Joint Preservation vs. Joint Replacement

When treating joint pain and dysfunction—especially in the hip, knee, or shoulder—there are two main surgical strategies: joint preservation and joint replacement. Each approach has unique benefits and indications, depending on the cause of symptoms, the degree of joint damage, and the patient’s age, activity level, and goals.

Our goal is to preserve your natural joint whenever possible, but when damage is too severe, replacement may offer the best path to relief and restored function.

What Is Joint Preservation?

Joint preservation refers to a set of surgical and non-surgical techniques aimed at protecting or restoring your natural joint structure and delaying or preventing the need for replacement.

Common joint preservation procedures include:

• Hip arthroscopy for impingement or labral tears

• Knee osteotomy to correct alignment and unload damaged cartilage

• Cartilage restoration procedures

• Biologics (e.g., PRP, BMAC) to support tissue healing

• Ligament or meniscus repair to maintain joint stability

Ideal Candidates:

• Younger, active individuals with early joint damage

• Patients with structural issues that can be surgically corrected

• Athletes or laborers aiming to return to high-demand activity

Benefits:

• Maintains native anatomy

• Often allows return to high-level activity

• Delays or avoids the need for joint replacement

Limitations:

• Not effective in advanced arthritis or bone-on-bone disease

• May require longer recovery in some cases

• Success depends on the specific pathology and patient compliance

What Is Joint Replacement?

Joint replacement involves removing the damaged joint surfaces and replacing them with artificial components (implants), most commonly made of metal, ceramic, and polyethylene.

Common procedures include:

• Total hip replacement

• Total knee replacement

• Total shoulder or reverse shoulder replacement

Ideal Candidates:

• Patients with moderate to severe arthritis or joint destruction

• Those with failed joint preservation procedures

• Patients whose pain significantly limits daily activities or sleep

Benefits:

• Highly reliable pain relief and improved quality of life

• Long-term durability (especially with modern implants)

• Faster recovery than some may expect

Limitations:

• Limited return to high-impact sports

• Implants may wear over time (though modern materials last 15–20+ years)

• Revision surgery may be needed later in life

Making the Right Choice

The decision between joint preservation and joint replacement depends on several key factors:

We work with you to weigh your options and decide on the best path forward—one that aligns with your current needs and long-term goals.

Conclusion

Preserving your natural joint is always the first priority when appropriate—but joint replacement offers an excellent solution for many people with advanced arthritis or persistent pain. Our team will walk you through your options with clarity, honesty, and personalized guidance to help you move better and feel better.

If you're unsure which approach is right for you, schedule a consultation to discuss your condition and explore a comprehensive treatment plan.