The St. Vincent Center for Joint Replacement physicians specialize in hip and knee replacement surgeries. In 2003, our physicians completed 1,600 joint replacement surgeries and through surgery and research they are finding out more and more about effective protocols for joint replacement surgery. This information is designed to help you:
Joint replacement is one of the most successful procedures in medicine today. The long-term success of total joint replacement is determined by two dominant factors: fixation of the prostheses to the skeleton/bone and avoiding problems related to wear of the joined surfaces.
Our physicians work with new technologies everyday.
New types of hip and knee implants include:
New surgical techniques include:
New patient care techniques include:
St. Vincent Center for Joint Replacement Physicians can determine which of these techniques is right for you.
We greatly reduce the need for blood for joint patients. Since blood transfusions can be risky and blood supplies are limited, St. Vincent has been developing blood conservation techniques for years. Individuals who have total hip or knee replacements may sometimes experience substantial blood loss. However, surgeons with our Center for Joint Replacement have developed a very successful strategy for blood conservation that has produced excellent patient results.
A blood conservation protocol developed by Dr. Jeffery L. Pierson, medical director for the Center, has been shown to dramatically reduce the need for blood transfusions. In a recent study of 500 patients, Dr. Pierson reported that of the patients who followed his protocol, only 2% needed a transfusion, compared with national rates of over 20%.
A reduction in the need for blood transfusions:
For more information on our blood conservation strategy for joint patients, contact us via email or call 800-338-BONE (2663).
St. Vincent Center for Joint Replacement surgeons perform a range of minimally invasive procedures. There's an industry trend toward minimally invasive techniques, because they generally lead to smaller scars and a shorter, less painful recovery time. Minimally invasive procedures can be more difficult to perform, so it is important to select a well-qualified orthopedic surgeon.
There are several new alternatives to traditional hip and knee replacements. Please talk to your surgeon to determine what minimally invasive procedure might be best for you.
Audio/Videoconferencing capabilities are available for physician education through the St. Vincent Center for Joint Replacement. We have installed a two-way audio/visual conferencing system that can be used for:
The system—the first of its kind for orthopedics—enables St. Vincent to broadcast live to other health facilities. Four different sites can participate in the session at once. In addition, surgeons can visit our conference room to view procedures in real time, and discuss the surgery with our surgeons while it is happening.
Our center uses monthly conferences to teach new procedures and techniques. If you would like to be contacted about viewing scheduled surgeries, contact us.
The St. Vincent Center for Joint Replacement provides physicians and medical professionals with fee-based consulting services. Professionals from around the world have visited St. Vincent to study our center and learn how best to structure and provide orthopedic care in the most effective and efficient manner. Our center offers:
For more information on training and education please contact us:
St. Vincent Center for Joint Replacement
2001 West 86th St.
Indianapolis, IN 46260
CARE Line: 317-338-CARE, 1-888-338-CARE
Physician and Center agrees that each will comply in all material respects with all federal and state mandated regulations, rules or orders applicable to privacy, security and electronic transactions, including without limitation, regulations promulgated under Title II Subtitle F of the Health Insurance Portability and Accountability Act (Public Law 104-191) ("HIPAA"). Furthermore, the parties shall promptly amend their policies and practices to conform with any new or revised legislation, rules and regulations to which Physician and Center are subject now or in the future including, without limitation, the Standards for Privacy of Individually Identifiable Health Information or similar legislation (collectively, "Laws") in order to ensure that Physician and Center are at all times in conformance with all Laws.
The simple joy of unrestricted movement is a privilege many take for granted. But aging, disease or injury can bind that movement to the point where even the simplest of movements—walking, bending or stretching—become terribly painful.
OrthoIndy, the largest private, full-service orthopedic practice in the Midwest. OrthIndy performs more total joint replacement surgeries than anyone in Indiana. OrthoIndy's partnership with St. Vincent Health has given St. Vincent patients more options for care, with access to over 70 orthopedic specialists.
We offer a complete program of joint replacement, designed for the relief and rehabilitation of joint pain sufferers. Through a combination of technological and medical innovation, education and support, our staff can help you return to a more active lifestyle.
Surgeries are performed at St. Vincent Indianapolis Hospital. The free joint replacement community education classes are held in the Conference Room of St. Vincent Center for Joint Replacement
8402 Harcourt Rd., Suite 128
Indianapolis, IN 46260.
For patients entering through the Surgical Evaluation Center please call 317-338-BONE.
The comprehensive Patient Education Review is offered prior to scheduled surgeries.
If you are contemplating total joint replacement, there is a strong likelihood that you are suffering from severe arthritis in that joint. The word 'arthritis' means joint inflammation. As many as 43 million people in the United States have some form of arthritis, and it is the nation's leading cause of disability.
Inflammation is one of the body's normal reactions to injury or disease. When a part of the body is injured, infected or diseased, the body's natural defenses work to repair the problem. In an injured or defective joint, this results in swelling, pain and stiffness. Inflammation is usually temporary, but in arthritic joints, it may cause long-lasting or permanent disability.
There are more than 100 different types of arthritis. The most common type is osteoarthritis, which is sometimes called degenerative joint disease. It occurs to some extent in most people as they age, but can also occur as a result of joint injury.
In osteoarthritis, the cartilage surface covering the bone ends becomes rough and eventually wears away. In some cases, an abnormal bone growth called a "spur" can develop. Pain and swelling result from joint inflammation. Continued use of the joint produces more pain and swelling. This may be relieved somewhat by rest and medication.
