

Dr. Steve Meadows is an experienced, board-certified, fellowship-trained orthopedic surgeon who has successfully treated countless patients surgically, getting them back to the life they enjoy. In addition to his surgery practice here at South Palm Orthopedics, Dr. Meadows now offers stem cell and PRP therapy to treat many conditions without surgery. At the Stem Cell Therapy Center at South Palm Orthopedics, Dr. Meadows uses placental stem cells (MSCs), not embryonic stem cells, to target damaged tissues at the source of your pain.

Stem cell therapy is a procedure that introduces new cells directly into an injured area or joint, promoting growth and healing at an accelerated rate. This treatment is recognized by the medical community worldwide as a great medical breakthrough in natural healing. Athletes such as Alex Rodriguez, Kobe Bryant and Peyton Manning have traveled abroad for this unique therapy. The Stem Cell Therapy Center at South Palm Orthopedics in Delray Beach brings this same treatment to you right here in South Florida.

Visit Dr. Meadows’ website to learn more: http://www.stemcellandprptherapy.com/


Dr. Coleman talks about Ankle Replacement

Q: Is total ankle replacement (TAA) a reasonable surgical option?

A: TAA is the newest technology in the surgical treatment of ankle arthritis. Traditionally, the only surgical option was fusion or arthrodesis which effectively “freezes” the ankle joint. Long-term studies have shown, however, that fusion surgery can lead to progressive arthritis of the surrounding joints. The goal of TAA is to decrease/eliminate pain in the arthritic ankle while preserving motion.

Most patients resume normal function as well as low-impact recreational activities such as golf, exercise and walking. Due to improved technology and positive outcomes, total ankle replacement surgery is being performed much more frequently nationally. Its popularity has evolved to the point that it will soon be considered the “gold standard” in the treatment of ankle arthritis. Orthopedic surgeons who specialize in foot and ankle surgery are specifically trained to perform total ankle replacement as well as addressing any complications that may arise. In my personal experience, patients that have undergone the procedure are the most appreciative because of their ability to resume their routine activities virtually pain free.


Dr. Coleman at the Wellness Expo

Coleman's corner

Posted by South Palm Orthopedics on Sunday, February 1, 2015

Dr. Weisz answers questions about fractures

Q: My mom fell and broke a bone in her knee. Does she need to see a specialist, or can a general orthopedist treat her injury?

Dr. Russell WeiszA: Fractures are a common occurrence after slip and falls. Many fractures can be treated without surgery and will heal. The patient can expect a full recovery. However, some fractures that appear benign can, in fact, be a complex injury. A fracture may extend into the joint or have an associated soft-tissue injury that may make the treatment more complex. In addition, fractures that do require surgery, if not treated appropriately, are more likely to not heal, or in some instances, develop an infection. Even the most common of injuries that we treat, such as a hip fracture, requires an experienced orthopedic surgeon to ensure optimal recovery of the patient.

My fellowship training in orthopedic traumatology has provided me with the knowledge and expertise to treat complex fractures. I am a member of the Orthopedic Trauma Association, and continue to participate in ongoing lectures and conferences dedicated to the treatment of complex orthopedic injuries. I am the Chief of Orthopedic Trauma at Delray Medical Center and Vice Chief of Orthopedics at Boca Raton Regional Hospital. I have served the South Palm Beach community for over ten years.


Dr. Buchalter talks about the Anterior Approach to Hip Replacement

Q: My neighbor asked, “What is the new anterior approach to the hip that allows for a faster recovery by not cutting any muscles?”

Dr. Buchalter talks about the Anterior Approach to Hip ReplacementA: Total hip replacement is a highly successful surgical procedure that has been performed since 1960. The success rates are outstanding. The prosthesis may last for over 30 years. The standard posterior incision is successful but patients need to be in the hospital for several days and often are on a walker or cane for up to a month.

For the past few years, Dr. David N. Buchalter has been performing the direct anterior approach to the hip for most of his total hip replacements. This approach uses a special operating room table which allows him to perform surgery without cutting muscles. Patients are often walking the same day as the surgery, and many are able to go home the next day. It is not uncommon for the patients to leave the hospital with only a cane. Within a short amount of time, they’re able to regain an active lifestyle without any pain.

Dr. Buchalter is quite excited to be one of the very few surgeons in this area with the expertise in this technique. He is a member of the American Association of Hip and Knee Surgeons. Less than 5% of the orthopedic surgeons are members of this highly prestigious society and are considered the experts in the field of hip and knee replacement surgery.


Dr. Coleman Participates in Workers Comp Conference

Dr. Coleman networks with Patsy and Tina at the 70th annual workers compensation educational conference.

Football star Herschel Walker kicked off the Conference with a motivating keynote speech about winning personally and professionally!

70th annual workers compensation educational conference     


Dr. Meadows Breaks Ground at Delray Medical Center

Dr. Meadows Breaks Ground at Delray medical CenterHere is our own Dr. Steve Meadows, a member of the governing board, at the ground breaking at Delray Medical Center, where construction on a 120,000-square-foot expansion has begun!. The new tower will include 96 private patient rooms, a five-level parking garage, a helipad, and direct elevator access to the emergency department. It will also have a comprehensive cardiovascular clinic and expanded endoscopy suites.

The $79.4 million new patient tower is expected to open in early 2017.

Hospital officials say the expansion will offer enhanced patient comfort and care. The 96 private rooms will help staff to “better serve our orthopaedic, cardiology, neuroscience and oncology patients,” hospital CEO Mark Bryan said in a statement.