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Joint Replacement

Orthopedic Institute of the Bay Area

Osteoarthritis and rheumatoid arthritis are the most common causes of chronic joint pain and disability. When non-surgical treatments no longer help to relieve your joint pain, you might be a candidate for joint replacement surgery.

While under the care of Dr. Alberto Bolanos, you can feel comfortable knowing he will thoroughly evaluate your condition and may perform an arthroscopic exam to help determine which surgical procedure is most appropriate or what type of artificial joint is best for you.

From traditional procedures to the latest surgical techniques, Dr. Bolanos has a long history of performing many of the most advanced joint replacement surgeries, including:

Hip and Knee Joint Replacement Surgery

Hip and Knee Joint Replacement Surgery

Also called arthroplasty, joint replacement surgery involves removing the damaged portion of the joint and replacing it with an artificial joint that allows for pain-free movement. Many different joints can be replaced, either totally or partially, depending on your needs. Because arthritis is one of the most common triggers of joint problems, Dr. Bolanos subspecializes in its management and treatment to help you find the right approach.

Hip Resurfacing

Hip Resurfacing

Unlike traditional total joint replacement, joint resurfacing does not remove the bones in the joint, but instead resurfaces the bone with smooth metal. Hip resurfacing conserves bone and is a less-invasive procedure than total joint replacement.

Dr. Bolanos is one of the few orthopedic surgeons hand-selected and authorized by Smith & Nephew to continue performing hip resurfacing arthroplasties (HRAs) with their products, as they limited the number of surgeons permitted to use their products. This is partly due to the technique he developed for the femoral components, the intraoperative image intensifier that he uses to check the acetabular component, and his fellowship training as a total joint surgeon.

Joint Revision Surgery

Joint Revision Surgery

Revision knee replacement surgery and revision hip replacement surgery refer to the removal of an old, worn out joint replacement. The old implant is replaced by new, revised components. Prior to undergoing this procedure, your physician must verify and prove that the old joint replacement is not infected. Infected total joints are not candidates for revision surgery.

Revision surgery is more extensive and complex than a primary joint replacement. This will be discussed in detail with prospective patients after verifying that the prior implant is not infected.

Reverse Shoulder Replacement

Reverse Shoulder Replacement

Reverse shoulder replacement surgery is recommended for people with a completely torn rotator cuff that cannot be repaired, severe arthritis with rotator cuff damage, or prior failed shoulder surgery.

Traditional total shoulder replacement surgery would still leave these individuals unable to lift their arm. With a reverse shoulder replacement, the position of the ball and socket in the joint are switched. Such placement allows the deltoid muscle, instead of the damaged rotator cuff muscles, to raise the arm.

Don’t let joint pain hold you back from what you love to do! Call our joint replacement orthopedic surgeon in San Mateo at (650) 262-4262 to learn more about joint replacement and joint revision surgery. Dr. Bolano serves the San Mateo Bay Area and the surrounding areas of Daly City, South San Francisco, San Bruno, Millbrae, Burlingame, Foster City, Redwood City, and San Carlos.

Patient Testimonials

Edgar, World Champion Kickboxer

Edgar Tssisar

“I want to say that I am very much satisfied with Dr. Bolanos and his staff. On the day of surgery, Dr. Bolanos came to check on me and once again explained the whole procedure, what exactly was fixed in my shoulder and how soon I could start being physically active, which is very important to me!”Edgar

Jonathan, Masters Water Polo Gold Medalist

Jonathan Fearn

“At age 56 my right hip was in bad shape, my quality of life had become affected to the point where it was hard to walk for any distance and sleep well at night. I am so glad I selected Dr. Bolanos to do my hip resurfacing surgery since he also does the standard total hip replacement and is familiar with both surgical options. 

Ten weeks after surgery I was back in the pool swimming and even standup paddlesurfing in the ocean! Not only was I able to join my masters team in the FINA World Masters in water polo, but we also wound up winning the gold in the final!” –  Jonathan

Eric, Backpacking Enthusiast

Eric, Backpacker Enthusiast

“As an avid outdoorsman and backpacking enthusiast, it came as quite a blow when in 2009 I was forced to back out of a planned backpacking trip due to hip pain. Realizing it was time to seek professional help, I was referred to Dr. Bolanos who diagnosed osteoarthritis in my hip and advised that a replacement be considered. My immediate response upon receiving this dismal news was to question whether I’d ever be able to backpack again. Much to my surprise, his response was that many hip replacement recipients return to the active lifestyles enjoyed prior to the onset of arthritis, included backpacking. 

Despite lingering trepidation, but realizing I had few options, I opted for a hip resurfacing procedure and underwent surgery in November 2009. The recovery was nothing short of amazing. Not only was the pain gone, but I was up and walking the next day, although admittedly it wasn’t much more than a shuffle, and started physical therapy only a couple weeks later. 

Shortly after my stitches were out I was back in the pool swimming laps and began workouts at the gym on the elliptical. This continued throughout the spring and by summer I was strapping on a backpack and conditioning in the local hills. 

The real test came in August when I joined a group for an 8-day, 40 mile backpacking trip in the Sierras. Amazingly enough, I had no problems and, in fact, I often forgot that I was hiking on an artificial joint.

My backpacking adventures continued at the same level of challenge until this year when my 24 year old daughter convinced me to join her in hiking the John Muir Trail. Now, for anyone not familiar with the John Muir Trail, it follows the backbone of the High Sierras 220 miles from Yosemite to the top of Mt. Whitney through some of the most rugged terrain imaginable. For 19 days, we carried everything on our backs in packs weighing 45+ pounds up and over passes 12,000-13,000 feet high and back down again. We repeated this routine on an almost  daily basis. And while the trip proved to be the most physically challenging I’d ever undertaken, not once did I experience problems with my hip.

In view of my experiences with a resurfaced hip these past four years, the advice I’d give to anyone struggling with the pain and physical limitation caused by arthritis is don’t delay your replacement. The sooner you make the move, the sooner you’ll be back to doing all the things you enjoyed before the onset of arthritis.

And for anyone wondering about my daughter and how she fared, she’s an incredibly fit and able backpacker and did an amazing job on the John Muir Trail!” Eric

Patient Education

From symptoms and diagnosis to treatment and prevention, learn about common orthopedic conditions in our interactive patient education center.

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