Orthopaedics Overview

Joint Replacement

North Carolina Specialty Orthopaedic surgeons offer total hip, knee and partial knee replacements. Physicians are using advanced technology in joint replacement surgery, including the use of the MAKOplasty device. The MAKOplasty is a robotic device that assists physicians by using minimally invasive approaches to knee and hip replacements.

North Carolina Specialty uses the most advanced technology that offer patient’s minimized surgery, reduced pain and a rapid recovery.

If you are considering or are scheduled for knee or hip replacement, being prepared is the first step towards a successful outcome. Sign-up for a Preadmission Total Joint Class and bring a family member or friend to gain further information and awareness of the surgery and recovery process.

To find a physician that can best assist or answer any questions you may have, click on Find a Physician.

Services Provided

  • Total Hip Replacement
  • Total Knee Replacement
  • Partial Knee Replacement


Makoplasty offers advanced procedure options to patients in need of partial hip and knee resurfacing. This minimal invasive procedure is supported by the RIO, also known as the Robotic Arm Interactive Orthopaedic System, and is used by qualified surgeons from North Carolina Specialty Hospital. RIO enables physicians to obtain increased precision when using the latest methods in both hip and knee replacement. The Makoplasty device offers several benefits to include: Less implant wear and loosening Less scaring Minimal hospitalization Rapid Recovery Improved surgical outcomes North Carolina Specialty is one of the few hospitals in state that provides this procedure. The RIO is another way that NCSH continues to evolve and our commitment to using innovative technology to offer our patients an alternative to conventional procedures and promote rapid relief from pain so that they can return to their daily activities. If you would like to learn more about this procedure, contact us (919) 956-9300 or Find a Physician. Visit http://www.makoplasty.com/ for more information.

Spine and Back

Back pain can be an agonizing experience for patients and at times difficult to treat. North Carolina Specialty physicians are specialist at pin pointing issues related to the back and spine and using innovative medical and surgical treatments to manage the pain. Common causes of back pain include:

  • Lumbar muscle strain
  • Ruptured disc
  • Discogenic back pain
  • Spinal stenosis
  • Osteoporosis

Physicians weigh the options of both surgical and non-surgical treatments when handling back and spine pain. Below is a list of common procedures done at NCSH:

  • Spinal Fusion
  • Kyphoplasty
  • Laminectomy

To find a physician that can best assist or answer any questions you may have for your specific back or spine condition click on Find a Physician.

“Mother just had major back surgery there.  The staff is incredibly friendly and each day the chief of surgery comes in to check in on everything.  The nurses take the time to get to know you and the doctors spend lots of time making sure you understand everything that’s going to happen to you and patiently answer all your questions. This is then followed by the chef who comes by to check to see if your meal was enjoyable and if there’s nothing on the next day’s menu that you like, they’ll go out and get you something else! Amazing!  The bathrooms in the rooms are supposed to be nicer than some 5 star hotels. My mom has been blown away by the service from this hospital.  They really have created something special here.” – David B. Beverly, MA

Spine Surgery

At North Carolina Specialty Hospital we provide various options for spine surgery using an array of specialized spinal instrumentation, and advance technology for treating cervical, thoracic and lumbar disorders. We provide spine surgery using a collaborative approach, as we know that each patient healthcare need and way of life is unique and requires a tailored approach. Our staff is highly knowledgeable and possesses exceptional skills to provide a high quality surgical experience for your spine surgery. Surgeries include:

  • Laminotomy/foraminotomy
  • Laminectomy
  • Discectomy
  • Anterior Lumbar Interbody Fusion (ALIF)
  • Posterior Thoracic and Lumbar Fusion
  • Kyphoplasty
  • Transforamenal Lumbar Interbody Fusion (TLIF)
  • Extreme Lateral Lumbar Interbody Fusion (XLIF)
  • Anterior Cervical Discectomy and Fusion (ACDF)
  • Disc Replacements

Hand, Wrist, Elbow

Here, at NCSH we recognize that that the use of your arms and hands is an integral part of your daily life and is equally important for one's family provision. Whether it's an injury resulting from trauma, sports, or pain and discomfort (simple or complex), that requires surgical intervention, NCSH provides the highest quality care using innovative technology. Our team approach also involves the use of micro-surgical technique to repair delicate nerves and blood vessels. Our staff is experienced, and quite knowledgeable in providing optimum surgical care. Surgeries include:


  • Trigger Finger Release
  • Tendon Repair
  • Damaged Nerve Repair
  • Contracture Releases
  • Joint Fusions
  • Joint Replacements
  • Open/Closed Reduction and Fixation of Fractures
  • Mass/Ganglion Excision

Wrist and Elbow

  • Carpal Tunnel Surgery
  • Wrist Arthroscopy (diagnostic and operative)
  • Fracture Fixation: ulna, scaphoid, distal radius, radial head
  • Total Elbow Replacement
  • Tennis Elbow Release
  • Repair Bicep Tendon
  • Cubital Tunnel Release
  • Elbow Arthroscopy
  • UCL Repair

Foot and Ankle

NCSH takes pride in offering the best service in foot and ankle surgical care to our patients, in a safe and friendly environment. We specialize in care from common injuries, diseases, and complex issues involving your feet and ankles. Our staff is highly trained. NCSH staff possesses the knowledge of proven surgical techniques, which are used to ensure optimum treatment of a comprehensive spectrum of conditions. These conditions include but are not limited to: sports injuries, reconstructive procedures, diabetic pathology and trauma of the foot and ankle. We are committed in making your surgical experience one that is above par by using the best technology and surgical approach. Surgeries include:


  • Bunions
  • Hammertoes (arthroplasty/arthrodesis)
  • Fractures (closed/open fixation)
  • Neuroma
  • Ganglion Cyst
  • Plantar Fascitis 
  • Gout
  • Tendonitis
  • Diabetic Maladies


  • Chronic Ankle Sprains (reconstruction)
  • Achilles Tendon Rupture/Disorder
  • Ankle Fractures 

Sports Medicine

Sports Medicine at North Carolina Specialty Hospital involves surgical intervention for injuries sustained as a professional athlete at any level (elementary school through collegiate sports), as well as those injuries resulting from recreational activities. Whether you are involved in extreme sports or everyday activities our surgical team use cutting edge technology to get you back on track in a safe respectful environment. Athletic injuries which involve bones, muscles, cartilage, joints and ligaments from knees, shoulders, elbows, hips, foot and ankle are our specialty. Our emphasis includes issues that can be treated arthroscopically along with other modes of treatment to include:

Shoulder, Hip, and Arm Injuries

  • AC joint injury
  • Clavicle fracture
  • Labral tears of the shoulder and hip
  • Rotator cuff tear
  • Rotator cuff tendinitis
  • Shoulder and hip bursitis
  • Shoulder instability
  • Tennis elbow
  • Ulnar collateral ligament tear (elbow)

Knee Injuries

  • ACL tear
  • Meniscus tear
  • Patellar dislocation
  • Patellar tendon rupture
  • Knee cartilage injury