Joint replacement is considered as a last-resort after conservative treatment for joint pain or dysfunction. During a replacement surgery, the arthritic or dysfunctional joint surface is smoothed out and repaired, and the joint is replaced with an orthopaedic implant, or prosthesis.

Our surgeons specialize in repair and replacement of the hip, knee, shoulder and ankle to help restore function and relieve pain. Our joint replacement surgeons are board-certified, clinical experts in the field of orthopaedics. Their advanced fellowship training, years of experience, positive patient outcomes and patient satisfaction scores, ensure each surgery is performed at the apex of quality, safety and experience.

Our surgeons are versatile at the most advanced surgical techniques, using state-of-the-art joint replacements. We offer a variety of joint replacement bearing materials and surfaces to include titanium, Ceramicized metal (OxyniumR), and ceramics. Procedures include Partial Hip & Knee replacement, Arthroscopic Surgery of the Knee & Hip, and Anterior Hip, a tissue-sparing alternative to traditional hip replacement, providing the potential for less pain, faster recovery and improved mobility because the muscle tissues are spared during the surgery. Where indicated our surgeons utilize custom joints, computerized navigation, and computer-guided ligament balancing to insure optimal outcomes from joint replacement.

Once surgery is discussed with you, you will be guided through the entire processes by one of our Surgery Schedulers. Each scheduler will help you find the best time for your surgery. Pre-surgical education and insurance authorizations, clearances, recovery time and other details will be explained to you. You are in good hands. There are multiple surgical facilities near our clinics, Flagstaff Medical Center, Northern Arizona Healthcare Orthopedic Surgery Center (NAHOSC), and Tri-City Surgery Center (in Prescott) are just a few of them.

Patient Education

HIP REPLACEMENT:

Is Total Hip Replacement Surgery for You?

Hip Pain

The good news is that if you are considering total hip replacement surgery, you're not alone. According to the hospital billing data, each year more than 340,000 such procedures are performed in the US.1 Even better news is that the US Department of Health and Human services considers total hip replacement to be one of the most successful and cost effective interventions in medicine.1 In fact, the success rate for hip replacements 10 years after surgery is 90-95%.1

Of course, the decision to have hip replacement surgery should be a cooperative one made by you, your family, your primary care doctor, and your orthopaedic surgeon. The process of making this decision typically begins with a referral by your primary care doctor to an orthopaedic surgeon for an initial evaluation.

Important Safety Notes:

Hip replacement surgery is intended to relieve hip pain and improve hip function. However, implants may not produce the same feel or function as your original hip. There are potential risks with hip replacement surgery such as loosening, fracture, dislocation, wear and infection that may result in the need for additional surgery. Longevity of implants depends on many factors, such as types of activities and weight. Do not perform high impact activities such as running and jumping unless your surgeon tells you the bone has healed and these activities are acceptable. Early device failure, breakage or loosening may occur if you do not follow your surgeon's limitations on activity level. Early failure can happen if you do not guard your hip joint from overloading due to activity level, failure to control body weight, or accidents such as falls. Talk to your doctor to determine what treatment may be best for you.

1 American Academy of Orthopaedic Surgeon website, http://orthoinfo.aaos.org/topic.cfm?topic=A00377


All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2015 Smith & Nephew, All Rights Reserved.


Hip surgery

During hip replacement surgery, the surgeon surgically removes the damaged bone and cartilage of the joint and replaces it with smooth, artificial implants - thereby eliminating painful bone-on-bone contact.

Almost all hip replacement implants consist of a four-part system:

  • A hip stem, usually made from a biocompatible metal such as titanium, which is implanted down the shaft of the thigh bone (femur);
  • A femoral head which sits on top of the hip stem and replaces the "ball" portion of the hip's "ball and socket" design; and
  • A two-part hemispherical or "cup-like" component made up of a metal shell and a plastic liner that replaces the "socket" in which the femoral head sits.
  • Once implanted, the new femoral head rotates inside the plastic liner to recreate the ball and socket movement of the original joint.

Important Safety Notes:

Hip replacement surgery is intended to relieve hip pain and improve hip function. However, implants may not produce the same feel or function as your original hip. There are potential risks with hip replacement surgery such as loosening, fracture, dislocation, wear and infection that may result in the need for additional surgery. Longevity of implants depends on many factors, such as types of activities and weight. Do not perform high impact activities such as running and jumping unless your surgeon tells you the bone has healed and these activities are acceptable. Early device failure, breakage or loosening may occur if you do not follow your surgeon's limitations on activity level. Early failure can happen if you do not guard your hip joint from overloading due to activity level, failure to control body weight, or accidents such as falls. Talk to your doctor to determine what treatment may be best for you.


All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2015 Smith & Nephew, All Rights Reserved.


Could You Be Allergic to Your Hip Implant?

The surprising answer to this question is yes.

