Hip & Knee

Thousands of patients have come to St. Louis from around the country to undergo hip or knee replacement procedures, as the program ranks in the Top 10 among academic medical centers in the United States by the large number of total joint replacement procedures performed annually. See our joint replacement quality outcomes data.

The Hip and Knee Joint Replacement Program at Washington University Orthopedics and Barnes-Jewish Hospital is nationally recognized for its exceptional quality and innovative patient care initiatives that have led to better long-term outcomes and reduced post-surgical complications. Read more about our program distinguishments.

Make an appointment today by calling 314-514-3500, or request an appointment online.

Procedures Provided

  • Arthrodesis (for end-stage degenerative disease in young adults)
  • Core decompression and bone grafting procedures
  • Custom knee replacements
  • Hip and knee arthroscopy
  • Hip impingement procedures
  • Hip resurfacing
  • Mini-incision unicondylar knee arthroplasty (MIS UKA and TKA)
  • Osteotomies (joint preserving operations of the hip and knee)
  • Patient specific cutting guides for TKA
  • Revision total joint replacement (for patients suffering from failed implants due to loosening or fracture)
  • Total joint replacements (hip and knee)

Our Team

The hip and knee specialists at Washington University Orthopedics offer innovative joint preservation and replacement procedures. Our specialists are praised for their low infection rates and low readmission rates, and are nationally recognized for exceptional quality. Patients come from around the country to undergo joint replacement procedures, and are seen at Barnes-Jewish Hospital, which is identified as a Medicare Center of Excellence.

Treatment Approach

Helping to shape the future of joint surgery, Washington University Orthopedics surgeons specializing in joint preservation, resurfacing and replacement are innovators in surgical techniques designed to preserve as much bone and function as possible.

Medical conditions that can benefit from primary joint replacement of the hip or knee include osteoarthritis, inflammatory arthritis, osteonecrosis, post-traumatic arthritis and other disorders. Revision total joint replacements by nationally recognized orthopedic surgeons also can ease the pain and suffering in patients whose previous implants have failed due to loosening or fracture.

Specific disorders in young adults, including hip dysplasia, osteonecrosis of the femoral head, post-traumatic non-union or mal-union of the proximal femur, early osteoarthritis, old slipped capital femoral epiphyses and other developmental deformities of the hip and knee, can be evaluated for joint preserving operations at our Adolescent and Young Adult Hip Center. Care for these younger patients is a relatively new and evolving discipline within orthopedics and is a result of studies in the 1980s that indicated most patients with hip arthritis diagnosed later in life had a mild, pre-existing hip deformity. The joint preservation and reconstruction specialists with Washington University Orthopedics offers multi-disciplinary care with specialized diagnostic equipment and treatment options, thereby enabling surgeons to treat hip deformities at earlier ages. Surgical services include hip arthroscopy, hip impingement procedures, hip osteotomies, and replacement.

A new alternative to total hip replacement for some younger patients - usually 60 years of age or younger who are highly active - is hip resurfacing. This procedure can benefit some patients with osteoarthritis.

Rehabilitation for those undergoing reconstruction or joint replacement begins immediately after surgery. The rehabilitation team helps patients stand up and sit down, get into and out of bed, use a walker or cane, and progress through rehabilitation to enhance range of motion and strengthening around the joint. Programs are individualized for each patient based on their condition and type of surgery. In an outpatient setting, patients increase their ability to bear weight while walking, and strive to walk without an assistance device and rapidly resume an active lifestyle with minimal limitations.

Research & Clinical Trials

For information on current clinical trials related to orthopedics, or to make an appointment with a specialist with Washington University Orthopedics, please call (314) 514-3500 or toll free (866) 867-3627.

Meet Our Team

John Clohisy, MD

Professor
Daniel C. and Betty B. Viehmann Distinguished Professorship in Orthopaedic Surgery
Chief, Adult Reconstructive Surgery
Director, Adolescent and Young Adult Hip Disorders Center
Director, Joint Preservation, Resurfacing and Replacement Fellowship
Medical Director, Orthopaedic Inpatient Services, Barnes-Jewish Hospital

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Muyibat Adelani, MD

Assistant Professor of Orthopaedic Surgery

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Robert Barrack, MD

Charles F. and Joanne Knight Professor of Orthopaedic Surgery

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Cara Cipriano, MD

Assistant Professor, Orthopaedic Surgery

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Paul S. Lux, MD

Associate Professor, Orthopaedic Surgery

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Jeffrey Martin, MD

Associate Professor, Orthopaedic Surgery

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Douglas McDonald, MD, MS

Professor
Chief, Orthopaedic Oncology

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Jeffrey Nepple, MD

Assistant Professor, Orthopaedic Surgery
Director, Young Athlete Center

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Ryan Nunley, MD

Associate Professor, Orthopaedic Surgery

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Regis O'Keefe, MD, PhD

Chairman, Department of Orthopaedic Surgery
Fred C. Reynolds Professor of Orthopaedic Surgery

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Cecilia Pascual-Garrido, MD

Assistant Professor, Orthopaedic Surgery

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Rick Wright, MD

Jerome J. Gilden Distinguished Professor of Orthopaedic Surgery
Executive Vice Chairman, Department of Orthopaedic Surgery

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Chad Schmitz, PA-C

Physician Assistant

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Patient Stories

Rachel Gahler – Hip Replacement

Rachel began having hip pain in her early twenties, but dealt with the pain because of her busy lifestyle. Several years later, the pain because worse, wakening Rachel at least three times a night. "I heard a lot about Barnes-Jewish Hospital and Washington University School of Medicine. I knew it was the best place for my health.”

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Read Rachel's Story

Patient Education

The Department of Orthopaedic Surgery at Washington University School of Medicine in St. Louis has no control over third-party websites and does not review such websites. The university disclaims any responsibility for the content of third-party websites and the use of any information on these sites.

 

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