When alternative treatment options no longer provide relief, joint replacement may be recommended. The surgical procedure involves replacing a portion or the entire damaged joint with prosthesis to create a healthy joint. Puget Sound Orthopaedics joint replacement surgeons are dedicated to restoring function, relieving pain and returning patients to prior levels of activity.
A “joint” is defined as the point where the ends of two or more bones are joined together. The two more prevalent joints in the body are “hinge joints” and “ball-and-socket’ joints. “Hinge joints” are found in the knee and elbow that bend and straighten and work much like the opening and closing of a door. “Ball-and-socket” joints are those found in the hip and shoulder that consist of a rounded end of one bone that fits into a cup-shaped portion of the accompanying bone.
INJURIES TO THE JOINTS
Inflammation of one or more joints causing pain and stiffness typically is caused by one of many forms of arthritis.
Joint fractures occur when a fracture line extends into the joint.
A joint dislocation occurs when a displaced bone loses contact with the accompanying joint.
SURGICAL CARE OPTIONS
Total joint replacement: A surgical procedure performed in a hospital or outpatient surgery center by an orthopedic surgeon. Repairs are made to the damaged cartilage and bone is removed from the joint and replaced with prosthetic components made of metal, plastic or ceramic.
Partial joint replacement: If disease in a joint is limited to only one area, only a portion of the joint will be resurfaced with either metal or plastic parts.
Total joint revisions: Over time the original replacement may fail causing pain or instability. Some or all of the parts of the original prosthesis are replaced with new components.
Minimally invasive surgery: Unlike traditional total joint replacement, the surgeon uses a shorter incision and a different, less-invasive technique to expose the joint – with the goal of reducing postoperative pain and speeding recovery.
Outpatient total joint replacement: Joint replacement performed with minimally invasive techniques in an ambulatory surgery center where the patient returns home the same day.
Shoulder replacement: Damaged parts of the shoulder, the head of the humerus bone and/or the socket of the glenoid bone, are removed and replaced with artificial components called a prosthesis. The bone becomes damaged for many reasons, including arthritis where the cartilage that cushions the bone wears away. Shoulder joint replacement may be recommended if the shoulder pain is severe enough to interfere with everyday activities, is severe while resting, there is loss of motion or weakness in the shoulder, and if there is failure of conservative treatment options.
Reverse shoulder replacement: The socket and metal ball are actually reversed. The metal ball is fixed to the socket and the plastic cup is fixed to the upper end of the humerus. This procedure changes how the shoulder powers and positions by using the deltoid muscle instead of the rotator cuff muscles. Reverse total shoulder replacement may be recommended for patients with a completely torn rotator cuff that cannot be repaired, who have a chronic shoulder dislocation or tumor located in the shoulder, who have a complex fracture of the shoulder joint or who have found that other treatments do not or no longer relieve shoulder pain.
Hip replacement: Hips that have received damage due to arthritis, fractures or other diseases may have sustained irreversible damage to the bone. When this happens, a total hip replacement might be the best available treatment. A prosthetic hip is placed into the pelvis and the head of the femur to recreate the ball-and-socket joint, which remobilizes the hip and stops pain and bone spur formation.
Knee replacement: A total knee replacement is the procedure performed when a knee is damaged beyond repair. Major injuries and various diseases can damage the knee to this point and the best treatment option is to replace the knee joint. The goal of a knee replacement is to reduce pain and improve function and mobility of the knee.
Unicompartmental (Partial) knee replacement: Only a portion of the knee is resurfaced due to the joint disease being limited to just one area of the knee.
Ankle joint replacement: Relieves pain and maintains motion in the arthritic ankle joint and is an alternative to ankle fusion, which typically eliminates motion in the joint, but still relieves pain.
Finger joint replacement: There are many joints in the hand that can be replaced: finger joints (called PIP), knuckle joints (called MP) and wrist joints. The damaged parts of the bone are removed and replaced with components made of metal, plastic or carbon-coated implants.
Thumb joint replacement: The carpometacarpal (CMC) joint is usually damaged due to arthritis. Some or all of the arthritic bone is removed and then the joint is stabilized using different methods.
