Orthopedic Surgery

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Type of surgery offered:

HIP SURGERY

The hip is a crucial joint for walking, sitting, standing, and performing daily activities. When the hip becomes painful or stiff, hip surgery may be necessary.

Praxis Clinic provides comprehensive and personalized support for all hip surgeries : total hip replacement, bilateral hip replacement, or hip bursectomy. Our goal is to relieve pain, restore mobility, and help patients return to an active life. Our orthopedic surgeons guide you through every step and select the procedure best suited to your condition.

HIP ANATOMY AND JOINT DEGENERATION

The hip connects the femur (thigh bone) to the pelvis. It consists of the femoral head, which fits into a cavity in the pelvis called the acetabulum, and is covered with articular cartilage that ensures smooth, friction-free movement. Surrounding the joint are ligaments, muscles, and bursae, small fluid-filled sacs that reduce friction.

When the cartilage gradually wears down, it is called joint degeneration, which can cause pain and stiffness.

This condition typically presents with several characteristic symptoms:
  • Pain in the groin, buttock, or thigh
  • Stiffness and limited range of motion
  • Difficulty walking, climbing stairs, or squatting
  • Limping or discomfort at rest
Joint wear can be caused by osteoarthritis, avascular necrosis, previous fractures, anatomical abnormalities, or inflammatory diseases.

OUR SURGICAL PROCEDURES

  • Total hip replacement: Surgery to replace the hip with an artificial prosthesis, usually indicated for severe osteoarthritis or avascular necrosis. This procedure aims to reduce pain, improve mobility, and enable a return to functional activities.
  • Bilateral total hip replacement: Surgery to replace both hips with artificial prostheses, typically recommended for severe bilateral osteoarthritis or avascular necrosis. It provides balanced mobility, improved posture, reduced bilateral pain, and allows rehabilitation to be concentrated in a single period.
  • Hip bursectomy: Hip bursectomy involves removing the bursa (small fluid-filled sac) around the joint, usually indicated for persistent bursitis despite conservative treatment. It provides lasting pain relief, a gradual return to daily and sports activities, and is often performed arthroscopically to minimize invasiveness.

CARE PROCESS AT PRAXIS CLINIC

Before surgery:
  • Comprehensive consultation and evaluation
  • Preoperative tests (blood work, X-rays, MRI if needed)
  • Discussion of prosthesis type and surgical protocol
  • Advice on physical and nutritional preparation
After surgery:
  • Hospitalization: 2 to 5 days depending on the procedure
  • Personalized rehabilitation program
  • Regular follow-ups with control X-rays
  • Practical guidance for movements and daily life

FAQ – HIP SURGERY

Who is a hip replacement for?
For patients experiencing chronic pain and persistent mobility limitations despite conservative treatment.
What is the cost of a hip prosthesis?
The cost varies depending on the type of procedure, the chosen prosthesis, and the length of hospitalization. It is specified during the preoperative consultation.
What is the recovery time?
  • Bursectomy: a few weeks
  • Total or bilateral hip replacement: several months, depending on rehabilitation
When can one walk after a hip replacement?
Often as early as the first or second postoperative day, with assistance.
What is the length of hospital stay?
Generally, 2 to 5 days, depending on the procedure and the patient’s condition.
What activities are restricted with a hip prosthesis?

Extreme movements or forced rotations should be avoided initially. Light activities and adapted sports are possible after rehabilitation.

What is the latest hip replacement procedure?
Modern prostheses, including dual-mobility and customized implants, provide increased stability and maximum range of motion.
How long does full rehabilitation take?
On average, 6 to 12 weeks to regain full functional independence, depending on age and physical condition.
No request or reference needed.

KNEE SURGERY

The knee is a crucial joint for walking, running, squatting, and performing daily activities. When the knee becomes painful, stiff, or unstable, knee surgery may be necessary.

Praxis Clinic provides comprehensive and personalized support for all knee surgeries: arthroscopy with partial meniscectomy, total knee replacement, or bilateral total knee replacement. Our goal is to relieve pain, restore mobility, and help patients return to an active life. Our orthopedic surgeons guide you through every step and select the procedure best suited to your condition.

KNEE ANATOMY AND JOINT DEGENERATION

The knee connects the femur (thigh bone) to the tibia (shin bone) and includes the patella at the front to protect the joint. It is composed of articular cartilage, menisci (two crescent-shaped cartilage cushions), ligaments that ensure stability, and tendons and muscles that enable movement.

