Joint Replacement

The Montefiore Approach

The Center for Joint Replacement Surgery at Montefiore represents one of the most comprehensive of its kind in the region, known for its dedicated focus on hip and knee replacement. Our team of highly experienced healthcare providers operate within a state-of-the-art facility, ensuring a level of care that is personalized, evidence-based, and cutting-edge.

Our specialists are committed to the diagnosis and treatment of disorders that affect the hip and knee, with arthritis of particular interest and concern. Through the coordinated efforts of our surgeons and non-operative physicians, we provide thorough multidisciplinary care for all of our patients. We seek to achieve the very best possible treatment outcomes by complementing surgical excellence with compassion, empathy, and sensitivity.

As an academic medical center, we are constantly striving for innovations in joint treatment. Our participation in basic, translational, and clinical research allows us to explore exciting new methods for the advancement of care within our own health system and beyond.

  • Our Patient-Centered Care

    The experience of our patients and their loved ones—not simply their ailments—demands our full attention. Your dedicated care team will be there to discuss your condition, answer questions, assess treatment options, and develop a treatment strategy that is best for you.

  • Our Expertise

    Arthritis can cause symptoms that range from mild discomfort to debilitating pain. This can interfere with normal function, mobility, employment, recreational activities, and independence. We understand that these limitations can be the source of tremendous anxiety. At Montefiore, we work to ease such concerns by focusing on collaborative care that starts from the moment we meet a patient.

    Using an integrated multidisciplinary approach, we bring together surgeons and non-operative specialists in physical medicine and rehabilitation, physical and occupational therapy, rheumatology, radiology, and pain management for care that is thorough and comprehensive. We believe optimal outcomes are achieved through accurate diagnosis, appropriate and timely treatment, and management tailored to the individual needs of each patient.

    Our board-certified, fellowship-trained joint replacement surgeons serve as members of numerous associations and specialty societies, underscoring their commitment to excellence and their leadership within the field.

  • Our Dedication to Research

    Our status as an academic medical center puts us at the forefront of our field. Together with our Albert Einstein College of Medicine, one of the highest NIH-funded institutions in the country, we work towards the advancement of joint replacement study and care. By participating in ongoing research projects and initiatives, our surgeons and their collaborative team members are able to help discover better treatment options for our patients. We routinely present our research findings at regional and national conferences and publish our study results in peer-reviewed publications.

Conditions We Treat

Montefiore treats a vast spectrum of conditions, a selection of which you will find listed below. In addition to these, we have experience treating many other conditions. Please contact us today to schedule a consultation so that we can review and discuss your specific healthcare needs.

Some Common Conditions

  • Osteoarthritis of the hip and knee
  • Avascular necrosis
  • Post-traumatic arthritis
  • Rheumatoid arthritis
  • Hip pain
  • Knee pain
  • Pain after hip replacement
  • Pain after knee replacement
  • Fractures involving hip and knee replacement
  • Problems associated with hip and knee replacement

Our Treatments

It is our belief many joint problems can be treated with non-surgical intervention, such as physical therapy, activity modification, bracing, weight loss, medications, or injections. In some cases, however, surgery is necessary. When surgery is needed, our specialists employ state-of-the-art, minimally invasive, and blood-sparing techniques to improve pain and function, and to minimize recovery time. For those seeking further information, we have included a few examples of common procedures that we perform at Montefiore.

Highlighted Treatments

  • Hip Replacement

    A hip is a ball-and-socket joint. As people age, the cartilage can wear out, resulting in arthritis. This can cause limited motion or pain, often reported as being located in the groin or buttock. If non-surgical treatments do not provide enough pain relief, the joint can be replaced surgically.

    Hip replacement surgery is one of the most successful operations ever developed. The procedure removes the arthritic portions of the hip and replaces them with a specialized prosthesis made of durable artificial materials.

    In most cases, patients are walking with the help of physical therapy the day of surgery and require a hospital stay of only one to two days.

  • Knee Replacement

    The largest joint in the body, the knee commonly develops arthritis caused by wear and tear. This can cause swelling and pain, greatly interfering with quality of life. If nonsurgical treatments do not provide enough pain relief, the joint can be replaced surgically.

    Knee replacement surgery is the most common of joint replacement surgeries. The procedure involves first removing the arthritic end of the femur (thigh bone), the arthritic end of the tibia (shin bone), and the arthritic side of patella (kneecap). The removed bone is then replaced with highly specialized materials.

    In most cases, patients are walking with the help of physical therapy the day of surgery and require a hospital stay of only two to three days.

  • Revision Hip or Knee Replacement

    Hip and knee replacements typically last from 15 to 20 years. These artificial joints develop wear and tear over the course of time and may eventually require a revision. This procedure involves removing the existing implants and placing new components in their place.

    Although this procedure is more involved than a primary joint replacement, techniques and strategies exist to achieve optimal outcomes in motion, pain relief, and stability for the replaced joint.

    In most cases, patients are walking with the help of physical therapy shortly after surgery and require a hospital stay of approximately three days.

  • Partial Knee Replacement

    The knee is divided into three different compartments. In some cases, only one of these compartments has worn out. In these instances, if non-surgical treatment no longer provides relief, a partial knee replacement might be recommended.

    In partial knee replacement surgery, only one of the three compartments is reconstructed. This procedure spares normal, well-functioning tissue and is often a smaller surgery than a total knee replacement, helping to make recovery times shorter.

    In most cases, patients are walking with the help of physical therapy the day of surgery and require a hospital stay of only one to two days.

  • Customized Hip or Knee Replacement

    Some patients are living with either bone deficiency or unique anatomic challenges. In these cases, a customized implant, tailored to that individual’s needs, may prove the best approach for reconstructing the joint. Customized hip or knee replacement surgery can also potentially offer increased bone preservation and reduce a patient’s time spent in surgery.

    These surgical procedures require extensive preoperative consideration and planning. They employ the use of cutting-edge technologies, including 3D printing, customized cutting guides, and computer modeling platforms. Our surgeons have tremendous expertise in using customized implants, and will determine whether this approach is appropriate on a case-by-case basis.