IFSWhether you want to get back in the game, step up your game or live life with as little pain as possible, your goal becomes our goal.

Orthopedic specialists at Anna Jaques have proudly served thousands of patients throughout the Merrimack Valley and southern New Hampshire for more than 30 years. Our highly trained, board-certified orthopedic specialists are committed to providing the latest procedures and treatments available for athletes and non-athletes of all ages.  

 

*Now Offering Mako™ Robotic Arm Technology*

For people suffereing from knee and hip pain, a new alternative surgical procedure is bringing much-needed relief for some patients. Learn more about this innovative new treatment option....

Find out if MAKO is right for you - consult one of our
MAKO certified orthopedic surgeons today!

Private Rooms for Your Comfort and Safety

Orthopedic surgery patients who stay overnight are nearly always given a private room on the Institution for Savings Inpatient Unit to enhance comfort and healing after surgery. Anna Jaques is one of a small number of hospitals in Massachusetts to offer single-room availability for most patients. Along with the most advanced care, we deliver personalized attention, compassion, and respect because, in our minds, the most successful outcomes reflect the patient’s goals.

High Quality Care, Low Risk of Infection

Patients often worry about the risk of infection when having any surgical procedure. Anna Jaques has had just one surgical site infection for elective hip and knee replacements in nearly two years, and is striving for zero. This is an accomplishment few hospitals ever achieve. Our patients can take comfort in knowing the likelihood of infection during an elective hip or knee replacement is quite low.

Exceeding National Averages for Surgical Care

Anna Jaques' surgical care measures are at or above the national average is nearly every cateogry, with several being at 100%

Surgical care graph

An Orthopedist Who Is Right for You

The orthopedic specialists and surgeons who practice at Anna Jaques offer a breadth and depth of care not typically found in a community hospital setting. With 17 specialists at two locations, you’re sure to find a physician who is experienced in your specific condition or injury.  Our broad range of surgical procedures and related services available include:

  • Joint replacements
  • Arthroscopic surgery
  • Minimally invasive surgery
  • Sports medicine
  • Pain management
  • Physical therapy
  • Sports injury rehabilitation

 

 

Our broad range of orthopedic care, surgical procedures, and related services available include:

Adult Reconstruction and Arthritis Service offers diagnosis, treatment and rehabilitation for adult patients with degenerative and inflammatory arthritis. Among special procedures are hip and knee reconstruction, hip and knee replacement, and arthroscopic procedures.

Foot and Ankle Service offers a full range of care, including reconstructive foot surgery and treatment for fractures and other injuries, as well treatment for foot and ankle problems associated with diabetes.

Joint Replacement Surgery - Our expert orthopedic surgeons perform hundreds of joint replacements annually, including knee, hip and shoulder.

Bone Density Testing We offer a fast, easy and painless test that can show if you are at risk for broken bones associated with osteoporosis. Our state-of-the-art scanner - called a DA bone densitometer - shows existing fractures of the vertebrae in the spine.  It also shows low bone density. These are two leading signs of bone breaks associated with osteoporosis.

Orthopedic Trauma Service treats complex reconstructions and fracture problems, including fractures of the upper and lower extremity, spine trauma, joint dislocation and ligament injuries. Minimally invasive and arthroscopic surgical procedures are available.

Hand and Upper Extremity Service treats a wide range of injuries, instabilities and disorders, including hand and wrist fractures, tendon, vascular and nerve injuries, arthritis of the hand, wrist and elbow, tendonitis, and carpal tunnel syndrome.

Pain Management our comprehensive services will help reduce and manage chronic pain. Services include procedural interventions, medication management, and referrals for supportive services.

Shoulder and Elbow Surgery while our team aims to utilize non-surgical treatment options first, common services include arthroscopic rotator cuff repair, arthroscopic labral repair, total shoulder replacement, biceps tendon repair, and shoulder resurfacing, among many other techniques.

Spine Services treat adult patients who suffer from a broad range of injuries and conditions that affect the spine. This includes arthritic and degenerative conditions, disk disorders, fractures, scoliosis and tumors. Among specialized procedures are anterior cervical fusion, kyphoplasty, and lumbar laminectomydecompression.

