- ArthritisAlthough the incidence of biceps tendon tears at the elbow has been estimated at only 0.8 per 100,000 individuals per year, greater than 10 such repairs are performed each year by surgeons at the Center. Finally, surgeons at the Center perform elbow replacement surgery for painful and stiff elbows resulting from rheumatoid arthritis and other inflammatory conditions, and for certain elbow fractures arising in older adults.
- Medical Weight LossConservative treatment for arthritis aims to control pain, minimize joint damage, and improve or maintain function and quality of daily life. Common treatment may involve medications, physical therapy, bracing, patient education, and weight loss. Many times, conservative treatment does not relieve pain and other related symptoms and patients request surgical intervention. Many patients with arthritis, not controlled with conservative treatment, often elect to have surgical intervention.
- Primary CareThis guide is prepared by Frank R Noyes MD based on over three decades of treating knee arthritis in thousands of patients. This guide has many useful suggestions and guidelines for the safe and effective treatment of knee arthritis. However, the guide is not meant to be the only approach and patients are advised to be well informed and ask guidance from their primary care physician, pharmacy and other specialists.
- Family Practice
- Emergency CareThe clinical experience encompasses the many realms of patient care including the office setting, surgical theater, and on-the-field emergency care of injuries. This component of the fellow’s education turns academic theory into practice. Under the guidance of the staff physician, the fellows learn...
- Internal Medicine
- Carpal Tunnel Syndrome
- NeurolysisAshman, B., Tewari A., Castle, J., Hasan, S.S., Bhatia S., “Intra-operative Neuromonitoring for Brachial Plexus Neurolysis During Delayed Fixation of a Clavicle Fracture Presenting as Thoracic Outlet Syndrome: A case report”, J Bone Joint Surgery – Case Connector, 2018 Oct-Dec;8(4):e85.
- UltrasoundDr. Marcheschi’s expertise in musculoskeletal ultrasound includes diagnostic imaging and guided intervention. He has a specific interest in tendinopathy and he offers both ultrasound guided biologic and minimally invasive surgical treatment options for tendinopathy.
- MRIRotator cuff injuries, including strains, tendinitis, partial and full-thickness tears comprise the most common shoulder condition in patients over age 30. Selecting the proper treatment for a rotator cuff tear requires careful integration of history and physical examination findings as well as the results of radiographs and advanced studies, such as MRI.
- X-Rays
- Nuclear Medicine
- Computed TomographyBuyukdogan K, Laidlaw MS, Kew ME, Miller MD. Allograft Bone Dowels Show Better Incorporation in Femoral Versus Tibial Tunnels in 2-Stage Revision Anterior Cruciate Ligament Reconstruction: A Computed Tomography-Based Analysis.
- Radiation Oncology
- OrthopedicsAndrew Kalthoff, D.O. is an orthopedic surgeon specializing in General Orthopedics and Orthopedic Sports Medicine. Dr. Kalthoff completed his medical school education at the Kirksville College of Osteopathic Medicine in Kirksville, MO, his Orthopedic post-graduate residency training at Mercy St. Vincent Medical Center in Toledo, OH, and his subspecialty Orthopedic Sports Medicine training in Cincinnati with Dr. Frank Noyes and the Cincinnati SportsMedicine and Orthopaedic Center. During his fellowship, Dr. Kalthoff had the opportunity to work with the Cincinnati Bengals and FC Cincinnati, gaining in depth exposure to the world of professional sports medicine. After graduating from the fellowship in 2021, Dr. Kalthoff joined the Sports Medicine faculty of his fellowship and is practicing in Cincinnati, OH. He has a particular interest in minimally invasive arthroscopic techniques treating complex shoulder and knee conditions. Other professional interests include robotic joint replacement surgery, ligament reconstructions about the knee, cartilage restoration procedures, and fracture care.
- ArthroscopyHe has specialty training in hip, knee, and shoulder replacements. He enjoys surgical challenges, in the few cases where revision surgery is required. He has additional expertise in hip arthroscopy and periacetabular osteotomy for dysplasia. He is one of the few surgeons in the country trained to perform this operation.
- Minimally Invasive SurgeryDr. Laidlaw has championed the care of the most elite military service members as well as high level athletes with experience in NCAA athletics. He has a keen interest in creating individualized non-surgical and surgical treatment plans to aid in a patient’s recovery. With an interest in knee and shoulder joint preservation, minimally invasive surgery, and joint replacements, Dr Laidlaw looks forward to continuing his service to others in the Greater Cincinnati area.
