Nationally Recognized for Knee & Hip Replacement

Portsmouth Regional Hospital is the only Healthgrades Five Star hospital for both Total Knee and Total Hip Replacements in the State of New Hampshire in 2017. Awarded the Gold Seal of Approval for excellence in knee and hip replacement from The Joint Commission–the nation's top health care accrediting agency–the Portsmouth Regional Hospital employs industry-leading best practices that include:

  • Use of the latest surgical techniques and joint replacement materials
  • Screening 100 percent of all patients for MRSA (methicillin-resistant staphylococcus aureus) infection
  • Presurgery Total Joint Replacement Orientation classes to ease patient concerns and ensure the best outcomes
  • Group physical therapy sessions
  • Innovative pain management programs

Wide-ranging quality initiatives at Portsmouth Regional Hospital ensure our patients get back on their feet more quickly and report postsurgery satisfaction rates well above national averages. In fact, 98 percent of knee replacement patients and 96 percent of hip replacement patients walk on the day of their surgery, and fewer than 1 percent of patients experience postoperative complications.

Advancements in Joint Replacement Surgery

Thanks to advancements in the surgical tools, techniques and materials used at Portsmouth Regional Hospital, our knee and hip patients experience shorter hospital stays, faster recovery, easier rehabilitation and a more complete return to their desired lifestyle.

One of the most exciting advances in joint replacement surgery is the use of less invasive surgical procedures for some patients. Minimally invasive knee and hip replacement surgery means you benefit from:

  • A smaller incision and scar
  • Reduced blood loss
  • A faster recovery with less pain
  • Less damage to the soft tissues surrounding the joint

Talk with your orthopedic surgeon about whether you may be a candidate for minimally invasive joint replacement at Portsmouth Regional Hospital.

One of the biggest obstacles to getting joint replacement can be recovery down time. Portsmouth Regional Hospital is a pioneer in Same Day Total Joint surgery. If you are a Same Day Total Joint candidate, it is possible that you will come for surgery and leave within 24 hours with visiting nurses and rehabilitation set up at home for your recovery.

By incorporating the latest anesthesia and multi-modal pain control techniques, we can minimize the use of narcotics, making it easier for you to get back on your feet. Your surgeon may use the Alignment of Vital Assets To Accelerate Recovery (AVATAR) technique during your care to reduce recovery time. This technique focuses on pain reduction, faster recovery, and improved function. Taking a multidisciplinary approach, AVATAR aligns all aspects of care including surgery, anesthesia, medicine, nursing, pharmacy, physical therapy, and occupational therapy to create a synergy that allows for rapid recovery. We will work with Rehabilitation Services to create a program that will get you moving quickly, allowing you to do the things you love.

For more information on the physicians performing Same Day Total Joint Replacement, please call our Physician Referral Line at (888) 421-1080.

Each patient is unique, and can experience joint pain for different reasons. It’s important to talk to us about the reason for your knee pain so you can understand the treatment options available to you. Pain from arthritis and joint degeneration can be constant or come and go, occur with movement or after a period of rest, or be located in one spot or many parts of the body. It is common for patients to try medication and other conservative treatments to treat their knee pain. Mako Robotic-Arm Assisted surgery is a potential option for candidates of partial knee, total knee, and total hip replacements.

Learn More

For more information on the physicians performing Mako Robotic-Arm Assisted Surgery, please call our Physician Referral Line at (888) 421-1080.

This advanced imaging technology allows our orthopedic specialists to customize your new joint precisely before surgery to ensure the best fit and alignment. Advanced software combined with a CT scan creates a virtual 3-D model showing the unique structure of your knee. Because misalignment can lead to uneven wear, instability and increased risk of additional surgery following knee replacement, this technology helps produce the best possible recovery and long-term outcomes.

For more information on the physicians performing ConforMIS, please call our Physician Referral Line at (888) 421-1080.

Don’t let chronic hip pain detract from your quality of life. At Portsmouth Regional Hospital, we have the orthopedic care you need to regain the mobility and function you are accustomed to in your everyday life. Typically, hip pan is caused by arthritis, injury or aging. The orthopedic specialists at Portsmouth Regional Hospital are experts at diagnosing and treating all forms of hip pain.