Sports Medicine involves a wide range of preventative care and treatment of injuries and conditions related to competitive and recreational athletics. In caring for everyone from professional soccer players to weekend joggers and cyclists, our medical specialists promote non-surgical rehabilitation and physical therapy programs. When surgery is required — such as to repair joint damage to the knee, ankle, shoulder, hip or elbow — we offer state-of-the-art, minimally invasive arthroscopic techniques.

High Quality Orthopedic Care, Close to Home

docThe 17 orthopedic surgeons and specialists who practice at Anna Jaques have superior training and experience to treat a multitude of orthopedic conditions and injuries. Like many of our patients, our physicians choose to live and work in this beautiful area of Massachusetts where they can provide high quality care in a community setting.

All of our physicians are Board Certified and members of professional societies including the American Academy of Orthopedic Surgeons (AAOS) and Massachusetts Orthopedic Association. They have trained at top medical schools and are distinguished for their work in nearly every sub-specialty.

 

Paul S.
Chang, DO

Seacoast Orthopedic Associates

Practice Emphasis:

Hip and Knee
Extremity Trauma

David
Fehnel, MD

Sports Medicine North

Practice Emphasis:

Shoulder and Knee

Steven Mattheos, MD

Sports Medicine North

Practice Emphasis:

Shoulder and Knee

James J.
Ford, MD

Seacoast Orthopedic Associates

Practice Emphasis:

General Orthopedics
Hip and Knee

Eric Fu, MD


Sports Medicine North

Practice Emphasis:

Upper Extremity

Jonathan Uroskie, MD

Sports Medicine North

Practice Emphasis:

Hand and Upper Extremity

Kenneth
Glazier, MD

Seacoast Orthopedic Associates

Practice Emphasis:

Hand and Upper Extremity
Knee

John A.
Karbassi, MD

Sports Medicine North

Practice Emphasis:

Foot and Ankle

Peter M. Prokopis, MD

Sports Medicine North

Practice Emphasis:

Hand and Upper Extremity

Robert M. Wood, MD

Sports Medicine North

Practice Emphasis:

Foot and Ankle; Hip and Knee

Michael A. Wack, MD

Seacoast Orthopedic Associates

Practice Emphasis:

General Orthopedics
Knee, Shoulder
Foot and Ankle

Benjamin Schwartz, MD

Sports Medicine North

Practice Emphasis:

Hip and Knee

Bojan B.
Zoric, MD

Sports Medicine North

Practice Emphasis:

Hip and Knee

Inpatient and Outpatient
Surgical Care

Personalized care you can trust

Surgery isn’t such a scary word when you’re a patient at Anna Jaques Hospital. Our staff will treat you (and your family) like family the minute you walk through our doors.

Whether you need to stay overnight or can go home the same day as your surgery, our team will prepare you so that you fully understand your procedure and know what to expect before you have the surgery. Our top priority is to provide you with high quality care, so we carefully monitor potential safety issues like infection, surgical errors, hygiene, skin breakdown and patient falls. You can take great comforting knowing that Anna Jaques surgical care measures are at or above the national average is nearly every cateogry, with several being at 100%

Our excellent surgeons perform your surgery with the latest technology available -- the same technology used in Boston hospitals. We have a fully digital six-bed operating suite equipped with patient records so that surgeons can call up medical records, imaging and information instantaneously during surgery.

Joint replacement for knee, hip, and shoulder

Anna Jaques has a strong tradition in repairing and replacing hips, knees and shoulders for patients living with joint pain that limits their ability to enjoy an active life. Each year, we perform hundreds of joint replacements – and our outcomes are excellent. Common procedures include total hip arthroplasty, total hip replacement, hip revision, total knee arthroplasty, partial knee arthroplasty, knee revision, total shoulder arthroplasty, total shoulder replacement, total shoulder resurfacing, or shoulder revision. Our surgeons use the most advanced minimally invasive techniques that will help restore your function and mobility.

Our Joint Replacement team includes surgeons, nurses, patient care technicians, case managers and physical therapists. We embrace a team approach in the care of our patients – from pre-operative education at “Joint Class” to surgery to physical therapy. Because of this approach, patients have a better understanding of their condition, restoration of mobility and improved quality of life.

