Marin General Hospital offers full-service orthopedic care, from pre-surgical evaluation, to surgery and rehabilitation. We have performed thousands of orthopedic surgical procedures in the last decade. What’s more, our outcomes are excellent, with joint replacement patients going home after 2.9 to 3.2 days, compared to the national average of 3.0 to 3.7. Our surgical expertise includes:
- Ankle replacement surgery
- Full and partial knee replacement surgery
- Hip preservation
- Hip replacement, both posterior and anterior
- Orthopedic hand surgery
- Orthopedic spine surgery
- Shoulder replacement surgery
- Minimally invasive procedures with smaller incisions that spare muscle, tendons, and bone, and reduce blood loss
- Trauma-related orthopedic surgery
All joint replacement patients are encouraged to attend our complimentary Total Joint Class. This service helps our patients feel informed about their procedure and involved in their own care.
A "Patient-Centric" Program
Our award-winning program revolves around our patients. From a detailed pre-op class to post-surgical dressings that stay on in the shower, we pay attention to every detail. That means keeping up with the latest innovations in surgical procedures and technologies.
- Unlike most academic hospitals, where a surgeon usually works with a resident, we perform many procedures with two surgeons operating in tandem. This means surgery takes less time and the patient can come out of anesthesia sooner.
- We do patient-specific knee implants, using a personalized "cutting guide" devised from precise calculations based on MRIs of the individual patient’s knee.
- We have two dedicated joint-replacement operating rooms, plus one dedicated spine operating room.
- We offer a wide variety of sophisticated, minimally invasive spine surgeries, including cervical disc replacement with the revolutionary Prestige® prosthetic disc that preserves motion in the neck.
- Our new hana® operating platform is specially designed for anterior hip replacements.
- If a patient is at risk for excessive bleeding from surgery, he or she receives pre-surgical treatment at our Pre-operative Anemia Clinic.
- During surgery, we use the Aquamantys™ System to seal blood vessels in soft tissue and bone. This technology helps prevent blood loss, pain, and swelling, and reduces the number of patients requiring transfusion.
Our board-certified orthopedic surgeons have received specialized and/or fellowship training in specific procedures and our board-certified anesthesiologists have special experience in orthopedic anesthesia for both planned and emergency surgeries. All of our dedicated surgical nurses are specially trained in orthopedics, while our compassionate physical therapists have 450 years combined experience. The team is exceptionally collaborative and regularly discusses current cases in multi-disciplinary neuro-spine rounds that include surgery, radiology, physiatrists, nurse practitioners, physical therapists, occupational therapists, case management, orthopedic and spine coordinators.
Multimodal Pain Management
Our patients can—and should—stand on their new hip or knee less than a day after surgery. Our patients often start working with our physical and occupational therapists just hours after coming out of surgery. Postoperative pain can slow down a recovery process that is based on increasing the use of the new joint. That’s why we are one of the few hospitals in the Bay Area to offer multimodal pain management for orthopedic surgeries. This technique combines a cyclooxygenase (COX)-1 inhibitor, a COX-2 inhibitor, and an opioid to control pain on three different levels in the brain. We start pain relief before the patient even goes into the OR, to prepare the body for pain. Other innovative approaches to anesthesia include the use of a spinal anesthetic for hip replacements, which reduces the amount of general anesthesia required for surgery, and the administering of a continuous nerve block during (and up to two days after) a knee replacement.