When the cartilage or menisci wear out or tear, it is called joint degeneration or a meniscal injury, causing pain, stiffness, and limited movement.

This condition typically presents with several characteristic symptoms:

  • Knee pain, especially when walking or climbing stairs

  • Stiffness and limited range of motion

  • Swelling or a feeling of locking

  • Difficulty squatting or rising from a chair

This condition may be caused by osteoarthritis, meniscal tears, trauma, previous fractures, or inflammatory diseases.

OUR SURGICAL PROCEDURES

  • Knee arthroscopy + partial meniscectomy: A procedure aimed at repairing or removing the damaged portion of the meniscus to relieve pain and improve joint function.
    This procedure aims to reduce pain, restore mobility, and allow a quick return to daily and sports activities.
  • Total knee replacement: Surgery to replace the knee joint with an artificial prosthesis, usually indicated in cases of advanced osteoarthritis or joint degeneration.
    It provides lasting pain relief, improves mobility, and supports gradual resumption of functional activities.
  • Bilateral total knee replacement: Surgery to replace both knees with artificial prostheses, usually indicated in cases of advanced bilateral osteoarthritis or joint degeneration.
    This procedure offers balanced mobility, improved posture, reduced bilateral pain, and rehabilitation concentrated into a single period.

CARE PROCESS AT PRAXIS CLINIC

Before surgery:

  • Comprehensive consultation and evaluation
  • Preoperative tests (blood work, X-rays, MRI if necessary)
  • Discussion of the type of prosthesis or meniscus repair and surgical protocol
  • Advice on physical and nutritional preparation

After surgery:

  • Hospitalization: 1 to 5 days depending on the procedure
  • Personalized rehabilitation program
  • Regular follow-ups with control X-rays
  • Practical guidance for movements and daily life

FAQ – KNEE SURGERY

Who are knee procedures intended for?

Knee surgeries are indicated for patients whose persistent pain, stiffness, or instability does not improve with conservative treatments (physical therapy, medications, injections). Typical candidates include:

  • Advanced osteoarthritis or joint degeneration
  • Persistent or irreparable meniscal tears
  • Chronic pain limiting daily activities
  • Instability or locking of the joint
What is the cost of a knee prosthesis?
The cost varies depending on:
  • The type of prosthesis chosen (standard, custom, dual-mobility)
  • The number of knees operated on (unilateral or bilateral)
  • The length of hospitalization and the complexity of the surgery
The exact price is provided during the preoperative consultation after assessing your condition and specific needs.
What is the recovery time?
  • Arthroscopy + partial meniscectomy: generally 2 to 6 weeks, depending on age and physical activity.
  • Total knee replacement: approximately 6 to 12 weeks to regain functional independence, with gradual rehabilitation.
  • Bilateral replacement: may require 8 to 16 weeks, due to simultaneous recovery of both knees.
When can one walk after knee surgery?
  • Arthroscopy / meniscectomy: often the same day or the next day, with gradual weight-bearing as tolerated.
  • Total / bilateral knee replacement: from the first or second postoperative day, using a walker or crutches. Walking gradually becomes independent with rehabilitation.
What is the length of hospital stay?
  • Arthroscopy: usually 1 to 2 days or as outpatient surgery.
  • Total knee replacement: 3 to 5 days on average, depending on the patient’s overall condition.
  • Bilateral knee replacement: often 4 to 7 days, to ensure proper monitoring and the start of safe rehabilitation.
What activities are restricted after knee surgery?
  • Avoid extreme or high-impact movements during the initial rehabilitation period.
  • High-impact sports (running, jumping, football) are not recommended before 3 to 6 months, depending on the surgery and recovery.
  • Walking, cycling on flat terrain, and swimming are encouraged from the start of rehabilitation.
What is the latest knee replacement procedure?

The latest advancements include:

  • Customized prostheses (size and shape tailored to the patient’s anatomy)
  • Rotating-stabilized prostheses to improve flexion and stability
  • Minimally invasive and arthroscopic techniques to reduce pain and speed up recovery

These innovations provide better mobility, increased implant durability, and faster recovery.

How long does full rehabilitation take?
  • Arthroscopy + meniscectomy: generally 2 to 6 weeks
  • Total knee replacement: approximately 6 to 12 weeks to regain full functional independence
  • Bilateral knee replacement: 8 to 16 weeks, varying according to age, physical condition, and patient motivation

Rehabilitation includes physical therapy, muscle strengthening, and learning daily movements to restore mobility and stability.

No request or reference needed.