While the majority of patients might not make the association between a hip implant and allergies, for anyone who has ever had an adverse reaction to things like jewelry, watches or metal pant buttons, the link is much clearer and more important. That's because your body's potential reaction to an orthopaedic implant may be predicted by your skin's reaction to items containing nickel or chromium - two metals present in cobalt chrome and in most metal hip implants. In many cases, sensitivity to these allergens has resulted in revisions for joint replacement patients.1-4

allergy chart

While studies show that less than 10% of the population has a sensitivity to these metals1, it is possible to develop new allergies over the course of your lifetime. Although it is not clear what triggers new allergies, studies have shown that the rate of metal allergy increases to 25% in people who have a metal implant in their body and to 60% of patients who need to have their first implant surgically replaced.5

VERILAST? Technology uses our proprietary OXINIUM? oxidized zirconium for the hip ball rather than the more commonly used cobalt chrome. Our OXINIUM alloy has less than 0.0035% nickel content, and less than 0.02% chromium content compared to up to 0.5% and 30.0% respectively in cobalt chrome.6 Moreover, oxidized zirconium is a nearly inert material that has not been reported to induce immune reactions.7

allergy chart

Important Safety Notes:

Hip replacement surgery is intended to relieve hip pain and improve hip function. However, implants may not produce the same feel or function as your original hip. There are potential risks with hip replacement surgery such as loosening, fracture, dislocation, wear and infection that may result in the need for additional surgery. Longevity of implants depends on many factors, such as types of activities and weight. Do not perform high impact activities such as running and jumping unless your surgeon tells you the bone has healed and these activities are acceptable. Early device failure, breakage or loosening may occur if you do not follow your surgeon's limitations on activity level. Early failure can happen if you do not guard your hip joint from overloading due to activity level, failure to control body weight, or accidents such as falls. Talk to your doctor to determine what treatment may be best for you.

1 Hallab NJ, Anderson S, Stafford T, Glant T, Jacobs JJ. "Lymphocyte responses in patients with total hip arthroplasty." J Orthop Res 2005; 232:384e91.
2 Niki, Yasuo et al. "Screening for symptomatic metal sensitivity: a prospective study of 92 patients undergoing total knee arthroplasty." Biomaterials 26 (2005) 1019-1026
3 Nesser, s. "Biology of foreign bodies: tolerance, osteolysis, and allergy", Total Knee Arthroplasty, J. Bellemans, M.D. Ries, and J. Victor (eds.), Springer Verlag, Heidelberg, Germany, 2005, pp. 343-352
4 Granchi, Donatella et al. "Sensitivity to implant materials in patients with total knee arthroplasties." Biomaterials 29 (2008) 1494-1500
5 ASTM International Standard Specification for Wrought Zirconium-2.5Niobium Alloy for Surgical Implant Applications (UNS R60901) Designation: F 2384 - 05 and Standard Specification for Cobalt-28 Chromium-6 Molybdenum Alloy Castings and Casting Alloy for Surgical Implants (UNS R30075): Designation: F 75 - 07
6 Hallab, Nadim et al. Metal Sensitivity in Patients with Orthopaedic Implants, The Journal of Bone & Joint Surgery, Vol 83-A No. 3. March 2001 p428-436
7 Zardiackas, Lyle D., Kraay, Matthew J., Freese, Howard L, editors. Titanium, Niobium, Zirconium, and Tantalum for Medical and Surgical Applications ASTM special technical publication; 1471. Ann Arbor, MI: ASTM, Dec. 2005

The information listed on this site is for informational and educational purposes and is not meant as medical advice. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation.


All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2015 Smith & Nephew, All Rights Reserved.


VERILAST Hip Technology

Lab-tested for wear 9-times longer than the industry standard.1
(See Important Testing Note below)

OXINIUM + XLPE = VERILAST Technology

VERILAST Hip

If hip replacement is in your future, you've come to the right place to learn about a truly significant advancement in joint replacement materials, VERILAST Hip Technology.

It's important to remember that not every hip implant is the same. VERILAST Hip Technology is the one technology that directly addresses two of the most commonly cited concerns associated with hip replacement implants:2

  • Implant Wear
  • Implant Fracture

Whether or not to undergo hip replacement surgery is a very important decision. No matter how statistically safe and successful hip replacement surgery has proven to be, every surgery has risks. Before making any surgical decision, conversations should take place with your family, your primary care doctor and your orthopaedic surgeon to make sure that hip replacement with VERILAST Technology is the right course of action for your particular situation.

Important Testing Note

The results of laboratory wear simulation testing have not been proven to predict actual joint durability and performance in people. A reduction in wear alone may not result in improved joint durability and performance because other factors, such as bone structure, can affect joint durability and performance and cause medical conditions that may result in the need for additional surgery. These other factors were not studied as part of the testing.

Important Safety Notes:

Hip replacement surgery is intended to relieve hip pain and improve hip function. However, implants may not produce the same feel or function as your original hip. There are potential risks with hip replacement surgery such as loosening, fracture, dislocation, wear and infection that may result in the need for additional surgery. Longevity of implants depends on many factors, such as types of activities and weight. Do not perform high impact activities such as running and jumping unless your surgeon tells you the bone has healed and these activities are acceptable. Early device failure, breakage or loosening may occur if you do not follow your surgeon's limitations on activity level. Early failure can happen if you do not guard your hip joint from overloading due to activity level, failure to control body weight, or accidents such as falls. Talk to your doctor to determine what treatment may be best for you.


1 Testing concluded at 45 million cycles. ISO 14242-1 defines test completion at 5 million cycles. 2 Australian Orthopaedic Association National Joint Replacement Registry Annual report. Adelaide: AOA; 2012.

All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2015 Smith & Nephew, All Rights Reserved.

Joint Replacement Medical Team

Expert Doctors in this Area

Expert PAs and NPs in this Area of Expertise

Tammy Doering, PA-C

Tammy Doering, PA-C

Greg Harris, PA-C

Greg Harris, PA-C

Ray Lieber, PA-C

Ray Lieber, PA-C

Mary Anne Persons, PA-C

Mary Anne Persons, PA-C