5 /5 Patricia Trimble: I first saw Dr. Vance in 2008 for knee pain and had arthroscopy, after which he told me there wasnt much to work with, and that eventually Id need a TKR. I waited a long time (probably too long), but now Im 5 weeks into my new knee, and like everyone told me, I wish I had done it years ago. Ill be getting my left knee done, soon. Dr. Vance is the best, a great surgeon and a kind and compassionate human. His medical assistant, Janya (sp?) and all the staff at Marshall Orthopedics are awesome!