Author: The Orthopaedic Center (TOC)

Stemless Shoulder Replacement: What It Is and Who It Helps

If shoulder arthritis has you waking up at night or struggling to reach a shelf, you’ve probably wondered whether surgery could help. It often can. Shoulder replacement has helped people get back to everyday life for decades, and today there’s more than one way to do it. One option is stemless shoulder replacement, which is designed to preserve more of your natural bone.

What is a stemless shoulder replacement?

A shoulder replacement (also called shoulder arthroplasty) replaces the worn, arthritic surfaces of the joint with smooth artificial ones. The shoulder is a ball-and-socket joint, and the “ball” is the top of your upper arm bone, the humerus.

Stemmed implants, the long-established standard, use a metal stem that sits inside the humerus to hold the new ball in place. A stemless implant reaches the same goal a different way. The surgeon removes the damaged surface at the top of the bone and anchors a small implant there, so the rest of the humerus is left in its natural state.

Both approaches are effective, and the right choice depends on your anatomy and bone quality. For patients who are good candidates, stemless offers some appealing advantages. According to a review by orthopedic surgeons at Mayo Clinic, the approach has been linked to:

  • Less blood loss during surgery
  • Shorter operating time
  • More of the patient’s natural bone preserved
  • A precise match to a person’s own anatomy

Keeping more of your own bone can also be helpful down the road. If a shoulder ever needs a second surgery (a revision), having more original bone to work with can make that procedure more straightforward.

What is recovery like?

Many people expect a long, difficult recovery and are pleasantly surprised.

Patients typically:

  • Wear a soft sling for about six weeks
  • Do physical therapy sessions
  • Stop strong pain medication within a few days

Some research also suggests that when the rotator cuff tendon can be preserved during a stemless procedure, people may regain overhead motion sooner. Every shoulder is different, so your surgeon can tell you what to expect in your case.

Who is a candidate for stemless shoulder replacement?

The key requirement is good bone quality, since the implant relies on the top of the humerus for support. Many people who need a standard anatomic shoulder replacement, including many older adults, are good candidates. Your surgeon will review your imaging to confirm which implant is the best fit.

Talking with a TOC Physician

At TOC, we offer stemless shoulder replacement for eligible patients with shoulder arthritis or a severe shoulder injury. If shoulder pain is getting in the way of sleep, work, or the things you enjoy, get in touch. We’ll look at your imaging, talk through your goals, and help you find the option that fits you best.

Request Appointment – The Orthopaedic Center (TOC)

Orthopaedic Specialties at The Orthopaedic Center

BEAR® Implant: A New Way to Treat an ACL Tear Without a Graft

If you’ve torn your ACL, you’ve probably already heard the standard advice: ACL reconstruction surgery, using a graft from your own patellar, quadriceps or hamstring tendon. It works, and it’s helped generations of athletes get back on their feet.

Now there’s a different option. The BEAR® Implant (Bridge-Enhanced ACL Restoration) is an FDA-approved ACL tear treatment that helps your body heal its own ligament, instead of removing it and replacing it with graft tissue. Continue reading “BEAR® Implant: A New Way to Treat an ACL Tear Without a Graft” →

Joshua Naylon – Athlete Of The Week – September 2026

Congratulations to Joshua Naylon from Sparkman High School.  He is the TOC Sports Medicine and Huntsville Hospital Sports Center Athlete of the Week for September 2026.

 

 

 

Joshua Naylon

Sparkman High School

Football / Track

GPA 3.9

 

 

 

–        Varsity Football Starter / Recognized on Local & State Level as Class 6A “Player of the Week” / 4X State Track Qualifier / All-Region & All-State Track Team

–        A-B Honor Roll recognition / National Honor Society Member / Advanced Placement (AP) Courseload

–        Community Volunteer / Food Pantry volunteer and Team Leader for “House of Harvest” / Volunteer Reader for children / Pep-Rally leader for feeder schools

Miranda Moore – Athlete Of The Week – September 2026

Congratulations to Miranda Moore from Huntsville High School.  She is the TOC Sports Medicine and Huntsville Hospital Sports Center Athlete of the Week for September 2026.

