★★★★★ 4.8 Google Reviews
Carefree is a community where the lifestyle is carefully chosen — world-class golf at The Boulders and Desert Forest, hiking on Black Mountain and through Cave Creek Regional Park, walkable arts and dining on Easy Street, and the kind of high-desert peace that makes every morning worth getting up for. It is a community that rewards people who stay active and engaged. Knee pain erodes that lifestyle one limitation at a time. The back nine at The Boulders gets harder to finish. Black Mountain becomes impossible. Walking Easy Street after dinner becomes uncomfortable. The Cave Creek Regional Park trail that once felt like a morning ritual gets skipped. By the time most Carefree patients reach a consultation, they have quietly given up more of the active life they moved here for than they realize. Dr. Brandon Gough performs MAKOplasty® robotic-assisted knee replacement in North Scottsdale, a short drive from Carefree. His approach uses a CT scan and 3D surgical plan to deliver precision treatment — smaller incision, less trauma, same-day discharge, and a recovery that gets Carefree residents back on the course, the trails, and Easy Street faster than traditional surgery.
| Traditional | Dr. Gough | |
|---|---|---|
| Incision | 10–12 inches | 4–6 inches |
| Muscle handling | Cut or detached | Fully preserved |
| Walking | Days after surgery | Same day |
| Recovery | 6–12 weeks | Weeks, not months |
| Restrictions | Long post-op list | None |
| Hospital stay | 2–4 days | Same day / 24 hrs |
Dr. Gough uses the MAKOplasty® robotic system for both partial and total knee replacement. Before surgery, a CT scan of your knee is used to build a precise 3D digital model. Dr. Gough uses this model to plan the exact position of the implant, the amount of bone to be removed, and how the new joint will move with your specific anatomy. During surgery, the Mako robotic arm guides every movement with a level of accuracy that is not possible by hand alone. Only the damaged area is treated. Surrounding healthy tissue — ligaments, tendons, cartilage — is preserved wherever possible. For Carefree patients who have damage confined to one compartment of the knee, partial knee replacement may be appropriate — treating only the affected area, preserving the rest, and delivering a more natural-feeling result with a faster recovery. For patients with advanced damage throughout the joint, total knee replacement replaces all three compartments. Dr. Gough also performs complex revision knee replacement for patients whose previous replacement is causing pain, instability, or reduced function.
Most partial knee replacement patients go home the same day as surgery and achieve full recovery in two to four weeks — returning to walking the town center and light recreational activities on a timeline that surprises them. Total knee replacement patients typically go home the same day or within 24 hours, begin physical therapy within days, and return to light activities like golf within three to four weeks. By weeks four to eight, most patients have returned to full activity — including The Boulders Golf Club, Black Mountain, Cave Creek Regional Park, and Carefree life at full pace. Revision knee replacement recovery is longer — typically one to two days post-procedure, followed by a structured physical therapy program over three months, with continued improvement through the first year or two.
Five weeks after surgery I played nine holes at The Boulders. Eight weeks in I was back to a full round on the North Course. The recovery was nothing like I expected — smooth, well-managed, and faster than I thought possible.
Dr. Brandon Gough is a board-certified orthopaedic surgeon and a leader in minimally invasive and robotic-assisted hip and knee replacement.
Dr. Brandon Gough is a board-certified orthopaedic surgeon based in Scottsdale, Arizona. He specializes in hip and knee reconstruction and has performed over 8,000 procedures since 2013.
He is one of a select group of surgeons in the country trained in the Direct Superior approach to hip replacement — a technique that eliminates post-surgery restrictions and dramatically reduces recovery time. He is also a past consultant and educator for Stryker Orthopaedics, training surgeons from around the world in minimally invasive joint replacement techniques.
Beyond the operating room, Dr. Gough volunteers with Magis Clinic, Madonna School, Habitat for Humanity, and Sienna St. Francis Clinic. He believes that exceptional surgical care and genuine compassion go hand in hand.
Most of Dr. Gough’s total knee replacement patients return to golf in as few as three weeks. The muscle-sparing, quad-preserving technique means the muscles that stabilize your swing are intact from day one — not being rebuilt after being cut. The varied terrain at The Boulders requires good knee stability, and Dr. Gough will provide a specific activity timeline at your consultation based on your procedure and recovery progress.
Yes — most patients return to moderate trail hiking within two to three months of total knee replacement. Black Mountain’s summit trail and the Cave Creek Regional Park routes involve elevation gain and uneven terrain that require good knee stability, and Dr. Gough’s muscle-sparing technique ensures the supporting muscles are intact and rebuilding from day one. He will provide a specific hiking timeline at each follow-up appointment based on your recovery progress.
Partial knee replacement resurfaces only the damaged compartment of the knee — leaving healthy bone, cartilage, and ligaments intact. It requires a smaller incision, causes less trauma, and delivers a faster recovery with a more natural feel for patients whose damage is limited to one area. Total knee replacement resurfaces all three compartments and is appropriate when damage is widespread throughout the joint. Dr. Gough will review your imaging at your consultation to determine which approach is right for you.
Modern knee implants are designed to last 25 to 30 years or more with normal activity. The robotic precision of MAKOplasty® ensures optimal implant alignment — one of the strongest predictors of long-term implant performance. For active Carefree residents who plan to stay on The Boulders courses and the Black Mountain trails for decades, this longevity is especially important.
Call 602-359-3088 or complete the form to schedule your consultation. Dr. Gough’s team will verify your insurance before your visit, review your imaging, and give you a clear recommendation on which procedure is right for you — and what your recovery would realistically look like.
Talk to Dr. Gough's Team
Content on this website is for general informational purposes only and should not be considered medical advice. Each patient’s condition, treatment plan, and results are unique. Patient testimonials reflect individual experiences and are not a guarantee of similar outcomes.