Replacement & Treatments

Azalea Orthopedics is here to help with knee pain.The knee is the body’s largest and most complex joint, connecting the tibia, the femur, and the patella together. With such an intricate anatomy, it’s no wonder that knee joint injuries are amongst the most common sports-related injuries in the world. With nearly 2.5 million documented emergency room visits annually, knee-related trauma most often occurs in youth and young adult athletes, but can also occur in adults and senior patients. Here at Azalea Orthopedics in both Tyler, TX and Longview, TX, it’s our mission to provide our patients with the best possible orthopedic care for all types of knee injuries.

With state-of-the-art technology and in-depth experience, we work with our patients individually to find a treatment plan that’s the perfect fit. From rehabilitation and physical therapy, to total knee replacement, we guarantee that our knee doctors can help you get on your feet and back out onto the field.

Common Knee Injuries

Your knee is made up of a complex myriad of bones, ligaments, and tendons, all of which can be injured. Some of the most common types of sports-related injuries include fractures around the knee, dislocation of the knee, and sprains or tears of soft tissues such as ligaments or tendons. Oftentimes when you hurt your knee, more than one of these structures are damaged at the same time. Knee injuries cause swelling and intense pain, as well as a lack of stability while walking, running, or playing sports.


One of the most commonly fractured bones in the knee is the patella, otherwise known as the kneecap. Due to the patella acting as a shield on top of your knee joint, it’s vulnerable to high amounts of stress and damage from a variety of different high-impact activities.


Dislocations take place when the bones of the knee fall off track, either partially or completely. The femur, the tibia, and the patella can all be pushed out of alignment by certain abnormalities in the structure of the knee, or by high-energy trauma through sports-related contact.

ACL Injuries

The ACL, or the anterior cruciate ligament, is one of the most common types of knee injuries in sports-related accidents. Those who play high-intensity sports such as soccer, football, and basketball run a greater risk of ACL trauma. From rapidly changing direction, or landing on your feet incorrectly, ACL injuries typically cause more damage to other structures of the knee simultaneously.

PCL Injuries

The PCL, or the posterior cruciate ligament, is often injured from an intense blow to the patella when the knee is in a bent position. Occurring most frequently from automobile accidents and sports-related impact, PCL tears are most often only partial tears, which can potentially heal on their own with proper rehabilitation and care.

Collateral Ligament Injuries

Caused by a high-intensity force or blow to either the inside or outside of the knee, collateral ligament damage is most often caused by accidents during contact sports. Thankfully, collateral ligament injuries occur less frequently than the majority of other knee injuries.

Meniscus Tears

Tears in the meniscus occur when the knee is twisting, pivoting, or when being tackled. Overtime, the meniscus can become weakened, and something as simple as awkwardly twisting while getting up from a chair can cause enough force to tear the menisci.

Tendon Tears

Both the quadriceps and the patellar tendon within the knee can be stretched out and torn. Most commonly occurring in middle-aged people who play running or jumping sports, a tear in one of the knees’ tendons can happen from a fall, direct force to the patella, or landing wrong from a jump.

Knee Arthritis

As many as 36 million people in the U.S. have some form of arthritis. The most common forms of arthritis are osteoarthritis (generally associated with aging), and rheumatoid arthritis (commonly referred to as crippling arthritis). Arthritis in its many forms may result in severe pain, with impaired joint mobility and function.

Non-Surgical Treatment at

Azalea Orthopedics

Non-surgical knee treatments are available at Azalea Orthopedics.
Treatment of knee injuries will vary depending upon your condition, intensity of symptoms, or the severity of your arthritic disease. At Azalea Orthopedics, our orthopedic surgeons strive to treat your knee injury symptoms with non-surgical procedures first. Opting for regimented physical therapy, immobilization of the knee with a brace or cast, and/or the use of non-steroidal anti-inflammatory medications, our knee doctors will do everything they can to treat your injury with more simplified measures than surgery.

For arthritis patients, our orthopedists may advise particular types of medication to initiate treatment. Over the past several years, there has been significant improvement in the medicines available for arthritis patients and their symptoms. Injections of a cortisone type drug into a painful joint frequently proves to be helpful. Other treatments for arthritis may be helpful in conjunction with medication and injections, such as physical therapy and braces or splints.

Our knee orthopedists help treat common knee injuries.

