Comprehensive care and expertise

HSA’s commitment to excellence extends beyond our advanced surgical procedures. We take a comprehensive approach to each patient's care, ensuring a thorough evaluation and personalized treatment plan. For example, our surgeons work closely with physical therapists to facilitate a smooth recovery and optimal rehabilitation after joint replacement surgery in Chicago. Our focus on patient-centered care and specialized expertise makes us the premier choice for joint replacement surgeries in the Midwest.

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Wrist and elbow joint replacement surgeries

These exceptional qualifications are complemented by their empathetic nature. They prioritize open communication with patients, addressing concerns and thoroughly explaining treatment options. Our surgeons are committed to building strong doctor-patient relationships built on trust, respect, and shared decision-making.

When you choose Hand to Shoulder Associates for your joint replacement needs, you can rest assured that you are in the hands of some of the Midwest's most skilled and compassionate surgeons. We are dedicated to helping you regain mobility, alleviate pain, and restore your quality of life, one joint at a time.


If joint pain and limitations affect your quality of life, don't hesitate to seek our advanced care at Hand to Shoulder Associates. Contact us today to begin your journey.

Finger joint replacement

When arthritis or severe joint damage affects the fingers, finger joint replacement surgery may be a viable option. The procedure involves replacing damaged or diseased finger joints with artificial implants, allowing for improved joint movement and reduced pain. This type of surgery is often recommended when non-surgical treatments—such as medication, splinting, or physical therapy—fail to provide adequate relief. Finger joint replacement aims to restore function, improve hand alignment, and enhance overall quality of life. Patients typically experience reduced stiffness, better grip strength, and increased ability to perform daily tasks. For those seeking a joint replacement in Chicago, Hand to Shoulder Associates offers specialized care from experienced surgeons who focus on the intricacies of upper extremity procedures. Recovery involves a combination of rest, rehabilitation, and guided therapy to ensure optimal outcomes

Wrist joint replacement

Wrist joint replacement surgery is a highly effective option for individuals suffering from advanced wrist arthritis, joint degeneration, or chronic pain that limits mobility. During the procedure, the damaged surfaces of the wrist joint are carefully removed and replaced with durable artificial implants designed to mimic the wrist's natural movement. This allows for improved joint alignment, reduced pain, and increased range of motion. Wrist replacement is typically considered when conservative treatments—such as bracing, medications, or steroid injections—no longer provide relief. It can be particularly beneficial for patients seeking to regain function for daily activities like writing, gripping, or lifting. With proper rehabilitation and post-operative care, many patients experience long-lasting comfort and hand performance improvements. Hand to Shoulder Associates offers specialized surgical expertise in wrist replacement procedures, ensuring personalized care and optimal outcomes.

Elbow joint replacement

Elbow joint replacement is a specialized surgical procedure designed for patients experiencing severe pain, stiffness, or loss of function due to advanced elbow arthritis, trauma, or joint deterioration. The surgery involves replacing the damaged portions of the elbow joint with artificial components made of metal and high-grade plastic, which work together to restore smooth, stable movement. This procedure is often recommended when conservative treatments—such as physical therapy, injections, or medication—no longer provide sufficient relief. Elbow replacement can significantly improve a patient’s ability to perform daily tasks such as lifting, reaching, or dressing by alleviating pain and restoring joint mechanics. Our experienced surgical team utilizes advanced techniques and personalized treatment plans at Hand to Shoulder Associates to ensure the best possible outcomes. Patients can achieve long-term improvements in comfort and elbow mobility with focused rehabilitation and expert care.

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Meet Our Surgeons Fellowship-Trained, Board-Certified

The fellowship-trained, board certified surgeons at HSA focus solely on all aspects of the entire upper extremity and are at the top of their respective fields in orthopedic and hand surgery. They provide treatment for all injuries/diseases of the shoulder, elbow, wrist and hand ranging from simple problems to the most complicated conditions.

Michael I.
Vender, MD

With profound expertise in hand and wrist surgery, Dr. Michael I. Vender stands as a preeminent practitioner, active both in Illinois and the broader national arena. As a trailblazing authority, he holds a storied legacy of addressing hand and wrist injuries and conditions, spanning several decades, earning him well-deserved acclaim in the field.

