Total Joint Replacement: Hip, Knee, Shoulder

Joints are formed at the ends of two or more bones, which are connected by tissue called cartilage. Healthy cartilage serves as a protective cushion, allowing smooth, low-friction movement of the joint. If the cartilage becomes damaged by disease or injury, the tissues around the joint may become inflamed, causing pain. With time, the cartilage may wear away, allowing the rough edges of bone to rub against each other, causing more pain.

When only part of the joint is damaged, a surgeon may be able to repair or replace just the damaged areas. When the entire joint is damaged, a total joint replacement is performed. To replace a hip or knee joint, a surgeon removes the diseased or damaged parts and inserts artificial parts, called prostheses or implants.

Hip and knee replacements are helping people live active lives without pain.

Hip Replacement

Total Hip Replacements  (THR)  are very successful surgical treatments for arthritis of the hip and knee respectively.

Over the last several years, hip and knee replacement surgery has evolved to a minimally invasive technique.

Advantages of Minimally Invasive Joint Replacement are

  • Less tissue trauma – muscles and tendons are avoided or separated, not cut
  • Faster and less painful rehabilitation
  • Smaller incisions and less scarring
  • Shorter hospital stay – 1to 2 days (vs. 3 to 5 days); some patients go home in less than 24 hours
  • Minimal blood loss
  • Possible Faster return to work and daily activities

Knee Replacement

A Total Knee Replacement (TKR) or Total Knee Arthroplasty is a surgery that replaces an arthritic knee joint with artificial metal or plastic replacement parts called the ‘prostheses’.

The procedure is usually recommended for older patients who suffer from pain and loss of function from arthritis and have failed results from other conservative methods of therapy.

The typical knee replacement replaces the ends of the femur (thigh bone) and tibia (shin bone) with plastic inserted between them and usually the patella (knee cap).

Shoulder Replacement

Shoulder is a “ball-and-socket” joint. A “ball” at the top of the upper arm bone (the
humerus) fits neatly into a “socket,” called the glenoid, which is part of the shoulder blade (scapula).

The cartilage cushions the joint, and allows the bones to move on each other with smooth movements. This cartilage does not show up on X-ray, therefore you can see a “joint space” between the head of the upper arm bone (humerus) and glenoid socket of the shoulder blade (scapula).

In an Arthritic Shoulder

  • The cartilage lining is thinner than normal or completely absent. The degree of cartilage damage and inflammation varies with the type and stage of arthritis.
  • The capsule of the arthritic shoulder is swollen
    The joint space is narrowed and irregular in outline; this can be seen in an X-ray image.
  • Bone spurs or excessive bone can also build up around the edges of the joint.

The combinations of these factors make the arthritic shoulder stiff and limit activities due to pain or fatigue. Shoulder joint replacements are usually done to relieve pain when non-operative treatment to relieve pain is unsuccessful. 

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Orthopedics & Sports Medicine

Our highly experienced and regarded orthopedic surgeons specialize in the diagnosis and treatment of disorders that affect bones, joints, muscles, cartilage, ligaments and nerves of the extremities and spine. They are proud to be affiliated with both St. Mary Mercy Hospital and St. John Macomb Hospital..

Back, Neck & Spine

You’ll have the advantage of the latest surgical and non-surgical procedures in back and neck pain. A team approach to your spinal problems may include physical therapy, medication, exercise, weight loss and therapeutic spinal injections. Additionally, we offer the area’s best orthopedic spine surgeons for repair or reconstruction of structural disorders.

Pain Management

The pain management / physical medicine and rehabilitation physicians at Mendelson Kornblum have a tremendous amount of experience and knowledge regarding pain-relieving techniques and treatments. Areas of specialty include back pain, neck pain, herniated discs, pinched nerves, post-surgical pain, cancer-related pain, musculoskeletal injuries, and rehabilitation for back and neck injuries. If you have acute or chronic pain that affects your mobility and ability to function, Mendelson Kornblum Orthopedics can help restore your quality of life.

Physical Therapy

Our rehabilitation approach complements your surgeon’s intervention with continual sharing of diagnostic information that can help promote a speedy recovery. In addition, due to our exclusive dedication to orthopedic conditions, we have developed many techniques that can significantly reduce the amount of pain during your rehabilitation.