Patient holding wrist

Arthritis Surgery

Arthritis is a form of inflammation that affects different joints throughout the body, including the joints of the arms and hands.

Our team of fellowship trained surgeons offer a wide variety of surgical treatments that can relieve pain and restore joint function and mobility.

The Hand to Shoulder Center in Fort Worth, TX, is dedicated to helping you find safe, affordable, long-lasting relief...

Arthritis can affect any joint in the body, including fingers, thumb, wrist, elbow, or shoulder.

Everyone is at risk of developing arthritis...

Arthritis Treatment

Dr. Brian Tobias says arthritis affecting the base of the thumb is a common issue his patients experience. Arthritis treatment can begin with a splint and oral anti-inflammatories, possibly followed by steroid injections. Surgery using minimally invasive techniques can be performed if these solutions don't provide the desired results.

The Knees, Hands, and Hips Are Especially at Risk

Types of Arthritis

Arthritis comes in many different forms, though common symptoms include pain, stiffness, and swelling of the affected joint. Our Fort Worth center can help in the diagnosis and treatment of different types of joint inflammation.


The most common form of arthritis, osteoarthritis is caused by wear and tear on the cartilage and other structures of the joint. It's commonly associated with advanced age and repetitive stress injuries.


Gout is caused by an excessive accumulation of uric acid crystals in a joint. While gout symptoms most often affect the big toe, uric acid crystals can also lead to problems with the elbows, wrists, and fingers.

Rheumatoid Arthritis (RA)

Rheumatoid arthritis is an autoimmune disease, meaning that the body's own immune system starts attacking different joints. Rheumatoid arthritis symptoms are typically more serious than osteoarthritis.

Psoriatic Arthritis (PsA)

Psoriatic arthritis is experienced by less than a third of people with psoriasis, a skin condition caused by an overactive immune system. This type of arthritis often affects a person's fingers and toes.


Lupus is an autoimmune condition that affects many internal organs as well as the joints. The inflammation can potentially affect the hands and fingers, in addition to other parts of the body.

Do You Suffer from Arthritic Joints? Speak with Our Fellowship Trained Surgeons

If you suffer from arthritis, rest assured that you are not alone. Our experienced team of fellowship trained surgeons have helped countless people who suffer from osteoarthritis, rheumatoid arthritis, and other debilitating joint disorders.

Using the latest technology and surgical techniques, we can relieve joint pain and restore mobility and use to the shoulders, elbows, and hands. We always work to keep treatments affordable and as minimally invasive as possible.

To learn more about surgery for arthritis and other treatment options, contact the Hand to Shoulder Center online or call our office in Fort Worth at:

(817) 420-9238

The surgeons at the Hand to Shoulder Center
Drs. Christopher M. Bates, Jonathan Guevara, Brian Tobias, Nathan Lesley

"Made me feel very comfortable and at ease." Visit Our Five Star Surgery Center in Fort Worth


Erin Barrett


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This office is state-of-the-art! I went in for an appointment and was pleasantly surprised how friendly the office staff was. After my appointment with a very knowledgeable physician, I learned I would need a simple surgery done to expedite my healing process. This surgery was quick and easy, and the fact that it was done in the same office building made me feel very comfortable and at ease.

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Rebecca Kaminski


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Excellent care & professional medical service, my husband saved hundreds of dollars on surgical costs & anesthesia versus an outpatient surgical center! The location made it that much more convenient for us! Staff is friendly and knowledgeable.

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The Risk of Shoulder Osteoarthritis  Should Not Be Discounted Either...

Osteoarthritis infographic 2

Will I Need Surgery?


Arthritis surgery is recommended when medication, lifestyle changes, physical therapy, and other less invasive procedures are ineffective. During your consultation or clinical appointment, we can review your circumstances and go over the risks and benefits of different surgery options.

Arthritis Surgery Options Treating Arthritic Joints

There are many arthritis surgery options available, from minimally invasive approaches to total joint replacement. Below are some of the most common ways our team of surgeons treat arthritic joints.
Doctors performing arthroscopic surgery

Arthroscopic Surgery

An arthroscope is a fiber optic camera that is inserted into a joint using a tiny incision. During arthroscopy, surgeons can make minor repairs to the cartilage, ligaments, and surrounding tissues, remove bone spurs and pieces of cartilage floating free from the joint (loose bodies).

