CHPG Mercy Orthopedic Associates' highly skilled orthopedic experts offer personalized care to help you get back to doing what you love. Our approach to care is both comprehensive—we treat the whole person, not just symptoms—and specific, with providers who sub-specialize in a wide-range of orthopedic specialities.
Our care team works closely with each orthopedic specialty to provide you a seamless continuum of care.
Our focus on quality gives you access to nationally recognized orthopedic care, right here, close to home. We’ve been privileged to care for thousands of patients who have had great outcomes—and their success is our success.
In addition to convenient, on-site diagnostic tools such as x-ray and MRI, our providers utilize advanced tools including ultrasound-guided injections, platelet-rich plasma (PRP) injections, and laser therapy. Some of our surgeons also perform innovative procedures such as anterior-approach hip replacement and arthroscopic labral (hip) repair that are not available anywhere else in the region.
Hip & Knee
The physicians at CHPG Mercy Orthopedic Associates offer comprehensive orthopedic care for conditions that cause pain and other symptoms in the knee, hip, and pelvis. They are experts in the replacement of major joints, including the knee and hip.
- Damage to the meniscus
- Femoracetabular impingement (FAI)
- Hamstring tendon tears
- Hip pain
- Labral tears
- Ligament tears
- Management of cartilage damage in the hip and knee
- Knee pain
- Painful joint replacements
- Failed hip or knee replacements
- Dislocation following hip replacement
- Patellar (knee cap) instability
- Recurrent pain or instability after previous knee surgery
- Tendon tears
- Anterior total hip arthroplasty
- Arthroscopic management of hip impingement
- Arthroscopic repair of gluteal tendons
- Bilateral knee surgeries
- Direct anterior total hip replacement
- Fracture surgery
- Hip arthroscopy
- Hip arthroscopy with labral reconstruction
- Hip arthroscopy with labral repair
- Knee arthroscopy
- Knee re-alignment (osteotomy)
- Ligament reconstruction or repair of the ACL, PCL, MCL or LCL
- Ligament surgeries and arthroscopy
- Management of cartilage disorders including micro fracture, cartilage implant procedures, cadaver cartilage placement
- Meniscus repair
- Posterior total hip arthroplasty
- Posterior total hip replacement
- Prosthetic joint replacement
- Repair of dislocating patella
- Revision arthroplasty of hip
- Revision arthroplasty of the knee
- Revision hip arthroscopy for labral re-tears
- Revision hip replacement
- Revision total knee replacement
- Surgical repair of torn hamstring tendons
- Total knee arthroplasty
The providers at CHPG Mercy Orthopedic Associates work together to care for athletes of all ages and abilities, and activity levels. Together, we’re able to manage most athletic injuries with a combination of non-surgical treatments such as physical therapy, but also perform surgery when necessary. We strive to provide prompt access for all athletes, allowing for expedient diagnosis and treatment.
Our goal is to use cutting edge non-surgical and surgical means to return patients to their desired activity. Not every athletic injury occurs on the football field. In fact, the majority of patients we see are dealing with chronic injuries of their hips, knees or shoulders that are preventing them from being as active as they would like. A large majority of people can notice substantial improvement in their injuries with a simple course of physical therapy however when necessary our specialist will utilize expertise in arthroscopic management of both simple and complex disorders of this hip, knee and shoulder to expedite their recovery.
In addition, Dr. Smith is the only physician in the region who performs arthroscopic labral repairs as well as labral reconstructions of the hip and does so on the state-of-the-art post-less traction table which leads to improved outcomes when managing hip labral tears with less complications.
- Anterior cruciate ligament tears
- Joint pain
- Knee, hip and shoulder cartilage injuries
- Meniscal tears
- Nerve compression injuries
- Rotator cuff injuries
- Sprains and strains
- Anti-inflammatory medications
- Arthroscopic repair of dislocating shoulders
- Arthroscopic repair of torn rotator cuffs
- Fixing fractures of most bones including clavicles, ankles, wrists, elbows.
