Joint Reconstruction


Over 780,000 Americans have a hip or knee joint replaced each year. The Joint Reconstruction Center at OCI performs more replacements than any other facility in central Illinois.


Over the past several years, advances in medicine have enabled us to perform less invasive surgeries that result in more rapid recovery and more durable and longer-lasting replacements that permit you to be more physically active.


Your visit at OCI begins with a thorough examination so that we can determine the best treatment option for your particular need. In order to make your treatment as comfortable and convenient as possible, we provide all the services you need to treat your condition in one location: digital x-rays and images through our Midwest Imaging at OCI and physical therapy through Midwest Rehab at OCI.


To read about MAKOplasty surgical options, please click here.



Common joint reconstruction procedures performed at OCI:


Knees

Knee arthroscopy: In this procedure, a tiny camera (scope) is inserted into the knee joint (arthro) through a small incision, allowing the surgeon to view, diagnose and treat knee problems. The surgeon can use the images seen through the arthroscope to feel, repair or remove damaged tissue. Arthroscopy is most often used to remove or repair meniscal cartilage, reconstruct a torn anterior cruciate ligament, trim torn pieces of articular cartilage, move loose fragments of bone or cartilage or remove inflamed synovial (joint) tissue. This is generally done as an outpatient procedure at the Orthopedic Surgery Center of Illinois, located across the street from our main office.


Partial knee replacement: This is a minimally invasive technique that can be utilized in approximately 10 to 15% of patients with knee arthritis. The ideal candidate for the surgery has non-inflammatory arthritis, with pain on the inside of the knee that has failed non-operative treatment. The best results have been reported in active patients with functioning cruciate ligaments and a range of motion greater than 90 degrees. This procedure can help patients with prior meniscectomies (removal of cartilage).


Patellofemoral replacement: Commonly known as kneecap replacements, this improved, minimally invasive procedure helps those with isolated kneecap arthritis.


Total knee replacement: Total knee arthroplasty is one of the most frequently performed orthopedic procedures. Total knee replacements have a high pain relief score of 95 to 98 percent and newer advances in the (metal and plastic parts) components result in a more anatomic replacement.


Realignment osteotomy: If you’re young and active, this can be an alternative treatment to total knee replacement, realigning arthritic damage on one side of the knee. It involves shifting the body weight onto the healthy portion of the knee and can delay the need for a total knee replacement for up to ten years.



Shoulders

Total shoulder replacement: About 23,000 Americans have shoulder replacements each year to relieve osteoarthritis, rheumatoid arthritis, and post-trauma arthritis. The device used for a total shoulder replacement mimics the normal anatomy of the shoulder and can restore movement without pain. It uses the rotator cuff muscles to power the arm.


Reverse shoulder replacement: An option for those with large rotator cuff tears who may end up with pain and limited motion and arthritis. This treatment uses the deltoid muscles rather than the torn rotator cuff to move the arm and allows return of motion and strength.



Hips

Viscosupplementation: This is a treatment for arthritis that involves injecting hyaluronic acid preparation into the joint. This naturally occurring substance found in the synovial (joint) space lubricates the bones and ligaments and acts as a shock absorber for loads.


Hip arthroscopy: This relatively recent procedure is used to treat femoro-acetabular impingement, a condition that occurs when the neck of the hip contacts the front of the hip socket when the hip is flexed. During arthroscopy, a tiny camera (scope) is inserted into the hip joint (arthro) through a small incision, allowing the surgeon to view, diagnose and treat the problem. This is a less-invasive outpatient procedure done through two or three small incisions. Recovery can be rapid and by one week most patients are walking well.


Hip resurfacing: The FDA approved the use of hip resurfacing in the US in 2006. In resurfacing surgery, the head and neck of the femur (thigh bone) are not removed; they are just shaped to accept a prosthesis, a metal acetabular. Hip resurfacing preserves bone stock and permits a very high level of function. This is generally reserved for young patients.


Minimally invasive total hip replacement: In a total hip replacement, the damaged parts of the hip joint are replaced with an artificial device, called a prosthesis. An exciting development in hip replacement surgery is the use of modular hip replacements. Modular hip replacements allow physicians to choose components that match the patient's own anatomy. For example, we can change hip replacement length and position by using different size balls and neck lengths to adjust leg length. We currently have 95 to 98 percent good and excellent results in performing hip replacements.


Lateral hip approach: In this approach, the surgeon enters from the outside (or lateral) aspect of the hip. It requires releasing some muscles—resulting in a little more time to perform the surgery and a longer recovery time. Using this technique depends on surgeon comfort and training.


Post-anterior approach: This is a minimally invasive approach to the backside of the hip joint. No muscles are cut but we split them. This generally involves a very small incision, which will result in a shorter hospital stay. This is usually the preferred approach for revision hip arthroscopy.


Anterior hip approach: In this approach to a hip replacement, the surgeon enters the hip from the front, between muscles, so that no muscles or tendons are cut and the posterior hip joint capsule is not violated. Patients have less pain, a shorter hospital stay and less postoperative precautions.


Revision hip arthroplasty: This procedure is usually done to change the worn components (bearings or loose components) of a prior hip replacement or deal with an infection. This revision is usually a posterior approach to the hip. Hospitalization and recovery is usually a little longer than the standard hip replacement.

1301 South Koke Mill Road
Springfield, Illinois 62711