Knee arthroplasty, also called knee replacement is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap. This surgery may be considered for someone who has severe arthritis or a severe knee injury. It is known as one of the most common operations in America, as 700,000 are performed annually.

The surgeon removes damaged cartilage and bone from the surface of the knee joint and replaces them with the metal and/or plastic parts. In a partial knee arthroplasty, the surgeon only replaces one part of the knee joint.

Signs arthroplasty may be needed:

• The pain persists or recurs over time
• The knee aches during and after exercise
• Loss of mobility
• Stiffness or swelling of the knee
• Knee stiffens up after sitting for period of time
• Feeling pain as a result of a past injury

Total Hip Replacement has become a viable option for those who have significant degeneration or arthritis in the hip.   Advancements in surgical approach, technology and implant materials has now allowed patients to return to an active and healthy lifestyle after Hip Replacement Surgery.

Total Hip Replacement removes the damaged bone and cartilage of the hip and replaces them with prosthetic materials.

During this procedure, the damaged femoral head is removed and replaced with a metal stem that is placed into the center of the femoral stem is cemented or pressed into the bone.

Next, a metal or ceramic ball is placed on the upper part of the stem. This ball replaces the damaged femoral head that was removed. The damaged cartilage surface of the socket is then removed and replaced with a metal socket. Screws or cement are sometimes used to hold the socket in place.  Last, a ceramic, or metal spacer is inserted between the new ball and the socket to allow for a smooth gliding surface.

The removal of the degenerated bone and the implant of the artificial ball and socket joint allows for the natural anatomical motion of the hip to be restored. The durable implants serve exactly as the degenerated bones once did.

Total Orthopedics and Sports Medicine surgeons utilize an minimally invasive approach for this procedure to ensure accuracy and efficacy.  This less invasive approach allows patients to return to activities and daily routines much more quickly than with traditional surgery.

Total shoulder replacement, also known as total shoulder arthroplasty, is a successful procedure for treating the severe pain and stiffness that often result at the end stage of various forms of arthritis or degenerative joint disease in the shoulder. The primary goal of shoulder replacement surgery is pain relief, with an added benefit of restoring full motion, strength and function as quickly as possible. Many patients return to the sports they love like tennis, golf and swimming, while also being able to pursue the personal health initiatives that they so choose.
Painful shoulder arthritis refers to the disappearing of the cartilage surfaces of the shoulder, which permit the ball and socket to smoothly glide against one another. This disappearance of the cartilage covering results in a bone on bone joint and can be quite painful.
The damaged portions of cartilage between the humerus and glenoid are completely removed as well as a small piece of bone. The space created by the removal of cartilage and bone is then replaced by a metal implant that replaces the ball of the humerus that is designed the keep the shoulder mobile and flexible.

Next, a small plastic socket is cemented in place on the glenoid.(the socket of the shoulder). These components create a smooth surface for the shoulder joints to glide on. If only the ball of the humerus is replaced it would be labeled a partial shoulder replacement or hemiarthroplasty. This is sometimes done in young patients with osteoarthritis or in fracture situations.