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The Quad City Area’s Only Group of All Board-Certified
and
Fellowship-Trained Orthopaedic Surgeons

The Quad City Area’s Only Group of All Board-Certified
and
Fellowship-Trained Orthopaedic Surgeons

Minimally Invasive Surgery

What Is Reverse Total Shoulder Replacement?

Total shoulder replacement can help patients effectively address arthritis of the shoulder. However, this treatment is not necessarily ideal for an individual who has arthritis as well as rotator cuff tears. In a total shoulder replacement, the substitute parts mimic the natural anatomy of the shoulder joint. In the event of a rotator cuff tear, though, the affected muscles will be too weak to power the shoulder—just as they would if arthritis hadn’t developed. In this instance, a reverse total shoulder replacement is performed, often with a much-improved outcome.

In reverse total shoulder replacement surgery, the ball and socket replacement appliances are switched. For instance, in a traditional shoulder replacement, the end of the upper arm (humerus) is replaced with a metal ball, and the socket on the shoulder blade (scapula) is replaced with a cup. In a reverse total shoulder replacement, the end of the humerus is replaced with a cup and the socket is fitted with a ball. As a result, different, uncompromised muscles power the arm. Dr. Tuvi Mendel, our board certified orthopaedic surgeon, utilizes an advanced implant device from Exactech® called the Equinoxe Reverse System for this procedure. He has seen excellent results, and he can help you determine if this technique is right for you.

What Is Shoulder Instability?

Shoulder instability can significantly limit activity, whether you’re a professional athlete or regular individual. If you’re experiencing one or more of the following issues, you may have shoulder instability, a condition in which the shoulder joint becomes loose:

  • A sensation that the shoulder is loose or slipping out of place
  • Quick bursts of sharp shoulder pain
  • History of previous shoulder injury or dislocation
  • Numbness on the outside of or radiating down the arm
  • Swelling or bruising around the shoulder
  • Visible physical abnormalities of the shoulder

Shoulder instability is often caused by one of two types of injuries: Shoulder dislocation or shoulder separation. A dislocation is when the upper arm bone (humerus) loses contact with the socket joint, most commonly from a fall or sports injury. A separation occurs when the collarbone (clavicle) loses contact with the shoulder blade (scapula), usually from receiving a blow to the top of the shoulder or falling onto an outstretched hand.

In many cases, non-surgical treatment can be used. Depending on your needs, however, minimally invasive shoulder repair surgery may be a better option. Dr. Tuvi Mendel, our experienced orthopaedic surgeon, is extensively trained in the most advanced techniques and technology available. He can help you determine the most effective procedure to optimally restore comfort and function.

Treating Chronic Shoulder Pain with TENEX Health TX®

Many popular sports and recreational activities, such as golf, tennis, and racquetball, can lead to shoulder pain, often as a result of degeneration of the tendon (tendinosis). In the past, non-surgical treatment was the only effective approach available to address this concern. If these methods proved unhelpful, patients had limited options. With the TENEX Health TX® technique, however, our extensively trained orthopaedic surgeon, Tyson, Cobb, MD, can offer a minimally invasive solution. The innovative TENEX Health TX® technology can also reduce downtime, post-operative discomfort, and the likelihood of needing a follow-up procedure.

FDA-approved TENEX Health TX® uses ultrasound imaging to identify the damaged tendon so that Dr. Cobb can target this area and remove only the affected tissue. The patented TX MicroTip technology also means that patients will require no stitches, just a simple adhesive bandage.

If you’re bothered by chronic shoulder pain and have found no relief using non-surgical approaches, Dr. Cobb can determine if TENEX Health TX® may be able to help. Talk to us today.

Micro-Invasive Carpal Tunnel Surgery Reduces Recovery for Quad Cities Patients

Dr. Tyson Cobb of Orthopaedic Specialists, PC discusses how the SONEX SX-One MicroKnife™ can reduce pain and speed recovery when utilized for carpal tunnel release.

Davenport, IA — A condition affecting millions of Americans, severe carpal tunnel syndrome can cause significant discomfort and limit mobility. A new instrument that enables micro-invasive carpal tunnel release offers better results, shorter recovery, and reduced pain compared to traditional surgery, says Quad Cities orthopaedic surgeon Tyson Cobb, MD. He indicates the SONEX SX-One MicroKnife™ requires a tiny incision and includes tissue-sparing features that promote faster healing and minimize the risk of complications.

