At Conway Medical Center, we understand how challenging life becomes when you live with chronic joint pain caused by arthritis, injuries or other conditions. When your ability to move and get around the way you used to be able to, becomes increasingly difficult and painful, you can turn to our Joint Replacement Center.
You might think joint pain is an inevitable part of aging but it doesn’t have to be. Conway Medical Center has become the leader in life changing joint replacement surgery utilizing the latest advances in technology and pain management. With staff that is dedicated to assisting you through every step of your surgery we’ve put all the pieces together to help speed up recovery and get you back to the things you love.
Get back to an active lifestyle
Patients who have total hip or total knee replacements typically recover quickly. You can expect to walk the day of your surgery. Generally, patients are able to return to driving in 2 to 4 weeks, dancing in 4 to 6 weeks and golf in 6 to 12 weeks. Your total joint team is dedicated to helping you return home and get back to the activities you enjoy.
Learn More About Joint Replacement
When your hip is injured, or a disease such as arthritis develops, the surface cartilage of your hip joint deteriorates. Without this cartilage, the bony surfaces of your joint come into contact, causing pain and difficulty walking. During your total hip replacement surgery, the orthopaedic surgeon replaces the ball and socket of your hip with metal and plastic components.
CMC’s Joint Replacement Center offers several types of hip replacement options for patients. Our joint replacement center team will work closely with you to determine the best course of treatment for your specific condition. Some of the hip replacement procedures we offer include:
- Total Hip Replacement
- Anterior Hip Replacement
- Hip Resurfacing
- Revision Total Hip Replacement
Total Hip Replacement
Patients frequently ask, “What exactly is a total hip replacement?” The simplest answer is that it is a replacement of the worn and arthritic surfaces of the hip joint. A total hip replacement replaces the worn parts of the joint by affixing an artificial surface to all parts that connect each other as the hip bends and pivots.
The hip is a ball-and-socket joint, consisting of the femoral head (the “ball”), the acetabulum (the “socket”) and the hip capsule, or tissue that surrounds the joint. A hip replacement removes the ball and resurfaces the socket side. The ball is attached to the rest of the bone by a stem that fits down into the femoral canal.
Usually, these parts are fixed to the bone without cement, depending on friction for initial fit and bony in-growth for long-term biological fixation. The implant, which is made of some combination of metal, plastic, and/or ceramic, comes in a variety of sizes and is fitted to the bone to provide an artificial surface that causes no pain when the hip is used.
Anterior Hip Replacement
Anterior Hip Replacement offers a faster recovery time with few, if any, mobility restrictions immediately after surgery.
Using a specially-designed surgical table, the surgeon can reach and replace the hip joint from the front of the hip with a small incision, as opposed to the side or back of the hip (posterior) with a larger incision. The gluteal muscles, which are the three muscles that attach to the pelvis, make up the buttocks, and femur are the most important muscles for hip function, are left undisturbed and do not require healing. Additionally, dislocation risks can be reduced with this approach and leg length is more accurately controlled.
With the anterior approach to hip replacement, patients typically can bend their hip freely immediately after surgery and walk with minimal assistance. Patients undergoing the posterior incisions are often required to follow strict precautions that limit the hip motion for the first two months and limit hip flexion to no more than 60 degrees. These patients are also discharged on a walker and face obstacles when trying to sit in a chair or getting in a car.
A newer technique that has recently emerged, for hip replacement is called hip resurfacing. In this procedure, the socket is replaced similarly to total hip replacement. The femur, however, is covered or “resurfaced” with a hemispherical component. This fits over the head of the femur and spares the bone of the femoral head and the femoral neck. It is fixed to the femur with cement around the femoral head and has a short stem that passes into the femoral neck. Hip resurfacing is an emerging procedure, most commonly performed in younger patients; and is not indicated for most patients with arthritis of the hip. It is too early to assess the long-term success of this procedure. However, early results are promising and may lead to excellent long-term outcomes.
