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    For Physicians

    The Joint Replacement Center at California Pacific Medical Center (CPMC) is the Bay Area leader in joint replacement surgeries, with 1,069 procedures performed in 2009.

    Joint replacement surgery can provide remarkable relief of pain from arthritic joints. In doing so, many patients are able to return to fully active lives. Surgical techniques and implants have improved dramatically in recent years, providing for faster recovery and functional return.

    Our surgeons provide access to break-through treatment and advances in technology to patients requiring total joint replacement of the hip, knee, shoulder and elbow.

    A multidisciplinary team provides care in rehabilitation medicine and physiatry as well as physical and occupational therapy. Each patient can expect a personalized treatment plan and full continuum of care--the goal being to return function and to improve quality of life.

    To learn more about the Joint Replacement Center, please call 888-637-2762. We welcome your referrals.

    Total Hip Replacement

    Candidates for Surgery
    A total hip replacement is indicated for anyone who has unrelenting pain from arthritis that has not been adequately controlled by medications or activity modifications. Although near complete relief of pain and function can be achieved, these are man-made devices and as such will wear out in time. Thus, younger, very active patients must be aware that future surgery may be necessary and that certain higher impact activities should be avoided. Common conditions treated with hip replacement are osteoarthritis, rheumatoid arthritis, arthritis from previous injury or fracture arthritis from hip dysplasia and avasular necrosis.

    Types of Replacement
    Hip implants are of two baisc designs: those fixed to bone by cement and those fixed to bone via bone ingrowth into the prosthesis itself. Both can achieve excellent results. In general, younger, more active patients will receive bone ingrowth type implants. This form of fixation is living and more dynamic but does rely on healthy bone to actively attach to bone. Older patients with thinner bone will do well with cement fixation.

    Recent Advances
    The latest advances in implant technology in hip replacement surgery involve the materials used in the articulation between ball and socket.

    Classically, this involved a metal ball on a dense plastic surface. This generated wear debris over time and eventual loosening of the implant. Newer designs use new "cross-linked" plastic on metal balls or incorporate no plastic at all. Metal on metal and ceramic on ceramic bearing surfaces have shown to ahve very low rates of wear. All forms of new technology as well as the classic style are available at CPMC.

    In addition to the actual implants, new surgical techniques and approaches are being introduced. Total hip replacement surgery can be performed through "standard" 8-10 inch incisions. It can also be performed using minimal incision techniques in appropriate patients. Minimal incision techniques can create less soft tissue damage and less blood loss and often allow for faster recovery and shorter hospital stays.

    CPMC offers all of the latest implant technologies and designs available today. We have dedicated nursing units for joint replacement patients and physical therapy staff that focus only on joint replacement patients.

    The latest in total joint implants combined with advanced anesthetics and post-operative pain management provide for optimal recovery, rehabilitation and paint relief. CPMC has the largest orthopedic surgery staff in the Bay Area.