Hip and Knee
Our nationally-recognized hip and knee experts are among Southern California’s most experienced, having performed thousands of successful joint preservation and replacement procedures. In addition to creating superior outcomes and high patient satisfaction, we have also collected some of the nation’s most prestigious honors—including being one of just 62 hospitals in the country named a Center of Excellence in hip and knee replacement.
Every step of your care—from diagnosis to innovative rehabilitation therapies designed to create a shorter, more successful recovery—reflects the expertise of one of Southern California’s best orthopedic teams.
Services and areas of expertise include:
- Same-day total joint replacement for hip and knee
- Minimally-invasive hip replacement, including muscle-sparing anterior approach
- Partial knee replacement in which only the damaged area of cartilage is removed and replaced
- Hip arthroscopy, including minimally-invasive repair of hip impingement and labral tears
- All-inside ACL reconstruction (“no scar” ACL)
- All-inside meniscus repair
- Cartilage restoration and transplantation, including meniscus transplantation, OATS procedures and MACI procedures
- Joint reconstruction surgery, including complex revision surgery
- Biologic knee replacement, in which donated cartilage and bone are used to rebuild the knee instead of traditional metal and plastic implant
- Correction of kneecap misalignment and maltracking, including “bowed legs” and “knock-knees”
- Knee osteotomy for arthritis, in which the knee’s joint and cartilage are left intact, but the bone is reshaped to shift pressure away from areas of the knee affected by arthritis
Outpatient Joint Replacement
For a growing number of patients, getting a hip or knee replaced means going to St. Jude’s Outpatient Surgery Center in the morning and back home that afternoon.
Same-day, outpatient joint replacement is made possible by less invasive surgical techniques, improved pain management, comprehensive patient education, and advanced physical therapy protocols that start an hour after surgery, helping to accelerate recovery. Rehabilitation continues at home, with visits from St. Jude Home Health physical therapists to individualize therapy and promote faster mobility in daily tasks.
In addition to higher satisfaction with the convenience of being at home, patients undergoing outpatient joint replacement report better pain control, quicker rehabilitation and stronger recovery.
Partial Knee Replacement
At St. Jude, you'll find highly experienced experts in total knee replacement as well as newer, minimally invasive partial knee replacement. Unlike a total replacement in which all three compartments of the knee are replaced, a partial knee replacement removes only the damaged or diseased areas while preserving healthy bone and cartilage. This minimally invasive resurfacing technique also preserves the tendons and ligaments around the knee.
Ideal for those whose arthritis or knee damage is confined to a limited area, our surgeons are using this advanced technique to produce exceptional results, including a more normal knee motion, better range of movement and an accelerated recovery. Considered an outpatient procedure, partial knee replacement often requires only an overnight hospital stay.
Knee osteotomy is used to correct patella (kneecap) misalignment and maltracking, as well as address arthritis in one part of the knee. Common procedures include distal femoral osteotomy (DFO) to correct “knock-knees” malalignment and high tibial osteotomy (HTO) to correct “bowed legs.” By restoring proper alignment and function to the kneecap, knee osteotomy allows patients to avoid the cartilage deterioration that leads to arthritis.
A knee osteotomy allows the actual knee joint and cartilage to remain intact. Conserving the knee structure optimizes joint function and preserves the natural feeling of the knee throughout a full range of motion. These factors can be especially important to young patients with congenital misalignment or adult patients who want to continue to do activities that require higher levels of knee function, such as running, squatting, kneeling, and climbing
In certain patients, knee osteotomy is also used to improve chronic arthritis pain and prevent or delay the need for total joint replacement. Patients who can benefit include those with unilateral knee arthritis, meaning there is damage on just one side or “compartment” of the knee joint. By strategically altering the alignment or shape of the bone, pressure and weight are shifted away from portions of the knee affected by arthritis.
All-Inside or “No Scar” ACL Reconstruction
When the anterior cruciate ligament (ACL) is torn—an injury common to athletes and weekend warriors—surgery is often required to replace or “reconstruct” the damaged ligament. All-inside ACL reconstruction replaces the longer incisions used in traditional ACL surgery with 3 or 4 puncture-sized holes, earning it the nickname “no scar ACL.”
Despite significantly improving the cosmetic result, all-inside reconstruction offers the same or better long-term outcomes as traditional ACL surgery. Made possible by advances in instrumentation, all-inside ACL is less invasive and allows a more natural anatomical placement of the new ligament.
This arthroscopic procedure is performed by attaching an ACL graft to small sockets in the femur and tibia. Unlike traditional ACL surgery where a “tunnel” is drilled in the tibia to secure the tendon, all-inside ACL surgery requires only a small socket to be created and avoids violating the hard outer shell of the femur and tibia, which is rich in nerve endings.
In addition, while traditional ACL surgery involves harvesting two of the patient’s three hamstring tendons, the all-inside technique typically requires just one. The result is less pain and inflammation, shorter recovery, and quicker return to everyday activities.
Direct Anterior Approach for Hip Replacement
The number of hip replacements performed in the U.S. continues to increase rapidly, particularly among 40- to 55-year-olds, as improvements in surgical techniques and implant technology make it a highly successful and valuable procedure for younger, active patients.
Traditional hip replacement surgery involves making an incision on the side of the hip (lateral approach) or the back of the hip (posterior approach). Both techniques offer good results but both involve detaching the muscles and tendons from the hip to access the joint.
The direct anterior hip replacement is a minimally-invasive alternative to traditional hip replacement. This approach involves a 3 to 4 inch incision on the front of the hip that allows the joint to be replaced by moving muscles aside along their natural tissue planes, without cutting or detaching any tendons.
Because neither the muscles nor the posterior hip capsule are violated, postoperative hip dislocation rates—the leading cause of hip replacement failure— are reduced. In addition, patients experience less pain and muscle weakness (both short and long-term), recover faster, and typically return home within 24-48 hours of surgery. Learn more.
Your recovery after surgery
Today, we know so much more about how to prevent and minimize the pain of joint replacement or other procedures—and every aspect of our care is designed to help you recover faster, stronger and with less pain. From what happens immediately before surgery to what happens immediately after, each step has been scripted to include today’s best research in optimizing outcomes.
Other hospitals are just beginning to understand the importance of evidence-based, customized physical therapy. We are national leaders. Our highly trained physical therapists use specialized protocols to accelerate healing and restore function.
Once you’ve gone home, your progress will continue at our St. Jude Centers for Rehabilitation and Wellness, which offers one of the state’s most innovative and comprehensive range of service and therapies. At the CRW, you’ll work with physical therapists that not only specialize in joint replacement recovery, but are part of a dedicated therapy team that works exclusively with your surgeon. Frequent communication allows surgeons and their team to discuss, update and fine-tune therapy protocols, adjusting for each patient’s unique needs. The result is highly individualized care and a faster, more successful recovery.