Minimally Invasive, Maximum Results.

Most orthopaedic disorders do not require surgery. Great care starts with a comprehensive history, a complete physical examination, and basic X-rays. For many patients, the best approach may be to start with a musculoskeletal specialist, such as Dr. Gavin who can initiate a customized treatment plan. These experts know when it is appropriate to involve other members of the team, including when there is a need for additional consultation and/or surgery. 

We offer expertise in many orthopaedic disciplines.

Joint Replacement

Joint Replacement

Dr. Gavin brings many years of experience to managing and treating joint complications resulting from degenerative joint diseases such as arthritis, musculoskeletal disease or joint trauma. Dr. Gavin works closely with his patients to utilize all non-operative treatments prior to discussing joint surgery however if these options no longer give patient relief joint replacement might be an option.

Below are a list of questions Dr. Gavin recommends asking yourself to help determine if you are ready for a joint replacement:
  * Do you hurt every day of the week?
  * Is the non-operative treatment no longer effective?
  * Is your pain in charge of your life?
  * Are you willing to commit to work hard during rehabilitation for
    a successful recovery?

Joint Replacement

MAKOplasty Robotics

Sports Injury

Gavin Orthopaedics is committed to new technologies that provide more precision in surgery. The MAKOplasty robotic arm is one such tool. The RIO® robotic arm is the latest innovative breakthrough solution to aid the surgeon for a patient-specific precise treatment.

The highly advanced RIO® robotic arm technology offers a new level of precision and accuracy in aligning and placing implants. This is important so that surgical outcomes are improved. Patients who seek the latest technology advancements in knee and hip replacement have found it with MAKOplasty.

Dr Gavin says
“I am excited about the new level of precision that is offered by the MAKOplasty RIO Robotic Arm. It is a smooth articulate tool that allows me to design a precise plan and implement it through the computer aided robotic arm. Ultimately, the precision of my surgeries using the RIO have excellent results."

"In addition, surgeons also use robots to pre-operatively plan and map the areas of diseased bone to be removed.  During surgery, 3-D visualization and a robotic arm ( ) provide visual, tactile, and auditory feedback so only diseased bone is resurfaced, sparing healthy bone stock and making a smaller incision to tissue.”

For more information about the arm please visit

The following video shows an animation of the MAKO Robotic Arm, implants what occurs in a partial knee replacement surgery.
Please note there is no sound in this video.



CAUTION The following video is graphic in nature and shows a real surgery in progress showing the robotic arm, implants and the precision involved with this new technology.


Articles by Dr Gavin in regards to Robotics and Technology

Robotic Arthroplasty Knee Surgery
3D Pre-Op Imaging, Signature Knees and Robotics

MAKOplasty Precision Orthopaedic Surgery
Cutting Edge 3D Technologies

Here are some knee testimonials we would like to share:

Best Knee Surgery Robot Arm
Can a Robotic Arm Help Reduce Knee Pain?

Robotic Arm Interactive Orthopaedic System

Too Young to Give up the Activities You Enjoy?






Joint Replacement

Sports Medicine

Sports Injury

Gavin Orthopaedics is committed to ensuring the optimal health and performance of student/athletes as well as weekend warriors coping with the affects of aging. Dr. Gavin and the staff at the Sport and Spine Institute are dedicated to providing the best diagnostic, treatment and prevention of sports-related injuries. Whether the patient is a scholarship bound senior, an IJGA tournament player or a competitive masters athlete, Dr Gavin is an expert in maintaining and enhancing their physical performance, fitness, health and quality of life.

“ACL Made Wonderful. I visited Dr. Gavin for a ACL repair. He was thoughtful and insightful with advice to me in regards to my torn ACL. He encouraged me to rehab prior to my surgery. His knowledge and experience shown through by explaining to me that after the surgery it is imperative to rehab my knee to get the best results. His staff followed up with me and helped me get settled with a physical therapy group.”






Joint Replacement

Hip Disorders

Hip Replacement

The hip joint is a ball-and-socket joint that allows the upper leg to bend and rotate at the pelvis. The primary function of the hip is to support the weight of the body while standing, walking and running.

In more active patients Dr. Gavin treats the following hip conditions:

  •      Trochanteric Bursitis
  •      Abductor Tendon Tears
  •      Sprains and Strains
  •      Overuse Injuries


If patients suffer from pain and stiffness from arthritis in the hip, Dr. Gavin will perform hip replacement surgery to treat the following conditions:

  •      Osteoarthritis
  •      Osteonecrosis
  •      Rheumatoid Arthritis
  •      Fractures and Post Traumatic Arthritis

     Overuse Injuries

“No pain now, I’m back to doing what I’ve always wanted to do!” WT(hip replacement patient)

“I have more motion in my hip than in 10 years!  Believe it or not, but I’m looking forward to having my knee replaced.”   AR (hip replacement patient)


Joint Replacement


Knee Surgery

The knee is the largest joint in the body and the most prone to injury. Dr. Gavin partners with his patients to provide preventative as well as rehabilitative needs. Dr. Gavin is dedicated to quality outcomes, and the Sport & Spine Institute has many services available on site to ensure that patients receive the most appropriate care for their specific orthopaedic condition.

