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Knee · Joint Replacement

Knee Pain in Older Adults

Knee pain after fifty deserves a real plan before anyone mentions replacement. A conservative-first lane built by Dr. Hoopes for exactly this patient.
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Knee · Joint Replacement

Post-Traumatic Arthritis

Arthritis that develops years after a fracture, dislocation or ligament injury damaged the joint surface, often in a younger patient than typical osteoarthritis.
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Knee · Joint Replacement

Inflammatory Arthritis of the Hip and Knee

Rheumatoid, psoriatic and other autoimmune arthritis that attacks the joint lining and, over time, destroys the hip and knee joints. Managed with rheumatology; replaced when the joint fails.
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Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330
What it is

Post-Traumatic Arthritis

A fracture into a joint, a dislocation, or a torn ligament that left the joint unstable changes how the joint loads.
The cartilage wears unevenly, and arthritis arrives ten or twenty years early.It accounts for a large share of knee and ankle arthritis in people under fifty.
Treated by
Jeffrey Wallentine, MD, Joint Replacement surgeon at Ridgeline Orthopedic Specialists
Dr. WallentineJoint Replacement
Daniel Hoopes, MD, Foot and Ankle surgeon at Ridgeline Orthopedic Specialists
Dr. HoopesFoot and Ankle
Kevin Christensen, MD, Knee, Shoulder and Sports Medicine surgeon at Ridgeline Orthopedic Specialists
Dr. ChristensenKnee, Shoulder and Sports Medicine
Post-Traumatic Arthritis

Symptoms

Pain, stiffness and swelling in a joint that was injured years ago.Loss of motion. A joint that feels different from the other side. Progressive deformity.
Symptoms often start well after the original injury healed.
Common signs
Pain in a once-injured joint
Stiffness and swelling
Loss of motion
Progressive deformity
See us sooner if
Hot, swollen joint
Old hardware with new pain
Post-Traumatic Arthritis

Causes

Fractures that involved the joint surface, repeated ankle sprains, ACL tears that were never stabilized, meniscus loss, and dislocations.Malalignment left after an injury accelerates the wear.The better the original injury was treated, the lower the risk.
Post-Traumatic Arthritis

How We Diagnose It

Exam assesses motion, stability and alignment.Standing X-rays show the wear and any residual deformity. CT or MRI maps the joint when reconstruction is being planned.Old hardware is noted because it affects the surgical plan.Common after old ski and trail injuries; replacement is planned around any old hardware. Dr. Wallentine, Dr. Hoopes and Dr. Christensen operate at Utah Valley Hospital and Mountain View Hospital.
Post-Traumatic Arthritis

Treatment Options

Activity changes, weight management, bracing, anti-inflammatories and injections manage many patients for years.
Realignment surgery can offload a damaged compartment in younger patients.When the joint is worn out, replacement is the answer, with planning around old hardware and scar.
Your options
Non-surgical
Bracing
Weight management
Injections
Surgical
Realignment
Joint replacement
Related
Post-Traumatic Arthritis

Procedures That Address It

Post-Traumatic Arthritis

Surgeons Who Treat It

Dr. Wallentine, MD
Thirty-four years in practice. Mako robotic-assisted hip and knee replacement. Stanford sports medicine fellowship. BYU athletics team surgeon.
Dr. Hoopes, MD
Fellowship trained in foot and ankle surgery at the University of Washington and Harborview Medical Center. Twelve years in practice.
Dr. Christensen, MD
Andrews Institute sports medicine fellowship under Dr. James Andrews. Board certified in orthopedic surgery and orthopedic sports medicine. Fluent in Spanish.
ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330