  • Total hip replacement: This procedure involves replacement of the joint's cartilage and bone with implants.
  • Anterior hip replacement (minimally-invasive): This procedure is less-invasive and can offer a fast recovery time. It requires a smaller incision and allows surgeons to work in between muscles and tissue, without disturbance.
  • Alignment of Vital Assets To Accelerate Recovery (AVATAR): Your surgeon may use the Alignment of Vital Assets To Accelerate Recovery (AVATAR) technique during your care to reduce recovery time. This technique focuses on pain reduction, faster recovery, and improved function. Taking a multidisciplinary approach, AVATAR aligns all aspects of care including surgery, anesthesia, medicine, nursing, pharmacy, physical therapy, and occupational therapy to create a synergy that allows for rapid recovery.

For more information on the physicians performing Hip and Anterior Hip Replacement, please call our Physician Referral Line at (888) 421-1080.

Shoulder replacement surgery may be needed to treat severe shoulder fractures and other painful conditions, such as different forms of arthritis. Joint replacement surgery is effective in relieving pain and helping you get back to enjoying an active life.

The orthopedic surgeons at Portsmouth Regional Hospital may recommend surgery if your shoulder pain and other symptoms do not respond to nonsurgical treatments.

A highly-skilled and experienced orthopedic surgeon will remove the damaged areas of the shoulder joint and replace the bone with artificial components, called a prosthesis. Surgical options are either replacement of just the ball of the humerus bone, or replacement of both the ball and the socket.

Shoulder Replacement Options

Shoulder replacement surgery requires a surgical team with experience in this highly technical procedure. The orthopedic surgical team at Portsmouth Regional Hospital has years of experience performing these different types of shoulder replacements:

  • Total Shoulder Replacement. In this surgery, the surgeon typically replaces the shoulder joint surfaces with a smooth metal ball attached to a stem, and a plastic socket.
  • Reverse Total Shoulder Replacement. The prosthesis used in this surgery has 5 parts: the glenoid base, the glenosphere, a polyethylene cup, humeral neck, and the humeral stem. This surgical procedure is most often used for patients with severe arthritis, whose previous shoulder replacement failed, or completely torn rotator cuffs with severe arm weakness.

Your orthopedic surgeon will evaluate your condition carefully and recommend the best type of replacement surgery to help you achieve pain relief and reclaim mobility.

Our caring surgical staff is happy to answer your questions about shoulder replacement surgery and explain what type of implant will be used and why it is the right choice for you.

For more information on the physicians performing shoulder surgery, please call our Physician Referral Line at (888) 421-1080.

Take the First Step With Proper Diagnosis

An effective treatment plan starts with a good diagnosis. Knee and hip pain may be caused by a number of conditions, some of which are temporary and some chronic but treatable. Learn the signs and causes of joint pain and talk to a joint orthopedic specialist before you set your course for treatment and recovery.

Many types of joint problems have similar symptoms, such as:

  • Heat and swelling – When damage occurs in any part of your body, your brain sends chemicals and fluid to cushion and nourish the area.
  • Pain – This is your body's way of getting your attention–and it works! Eventually, pain may limit your ability to enjoy normal activities. If it prevents you from moving about or exercising, it can lead to weight gain and other health problems.
  • Immobility – A certain amount of weight-bearing stress and movement is needed to nourish cartilage and prevent bone loss in your joints. If pain prevents regular movement, a joint can deteriorate to the point of immobility.

The most common causes of joint pain include:

  • Bursitis – Inflammation of the bursa, fluid-filled space-keepers located around bony areas
  • Synovitis – Inflammation of the synovial capsule surrounding a joint. Normally a thin layer of soft tissue lining the joint space, the synovium may thicken and become engorged with fluid, leading to the pain and inflammation of conditions such as rheumatoid arthritis.
  • Tendonitis – Inflammation of a tendon connecting bone to muscle, often resulting from overuse of elbows, wrists, shoulders and knees
  • Torn cartilage – Tearing of the cushioning material near a joint, typically from athletic activities, slips or falls. In knees, torn cartilage usually involves the meniscus, a tough fibrous substance that pads the joint.
  • Osteoarthritis – Wearing away of protective cartilage over time, with or without the experience of pain. Osteoarthritis in the hip may produce pain–varying from dull to sharp–in the groin, buttock, thigh or even the knee, making the condition difficult to diagnose.

Patient Resources

Learn more about Joint Replacement Orientation classes at Portsmouth Regional Hospital.

Visit our online Health Library for more information about knee, hip and joint care.

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