Outpatient surgery (Day surgery)

Many orthopedic procedures can be done on an outpatient basis where you can go home the same day as your surgery. Even though day surgery patients are with us only a short time, our staff will do everything to ensure your experience is as comfortable as possible. Common day surgery procedures include knee arthroscopy, arthroscopic ACL repair/reconstruction, shoulder arthroscopy, and carpal tunnel release.

As with all surgeries, our staff supports the safe and rapid recovery of patients who have received an anesthetic. To better prepare for your day surgery, please read our Day Surgery Guide.

Specialized spine surgery

Anna Jaques is also home to two board-certified physicians providing cutting-edge conservative and surgical management for spinal disorders.  Those patients requiring surgical interventions can be confident that they will receive state-of-the-art care from our fellowship-trained spine surgeons. Common spinal procedures performed by our spine surgeons include anterior cervical fusion, kyphoplasty, and lumbar laminectomy/decompression.

Recover overnight in a private rooms for enhanced comfort and safety

After your surgery, orthopedic surgery patients who stay overnight are nearly always given a private room on the Institution for Savings Inpatient Unit to enhance comfort and healing after surgery. Anna Jaques is one of a small number of hospitals in Massachusetts to offer single-room availability for nearly all of our patients.

Surgical Site Infections - Striving for zero

Anna Jaques has had just one surgical site infection for elective hip and knee replacements in nearly two years, and is striving for zero.  This is an accomplishment that few hospitals ever achieve. Our patients can take comfort in knowing the likelihood of infection during an elective hip or knee replacement is quite low.

 

 

MakoRobotic Arm Technology

 

mako

For people suffering from knee and hip pain, a new alternative surgical procedure is bringing much-needed relief for some patients. 

Introducing the Mako Robotic Arm Interactive System which enables orthopedic surgeons at Anna Jaques to perform advanced knee and hip procedures for patients suffering from joint pain. 

Anna Jaques is one of only two hospitals in a 50-mile radius to offer Mako Robotic Arm Assisted Surgery.
 


 

 

Find out if MAKO is right for you - consult one of our
MAKO certified orthopedic surgeons today!

  

Mako™ Partial Knee

Mako Partial Knee Resurfacing is an innovative treatment option for adults living with early-to mid-stage osteoarthritis (OA). Instead of replacing the knee, our trained surgeons use the special robotic arm to resurface damaged areas of the joint, sparing healthy bone and tissue. The potential benefits? Read more (PDF)...

  • Smaller Incisions, less scaring, less pain
  • Shorter hospital stay
  • Faster recovery and return to daily activities
  • More natural knee motion 

Mako™ Total Hip

Mako total hip replacement is a breakthrough solution for adults suffering from painful degenerative joint disease of the hip who need a total hip replacement. Read more (PDF)...


What Our Mako Patients Are Saying

schwartzNobody wants to hear they need hip replacement surgery. I was lucky enough to need the surgery at the time Anna Jaques introduced the MAKO procedure. When my surgeon, Dr. Ben Schwartz, told me that MAKO total hip replacement procedure was an option for me I decided to go for it and have absolutely no regrets. As a result, I no longer have that debilitating arthritic hip pain that over a few short months prevented me from the simplest activity. Within six weeks of surgery, I was mobile and back to many of my day-to-day activities with full activity on the horizon. Dr. Schwartz and everyone on the Anna Jaques surgical and physical therapy teams were professional, compassionate, and caring. I consider myself fortunate that MAKO was an option for me and I highly recommend this for other candidates. I had nothing to lose but pain and suffering and gained back my active lifestyle quickly.”

-Mary of Salisbury, MA, pictured with Dr. Ben Schwartz                                        


 
More of What Patients Saying

  • "Later that day I was standing on it with little to no pain."
  • "All I had was one pain pill."
  • "I had surgery on Saturday; I could have gone back to work on Monday but I took one more day."
  • "My friends were quite surprised at how rapidly I improved."
  • "I'm delighted with the result - absolutely delighted." 

