Joint Replacement



Joint Replacement


Total Joint Replacement Surgery

Having surgery can be a stressful experience. TRIA reduces this stress by offering a single, bundled price for Total Joint Surgery.  The bundled price packages all of the costs into one bill. The burden of managing multiple bills is eliminated. All services related to surgery are part of the bundle, including anesthesia, assistive equipment, post-operative visits, and physical therapy. This approach reduces the cost to the patient while providing a clear picture of the services being provided and how to pay for them.

What is a hip replacement?

The hip is a ball and socket joint. Large muscles surround the joint, and smooth cartilage covers the surfaces of the bones to cushion the joint. This cushion allows your hip to move without pain. When the cartilage breaks down, usually from osteoarthritis, also called degenerative joint disease, the bones in the joint rub against one another, causing your hip to become stiff and painful to move. During surgery, the damaged joint is replaced with an artificial hip joint with one of a variety of prostheses available. Your surgeon can discuss options and help you decide which is best for you. 

Hip Specialists:

Kirk Aadalen, MD

Patrick Horst, MD

Der-Chen Huang, MD

Patrick Morgan, MD

Kathleen Peter, MD

Gavin Pittman, MD

Christine Pui, MD

Mark Thomas, MD

What is a knee replacement?

Cartilage is the smooth rubbery surface that covers the knee joints to cushion them. When knee cartilage becomes damaged, usually from osteoarthritis, your knee becomes stiff and painful to move, and may need to be replaced by an artificial joint to ease the pain and stiffness, or correct alignment issues. During surgery, the damaged joint is resurfaced with one of a variety of prostheses available. Your surgeon can discuss options and help you decide which is best for you. 

Knee Specialists:

Kirk Aadalen, MD

Joel Boyd, MD

Gary Fetzer, MD

David Fischer, MD

Patrick Horst, MD

Der-Chen Huang, MD

Kathleen Peter, MD

Gavin Pittman, MD

Christine Pui, MD

John Steubs, MD

Mark Thomas, MD

What is a shoulder replacement?

The shoulder is a large ball-and-socket joint made up of bones, tendons, muscles and ligaments which hold the shoulder in place. Smooth cartilage protects the bones and enables them to move easily. During surgery the damaged parts of the shoulder are removed and replaced with artificial components, prosthesis. Your surgeon can discuss options and help you decide which is best for you.

Shoulder Specialists:

Jonathan Braman, MD

Edward V. Craig, MD, MPH

Der-Chen Huang, MD

Mark Thomas, MD

Mike Walsh, MD

Planning ahead for Surgery

Planning ahead for surgery can improve the success of your surgery and help you recover faster. Take an active role by asking questions, addressing any fears or anxieties you may have following preparation instructions:

  • Schedule your surgery and post-operative exam and physical therapy appointments
  • Complete your pre-operative exam
  • Complete the “Total Joint Pre-operative Questionnaire”
  • Arrange for time off of work
  • Start your hip or knee exercises
  • Check your health insurance coverage
  • Watch a joint replacement DVD
  • Apply for a “Disability Parking Certificate”
  • Complete any necessary dental care
  • Prepare a healthcare directive
  • Learn about adaptive equipment
  • Prepare your home for when you return after surgery

Recovery

It is important for you to play an active role on your recovery. Be sure to ask for help, if necessary. Let your nurse know how you are doing. Ask questions if there is anything about your care you do not understand.

Hotel Recovery Program

If you qualify to receive post-surgery care through the Hotel Recovery Program, you will be taken to a suite at the hotel following a short post-operative recovery period. Our nursing staff will be onsite at all times during your stay at the hotel and you will begin your physical therapy and rehabilitation program at the hotel. The people who will be supporting you at home are required to stay with you at the hotel and learn their roles in assisting your recovery.

Physical Therapy

Prior to surgery, you will have met with a physical therapist to show you exercises that you will work on pre-operatively and have crutch training. After surgery your physical therapist will show you how to move safely and do exercises to regain strength and mobility. Goals of physical therapy include:

  • Strengthen the muscles that support your new hip or knee
  • Restoring the normal range of motion of your new joint
  • Understanding how to perform specific exercises to continue after you leave the hotel
  • Following restrictions for positioning and movement
  • Getting in and out of bed or chair safely
  • Using assistive devices to safely walk on your own
  • Using stairs safely

After you leave the hotel

Your level of independence varies after surgery and will depend on your surgeon’s discharge instructions. Depending on your recovery, you will have three different discharge options. Insurance plans vary in their coverage, check with your insurance provider to determine your coverage before surgery.

  • Home exercises with outpatient physical therapy: If you think you will need help with exercises and you have someone who can drive you to appointments, outpatient physical therapy may be a good choice. Talk to your doctor or care coordinator about outpatient physical therapy.
  • Home exercises without outpatient physical therapy: If your recovery is likely to progress rapidly and you feel you can do exercises on your own, you may not need outpatient physical therapy.
  • Home exercises with at-home physical therapy: If you are likely to be homebound due to fatigue, weakness, or physical limitations, a physical therapist will visit you at home. Park Nicollet Home Care will contact you when you return home after surgery to schedule appointments.

Managing Complications

Complications can occur after your operation, such as infection, stiffness, spinal headache, blood clot, nerve or blood vessel injury and fracture. You can take steps to prevent many of these complication. Watch for and report any symptoms to your doctor.

Important Telephone Numbers

TRIA Nurse Line 952-806-5456

TRIA Physical Therapy 952-806-5616

 Videos

Total Hip Replacement

Partial Hip Replacement

Hip Replacement – Anterior

Revision Hip Replacement

Partial Knee Replacement

Total Knee Replacement

Revision Knee Replacement

Total Shoulder Replacement



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