Diagram of knee affected by osteoarthritis

Restoring the joint

When treating arthritic joints of the elbow, wrist, and hand "joint restoration" typically means removing bone spurs and other growths that affect the smooth movement of the joint. This treatment, which allows the surgeon to keep the original surfaces of the joint and remove any painful or limiting bone spurs and contracted, scarred soft tissues. In many cases these are minimally invasive procedures, often times facilitating a faster recovery.

Elbow arthroscopic view of anterior joint with synovitis and arthritis


The synovial membrane is a connective tissue that lines the joints. When the synovium becomes inflamed, a synovectomy is performed to remove some or all of the affected tissue. The surgery can be performed arthroscopically to minimize scarring, and is often a preferred procedure for the elbow joint. This can be an excellent option for pain relief, especially with rheumatoid arthritis or other inflammatory arthritis.

X-ray of DIP joint after arthrodesis fusion surgery

Joint Fusion

Also known as arthrodesis, joint fusion surgery uses pins, rods, or plates to join bones. This creates a single bone, dramatically reducing pain and other symptoms. Joint fusion surgery can be performed on severely arthritic joints of the fingers.

Anatomic Shoulder Replacement

Anatomic Shoulder Replacement

Anatomic Shoulder Replacement replaces part of the joint with safe, biocompatible materials that ensure smooth, continuous movement. Anatomic Replacement is named because the humeral head, or ball, is replaced with a ball. The glenoid, or socket, is replaced with a socket shaped prosthesis. In this replacement, like replaces like.

Reverse Shoulder Replacement

Reverse Shoulder Replacement

Your surgeon may recommend a reverse shoulder replacement. This surgery utilizes a joint implant device that alters the natural movement of the shoulder joint, restoring function and relieving symptoms. This type of replacement may be useful in severe rotator cuff disease, some complex fractures of the shoulder, as well as some arthritis patterns where to glenoid, or socket, will not accommodate a traditional socket replacement.

Reverse shoulder replacement reverses the anatomy, and the ball is replaced with a socket, likewise; the socket is replaced with a ball (glenosphere).

Convenient and Cost-Effective Surgery A Hand to Shoulder Center Patient Shares Her Story

"All employees at the Hand to Shoulder Center have been very professional and caring throughout my treatments. Dr. Guevara recently performed an arthroscopic elbow surgery for me which was very successful & I had very little down time. He has a friendly, easygoing rapport while explaining all procedures in a way patients can understand.

"I have had multiple visits and surgeries with Dr. Tobias in the past, most recently, a complicated partial wrist fusion. He took time to explain the procedure in detail and helped put my mind at ease prior to the surgery. He went the extra mile, as he always does, to assure the best possible outcome...

"It is also great to have Fort Worth Physical Therapy downstairs in the building, saving patients valuable time as they can now have those type needs met on location."

— Deb Hanson - 5 Star Review - Google

How We Keep Surgery Affordable


Whenever possible, we perform surgeries in-office at the Hand to Shoulder Center. This allows patients to get the treatment they need under light sedation and without any outside facility costs.

Surgery Centers

For more involved arthritis surgeries, our surgeons use ambulatory surgery centers in the greater Fort Worth area. These allow us to avoid hospital costs, which saves patients a lot of money.


CareCredit® financing helps put arthritis surgery within reach for more patients. Their reasonable payment plans divide the total cost of care into affordable monthly installments that fit within your budget.

Hand to Shoulder team in the surgical suite

The Hand to Shoulder Center

At The Hand to Shoulder Center in Fort Worth, TX, our team of fellowship-trained hand, elbow, and shoulder surgeons treat any and all conditions from the shoulder to the fingertip. Our surgeons perform both elective and reconstructive procedures, including:

  • Joint Replacement
  • Traumatic Injury Surgery
  • Arthroscopic Surgery
  • Microsurgery
  • Minimally Invasive Surgery
  • Wide Awake Local Anesthesia Only Surgery

Our physicians are associated with the American Society for Surgery of the Hand and the American Board of Orthopaedic Surgery. For more information or to request an appointment, please contact us online or call (817) 420-9238.

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