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Specialities Total Joint

Total Joint


Arthritis in the hip, knee, and shoulder are common problems as patients get older. With specialists focusing on total joint replacement and arthritis, the surgeons at Miller Orthopedic Specialists can get patients back to the activities they desire.

Congratulations to Mercy Hospital on being the only hospital in Iowa or Nebraska to receive an advanced certification for hip and knee replacements from the National Joint Commission. Dr. Boese and  Dr. Thor do many of their hip and knee replacements at Mercy Hospital in Council Bluffs, so this is very exciting news.

New Option to Lessen Pain

We offer Iovera treatments for replacements. This is a way to use the strength of the cold to help reduce pain. This reduces the amount of pain killers people need following their replacement. Iovera blocks targeted nerves to prevent pain signals. These usually last about 3 months before your pain receptors are back to normal. Thus, for that time it reduces the pain felt after your replacement and often limits some stiffness after surgery. This is different than some of the other nerve blocks, such as laser treatments because the nerves are not caused permanent damage and will repair with time. It is a temporary solution to limit pain killer usage and pain for the patient after surgery.

New surgeries with less recovery time

Mako Assisted Surgery Using a 3D virtual model, Mako allows surgeons to create each patient’s surgical plan pre-operatively before entering the operating room. During surgery, the doctor can make any necessary adjustments while guiding the robotic-arm to execute that plan.  This guidance helps the patient to recover quickly because it spares the muscles and limits tissue damage. It ensures that the surgeon does not cut outside of the pre-defined area. Dr. Thor is the first and currently the only surgeon in the region to perform this surgery.

Direct Superior Approach Hip Replacement is an alternative to traditional hip replacement surgeries. This spares muscles and soft tissue due to a small incision which allows patients to recover faster.

Outpatient total joint replacement allows patients to have surgery in the morning and recover in the comfort of their own home by that afternoon. This is made possible with recent advances in techniques, improved anesthesia, and expedited rehabilitation protocols.

Anterior Approach Total Hip Replacement is an alternative to traditional hip replacement providing the potential for less pain, faster recovery and improved mobility for the patient.

By utilizing new surgical techniques and improved implants and hardware, we continue to provide optimum outcomes for our patients. Contact us today to set up your first consultation.


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