Revision Total Hip Replacement
Another type of hip replacement is referred to as a revision total hip. Since it is repeat surgery, a revision is more complex and often requires a special type of implant used for those patients who have had a hip replacement that has failed. The bone is not as strong when an implant is removed and the ligaments and capsule surrounding the hip may be damaged.
A revision prosthesis helps address these problems because the surgeon can use special implants to provide better support for the prosthesis. One of the most common complications of a revision total hip replacement is dislocation, which is when the ball “pops out” of the socket. Your surgeon may use implants, techniques, and postoperative restrictions to reduce this risk. If the bone is badly damaged, some hip replacement surgeries, usually revision total hip replacements, require a bone graft to reconstruct a deficiency in the patient’s bone. This is an unusual circumstance and, in most cases, will be discussed at the time of your initial office visit.
The human-donor bone graft, which is obtained from a bone bank, has been tested for disease using a testing process even more stringent than the testing process for blood. Your surgeon and his assistants will be glad to answer your questions about bone grafting and will review the advantages and disadvantages with you.
Arthritis of the knee is a common condition causing pain and impaired lifestyle for thousands of people. Fortunately, modern surgical procedures can alleviate this condition. During your total knee surgery, the orthopaedic surgeon will replace the damaged knee with metal and plastic components. Knee replacement surgery can help you feel better and move better after your surgery.
CMC’s Joint Replacement Center offers several types of knee replacement options for patients. Our joint replacement center team will work closely with you to determine the best course of treatment for your specific knee condition. Some of the knee replacement procedures we offer include:
- Total Knee Replacement
- Partial Knee Replacement
- Revision Total Knee Replacement
- Bone Grafting
Total Knee Replacement
Patients frequently ask, “What exactly is a total knee replacement?” The simplest answer is that it is a replacement of the worn and arthritic surfaces of the knee joint. A total knee replacement resurfaces the worn parts of the joint. Unlike a hip replacement, that removes the ball of the hip joint, a total knee replacement takes away very little of the bone within the knee joint. It is better to think of a knee replacement as a refinishing of the knee surfaces. With arthritis, the cartilage covering the ends of the bone within the knee joint is badly worn. In a knee replacement this damaged cartilage, along with a very small amount of bone, is removed with very precise guides and instruments. The implants, which are made of metal and plastic in a variety of sizes, are then fitted to the bone to provide an artificial surface that causes no pain when the knee is in motion.
Partial Knee Replacement
Partial knee replacement (usually called a “unicompartmental” or “bicompartmental” replacement) is done if only part of the knee joint is damaged by arthritis. Think of the knee as having three compartments or sides: an inside compartment, an outside compartment and a front compartment for the kneecap. Most frequently, it is the inside compartment that becomes arthritic. The decision to perform a partial replacement that resurfaces just one compartment or side is made only if the opposite side and the kneecap have healthy normal cartilage at surgery.
Revision Total Knee Replacement
A third type of knee replacement is referred to as a revision total knee. Since it is repeat surgery, a revision is more complex and often requires a special type of implant used for those patients who have had a knee replacement that has failed. Approximately 1 in 10 implants will fail over a 10-year period and will require a revision of the prosthesis. The bone is not as strong when an implant is removed and the ligaments supporting the knee may be damaged. A revision prosthesis helps address these problems because the surgeon can fit a stem inside the canal of the bone to provide better support for the prosthesis.
If the bone is badly damaged, some knee replacement surgeries, usually revision total knee replacements, require a bone graft to reconstruct a deficiency in the patient’s bone. This is an unusual circumstance and will, in most cases, be discussed at the time of your initial office visit. The human-donor bone graft, which is obtained from a bone bank, has been tested for disease in a process even more stringent than the testing process for blood. Your surgeon and his assistants will be glad to answer your questions about bone grafting and will review the advantages and disadvantages with you.
Shoulder pain can be very debilitating. Your shoulder is a ball-and-socket joint that allows you to move your arm in multiple directions and allows you to raise, twist and bend your arm. If you are experiencing pain due to arthritis or injury in your shoulder, your range of motion can be greatly effected leaving you unable to complete your day to day activities.
