Knee Replacement in Silverleaf, AZ
★★★★★ 4.8 Google Reviews
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- 8,000+ Procedures
- Robotic-Assisted Precision
- Board-Certified Orthopaedic Surgeon
- Same-Day Outpatient Options
- Scottsdale, Arizona
Silverleaf Life Demands a Knee That Performs at the Highest Level
Silverleaf is a community where excellence is the baseline. The Silverleaf Club’s Tom Weiskopf course is among the finest private golf experiences in Arizona. The Gateway Trailhead delivers immediate access to the McDowell Sonoran Preserve — some of the most dramatic desert hiking terrain in the Southwest. Thirty-three miles of private community paths wind through the McDowell Mountains. And the social and dining scene at DC Ranch Marketplace and Kierland Commons is minutes from the gates.
Knee pain erodes access to all of it — one compromise at a time. The back nine gets harder to finish. The Gateway hike gets turned back early. Walking the community paths becomes something you manage rather than enjoy. Standing at a club event becomes uncomfortable. By the time most Silverleaf patients reach a consultation, they have already scaled back their lifestyle more than they should have.
Dr. Brandon Gough performs MAKOplasty® robotic-assisted knee replacement minutes from Silverleaf. His approach uses a CT scan and 3D surgical plan to deliver sub-millimeter precision — smaller incision, less trauma, same-day discharge, and a recovery timeline built for people who don’t want to wait.
Signs It May Be Time to Consider Knee Replacement
- Knee pain or stiffness that limits how many holes you can walk at Silverleaf Club before needing to stop
- Pain on the Gateway Trailhead or McDowell Sonoran Preserve paths that forces you to cut hikes short
- Knee swelling or stiffness on the Silverleaf community paths that limits your daily walking distance
- Pain standing at club events, social gatherings, or walking DC Ranch Marketplace and Kierland Commons
- Injections or physical therapy that provided relief for a while but are no longer working
How Dr. Gough's Approach Compares to Traditional Knee Replacement
| 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 |
MAKOplasty® Robotic Precision — Why It Matters for Silverleaf Patients
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 Silverleaf 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.
What Recovery Looks Like for Silverleaf Patients
Most partial knee replacement patients go home the same day as surgery and achieve full recovery in two to four weeks — returning to the community paths 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 Silverleaf Club course, the Gateway Trailhead, and the full 33 miles of community paths. 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.
I was back on the Silverleaf Club course five weeks after my knee replacement. I had no idea recovery could be this smooth. Dr. Gough’s team was with me every step of the way and the results exceeded every expectation I had.
Meet Dr. Brandon Gough, M.D.
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.
- American Board of Orthopaedic Surgeons (ABOS)
- American Medical Association (AMA)
- American Academy of Orthopaedic Surgeons (AAOS)
- American College of Physicians (ACP)
Knee Replacement Questions from Silverleaf Patients
Will I be able to play golf at Silverleaf Club again after knee replacement?
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. Partial knee replacement patients often return sooner. Dr. Gough will provide a specific activity timeline at your consultation based on your procedure and recovery progress.
Can I return to the Gateway Trailhead and McDowell Sonoran Preserve after knee replacement?
Yes — most patients return to moderate trail hiking within two to three months of total knee replacement. The Gateway Trailhead’s varied terrain requires 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 based on your recovery progress at each follow-up appointment.
What's the difference between partial and total knee replacement?
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.
How long will my knee replacement last?
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 Silverleaf residents who plan to stay on the course and the trails for decades, this longevity is especially important.
Ready to Get Back to Everything Silverleaf Has to Offer?
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.
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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.