Online Guide to Outpatient Joint Replacement

Tri-County Orthopedics Joint Replacement Center

Phone
(973) 538-2334

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Surgical Center at Cedar Knolls

The Advanced Medical Center in Cedar Knolls
197 Ridgedale Ave., Suite 100
Cedar Knolls, NJ 07927

Phone
(973) 292-0700

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The Joint Replacement Institute

The Joint Replacement Institute
1081 Route 22 West, Suite 200
Bridgewater, NJ 08807

Phone
(908) 809-1000

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Denville Surgery Center
3130 Route 10 West, Suite 220 
Denville, NJ 07834

Phone
(973) 328-3475

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At Tri-County Orthopedics' Joint Replacement Center, our specialty-trained surgeons are committed to creating personalized treatment plans for your specific needs and goals. We're proud to offer minimally invasive outpatient joint replacements at state-of-the-art ambulatory surgery centers throughout the region. This allows you to recover in the comfort of your own home, often on the same day as surgery.

Each one of our dedicated Joint Replacement Center surgeons has extensive training in joint replacement and the musculoskeletal system. They also share focused expertise and experience in the reconstruction of major joints, from the shoulder to the knee. We offer various treatment options, and we prioritize your convenience, comfort, and personalized care throughout your journey.

Using the latest techniques for a wide range of outpatient joint replacement procedures, our highly trained surgeons offer several procedures in an outpatient setting, including:

  • Anterior hip replacement
  • Total hip replacement
  • Total knee replacement
  • Total shoulder replacement

Experience the benefits of outpatient joint replacement at Tri-County Orthopedics with our team of world-class experts!

Our Outpatient Joint Replacement Experts

Each one of our outpatient joint replacement surgeons at Tri-County Orthopedics has extensive training and experience in joint replacement care. From keeping up with the leading protocols in efficient, patient-centered care to performing procedures using the latest, minimally invasive techniques, our surgeons are dedicated to the best solutions for you. Use the links to learn more about the experts who are here to serve you and help you return to the life you love.

Dr. Frank Capecci – Available in Cedar Knolls and Jefferson
Dr. Wayne Colizza – Available in Cedar Knolls and Jefferson
Dr. Robert D’Agostini – Available in Cedar Knolls and Bedminster
Dr. John Dundon – Available in Bridgewater
Dr. Aaron Forbes – Available in Cedar Knolls, Jefferson, Bedminster, and Bridgewater
Dr. Robert Goldman – Available in Cedar Knolls
Dr. David Klein – Available in Cedar Knolls and Jefferson
Dr. Paul Lombardi – Available in Cedar Knolls and Jefferson
Dr. Kenneth Montgomery – Available in Cedar Knolls
Dr. Brian Perez – Available in Cedar Knolls
Dr. Rocco Simmerano – Available in Cedar Knolls and Jefferson
Dr. Charles Wang – Available in Cedar Knolls and Bridgewater
Dr. Andrew Willis – Available in Cedar Knolls

Benefits of Outpatient Joint Replacement

From total shoulder replacement to total hip, knee, and anterior hip replacement, outpatient joint replacement care through the Surgical Center at Cedar Knolls offers the following benefits to our patients:

Same-Day Discharge: Most patients can recover comfortably at home on the same day as surgery.

Reduced Costs: This approach may be more affordable than traditional joint replacement.

Lower Infection Risk: Ambulatory surgery centers offer a controlled environment for a smoother recovery.

Home Comfort: Recover in the familiar surroundings of your own home.

Who Is a Good Candidate?

Active Lifestyle: You are generally active but limited by joint pain prior to surgery.

Independent Mobility: Ideally, you should be able to walk independently or with minimal assistance before surgery.

Overall Good Health: You should be healthy enough to undergo surgery and participate in physical therapy afterward.

Strong Home Support System: Having reliable help at home is crucial for a smooth recovery.

No History of Serious Infections: This can increase the infection risk after surgery.

What to Expect

Preoperative Preparation

Deciding on outpatient joint replacement is a big step! To ensure a smooth surgery and recovery at home, here are some things you can proactively do to prepare.