The SX-One MicroKnife™ is designed to enter through a four to five-millimeter-long incision, an opening smaller than the end of a pencil eraser. Dr. Cobb explains that once the device is inserted he can guide the instrument to the transverse carpal ligament (TCL) using ultrasound technology, which supplies an image of the interior structures. Once positioned, he says the TCL Blade™ can be activated to release the irritated ligament and allow smoother, pain-free movement.

In addition to the blade remaining enclosed until needed, Dr. Cobb notes that the SX-One MicroKnife™ includes Stealth MicroGuards™, which deploy to create a safe space around the scalpel and minimize the risk of damage to surrounding tissues. He says the blade and guards can all be closed back up and removed through the same small opening, and no stitches are required—an adhesive bandage is sufficient to seal the incision.

Dr. Cobb reveals that traditional open carpal tunnel surgery requires an incision that is half-an-inch to an inch long or greater. He says this size opening typically takes longer to heal, causes the patient more pain, and has a higher risk of causing damage to nearby blood vessels, tendons, and nerves than the micro-invasive technique using the SX-One MicroKnife™. For these reasons, Dr. Cobb believes patients with severe carpal tunnel syndrome may benefit from consulting with an orthopaedic hand surgeon who is adept with this advanced technology. “We are proud to be the first to bring this technology to the Quad Cities. In addition to faster recovery and less post-operative pain, this new technology will allow the convenience of an in-office procedure that costs less than half of traditional surgery.”

About Tyson Cobb, MD

The Director of the Hand and Upper Extremity Center at Orthopaedic Specialists, PC, Dr. Tyson Cobb is a board certified orthopaedic surgeon with a Certificate of Added Qualifications in Surgery of the Hand. He holds patents for a number of innovative minimally invasive technologies and travels to prestigious medical conferences around the globe instructing surgeons on the latest endoscopic techniques. Dr. Cobb is an active member of the American Association for Hand Surgery, the American Society for Surgery of the Hand, and the American Society for Reconstructive Microsurgery. He is available for interview upon request.

For more information about Dr. Cobb and his practice, please visit osquadcities.com and facebook.com/osquadcities.

Contact:

Orthopaedic Specialists, PC
Davenport Office:
3385 Dexter Ct.
Davenport, IA 52807
(563) 344-9292

Bettendorf Office:
4480 Utica Ridge Rd., Ste. 2240
Bettendorf, IA 52722
(563) 344-9292

Clinton Office:
2635 US 30
Clinton, IA 52732
(563) 243-4170

Rosemont Media
(858) 200-0044
www.rosemontmedia.com

Quad Cities Orthopaedic Surgeon Presents Minimally Invasive Thumb Arthritis Treatment

Dr. Cobb discusses his research into minimally invasive thumb arthritis treatment

Dr. Tyson Cobb of Orthopaedic Specialists, PC presented his primary research on innovative minimally invasive treatment of thumb arthritis at the American Academy of Orthopaedic Surgeons (AAOS) annual meeting.

Davenport, IA — Dr. Tyson Cobb, an orthopaedic hand surgeon in the Quad Cities area, was chosen by the American Academy of Orthopaedic Surgeons (AAOS) to share his analysis into thumb arthritis treatment at their annual meeting in Orlando, Florida. He says this conference, held from March 1-5, hosted over 25,000 orthopaedic surgeons from over 30 countries. The goal of the meeting, Dr. Cobb explains, is to provide surgeons with the opportunity to hear the latest scientific and clinical knowledge from across all specialty areas of orthopaedic surgery, discover new solutions at the world’s largest display of orthopaedic technology and services, and share experiences with colleagues.

Dr. Cobb has been internationally recognized for his development of a new technique for treating thumb arthritis that he says results in faster recovery, better range of motion, and better pinch strength than the older, more traditional open surgical methods. Dr. Cobb’s method is a modification of the original arthroscopic technique. His long-term results have shown excellent pain relief, patient satisfaction, and return of pinch strength in most patients. His published series are the largest in the world literature.

“The new minimally invasive technique,” says Dr. Cobb, “also allows for less soft tissue dissection, which results in less postoperative scarring, pain, and swelling. My patients are able to return to work, sports, and other leisure activities faster, which is really important to them.”

