Orthopedic Surgery

Integrated Surgical Services specializes in orthopedic surgeries performed in our state-of-the art surgical facility located in Phoenix, Arizona. Orthopedic surgeries are performed by our world-class trained orthopedic surgeons who are board-certified and fellowship-trained in orthopedic medicine.

Board-Certified and Fellowship-Trained Orthopedic Surgeons

Our team of orthopedic surgeons is sought after for joint replacement surgery using the Mako Robotic Arm-Assisted Technology, which is clinically proven to result in better outcomes and recovery for patients. In addition to offering general orthopedic surgery, our doctors are sports injury specialists with expertise in orthopedic surgery for athletes. Patients also find us when they have had a failed orthopedic surgery and require a revision surgery or have highly complex orthopedic case that requires advanced orthopedic training to diagnose and treat. We also welcome Medical Tourism patients to our facility, many who travel from Canada or Mexico for orthopedic surgery with us.

Brian Gruber, MD, MBA, Founder & Board-Certified Orthopedic Surgeon

Integrated Surgical Services was founded by Dr. Brian Gruber, MD, MBA, board-certified orthopedic surgeon. Dr. Gruber leads our team of world-class orthopedic surgeons to deliver the highest standard of orthopedic care and personal attention to each patient.

Your Patient Experience with Us

You – the patient – are at the heart of everything we do. Our surgical facility was designed to create a patient experience where you feel confident, well-cared for and at home from the moment you enter our doors.

Learn more here about what you can expect as a valued patient with us.

Contact Us to inquire about physicians that do surgery at our center.

Our Orthopedic Surgeons

If you do not yet have an orthopedic surgeon, we invite you to learn more about our world class orthopedic doctors who are board-certified and fellowship-trained in orthopedic surgery.

Brian Gruber, MD, MBA

Jacob R. Adams, MD

Knee Surgeries, Treatments and Procedures:

  • Meniscal Repair Surgery
  • Meniscal Debridement
  • Meniscal Procedure
  • Chondroplasty Surgery/Chondroplasty Treatment/Chondroplasty Procedure
  • Anterior Cruciate Ligament Surgery (ACL)/ACL procedure/ACL treatment
  • Posterior Cruciate Ligament Surgery/PCL Surgery/PCL Treatment/PCL Procedure
  • Medial Collateral Ligament Surgery/Medical Collateral Ligament Treatment/Medial Collateral Ligament Therapy
  • Lateral Collateral Ligament Surgery/Posterolateral Corner/Lateral Collateral Ligament Treatment
  • Cartilage Restoration Procedures
  • Micro Fracture/OATS/Cadaver Grafting/OATS Procedure/OATS treatment/OATS Surgery
  • Tibial and Femoral Osteotomies
  • Tibial Plateau Fracture Treatments
  • Articular Cartilage Restoration/Cartilage Tear Surgery/Cartilage Tear Treatment
  • Total Knee Replacement
  • Partial Knee Replacement

Shoulder Surgeries, Treatments and Procedures:

  • Rotator Cuff Repair/Rotator Cuff Surgery/Rotator Cuff Therapy/Rotator Cuff Treatment
  • Revision Rotator Cuff Repair
  • Labral Repair Surgery (Anterior/Posterior/SLAP)
  • Shoulder Labrum Surgery
  • Distal Clavicle Excision
  • Biceps Tenodesis
  • Subacromial Decompression Surgery/Subacromial Decompression Procedure
  • Impingement Syndrome Surgery/Impingement Syndrome Therapy/Impingement Syndrome Treatment
  • AC Reconstruction/AC Reconstruction Surgery
  • Pectoralis Major Tendon Transfers
  • Latarjet Surgery/Latarjet Procedure
  • Total Shoulder Replacement
  • Shoulder Fractures
  • Clavicle Fractures/Clavicle Fracture Treatment
  • Distal Clavicle Fracture Surgery/Distal Clavicle Fracture Procedure
  • Distal Clavicle Excision Surgery/Distal Clavicle Excision Procedure
  • Frozen Shoulder
  • Adhesive Capsulitis
  • Shoulder Arthroscopy
  • Total Shoulder Replacement
  • Reverse Shoulder Replacement

Fracture Care Surgeries, Treatments and Procedures:

