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Adam Almaguer, MD

Anterior
Hip Replacement

Kinematic
Knee Replacement

Hip Preservation

Concierge Program

Orthopedic Surgeon

Adam Almaguer, M.D.

Home
About
Services
Established Patients
Concierge Program
FAQ's
Contact

Practice Locations

UNC Health Cary Orthopaedics

Cary Office:

1120 SE Cary Pkwy #100

Cary, NC 27518

Holly Springs:

851 S. Main St

Holly Springs, NC 27540

Morrisville:

101 Lattner Ct Suite 200

Morrisville, NC 27560

Phone:

(919) 467-4992

Cary Orthopaedics

© Copyright Almaguer Joint Solutions

“I am incredibly thankful that Dr. Almaguer was my surgeon. He is a very well-mannered doctor with a high level of skill and knowledge.

From the moment I met him, I felt welcomed by his laid-back demeanor. He took the time to listen as I explained what had been happening with my knee, ensuring he understood everything from my perspective.

Dr. Almaguer laid out his game plan for me and explained what to expect in the future, which felt like a heavy weight lifted off my shoulders.

He is performing exceptionally well right now. If I ever need another surgical procedure that he can perform, I will definitely call his office. I would give him even more stars if I could; he is hands down one of the best surgeons I’ve ever had and truly amazing. Thank you, Dr. Almaguer, for everything you’ve done!”

- Kelley K. Google Review

“I am incredibly thankful that Dr. Almaguer was my surgeon. He is a very well-mannered doctor with a high level of skill and knowledge.

From the moment I met him, I felt welcomed by his laid-back demeanor. He took the time to listen as I explained what had been happening with my knee, ensuring he understood everything from my perspective.

Dr. Almaguer laid out his game plan for me and explained what to expect in the future, which felt like a heavy weight lifted off my shoulders.

He is performing exceptionally well right now. If I ever need another surgical procedure that he can perform, I will definitely call his office. I would give him even more stars if I could; he is hands down one of the best surgeons I’ve ever had and truly amazing. Thank you, Dr. Almaguer, for everything you’ve done!”

- Kelley K. Google Review

✨ Gone are the days of lengthy hospital stays for joint replacement surgery.
Thanks to advancements in outpatient joint replacement, patients can now undergo life-changing procedures and return home the same day. 🏡💪
✅ Improved anesthesia techniques mean safer procedures with less pain and faster recovery times ✅ Patients are up and moving within hours of surgery ✅ Skip the hospital bed — recover in the comfort of your own home, surrounded by familiar faces
Modern medicine is redefining what’s possible. If you’re considering a joint replacement, outpatient options might be the game-changer you’ve been waiting for. 🙌
#JointReplacement #OutpatientSurgery #ModernMedicine #Orthopedics #caryorthopaedics #raleigh #cary #hollysprings #apex #nc #MobilityMatters

✨ Gone are the days of lengthy hospital stays for joint replacement surgery.
Thanks to advancements in outpatient joint replacement, patients can now undergo life-changing procedures and return home the same day. 🏡💪
✅ Improved anesthesia techniques mean safer procedures with less pain and faster recovery times ✅ Patients are up and moving within hours of surgery ✅ Skip the hospital bed — recover in the comfort of your own home, surrounded by familiar faces
Modern medicine is redefining what’s possible. If you’re considering a joint replacement, outpatient options might be the game-changer you’ve been waiting for. 🙌
#JointReplacement #OutpatientSurgery #ModernMedicine #Orthopedics #caryorthopaedics #raleigh #cary #hollysprings #apex #nc #MobilityMatters

Meet Dr. Adam Almaguer
Board-certified and fellowship-trained orthopedic surgeon at UNC Health Cary Orthopaedics.

Dr. Almaguer specializes in joint reconstruction and hip preservation, offering personalized care with advanced surgical techniques. He performs:

• Hip replacements using minimally invasive approaches, including the direct anterior and bikini incision techniques.
• Knee replacements using kinematic alignment with robotics and 3D-printed guides for custom, patient-specific results.
• Periacetabular osteotomies (PAO) for young adults suffering from hip dysplasia.

Focused on restoring mobility through thoughtful, tailored care.

📍Cary, NC
🧑‍💻Almaguermd.com
📞 (919) 467-4992

Focused on restoring mobility through thoughtful, tailored care.

#OrthopedicSurgery #HipReplacement #KneeReplacement #HipDysplasia #PAO #anteriorhipreplacement #kinematickneereplacement #CaryNC #UNCHealth #JointReconstruction #DrAlmaguer #OrthoCare #raleigh #raleighortho #hollysprings #cary #caryorthopaedics

Meet Dr. Adam Almaguer
Board-certified and fellowship-trained orthopedic surgeon at UNC Health Cary Orthopaedics.

Dr. Almaguer specializes in joint reconstruction and hip preservation, offering personalized care with advanced surgical techniques. He performs:

• Hip replacements using minimally invasive approaches, including the direct anterior and bikini incision techniques.
• Knee replacements using kinematic alignment with robotics and 3D-printed guides for custom, patient-specific results.
• Periacetabular osteotomies (PAO) for young adults suffering from hip dysplasia.

Focused on restoring mobility through thoughtful, tailored care.

📍Cary, NC
🧑‍💻Almaguermd.com
📞 (919) 467-4992

Focused on restoring mobility through thoughtful, tailored care.

#OrthopedicSurgery #HipReplacement #KneeReplacement #HipDysplasia #PAO #anteriorhipreplacement #kinematickneereplacement #CaryNC #UNCHealth #JointReconstruction #DrAlmaguer #OrthoCare #raleigh #raleighortho #hollysprings #cary #caryorthopaedics

👋⭐️Let’s talk Osteoarthritis
    ⁃    Osteoarthritis is a result of wear and tear over the years and most commonly occurs in patients over 50 years of age. The cartilage around the knee becomes damaged and is gradually worn down resulting in pain and stiffness.

