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Arthritis of the hip and knee are very common orthopedic problems.  The incidence of hip and knee arthritis is rapidly increasing.  This is in part due to people living longer and thus putting more mileage on their joints.  Also, in an effort to stay healthy, many people exercise more.  This may vary from jogging and playing tennis to walking for exercise.  Many of us are overweight which also puts stress on our joints.

Arthritis begins as an inflammation or wearing away of the joint and eventually leads to joint destruction.  Early treatment varies from medication for arthritis to steroid or mucoviscous (rooster comb) injections into the knee joint.  When the arthritis becomes severe, the cartilage lining the joint wears away and bone rubs on bone resulting in severe pain, limp, and decreased function with limitation of joint motion.  Eventually, joint replacement surgery is the only remaining treatment.  Joint replacement surgery of the hip and knee are relatively safe and very successful.  Joint replacement surgery is one of the most important advances in orthopedic surgery in the past century.

At the Bone and Joint Clinic of Houston, we do the mini incision surgery for hip replacements.  A smaller incision decreases pain and tissue injury and increases function earlier.  The type of prosthesis we use varies from ceramics, metal on metal, to metal on polyethylene.  The polyethylene we use is the longevity type, or longer lasting plastic.

Patients usually get up and walk the day or evening of surgery and are able to bear full weight on their operative leg.  You spend three to four days in the hospital and are then discharged to your home at that time, with the plan for most people to use outpatient rehabilitation.  Few patients will require an inpatient rehabilitation stay.  The prosthetic selection, activity level, and date of discharge will vary from patient to patient.

Knee replacement surgery is a frequently performed procedure for the physicians at the Bone and Joint Clinic of Houston.  The implant has a metal on polyethylene articulation.  The physicians use multiple implant companies and the latest implant technology. 

Doctors Sherwin Siff, Roy Smith, Tom Greider, Randy SassardEric Price and Robert Neff make up the joint replacement team at the Bone and Joint Clinic of Houston.  Schedule an appointment with one our physicians today to see what options may be right for you and your arthritic hip or knee.

 normal knee xray
Normal knee xray

 arthritic knee xray
Arthritic knee xray

 Knee replacement xray
Knee replacement xray

 normal knee lateral xray
Normal knee lateral xray

 Knee replacement lateral xray
Knee replacement lateral xray


Knee arthritis and replacement

Hip arthritis and replacement


Normal Hip

normal hip marked



Hip Arthritis

arthritic hip marked


Total Hip Replacement

total hip replacement