Rheumatoid arthritis is a chronic or long-lasting systemic disease that can attack many parts of the body, including the joints. In rheumatoid arthritis, the joint fluid contains chemical substances that attack the joint surface and damage it. Inflammation occurs in response to the disease. Swelling, pain and stiffness are usually present even when the joint is not used.
Diagnosing arthritis includes noting the patient's symptoms, performing a physical examination and taking an X-ray, which is important in showing the extent of damage to the joint. Blood tests and other laboratory tests, such as examination of the joint fluid, may help to determine the type of arthritis the patient has. Once the diagnosis has been made, treatment can begin.
The type of treatment a patient receives depends on:
The goals of treatment are to provide pain relief and to maintain or restore function to the arthritic joint. Most treatment programs are individually tailored to include a combination of medication, exercise, rest and methods of protecting the joints. If these treatments do not provide the desired results, surgery may be recommended.
Hip joints damaged by injury or disease (such as arthritis) can be extremely painful, making everyday activities like walking or sitting down painful. In total hip replacement, an orthopedic surgeon replaces an arthritic or injured joint with an artificial joint called a prosthesis.
Both patient and physician must bear in mind that total joint replacement is an elective, not emergency, surgery. Therefore, it is imperative that your state of health be evaluated thoroughly before undergoing the procedure. Most patients will be asked to schedule a pre-surgical evaluation appointment at the Surgery Evaluation Center at either the Indianapolis or Carmel St. Vincent Hospital. A current history and physical is required. This can be completed by your primary care physician, Internist, specialist or attending surgeon. It can also be scheduled to be completed the day of your surgery evaluation visit.
You may be asked to lose weight, because extra weight puts additional stress on your new joint. Your physician may discuss adding or taking away some medications before surgery. You may also be asked to sop smoking to help decrease the chance of post-operative lung complications.
Two types of hip replacement procedures can be performed. One method is called the cemented method. Here, the prosthesis is secured in place with a bonding agent called bone cement.
The other method of securing the prosthesis is the uncemented or ingrowth method. In this procedure, the prosthesis is secured by the body's own bone growth. Your physician will determine which is most appropriate for you.
All the cartilage from the socket in the pelvis (acetabulum) and the ball (femoral head) of the hip joint are removed and replaced with an entirely new hip joint. An incision approximately 10 inches long is necessary for the surgeon to see into the joint and complete the procedure. The surgeon may use skin staples or sutures to close the wound. There are stitches under the skin, but these will dissolve. The skin staples or sutures will be removed in approximately 10 days.
This procedure is the same except an ingrown hip uses no cement to fixate the joint and a different kind of prosthesis is used. It requires a very close fit of the components in the joint. The patient's bone grows into a porous material on the prosthesis to form a bond. Because this requires good quality bone, not every patient is a candidate for this type of artificial hip joint.
Your surgeon will discuss with you the decision regarding the use of a cemented or cementless prosthesis. Under certain circumstances, however, the decision can only be made at the time of surgery.
An artificial joint will help to restore the mobility of a degenerated joint as well as relieve the pain associated with this immobility. It does, however, require some special precautions following surgery to allow the hip adequate time to heal. These precautions will be explained during the education portion of your Patient Education Review by the physical therapist who will work with you after surgery. Instructions will also be explained in the literature you receive prior to surgery.
The diseased knee joint is removed and replaced with an artificial knee joint called a prosthesis. Knee prostheses are made of a combination of metal and plastic or metal and ceramic. The type of prosthesis used depends upon the condition of your ligaments and the area of the knee affected. The prosthesis has three major components used to replace the damaged knee joint. An incision approximately 10 inches long is usually necessary for this procedure.
The surgeon uses skin staples or sutures to close the wound. The skin staples or sutures will be removed in approximately 10 days. Other stitches under the skin will dissolve. An artificial joint will help you regain mobility as well as relieve the pain caused by your damaged joint. Your new knee, however, requires some special care.
Once you have made the decision to have joint replacement surgery, you will be scheduled by your physician to attend the patient education review. We have designed this 2 1/2- to 3-hour session to include patient education on joint replacement surgery as well as the clinical assessment--all in one visit. You will be personally assessed in a more intimate atmosphere and have the opportunity to ask specific questions about your situation. You are welcome to bring your spouse or other supportive family member.
The patient education review session includes:
This new review session means that on the day of surgery there should be no last-minute red flags to delay the process. Taking care of all these details in one session creates a hassle-free experience for patients and their loved ones. In addition, we have developed a patient education binder filled with information for you and your family to help you prepare for surgery and recovery. We have tried to answer the most commonly asked patient questions.
Your physician may discuss adding or taking away some medications before surgery. You may be asked to lose weight, because extra weight puts additional stress on your new joint. You may also be asked to stop smoking.
For more information, please call the patient education nurse at 317-338-BONE
Once you have made the decision to have joint replacement surgery, you will be scheduled by your surgeon to attend the patient education review. We have designed this 2 1/2- to 3-hour session to include patient education on joint replacement surgery as well as the clinical assessment--all in one visit. You will be personally assessed in a more intimate atmosphere and have the opportunity to ask specific questions about your situation. You are welcome to bring your spouse or other supportive family member.
The patient education review session includes: