According to the National Institutes of Health (NIH), approximately 773,000 Americans have a hip or knee replaced each year.
If you have a joint condition, UPMC is enhancing this now-common surgery with:
Our joint replacement specialists have access to UPMC's incredible support services and resources, including:
UPMC offers the kind of breadth and depth of experience that only a great team of experts can deliver.
Together, we are:
And, through the use of electronic medical records and a system that tracks patient success rates, we’re learning more each day while providing comprehensive orthopaedic care.
As leaders in their field, joint replacement surgeons at UPMC are working to set the standards and protocol for joint replacement surgery.
And, as a well-known research center, the University of Pittsburgh attracts some of the greatest minds in the field of medicine. They are heavily involved in research and teaching, and have access to some of the latest breakthroughs available.
Many people can benefit from joint replacement or one o f the many other alternative treatments available to alleviate symptoms or correct joint conditions.
Some common symptoms of joint problems include:
Joint specialists in the Department of Orthopaedic Surgery use joint replacement surgery to treat many conditions, including:
Anyone who has ongoing (chronic) pain or loss of function in a joint may be a candidate for joint replacement surgery.
However, joint pain doesn’t usually require joint replacement surgery. Doctors usually try other measures, such as medical intervention, physical therapy, injections, or bracing before resorting to surgery.
Our joint replacement specialists at the Department of Orthopaedic Surgery are experts in a wide variety of treatments and surgical solutions, using the safest techniques available.
At UPMC, we’re experts in joint replacement and have experience with many techniques and prosthetic devices. Our operating rooms are supplied for any contingency for primary and revision joint replacement. We are familiar with the issues involving minimally invasive techniques ava ilable, navigation, and newer bearing surfaces.
In a joint replacement, our orthopaedic surgeons replace all or part of the joint with an artificial joint called a prosthesis.
The operation relieves pain and immobility for most people and is sometimes used in cases where bone is diseased or cancerous.
Most of the more modern artificial joints can be expected to last 15 years, and some longer than 20 years.
This surgery is ideal for older people. Younger, more active people have historically worn out parts of an artificial joint earlier. But more modern bearing surfaces appear to be providing longer lasting outcomes and may be appropriate for patients under 50 who require joint repla cement surgery.
To postpone or even avoid having to replace a joint, our doctors may choose another alternative treatment. It all depends on your situation and overall health.
Whenever possible, our orthopaedic surgeons will choose the treatment plan that gives you the most benefit with the least amount of invasive surgery.
Besides non-operative options, some surgical treatment options may include any of the following listed below.
Knee arthroscopy is minimally invasive, requiring only very small incisions.
It is not recommended for arthritis alone, but may be helpful for patients with arthritis complicated by:
UPMC orthopaedic surgeons perform the surgery by inserting a tiny camera inside the knee at the source of the problem. They use the camera as a guide as they insert other instruments to repair the damaged area.
Core decompression is a treatment for necrosis or osteonecrosis, where part of the bone has died due to lack of blood supp ly.
During a core decompression procedure, a surgeon relieves internal bone pressure by drilling a hole into the bone allowing for new blood vessels and cells to reach the area of the bone death.
An osteotomy can help relieve symptoms associated with arthritis when it iss being made worse by deformity.
During this surgery, a UPMC surgeon makes a cut in one of the bones in the lower leg depending on where your pain originates and in the best place to correct the deformity.
When the surgery is on the:
This surgery works by shifting the weight away from the damaged part of your knee to the other side of the knee.
An osteotomy can often delay the need for a knee replacement for up to 10 years, while still living an active life.
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Some common symptoms of joint conditions include:
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You may be a candidate for joint replacement surgery if you have:
Usually, the ideal candidate is older.
Younger, more active people may put extra stress on artificial joints. This has historically caused them to wear out earlier than expected. For younger patients that require joint replacement, the good news is that the more modern bearing surfaces appear to be wearing out far less.
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Joint replacement is helpful for treating many conditions, including:
» Learn more about these joint conditions.
Doctors usually try other measures before resorting to partial or total joint replacement surgery.
Treatments to delay or avoid joint replacement may include:
» Learn more about joint replacement surgery and other treatments.
Many doctors choose not to perform joint replacement surgery if conservative therapy has not been tried or if the pain is not severe enough to justify the risk of surgery.
Even if the surgery would benefit you, there are reasons why you may not be a good candidate such as:
Restrictions may also depend on what joint you’re replacing.
Department of Orthopaedic Surgery Joint Reconstruction CenterUPMC Shadyside5200 Centre Ave., Suite 415Pittsburgh, PA 15232412-802-4100
Affiliated with the University of Pittsburgh Schools of the Health Sciences
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