Joint Replacement Surgery Options - Adventist HealthCare

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Joint Replacement Surgery Options

Adventist HealthCare offers the full spectrum of total hip and knee procedures, including minimally-invasive options. Talk to one of our board-certified surgeons to find out which procedure is right for you.

Knee Replacement

Total Knee Replacement

The knee is a hinge-like joint, formed where the thigh bone, shinbone, and kneecap meet. It is supported by muscles and ligaments and lined with cartilage.

The cushioning cartilage can wear away due to usage, inflammation or injury. Worn, roughened cartilage no longer allows the joint to glide freely, so it feels stiff. As more cartilage wears away, exposed bones rub together when the knee bends, causing pain. The bony surfaces can also become rough, making pain worse.  In this situation, physicians often recommend a total knee replacement surgery.

During total knee replacement surgery, the surgeon shapes the ends of the thighbone (femur) and shinbone (tibia) and then caps them with prostheses made of a metal alloy. The surgeon inserts a tibial polyeltheline insert between the femur and the tibia. The surgeon will also resurface the underside of your kneecap and may replace it with a polyethylene button.

We also offer total knee replacement revision procedures.

Partial Knee Replacement


MAKOplasty is a robotic arm assisted Partial Knee Resurfacing procedure.

Partial knee replacement, also known as unicondylar replacement, involves the replacement of either the medial (inside) or lateral (outside) part of the knee. This type of procedure is used when the entire knee does not need to be replaced. Most people are not candidates for this type of replacement but it may be appropriate if you have compartment specific arthritis.

Since the first few days of partial knee replacement recovery are the same as total knee replacement, you will also attend our Joint Replacement Class prior to surgery.

Bilateral Knee Replacement

In a specific situation where you are experiencing severe disease in both knees that affects your ability to move, you may qualify for bilateral knee replacement. This procedure involves total knee replacements performed during the same procedure.

Hip Replacement

Total Hip Replacement


MAKOplasty is a robotic arm assisted Total Hip Replacement procedure.

The hip is a ball-and-socket joint where the thigh bone (femur) meets the pelvis. In a healthy hip, the head of the femur fits into a socket in the pelvis. Both areas are covered in smooth cartilage which allows the head to glide easily inside the socket. If the cartilage is worn down or the hip joint becomes damaged, moving the joint can be painful.

During hip replacement surgery, the surgeon replaces the head of the femur with an artificial ball and replaces the worn socket with an artificial cup. The surgeon also inserts a stem, extending from the ball, into the thigh bone for stability. The artificial cup and the stem will be inserted in the bone to allow the patient’s bone to grow in to them for stability. These parts fit together to create the new smoothly functioning joint.

We also offer total hip replacement revision procedures.

Posterior Approach

This is the standard approach to hip replacement surgery. In this approach, surgeons make an incision at the back of the hip. It is the traditional and most common method to hip replacement.

Anterior Approach

The direct anterior approach is an innovative way to perform total hip replacement. The procedure, which is done through the front of the hip, uses a muscle splitting approach so there is no muscle cut. The Hana table and navigation techniques used in this approach help with implant positioning and sizing.

Modified Lateral Approach

Another alternative approach you can discuss with your physician.

Montgomery County’s First Hana Tables

Adventist HealthCare Shady Grove Medical Center was the first hospital in Montgomery County to have the state-of-the-art Hana Table. The unique design of this table allows your surgeon to perform hip replacement with the anterior (direct) approach. We now have two tables and an advanced navigation system. We are proud to offer the patient a state-of-the-art hip replacement using all of the most modern techniques.

Find an Orthopedic Surgeon

Call our free, 24-hour referral service at 1-800-642-0101 or browse our Doctors Directory for help finding the physician or specialist that best suits your needs. On the Doctors Directory search page, enter a physician name, specialty or area of interest to find a list of related doctors.

FREE Joint Pain Assessment

Take our FREE Knee & Hip Pain Assessment to learn more about how your pain may be impacting your daily life.

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