 

 

Miranda Moore

Huntsville High School

Softball

GPA  4.3

 

 

 

–        6-Year Softball Team Member / 3-Year Varsity Member / Varsity Flag Football Team Member / Winner “Sportsmanship Award” – Flag Football

–        National Honors Society Member / Rho Kappa Member (Social Studies Honor Society) / National Science Honor Society Member / Math Honor Society

–        Student Worker – Fellowship of Christian Athletes / Fellowship camp Leader / High School CO-OP Ambassador

 

Mason Alexander – Athlete Of The Week – September 2026

Congratulations to Mason Alexander from Huntsville High School.  He is the TOC Sports Medicine and Huntsville Hospital Sports Center Athlete of the Week for September 2026.

 

 

 

 

Mason Alexander

Huntsville High School
Cross Country / Indoor & Outdoor Track

GPA 4.31

 

 

–        Multi-Year Varsity Member of Indoor/Outdoor State Track Team / Member of 2024 7A State Championship CC Team / 2025 Cross Country All-State Runner

–        A-Honor Roll Member / AP Scholar with Distinction / Full AP Course Load / Member of Latin Honor Society and Science Honor Society

–        Mana House Volunteer / Member of the “Peer 2 Peer” Helper Program / Co-Founder of “Motion Christian Club” / Student Council Member

Haley Taylor – Athlete Of The Week – September 2026

Congratulations to Haley Taylor from Westminster Christian Academy.  She is the TOC Sports Medicine and Huntsville Hospital Sports Center Athlete of the Week for September 2026.

 

 

 

 

Haley Taylor

Westminster Christian Academy

Volleyball / Softball / Flag Football

3.71 GPA

 

 

–        6-Year Varsity Softball Starter / 3-Year Volleyball Starter / 2X First Team All-Area Softball Team / Member of 2025 Quarter Final Softball Team

–        A/B Honor Roll Member / Beta Club Member / Key Club Member / Dual-Enrollment with more than 12 Collegiate hours upon graduation

–        Volunteer Student Leader for FCA / School Activity Coordinator for WCA / Community event volunteer with more than 100 hours logged

Huntsville Friday Night Injury Clinic Shifting to Saturday Morning!

🏈 AN UPDATE FROM TOC SPORTS 🏈

As we kick off another fall sports season, we want to share an important update with our athletes, families, coaches, and community.

Beginning this fall, TOC will no longer offer our Huntsville Friday Night Injury Clinic.

But when the bumps, bruises, and injuries of Friday night get the best of you, TOC Urgent Ortho is here to help Saturday morning!

Our Saturday Morning Urgent Ortho Clinic provides convenient access to specialized orthopaedic care for sports injuries and other orthopaedic concerns that just can’t wait until Monday.

📅 Saturdays
⏰ 8 a.m. – Noon
📍 First floor of TOC in the Huntsville Medical District

We’re grateful for the many years of support for our Friday Night Injury Clinic and look forward to continuing to care for athletes and families through TOC Urgent Ortho.

TOC Sports — We Are Sports Medicine! 🏈

Happy Retirement to Two Remarkable Doctors!

This year, TOC bids a fond and heartfelt farewell to two extraordinary physicians as they step into retirement. Dr. Leberte and Dr. Greco have each dedicated their careers to the health and well-being of our patients and community, and their retirement marks the end of an era for our practice.

Dr. Leberte: 37 Years of Dedicated Care
Trauma Orthopaedics | Joint Replacement | Hip, Knee & Shoulder

For an incredible 37 years, Dr. Leberte has been a trusted and steady presence at TOC, specializing in trauma orthopaedics and joint replacement of the hip, knee, and shoulder. Early in his career, he played an instrumental role in launching the Orthopaedic Trauma Service alongside TOC and Huntsville Hospital Health System, a lasting contribution that has shaped patient care ever since. Over nearly four decades, he has treated countless patients with skill, compassion, and an unwavering commitment to excellence, consistently earning high praise for his competence and caring demeanor. Patients especially valued how attentively he listens to their concerns, how accurately he identifies issues, and how clearly he explains treatment options, an approach that has led to effective care and positive outcomes for so many.

