Orthopedics
At GRMC we are continuously striving to achieve clinical excellence with our orthopedic surgical experts, which means we offer the most comprehensive orthopedic services for our patients. Our highly-skilled physicians focus on diagnosing and treating injuries and disorders of the musculoskeletal system, which includes the bones, joints, ligaments, tendons, muscles and nerves.

If bone or joint problems are keeping you from the activities you love, you can count on the orthopedics team at Guadalupe Regional Medical Center for comprehensive, expert care for both pediatric and adult patients.
Orthopedic treatment in Seguin
Four board-certified, highly-skilled orthopedic surgeons have well established private practices with excellent reputations for quality of care: Jack Deetjen, MD; Mitchell Myers, MD; Trent Twitero, MD; and G. Steven White, MD. These physicians provide personalized care during every visit to assess your condition and recommend the best course of treatment for you. That may include in-office treatment, medications, physical therapy or surgery for pediatric, adult or geriatric patients. Conditions cared for include traumatic injuries, and degenerative or inflammatory conditions of the musculoskeletal system.
These surgeons provide a wide range of surgical treatments at GRMC, including:
- Joint replacement surgery, including hip, shoulder and knee
- Trauma care for fractures and dislocations
- Sports medicine care, including ligament reconstructions and arthroscopy
- Multitude of hand and foot surgeries
A commitment to high-quality orthopedic care
The quality of care and outcomes of orthopedic care at GRMC have been consistently recognized for surgical excellence and innovative skills by watchdog groups such as Healthgrades, Leapfrog, and Women’s Choice. GRMC’s orthopedic program continuously receives national-level awards for hip fracture, knee replacement, hip replacement and overall orthopedic care. Supported by state-of-the-art technology, our orthopedic physicians collaborate with GRMC hospitalists, radiologists, surgical staff, inpatient and outpatient rehabilitation therapists and others to ensure that you get the best possible care at every stage of your treatment.
Patient Feedback for Hip & Knee Replacement Surgery
At GRMC, we are committed to continually improving the care we provide to our patients. The guide below explains the Total Hip Arthroplasty and Total Knee Arthroplasty Patient-Reported Outcome-Based Performance Measure and how patients play an important role in measuring the success of these procedures.
Before and after hip or knee replacement surgery, patients are asked to complete a short survey about their pain, mobility, and overall quality of life. These responses help our care team better understand your recovery and make informed decisions about your treatment. Patient feedback also helps GRMC evaluate outcomes and compare results with hospitals across the country, helping improve the quality and safety of joint replacement care for future patients. Completing these surveys is a simple but meaningful way to partner with GRMC and support better orthopedic care for our community.
Learn more about the survey process and what to expect by downloading the Patient Guide HERE.
Orthopedic treatments you can expect at GRMC include:
You may be referred to an orthopedist by your primary doctor or another specialist. You can also make an appointment by directly calling any of their offices:
Jack Deetjen, MD – 830.379.8371
Mitchell Myers, MD – 830.379.9492
Trent Twitero, MD – 830.625.0009
G. Steven White, MD – 830.379.9492
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