Paul Grutter, M.D. Diplomate, The American Board of Orthopaedic Surgery Fellowship: Shoulder Surgery, Johns Hopkins University School of Medicine Sports Medicine Subspecialty Certification, ABOS Fellow, American Academy of Orthopaedic Surgeons Dr. Paul Grutter, M.D. specializes in shoulder surgery, sports medicine, and joint replacement. He focuses on minimizing pain after surgery and getting patients back on their feet as quickly as possible. Dr. Grutter performs the majority of his shoulder surgeries using minimally invasive arthroscopic techniques. Rotator cuff repairs, shoulder impingement and spurs as well as labral injuries in the shoulder are performed through several small stab incisions to decrease the discomfort associated with surgery and speed the recovery. Dr. Grutter has uses an approach to knee replacement surgery that does not cut into the quad muscles like older, traditional approaches. This is called a sub-vastus approach. The goal of this technique is to minimize pain and shorten recovery. He also maximizes knee mobility using computer navigation to place the implants or to create custom implants using 3D modeling of each individual patient's knee. Dr. Grutter takes a similar approach for hip replacements by using an anterior approach to the hip. During the anterior apprach a smaller incision is made between the muscles,and the main hip stabilizer muscles and tendons are not disturbed. This allows patients to recover faster with virtually no restrictions following surgery. Whether joint replacement is done as an outpatient procedure or with a short hospital stay, we can usually perform a surgery with fewer complications, lower out-of-pocket costs and better outcomes. In fact, many joint replacement surgeries we perform can now be done in the morning and the patient can start recovery at home the same day!