Preparation

  • Work with your doctor to understand the specifics of your surgery, including potential risks and recovery expectations. Attend any educational sessions offered by your doctor or hospital.
  • Create a safe and comfortable recovery space. Remove loose rugs, install grab bars in the bathroom, and ensure furniture is easy to navigate with assistance devices. Stock up on pain medication, ice packs, and other supplies as directed by your doctor.
  • Having reliable help at home for the first few days after surgery is crucial. This could involve family members, friends, or a home healthcare professional. Discuss your needs and arrange their assistance beforehand.

Prehabilitation

  • Optimize your health: If you smoke, quitting well before surgery improves healing and reduces infection risk. Discuss any preexisting medical conditions with your doctor to ensure they are well-controlled.
  • Strengthen your body: Prehabilitation exercises can improve your strength and flexibility, leading to a smoother recovery. Work with your doctor or physical therapist to develop a personalized prehab program. 

Outpatient joint replacement offers a faster and more convenient recovery compared to traditional surgery. Here's a general overview of what to expect on the day of your procedure:

  • Arrival and preparation: You'll arrive at the surgery center and meet the care team. Nurses will prepare you for surgery, checking vital signs and administering medications.
  • Anesthesia: You may receive regional anesthesia, which blocks nerves to a specific region in the body and numbs the area around the joint, along with medication to put you in a light sleep. General anesthesia, which will cause temporary unconsciousness, may be used in some cases.
  • The surgery: Your surgeon will make a minimally invasive incision to access the joint. Damaged bone or cartilage will be removed and replaced with an artificial implant. The incision will then be closed with sutures or staples. The entire procedure typically takes a few hours.
  • Recovery and discharge: Once in recovery, you'll be monitored for pain management and stability. After meeting specific criteria, such as demonstrating safe walking with assistance, you'll be discharged home later that same day.

It's important to remember that this is a general overview. Your doctor will discuss the specifics of your surgery beforehand, including any potential variations in the procedure.

While recovering from outpatient joint replacement at home, prioritize rest and pain management. Here's what you can expect:

  • Pain management: Your doctor will prescribe medication to manage pain. Following the prescribed medication schedule and icing the incision site are crucial for comfort. Physical therapy will also play a key role in pain management as you regain strength and mobility.
  • Physical therapy: A physical therapist will visit you shortly after surgery and guide you through exercises to strengthen the muscles around your new joint. These exercises will gradually increase in complexity as you progress. Regular physical therapy sessions are essential for regaining flexibility, range of motion, and overall function in your joint.
  • Incision care: You'll receive specific instructions on caring for your incision site, including keeping it clean and dry. Your doctor will advise you when it's safe to shower or bathe.
  • Gradual return to activity: While some immediate rest is necessary, controlled movement is crucial to prevent stiffness. You'll likely need to use walking aids like a cane or walker initially. Gradually, with physical therapy guidance, you'll increase weight-bearing and return to daily activities.

Remember, recovery is a journey.  Be patient with yourself and celebrate your progress.  Don't hesitate to contact your doctor if you experience excessive pain, fever, redness, or any other concerning symptoms.

Regaining strength, flexibility, and mobility in your new joint is a key part of recovery after outpatient joint replacement. Physical therapy plays a vital role in this process, and here's what to expect:

  • A physical therapist will likely visit you within a day or two of surgery to begin your rehabilitation journey. They'll assess your initial movement and pain levels, then guide you through gentle exercises focused on reducing stiffness and improving blood flow.
  • Your physical therapist will create a customized rehabilitation program tailored to your specific needs and progress. This program will gradually increase in complexity as you strengthen and regain confidence in your movement. Exercises may include stretches, strengthening exercises, and practicing daily activities with assistive devices like canes or walkers.
  • To help you regain the ability to perform everyday activities independently, your therapist will incorporate exercises that simulate real-life movements, such as getting up from a chair, climbing stairs, or reaching for objects.
  • Physical therapy sessions typically continue for several weeks or months after surgery. The frequency of sessions will gradually decrease as you progress, but your therapist will remain a valuable resource to answer questions and address any lingering concerns.

Remember, communication with your physical therapist is key. Don't hesitate to speak up about any pain or discomfort you experience during exercises. They can adjust the program to ensure a safe and effective recovery, helping you reach your full potential.