  



Find a surgeon certified in Mako™ Robotic Arm Technology, and see if MAKO is right for you.
 

changPaul Chang, DO
Seacoast Orthopedics - (978) 462-7555
Dr. Paul S. Chang is a board-certified orthopaedic surgeon with a broad background in specialty orthopaedic care, from orthopaedic trauma to sports medicine and joint reconstruction.  He is experienced in all aspects of orthopaedic surgery, including nonsurgical management of many orthopaedic and rheumatologic conditions.  Dr. Chang also has many years of orthopaedics teaching experience at a major academic medical center, has had a private practice, and has over 20 years of service in the Army.  

  

FordJames Ford, MD
Seacoast Orthopedics - (978) 462-7555
Dr. Ford has been at Seacoast Orthopedics since 2001, and has been practicing in Massachusetts since 1994. His practice focuses on general orthopedic surgery with a focus on hip and knee conditions, including arthritic conditions and sports injuries. Dr. Ford performs total hip replacements, total knee replacements and arthroscopic knee procedures, including ACL reconstructions. He also works closely with athletes, serving as the team physician at Governor’s Academy in Byfield.

 

 mattheosSteve Mattheos, MD
Sports Medicine North - 978-818-6350
Dr. Mattheos is board certified and fellowship trained in arthroscopy and sports medicine, specializing in the latest minimally-invasive surgical techniques of the knee and shoulder. He was involved in caring for the Boston Celtics and is the team physician for several local high schools. He utilizes the latest techniques for treating orthopedic problems related to sports, as well as work-related injuries, trauma and degenerative conditions like arthritis. 

 

SchwartzBenjamin Schwartz, MD
Sports Medicine North - 978-818-6350
Dr. Schwartz is a board certified orthopaedic surgeon specializing in the surgical and non-surgical treatment of arthritis of the hip and knee including total joint replacement and revision.  Dr. Schwartz attended the College of William and Mary in Williamsburg, VA where he was one of a select group of incoming freshman designated as a James Monroe Scholar. After graduating with high honors from William and Mary, Dr. Schwartz attended the Medical College of Virginia in Richmond where he was elected to the Alpha Omega Alpha medical honor society, graduating in the top 10% of his class. 

WackMichael Wack, MD
Seacoast Orthopedics - (978) 462-7555
Dr. Wack has been with the Seacoast Orthopedics team since 2001, and has practiced in Massachusetts since 1996. His practice focuses on general orthopedic surgery, with specialties in knee and shoulder conditions, and disorders of the foot. Dr. Wack also works actively in sports medicine. His expertise includes total knee replacement surgery, ACL repairs and other knee surgeries, shoulder arthroscopies and arthritis.  

 

 

Wood

Robert Wood, MD 
Sports Medicine North - (978) 818-6350

Dr. Wood is board certified and dual fellowship trained in surgery of the foot and ankle as well as hip and knee reconstruction. He utilizes the latest techniques for treating orthopedic disorders related to work related injury, trauma, and arthritic conditions.

 

 


 

How does Mako work? 

Watch this video animation to see Mako in action.
(please note there is no sound with this video.)

 The Mako robot combines tactile robotic arm technology with integrated, intelligent surgical instruments, and a high-definition patient-specific visualization system. This provides the surgeon with real time visual, tactile and auditory feedback to optimize implant positioning and placement, and to restore bio-mechanical alignment and joint motion. It not only allows a surgeon to pre-plan and treat each patient uniquely and with consistently reproducible precision but assists the surgeon in achieving optimal results at a level of accuracy previously unattainable with conventional instrumentation. 

 

 

To schedule an appointment in any of our locations, call 978-834-8210.

