Your world class hip and knee replacement center of excellence has expanded and is now offering sports medicine/general orthopedic services. Contact us today for more information.

Personalized Pre-Operative Joint Replacement Care

The Whole Health Joint Replacement Institute operates under the orthopedic philosophy that a well-educated patient can assist in optimizing the results of their joint replacement. We assess our patient’s health as a whole entity, focusing not only on their physical status but their mental and emotional health as well. Our company believes in the benefits of equipping patients with thorough knowledge of our joint replacement procedures, which they can then use to optimize their wellness and post-operative results. This includes potential risks or complications, what their individual road to recovery will look like, and what kind of realistic expectations they can have about post-op life. Beyond that, we introduce each of our patients to a Personal Patient Concierge (PPC), or someone they can be in constant contact with throughout the process to confidently express any questions or concerns they may be experiencing. Download Whole Health’s new patient joint replacement packet today and schedule your consultation to discuss whether a total joint replacement may be right for you.

Direct Anterior Hip Replacements

The team at Whole Health specializes in direct anterior, or minimally invasive, total hip replacements. During this procedure, the incision and surgical dissection is made in an area that is 100% respectful to normal patient anatomy, where there are no muscles or tendons that are cut and significantly less tissue damage and blood loss, resulting in a significantly faster recovery. This is partially due to the fact that post-operative physical therapy is not typically required when recovering from a direct anterior hip replacement. Whole Health has completed over 2,500 of these minimally invasive hip replacement procedures and counting. (On average, we complete 1,200 joint replacements a year, as opposed to 300-800 a year averaged by other local hospitals).

Direct anterior hip replacements are known for their excellent leg length restoration and success in proper component placement. Whole Health employs an expert team – from surgeons and anesthesiologists to pre-op nurses, post-op nurses, and beyond – with the knowledge and experience necessary to make your direct anterior hip replacement a success. No primary care referral? No problem. We take it upon ourselves to assess the physical and mental preparations necessary for each of our patients, educating them thoroughly about any given surgical procedure. We believe this knowledge can lead to positive lifestyle choices and changes in behavior that can optimize the results of each operation we perform.

Exceptional Pre-Operative Hip Replacement Care

Traditional hip replacements are often done by making a more invasive incision on the side of the hip, directly cutting through the muscles. The most common traditional hip replacement approach is known as the posterior approach, which accounts for roughly 70% of hip replacements. The second most common type of total hip replacement is known as the direct lateral approach, which can be attributed to roughly 15% of total hip replacements. Both of these procedures are noted for cutting the most amount of muscles, which inherently destabilizes the hip joint and results in the highest amount of total hip prosthetic dislocations. Both of these traditional approaches require extensive physical therapy and lead to a temporary limp during the healing process; beyond that, there are substantial precautions to consider, and both operations can lead to long-term leg length discrepancies and instability issues. Procedures like this are the reason Whole Health was founded – as a commitment to discovering and innovating patient-friendly alternatives.

Advantages & Disadvantages of Various Hip Replacement Methods

The advantages of the posterior approach and the direct lateral approach are quite similar. Both procedures are relatively easy to perform for less-skilled or experienced surgeons and lend to wide exposure. However, the disadvantage of using traditional approaches for total hip replacements includes damaging large amounts of muscle (the posterior and direct lateral approach, in particular damage tremendous amounts of muscles and detach muscles/tendons from bone). In fact, in using the posterior approach when doing a total hip replacement it has the highest risk of dislocation (2%-6% of patients).  

While the direct anterior approach can be very challenging for any surgeon from a technical standpoint, it is also the least invasive approach to completing a total hip replacement. Specialized tables, equipment, and more demanding preparations are required to ensure this procedure is successful. The direct anterior approach is inherently incredibly stable, presenting an extremely low risk of dislocation. This operation allows for real-time fluoroscopic feedback, accurate component sizing and positioning, and easier leg length restoration. In this way, the direct anterior approach matches closely with our minimally invasive philosophy as medical professionals. Contact Whole Health today to schedule your consultation and discuss whether a total hip replacement may be right for you.

Potential Risks & Complications for Joint Replacement Surgeries

Being prepared for hip, knee, or shoulder replacement requires physical, mental, and emotional readiness. Although pain after surgery is an anticipated reality, it’s important to keep in mind that this is surgical pain/soreness; it is temporary and should resolve with time. Patients may also experience:

  • Swelling
  • Stiffness
  • Nausea / Vomiting
  • Difficulty Sleeping
  • Bruising
  • Frustration
  • Fatigue
  • Lightheadedness / Dizziness

Today, physicians and other clinicians have gotten very good at anticipating this pain and treating it before it even occurs. Whole Health utilizes a state-of-the-art pain protocol to keep patients feeling better than before.

With all joint replacements, it is necessary to understand the potential risks as they are part of the informed consent process. Some of these complications may include:

  • Infection
  • Blood clot
  • Numbness
  • Damage to muscles, tendons, ligaments & nerves
  • Clicking / popping
  • Failure of procedure
  • Need for revision surgery
  • Implant wear/failure
  • Reactions to medications or anesthesia
  • Death

The Whole Health Joint Replacement Institute is here to keep you from becoming overwhelmed by these risks. Feel free to contact us today with any additional questions you may have.

interested in a hip replacement?