Dr. Cobb believes that rapid return to activity is promoted through a combination of patient education and motivation, minimally invasive surgery with minimal tissue disruption, and effective pain management. Dr. Cobb treats many “out of town” patients who travel to have this minimally invasive procedure. Dr. Cobb reviews their x-rays and discusses treatment options on the phone prior to any travel. Once the surgery is scheduled, most patients see Dr. Cobb in the morning, have surgery in the afternoon, stay in a nearby hotel, see Dr. Cobb the next morning, and then return home.

When performing his new treatment for thumb arthritis, Dr. Cobb says he employs a new state-of-the-art anesthesia technique. This new anesthesia technique, he says, allows patients to go home after surgery, sleep in their own bed, and usually remain pain-free for around 18 to 36 hours after surgery. Furthermore, Dr. Cobb indicates that these new anesthesia techniques developed by Dr. Don Lalonde can provide several benefits, including substantial cost savings and enhanced post-operative pain reduction when compared to the traditional anesthesia services.

About Tyson Cobb, MD

Dr. Tyson Cobb is a board certified orthopaedic surgeon specializing in hand and upper extremity treatment. He is the Director of the Hand and Upper Extremity Center at Orthopaedic Specialists, PC and is considered to be a pioneer in minimally invasive orthopaedic techniques. Dr. Cobb received his medical degree from the Texas Tech School of Medicine, and he completed a five-year orthopaedic residency at the Mayo Clinic in Rochester, MN, followed by a Fellowship in Hand and Microvascular Surgery at the University of Texas. Dr. Cobb is an active member of several prestigious medical organizations, including the American Association for Hand Surgery, the American Society for Surgery of the Hand, and the American Society for Reconstructive Microsurgery. He is available for interview upon request.

For more information about Dr. Cobb and his practice, please visit osquadcities.com and facebook.com/osquadcities.

Contact:

Orthopaedic Specialists, PC

Davenport Office:
3385 Dexter Ct.
Davenport, IA 52807
(563) 344-9292

Bettendorf Office:
4480 Utica Ridge Rd., Ste. 2240
Bettendorf, IA 52722
(563) 344-9292

Clinton Office:
2635 US 30
Clinton, IA 52732
(563) 243-4170

Rosemont Media
(858) 200-0044
www.rosemontmedia.com

Advances in Minimally Invasive Surgery of the Wrist Offer Numerous Benefits

Minimally Invasive Wrist SurgeryOur Director of the Hand and Upper Extremity Center, Dr. Tyson Cobb, was recently invited to serve as an instructor at the European Wrist Arthroscopy Society (EWAS) Course held in Strasbourg, France. This seminar was designed to train hand surgeons in the latest advancements in wrist arthroscopy. This event hosted participants from 34 different countries

A complex technique, wrist arthroscopy requires hands-on experience and the use of specialized equipment. Dr. Cobb guided the participants through each step of the procedure in a state-of-the-art training center as her served as an instructor in the cadaveric lab. This training process, supervised by international experts, allows a greater number of hand surgeons to develop proficiency in leading techniques. As a result, more orthopaedists will cultivate the skill and experience necessary to perform wrist arthroscopy effectively, which will improve patient access to this advanced treatment option.

Many training facilities do not teach advanced minimally invasive techniques especially for small joints. For example, a survey found that less than 1% of hand surgeons in the United States treat thumb arthritis with minimally invasive techniques.

Dr. Cobb revealed the course’s many benefits, saying:

“Although there is a steep learning curve to becoming competent in wrist arthroscopy, it is a skill that is important for all hand surgeons and is of great benefit to patients. Minimally invasive techniques typically cause less tissue damage, less scarring, less pain, and they result in faster recovery time than the older open surgical approaches. The EWAS Wrist Arthroscopy Course gives hand surgeons from around the world the confidence to perform the new techniques. And, once they’ve learned it, the availability of minimally invasive options goes up for patients.”

In addition to these benefits, wrist arthroscopy typically reduces healthcare costs, patient downtime, and scarring. For these reasons and others, Dr. Cobb and the medical team at Orthopaedic Specialists, PC believe minimally invasive surgery is the future of surgery.

