Suffering from hip or knee pain?
You're not a happy camper - We can help.
The orthopedic surgeons at MountainView are highly-trained in joint replacement. Each patient benefits from a team of dedicated professionals that oversees a seamless flow of care from your first visit in the surgeon's office to your last visit of outpatient physical therapy. All of your questions are answered by experienced professionals in our pre-procedural education classes and via our Joint Replacement Handbook (yours to keep).
Patients come to us because they need a procedure to relieve their joint pain and restore their mobility. The MountainView Joint Replacement Program is designed to get our patients back on their feet and doing those activities they enjoy, as quickly as possible. In most cases, our patients are up and walking the day after their surgery. They receive multiple therapy treatments daily and can participate in fast track therapy programs that are designed to help them meet certain personal goals, such as returning to work within a certain time period. Patients are in their own loose, comfortable street clothes by the second day following surgery, which makes them feel more independent and supports their return to a normal lifestyle as quickly as possible.
Most of our patients are discharged from the hospital after three or four days and are able to go directly back home with little assistance from family members or caregivers. Because medical studies have shown that joint replacement patients recover better when they can go home directly from the hospital, everything in our program is designed to help to make this happen.
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arthritis has caused
pain in daily living.
What makes this program unique is that we offer a “one stop shop” for patients who will participate in the program. A week or two before surgery, our patients come to the hospital for a few hours. This allows the treatment team to make sure that the medical clearance information is complete. We also finalize any additional medical testing ordered by the physician, provide a comprehensive joint replacement educational class taught by our own nurses and therapists, and complete the physical assessment including lab work. This allows our patients to proceed directly to the operative suite on their day of surgery.
Our nursing staff receives specialized training and education to assist our joint replacement patients to get back to their highest level of performance after the process is complete. Our physicians are among the best in terms of personalized care, surgical excellence and exemplary clinical outcomes.
Why do you need joint replacement surgery?
Osteoarthritis: OA is the most common form of arthritis. Symptoms usually occur after age 50 as a result of daily wear and tear to the joints over the years. People with obesity are at higher risk, as are those with a family history, previous surgery to the joint or previous injuries in the joint area.
Rheumatoid Arthritis: RA is a chronic inflammatory disorder affecting joints that have synovium (a tissue lining the joints). Those joints are the hip and knee, as well as the shoulder, elbow, wrist, hands and feet. This disorder is likely caused by cells produced by the body that irritate the synovium, leading to cartilage destruction around the joint. Rheumatoid arthritis may develop at any age, and can leave the joint stiff, swollen or painful, and can decrease the range of motion in the joint.
Hip Replacement Surgery
For every pound
you gain, you
pressure on your
hips six fold.
A normal hip joint is composed of two bones, the round head of the femur (the ball) and the acetabulum (the cup or socket in your pelvis), which are coated with smooth cartilage for easy, pain free movement. This smooth articular cartilage is deteriorated in an arthritic hip, causing pain and decreasing range of motion due to the bones rubbing against one another.
During hip replacement surgery, an artificial joint with a metal ball component (which attaches to a stem that fits into your thigh bone) and a socket component will replace your deteriorated hip. A plastic liner may or may not be used depending on your age. This liner has an outer metal shell that is secured to your pelvis. Once replaced, your artificial hip joint will work in the same way as your natural hip.
Hip resurfacing is a conservative surgical procedure to hip replacement. The procedure resurfaces, rather than replaces, the end of your femur (thighbone). Resurfacing preserves the bone stock on both the femoral head and neck as the surgeon reshapes the damaged joint but does not cut the natural bone of the femur. Both sides of the joint are fitted with metal prosthetics which are larger than the traditional total hip replacement prosthetics.
The benefits of hip resurfacing are the preservation of bone and the use of prosthetics which are almost identical in size to the natural hip. The larger diameter ball and neck allow greater range of motion in the hip and minimize the risk of joint dislocation.
Hip resurfacing is intended for young, active adults under the age of 60 or older adults with good bone quality. Your orthopedic surgeon will determine if hip resurfacing is appropriate for you. Some types of arthritis result in deformity of the head or neck of the femur and hip resurfacing is not an effective intervention.
Knee Replacement Surgery
Normal knees have smooth cartilage which covers three bones making up the knee: 1) the end of the femur (thigh bone), 2) the top of the tibia (shin bone), and 3) the patella (knee cap). This cartilage, which cushions the bones and allows for easy movement, is worn away in arthritic knees, causing the bones to rub against one another. This action produces pain, muscle weakness and a decrease in the range of motion of the knee. During a total knee replacement, the bones undergo a resurfacing in which metal components are cemented to their ends and a plastic liner is inserted between them. Once in place, the metal component and the plastic liner allow for smooth, normal motion of the knee. This new alignment can also generally correct bow leg or knock knee deformities.
Partial Knee (Unicondylar) Replacement
If arthritis has only damaged one side of the knee joint, surgeons can use a smaller incision and only resurface the one side of the affected joint, leaving the other side untouched. This preserves the anterior cruciate ligament (ACL) and allows for more normal motion of the knee with a lower incidence of stiffness.
Minimally Invasive Surgery
Minimally invasive surgeries are surgical techniques designed to work through smaller incisions which will result in less tissue trauma and blood loss. In orthopedic surgery this will generally mean less cutting of key muscles and tendons. As a patient recovering from MIS, you will spend less time in the hospital with a shorter rehabilitation period and speedier time to an active lifestyle. At MountainView Regional Medical Center, our Orthopedic surgeons complete both minimally invasive knee and hip replacement surgery. Your surgeon will determine if you're a candidate for MIS and discuss the risks and benefits with you. Traditional hip replacement patients must adhere to "hip precautions" to avoid hip dislocation, however patients undergoing MIS hip replacement often have no precautions whatsoever and are free to move as they would like.
Computer Assisted Surgery
Computer assisted surgery (CAS) allows your surgeon to better align the surgical joint to improve overall function of the joint with the use of computer assisted technology. CAS is an anatomical tracking system that gives the surgeon a detailed, three-dimensional view of the joint and implant specific to the patient's anatomy. It is used as an alternative to free-hand joint replacement. The guidance of CAS may improve the alignment in joint replacement especially for patients that undergo minimally invasive surgery with smaller incisions.
CAS improves the stability and range of motion of the joint with precision placement of the implant and reduced risk of revision.