Total Hip and Knee Replacement Services

The joints in the hips and knees are vital to a comfortable, mobile lifestyle but due to the almost constant wear and tear, both are prone to pains and discomfort after time. Different varieties of arthritis are the main causes of hip and joint pain, but there are many other reasons, such as damage from a fall or impact, Avascular Necrosis, which is wasting disease in the bones, hip pointers, and it is also possible to throw a knee due to a sudden sharp movement. When the patient starts to develop a constant pain in these joints or their mobility is hindered by joint pain, there are surgical options to replace all or part of the offending joint, granting the patient a reprieve from their pain and the freedom of mobility. Most hospitals will have offer total knee and hip replacement services.

What is Total Hip And Knee Replacement Services?

Total hip and knee replacement services are a catchall term for all the services and programs associated with getting a joint replaced. These include, initial evaluations, the surgery, and all follow up therapy.

Initial Evaluation

When you first start to notice a pain in your joint you should speak to a doctor right away. It might be a problem that can be fixed preemptively with medicine or physical therapy. If the pain does not go away however then you and your doctor might decide that joint replacement surgery is the best option for you. Your doctor should be able to make a recommendation for an appropriate specialist. The specialist, an orthopedic surgeon, will then evaluate your joint, and help you make an informed decision about when to have surgery.

The Type of Surgery

There are two types of hip surgery; total hip replacement and metal on metal resurfacing. Total hip replace is where part of the thigh bone is replaced with a new artificial ball, usually made from metal or plastic. The socket on the pelvis will be roughened with metal, plastic or ceramic. If the patient is especially active then both parts might be metal. Metal on metal resurfacing is where the surgeons will coat the inside of the socket and the ball of the thigh bone with metal, allowing the patient to move their joint without pain. Metal on metal patients have less of a risk of dislocating their new joint then total hip replacement patients.

There are four types of knee replacement surgery; total knee replacement, unicompartmental knee replacement, kneecaps replacement, and complex knee replacement. Total Knee replacement involves replacing the parts of the tibia and femur that form the joint. Sometimes the kneecap is also replaced, but many surgeons prefer to leave that when possible. Unicompartmental knee replacement is partial knee replacement which is used when only part of the knee causes pain. In that case only the offending section will be replaced. IF only the inside-surface of the kneecap and its groove (the trochlea) are causing pain then a kneecap replacement or patellofemoral replacement can be performed. A complex knee replacement is used when there is a deformity to the knee, major bone loss due to arthritis or fractures, or there are weak ligaments. In these situations more of the femur and tibia will also be replaced, as well as the entire joint.


Regardless of the type of replacement surgery performed after the operation the patient will need to go through physical therapy to aid their full recovery. The physical therapist will write a rehabilitation plan for the patient, which when followed will help the patient regain strength in the operated joint, and regain some or all of their former mobility.