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Outpatient Knee and Hip Replacement


By Nicole Stuart, PA-C, with Orthopedic Performance Institute

Knee or hip joint replacement, also called arthroplasty, can be a valuable tool when traditional, non-surgical treatment options have failed to manage the pain from an arthritic hip or knee.

Osteoarthritis, the most common form of arthritis, is a progressive, degenerative disease in which the cartilage of the knee or hip slowly wears away. Cartilage serves as a cushion between the bones of the joint, and when the cartilage of the joint wears away due to osteoarthritis, the resulting pain and inflammation can be debilitating.

Your chances of osteoarthritis of the weight-bearing joints of the knee and hip increase with age; the condition most often affects middle-aged and older people. Osteoarthritis may first appear between the ages of 30 and 40, though symptoms may not be present in the early stages. Later in life, many Americans will experience joint pain due to arthritis that can make enjoying life very challenging.

Orthopedic surgeons, Dr. Matthew Dwyer and Dr. Christopher Phelps, with the Orthopedic Performance Institute, are dedicated to combating the effects of osteoarthritis and are determined to guide patients back to an active, enjoyable lifestyle.

Historically, knee and hip replacement have been Performed as in-patient procedures, involving one or even two-night stays in the hospital. Since 2018, both Dr. Dwyer and Dr. Phelps have been performing joint replacements on an out-patient basis. This is accomplished through extensive patient education and preparation combined with minimally invasive surgical techniques, advanced pain management therapies and enhanced rehabilitative support.

Our outpatient total joint replacement program eliminates the need for overnight hospital stays and allows patients to return to an active, enjoyable life with minimal downtime. The surgery itself takes about one and a half hours, and patients spend about five to six hours total at the surgical center before being discharged to recover fully at home.

The success of outpatient joint replacement journey is dependent on several factors. One of the most imperative factors is appropriate patient selection which can be based on good general health, age, and at-home support, followed by preparation and education of the patient about:

  • At-home rehabilitation and post-operative exercise.
  • Wound care and pain management.
  • Recognition and avoidance of possible complications. Complications such as infections or blood clots are associated with any surgery, and precautions are taken to minimize these concerns.

Dr. Dwyer and Dr. Phelps have a genuine commitment to patient health and have performed hundreds of successful joint replacement surgeries each year. For more information about knee and hip replacement surgery or any orthopedic condition, call (210) 545-7171 or visit our website. The Orthopedic Performance Institute has offices in Stone Oak and Boerne.

Get back your active life with the Orthopedic Performance Institute.


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