Anna Jaques therapists are highly trained and experienced in physical and occupational therapy services, frequently attending continuing education courses to bring the latest treatment techniques back to our clinic. They evaluate and develop an individualized care plan that addresses the specific needs and treatment goals of our patients. Therapy treatment may include various forms of therapeutic exercise to enhance function and strengthen muscles. Our therapists treat conditions in a wide range of areas, including:

  • Sports Injury RehabilitationPT
  • Joint Replacement Rehabilitation
  • Spine Rehabilitation
  • Hand Therapy

We offer two convenient locations and hours to fit your needs:

AJH Physical Therapy

25 Storey Avenue, Suite 11 Newburyport, MA 01950
Phone: 978-499-2370; Fax: 978-499-2374
Hours: M-F, 6:00am - 7:30pm

Mary Alice Arakelian  Physical Therapy & Rehabilitation Services

21 Highland Avenue, Suite 25 Newburyport, MA 01950
Phone: 978-463-1336; Fax: 978-463-1338
Hours: Monday-Thursday, 7 a.m. to 7 p.m.; Friday 7 a.m. - 5 p.m.

 For more information, visit our Physical Therapy and Rehabilitation site.

"Joint Class" for patients scheduled for total knee or total hip replacement surgery

Education is the key to recovery. Once you have been scheduled for surgery, you will be invited to a special class that has been developed by AJH orthopedic services, in conjunction with your orthopedic surgeon.

Why attend?

  • Meet your care team, including physical therapists, nurses and case managers.
  • Learn about the pre-operative requirements for surgery.
  • Know what to expect about the surgical process, your inpatient hospital stay, and discharge planning.

How do I sign up?

  • A representative from Anna Jaques Case Management team will reach out to you to enroll you in an upcoming class.
  • Day and evening classes are available for your convenience.

We look forward to caring for you at Anna Jaques Hospital! Questions about Joint Class? Call 978-463-1169

**Please note: This class is NOT for patients who are having MAKO knee or hip procedures.**

Frequently Asked Questions About Anesthesia

Types of Anesthesia

There are two categories of anesthesia used in total joint surgery: General and Regional. Your anesthesiologist, in consultation with your surgeon, will determine the best type of anesthesia for you. Your anesthesiologist will take your desires into consideration whenever possible. All options will be discussed on the day of surgery, during your preoperative interview with the anesthesiologist.

  • General Anesthesia is the loss of consciousness, pain sensation and protective airway response.
  • Regional Anesthesia includes spinal blocks, epidural blocks or peripheral nerve blocks. If you have regional anesthesia, your anesthesiologist places medication near a cluster of nerves to numb only the area of your body that requires surgery. Spinal and epidural blocks involve interrupting sensation from the legs or abdomen by placing local anesthetic medication in or near the spinal canal.

Your anesthesiologist, after reviewing your individual situation, will discuss any available options with you. If there is more than one type of anesthetic procedure available, your preference should be discussed with your anesthesiologist for the most appropriate anesthetic plan to be made. The preferred form of anesthesia for joint surgery is regional anesthesia.

If I receive regional anesthesia, does that mean I am awake during the surgery?

You may remain awake, or you may be given a sedative. You do not see or feel the actual surgery take place. Your anesthesiologist, after reviewing your individual situation, will discuss the appropriate amount of sedation for you. The term “moderate sedation” is used to describe a semi-conscious state that allows patients to be comfortable during certain surgical procedures.

Sedation can be light, moderate or deep. During deep sedation, you will sleep through the procedure with little or no memory of the procedure room. You might be sleeping until the medications wear off.

How is the epidural or spinal block performed?

A spinal or epidural block is given in the back. You will either be sitting up or lying on your side. Before the block is performed, your skin will be cleansed with an antiseptic (bacteriakilling) solution. The anesthesiologist will use local anesthesia to numb an area of your back. Another needle is then used to introduce either an anesthetic (in the case of a spinal) or a small plastic tube (in the case of an epidural). The needle is removed after the anesthetic or catheter is in place. The medication given bathes the nerves and blocks out the pain. After your anesthesiologist has performed the spinal or epidural block, you will generally feel numbness and may notice that your legs will become weak to the point where you may not be able to move them – this is normal.

What are the choices for pain relief after surgery?

  • IV or Oral Pain Medication: Pain-relieving medications that are injected into a vein or taken by mouth will help to dull your pain but may not eliminate it completely. These medications are usually prescribed by your surgeon.
  • Local Anesthesia: Other pain-relieving medications may be injected into the surgical incision by your surgeon. These medications are local anesthetics. They provide numbness or loss of sensation in one specific area.
  • Peripheral Nerve Blocks: Single injection or nerve catheters can be used to reduce the pain after surgery. Local anesthetics and other drugs are used for these procedures to reduce or “block” pain and other sensation over a wider region of the body.

