Advances in Knee Replacements

This new design allows surgeons to preserve the important central ligaments of the knee called the anterior and posterior cruciate ligaments. This design should allow a knee replacement to move, respond, and feel more like a normal knee.

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The Anterior Hip

Patients are being told by both surgeons and orthopedic implant companies that Anterior Hip Replacement approach offers something unique and different compared to other approaches. This is a flatly untrue, unscientifically supported myth...

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Outpatient Joint Replacement

With Outpatient Joint Replacement Surgery, patients are able to return home the same day as the procedure. Patients also begin physical therapy within hours of surgery.

Learn more about Outpatient Joint Replacement »

Portland Orthopedic Office Staff

Michael Garland, PA-C

Michael assists Dr. Ballard at ROC Orthopedics with the following services and procedures:

  • General Orthopedics
  • Joint Reconstruction

Meet Our Certified PA

Michael Garland, PA-C


  • Undergraduate: Alderson – Broaddus College, Philippi, West Virginia

Academic Honors

  • Alderson – Broaddus College:
    Summa Cum Laude
    Senior Academic Award
    Outstanding Physician Assistant Student
    Gross Anatomy Teaching Assistant of the Year

Clinical Experience

  • Pain Relief Specialists Northwest: Chronic Pain Management
    Spinal Diagnostics
  • Thomas D. Mulgrew, MD: General Neurology
    Sleep Medicine
    Chronic Pain Management


  • National Commission on Certification of Physician Assistants (NCCPA)
  • Drug Enforcement Administration (DEA) Licensed