SHOULDER SURGERY

The shoulder is a complex and essential joint for raising the arm, grasping objects, throwing or carrying, and performing daily activities. When the shoulder becomes painful, stiff, or unstable, shoulder surgery may be necessary.

Praxis Clinic provides comprehensive and personalized support for all shoulder surgeries: total shoulder replacement, arthroscopy with rotator cuff repair, or arthroscopy with labrum (Bankart) repair. Our goal is to relieve pain, restore mobility, and help patients return to an active life. Our orthopedic surgeons guide you through every step and select the procedure best suited to your condition.

SHOULDER ANATOMY AND JOINT DEGENERATION

The shoulder connects the humerus (arm bone) to the glenoid cavity of the scapula. It consists of the humeral head, which fits into the glenoid, and is covered with articular cartilage that allows smooth movement. The joint is surrounded by ligaments, tendons, and muscles, including the rotator cuff, and bursae that reduce friction.

When the cartilage or tendons wear out or tear, it is called joint degeneration or rotator cuff/labrum injury, causing pain, stiffness, and limited movement.

This condition may present with several characteristic symptoms:

  • Shoulder pain, especially at night or during overhead movements
  • Stiffness and limited range of motion
  • Instability or a feeling of dislocation
  • Difficulty carrying or lifting objects

The main causes include osteoarthritis, rotator cuff tears, labrum injuries, trauma, or inflammatory diseases.

OUR SURGICAL PROCEDURES

  • Total shoulder replacement: Surgery to replace damaged joint surfaces with a prosthesis, often indicated in cases of advanced osteoarthritis. It relieves pain, restores mobility, and allows return to functional activities.
  • Shoulder arthroscopy with rotator cuff repair: Procedure to repair torn tendons to reduce pain and restore joint function. Performed arthroscopically, it minimizes invasiveness and speeds up recovery.
  • Shoulder arthroscopy with labrum repair (Bankart): Arthroscopic repair of the anterior or posterior labrum, often necessary after shoulder dislocation or instability. It stabilizes the joint and prevents recurrence.

CARE PROCESS AT PRAXIS CLINIC

Before surgery:

  • Comprehensive consultation and evaluation
  • Preoperative tests (blood work, X-rays, MRI if needed)
  • Discussion of the type of prosthesis or repair and surgical protocol
  • Advice on physical and nutritional preparation

After surgery:

  • Hospitalization: 1 to 5 days depending on the procedure
  • Personalized rehabilitation program
  • Regular follow-up with X-rays or MRI
  • Practical guidance for movements and daily life

FAQ – SHOULDER SURGERY

Who are shoulder procedures intended for?

For patients experiencing persistent pain, limited mobility, instability, or recurrent dislocations despite conservative treatments.

What is the cost of a shoulder prosthesis or arthroscopy?
The cost varies depending on the type of surgery, the chosen prosthesis, and the length of hospitalization. The exact price is provided after evaluation during the consultation.
What is the recovery time?
  • Arthroscopy (rotator cuff or labrum): generally 4 to 8 weeks
  • Total shoulder replacement: approximately 8 to 12 weeks to regain full function
When can one use the arm after shoulder surgery?
  • Arthroscopy: gradual mobilization starting the next day, according to the surgeon’s recommendations
  • Prosthesis: passive movements and guided exercises in the days following surgery, more active use after a few weeks
  •  
What is the length of hospital stay?
  • Arthroscopy: often 1 to 2 days
  • Total prosthesis: 2 to 4 days depending on the patient’s condition
  •  
What activities are restricted after shoulder surgery?
  • Avoid sudden movements or lifting heavy loads during the first few weeks
  • Contact sports or extreme movements are restricted until cleared by the surgeon
How long does full rehabilitation take?
  • Arthroscopy: 4 to 8 weeks depending on the procedure and muscle recovery
  • Total prosthesis: 8 to 12 weeks, with guided exercises to restore range of motion, strength, and full function
  •  

No request or reference needed.

WRIST AND HAND SURGERY

The wrist and hand are essential joints and structures for grasping, writing, manipulating objects, and performing daily activities. When the wrist or fingers become painful, stiff, or locked, wrist or hand surgery may be necessary.

Praxis Clinic provides comprehensive and personalized support for all wrist and hand surgeries: carpal tunnel release and trigger finger release (tenoligamentous). Our goal is to relieve pain, restore mobility, and enable a rapid return to functional activities. Our orthopedic surgeons specializing in hand surgery guide you through every step and select the procedure best suited to your condition.