While recovering from outpatient joint replacement at home, some adjustments to your daily routine and living environment will be necessary. Here's what you can expect:

  • Temporary limitations: Initially, you'll likely need to limit strenuous activities and avoid heavy lifting. Your doctor and physical therapist will provide specific guidelines on weight-bearing restrictions and activities to avoid.
  • Home modifications: Making your home environment safer and more supportive can significantly aid recovery. This may involve installing grab bars in the bathroom, elevating your toilet seat, or removing throw rugs to prevent falls. Consider using assistive devices like long-handled reachers/grabbers for everyday tasks.
  • Focus on self-care: Prioritize getting enough rest and nutritious meals to support healing. Delegate household chores to others when possible and conserve your energy for physical therapy exercises.
  • Gradual return to normalcy: As your strength and mobility improve, you can gradually resume activities you enjoy. This may include light exercise routines, hobbies, or social outings. Always listen to your body and avoid pushing yourself too hard too soon.

Remember, your doctor and physical therapist are there to support you throughout your recovery journey. Don't hesitate to reach out with any questions or concerns you may have.

 

Tri-County Orthopedics Joint Replacement Center

As a recognized leader in the region, we offer exceptional care from our team of world-class orthopedic specialists. Our Joint Replacement Center is led by renowned surgeons specializing in diagnosing and treating joint conditions. They perform advanced hip, knee, and shoulder replacement surgeries to get you back to the activities you love.

Treatments Include:

More About Our Joint Replacement Center

Frequently Asked Questions

Outpatient joint replacement is a surgical procedure where a damaged joint, typically the hip or knee, is replaced with an artificial implant. Unlike traditional joint replacement, you can go home the same day after surgery.

There are several benefits, including faster recovery in your own home environment, potentially lower risk of infection, and a quicker return to daily activities.

Certain medications, like blood thinners, may need to be stopped before surgery. Discuss this with your doctor well in advance.

You may be advised to remove throw rugs and clutter from walkways to prevent falls. Stock up on pain medication, ice packs, and other recovery supplies.

You will have regional or general anesthesia, depending on your needs, and you may have other medication through an IV. The surgery itself typically takes a few hours.

Pain management is a priority. You will receive medication before, during, and after surgery to keep you comfortable.

After meeting specific recovery goals, such as demonstrating safe walking with assistance, you can be discharged home on the same day.

Your physical therapist will create a personalized plan for weight-bearing and exercise progression.

Physical therapy is crucial for regaining strength, flexibility, and mobility in your new joint. Outpatient therapy typically starts within a few days of surgery.

Recovery can take several months, but you should see significant improvement in mobility and pain levels within weeks.

Studies show outpatient joint replacement is safe and effective for selected patients. Your doctor will discuss any potential risks.

Most people regain a high level of function after outpatient joint replacement. Discuss activity limitations with your doctor.

From Our Patients

Approximately one year ago, because of unrelenting pain in my left shoulder, I underwent a total shoulder replacement, an extremely complex surgical procedure that involves replacing the entire left shoulder joint with artificial parts. Having the benefit of 12 months to reflect on what transpired during and after the surgery, the following proverbial sayings come to mind: "you tried all the rest — now try the best," "Have Gun Will Travel," "the dynamic duo," "actions speak louder than words," and "he spoke not a word, but went straight to his work." I selected Dr. Hunt because of his stellar O.R. surgical reputation, a true professional highly regarded by those in the know. His PA Gary Racich amply rounds out the surgical team by providing essential ancillary pre-op and post-op guidance. I would be remiss if I did not mention the attending anesthesiologist Jing Cui, M.D., (not directly affiliated with Tri County Ortho) who was my proxy guardian angel throughout the procedure. Thank you, Jing. The procedure itself went like clockwork, and remarkably, from post-op recovery through discharge and physical therapy, until now, I have been completely pain-free and the ROM in the arm is back at 100%. As if that is not enough, the post-op suturing was so masterfully performed that the incised area is barely noticeable. Having that procedure done and selecting Dr. Hunt as my surgeon were godsend decisions. He is in a league of his own; no one holds a candle to his surgical prowess.

– Ronald M.

I had a right hip replacement. All I can say is THANK YOU. The whole process from the first appointment with Dr. Lombardi through the scheduling of the surgery, the surgery and the aftercare was great. Everyone I dealt with was understanding, caring and very good at their jobs. I would and do recommend Dr. Lombardi and Tri-County Orthopedics to anyone looking for this type of surgery. So, again THANK YOU for giving me back my ACTIVE life.

– Kathleen S.