MY SPECIALTIES

 

Dr. Marsh’s primary focus is sports medicine—the treatment of injuries to ligaments, muscles, and tendons, and damage to cartilage and bones—for athletes and nonathletes alike. “I treat active kids, professional athletes, weekend warriors and workers with physically demanding jobs,” says Dr. Marsh. “Close to 95% of my patients don’t need surgery, so I take great care with the education side of treatment. The better you understand your injury, as well as the mechanics of your shoulder or knee, the more likely you’ll be successful in treatment. It’s a team effort: you, me, and the rest of my team work together to ensure that you understand what you need to do to return to work, exercise for fun, or top competition, as soon as your body allows.”

 

Orthopedics is the branch of medicine that addresses the correction of functional impairments of bones or muscles. Treatment of select impairments requires arthroscopy (ahr-THROS-ka-pee, from the root words for “joint” and “view”), which is a surgical skill set that includes minimally invasive techniques to repair and reconstruct damaged joints.

An arthroscopic procedure entails the insertion of a micro-video camera through a small incision to diagnose the impairment. In cases requiring repair, Dr. Marsh then uses instruments to mend damage to the bone, cartilage, ligaments or tendons of your shoulder or knee. These instruments are specifically designed to minimize damage to surrounding structures and—unlike traditional surgery—keep recovery time and scarring (if any) to a minimum.

“Continued improvements to arthroscopic techniques deliver equal or superior results to traditional open surgery,” Dr. Marsh says. “My work as a surgeon benefits from my camaraderie with my colleagues, as we constantly ask ourselves, ‘How can we deliver the best results for our patients?’”

Many knee or shoulder procedures take less than an hour, and Dr. Marsh or a member of his staff checks in on you after the procedure to ensure you’re ready to head home. Check the testimonials on this site to learn more about how Dr. Marsh prepares patients who need arthroscopic surgery and, most importantly, about their successful recoveries.

Knee Procedures

The knee joint bears the weight of the human body, and it relies on a complex structure of bones, ligaments, tendons, and cartilage to twist and rotate under load. The list of surgeries below includes Dr. Marsh’s specialties.

Knee Ligament Reconstruction

  • Anterior Cruciate Ligament Reconstruction (ACL) 
    (Bone-Patellar Tendon-Bone Autograft, Hamstrings Autograft, Achilles Allograft)

  • Posterior Cruciate Ligament Reconstruction (PCL)

  • Medial Collateral Ligament Reconstruction (MCL)

  • Posterolateral Corner Reconstruction (PLC)

  • Multi-ligament Knee Reconstruction

Knee Cartilage Restoration

  • Microfracture

  • Treatment of Osteochondritis Dessicans (OCD)

  • Osteochondral Autograft Transplantation (OATs)

  • Osteochondral Allograft Transplantation 

  • Autologous Chondrocyte Implantation (ACI)

Meniscus Repair

  • All-Inside

  • Inside-Out

Knee Osteotomies

  • Lateral Opening Wedge Distal Femoral Osteotomy

  • Medial Opening Wedge High Tibial Osteotomy

Patellar Instability Surgery

  • Medial Patellofemoral Ligament (MPFL) Reconstruction

  • Medial Patellofemoral Ligament (MPFL) Repair

  • Arthroscopic Lateral Release

  • Anteromedialization/Tibial Tubercle Osteotomy (AMZ or Fulkerson Osteotomy)

Shoulder Procedures

The shoulder is one of the largest, most complex joints in the human body. Like the knee, the bones, ligaments, tendons and cartilage of the shoulder allow a wide range of motion and make it subject to a variety of injuries.

Shoulder Arthroscopy

  • Subacromial Decompression

  • Proximal Biceps Tenodesis

  • Rotator Cuff Repair

  • Rotator Cuff Augmentation 

  • Superior Capsular Reconstruction 

  • Capsular Release

  • Labral Repair (Bankart Repair/Posterior Labral Repair)

  • SLAP Repair (Superior Labrum Anterior to Posterior)

  • Acromioclavicular Joint Reconstruction (Coracoclavicular Ligament Reconstruction)

  • Cartilage Restoration of the Glenohumeral Joint (Microfracture)

  • Distal Clavicle Excision

  • Coracoid Process Transfer (Latarjet)

  • Osteochondral Allograft Transplants

  • Total Shoulder Replacement

  • Reverse Total Shoulder Replacement

  • Pectoralis Major Repair

Elbow Procedures

  • Distal Biceps Tendon Repair

  • Triceps Tendon Repair

  • Lateral Epicondylitis Surgery (Tennis Elbow)

  • Cartilage Restoration

  • Osteochondral Allograft Transplantation for OCD

Other Common Procedures

  • Proximal Hamstring Tendon Repair

  • Quadriceps Tendon Repair 

  • Patellar Tendon Repair

  • Achilles Tendon Repair

  • Stem cell augmentation 

  • Platelet Rich Plasma (PRP)

 

Did you suffer an injury today? The Center for Orthopedics offers a walk-in Orthopedic Injury Clinic to ensure that you have a specialist providing you with primary treatment of your injury in a timely way. The Center staff welcome walk-ins, but call ahead (or use the schedule link below) to reduce your wait time.

or

The Orthopedic Injury Clinic is for same-day treatment of simple fractures, sprains and other minor injuries. In the event of a medical emergency (e.g., a compound fracture), call 911.

 

Like most people, doctors play to their strengths, which reflects their adherence to the Hippocratic oath: 

 

“I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous.” 

The judgment call, then, is not limited to umpires and referees. Doctors exercise judgment, too, and that’s why Dr. Marsh welcomes new patients looking for a second opinion about a knee or shoulder injury.

 
“For orthopedic patients, when an injury diagnosis is worse than expected, you have some difficult decisions to make,” says Dr. Marsh. “But it’s often easier to make that decision once you’ve sought out a second opinion.” 

Finding another doctor may take some time, but most people are glad they did. “I’m always happy to talk to patients who are looking for more guidance,” Dr. Marsh notes. “Together we’ll review your x-rays, MRI reports, and other surgeries so that you have a fresh set of eyes on the problem. I solicit the input of my fellow surgeons, too. In our practice, we’re always asking, ‘How can we improve our approach to this problem?’” 

In some cases, Dr. Marsh’s recommendation duplicates the first opinion—but, when it doesn't, the course of treatment may require extra patience on behalf of his patient. “I’m willing to spend that time and effort,” says Dr. Marsh. “If that’s what my patient decides, then we’ll go down that path together.”

© 2018 by David G. Marsh. Designed by Madison Kramig. Words by Cadence. Proudly created with Wix.com.