CMC’s Joint Replacement Center offers several types of shoulder replacement options for patients. Our joint replacement center team will work closely with you to determine the best course of treatment for your specific shoulder condition. Some of the shoulder replacement procedures we offer include:
- Total Shoulder Replacement
- Partial Shoulder Replacement
- Reverse Total Shoulder Replacement
Total Shoulder Replacement
Patients frequently ask, “What exactly is a total shoulder replacement?” The simplest answer is that it is a replacement of the worn and arthritic surfaces of the shoulder joint or as a solution for certain fractures very close to the joint. A total shoulder replacement replaces the worn or damaged parts of the joint by fixing an artificial surface to all parts that contact each other as the shoulder moves and lifts the arm. The shoulder is a ball-and-socket joint, consisting of the humeral head (the “ball”), the glenoid fossa (the “socket”) and the shoulder capsule, or tissue that surrounds the joint. A shoulder replacement removes the damaged parts of the shoulder, replacing them with artificial components. The implants, which are made of some combination of metal and plastic come in a variety of sizes and are fitted to the bone to provide an artificial surface that causes no pain when the shoulder is used. These parts may be fixed to the bone with or without cement.
Partial Shoulder Replacement
Depending on the condition of your shoulder, only the ball may need to be replaced. This procedure is called a hemiarthroplasty, or partial replacement. This option is used when arthritis or a fracture only involves this part of the joint and the socket is normal.
Reverse Total Shoulder Replacement
This procedure is primarily used for people who have had a previous shoulder replacement that failed or who have a completely torn rotator cuff with severe arm weakness in addition to the arthritis. The rotator cuff is made of four small muscles that keep the shoulder blade and upper arm aligned so that larger muscles like the deltoid can life the arm.
In this procedure, the socket and the metal ball are switched. That means a metal ball is attached to the shoulder blade socket and a plastic socket is attached to the upper arm bone. This allows you to life your arm following surgery without the rotator cuff.
We appreciate the trust our patients place in our Joint Replacement Team. Our goal is to provide you with an excellent outcome and patient experience by partnering with you before surgery, during your hospitalization and rehabilitation, and long after you go home. We measure our clinical and quality outcomes against national benchmarks to assure we are providing the highest quality care to our patients.
Our Continuum of Care Makes the Process Seamless by Providing:
- A Program Director serving as a single point of contact
- Pre-op process with all appointments, teaching and testing scheduled on same day
- Discharge planning completed prior to surgery
- Equipment needs, and arrangements made prior to discharge
- Coordination of post-discharge services
- Continuum of rehabilitation services
- The only Post Rehab Joint Replacement Exercise Program in the region
Unique Features Create Better Outcomes
- We host monthly seminars on arthritis and joint replacement taught by our surgeons. We focus on the basics of osteoarthritis, operative and nonoperative solutions for treating joint pain and new innovations in joint replacement surgery that are making recovery easier than ever before. We finish with an extended question-and-answer period to address any specific concerns that participants may have. Tours of the dedicated joint replacement unit are offered.
- Patients are encouraged to choose a coach to accompany them beginning with orientation all the way through discharge form the hospital. Research has shown that an effective coach contributes to shorter hospital stay, increased patient satisfaction, and greater likelihood of being discharged directly home.
- We set up pre-op visits scheduled all in the same day with surgical nursing, physical therapy, case management, anesthesia combined with an orientation class that prepares our patients and coaches, alleviates anxiety and allows for individualized care planning in advance of surgery.
- Our dedicated teams in the operating room, on the dedicated joint replacement unit and in rehab therapies assure a high degree of expertise and continuity.
- Our outcomes are measured against national benchmarks.
Partnership Continues After Discharge
- Discharge summaries to referring/primary care physician to enhance continuity of care
- Post-discharge phone calls to answer any remaining questions
Our program offers:
- Free informational seminars presented by our physicians
- Priority physician appointments for seminar attendees
- Same day pre-admission testing/pre-surgery education program
- Dedicated joint replacement team
- Spacious rooms with family zones in our new state-of-the-art patient tower
- Post-surgical pain management options
- Inpatient rehabilitation facilities on unit