  • Hip Fracture Surgery/Hip Fracture Treatment
  • Knee Fracture Surgery/Knee Fracture Treatment
  • Micro Fracture Procedure
  • Wrist Fracture Treatment
  • Ankle Fracture Treatment
  • Knee Fracture Treatment
  • Shoulder Fracture Treatment
  • Tibial Plateau Fracture
  • Clavicle Fracture Treatment
  • Kids Fracture Care/Teen Fracture Care

Elbow Surgeries, Treatments and Procedures:

  • Elbow Arthroscopy Surgery
  • Tennis Elbow
  • Ulnar nerve transposition

Podiatry / Foot & Ankle:

  • Total Ankle Replacement
  • Ankle fractures
  • Ankle Fusions
  • Arthroscopic Ankle Cartilage Repair
  • Bunion Deformity Correction
  • Lapiplasty
  • Tailor's Bunionette Deformity Correction
  • First Metatarsal-phalangeal Joint (MTP) Arthrodesis
  • Hammertoe Correction
  • Jones Fracture Fixation
  • Lateral Ankle Ligament Reconstruction
  • Reconstruction of Pediatric and Adult Acquired Flatfoot
  • Medial Calcaneal Sliding Osteotomy
  • Metatarsal Fracture Fixation (Open Reduction and Internal Fixation)
  • Achilles Tendon Rupture Repair
  • Double or Triple Arthrodesis
  • Ruptured Tendon Repair and Transfers
  • Midfoot Fusion for Osteoarthritis or Injury
  • Lisfrancs Injury Repair
  • Plantar Fasciotomy (open and endoscopy)
  • Tarsal Tunnel Release
  • Brachymetatarsia Correction

Spine Procedures:

  • Outpatient Spine Surgery
  • Endoscopic Microdecompression for Spinal Stenosis
  • Endoscopic Microdiscectomy for Disc Herniation
  • Endoscopic Rhizotomy for Chronic Back Pain from Facet Joints
  • Endoscopic Assisted Spinal Fusion
  • Cervical Artificial Disc Replacement
  • Anterior Cervical Disc Stabilization
  • Minimally Invasive Spinal Fusion
  • Minimally Invasive Sacroiliac Joint Stabilization
  • Lumbar Spinal Injections

Pain Procedures:

  • Cervical Interlaminar Epidural Steroid injection
  • Cervical Medial Branch Block
  • Cervical Radiofrequency Ablation
  • Thoracic Medial Branch Block
  • Thoracic Radiofrequency Ablation
  • Intercostal Nerve Block
  • Thoracic Spinal Cord Stimulation
  • Lumbar interlaminar Epidural Steroid Injection
  • Lumbar Transforaminal Epidural Steroid Injection
  • Lumbar Medial Branch Block
  • Lumbar Radiofrequency Ablation
  • Caudal Epidural Steroid Injection
  • Sacral lateral branch Block
  • Sacral Radiofrequency Ablation
  • Sacroccygeal Ligament Injection
  • Sacroiliac Joint Injection
  • Piriformis muscle Injection
  • Ganglion Impar Block
  • Cluneal Nerve Block and Radiofrequency Ablation
  • Vertiflex Spinal Spacing Device
  • Genicular Block
  • Genicular Radiofrequency Ablation
  • Sympathetic Blocks
  • Kyphoplasty
  • Spinal cord stimulator trials and implants
  • Peripheral nerve stimulator implants
  • Dorsal root ganglion stimulator trials/implants
  • Minimally invasive SI joint fusion
  • Posterior lateral lumbar fusion
  • Suprascapular nerve blocks
  • Suprascapular nerve ablations
  • Ilioinguinal nerve blocks
  • Ilioinguinal nerve ablation
  • Genitofemoral nerve block
  • Genitofemoral ablation
  • Trigger finger injections
  • Lumbar discography
  • Lumbar, cervical, thoracic sympathetic nerve blocks
  • Celiac plexus nerve block
  • Occipital nerve blocks

Joint Injections:

  • Shoulder: glenohumeral, AC joint, subacromial
  • Hip
  • Knee (steroid and hyaluronic acid)
  • Shoulder, elbow, wrist, hip, knee
  • Knee injections with viscosupplementation
  • All joint injections with PRP with or without alpha-2-macroglobulin
  • All joint injections with stem cell


  • Greater Trocanteric Bursa Injections
  • Ischial Bursa Injections
  • Trigger Points