Testimonials

Had hip replacement surgery today… back home and feeling great. Very grateful to have someone of this caliber in Crawford County. From the check in person to Dr. Molli I cannot thank you all enough for your excellent care!

Donald

Dr. Frndak is an amazing surgeon, caring, and devoted to his patients. My first experience with him was in 1994, when, as a new surgeon, he re-replaced my total knee , and most recently, in October of 2019, when he replaced my husband’s hip. I have the utmost faith in him and his skills, and can’t recommend him enough.

Sandy

My father had a wonderful experience with Dr. Molli and staff! He came out of surgery and was very grateful for how well he was cared for and respected as a patient!! Highly recommend this team!! Thank you for all you do for our community!

Ashley

My dad went in December 30 for a total knee replacement. February 14th he turned 85 and is back at full movement and extremely happy with the results. Thank you Dr. Molli and your staff for a job well done and helping to keep our dad active.

Scott

I am so thankful Meadville has such a highly qualified orthopedic surgeon such as Dr. Frndak. I didn’t have to do any searching for a surgeon as he has a great reputation in Meadville and “word of mouth” sometimes says it all! I wouldn’t trust any other to perform my two hip replacements, and in the near future; I will be having both knees replaced. He did a wonderful job with my hip replacements although mine weren’t “typical” hip replacement as I had Congenital Hip Dysplasia with my hip sockets not fully formed. He did a wonderful job in getting the hips in line and where they should be. His medical knowledge and ethics make him an awesome physician. There is no need to go out of town to have any joint replacements.

Patient of Dr. Philip Frndak

I had my partial knee replacement surgery 2/26/20. They give you so much information and you really learn about the procedure before surgery. They provide you with medications that are thorough for every aspect of your healing process. I feel like I was taken care from the beginning (pre-op), surgery and after care. It was an odd time during the quarantine but I knew they were just a phone call away. I cannot say enough about what a positive experience this was. I’m feeling good and looking forward to getting stronger. Such a great feeling of finally being out of constant pain. Thank you Dr. Molli and crew. I’m so happy with you all! I’m getting my life back and it’s a wonderful feeling. Thank you so much.

Wendy

I just wanted to tell you how much I am enjoying my new knees, I am able to go on long walks and be active in other ways with NO PAIN! You did a super job!

Jim
Meadville

My partial knee surgery and recovery were MADE EASY because of you! Thank you for being the BEST!

Kathy
Erie

He put my mind at ease and I never once doubted anything he said. He was so good to me and I have had terrific results because of him. Thank God I investigated before I had the surgery because I feel I got the very best doctor and because of my good outcome many, many people I know have gone to him for surgery or advice. Thank you Dr. Frndak!

Patient of Dr. Philip Frndak

Thank you for the excellent surgery you did for me. I am now ENJOYING my life again. Splash Lagoon and Disney trips are planned soon!

Judy
Meadville

Dr. Milam D.O.

Welcome Dr. Daniel L. Milam, D.O.

Board-Certified / Fellowship-Trained Orthopedic Surgeon Sports Medicine / General Orthopedics

Dr. Daniel Milam is a Board-Certified / Fellowship-Trained Orthopedic Surgeon and has been in practice since 2007. He received his undergraduate degree at the University of Central Florida with a B.S. in Biology (graduating with Honors) and went on to attend medical school at the Kirksville College of Osteopathic Medicine. Dr. Milam completed his internship and Orthopedic residency through Michigan State University at St. John Oakland Hospital, serving as both Chief Intern during his intern year and also as Chief Resident during his final year of Orthopedic Surgery training. Upon completion of his residency, he underwent additional fellowship training in Sports Medicine & Minimally Invasive Shoulder and Knee Surgery at the Michigan Knee & Shoulder Institute (now known as The Institute for Athletic Medicine), acquiring additional expertise and training in minimally invasive and arthroscopic procedures. Dr. Milam also scored in the top 10% in the country on his written and oral board exams for orthopedic surgery and received the 2nd highest score in the nation on his 10-year re-certification exam.

Having been in practice since 2007, Dr. Milam adds a tremendous amount of experience to Whole Health as the Director of the Sports Medicine Institute. He has served as a team physician for multiple universities including the University of Virginia-Wise and Emory & Henry University as well as numerous high schools in the areas where he practiced before joining Whole Health. In addition to this, he has served as Assistant Clinical Professor of Orthopedic Surgery at the Medical School at Virginia Tech (Edward Via College of Osteopathic Medicine), where he taught and trained medical students in Orthopedic Surgery.

Dr. Milam has a special interest in minimally invasive shoulder surgery as well as joint preservation and “Sports Medicine for the Aging Athlete” and has given numerous lectures on this topic in multiple states. While performing a wide range of orthopedic surgeries, his specialties (most common surgeries performed) include:

light colored tree icon

Whole Health


Sports Medicine Institute