WRIST AND HAND ANATOMY AND ASSOCIATED CONDITIONS

The wrist connects the forearm to the hand and is composed of eight small bones forming two rows of joints. It is surrounded by ligaments that stabilize the joint, flexor and extensor tendons that allow finger movement, and nerves such as the median nerve, responsible for sensation and motor function in the fingers.

Common conditions include nerve compression in the carpal tunnel and trigger finger, causing pain, locking, and limited movement. These conditions typically present with:

  • Pain or numbness in the hand or fingers
  • Finger locking or a “catching” sensation during flexion/extension
  • Weakness or difficulty grasping objects
  • Stiffness or limited range of motion

OUR SURGICAL PROCEDURES

  • Carpal tunnel release: Procedure to relieve compression of the median nerve in the carpal tunnel. It helps reduce pain and numbness, restore function, and prevent symptom worsening. This surgery is generally minimally invasive. For more details, see our minor surgery page.
  • Trigger finger release (tenoligamentous): Procedure to release a blocked flexor tendon, allowing smooth finger movement without locking or pain. It improves grip and comfort in daily activities.

CARE PROCESS AT PRAXIS CLINIC

Before surgery:

  • Comprehensive consultation and evaluation
  • Preoperative tests if necessary
  • Discussion of the surgical technique and recovery protocol
  • Advice on physical preparation and lifestyle adjustments

After surgery:

  • Hospitalization: often outpatient or 1 day depending on the procedure
  • Personalized rehabilitation program
  • Regular follow-up to check healing and mobility
  • Practical guidance for movements, daily life, and return to work

FAQ – WRIST AND HAND SURGERY

Who are these procedures intended for?

They are intended for patients experiencing persistent pain, numbness, or locking, particularly in cases of carpal tunnel syndrome or trigger finger, when conservative treatments have not been effective.

What is the cost of private wrist or hand surgery?
Rates vary depending on the procedure and the type of anesthesia. The initial consultation with the surgeon allows for a precise quote to be established.
What is the recovery time?

Recovery depends on the procedure: generally 2 to 6 weeks for trigger finger release and 4 to 8 weeks for carpal tunnel decompression, with a gradual return to activities.

When can hand or finger use be resumed?
Gentle movements can often be resumed the next day or after a few days, but full use and maximum strength are regained after several weeks of rehabilitation.
What is the length of hospital stay?
Most procedures are performed on an outpatient basis. In certain cases, an overnight hospital stay may be required.
Which activities are restricted after wrist or hand surgery?
It is recommended to avoid strenuous activities, heavy lifting, and repetitive movements until full recovery and clearance by the surgeon or physical therapist.
How long does full rehabilitation take?

Rehabilitation varies depending on the procedure and the severity of symptoms, generally lasting 4 to 8 weeks, and sometimes longer for complex or combined cases.

No request or reference needed.

Meet our orthopedic surgeons

 Dr Mina W. Morcos MD, MSc, FRCSC

Orthopedic Surgeon

 Dr Mina W. Morcos MD, MSc, FRCSC

Orthopedic Surgeon

Dr. Morcos is an orthopedic surgeon specializing in complex hip and knee replacement surgery. He earned his medical degree from Laval University and completed his orthopedic training at McGill University, where he also obtained a Master’s in Experimental Sciences. He then pursued advanced postdoctoral training, including a prestigious fellowship at Western University, followed by two additional fellowships at the University of Toronto: one in complex hip and knee reconstruction in adults and another in trauma surgery.

An academic orthopedic surgeon, Dr. Morcos is also an Assistant Professor of Surgery at the University of Montreal. His clinical interests include rapid recovery, minimally invasive surgery, and robotic-assisted procedures. His expertise covers total hip and knee replacement, partial knee replacement, and patellofemoral joint replacement. Dr. Morcos offers prompt private consultations and surgical interventions in Montreal, serving patients from Quebec, across Canada, and internationally.

He primarily performs procedures for:

Dr Maxime Gaudreault MD, MSc, FRCSC

Orthopedic Surgeon

Dr. Maxime Gaudreault is a board-certified orthopedic surgeon recognized for his rigorous, compassionate, and patient-centered approach. He earned his medical degree from the University of Montreal and completed his residency in orthopedic surgery at the same institution before beginning his practice in sports surgery, arthroplasty, and trauma care at the Montérégie-Ouest Integrated Health and Social Services Center.