- Hip arthroscopy for labral or tendon tears
- Injection with PRP (platelet rich plasma)
- Injections with steroid or viscosupplementation
- Knee arthroscopy
- Knee ligament repair or reconstruction
- Meniscus repairs
- Meniscus replacements
- Physical therapy
- Procedures to manage cartilage problems in the hip, knee or shoulder
- Repair of chronic ankle sprains
- Repair of dislocating patella (knee cap)
- Shoulder arthroscopy
- Sports performance
- Ultrasound guided injections of the hip and shoulder
Hand & Wrist
Our hands and wrists play an important role in our everyday lives, but arthritis, trauma and repetitive movements can take their toll and lead to pain, stiffness and discomfort. At CHPG Mercy Orthopedic Associates, our board-certified, fellowship-trained hand surgeon and certified hand therapist work closely together to provide personalized care, tailored to your needs. Both bring years of experience and knowledge to improve hand function, reduce pain, and ensure you’re ready to catch whatever life throws your way.
- Arthritis of the wrist and hand (including basilar joint thumb arthritis)
- Carpal and cubital tunnel syndrome
- Cysts (ganglion, retinacular and mucous cysts)
- De Quervain's disease
- Dupuytren's contracture
- Fracture and injuries of the hand, wrist and fingers
- Hand ligament rupture
- Ligament tears
- Non-Unions and malunions of fractures
- Osteoarthritis of hand, fingers and wrist
- Peripheral nerve injuries and lacerations
- Radial tunnel syndrome
- Rheumatoid arthritis
- Ruptured or lacerated tendons
- Scaphoid fractures and wrist dislocations
- Tendon disorders
- Tendon injuries
- Trigger finger
We specialize in minimally-invasive treatments that allow for quick recovery times, as well as more advanced surgical procedures.
- Arthritic hand reconstruction
- Arthroscopic wrist surgery
- Endoscopic carpal tunnel release surgery
- De Quervain's release
- Endoscopic wrist surgery, TFCC surgery
- Fracture and-or dislocation treatment
- Fracture care
- Hand and wrist fracture and dislocation treatment
- Hand or wrist tendon transfer
- Minimally-Invasive surgeries, including wide-awake hand surgery
- On-site diagnostic imaging and collaborative on-site hand therapy
- Percutaneous needle aponeurotomy
- PRP (Platelet-Rich Plasma) injections for tendon problems
- Scaphotrapeziotrapezoid arthrodesis
- Trigger finger release
- Wrist and finger joint fusion
- Wrist ligament reconstruction
In addition, we work closely as a team with the hand therapists to accelerate your recovery and return to normal activities with:
- Custom orthotic fabrication
- On-site hand therapy
Shoulder & Elbow
Our fellowship-trained specialists are highly trained in treating shoulder and elbow injuries and conditions including pain, stiffness, impingement, and instability. They offer comprehensive care and perform a wide range of procedures, including arthroscopic surgery and total joint replacement.
- Arthritis of the elbow
- Arthritis of the shoulder
- Elbow bursitis
- Elbow fractures
- Elbow injuries
- Elbow sprain
- Lateral and medial epicondylitis (tennis and golf elbow)
- Labral and biceps pain
- Ligament injuries
- Osteoarthritis of shoulder
- Rotator cuff injuries
- Rotator cuff tear
- Tendon tears around the elbow
- Unstable shoulders
- Anatomic and reverse shoulder replacement
- Arthroscopic labrum repair
- Arthroscopic shoulder reconstruction
- Arthroscopic shoulder surgery
- Arthroscopic and open rotator cuff repair
- Elbow arthroscopy
- Elbow fracture and dislocation treatment
- Elbow fracture and-or dislocation treatment, closed
- Elbow fracture and-or dislocation treatment, open
- Elbow ligament reconstruction
- Elbow surgery
- Elbow Ttnotomy
- Labral repair
- Partial shoulder replacement
- Repairs of fracture
- Revision of shoulder or elbow replacement
- Rotator Cuff Surgery
- Repair of tendon tears around the elbow
- Revision rotator cuff repair
- Shoulder or elbow replacement procedures
- Shoulder stabilization procedures
- Shoulder cartilage treatment
- Shoulder dislocation treatment
- Shoulder fracture and dislocation treatment
- Shoulder fracture treatment
- Shoulder surgery
- Total shoulder replacement
- Treatment of adhesive capulitis
Foot & Ankle
CHPG Mercy Orthopedic Associates is unique because it leverages the expertise of providers from three disciplines: podiatry, physical therapy, and orthopedic surgery. Working as a team, we are committed to helping others live the active lifestyle for which this area is known. Our first objective is to prevent injuries to the foot and ankle, which we do through a variety of measures such as 3D-scanned custom orthotics, bracing, home exercises and formal therapy.
