Percutaneous Treatment

Orthopedics in particular, and medicine, in general, is rapidly moving towards treatments that minimize pain and scarring and emphasize early motion and recovery. Dr. Dear offers many percutaneous treatment options for a multitude of conditions. “Percutaneous” is a latin term meaning “performed through the skin” and refers to treatments that only require an incision large enough to fit a small pin or wire.

Percutaneous Micro-Tenotomy

Recently, advanced techniques have been developed to treat conditions that either did not do well after surgery or required large incisions to treat them. Percutaneous micro-tenotomy is a surgery used for conditions such as tennis elbow, golfer’s elbow, patellar tendinitis, achilles tendinopathy, trochanteric bursitis, and plantar fasciitis. During this procedure, Dr. Dear makes a tiny incision over the diseased tendon and visualizes the tendon using ultrasound. A specialized probe is then used to remove the diseased tissue and stimulate a healing response from the surrounding healthy tissue. The result is a procedure with minimal pain, lower cost, and a much quicker recovery than typical open procedures.

Percutaneous Fracture Stabilization

In certain fracture types, Dr. Dear uses percutaneous, removable pins while the patient is under general anesthesia. This type of procedure can be done in a hospital or at an outpatient facility. Splints and casts can also be used to help keep the bone stable while the fracture heals. Often, Dr. Dear will remove these pins in the office with minimal to no pain.