What is Orthopedics?

According to the American Academy of Orthopedic Surgeons, orthopedics is the medical specialty that focuses on injuries and diseases of your body's musculoskeletal system. This complex system, which includes your bones, joints, ligaments, tendons, muscles, and nerves, allows you to move, work and be active. 

What surgeries/procedures do orthopedic surgeons perform?

  • Hip Replacement Surgery

  • Knee Replacement Surgery

  • Arthroscopic Surgery

  • Shoulder and Rotator Cuff Surgery

  • Hand and Wrist Surgery

  • Sports Medicine

Total Joint Replacement

Total joint replacement is a surgical procedure in which parts of an arthritic or damaged joint are removed and replaced with a metal, plastic, or ceramic device called a prosthesis. The prosthesis is designed to replicate the movement of a normal, healthy joint.

Hip and knee replacements are the most commonly performed joint replacements, but replacement surgery can be performed on other joints, as well, including the ankle, wrist, shoulder, and elbow.

Our Providers

William Ralston, DO

Timothy Rankin, MD

Marc Zoutte, PA-C

Contact Us

Specialty Clinic

First Floor Medical Arts Plaza

1700 W. Townline St

Creston, IA 50801



8 a.m.- 5 p.m.

Mako SmartRobotics™

Mako SmartRobotics™ is an innovative solution for many suffering from painful arthritis of the knee or hip. Mako uses a 3D CT-based planning software so your surgeon can know more about your anatomy to create a personalized joint replacement surgical plan.

Sports Medicine

Common Injuries and Procedures include:

  • Arthroscopy of the Shoulder, Hip and Knee

  • Dislocations

  • Knee Surgery, including ACL and PCL Repair and Reconstruction

  • Lateral Epicondylitis (Tennis Elbow)

  • Ligament and Joint Reconstruction

  • Muscle and Joint Sprains and Strains

  • Patellofemoral Dislocation

  • Rotator Cuff Tears

  • Shoulder Dislocation and Instability

Should I make an appointment?

If you are suffering from any type of pain that affects your ankles, knees, hips, shoulders, or back you should consider seeing our Orthopedic Team. You can call and make an appointment yourself, or you can discuss a referral with your primary care provider.

Meet Our Providers


William Ralston,

With Mako SmartRobotics, I know more about my patients than ever before, and I'm able to cut less. For some patients, this can mean less soft tissue damage; for others, greater bone preservation.


Timothy Rankin,

I want to make an impact on Greater Regional Health with Patient Education. To allow informed patient decisions, modern surgical technique, approaches, rehabilitation of improved outcomes.

Marc Zoutte, PA-C.jpg

Marc Zoutte,

"I want to provide top notch care with a positive and caring attitude."