Surgical Treatment

While surgery is always a last resort for our knee surgeons, as we’d like to exhaust non-surgical relief prior, some of the fractures and injuries surrounding the knee require surgery to restore function and mobility in your knee and leg. Oftentimes, such as with ACL tears, surgery can be performed arthroscopically, meaning that one of our orthopedic surgeons will use miniature surgical instruments or perform robotics-assisted surgery which is less invasive and provides faster healing time.


Replacement Surgery

Arthritis patients with severe joint pain and impairment may be candidates for knee replacement surgery. These procedures, in a very large percentage of cases, provide marked relief of pain, improving a patient’s ability to carry out the activities of daily living.

Total Knee Replacement

Most total knee replacement operations involve replacing the joint surfaces at the end of your thigh bone (femur) and at the top of your shin bone (tibia). A total knee replacement may also involve replacing the under-surface of your kneecap (patella) with a smooth plastic dome. Some surgeons prefer to preserve the natural patella if possible, but sometimes the decision will need to be made during the operation.

Replacement components are normally cemented in place, but if cement is not used, then the surface of the component facing the bone is textured or coated to encourage the bone to grow onto it, thus forming a natural bond. Another common technique is to use a mobile plastic bearing that isn’t firmly fixed to the metal components of the replacement, helping to reduce wear on your new joint.

Partial Knee Replacement

Our knee joints have three different compartments – the inner (medial), the outer (lateral), and the kneecap (patellofemoral). If arthritis affects only one side of your knee — usually the inner side —it may be possible to have partial knee replacement (sometimes called a unicompartmental replacement). Due to this technique involving a smaller incision in the knee than with a total knee replacement, it usually means a quicker recovery time and better functionality.

Patella (Kneecap) Replacement

Patella replacement involves replacing the surface area underneath the kneecap and its groove (the trochlea). This procedure is solely dependent upon whether or not the patella is the only component affected by arthritis. Kneecap replacement has a higher rate of failure than total knee replacement – which is normally caused by arthritis progressing to other parts of your knee later down the road. Some of our surgeons at Azalea Orthopedics will advise a total knee replacement instead, as the results are more predictable.

Our Knee Orthopedists

Meet our industry leading Total Knee Orthopedists.

Justin Bartley, M.D.

Specializes in sports medicine, shoulders, elbows, hips, knees and hip arthroscopy. Hip arthroscopy is a minimally invasive, arthroscopic hip preservation surgery.

Timothy Beck, M.D.

specializes in orthopedic surgery with an emphasis on feet, ankle and lower extremities. Board Certified, American Board of Orthopedic Surgery.

Robert W. Dennis, M.D.

specializes in arthroscopic surgery to the knee and shoulder and has advanced training in sports medicine.

Gary P. Goodfried, M.D.

Specializes in complex hip & knee injuries, surgery revisions, robotic procedures & arthroscopic surgery.

Dr. James Harris is a non-surgical pain management specialist in East Texas.

James Harris, M.D.

specializes in orthopedic surgery with an emphasis on sports medicine and arthroscopic surgery. Board Certified, American Board of Orthopedic Surgery.

L. Matthew Jones, M.D.

specializes in orthopedic surgery with an emphasis on sports medicine and arthroscopic surgery of the knee and shoulder. Board Certified, American Board of Orthopedic Surgery.

Ken Kaminski, M.D.

specializes in primary and complex hip and knee replacements, revision joint surgery, painful joint replacements, and hip and knee arthritis. Board Certified, American Board of Orthopedic Surgery.

Patrick Wupperman, M.D.

is an orthopedic surgeon with extensive training in complex shoulder and knee problems with a special interest in Autologous Cartilage Implantation. Board Certified, American Board of Orthopedic Surgery.

Get In Touch With

Azalea Orthopedics Today!

Your knees are some of the most complex joints in the body, and a healthy knee is crucial for day-to-day activity and leading a happy life. Over time, the structures that make up your knees can wear down and cause painful injuries. Here at Azalea Orthopedics, our team of highly experienced orthopedic surgeons are prepped and ready to help answer any questions you have regarding the intricacies of the knee joint and its surrounding ligaments and tissues. If you are experiencing ongoing knee pain from arthritis, or have injured your knee through a high-impact sport or accident, we can help. Call us today to learn more about the orthopedic treatments we offer, or to schedule an appointment at one of our clinics near you!


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The Knee