- Joint ReplacementThe Knee Restoration and Orthobiologics Center has earned an international reputation for excellence in patient care and offers the latest in strategies for conservative and operative management of various knee conditions. Our nationally recognized research efforts document outcomes to provide patients with realistic information on clinical outcomes and patient expectations regarding treating knee symptoms and improving function. The Center provided the healthcare community with some of the first clinical publications on operations for osteoarthritis, including meniscus repair, meniscus transplantation, and tibial osteotomy to restore joint function and limit or slow the need for joint replacement.
- Orthopedic SurgeryDr. Kalthoff was born and raised in Cincinnati and had the tremendous privilege of attending St. Xavier High School. An avid Cincinnati Sports fan, Dr. Kalthoff closely follows the Cincinnati Bengals, Cincinnati Reds, and FC Cincinnati. He is honored and proud to practice Orthopedic Surgery in his hometown and give back to his community.
- ArthroscopyArthroscopy or arthroscopic surgery is a minimally invasive surgical procedure often used in orthopaedics. The procedure is performed on a joint in the body and includes an examination of the joint tissues and structures. The advantage of arthroscopic surgery is that the joint does not have to be fully opened. This helps to reduce recovery time and may increase the rate of success as the connective tissue is not subjected to additional trauma.
- Hip ReplacementHip replacement is currently one of the most common orthopaedic procedures performed. It is a surgical procedure where the bones of the hip joint are replaced with a prosthetic implant. Hip replacement surgery can involve the entire joint (total replacement) or just a portion of the joint (semi or partial replacement). Prosthetic implants are made from metal, ceramic, and plastic pieces and are designed to imitate the original bones and joint.
- Knee ReplacementShoulder arthritis involving the glenohumeral (ball and socket) joint is quite common. Initial treatment is non-operative and mirrors the initial treatment of hip and knee arthritis, but when this treatment fails, shoulder replacement surgery is then considered. Several types of shoulder replacement are currently available including total shoulder replacement, partial shoulder replacement or hemiarthroplasty, humeral head resurfacing, and reverse ball and socket replacement. Over the past five to ten years there has been an explosive growth in the number of shoulder replacements performed for end-stage glenohumeral arthritis. As with hip and knee replacements, and other surgeries such as coronary artery bypass grafting, high volume shoulder replacement surgeons consistently outperform surgeons who perform these procedures infrequently. Not surprisingly, over 90% of shoulder replacements performed by high volume surgeons are expected to last for at least 10 years and 85 per cent for 15-20 years, both of which represent survivorships comparable to that following hip and knee replacement. Cincinnati SportsMedicine and Orthopaedic Center – Mercy Health is a high-volume center for shoulder replacement surgery. Although complications can and do occur, as with every major surgery, they are largely confined to patients who have had prior shoulder surgery. This drives home the point that it is best to get it right the first time. Many patients at the Center who have bilateral shoulder arthritis go on to request that the opposite arthritic shoulder be replaced as well, often within a few months.
- Knee ArthroscopyNoyes F, Crapser D: Knee pain post total lateral meniscectomy. In Tapasvi S and Shekhar A (eds): Knee Arthroscopy: A Case Repository. Jaypee Brothers Medical Publishers, New Delhi, 2019.
- Cyst
- LesionsV, Sherman S. Consensus on rehabilitation guidelines among orthopaedic surgeons in the United States following use of third generation articular cartilage repair (MACI) for treatment of knee cartilage lesions.
- Sports MedicineFrom pioneering new surgeries to leading the sports medicine industry year after year, the Cincinnati Sports Medicine & Orthopaedic Center is ready to help you. See for yourself why we are the Tri-state's and Nation's most trusted sports injury center.
- Physical TherapyMany proximal humerus fractures are treated without surgery and with a brief period of immobilization followed by supervised physical therapy. Displaced proximal humerus fractures are amenable to open reduction and internal fixation with a plate and screws construct. However, in older patients some of the more complex fractures do not fare as well with fixation; the tuberosities displace or resorb with a poor functional result. Another option that provides better and more consistent results is to perform a reverse shoulder replacement with repair of the tuberosities around the implant.
- Frozen Shoulder
- Tennis ElbowThe most common elbow conditions are overuse injuries such as tennis elbow and golfer’s elbow that usually respond to rest and simple non-operative measures. When these measures fail, surgeries employing incisions as small as two or three centimeters are usually effective. Surgeons at the Center also perform elbow arthroscopy for conditions such as intra-articular loose bodies, osteochondral injuries, and elbow contractures arising after trauma or surgery. Other elbow conditions treated at the Center include biceps tendon injuries, elbow instability and various fractures about the elbow.
- Achilles Tendonitis
- Ankle Sprain