Bryant Bonner, MD

Board Certified

Hip and Knee Replacement Specialist

FAQs

What is Arthritis?

Arthritis is a general term for a group of conditions that cause inflammation and pain in one or more of your joints. The most common types of Arthritis include osteoarthritis and rheumatoid arthritis. Osteoarthritis is a degenerative joint disease characterized by the breakdown of cartilage, while rheumatoid arthritis is an autoimmune disease where the body’s immune system mistakenly attacks the joints.

A Hip/Knee Replacement surgery is a procedure in which damaged or diseased parts of the hip/knee joint are replaced with artificial components to improve mobility and reduce pain.

Hip/Knee Replacement surgery is typically recommended for individuals with severe joint pain, limited mobility, and conditions such as osteoarthritis or rheumatoid arthritis that have not responded to conservative treatments, such as medication, injections, physical therapy, and are affecting the things you like and want to do.

The benefits of Hip/Knee Replacement surgery include reduced pain, improved joint function, increased mobility, and enhanced quality of life.

In Total Hip/Knee Replacement, the entire hip/knee joint is replaced with an artificial implant.

In Partial Hip/Knee Replacement (also called Unicompartmental or Partial Joint Replacement), only the damaged part of the joint is replaced, preserving healthy bone and tissue.

The Institute for Joint Restoration offers exceptional care for comprehensive joint replacement in a cutting-edge facility staffed with highly specialized professionals.

Dr. Bonner and his team focus solely on primary hip and knee surgery, as well as complex revision procedures. Our dedication to these specialties has resulted in unmatched outcomes.

Recently, Healthgrades rated The Institute for Joint Replacement as California’s top joint replacement program. For nearly two decades, we have consistently received the highest marks. Consumer Report also recognizes our program as one of the best and safest in California.

At The Institute for Joint Restoration, our patients’ well-being always comes first. Our unwavering commitment to their needs is evident in the outstanding outcomes they achieve and the positive experiences they share in our Testimonials section.


Rest assured that when you choose Dr. Bonner and our team at The Institute for Joint Restoration, you are opting for exceptional joint replacement care backed by years of expertise and a patient-centered approach.

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A group of surgeons working in an operating room.
How long does a Hip or Knee Replacement surgery take?

In the hands of a specialist like Dr. Bonner, primary joint replacement typically takes about an hour or less, making it a swift procedure compared to revision joint replacement. Both Hip and Knee Replacements follow consistent steps, easily streamlined in a high-volume setting. The efficiency of the process is crucial, as the duration the skin remains open is directly linked to infection rates.

While speed is essential, accuracy is paramount. Our program’s specific focus and extensive experience enable us to achieve a perfect balance between precision and a streamlined approach to surgery, resulting in optimal speed as a natural outcome. At the Institute for Joint Restoration, you can trust in our ability to deliver outstanding results with efficiency, ensuring your joint replacement journey is smooth and successful.

The majority of total joint surgeries are conducted in the state-of-the-art operating rooms at Washington Hospital in Fremont, California. The Institute for Joint Restoration is conveniently located within the Center for Joint Replacement building, which is like a specialized hospital within the larger hospital facility.

In specific cases where patients expect to be discharged on the same day, select Total and Partial Knee Replacements may be performed at the Washington Outpatient Surgery Center. Dr. Bonner and our skilled team can safely perform same-day or next-day joint surgeries at either location.

Dr. Bonner and our team prioritize your comfort, safety, and convenience, offering exceptional joint replacement care in both our modern inpatient and outpatient facilities. Whether you require a short stay or same-day discharge, our expert care team is here to support you through every step of your joint surgery journey.

The recovery process varies for each patient but generally involves a hospital stay of a few hours and sometimes overnight, followed by physical therapy and rehabilitation to regain strength and mobility in the new joint.

Following surgery, patients are scheduled for their first postoperative visit at our clinic approximately two weeks after the procedure. During this visit, we conduct a comprehensive evaluation and take X-Rays to assess your progress.

A second postoperative visit is then scheduled for four weeks later (six weeks postoperatively), which can be either in person at the clinic or conducted via phone, depending on individual circumstances.

A third postoperative visit is scheduled around three months postoperatively for another comprehensive evaluation and Xrays prior to clearing you for full activities.

Subsequent visits are planned as needed, typically six months after surgery.

For ongoing care and monitoring, patients are scheduled for annual visits to ensure your continued well-being and address any potential concerns. Dr. Bonner and our dedicated team are committed to providing comprehensive and personalized care throughout your recovery journey.

The use of a walker or crutches varies from person to person. Initially, you may need them for stability and support, but as you recover and gain strength, you will gradually transition to using a cane or walking unaided.

The longevity of a Hip/Knee Replacement can vary depending on factors such as the patient’s age, activity level, and the type of implant used. However, modern implants can last 15-20 years or more.

Can I resume normal activities after Hip/Knee Replacement surgery?
Yes, after proper healing and rehabilitation, most patients can return to a more active lifestyle and engage in low-impact activities such as walking, swimming, and biking.

While Hip/Knee Replacement surgery is generally safe, potential risks include infection, blood clots, implant failure, and nerve or blood vessel damage. Dr. Bonner will discuss these risks with you before the procedure.

The time off work will depend on the type of job you have and how well you recover. Some individuals may be able to return to a sedentary job after a few weeks, while others with physically demanding jobs may require more time off.
Depending on your condition, there may be non-surgical treatments to manage symptoms. However, if conservative treatments fail to provide relief, surgery may be the best option for long-term improvement.

Dr.Bonner will provide you with specific preoperative instructions, which may include stopping certain medications, arranging for post-surgery assistance, and preparing your home for recovery. Following these guidelines can help ensure a smoother surgical experience.

Joint Replacement surgery is covered by Medicare. We also strive to collaborate with most private insurers and are dedicated to accommodating patients who opt for our program. However, coverage may vary depending on individual insurance plans, making it challenging to predict specific details and costs.

To gain clarity on your coverage, we recommend reaching out to your insurance provider or your employer’s insurance liaison with any inquiries you may have. For assistance in determining potential out-of-pocket expenses, our billing specialist, Laurie (Laurie@SahOrtho.com), is more than happy to lend a helping hand.

Rest assured, we are committed to ensuring you receive the best possible care while minimizing any financial burdens.

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