Dr. Vivek Sharma describes alternatives to joint replacement surgery due to torn or damaged cartilage for younger patients who might not be candidates for traditional joint replacement surgery. This could also be for microfractures and graft transfers. Pain control is often a big issue and these procedures can often lead to people being able to get back to their sports or recreational activities. Dr. Sharma does orthopedic surgery at HCA Virginia’s John Randolph Medical Center in Richmond, Virginia: johnrandolphmed.com . HCA Virginia’s HealthBreak Putting You First.