When patients sustain acute or chronic injuries, we use a variety of non-operative tools and techniques including state of the art Laser Therapy. Surgery is our last option, but when it is necessary, patients can trust they are in good hands with our foot and ankle experts.
- Achilles tendon problems
- Ankle sprains
- Ankle and calcaneus (heel bone) fractures
- Cartilage and Ligament Tears
- Charcot Arthropathy
- Diabetic Foot Diseases
- Hammer Toe and Other Toe Disorders
- Heel spurs
- Midfoot fractures (including Jones and Lisfranc
- Morton’s Neuroma
- Plantar Fasciitis
- Shin splints
- Achilles Tendon Repair
- Ankle Fracture Treatment
- Ankle Replacement and Fusion
- Ankle and Other Foot Joint Arthroscopy
- Bunion Surgeries
- Charcot Reconstruction
- Deformity Correction
- Diabetic Foot Care
- Flatfoot Treatment
- Foot Fracture Treatment
- Foot and Ankle Ligament and Tendon Surgeries
- Ganglion Cyst Excision
- Hammertoe Surgery
- Heel Pain
- Ingrown Toenail Removal
- Ligament Reconstruction
- Lower Extremity Fracture Treatment
- Pediatric Disorder Treatment
- Tendon Repair and Transfer
- Tendoscopy and Foot and Ankle Specific Sports Medicine Procedures
- Venous Insufficiency
- Wounds of the Lower Extremity
The Bone Health Clinic at CHPG Mercy Orthopedic Associates was developed to help patients understand and improve their bone health while minimizing their risk for fractures. We provide patients with individualized plans for improving bone health that incorporate aspects of diet, supplements, exercise, fall prevention, and home safety.
We facilitate comprehensive evaluation with bone mineral density scans (DEXA) and laboratory testing. We also initiate and manage treatment with medications when necessary. Our goal is to prevent bone fractures and to help our patients live longer, more independent, and higher quality lives at home.
- Fragility Fractures
- Facilitated diagnostic bone density testing
- Facilitated laboratory testing
- Fracture repair
Frequently Asked Questions
You will arrive 30 minutes prior to your appointment. The length of the check in process depends on several factors including whether you have been a patient within Centura before. Forms you may be asked to complete may include the New Patient packet, the Extremity Pain sheet, and the Review of Systems form. Our staff may also need to collect your vital signs, height, weight, and possibly order x-rays. We will probably also ask several questions including: How long has this been bothering you? Can you describe the pain? What have you tried for the pain? If your pain is bilateral, which side is worse? Have you been treated for this issue previously?
The clinical support staff and the provider work as a team. You will discuss details of your concerns with the provider, receive a thorough exam, review x-rays with them and discuss your treatment options. Treatment recommendations sometimes include both nonsurgical and surgical options. Advanced imaging (such as an MRI or CT scan), physical therapy, and pharmacy services can be initiated at that time. If needed, surgery scheduling and authorizations will be handled by our office as well.
The decision to move forward with surgery can be complex and typically considers multiple factors. A very important first step is, of course, an accurate diagnosis. We can typically address many orthopedic problems with nonsurgical treatments. When those treatments fail, however, we often consider surgery. You should always consider the risks and benefits of the surgery as well as your desired activity level. This important discussion regarding whether to pursue surgery will take place between you and your surgeon.
Our surgery scheduler will call you to schedule your surgery. If you wish, you may initiate scheduling the surgery at your convenience. Our surgery scheduler will offer you days that your surgical team is available in the operating room. The type of surgery (urgent, elective, inpatient, or outpatient) will affect the availability of your surgical team as well. The surgery scheduler will also arrange your preoperative and postoperative appointments.
