Joint Replacement and Reconstruction

Relief from chronic pain

Advances in medical technology have made joint replacement therapy a highly effective option to treat chronic joint pain from arthritis and other degenerative joint diseases or injury. Our multidisciplinary orthopedic care team includes orthopedic doctors, surgeons, pain management specialists and physical therapists who provide comprehensive care. We offer the latest advancements in orthopedic surgery.

MAKOplasty® - State-of-the-art robotic technology for partial knee resurfacing and total hip replacement

Our surgeons can offer a minimally invasive option to alleviate knee pain associated with early to mid-stage osteoarthritis. Surgeons use the RIO® Robotic Arm Interactive Orthopedic System to perform MAKOplasty® partial knee replacement, a procedure that allows them to resurface the diseased area while sparing the patient’s healthy bone and surrounding tissue. The digital tracking system constantly monitors and updates the patient’s anatomy and allows the surgeon to make real-time adjustments to optimize implant positioning and placement.

Surgeons also use MAKOplasty® to provide a minimally invasive option for total hip replacement. This advanced technique allows surgeons to prepare the hip socket for a more exact implant alignment, and reduces complications such as excessive wear on the joint, unequal leg length or dislocation.

MAKOplasty offers a number of benefits over traditional knee replacement techniques, including:

  • Optimal implant positioning that results in a more natural knee motion.
  • Less pain, a shorter hospital stay and a quicker recovery.
  • As a knee arthroplasty procedure, MAKOplasty is typically covered by most Medicare-approved and private health insurers.

Traditional total hip replacement

Total hip replacement, also called total hip arthroplasty, is the surgical replacement of the ball and socket of the hip joint with implants. There are three main components used in total hip replacement. The acetabular shell replaces the hip socket. The femoral stem and ball replace the top of the femur. These components may be made of any number of materials, including metal, ceramic and/or polyethylene (medical-grade plastic).

In traditional hip replacement surgery, a surgeon makes an incision along the side of the leg to access the hip joint. The natural acetabulum (ball portion) of the femur (thigh bone) is removed during surgery. The remaining preparation of the femur and acetabulum (socket) involves reshaping to allow solid, accurate alignment of the hip components. The femoral stem is inserted inside the thigh bone, and the acetabular shell is inserted inside the socket of the pelvis.

The Anterior Approach – potential benefits and risks

The Anterior Approach to total hip replacement is an alternative to traditional hip replacement surgery that provides the potential for less pain, faster recovery and improved mobility. Unlike traditional hip replacement surgery, this technique allows the surgeon to work between the muscles and tissues without detaching them from either the hip or thighbones. The potential benefits of the Anterior Approach are:

  • Possible accelerated recovery time because key muscles are not detached during the operation.
  • Potential for fewer restrictions during recovery. Although each patient responds differently, this procedure seeks to help patients more freely bend their hip and bear their full weight immediately or soon after surgery.
  • Possible reduced scarring because the technique allows for one relatively small incision. Since the incision is on the front side of the leg, the patient may be spared from the pain of sitting on scar tissue.
  • Potential for stability of the implant sooner after surgery, resulting in part from the fact that the key muscles and tissues are not disturbed during the operation.3-5

Advanced surgical table & instruments

The Anterior Approach takes advantage of a technologically advanced surgical table and special instruments.3,4 A high-tech operating table is used to help improve access to the hip and achieve proper alignment and positioning of the implant.

Important safety information

Every surgical approach has risks and benefits. The performance of a hip replacement depends on age, weight, activity level and other factors. There are potential risks, and recovery takes time. People with conditions limiting rehabilitation should not have this surgery. Only an orthopaedic surgeon can tell if hip replacement is an appropriate course of treatment.

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Comprehensive care through recovery

Part of our comprehensive care includes preparing our patients properly before surgery, as well as helping them recover their mobility. You’ll know what to expect before, during and after surgery. Our orthopedic care professionals are focused on providing exceptional care from diagnosis through recovery.

References

1. Thomas Healthcare, MarketScan Research Data, 2007.

2. Hootman J, Bolen J et. al. Prevalence of Doctor-Diagnosed Arthritis and Arthritis- Attributable Activity Limitation–United States, 2003-2005. MMWR Morb Mortal Wkly Rep. 2006;55(40):1089-1092.

3. Matta JM, Shahrdar C, Ferguson T. Single-Incision Anterior Approach for Total Hip Arthroplasty on an Orthopaedic Table. Clin Orthop. December 2005;441:115-124.

4. DePuy Orthopaedics, Inc. Data on file.

5. Matta, J.M. and T.A. Ferguson. “THA After Acetabular Fracture.” Orthopedics 28(9), September 2005: 959-960.