The Center for Hip & Knee Reconstruction
Our team of hip and knee reconstruction surgeons pride themselves on the best outcomes in the area. Our comprehensive program utilizes the most advance technology and attention to detail, maximizing options for patients. Rely on experience when it comes to your health. Our trusted, specialized team of surgeons are experts at getting patients moving again and back to the life they love.
Freeman’s nationally recognized, highly trained team of orthopaedic physicians are the region’s specialists in hip, knee and shoulder replacement as well as sports medicine. Our surgeons have performed over 4,735 total knee, hip and shoulder replacements since 2019. Freeman Orthopaedics & Sports Medicine is recognized by Anthem Blue Cross Blue Shield®, US News & World Report and United Healthcare®. We do it right the first time. Freeman was recognized by Becker’s Hospital Review as being tied for 5th in the nation and is among the top 36 hospitals with the lowest 30-day readmission rates for hip and knee replacement surgery. Medical, nursing, physical therapy, and pain and case management staff all work together to provide exceptional care, so patients receive the right care at the right time, the first time they enter our facility.
Types of Joint Replacement Surgeries
Joints can be damaged due to injury or as a result of arthritis. When joints are damaged, the patient may be in pain or find it hard to perform daily activities. In some cases, nonsurgical treatments like medications or physical therapy may relieve pain and help regain motion. However, nonsurgical treatments are not always successful, and joint replacement surgery may be the best solution.
The hip joint includes a ball and socket. The socket is in your hip bone, which is also called the pelvis. The ball fits into the socket at the top of your thigh bone, which is also known as the femur. The ball rotates within the socket, allowing for motion in various directions. In a healthy hip joint, smooth cartilage covers the ball and socket, allowing the ball to glide easily in various directions.
Joints can be damaged due to injury or arthritis. This damage can cause pain and limit movement. In most hip joints requiring replacement, the smooth cartilage is worn. The lack of cartilage between the bones causes pain and decreased range of movement. During a total hip replacement, the damaged part of the joint is removed and replaced with an artificial one. A stem with a ball attached goes into the femur and a smooth metal material lines the socket in place of cartilage. This helps relieve pain and regain motion in the hip.
There are different approaches to performing a hip replacement: posterior (from behind the hip) and anterior (from the front of the hip). Our specialists will help you determine which is the right choice for you.
Posterior hip replacement surgery uses a curved incision on the side and back of the hip. The surgical cut (incision) curves just behind the greater trochanter, the knobby bit of bone that sticks out at the side from the top of the femur (thigh bone). With this approach, the surgeon must cut muscles and soft tissue at the back of the hip to reach the hip joint.
Using the anterior approach may allow your surgeon to do the surgery through a smaller surgical cut. The cut is in the front of the hip rather than in the side or back, as it is in traditional hip replacements. With this approach, the surgeon works between the muscles to reach the hip joint.
The knee joint is the largest joint in the body and is a hinge joint. The knee joint includes three different bones – femur (thigh bone), the tibia (shin bone), and the patella (kneecap). Ligaments attach these bones to each other and provide stability. Tendons attach the muscles of the calf and thigh to the bones.
In a healthy knee joint, cartilage covers the bone surface. Fluid in the joints allows the bones to glide smoothly. The kneecap rides smoothly within a groove on the thigh bone.
Joints can be damaged due to injury or arthritis. Arthritis affects the cartilage and surfaces of the bones within the joint. As the cartilage begins to erode the knee joint becomes stiff, painful and unstable. Our orthopaedic surgeons will assess your knee’s stability, range of motion and strength.
During a total knee replacement, a surgeon removes the surface of the damaged bones and replaces the knee with an artificial implant that is selected to fit your anatomy. Implants replace the lower portion of the femur and the upper portion of the tibia. The femur and upper portion of the tibia are fitted with metal implants while the back of the patella is fitted with a plastic implant.
Our shoulder joints have three main bones: the collarbone (clavicle), the shoulder blade (scapula) and the upper arm bone (humerus). The glenoid (part of the scapula) and humeral head (part of the humerus) are normally the parts of the shoulder that must be replaced because they rub together when you move your arm.
In a healthy shoulder, these portions of bone are covered with cartilage, which enables painless motion for lifting, pushing and pulling. Arthritis can damage this protective cartilage making these motions painful.
During a shoulder replacement surgery, the damaged joint is removed and replaced with a prosthesis. The prosthesis is a metal, plastic or ceramic device designed to replicate the movement of a normal healthy joint.
ExactechGPS® Guided Personalized Surgery is the latest advancement in technology that provides surgeons with real-time visual guidance and alignment data in shoulder replacement surgery. Freeman is the first in the state and only facility in Southwest Missouri to utilize ExactechGPS.
This advanced platform provides a visual map of the patient’s joint on a screen, allowing surgeons to combine preoperative planning with intraoperative computer-assisted technology, to perform implant alignment relative to the patient’s needs.
The technology’s preoperative planning tool allows surgeons to plan their cases in advance of the surgery through a virtual simulation. Surgeons can then execute their plan in real time during the surgery based on a 3D anatomical model of the patient’s shoulder, making adjustments as needed.
With the help of ExactechGPS, a surgeon can see important parts of the shoulder anatomy that are normally difficult to view during surgery. With this comprehensive visual, the surgeon can verify precisely where to remove damaged bone and place the implant.
Joint revision surgery may be necessary for younger individuals who demand a lot from their joints or for patients with older implants that may have worn down significantly over time through mechanics or by friction.
If the implant used in a joint replacement loosens, wears or becomes infected, the affected joint may become swollen and painful. When this occurs, a joint revision procedure may be recommended to remove the old implant and replace it with new components.
It may be time to consult with a joint revision surgeon if the patient experiences any of the following symptoms:
Joint revision surgery is a complex procedure that requires an experienced and skilled surgeon, extensive preparation and the use of a special implants and tools.
Freeman orthopaedic surgeons have undergone additional advanced training to perform joint revision replacement surgeries and work with patients to develop individualized treatment plans.
Joint Replacement Surgery Education Program
In addition, Freeman’s Joint Replacement Education Program is designed to help make your surgery as smooth as possible and answer your questions along the way. You will learn what to expect during your hospital stay, how you can assist in your recovery and what to anticipate after you go home. At Freeman, we are committed to providing quality patient care and maintaining a close partnership during your recovery.