- Phone: 970-764-9423
Our authorization team will request authorization from your insurance company if needed. Our financial clearance team will contact the patient to discuss financial responsibilities.
- Phone: 970-764-2380
Our operating room nursing staff will call you with questions about your health history prior to your surgery. You will also receive a phone call the day prior to your surgery day to confirm your arrival time. On rare occasion, the time of your surgery may change (due to emergency cases or equipment availability).
Both of our surgery locations are on the Mercy Regional Medical Center campus. You will be directed to go to the main operating room (1010 Three Springs Blvd) or our outpatient surgery center (1 Mercado St Suite 210). If you need to reach either location, contact the hospital to be connected to them.
The outpatient surgery center is for patients coming in and going home on the same day as their surgery. It provides a high-quality cost-effective option for patients. Our surgeons and medical professionals have decades of experience treating patients and we are committed to providing a seamless surgical experience while focusing on quality and safety.
The state-of-the-art outpatient surgery center provides comprehensive orthopedic care for patients needing sports medicine, fracture care, hand, shoulder, knee, foot, and ankle surgery, in addition to other surgical specialties. There are six preoperative bays with personal nursing attention, three operating rooms, four postoperative bays, and a comfortable waiting room with television and a coffee station for families. We work with board certified anesthesiologists.
Our safe, modern surgery center features equipment such as high definition camera chip technology for arthroscopic procedures which enables surgeons to see clearly and deliver the best possible care for their patients. There is convenient access to an on-campus retail pharmacy for discharge prescriptions as well as wi-fi access, free parking, full service cafeteria, and gift shop.
Your postoperative experience will largely depend on the surgery that you had. If you are having a hip or knee replacement you will receive a 3-ring notebook before your surgery that details your experience. In brief, most hip and knee replacement patient spend one night in the hospital after their surgery. Typically, in the hours after your surgery, the therapists will help you get out of bed and walk. Walking early after surgery is very important as it minimizes your risk of developing blood clots or other serious complications. The morning after your surgery, the therapists will work with you again to make sure you are getting around safely and are able to do all the necessary activities to function at home (e.g. walking up and down stairs, getting in and out of bed or on and off toilet).
Patients who go directly home after surgery rather than a rehabilitation or skilled nursing facility often achieve a faster recovery and are at a lower risk of adverse events such as readmission to the hospital, infection, or wound healing problems. It is important for you to have a postoperative plan for your recovery before you have surgery. You should prepare your home so that the transition from the hospital is as easy as possible. Ideas for this include preparing meals in advance, removing clutter or furniture that would be in the way of a walker, and placing useful supplies in areas that are easy to access.
You will be started on a multimodal pain regiment before you are discharged from the hospital and it is very helpful to continue to utilize the medications to minimize your narcotic usage. It is very common to have difficulty sleeping after a joint replacement. It can help to take your pain medication an hour before bed to achieve better comfort while trying to sleep.
Your incision will take about two weeks to heal. You should not need to perform any wound care as the incision will be covered with a waterproof dressing that allows you to shower normally over the dressing.
After a knee replacement, it is critical to work on your range of motion and you will be seeing an outpatient physical therapist two to three times per week initially with the goal of getting your leg completely straight and regaining enough bend in your knee to sit and take the stairs easily. It is very important to work on your range of motion early after your surgery to avoid a stiff knee. It can take several weeks to months to achieve your maximum motion.
After a hip replacement, your best exercise is walking. Physical therapy isn’t usually necessary unless you are having difficulty transitioning from assistive devices (cane, walker, etc.). Many patients are no longer using these devices when they return to see their surgeon two weeks after surgery.
Driving after surgery depends on which side was operated on and whether you are taking prescription pain medication. This will be discussed with your provider at your first post op visit.
If you have a history of smoking or other tobacco use it is critical that you are no longer using any nicotine products before or after your surgery as it can significantly impair your body’s ability to heal your wounds and cause other major, even life threatening, complications.