Being a state of the art, conscientious sports medicine fellowship trained orthopedist has enabled Dr. Faerber to provide the most up to date care and procedures available to his patients; specifically, relating to shoulder and knee pathology. Dr. Faerber has focused in on being open to using the most
state of the art procedures and well proven products available. Dr. Faerber has a proven track record in successfully performing the following procedures:
– Dr. Faerber is able to address any of this pathology that requires surgical intervention (failed conservative treatment) by arthroscopic means.
– Again for those requiring surgical intervention most often arthroscopic repair/reconstruction is routinely utilized, unless there is severe pathology, such as multidirectional instability or the requirement of a revision reconstruction.
*Shoulder arthroscopy for rotator cuff repair Labrocapsular reconstruction, superior labral repair, biceps tenodesis, subacromial decompression, distal clavicle excision, release for recalcitrant adhesive capsulitis (frozen shoulder).
* Arthritis, fractures, rotator cuff deficiency (arthroplasty) Various shoulder implants can be utilized to help address these issues in an open procedure manner.
– Open shoulder reconstruction for failed previous reconstruction – Open shoulder resurfacing arthoplasty with or without glenoid resurfacing – Total shoulder arthoplasty – Reverse total shoulder arthroplasty
*Resurfacing Arthroplasty (Arthrosurface)
– Allows for minimal open exposure and bony resection, producing less post operative pain and dysfunction. This serves as a newer and more progressive option for treatment of glenohumeral arthritis. In the right individual, this is an excellent option for the treatment of glenohumeral arthritis. Visit Arthrosurface
– Replaces the proximal humerus at the shoulder joint and is utilized in those with displaced multiple part (part 3 and 4) proximal humerus fractures that cannot be adequately fixated with ORIF (open reduction internal fixation) using plates and screws.* Total shoulder arthroplasty
– This is a conventional shoulder replacement that is used when there is too much bone loss of the glenoid (scapula) side of the joint and a total resurfacing arthroplasty (arthrosurface) cannot be used.Reverse total shoulder arthroplasty
– An option for treating those individuals with a complex proximal humerus fracture, severe arthritis or rotator cuff deficiency (arthropathy) in those individuals of increased age (age 70 and over) this requires a functional deltoid muscle and in the right case can provides good functional outcome.
-Because of the higher revision rates in younger patients, these are used in those individuals over 50 or those requiring multiple ligaments to be reconstructed, or those requiring a revision ACL reconstruction.Meniscal tears
– Attempt is made to repair these in younger (Usually less than 25 years old) individuals before 8 weeks post injury as long as the type of tear is amenable for repair. Otherwise a partial meniscectomy may be required.
– As a result of many years of experience performing a majority of these procedures at Riverside County Regional Medical Center, an objective and well thought out reconstruction using multiple allograph tendons can be performed providing functional stability.
– A complex problem one has to address the underlying predisposing cause. Then thru either rehabilitation or reconstruction/realignment a functional and improved outcome can be achieved. This can include performing an osteotomy with or without a proximal or distal realignment, as well as performing a Medial patellofemoral ligament reconstruction.
Chondral Lesions – Depending on activity, size, and location of the lesion, various state of the art techniques can be utilized. Choices include repair then fixation, micro-fracture, osteo-chondral transfer (autograph versus allograph), carticel, and resurfacing arthroplasty. Arthritis -depending of the severity one can use different types of treatment. Vicsosupplementation- HA (hyaluronic acid)
– multiple commercial products are available and can be useful in those with minimal/moderate degenerative arthritis changes. These are used following failure to improve with corticosteroid injections (or if corticosteroids are contra indicated)
Resurfacing arthroplasty used when a portion of a compartment of the knee is symptomatically arthritic without ligamentous deficiency or malalignment.
3 compartments: Medial compartment, Lateral compartment, Patellofemoral compartment.
Utilized when there is marked degenerative arthritis changes to the medial compartment of the knee without ligamentous insufficiency and the other compartment are spared from arthritis changes.Total knee arthroplasty
Utilized in those individuals who have developed significantly symptomatic arthritis in at least 2 of the 3 compartments and have no major contraindications. Utilization of the most advanced technology is paramount, therefore only highly cross-linked polyethylene is considered for all patients undergoing total knee replacement.
ELBOW Elbow arthroscopy for loose bodies and instability
Open ulna collateral ligament reconstruction, ulna nerve decompression and transposition, rupture distal biceps repair
WRIST Arthroscopy for ligament instability / treatment
TFCC repair / debridement, open carpal tunnel release.
ANKLE Arthroscopy for osteochondral lesions and arthrodesis Open lateral ligament repair and reconstruction, peroneal tendon subluxation, repair for ruptures achilles tendon.