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Michael I. Vender, MD

Scott D.
Sagerman, MD

Devoting his professional journey to cutting-edge surgery for hand, elbow, wrist, and shoulder concerns, Dr. Sagerman tirelessly works to reinstate ease, movement, and capability. His excellence has earned him recognition as a distinguished Top Doctor by Castle Connolly. He has also served as an instructor of Clinical Orthopedic Surgery at Northwestern University Medical School.

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Scott D. Sagerman, MD

Prasant
Atluri MD

At Hand to Shoulder Associates, Dr. Atluri introduces his exceptional prowess in microvascular hand surgery. Rooted in substantial experience and comprehensive medical training, his advanced proficiency addresses an array of hand, wrist, elbow, and shoulder ailments. His distinction as a Castle Connolly Top Doctor further underscores his contributions to the field.

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Prasant Atluri MD

Sam J.
Biafora, MD

Dr. Sam Biafora specializes in upper extremity surgery, combining surgical acumen with genuine empathy. Pioneering the frontier of cutting-edge advancements, he stays ahead in the field. Since 2018, his unwavering commitment has earned him the distinguished title of a Castle Connolly Top Doctor, specializing exclusively in hand, wrist, elbow, and shoulder surgery.

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Michael V.
Birman, MD

Dr. Birman's educational journey showcased brilliance as he achieved academic excellence. Graduating summa cum laude from Washington University in St. Louis, Missouri, he earned a dual Bachelor of Science degree in biomedical engineering and chemical engineering. Shifting his trajectory, he embraced the realm of orthopedic medicine, solidifying his commitment to healthcare.

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Ajay K.
Balaram, MD

Having fulfilled his orthopedic surgery residency at Loyola University Chicago, Dr. Balaram embarked on a specialized path. His journey led him to conquer the Kaplan Hand and Upper Extremity fellowship at New York University Hospital in Manhattan. His distinction as a Castle Connolly Top Doctor further validates his expertise and dedication to the field.

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A commitment to excellence

At Hand to Shoulder Associates, our commitment to excellence in patient care is mirrored by the expertise and qualifications of our top-rated surgeons. Each surgical team member is a board-certified orthopedic surgeon, holding prestigious certifications from the American Board of Orthopaedic Surgeons. Additionally, our surgeons have pursued advanced sub-specialization training in upper extremity and microvascular surgery, further enhancing their knowledge and skills in treating complex hand, wrist, elbow, and shoulder conditions.

Our surgeons' extensive training and experience enable them to employ the latest surgical techniques and innovative technologies in joint replacement procedures. As trusted Chicago joint replacement specialists, they are at the forefront of medical advancements, continuously expanding their knowledge to offer our patients the most effective and precise treatments. This commitment to continual learning and collaboration ensures that patients seeking joint replacement in Chicago receive the highest standard of care based on the latest evidence-based practices.

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Joint Replacement FAQ

Can I undergo joint replacement surgery if I have other health conditions?

What are the risks associated with joint replacement surgery?

What activities should I avoid after joint replacement surgery?

Can I participate in sports or exercise after joint replacement surgery?

Will I need to make any modifications to my home after joint replacement surgery?

Can I undergo joint replacement surgery if I have other health conditions?

In many cases, yes, but it depends on the specific health conditions and their severity. Your surgeon will evaluate your overall health and medical history to determine if joint replacement surgery is safe for you.

What are the risks associated with joint replacement surgery?

Common risks include infection, blood clots, implant loosening, dislocation, nerve injury, and ongoing pain. However, complications are relatively rare, and the benefits often outweigh the risks for most patients.

What activities should I avoid after joint replacement surgery?

While joint replacement surgery can significantly improve your quality of life, it's essential to avoid high-impact activities and heavy lifting that could put excessive strain on the replaced joint. Your surgeon will provide specific guidelines based on your individual situation.

Can I participate in sports or exercise after joint replacement surgery?

While low-impact activities such as swimming, cycling, and walking are generally safe and beneficial after joint replacement surgery in Chicago, it's essential to avoid high-impact sports or activities that could increase the risk of implant damage or dislocation. Your surgeon can provide personalized recommendations based on your specific situation.

Will I need to make any modifications to my home after joint replacement surgery?

Depending on your mobility and safety needs, you may need to make temporary modifications to your home, such as installing handrails, raised toilet seats, or shower chairs. Your healthcare team can provide guidance on home modifications during the recovery period.

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