Types of Joint Replacements

 Total Knee Replacement

Total knee replacements are the most common type of joint replacement surgery performed at Pullman Regional Hospital, with cases more than doubling between 2011-2015. If you have dealt with knee arthritis and joint pain and are ready to get back to your day-to-day activities, you may consider talking to your physician about a total knee replacement surgery. Total knee replacement, also called “arthroplasty” is a surgical procedure to repair a knee damaged by osteoarthritis, or a severe injury to the joint. The process involves resurfacing the bone ends of the joint with artificial parts made of both stainless steel and plastic. Recovery for a total knee replacement lasts several months and includes physical therapy, medication, use of support equipment, and rest. After several months of recovery, most knee replacement patients report dramatic improvements in knee pain and ability to return to normal activities. Want to learn more? Read 10 Common Questions about Knee Replacement Surgery. 


Total Hip Replacement

A total hip replacement is a common surgery to repair hip joints when deformity, disease, or an injury to the joint occurs, hindering your ability to participate in daily activities. If other non-surgical treatments such as physical therapy or medication have not helped, talk to your physician about a total hip replacement. This procedure removes the damaged bone and tissue in the hip joint and replaces it with an artificial hip implant. We are now offering a minimally-invasive surgical approach to hip replacement with a faster and less painful recover. Learn more below.  


Anterior Hip Replacement

Get back to living faster. The new anterior approach to hip replacement does not cut into the muscles like a standard hip replacement. That means less pain and a faster recovery.  To learn more, listen to the podcast about Anterior Hip Replacement from our very own Dr. Pennington. 


Total Shoulder Replacement

While shoulder replacements are generally less common than knee and hip replacements, over 50,000  shoulder replacement surgeries are performed in the U.S. each year. Much like knee and hip replacements, osteoarthritis seems to be the biggest cause of pain for prospective shoulder replacement patients, along with injuries to the joint, such as a rotator cuff tear.  Depending on whether your rotator cuff is attached or not, there are two options for shoulder replacement surgery: total shoulder replacement and reverse total shoulder replacement. The standard total shoulder replacement will be performed if your shoulder has normal joint anatomy, with an attached rotator cuff. This surgery replaces the damaged shoulder socket with a plastic cup, and replaces the head of the humerus bone with a metal ball. 


Reverse Total Shoulder Replacement

 Patients with a detached rotator cuff rely on different muscles to move the arm. In this case, a reverse total shoulder replacement will take place. In this procedure, the placement of the plastic socket and metal ball will be switched.



Joint Replacement Preparation Class

We provide comprehensive patient education to those considering or scheduled for joint replacement surgery.  Whether your surgery has already been scheduled or you’re just starting to look into getting a joint replaced, attending the monthly Joint Replacement Preparation Class or watching the online webinar is highly recommended. The class will teach you how to prepare for your surgery to achieve the best outcome, and what you can expect after surgery and during rehabilitation.  

Joint Replacement Preparation Class WATCH NOW-01


 Still have lingering questions? Read 5 Ways to Prepare for your Joint Replacement Surgery.


Orthopedic Care Coordinator 


Maile Keller, PTA

Orthopedic Care Coordinator

One of the benefits of having total joint surgery at Pullman Regional Hospital is our Orthopedic Care Coordinator program. We are unique in that we have a dedicated Orthopedic Care Coordinator to help guide you through the process of your total joint surgery – from start to finish. As soon as your appointment for surgery is scheduled, Maile is available to answer any questions you have, remind you of important tips to remember before surgery, help coordinate your post-surgery care options, and so much more. With more than 20 years of experience taking care of total joint replacement patients, you'll be in good hands with Maile. 



Discharge Options

Discharge goals are individualized based on the patient. The Orthopedic Care Team will consult your insurance and collaborate with you and your family to determine if you are eligible for outpatient therapy, swing bed, home health, or a skilled nursing facility for short-term rehabilitation.

Generally, you should be able to do the following at discharge:

  • Do the home exercise program independently
  • Understand postoperative precautions
  • Get in and out of bed without help
  • Walk with a walker up to 300 feet
  • Go up and down 4 steps using a railing
  • Shower, use the toilet, and dress safely.

*Discharge goals differ based on individual needs


Return to Home with Outpatient Therapy

Consider this option if you can get to the restroom, manage your medications, and arrange for transportation for outpatient therapy and blood work without help.


Return to Home with Home Health

Consider this options if you need help with transfers, are normally home-bound, have limited transportation, would benefit from therapy and labs at home, and need help with your medications.


Swing Bed

While many patients choose to return to their home with the support from family and friends, that may not always be the best options for you. We offer a "swing bed" alternative for patients who need additional assistance after surgery, including total joint replacement. Swing bed is meant for those who require help with transfers, using the bathroom, transportation, or if you have stairs at home and haven't arranged for a caregiver. Many insurance companies offer swing bed benefits, including Medicare. If you meet the eligibility requirements and we have the available bed space, you can transition to swing bed status and have a short stay for rehabilitation right here at the hospital. 

I was expecting to stay in the hospital for four days after my major surgery and then go to a nursing home facility. When I was made aware of the swing bed option in the hospital, I was relieved. I didn’t have to get accustomed to new staff and I’ve received the same great care.” – Virginia Boettcher, Pullman resident.

Call Elizabeth Schilling, R.N., Swing Bed Coordinator, at (509) 336-7528 for more information.


Skilled Nursing Facility for Short-term Rehabilitation

Consider this option if you need 1-2 people to help with transfers, need help using the restroom, have stairs at home and no arranged caregiver, and need someone to transport you to therapy. 


Surgical Concierge Program

 We know having surgery can be an anxious time with lots of details to arrange. Your family might need a place to stay near the hospital, you might be worried about who will take care of your pets while you’re away, or maybe you take care of a dependent adult who will need supervision during your surgery and recovery. We can help with that! Our Surgical Concierge Service is dedicated to making your surgery arrangements as easy as possible. This free service includes:

  • Discounted rates with participating Pullman hotels
  • Discounted rates at Tail Waggin' Adventures pet care
  • Circles of Caring Adult day Health for disabled, dependent adults who need care while you are in the hospital
  • Financial counseling to help you understand what insurance will cover and what your out-of-pocket costs will be
  • Free Red Sage Cafe bucks for meals at Pullman Regional Hospital's Red Sage Cafe
  • 10% off of $10 or more purchase at Diane's Gift Garden in the hospital

Visit the Surgical Concierge Services page or call (509) 336-7466 to learn more.



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