Wrist joint replacement: Most surgical candidates are those suffering from severe arthritis in the wrist joint, resulting in pain, stiffness and swelling. It also may affect the strength of the fingers and hand causing problems with gripping or pinching.
Elbow joint replacement: The surgical replacement procedure involves removing scar tissue and spurs around the joint and a metallic piece is fitted into the stem of the humerus. The same procedure is done on the ulna. Both new stems are kept in place with bone cement.
"I appreciate Dr. Arroyo's concern for my well-being. He answers and explains all the answers to my questions. He doesn't rush through the visit and he is friendly, objective, and direct to what needs attention. I am very happy he is taking care of my shoulder." - Virginia
"Mrs. Rades is exceptionally thorough and knowledgeable. She takes great care to explain every element and/or issue." - Bette
"I was pleasantly pleased with the whole experience, and am happy with the results. I would definitely recommend this office to anyone looking for an orthopedic doctor."- Diana
"I was greatly impressed by Dr. Smith's competence and friendliness. He always addressed me by my first name and carefully listened to what I had to say." - Joan
Dr. Hassan is probably one of the best listeners I've ever had the pleasure of speaking with. - Anthony
“Everyone was great. Dr. Vaughan was extremely helpful and informative.” - Paul
“We have seen Dr. Vaughan before and wouldn’t use any other orthopedic surgeon.” - Dennis
"Dr. Coray went above and beyond, and I truly appreciated his time with us." - Jacob
“I have given out your business cards to co-workers and others; this is the best practice I have ever been to!” - Bill
"Dr. Bargren is a really good and smart doctor. He knows what he is talking about. You can tell he cares about his patients' well-being." - Dashawn
“Dr. Thomas is one of the friendliest doctors I have seen, and I have seen a lot of doctors for my issues. He made me feel very comfortable and like he cared and wanted to help me figure out how to fix my pain.” - Megan
"He saw my problems and even researched dates of things I had forgotten. He saw that I needed a more updated EMG done and referred me back to my rheumatologist." - Carolyn
“We really liked Dr. Thomas. He was so nice and made the experience enjoyable for my daughter.” -Anonymous
“Working at Puget Sound Orthopaedics is like working for a big family: everyone cares.” - Kristin C.
"Great customer service when setting up my appointment." - Alexander
"Terrific doctor and great clinic. Excellent care and follow up. I read the Core Values (H.E.A.R.T.) before my surgery and wondered if they would show up in my experience and sure enough they did. This is an outfit I would recommend to anyone who needs this kind of care." - Catherine
"Dr. Krumins and his PA were amazing. Both were patient and answered all my questions and concerns to completion." - Stephen
"Dr. Gray is a very empathetic man and has genuine concern for his patients." - Dave
"Dr. Hassan is always polite, understands my problems, and explains treatment in a way I can understand." - Dennis
"I have been going to this office for a couple of years now. Everyone on the team has been absolutely wonderful to me. They are warm and friendly, but retain their professionalism. They do try to make my life easier." - Sherie
“Dr. Phil Yearian is so good at knowing feet! He is efficient at what he does.” - Verna
Dr. Martin is a very good doctor. He takes his time and listens to your problems. My surgery was a success. I recommend him very highly! - John
"Dr. Smith has done surgery for me in the past and I was excited to have a referral to see him again. He's a great doctor!" - Cherrie
"Dr. Arroyo is very personal and puts me at ease about my concerns." - David
"Dr. Coray provided a series of constructive actions to take and explained them in clear and concise terms." - Alexander
"Dr. Hassan was very knowledgeable and helpful. He was very clear and gave very good instructions and helpful tips." - Anonymous
"Dr. Martin is awesome and I will always recommend him to family and friends." - Shellie
"Overall, I have been very satisfied with my care and promptness of all my appointments, prior to and after my surgery." - Diane
"I was very impressed with Dr. Ghidella's knowledge, honesty, and confidence in his ability to assist me with my hand." - Deborah
“What a friendly, charming, helpful doctor. I was surprised at how many of my friends have been to Dr. Yearian, and all of them had only positive things to say. Now, I see why.” - Anonymous