Department of Orthopaedic Surgery

The Department of Orthopaedic Surgery offers services and programs through the following Divisions. Use these links to directly access all our Department sites.

Joint Replacement

Welcome to the OTI Joint Replacement Service

Joint pain, swelling, and stiffness can be caused by many conditions that impact the health of a joint. We are dedicated to providing the latest strategies for joint preservation through both surgical and non-surgical therapies.

Our team includes specialized physicians, anesthesiologists, physician’s assistants, practice assistants, schedulers, perioperative nurses, physical therapists, bedside nurses, brace and prosthetic experts and social workers.

Osteoarthritis, resulting from the wear and tear of your body as you age, affects more than 20 million people in the United States. The pressure of gravity on your joints and surrounding tissues causes physical damage, leading to pain, tenderness, swelling and decreased function. The smooth and glistening covering on the ends of your bones, called articular cartilage, which help your joints glide, may wear thin.

Initially, osteoarthritis is not painful and its onset is subtle and gradual, usually involving one or only a few joints. The joints most often affected are the knee, hip and hand. In some instances joint replacement (arthroplasty) of the hip or knee in recommended to treat osteoarthritis.

Cutting Edge Research

The Joint Replacement group at UCSF performs both basic science research as well as clinical outcomes and cost effective analysis of total hip and total knee replacement. The group is investigating the outcomes of cartilage resurfacing techniques to determine which patients will most benefit from novel cartilage replacement strategies.

They are evaluating the clinical outcomes of hip and knee arthroplasty, with long term follow up of patients 10 to 15 years following their initial procedure. The group is also collaborating with the UCSF Musculoskeletal imaging group to evaluate novel imaging techniques to evaluate hip and knee arthritis.

Biomaterials used in joint replacement

As younger and more active patients require joint replacement, improved bearing surfaces have been developed to provide greater wear resistance and durability of the implants. Dr. Ries in collaboration with Professor Lisa Pruitt at UC Berkeley have formed a polymer research group to study the performance of newer highly crosslinked polyethylene bearing surfaces used in hip and knee replacements. Cross linking improves the wear resistance of the material, but can also reduce its strength. The Polymer group has studied a number of polymer processing methods which can be used to optimize both the wear resistance and mechanical properties of highly crosslinked polyethylene used in joint replacements in an effort to further improve the longevity of total hip and knee arthroplasty.

Clinical Outcomes in Arthroplasty

An Arthroplasty outcomes database was established at UCSF in 1997 to evaluate the quality and results of total joint arthroplasty. Drs. Vail, Ries, Bozic and Jergesen contribute clinical outcome data to the database. Information from the database has been used as a source of information for over 40 peer reviewed journal publications on a wide range of clinically relevant topics in primary and revision total hip and knee arthroplasty.

Surgical Animations
Please check our library of surgical animations which are specifically designed to help you better understand your particular procedure. The use of surgical animation allows us to present procedures in an easy-to-understand format.

Click Here for the iPad Version (Best viewed in landscape mode)

Patients Resources Overview

American Academy of Orthopedic Surgeons
A source for the latest legislation, educational, health care policy and research information related to orthopaedic surgery. The site includes the bylaws and position papers of the AAOS, and the latest federal and state laws enacted that pertain to the practice of orthopaedics and medicine.

American Association of Hip & Knee Surgeons
The website provides a source of information for the latest trends in joint replacement surgery about the hip and knee.

American Society for Surgery of the Hand 
The mission of ASSH is to advance the science and practice of hand surgery through education, research and advocacy on behalf of patients and practitioners.

American Orthopaedic Foot and Ankle Society 
The American Orthopaedic Foot and Ankle Society website has listings for orthopaedic surgery foot and ankle specialists.

Arthritis Foundation 
The mission of the Arthritis Foundation is to improve lives through leadership in the prevention, control and cure of arthritis and related diseases. The site reviews non-operative means of dealing with arthritis and provides available local resources.

Kids Health 
KidsHealth can provide you with lots of general information to help you better understand health issues for kids, teens and adults with kids.

A very high quality resource for consumers seeking health information. Has indepth new articles with reliable health information.

Medicine Net
Excellent resource for topical, easy-to-read health information that allows the consumer to stay informed on all aspects of health and medicine with articles written to educate.

Medscape is a free resource for Physicians, featuring Free CME (Continuing Medical Education), medical journal articles, MEDLINE, medical news, major conference coverage, and comprehensive drug information.

National Institutes of Health 
The official website for the NIH, the major governmental funding agency for peer-reviewed research in the United States, easy to use and navigate with an advanced search engine.

National Osteoporosis Foundation 
The website is a source for information on the prevention and treatment of osteoporosis, and provides patient information, including the latest news and research.

Orthopaedic Trauma Association 
The OTA is an educational and scientific society dedicated to the discovery and dissemination of knowledge and information regarding the care and treatment of injuries to the musculoskeletal system.

Orthopaedic Research Society 

The ORS is an organization dedicated to the advancement of orthopaedic research through education in research, advocacy for increasing resources for research, and increasing awareness of the importance of orthopaedic research.

Web MD Health 
WebMD has very good news articles by providing up-to-date information on current health news, has a library of interactive health tools, and is well known as a trustworthy site for the accuracy of its information.

For more information or to make an appointment please call (415) 20-ORTHO
Click here to read our Patient Testimonials





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