Learn about the Journey
The most important thing to know is that you're not alone
There’s a lot to consider when it comes to treatment. In the past five years there have been significant advancements in the treatment of arthritis. Since each person’s joints are different, our surgeons will examine you, perform x-rays, and review treatment options. During the visit, and in the days that follow, you will have access to a number of resources to help you make the most informed decision.
Learn about the Science
An improved procedure, a faster recovery
Partial Knee Replacement
If arthritis pain is slowing you down, you may be thinking that a total knee replacement is your only option. But, many patients don’t realize there may be a more simple option. The knee joint is divided into three specific areas, called “compartments.” If the cartilage damage in your knee has occurred on only one compartment, a partial knee replacement procedure can be performed. At MCJR, we use the least invasive techniques and specialized instruments available.Through x-rays and examination, we will help you decide if this surgery is the best option for you. This minimally invasive procedure allows for a faster recovery and less risk of complications. If this small, less invasive surgery can provide a better outcome for you, we will recommend the partial knee replacement. Learn more about partial knee replacement here.
Total Knee Replacement
When more than just one knee compartment has cartilage damage, a total knee replacement is often a smarter option. Many people worry about the recovery process, but we are strong believers that doing the right procedure first with our least invasive techniques will provide you with long-lasting pain relief. Our total knee replacement provides over a 90% satisfaction rate with our patients.Additionally, with our novel, multi-level pain management and the pre- and post-operative protocols developed and practiced right here, total knee replacements can be safely performed in the outpatient environment.
Total Hip Replacement
When a patient has end-stage hip osteoarthritis (or many other conditions that result in hips joint destruction), the pain can keep patients from doing what they love. Our goal is to fix that. The advent of newer, less invasive surgical approaches has allowed our surgeons to perform hip replacement procedures with considerably less pain and debilitation.Because we use modern anesthesia techniques and a multi-model approach to pain control, total hip replacements can now be performed safely as an outpatient procedure. Since we embrace top quality, we provide the same successful surgery with less negative impact and a more rapid recovery.
MCJR is a leader in anterior hip surgery, in which you return home the same day as surgery. Learn more about anterior surgery here.
The Center for Hip and Knee Surgery
It's okay to ask questions — We're happy to answer them
Joint replacement surgery provides significant pain relief in the vast majority of cases. It leads to improved quality of life through restoration of physical and functional limitations.
The degenerative joint process, or arthritis, is removed during the procedure and a uniquely designed metal and plastic joint is implanted into the bone. The ability to walk and climb stairs, improved range of motion, and reduced activity related limitations can all be achieved through joint replacement.
The right time to consider joint replacement is after exhausting non-surgical measures such as exercise, physical therapy, weight loss, anti-inflammatory medications, and injections. If your joint problems persist, call us to schedule an exam and evaluation of your x-rays, and we’ll help determine if joint replacement is right for you.
About 50% of degenerative arthritic knees can be treated through partial knee replacement. A partial knee replacement removes all of the affected, or diseased, surfaces of the joint, while leaving normal tissues and ligaments in tact. The surgeons at MCJR are national leaders in partial knee replacement surgery.
A total knee replacement is indicated when the entire knee is worn out and all surfaces of the joint must be replaced.
While partial knee replacement results in slightly faster functional improvement, both partial and total knee replacements can be performed as outpatient procedures for a majority of patients. Patients can recover in the comfort of their own homes with a supervised therapy program.
The 10-20 year durability is equal in both partial and total knee replacements, with only about 10% of patients needing additional surgery over the ensuing two decades, and 90% never needing additional surgery on the treated knee.
Modern hip and knee implants are designed to last well over 20 years. Only about 10% of patents require additional surgery after a joint replacement, and even then infection, fracture, ligament, or tendon problems are typically the cause, not the implant wearing out. The surgeons at MCJR use the most advanced preventative measures for reducing infection, blood clots, and other issues that might lead to the need for additional surgeries.
The risks of joint replacement are low but can be significant. We’re confident that our perioperative protocols and our experience with thousands of joint replacement surgeries significantly reduce this risk compared to the national average.
Other risks include:
- Infection, the most common concern, occurs in less than 1 out of 100 surgeries.
- Stiffness or loss of motion in the joint occurs in 2-4% of knee replacement surgeries, and can be treated with additional therapy or a manipulation of the new joint a few months after the initial procedure.
- Wound healing is a concern with any surgery, especially where poor diet, diabetes, or other malabsorption problems are present.
- Blood clots occur infrequently, but can travel to the lungs. We strive to prevent them with rapid mobilization the day of surgery, blood thinners, leg squeezers, and embolism stockings.
- Complications in hip replacements occur in fewer than 1% of surgeries, and include fracture of the bone, dislocation, and limb length inequality.
- Other medical complications during surgery can occur.
Most incisions are 3-6 inches long, depending on the height and weight of the patient. In the majority of cases, stitches are placed on the inside of the skin, with glue closing the skin edges together.
While every patient and joint replacement procedure is unique, most patients are able to walk within a few hours of surgery and be home within 24 hours. During this phase of recovery, therapy is an important part of progress.
Patients are usually able to walk with a cane or without assistance within 2-4 weeks, and are able to get out of the house and return to many of their activities. Pain with weight bearing improves first, followed by stiffness and mobility over the ensuing months. Complete healing and endurance can be expected within 9-12 months after the procedure.
In addition to using long-acting anesthetic during surgery, we employ innovative pain control protocols that leave most patients with fairly little pain for the first 18-24 hours. Patients return home with individualized postoperative medications accompanied with clear and concise instructions. This typically includes oral pain medication that helps with therapy and sleeping for 4-6 weeks.
As healing progresses, normal activities are resumed in phases. Most patients are out of the house and back in their neighborhoods, communities, and churches within a few weeks of the procedure. Depending on the job environment, return to work can be expected within 4-8 weeks after surgery. Many patients will not feel as if they’ve regained all of their strength and endurance until one year after surgery. Bone and soft tissue healing takes time, and this is a normal part of recovery.