Joint replacement services

Each year, more than one million Americans make the decision to end their chronic joint pain by undergoing a joint replacement procedure. The Joint Replacement Centers at Dignity Health - St. Rose Dominican's San Martin and Siena hospitals score high marks among patients who are up on their feet and back to their active lifestyles.

Features of our Total Joint Replacement Program include:

• Wellness approach. Coming to a hospital for joint replacement is different than being in the hospital for a life-threatening illness. You are not sick, and we do not treat you as if you are. You are free to wear comfortable clothing instead of traditional hospital gowns.
• Customized care. Our concierge-style service starts with a call from our coordinator, who will check in with you before your procedure and guide you through the entire process.
• Family support. You can choose a family member or friend as a patient coach who will offer additional support throughout pre-surgery, rehabilitation and recovery. You and your coach will learn about joint conditions, treatments and what to expect.
• Comfortable amenities. Our program includes private rooms and the renowned healing environment of St. Rose Dominican, plus in-room accommodations so patient coaches can stay overnight.
• Mobility team. Our expert mobility team works to get our total knee and hip replacement patients out of bed and walking on the same day as the procedure.
• Team rehabilitation. Our dedicated orthopedic rehabilitation program pioneered a team approach. We place joint replacement patients together in order to build a sense of camaraderie that speeds recovery. Our comprehensive therapy promotes rapid recovery, and most patients return home within days.

Hip and knee replacement in Las Vegas and Henderson, NV

• In-depth preparation. We provide extensive preoperative education, so you know exactly what to expect before, during and after your surgery.
• Aggressive mobilization. Mobilization—moving around—is the best way to promote healing and recovery. It minimizes your chances of infection and swelling and helps with pain management. We are committed to getting our joint replacement patients moving early and often.
• Group rehab. Our team approach for rehabilitation develops a sense of camaraderie among patients in a group setting. We schedule surgeries so patients go through the rehabilitation together. In this setting, patients encourage one another, which reduces the average rehabilitation time.

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Joint replacement: services we provide

• ACL reconstruction
• Anterior hip replacement - This less invasive approach to total hip replacement allows surgeons to access the hip joint from the front of the body as opposed to the side or back. Conventional hip replacement requires surgeons to cut and detach the powerful gluteus muscle and other tissue from the pelvis and thighbone to reach the hip. The anterior approach allows the surgeon to make one small incision near the groin and work between the natural intervals in muscles and ligaments to replace the hip. No muscle or tissue is cut or detached during the procedure, so there is less pain and weakness. The majority of patients can walk without a cane or walker within two weeks.
• Arthritis management
• Arthroscopy
• Custom Knee Replacement - This knee replacement procedure is custom designed for each patient. Diagnostic imaging and highly-specialized software are used to create a patient-specific implant that provides a nearly perfect fit. The design follows the shape and contour of each patient's knee, which allows for optimal bone preservation and provides an increased potential for a more natural feeling knee. Several weeks before surgery, a series of CT images are taken of the knee, hip, and ankle and uploaded to a software program that creates a 3-D virtual model of the knee. That model is then used to make the custom implant. CT scans also help accurately position the new knee for optimal alignment, stability, and load-bearing capabilities.
• Custom implants allow surgeons to preserve the parts of the knee that are not damaged. They mimic the natural shape of the knee, which gives your knee the potential to feel and move more naturally.
• Foot and ankle surgery
• Hand, wrist and elbow surgery
• Hip replacement surgery
• Hip resurfacing
• Opus™ AutoCuff® Rotator Cuff Repair
• Orthopedic physical therapy
• Orthopedic occupational therapy
• Partial knee replacements
• Partial knee resurfacing
• Preserving Knee Implant - Most total knee replacements require the surgeon to remove the ACL (Anterior Cruciate Ligament) or the PCL (Posterior Cruciate Ligament) even when they are healthy, and these ligaments are crucial to knee movement and stability. Normal implants rely on the implant design to provide knee stability, and they provide excellent results for many patients. The Preserving Knee enables surgeons to preserve these healthy ligaments, which results in more natural motion and better functionality compared to typical total knee replacements.
• ROSA (Robotic Surgical Assistant) Knee System - Innovative alternative for knee replacement surgery that shows surgeon the patient's bones and how they work with the soft tissue.
• Rotator cuff repair
• Sensor-Assisted Knee Replacement - The new sensors replace standard plastic tibial spacers used during knee surgery. The sensors wirelessly transmit key, real-time information to a graphic display, enabling your surgeon to visualize and quantify joint and soft tissue (tendons, ligaments, muscles) balance and positioning throughout a full range of motion.
  
• Total knee replacements
  
• Total shoulder replacements

Joint Replacement Program: understanding pain management 

• Pain scale. We use the pain scale as a way of communicating with you regarding your level of pain. You may hear us use the term "functional pain"—this means you feel some pain, but you are able to move and function.
• Working the joint. Though you may be inclined to sit and let your joint rest, movement is the best way to promote healing. Working the joint during rehab and recovery does cause some pain, but it leads to a better outcome for you.
• Nerve block. We can provide this medication to numb the area.
• Understanding pre-existing conditions. If you have a spinal condition, arthritis, chronic pain or other condition, we maintain the level of pain management you need. We will discuss this before your surgery so we are ready to accommodate your needs.

Rehabilitation after joint replacement surgery

• Attend the preparatory classes with you
• Receive a beeper during your surgery, so they can move around the hospital while they wait for you
• Stay with you overnight, on a couch or convertible chair in your room

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