Dr. Greco: 29 Years of Compassionate Care
Sports Medicine | Knee & Shoulder

Alongside Dr. Leberte, Dr. Greco has spent 29 years at TOC as a dedicated sports medicine specialist focused on the knee and shoulder, helping countless patients get back to the activities, sports, and lives they love. Beyond the exam room, his deep involvement with local high schools, colleges like Alabama A&M, and other local athletes, alongside his partnership with Huntsville Hospital Health System, was instrumental in creating the HH Sports Center that has served North Alabama athletes for nearly two decades. Patients consistently reported a highly positive experience with Dr. Greco, frequentlycommending his professional, kind, and compassionate approach. He is especially noted for attentively listening, thoroughly explaining medical information, and offering clear treatment options tailored to each patient’s individual needs.

A Legacy That Will Continue

Together, Dr. Leberte and Dr. Greco represent 66 combined years of experience, care, and leadership at TOC. They’ve mentored younger physicians, strengthened our practice’s reputation in the community, and touched the lives of thousands of patients, athletes, and families in the North Alabama area.

While we will miss seeing them in the halls of TOC every day, we know this new chapter holds wonderful things: more time with family, long-awaited travels, favorite hobbies, and the freedom to enjoy the rest that they have so richly earned.

Thank You, and Congratulations!

On behalf of everyone at TOC – physicians, staff, and the countless patients whose lives you’ve touched – thank you for your years of service, your expertise, and your heart. Please join us in wishing Dr. Leberte and Dr. Greco a happy, healthy, and well-deserved retirement.

Congratulations, Dr. Leberte and Dr. Greco! Wishing you all the best in this exciting new chapter.

The Future of Joint Care Is Here: What You Need to Know About Robotic-Assisted Surgery

There was a time when joint replacement surgery meant a lengthy hospital stay, months of rehabilitation, and significant uncertainty about the final outcome. Today, thanks to robotic-assisted surgery, that story is being rewritten with one precision-guided incision at a time.

At The Orthopeadic Center, we believe that an informed patient is an empowered patient. Whether you are exploring treatment options for a painful hip, a worn-out knee, or another joint condition, understanding the tools and technology behind modern orthopeadic care can help you make the best decision for your health. That is why we are taking a closer look at robotic-assisted surgery, what it is, how it works, and how it can play a meaningful role in your recovery.

What Is Robotic-Assisted Surgery?

Robotic-assisted surgery is not a robot performing an operation on its own. Let us be clear about that from the start. Your surgeon is always in complete control. What robotic technology provides is a highly sophisticated system that enhances the surgeon’s precision, improves real-time data, and allows for a level of accuracy that goes beyond what the human hand alone can achieve.

The most widely used systems in orthopeadic surgery typically combine three key components:

Pre-Operative 3D Planning. Before you ever enter the operating room, a CT scan of your joint is used to create a three-dimensional model of your unique anatomy. Surgeon use this model to build a personalized surgical plan tailored specifically to your bone structure, alignment, and implant placement needs. No two patients are alike, and this technology ensures your surgery is not treated as one-size-fits-all.

Intraoperative Guidance. During surgery, the robotic arm provides real-time feedback to the surgeon. If the surgical instrument moves outside the pre-planned boundaries — even by a fraction of a millimeter — the system immediatelyalerts the surgeon. This boundary protection helps ensure that bone removal is precise and that only the intended tissue is affected.

Implant Positioning. One of the most critical factors in the long-term success of a joint replacement is how well the implant is positioned. Robotic assistance helps surgeons achieve optimal alignment and fit, which can directly influence how the joint feels and functions for years to come.

 

Who Is a Candidate for Robotic-Assisted Surgery?

Robotic-assisted technology is often used for:

  • Total knee replacement — for patients with advanced arthritis or significant joint damage affecting the entire knee
  • Partial knee replacement — for patients whose arthritis is isolated to just one compartment of the knee
  • Total hip replacement — for patients with hip arthritis, avascular necrosis, or hip joint deterioration

During your consultation, our orthopeadic team will evaluate your imaging, your symptoms, your overall health, and your goals for recovery to determine whether robotic-assisted surgery is the right fit for you. Not every patient requires robotic assistance, but for those who do, the benefits can be significant.

 

How Does Robotic-Assisted Surgery Affect Recovery?

Recovery is one of the most important chapters in any surgical journey. And this is precisely where robotic-assisted surgery has shown some of its most promising advantages.

Less Trauma to Surrounding Tissue. Because the system helps the surgeon work within tightly defined boundaries, there is typically less disruption to the muscles and soft tissues surrounding the joint. Less trauma during surgery generally translates to less pain after surgery.

Reduced Blood Loss. The precision of robotic-guided bone preparation can result in less intraoperative bleeding compared to traditional manual techniques, which supports a smoother recovery process.

Faster Return to Function. Many patients who undergo robotic-assisted joint replacement report being able to bear weight and begin physical therapy sooner than they anticipated. While every recovery is individual and depends on a range of factors including age, overall health, and adherence to physical therapy, robotic surgery’s precision helps lay a strong foundation for a quicker return to everyday activities.

Longer-Lasting Results. Proper implant positioning is one of the strongest predictors of how long a joint replacement will last. When an implant is placed with greater accuracy, it wears more evenly and is less likely to require revision surgery down the road. Robotic assistance significantly improves the consistency of implant placement, which benefits patients for decades, not just months.

Better Symmetry and Natural Feel. Patients often report that a robotically assisted joint replacement feels more natural than they expected. This is in part because the personalized pre-surgical planning accounts for each patient’s specific anatomy and helps the surgical team replicate natural joint mechanics as closely as possible.

 

What to Expect on the Day of Surgery

Understanding the process can help ease anxiety and set realistic expectations.

Your care team will review your pre-operative imaging and surgical plan one final time before you enter the operating room. Once you are under anesthesia, your surgeon will use the robotic arm system in combination with their own skill and clinical judgment to carry out the joint replacement. The robotic technology does not replace the surgeon’s decision-making — it augments it.

Most robotic-assisted knee and hip replacements are performed in two to three hours. Many patients are encouraged to stand or take a few steps with assistance the same day as surgery.

Depending on your overall health and the complexity of your procedure, you may be discharged to go home the same day or after a brief hospital stay. Your care team will provide a detailed recovery plan, including guidelines for pain management, activity levels, and physical therapy scheduling.

Our Commitment to Advanced Orthopedic Care

At our orthopedic center, we are proud to offer robotic-assisted surgery as part of a comprehensive approach to joint health. Our board-certified orthopedic surgeons have extensive training in robotic-assisted techniques and are committed to using technology not for technology’s sake, but because it genuinely produces better outcomes for our patients.

From your very first consultation through your final follow-up visit, you will be guided by a team that combines advanced surgical expertise with compassionate, individualized care. We take the time to listen to your concerns, explain your options in plain language, and build a treatment plan that fits your life.

Our orthopedic services include:

  • Comprehensive joint evaluations and diagnostics
  • Robotic-assisted total and partial knee replacement
  • Robotic-assisted total hip replacement
  • Minimally invasive surgical techniques
  • Sports medicine and injury treatment
  • Physical therapy and post-operative rehabilitation support
  • Fracture care and trauma orthopaedics
  • Spine care and treatment

Ready to Take the Next Step?

If you are living with joint pain that is affecting your quality of life, you do not have to accept that as your new normal. Advances in robotic-assisted surgery have made joint replacement safer, more precise, and more effective than ever before — and the right care team can help you get back to doing the things that matter most.

Contact our office today to schedule a consultation and find out whether robotic-assisted surgery may be the right option for you. Our team is here to answer your questions, walk you through your imaging, and help you take confident steps toward a more comfortable, active life.

Schedule an appointment today!