How is a peripheral nerve block performed?

The block is administered at an appropriate location to provide pain relief (analgesia) after surgery. Before the block is performed, your skin will be cleansed with an antiseptic solution.

The anesthesiologist will use local anesthesia to numb the area where the peripheral nerve block will be administered. A special needle or catheter is placed near the cluster of nerves that need to be numbed. The needle is used to temporarily obtain muscle twitches in the leg where surgery has occurred. Local anesthetic is used to bathe the nerves and block out pain. If you require pain control for more than 24 hours after surgery, your anesthesiologist can place a continuous catheter to allow the continuous delivery of pain-relieving medications. After the catheter is removed, sensations will return to normal, typically within a few hours.

How is a Femoral Nerve Block performed?

The femoral nerve provides sensation and motor functions to the front of the thigh and knee. This block is commonly used for procedures that cover this area (such as surgery of the knee or hip). To receive a femoral nerve block, you will be positioned lying on your back. Your anesthesiologist will clean your groin area with an antiseptic solution, and may inject some local anesthesia into the skin – this may cause a slight burning or pressure sensation. Your anesthesiologist will then carefully insert and advance a needle and inject local anesthesia to numb the nerves. A nerve stimulator is generally used to help your anesthesiologist determine the appropriate location to inject the local anesthetic. You may feel the muscles in your leg twitch – this is normal. Your anesthesiologist may insert a small, flexible catheter to allow for continuous injections or infusions of local anesthesia. The needle is removed and only the catheter remains at the end of the procedure if this is the case.

Risks and Benefits of Regional Anesthesia

What are the benefits of a regional block?

Frequently, there is less nausea from regional blocks and patients generally awaken faster after regional blocks. Regional blocks can also be used to reduce pain after surgery. Generally, regional nerve blocks and catheters will provide better pain control than intravenous or oral narcotics.

 What are the risks of a regional anesthesia block?

Like any other medical procedure, there are risks associated with regional anesthesia. Complication or side effects can occur, even though you are monitored carefully and your anesthesiologist takes special precautions to avoid risks. To help prevent a decrease in blood pressure, fluids may be administered intravenously. Although not common, a headache may develop following the block procedure. By holding as still as possible while the needle is placed, you may help to decrease the likelihood of a headache. The area where the nerve block was administered may be sore and tender for a few days. These discomforts, if they do occur, often disappear within a few days. If they do not disappear or become severe, additional treatments are available.

How common is nerve injury after a regional block?

Nerve injury after a regional block is a rare occurrence, which can occur anywhere from 1 in 4,000 blocks to 1 in 200,000 blocks depending on the type of block and specific risk factors. It can be related to direct needle injury of the nerve or to secondary complications like bleeding or infection. To prevent nerve injury, please inform your anesthesiologist if you experience any sharp or radiating pain during needle placement or injection. If you experience any new symptoms like tingling, numbness or motor dysfunction after a nerve block has already worn off, you should seek medical attention immediately because this can be a sign of secondary damage by hematoma or infection. Because recovery of nerve function depends on timely initiation of diagnosis and treatment, do not take any unexpected changes lightly.

Can the epidural or regional block catheter become infected?

Every time a foreign body like a needle or catheter is introduced into your body, there is the risk of infection. Bacteria can enter the body through the primary puncture or along the catheter site. The risk of infection increases over time but the chance of a serious infection leading to abscess formation and requiring surgical intervention or damage to the nerve secondary to an infection is extremely rare. Your catheter will be removed two days after surgery to minimize the risk of infection.

 

Locations

Seacoast Orthopedics Associates

21 Highland Avenue
Suite 16
Newburyport, MA 01950

Phone:

(978) 462-7555

Fax:

(978) 462-9049

Link:

http://www.seacoastorthopedics.com

Sports Medicine North

One Wallace Bashaw Jr. Way
Suite 3001
Newburyport, MA 01950

Phone:

(978) 997-1500

Link:

http://www.sportsmednorth.com

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