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Total Joint Replacement (TJR) Services

When two or more bones come together they form a joint. The bone ends of healthy joints have a smooth layer of cartilage, which helps the bones to move without friction.

If disease or injury damages the cartilage or the bone, the joints become swollen, stiff, and painful. Total joint replacement removes the damaged joint and replaces it with an artificial one.

Orthopedic surgeons perform more than 780,000 total joint replacement surgeries every year. Replacing these joints with an artificial one, or prosthesis, offers many patients significant improvement in their quality of life.

The most frequent reason for joint replacement is to relieve the pain and disability that comes with arthritis and to return to functional activity. Most joint replacements involve hip and knee joints, but doctors can also perform them on ankles, shoulders, and elbows.

Treating You

We take a personal approach to your care. Our surgeons treat patients with joint replacement surgeries using state-of-the-art joint implants, minimally invasive techniques, and surgical navigation systems whenever possible to reduce discomfort and speed up recovery.

Our Services

  • Doctors trained in the latest treatments to replace your damaged joint as quickly and painlessly as possible including the latest technology in total knee replacement with the ROSA Knee System.

Total Knee Replacement with the ROSA® Robotic-Assisted Knee System

  • Experienced, board-certified surgeons recognized nationally for their expertise and focused on providing you with the best possible care.
  • Compassionate nurses with training in orthopedics — many who are orthopedic nurse certified — to help provide the individualized care, education, and support you need when you have a musculoskeletal condition or injury.
  • Continuous care, from diagnosis and treatment through recovery and rehabilitation, in a comfortable, dedicated orthopedic unit.
  • Case managers to help you navigate your treatment and recovery.
  • Educational classes on joint replacement.

Joint Replacement Quality Improvement Program (for Medicare beneficiaries)

John Muir Health is a participant, along with The Centers for Medicare & Medicaid Services (CMS), in Comprehensive Care for Joint Replacement (CJR) for Medicare Fee for Service (FFS) beneficiaries who electively or emergently receive a total hip or total knee replacement in the hospital setting.

The Comprehensive Care for Joint Replacement Model is a five-year bundled payment program where John Muir Health is directly responsible to The Centers for Medicare & Medicaid Services for the quality and cost of Medicare-reimbursed care provided to beneficiaries between a beneficiary’s admission to the hospital for lower extremity joint replacement and 90 days post-discharge (“Episode of Care”).

The CJR Model allows John Muir Health to enter into gainsharing agreements with Practitioners to align care delivery with financial incentives established by CMS to reward high quality, efficient care.

The Gainsharing Program is intended to improve the quality of care, patient experience, and cost-effectiveness of care provided to applicable Medicare beneficiaries with respect to Episodes of Care.

Notice of John Muir Health's participation in Medicare's Comprehensive Care for Joint Replacement (CJR) Model

Awards & Recognition

Becker's Hospital Review

Becker's Healthcare, a leading source of news and information for health care leaders, recently named Walnut Creek Medical Center in their 2019 list of the "100 hospitals and health systems with great orthopedic programs.”  Walnut Creek Medical Center has earned recognition for quality of care and patient satisfaction for orthopedic and spine surgery.

U.S. News & World Report Top Hospitals

John Muir Health’s Concord and Walnut Creek Medical Centers have again been ranked very highly by U.S. News & World Report in its 2023/2024 list of America's Best Hospitals. The Walnut Creek Medical Center has a nationally ranked service for the 17th straight year. In the latest rankings, Diabetes & Endocrinology (#37), Obstetrics & Gynecology (#24), and Pulmonology & Lung Surgery (#37) all achieved national rankings. The medical centers were also rated as high performing in several specialties -- Gastroenterology & GI Surgery, Geriatrics, , Orthopedics, and Urology. In addition, the two medical centers were rated as high performing in a number of  adult procedures and conditions, including Aortic Valve Surgery, Back Surgery (Spinal Fusion), Chronic Obstructive Pulmonary Disorder (COPD), Colon Cancer Surgery, Diabetes, Heart Attack, Heart Bypass Surgery, Heart Failure, Hip Fracture, Hip Replacement, Kidney Failure, Knee Replacement, Leukemia, Lymphoma & Myeloma, Lung Cancer Surgery, Ovarian Cancer Surgery, Pneumonia, Prostate Cancer Surgery, Stroke, and Transcatheter Aortic Valve Replacement (TAVR). Walnut Creek and Concord were also designated as Best Regional Hospitals, ranked #2 and #3 in the SF Metro Area and #9 and #18 in the state, respectively.

Healthgrades Top Hospitals

Healthgrades, a leading online resource for comprehensive information about physicians and hospitals, has recognized our medical centers for several awards. Our Concord Medical Center was named as one of America’s Top 50 Hospitals for Cardiac Surgery for the fifth straight year. Both medical centers have received Joint Replacement Excellence Awards for superior clinical outcomes in knee and hip replacement. The Walnut Creek Medical Center has been named one of America’s 100 Best Hospitals for Pulmonary Care. 

A Commission on Accreditation of Rehabilitation Facilities (CARF)
Commission on Accreditation of Rehabilitation Facilities

A Three-Year Accreditation was awarded to John Muir Health for the following programs:

  • Hospital Inpatient Rehabilitation Program (Adult)
  • Hospital Inpatient Rehabilitation Programs (Children and Adolescents)