The Ohio State University Wexner Medical Center is frequently recognized as one of the premier sites in the country for orthopedic surgery (also referred to as orthopaedic surgery). That’s why people come to us from throughout Ohio and nearby states for their joint replacement surgery. You too can get relief from pain, stiffness and weakness in a major joint like a knee or hip here.
We specialize in caring for adults in need of joint replacement (also known as reconstructive surgery or orthopedic reconstruction) due to osteoarthritis, post-traumatic arthritis, avascular necrosis and the late consequences of childhood hip diseases such as dysplasia/dislocation, Perthes disease (osteonecrosis) and slipped capital femoral epiphysis. We also lead clinical trials and scientific research projects that look for new and better ways to treat osteoarthritis and other degenerative conditions.
Do I need a joint replacement?
Getting you from constant pain to no pain, and from limited function to more function, is our goal. Whether you start your journey with our orthopedic reconstruction specialists, one of our shoulder, hip or knee specialists or another musculoskeletal physician, we will guide you through determining whether you are a candidate for joint replacement surgery. Surgery is usually considered after many nonsurgical treatments have been used, including:
- Injected steroids to manage acute pain and inflammation
- Injected visco-supplementation agents to relieve pain and restore function
- Unloader bracing, a mechanical intervention designed to reduce pain and improve function
- Physical therapy to promote strengthening and flexibility
Joint replacement is recommended for people with severe and activity-limiting pain that does not respond to nonsurgical medical management and who have some area of bone-to-bone contact in the weight-bearing joint.
When you come to our office, we’ll comprehensively review your medical history, and give you a thorough physical exam. Your doctor may order a series of diagnostic imaging studies, including X-rays or an MRI (magnetic resonance imaging). An MRI provides a detailed, high-resolution image so your doctor can see the extent of your joint’s damage or deterioration. Your pain level and day-to-day quality of life are also important factors in the decision to have knee or hip replacement surgery.
Deciding to have joint replacement surgery
What to expect from surgery
Minimally invasive replacement
Order of replacements
What happens during knee replacement surgery?
With total knee replacement, your doctor is replacing the joint surfaces of your knees, not the bone. Total knee replacement surgery involves replacing one or more of the knee’s three compartments (inside, outside and underneath the kneecap) with a man-made surface of metal and plastic. With partial knee replacement, your surgeon replaces only one part of your knee joint, most commonly the inside or medial compartment.
Our leading-edge surgical knee reconstruction treatment options include:
- Knee arthroplasty: surgical replacement of the surface of the knee joint to decrease pain and increase mobility
- MAKOplasty: an innovative robotic partial knee replacement surgery that targets the specific disease area and preserves bone, soft tissue and ligaments for more natural knee function post-surgery
- Tibial osteotomy: realigns the limb and preserves knee function prior to knee replacement
Knee replacement recovery
You can expect to spend one to two days in the hospital after knee replacement. Some patients may be candidates for outpatient surgery, with a return home the same day as surgery without overnight recovery time in the hospital.
You will be on your feet bearing weight the day of surgery. Most patients have a home healthcare nurse and physical therapist come to their house three times a week. This is a vital part of the recovery process to help you regain your strength and mobility. You’ll engage in therapy for six to 12 weeks after surgery and will be off work for at least six weeks.
What happens during hip replacement surgery?
With hip arthroplasty (hip replacement surgery), your surgeon will remove damaged cartilage and bone from your hip joint and replace them with new, man-made parts. Your specific situation will determine how to best access the hip joint. The incision may be on the back (posterior), right or left side (lateral) or front (anterior) side of the hip.
Hip replacement recovery
You can expect to spend one to two days in the hospital, and will be bearing weight and walking the day of surgery. You should feel no hip pain other than normal post-surgical pain.
The outcomes for all three approaches to hip replacement (posterior, lateral and anterior) are similar by three to six months. Our surgeons prefer a posterior approach, which involves making an incision on the backside of your hip near the buttocks to avoid the muscles in the leg used for walking. You should expect to be be off work for six weeks with a limited range of motion, along with six to 12 weeks of physical therapy.
Why choose Ohio State for joint replacement surgery?
Pioneers in Technology: We were the first hospital in Ohio to offer surgery using robotic-assisted technology. MAKOplasty® utilizes a robotic arm system that helps doctors achieve a new level of precision in knee or hip replacement surgery. Patients who have this surgery at Ohio State benefit from smaller incisions, shorter hospital stays, less physical therapy and quicker recovery time.
Comprehensive Care: Our orthopedics program is ranked by U.S. News & World Report as one of the premier sites in the country for orthopedic surgery.
Diagnostic Expertise: We have trained experts who collaborate as an entire team, including physicians, clinicians and researchers from Orthopedics, Physical Therapy, Imaging, Sports Medicine, Nutrition and any other departments that can play a role in your treatment. We provide patients the best, most personalized treatment options available for hip and knee pain.
Research: Through collaborations with Ohio State researchers and medical device manufacturers, our physicians design and develop hip and knee replacement components, including a more flexible structural device for total hip arthroplasty. We also lead clinical trials and scientific research projects that look for new and better ways to treat osteoarthritis and other degenerative conditions.