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JOINT REPLACEMENT

Comprehensive treatments for knee and hip pain

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Napa Valley Joint Replacement Center: Improving Your Quality of Life

Napa Valley Joint Replacement Center at Napa Valley Orthopaedic specializes in highly comprehensive treatment for hip and knee pain. Performing over 400 joint replacement surgeries each year, we account for over 95% of all joint replacements at Queen of the Valley Hospital. With decades of experience and specialized techniques, we offer patients a better quality of life and accelerated recovery. Leading the team are Dr. John Diana and Dr. Michael Shifflett who use state-of-the-art technologies, minimally invasive procedures and personalized care to excel in your treatment.

Each patient is unique and therefore their joint care should be specially tailored following a well-thought-out and custom plan. We start with considering non-operative treatments where appropriate in order to help patients maintain active mobility without surgery.

If a joint replacement is needed, Napa Valley Joint Replacement Center at Napa Valley Orthopaedic has the advanced technology, instrumentation and choice of implants required. We provide each patient with a complete list of options, explaining the risks and benefits, and together, we determine the best solution to get you back on your feet. Our mission is to restore your quality of life, giving you back the freedom to do what you love.

HIP

Symptoms, Treatments, Replacements

KNEE

Symptoms, Treatments, Replacements

Arthritis

Arthritis is a common cause of hip pain. Two types of arthritis in the hip are most prevalent:

Osteoarthritis – a degenerative disease wearing away the “cushioning” cartilage in the joints. When cartilage wears away, the bones rub against each other, causing swelling, stiffness, instability and in some cases deformity and loss of range of motion. While osteoarthritis usually occurs in people over age 50, it can occur at any age, particularly after injury if bone and cartilage do not heal properly.

Rheumatoid arthritis is a chronic inflammatory autoimmune disease that also results in stiffness and swelling. The disease process may lead to deterioration of multiple joints resulting in severe pain and preventing joints from functioning normally.

Developmental Dysplasia

Developmental Dysplasia of the hip, or hip dysplasia, happens in patients born with altered hip anatomy causing the joint to develop abnormal wear patterns over the course of time. “Wear and tear” arthritis can then occur at a young age.

Avascular Necrosis

Avascular necrosis can also caus hip joint malfunction. Poor blood circulation limiting blood flow to the bones forming the hip joint can cause this. The result is usually sudden and severe onset of hip pain.

Our Nonoperative Care Program includes:

  • Modifying lifestyle – this can include weight loss, standing or walking limitations, and walking aid use
  • Physical therapy – selective exercise to improve hip strength and flexibility
  • Anti-inflammatory medications – reduce arthritis inflammation
  • Dietary supplements – can decrease symptoms of arthritis
  • State-of-the-Art Hip Injections with our in-house Flouroscope – the hip lies deep in the pelvis and requires accurate injections. Our flouroscope (a live moveable x-ray) is a thin needle that is inserted into the hip joint, accurately placing medication directly into the joint, relieving pain from osteoarthritis. This has the ability to relieve osteoarthritis pain within a few minutes

A Nonoperative Care Program, allows patients to sustain active mobility without surgery lasting weeks, months or years, depending on the individual.

Anterior Approach Total Hip Replacement

This minimally invasive anterior approach is used in over 80% of our hip replacements. An anterior hip replacement is muscle-sparing creating a potentially faster recovery and better patient outcome post surgery.

Robotically Assisted Total Hip Replacement

A total hip replacement occurs when both the ball and socket of the hip joint are resurfaced. For severe arthritis or other degenerative conditions of the hip, a total hip replacement is performed.

Hip Resurfacing

More intended for young, active adults in need of a hip replacement, this conservative treatment resurfaces instead of replacing the end of the femur bone with an implant that is possibly more stable.

Revision Hip Replacement

Although joint replacements are the most common surgeries orthopaedic surgeons perform, not every procedure is successful. The goals of a joint replacement is to minimize or eliminate arthritic pain, improving mobility and joint function. If a joint replacement is not performing as it should, evaluation is necessary.

