Alpha Orthopedics & Sports Medicine: Celebrating 10 years of Caring for the Orthopedic Meeds of our Community

Founded by Dr. Charles Toulson, Alpha Orthopedics & Sports Medicine is the premier destination for hip and knee replacement. Dr. Toulson’s practice provides care for a full range of musculoskeletal disorders, diseases, and injuries to the human body. Over the years, the community his practice serves has grown from the Dallas/Fort Worth area to include the McKinney area, Grayson County, and southern Oklahoma.

Considered a leader in the Dallas/Fort Worth area in robotic-assisted hip and knee replacement, Dr. Toulson has performed more robotic joint replacements than any other surgeon in the area. He was the first surgeon in the area to perform a direct anterior hip replacement with robotic assistance. Most recently, Dr. Toulson completed the first ever, total knee replacement for both of a patient’s knees bilaterally (simultaneously) using the MAKO™ Robotic-Arm Assisted Technology.

Dr. Toulson and his team at Alpha Orthopedics & Sports Medicine share a passion for excellence in orthopedic care, and they work together to provide just that. Areas of specialty include, adult hip and knee reconstruction, adult hip and knee revisions, robotic-assisted joint resurfacing, knee arthroscopy, foot, ankle, and trauma.

Outpatient Joint Replacement Program
Dr. Toulson is also a forerunner in same-day or next-day joint replacement surgery. The reason for his success is his minimally invasive, muscle-sparing surgical technique. His patients are returning to their active lifestyle quicker than ever before.

A Patient’s Experience
Rebecca went to see Dr. Toulson as a patient with severe arthritis in both her knees. She shares: “I was having severe pain in my knees. I had difficulty going up and down stairs, steps, even the curb. It hurt so bad to walk, even short distances.”

Dr. Toulson explains: “When patients come in with arthritis, we often try non-operative means of treatment before we talk about surgery.” Once patients exhaust non-operative options for knee arthritis, Dr. Toulson sits down with the patients and talks to them about the benefits and the risks of total knee replacements.

Rebecca needed knee replacement surgery in both knees. She explains: “The surgery went wonderfully. I haven’t had any problems and everyday it gets better and better. I can walk up the steps now getting into my home.”

A total knee replacement is when the surgeon removes all the cartilage and lining of a knee joint and replaces it with metal and plastic. The total knee replacement often functions just like a normal knee does. Patients often have no pain, and most times patients forget that they actually have had a knee replacement. The MAKO™ Robotic-Arm Assisted Technology allows for superior accuracy and precision in the placement of the new hip or knee joint.

After knee replacement surgery, patients can go back to the same activities that they enjoyed before the surgery. Both hip and knee replacement surgeries are one of the most successful surgeries ever invented. “A year after their surgery, 96 to 98% of patients are either satisfied or very satisfied with their joint replacement,” affirms Dr. Toulson.

Robotic-Arm Assisted Surgery
MAKO™ Robotic-Arm Assisted Technology assists Dr. Toulson in surgery by providing his patients with a personalized surgical experience, as was the case with Rebecca’s knee replacement. A 3D model of the patient’s hip or knee will be built using the 3D analysis obtained from the patient’s CAT scan. This 3D model is used to pre-plan the performing of the patient’s joint replacement surgery, which also allows Dr. Toulson to see the patient’s hip or knee in real-time during the surgery––creating a more predictable surgical experience.

Dr. Toulson explains: “This 3D technology allows me to see the orientation, alignment, rotation, and actual size of the implant that we will be using. So, I can actually see with 3D technology what the implant looks like, and I can make adjustments in surgery to balance the ligaments inside of the knee.”

The MAKO™ Robotic-Arm assists Dr. Toulson in performing precise surgeries. “What’s critical is the MAKO robot will not permit me to deviate outside of the plan that we have instituted in the very beginning of surgery. As the surgeon, I’m still doing the surgery, the robot is simply allowing me to do it in a more precise manner,” says Dr. Toulson. “The MAKOplasty robot assists me in placing perfectly aligned implants. As a surgeon, it’s very exciting to see that we can do this reproducibly, consistently, and do it successfully.”

Meet the Alpha Team

Dr. Charles Toulson, MBA, is a board-certified orthopedic surgeon, fellowship trained in adult reconstruction. He earned his medical degree from the University of North Carolina at Chapel Hill. His extensive experience began with his training at Johns Hopkins Hospital, the highest ranked hospital in the United States. He then completed his sub-specialty training at the Hospital for Special Surgery in New York, which has the top orthopedic program in the country. Dr. Toulson has been voted among D Magazine’s Best Doctors for multiple years in a row. His areas of specialty include adult hip and knee reconstruction, adult hip and knee revisions and robotic-assisted hip and knee replacements.

Brian L. Hambrick, MPAS, PA-C, brings nearly a decade of experience as a physician’s assistant and a sports medicine specialist to the team at Alpha Orthopedics & Sports Medicine, which serves men and women in the greater McKinney, Texas, area. Hambrick is a Texas native who graduated from Sherman High School in Sherman, Texas. He began his professional education at Austin College, also in Sherman, where he earned his Bachelor of Arts in sports medicine. The next year, Hambrick enrolled at the University of Texas Pan-American in Edinburgh, Texas, where he earned his Master of Physician Assistant degree in just two years, graduating with honors and a GPA of 3.76. After graduation, Brian began a paid medical internship at North Texas Orthopedics & Sports Medicine, where he worked with patients one-on-one and gained first-hand professional experience.

Hambrick joined the staff at Alpha Orthopedics & Sports Medicine in 2011, bringing experience in trauma care, orthopedic surgery, and emergency medicine. He loves working with patients and is a proud member of the American Academy of Physician Assistants and the Texas Association of Physicians Assistants. On a personal level, Hambrick is a proud member of the Phi Kappa Omega fraternity and loves playing basketball in his free time. He welcomes anyone seeking orthopedic or sports medicine treatment in the greater McKinney, Texas area.

Trevor Fewins, PA, joined Alpha in 2016 and has been an orthopedic physician assistant for over three years. Trevor is from the California Bay Area and earned his Masters of Science in Physician Assistant Studies and Masters of Public Health at Touro University in California in 2015. Prior to starting his career as a physician assistant, Fewins was an EMT. He works primarily with Dr. Toulson in both the clinic and the operating room.

Sean C. Holt, MPAS, PA-C, is a physician assistant at Alpha Orthopedics and Sports Medicine in McKinney, Texas. He received his Bachelor of Arts in Biology from the University of Colorado and his Master of Physician Assistant Studies from The George Washington University in Washington, D.C. Afterwards, he completed a Physician Assistant Surgical Residency at Johns Hopkins Hospital in Baltimore, Maryland, to increase his skills and knowledge in surgery. He worked in plastic/general surgery for the past seven years before joining Alpha Orthopedics and Sports Medicine.


McKinney Office:
6850 TPC Drive, Suite 116
McKinney, TX 75070

Sherman Office:
204 Medical Drive, Suite 110
Sherman, TX 75092

Prosper Office:
170 N. Preston Road, Suite 40
Prosper, TX 75078