⭐️What are the signs & symptoms of arthritis?
    ⁃    Severe pain that limits your activities of daily living (walking, climbing stairs, getting up from a chair, participating in sports)
    ⁃    Moderate to severe pain that occurs during rest or awakens you at night

⭐️What are the treatment options?
    ⁃    Non surgical: physical therapy, weight loss (if overweight), anti inflammatory medications, injections, and bracing
    ⁃    Surgical: knee replacement

⭐️ Kinematic Knee Replacement
    ⁃    Total knee replacements can be performed using either Mechanical Alignment (MA) or Kinematic Alignment (KA). Traditionally, most knee replacements have followed the mechanical alignment method, in which every patient’s knee is positioned using the same standardized angles to create a perfectly straight leg. However, we now understand that no two knees are exactly alike. Many individuals naturally have a slight varus (bow-legged) or valgus (knock-kneed) alignment, and their ligaments, soft tissues, and patella (kneecap) are adapted to function in those native positions.

    ⁃    Research now shows that up to 20% of patients with a mechanically aligned knee replacement may continue to experience pain, stiffness, or instability.

    ⁃    In response to these outcomes, and backed by decades of research, more surgeons are now adopting kinematic alignment. This approach customizes the placement of the implant to match the patient’s original, pre-arthritic anatomy and alignment. The result is a more natural-feeling knee optimized for comfort, stability, and overall function.

    ⁃    Dr. Almaguer uses this patient specific approach with kinematic alignment so each patient gets a truly custom knee replacement that matches their individual anatomy.

    ⁃    Additionally, Dr. Almaguer offers the use of new implant technologies such as the Persona IQ smart implant and 3D printed cementless implants.

👋⭐️Let’s talk Osteoarthritis
    ⁃    Osteoarthritis is a result of wear and tear over the years and most commonly occurs in patients over 50 years of age. The cartilage around the knee becomes damaged and is gradually worn down resulting in pain and stiffness.

⭐️What are the signs & symptoms of arthritis?
    ⁃    Severe pain that limits your activities of daily living (walking, climbing stairs, getting up from a chair, participating in sports)
    ⁃    Moderate to severe pain that occurs during rest or awakens you at night

⭐️What are the treatment options?
    ⁃    Non surgical: physical therapy, weight loss (if overweight), anti inflammatory medications, injections, and bracing
    ⁃    Surgical: knee replacement

⭐️ Kinematic Knee Replacement
    ⁃    Total knee replacements can be performed using either Mechanical Alignment (MA) or Kinematic Alignment (KA). Traditionally, most knee replacements have followed the mechanical alignment method, in which every patient’s knee is positioned using the same standardized angles to create a perfectly straight leg. However, we now understand that no two knees are exactly alike. Many individuals naturally have a slight varus (bow-legged) or valgus (knock-kneed) alignment, and their ligaments, soft tissues, and patella (kneecap) are adapted to function in those native positions.

    ⁃    Research now shows that up to 20% of patients with a mechanically aligned knee replacement may continue to experience pain, stiffness, or instability.

    ⁃    In response to these outcomes, and backed by decades of research, more surgeons are now adopting kinematic alignment. This approach customizes the placement of the implant to match the patient’s original, pre-arthritic anatomy and alignment. The result is a more natural-feeling knee optimized for comfort, stability, and overall function.

    ⁃    Dr. Almaguer uses this patient specific approach with kinematic alignment so each patient gets a truly custom knee replacement that matches their individual anatomy.

    ⁃    Additionally, Dr. Almaguer offers the use of new implant technologies such as the Persona IQ smart implant and 3D printed cementless implants.

Beyond performing surgery, one of my most important roles is to serve as an educator. As your surgeon, my responsibility is not only to provide an accurate diagnosis but also to help you understand that diagnosis and the full range of treatment options available. In many cases, symptoms can be effectively managed through conservative, non-surgical approaches, which may delay or even eliminate the need for surgery. I always emphasize to my patients that surgery is a last resort—I never want to perform an operation unless it is absolutely necessary. I’m pleased to know this patient was satisfied with the care she received during her visit. #caryortho #caryorthopaedics #carync #raleigh #chapelhill #durham #orthopedics #hipreplacement #kneereplacement

Beyond performing surgery, one of my most important roles is to serve as an educator. As your surgeon, my responsibility is not only to provide an accurate diagnosis but also to help you understand that diagnosis and the full range of treatment options available. In many cases, symptoms can be effectively managed through conservative, non-surgical approaches, which may delay or even eliminate the need for surgery. I always emphasize to my patients that surgery is a last resort—I never want to perform an operation unless it is absolutely necessary. I’m pleased to know this patient was satisfied with the care she received during her visit. #caryortho #caryorthopaedics #carync #raleigh #chapelhill #durham #orthopedics #hipreplacement #kneereplacement

Check out this month’s cover of Innomed. What started as a simple suggestion at an orthopedic conference turned into an opportunity to help develop a new instrument. The longer 90 degree arm on the femoral tibial spreader allows for better knee exposure and ergonomics. Very excited to finally start using this in practice. #orthopedics #orthopedicsurgery #raleighnc #carync #knee #kneereplacement #innomed

Check out this month’s cover of Innomed. What started as a simple suggestion at an orthopedic conference turned into an opportunity to help develop a new instrument. The longer 90 degree arm on the femoral tibial spreader allows for better knee exposure and ergonomics. Very excited to finally start using this in practice. #orthopedics #orthopedicsurgery #raleighnc #carync #knee #kneereplacement #innomed

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