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
  • 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