At the University of Missouri, we provide a comprehensive approach to care for hip and knee concerns. The treatments used to help our patients include rehabilitation services and local introduction of medication into joints or surrounding soft tissues. When nonoperative treatments no longer work, our nationally and regionally recognized Adult Reconstruction specialists can provide a full spectrum of surgical treatment options for advanced hip or knee conditions. Treatments include:
When the cartilage in your joint is still healthy, our surgeons can provide surgical treatments directed toward repairing or removing damaged tissue, as well as providing corrective surgeries to help preserve the joint cartilage and delay the progression of arthritis.
Knee Arthroscopy- If your knee has sustained damage to its supporting tissue (meniscus) and you are experiencing pain or locking/catching symptoms, arthroscopy surgery may be helpful to remove or repair the damaged tissue.
Knee Osteotomy- If your knee is developing arthritis because a part of the knee is not aligned well, surgery can be done to reposition the joint. These procedures are generally used when a single compartment of the knee is involved and when good cartilage still remains in the knee joint.
Hip Arthroscopy- If you have sustained damage to the tissues around the hip joint or have minor deformities to the bone structure around the hip, arthroscopy surgery can be helpful to repair or re-shape the joint and help restore the joint to normal function, or to delay the development of arthritis in the joint.
Hip Osteotomy- If you have a painful hip because of a major structural deformity (hip dysplasia), surgery can be performed to re-align the hip joint and decrease the effects of damaging mechanical forces across the hip joint. These procedures can be effective in helping to extend the life of your hip joint and to restore normal joint function.
If you have more severe damage to the cartilage or bone around your hip or knee, joint replacement surgery can provide substantial improvement in pain and function. Hip replacement surgery is highly successful in providing long-term improvement in pain associated with advanced hip disease. Knee replacement surgery provides substantial improvement in pain relief for patients with advanced knee disease.
While partial knee replacement does not perform as consistently well as knee replacement surgery, the contemporary techniques that we offer our patients, including partial knee replacement, is less invasive than total knee replacement. Our process for engaging surgical treatment for our patients include a collaborative relationship with our rehabilitation specialists, both before and after your surgery. We have found that this approach helps our patients to recover muscle function and return to activity faster than traditional knee replacement approaches.
Partial Knee Replacement- If only one compartment of your knee is involved with arthritis, but the disease process is more advanced, you may benefit from a partial joint replacement surgery. Partial joint replacement keeps the ligaments balanced in the knee, while offering a greater chance that your knee will feel more normal after surgery.
Total Knee Replacement- When more than a single compartment of your knee is affected by arthritis, a total knee replacement can provide pain relief and allow you to return to function. Our surgeons offer a variety of surgical approaches to the knee with implant support using conventional implant systems, as well as alternative components for those with metal sensitivities. Healthier patients with severe arthritis of both knees may benefit from having both knees replaced during the same surgical procedure.
Total Hip Replacement- Hip replacement is established as a consistent approach for providing pain relief for patients with advanced hip disease. Our surgeons provide less invasive anterior and posterior approaches that can help decrease recovery time. For most of our patients, we use porous coated, titanium implants, highly cross-linked polyethylene (plastic), and ceramic materials that may help the joint replacement to be more durable.
Revision Joint Replacement Surgery- A small proportion of patients who have had joint replacement surgery in the past may develop problems with their replacement components and may benefit from additional surgery on their knee. Our surgeons are skilled in identifying problems with joint replacements and providing high quality revision surgery when necessary. Our surgeons offer a variety of revision systems, including alternative components for those with metal sensitivities.
Improvements in Joint Replacement Surgery
Our surgeons continually work to improve our patients' overall surgical experience from beginning to end.We provide a comprehensive, preoperative joint replacement program in advance of surgery to improve long-term outcomes. Less invasive surgical approaches are also available, including partial knee replacement, direct anterior hip replacement, and minimally invasive posterior hip replacement, that can make the return to functional living easier.
Patients are offered an approach to pain management that includes a combination of medication and injection techniques performed during the surgery to provide substantial improvement in surgery pain, while decreasing undesirable side effects of nausea or dizziness. Our blood conservation approaches during surgery decrease the need for blood transfusion and, when combined with approaches to blood clot prevention after surgery, the risk for wound complications after surgery is decreased. Most patients are able to recover at home and transition very quickly to outpatient rehabilitation services.
We work collaboratively with our research department to evaluate surgical techniques and approaches to determine if the approaches used continue to be effective. Additionally, we ask our patients to partner with us in tracking joint replacement over time through the MOI Joint Replacement Registry, using in patient reported outcome tools that have been approved by the American Association of Hip and Knee Surgeons (AAHKS), The American Academy of Orthopaedic Surgeons (AAOS) and the Centers for Medicare and Medicaid Services (CMS).