Our specialists are among the few across the globe to perform all aspects of reconstructive procedures.
Over 50 years of combined expertise in orthopedic and plastic surgery disciplines.
Published in the Journal of Shoulder and Elbow Surgery and the Journal of Hand Surgery.
Individualized treatment delivers the best quality of life faster with less time away from work.
How we can help
When conservative measures to treat shoulder and elbow pain and arthritis aren’t enough, we can help. Our advanced surgical procedures alleviate pain and enhance quality of life.
Joint Denervation Surgery
Joint denervation is a new and unique treatment approach that addresses the “supply” of pain to the brain rather than the joint itself, combating shoulder and elbow pain and arthritis by eliminating the associated neurologic pain pathways with very little recovery time.
Reverse Total Shoulder Arthroplasty
A reverse total shoulder arthroplasty uses artificial parts to replace the ball and socket portion of your shoulder joint, with the natural position of these parts reversed. This option is ideal for people with severe rotator cuff damage, reducing pain and restoring stability.
Total Shoulder Arthroplasty
A total shoulder arthroplasty replaces the damaged areas of your shoulder with artificial parts, including both the ball and socket parts of the joint, relieving severe pain caused by arthritis or trauma and restoring vital functionality for patients.
Shoulder Hemiarthroplasty
A shoulder hemiarthroplasty, or a partial shoulder replacement, replaces the damaged head of the humerus bone (the ball of the shoulder joint) with a prosthesis while leaving the socket portion intact — providing relief from pain, stiffness, instability, and more.
Shoulder Arthroscopy with Rotator Cuff Tendon Repair and Biceps Tenotomy
When the tendons of the rotator cuff are damaged, we offer several outpatient surgical options for repair. Rotator cuff repair involves reattaching a torn tendon to the bone. If necessary, we can perform a biceps tenotomy, which releases the tendon from the joint without affecting strength and motion.
Is Shoulder Arthritis Treatment Right for Me?
Injuries and arthritis of the shoulder and elbow can significantly disrupt your life. Living with constant pain and inflammation can cause frustration, while instability and loss of strength can make doing daily tasks impossible. Schedule a consultation if you experience chronic:
- Pain
- Stiffness
- Swelling
- Pain in the forearm that radiates to the elbow
- Physical joint deformities
- Decreased range of motion
- Difficulty raising arm
- Inability to lift items
About
Ajul Shah, MD, FACS
Dr. Ajul Shah is board certified in plastic and reconstructive surgery by the American Board of Plastic Surgery with a Subspecialty Board Certification in Hand and Upper Extremity Surgery. He has advanced fellowship training in hand and upper extremity surgery and microsurgery, as well as extensive training at institutions such as Yale University and New York University. Dr. Shah offers thoughtful solutions to complex surgical problems. His compassionate nature provides patients with a sense of safety and comfort during challenging times in their lives.
About
Hari Iyer, MD
Dr. Hari Iyer is an orthopedic surgeon specializing in hand and upper extremity surgery. He is a member of the American Academy of Orthopaedic Surgeons (AAOS) as well as the American Society for Surgery of the Hand (ASSH). Dr. Iyer completed training in Orthopaedic surgery, treating fractures and joint diseases throughout the body, followed by subspecialty fellowship training in hand and upper extremity surgery. His specialized training in bony repair and joint reconstruction offers a unique set of skills that complement the training of our team of plastic and reconstructive surgeons.
About
David Tsai, MD
Dr. David Tsai is a hand and upper extremity surgeon with dual training in plastic & reconstructive surgery and orthopedics. Dr. Tsai applies expertise from both fields to provide the utmost specialty care for patients with upper extremity ailments, from the simple and common to the incredibly rare and complex.
About The Center for Hand & Upper Extremity Surgery
The Center for Hand & Upper Extremity Surgery at The Institute for Advanced Reconstruction offers comprehensive, highly specialized treatments for hand and upper extremity injuries.
Our dedicated team of providers is composed of surgeons with subspecialty expertise in hand and upper extremity surgery and microsurgery, as well as a physical medicine and rehabilitation physician specializing in pain management.
We offer advanced treatments for various types of shoulder and elbow injuries and arthritis, allowing patients to experience life with less pain.
