Our Services


Arthroscopy is an advanced surgical procedure used to treat orthopedic conditions which offers less risk and remarkable results for patients. Arthroscopy is common in the ankle, hip, wrist, elbow and shoulder. This procedure is also known as arthroscopic surgery. The arthroscope allows surgeons to see and treat patients through the incisions, providing a quick recovery and less post-operative pain than with an open surgery approach.

There are potential benefits of arthroscopic surgery when compared with traditional “open” surgery. With arthroscopic surgery, it’s more likely that patients will have less pain following the procedure, experience a lower risk of complications, stay in the hospital for a shorter period of time or have the procedure performed as an outpatient surgery. Patients may also have a quicker recovery and experience less scarring.

All surgery has risks. Your orthopedic surgeon will discuss the specific risks associated with his or her procedure and recovery. The risks of orthopedic surgery depend on your health before surgery and the type of surgery performed. In addition, your anesthesiologist will discuss the risk associated with the use of anesthesia during your procedure.

Carpal Tunnel Release

Carpal tunnel release is a surgery to treat and possibly heal carpal tunnel syndrome. The median nerve and the tendons that flex (or curl) your fingers go through a passage called the carpal tunnel in your wrist. This tunnel is narrow, so any swelling can pinch the nerve and cause pain. A thick ligament just under your skin (the carpal ligament) makes up the top of this tunnel and the wrist bones forms the bottom. During the operation, the surgeon cuts through the carpal ligament to make more space for the nerve and tendons that run through the passage.

People with symptoms of carpal tunnel syndrome usually try nonsurgical treatments first. If none of these treatments help, some surgeons will test the electrical activity of the median nerve with an EMG (electromyogram). If the test shows that the problem is carpal tunnel syndrome, carpal tunnel release surgery may be recommended. If the muscles in your hand and wrist are getting smaller (atrophying) because the nerve is being pinched, surgery will usually be done soon.

Digital Imaging

With the advancements in digital X-rays and MRIs, our technicians are able to identify problems with bones, joints, cartilage, ligaments and soft tissue throughout the body. X-rays (radiographs) are the most common and widely-used diagnostic imaging technique. Orthopaedics, P.C. offers an open MRI machine to get a more comprehensive look at the body than an X-ray. An X-ray is the first step to diagnosing an injury, but X-rays mostly only show bones. An MRI can look at the bones, ligaments, tendons and other soft tissue and organs. No radiation exposure is present with MRIs.

Hip Procedures

Recent advances in the development of surgical equipment have allowed orthopedic surgeons to treat conditions that were traditionally either ignored or treated with an open procedure. Now, with just a small incision, a surgeon can insert a pencil-sized optical device into the hip joint, which relays an image to a large video monitor in the operating room, allowing a surgeon to see into the joint and correct problems.

There are many types of hip procedures, such as hip arthroscopy, labral tear repairs, impingement procedures, hip dysplasia procedures and hip joint replacement. Figuring out what’s wrong with your hip joint is the first step.

Knee Procedures

Knee arthroscopy is a minimally-invasive procedure. The use of an arthroscope means that the procedure is done using 2-3 small incisions rather than a more invasive “open” surgery that would require a much larger incision. These small incisions, or “portals,” are used to insert the surgical instruments into the joint. Occasionally, a third or fourth incision may be required depending upon the procedure.

Knee arthroscopy, ligament repair and knee replacement are the most common types of knee procedures. There are four ligaments in your knee which can stretch and even tear if they get stretched too far. When you tear a ligament in your knee – such as the ACL – non-surgical options may be tried first to avoid surgery. If the conservative options do not heal the tear and surgery is chosen, it is performed arthroscopically.

Sports Medicine & Fitness Institute

From recreational athletes to competitive athletes, Dr. Pruitt specializes in treating athletes and returning them to the game as quickly and as safely as possible. Orthopaedics, P.C. provides surgical and nonsurgical treatment options with athletes and active individuals. Our surgeons serve as team physicians for local area dance teams and the Iowa Lakes Community College Lakers.

Athletic trainers are specially-trained professionals in the health care industry who work to prevent, examine, diagnose, treat and rehabilitate athletic injuries. Sports teams from youth leagues to professional sports have athletic trainers on-site at practices and games in the case of an injury to one of their athletes. Athletic trainers are certified in emergency care like CPR (cardiopulmonary resuscitation) and first aid to provide the first line of care in the occurrence of an athletic injury or trauma.


Orthopaedics, P.C. to schedule your consultation