Dr. Gavin is dedicated to the diagnosis, treatment and rehabilitation for the following conditions of the knee:

  •      Sprains and Strains
  •      Fractures and Dislocations
  •      Overuse Injuries
  •      Torn Cartilage
  •      Meniscus Tears
  •      Knee Arthroscopy
  •      Anterior Cruciate Ligament (ACL)
  •      Medial Cruciate Ligament (MCL)
  •      Posterior Cruciate Ligament (PCL)

“I’m back to my lifestyle—tennis, golf, stairs, gardening and working out—with no pain”.  DS (knee replacement patient)

“Absolutely wonderful, I would recommend Dr. Gavin to anyone!”  NB (Knee replacement patient)

Joint Replacement


Joint Replacement

Dr. Gavin brings many years of experience to managing and treating joint complications resulting from degenerative joint diseases such as arthritis, m/s disease, joint trauma, tendon tears or overuse. Dr. Gavin works closely with his patients to utilize all non-operative treatments prior to discussing joint surgery however if these options no longer give patient relief joint replacement might be an option.

Conditions of the shoulder such as:

  •      Rotator Cuff Tear
  •      Frozen Shoulder
  •      Shoulder Impingement
  •      Shoulder Instability
  •      Shoulder Arthroscopy
  •      Sprains and Strains
  •      Fractures and Dislocations
  •      Overuse Injuries


"Went for long term shoulder problem. The Dr. took the time to explain in detail the options available to me. Felt he was extremely knowledgeable, caring and would recommend to a family member. ”

Joint Replacement



Arthroscopy is a surgical procedure Dr Gavin uses to visualize, diagnose, and treat problems inside a joint.

When an orthopaedic surgeon uses this procedure a small incision is made in the patient's skin and a pencil sized instrument is inserted which contains lighting and a small lens used to magnify and illuminate the structures within the joint.

The arthroscope is attached to a small display where the image of the joint can be seen allowing the surgeon to look throughout the joint and directly inspect and investigate cartilage, ligaments, and under areas like the knee cap. This procedure allows Dr. Gavin to determine the amount or type of injury and potentially allows him to make a repair or correct a problem if it is necessary.

Arthroscope is great in that it is minimally invasive which means less time for healing quicker recovery as opposed to surgeries that require larger incisions and require more time to heal.

Joint Replacement


Physical Therapy

An injury or trauma is the most frequent cause of fracture, but conditions that weaken the bone, such as osteoporosis (reduced bone density) can make the bone prone to breaking. Injuries can be low energy such as a fall from standing or sitting, or high energy, such as a car accident, or fall from a height (from a ladder, for instance). Other types of fractures include pathologic fractures, which are fractures through bone affected by a tumor or infection, and stress fractures. Stress fractures occur in normal bone which is subjected to abnormal or unaccustomed stress. When the repetitive stresses outstrip the body's healing response, a fracture can result. Fractures that occur with a break in the skin, thus allowing communication of the fracture with the outside world, are called open fractures, and usually need emergent treatment

The signs of a fracture can include swelling, tenderness, pain with use of the affected area, and, in more severe injuries, deformity or open wounds. X-rays are the first diagnostic test, and often can diagnose the fracture, and direct treatment. If further detail is needed, CT scans, which can give a 3 dimensional picture of the fracture, can be used. Sometimes a fracture is not evident on regular X-rays. In this case, if a fracture is suspected, an MRI, which is a magnetic scan, may be necessary. Bone scans also can be used to diagnose a fracture, particularly for patients with pacemakers, or other metallic implants, who cannot undergo an MRI.

Once the fracture is diagnosed, treatment can be implemented.

Options for treatment include:

  •      1. Immobilization using a cast or brace or splint
  •      2. A reduction, or manipulation of the fracture back to proper alignment, followed by immobilization
  •      3. Stabilization of the fracture with metal plates, screws, pins, wires or rods, placed through small incisions, or through full open incisions.
  •      4. An open reduction, where the bones are realigned after opening up the fracture. Stabilization, like in #3, is often performed at the same time.
  •      5. Open fractures, where the bone breaks through the skin, are treated emergently with thorough rinsing of the fracture, and reduction and stabilization.
  •      6. Stress fractures are often treated with immobilization, and elimination of the activity that caused the fracture. Occasionally surgery is necessary

Joint Replacement

Medical Supplies

Ankle Surgery

For the convenience of our patients we stock some of the most common orthopaedic medical supplies at Gavin Orthopaedics located at the Sport and Spine Institute.

Some of the items we regularly stock are:

  •      Wrist and Hand Braces
  •      Lumbar Supports
  •      Knee Ligament and Patella Femoral Bracing
  •      Ankle Braces
  •      Crutches/Walkers/Canes


Gavin Orthopaedics located in Hilton Head and Bluffton South Carolina provides care for many types of orthopaedic conditions including knee, elbow, shoulder, injuries of muscle, bone, joint or associated structures as well as sports related injuries. We are specialists in minimally invasive treatment and surgery to minimize recovery and maximize results.

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