Committed to comprehensive and integrated care, Dr. Gaudreault also completed training in ultrasound-guided injections, provided by physiatrists at the Institute of Physical Medicine. This clinical training at Hôpital Notre-Dame enables him to deliver precise treatments for musculoskeletal conditions, particularly in cases of joint, tendon, or inflammatory pain.

With several years of experience in both hospital and private practice settings, Dr. Gaudreault offers full expertise in the diagnosis, treatment, and surgery of musculoskeletal disorders, including sports injuries, joint disorders, complex fractures, and joint replacement surgeries. In his private practice, he focuses on accessibility, high-quality care, and building a trusting relationship with his patients. He collaborates closely with multidisciplinary healthcare professionals to provide prompt, personalized, and optimal care.

He primarily performs procedures for:

Dr MaximeGaudreault MD, MSc, FRCSC

Orthopedic Surgeon

Why choose private orthopedic surgery at Praxis?

Waiting too long before undergoing a procedure can lead to increased pain, loss of mobility, and a significant impact on quality of life. This waiting period can have major consequences:

  • Loss of independence
  • Decreased quality of life
  • Impact on work, leisure, and family responsibilities
  • Possible worsening of the orthopedic condition

At Praxis, we understand the urgency of relieving your pain and helping you regain mobility. Our network stands out for the notable expertise of our orthopedic surgeons and the use of state-of-the-art operating rooms, ensuring superior quality care. You can feel completely confident: our teams are attentive, compassionate, and committed to understanding your situation, providing safe, prompt, and personalized care.

A straightforward and compassionate care approach

At Praxis, we believe that no one should have to wait to regain their health and independence. With our private orthopedic surgery service, you can resume your activities, pain-free… and without delay.

Our team supports you from start to finish:

1

Prompt medical evaluation

2

Consultation with a specialized orthopedic surgeon without the need for a referral or request

3

Procedure scheduled within optimal timeframes

4

Personalized post-operative follow-up

Praxis advantages

# 01

We take the time to listen carefully to each patient.

# 02

24/7 call center

Appointment booking is available through our 24/7 call center, with reduced wait times for quick access to our care.
# 03

We offer on-site sampling and testing.

Our professionals

At Praxis, the right care by the right professional is at the heart of our commitment. Our team of private surgery experts ensures that you receive specialized care tailored to your needs. Through thorough evaluations and state-of-the-art treatments, we are dedicated to improving your health and comfort with high-quality surgical interventions.

Patient-centered

We prioritize your needs by providing attentive listening and personalized solutions to meet your expectations. Whether for a scheduled surgical procedure or post-operative follow-up, your comfort and well-being are at the core of our approach.

Excellence and quality of care

Our procedures adhere to the highest standards of safety and precision. We apply innovative techniques and proven expertise to ensure quality care and your satisfaction, while minimizing risks and recovery time.

 

Working together

Our team of professionals works closely together to provide comprehensive care and personalized follow-up. Each member of our team, whether surgeons, anesthetists, or medical staff, applies their expertise to support your recovery.

 

Transparency
We keep you informed at every step of your surgical journey, from the available options to the expected outcomes. This transparency allows you to make informed decisions and feel completely confident throughout your care.

Private clinic

Online appointment

Easily book your consultation at the private clinic with our online appointment service. Enjoy quick access to quality care in just a few clicks. Schedule your visit today and take care of your health without waiting.

 Dr. Mina W. Morcos MD, MSc, FRCSC

Chirurgien orthopédique

 Dr. Mina W. Morcos MD, MSc, FRCSC

Chirurgien orthopédique

Je suis chirurgien orthopédique avec une expertise en chirurgie complexe de remplacement de la hanche et du genou. J’ai obtenu mon diplôme en médecine à l’Université Laval. J’ai effectué ma formation en orthopédie à l’Université McGill, durant laquelle j’ai complété un Master en sciences expérimentales. J’ai poursuivi une fellowship prestigieuse à l’Université Western, suivie de deux autres fellowship à l’Université de Toronto en reconstruction complexe de la hanche et du genou chez l’adulte et en chirurgie du traumatisme. Je suis chirurgien orthopédiste académique et professeur adjoint en chirurgie à l’Université de Montréal
 
J’ai un intérêt particulier pour la récupération rapide et la chirurgie mini-invasive et robotique. Mon expertise réside dans le remplacement total de la hanche et du genou, le remplacement partiel du genou et le remplacement de l’articulation patellofémorale. J’offre des consultations privées rapides et des interventions chirurgicales à Montréal. Ces chirurgies privées sont disponibles pour les patients du Québec, du Canada et internationaux.
Praxis
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