 

Learn more about Hip Replacements at our Napa Valley Joint Replacement Center

Arthritis

Arthritis is a common cause of knee pain. Two types of arthritis in the knee are most prevalent:

Osteoarthritis – a degenerative disease wearing away the “cushioning” cartilage in the joints. When cartilage wears away, the bones rub against each other, causing swelling, stiffness, instability and in some cases deformity and loss of range of motion. While osteoarthritis usually occurs in people over age 50, it can occur at any age, particularly after injury if bone and cartilage do not heal properly.

Rheumatoid arthritis is a chronic inflammatory autoimmune disease that also results in stiffness and swelling. The disease process may lead to deterioration of multiple joints resulting in severe pain and preventing joints from functioning normally.

Avascular Necrosis

Avascular necrosis can also cause knee joint malfunction. Poor blood circulation limiting blood flow to the bones forming the knee joint can cause this. The result is usually sudden and severe onset of knee pain.

Our Nonoperative Care Program includes:

  • Weight Loss – the knee supports 3x the body weight in pressure, causing joint stress
  • Modifying lifestyle – this can include weight loss, standing or walking limitations, and walking aid use
  • Physical therapy – selective exercise to improve hip strength and flexibility
  • Anti-inflammatory medications – reduce arthritis inflammation
  • Cortisone Injections – anti-inflammatory medicine that can decrease knee pain
  • Unloader Knee Brace – knee braces can provide relief for knee pain. Unloader braces transfer weight to the healthy side of the knee. Braces are custom made to match a patient’s body and lifestyle requirements. They won’t correct osteoarthritis in the knee, but they can relieve osteoarthritic pain.
  • Joint Fluid Supplement Injections (Euflexxa®, Synvisc®) – a lubricant in the knee joint, potentially reducing pain from bone-on-bone movement.

With a Nonoperative Care Program, patients may sustain active mobility without surgery lasting weeks, months or years, depending on the individual.

Robotically-Aided Partial Knee Replacement

Only the damaged surface of the knee joint is replaced during a partial knee replacement, allowing healthy bone and tissue to remain intact. About Recovery time is about half that of a total replacement but only about 20% of our patients are potential candidates. It is possible to perform partial knee replacements as outpatient (same day) surgery.

MAKOplasty® Partial Knee Resurfacing

Adults living with early to mid-stage osteoarthritis in either the medial (inner), patellofemoral (top), or both compartments of the knee, have the options of MAKOplasty® Partial Knee Resurfacing. This is an innovative treatment powered by the RIO® Robotic Arm Interactive Orthopedic System, allowing for consistently reproducible results in precision partial knee resurfacing.

Total Knee Replacement

Producing a prosthetic joint that closely estimates normal anatomic functions and is relatively painless, total knee replacement is now arguably the most successful surgical procedure in orthopaedics. It has the ability to return patients’ lives back to normal.

Robotically-Assisted Total Knee Replacement

Over 95% of our knee replacements use computer navigation. A computer-assisted device during surgery has three advantages: less damage to the bone, greater accuracy, and less blood loss

Revision Knee Replacement

Joint replacement is one of the most common and successful procedures performed by orthopaedic surgeons, but not every procedure is successful. The goals of a joint replacement are to decrease or eliminate pain from an arthritic joint and improve mobility/joint function. Evaluation is warranted when a joint replacement is not achieving reducing or eliminating pain at the join

 

Learn more about Knee Replacements at our Napa Valley Joint Replacement Center

Napa Valley Joint Replacement Center

Learn all about the various conditions and joint replacements. Discover the next steps in treating your pain.

Learn More About the Doctors

Dr. Diana

Dr. Diana

Joint Replacement Specialist – Hip and Knee

Dr. John Diana is a leading provider of joint replacement surgery of the hip and knee. Dr. Diana performs minimally invasive joint replacement surgery including the direct anterior hip replacement, Birmingham hip resurfacing, quadriceps-sparing…    READ MORE

Dr. Shifflett

Dr. Shifflett

Joint Replacement – Sports Medicine – General Orthopaedic Surgery

Napa Valley native Dr. Michael Shifflett is a board-certified orthopaedic surgeon specializing in sports medicine, advanced arthroscopic surgery and joint replacement. He has served as Chief of Surgery at Queen of the Valley Hospital…   READ MORE

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PHONE: (707) 254-7117
HOURS: Mon-Fri | 8am-5pm

ADDRESS: 3273 Claremont Way, Suite 100, Napa, CA 94558

Napa Valley Orthopaedic

Napa Valley Orthopaedic