Following his experience in Strasbourg, Dr. Cobb presented primary research on innovative minimally invasive treatment procedures for thumb arthritis surgery at the American Academy of Orthopaedic Surgeons in Orlando, FL. This year he will also present his minimally invasive techniques in Colombia and Argentina. An advocate of continuing education, Dr. Cobb recently traveled to Dubai to learn a new “ultra minimally invasive” technique for carpal tunnel release.

Quad Cities Orthopaedic Surgeon Presents Minimally Invasive Arthritis Treatment at FESSH Conference

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Dr. Tyson Cobb of Orthopaedic Specialists, PC revealed a new minimally invasive surgical technique at the 2015 Federation of European Societies for Surgery of the Hand meeting in Milan, Italy.

Davenport, IA — During the week of June 17-20, Milan, Italy hosted the annual meeting of the Federation of European Societies for Surgery of the Hand (FESSH). Dr. Tyson Cobb, an orthopaedic surgeon in the Quad Cities, was invited to this meeting to share his scientific experience and research in a new minimally invasive treatment option for thumb and wrist arthritis with colleagues from around the globe who specialize in hand and upper extremity surgery.

Dr. Cobb says there is a common misbelief that arthritic thumb and wrist pain is a normal part of aging and there is nothing that can be done to address it. However, his research has shown that new minimally invasive techniques can restore function to these arthritic joints. At the FESSH meeting in Milan, Italy, Dr. Cobb was an invited guest lecturer at the European Wrist Arthroscopy Society’s (EWAS) special session related specifically to thumb-sided wrist pain. The committee asked Dr. Cobb to present the findings of his new minimally invasive surgical approach, whereby he removes the arthritic bone through a small incision with the aid of a small video camera (called an arthroscope).

Dr. Cobb explains that his technique is cutting-edge for two reasons. He says one reason is that he performs the procedure using minimally invasive arthroscopic methods that have been shown to cut postoperative recovery time in half. The second reason, he continues, is that this technique provides for better strength and requires no sutures. Dr. Cobb indicates his study showed that treating the arthritic joint through the minimally invasive, no-sutures procedure produced good long-term outcomes with respect to postoperative pain, grip strength, hand and wrist function, and patient satisfaction. He says the patients in his study reported rapid pain relief that remained consistent over time.

As topics at these meetings can be somewhat intellectually broad, Dr. Cobb was also asked to moderate a session specifically related to minimally invasive hand surgery. As a moderator, he had the opportunity to evaluate the latest research in new ultrasound guided percutaneous procedures for treatment of common hand and upper extremity problems. “Percutaneously,” he explains, means that the surgery was performed directly through the skin without the use of a large open incision. Dr. Cobb says that ultrasound technology can be used during percutaneous procedures to visualize and identify anatomy beneath the skin and to help safely guide the surgical procedure. As technology and research advance, he suggests that more surgeries will transition to minimally invasive approaches to decrease recovery time and improve results.

Dr. Cobb advises patients who may be experiencing any symptoms in their hands, wrists, elbows, or shoulders to schedule an appointment with a trusted leader in the field of minimally invasive hand and upper extremity surgery, such as him.

About Tyson Cobb, MD

Considered to be a pioneer in minimally invasive orthopaedic techniques, Dr. Cobb is the Director of the Hand and Upper Extremity Center at Orthopaedic Specialists, PC. A graduate of the Texas Tech School of Medicine and the University of Texas, he has received additional medical training at the Mayo Clinic. Dr. Cobb is certified by the American Board of Orthopaedic Surgery and has a Certificate of Added Qualification in Surgery of the Hand. He holds the patent on numerous medical devices, and he is an active member of several prestigious medical associations. Dr. Cobb is available for interview upon request.

For more information about Dr. Cobb and his practice, please visit osquadcities.com and facebook.com/osquadcities.

Contact:

Orthopaedic Specialists, PC

Davenport Office:
3385 Dexter Ct.
Davenport, IA 52807
(563) 344-9292

Bettendorf Office:
4480 Utica Ridge Rd., Ste. 2240
Bettendorf, IA 52722
(563) 344-9292

Clinton Office:
2635 US 30
Clinton, IA 52732
(563) 243-4170

Rosemont Media
(858) 200-0044
www.rosemontmedia.com

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