Joint Replacement (Arthroplasty)

Joint Replacement Surgery (also referred to as Joint Arthroplasty) involves the removal of the damaged cartilaginous surfaces of a joint through carefully planned cuts of the bone utilizing specialized guides sized to each individual patient.  These cuts facilitate the placement of a replacement joint through the use of a biocompatible metal cap and interposed plastic (polyethylene) spacer. The procedure can involve one complete half of the joint (hemiarthroplasty), one partial half of the joint (unicompartmental arthroplasty), or both complete sides of the joint (total joint arthroplasty). These procedures are typically reserved for severe degenerative or post traumatic joint disease that is no longer relieved by conservative treatments such as activity modification, weight loss, improved shoe wear, physical therapy, nutritional supplements such as glucosamine/chondroitin, non-steroidal ant inflammatory medications, bracing, and steroid injections. Outcomes are highly dependent on optimizing pre-existing medical conditions (such as diabetes and peripheral vascular disease), the quality of the surgery, and early post-operative rehabilitation. Typically considered a last resort for the treatment of arthritis, the procedure is highly effective at relieving pain and restoring joint mobility. 

The joint replacements we provide are:

  • Ankle Replacement

  • Hip Replacement

  • Direct Anterior and Posterior Minimally Invasive Total Hip Replacement

  • Knee Replacement

  • Shoulder Replacement

  • Elbow Replacement

  • Hand Joints Replacement


Doctors for Joint Replacement

Richard B. Barber, MD
Dr. Richard B. Barber earned his Doctor of Medicine from the University of Texas Medical Branch in Galveston…

Michael T. Charlton, MD
Dr. Michael T. Charlton earned his Doctor of Medicine from the Uniformed Services University of the Health Sciences in Bethesda, Maryland…

Nicholas E. Gerken, MD
Dr. Dr. Nicholas E. Gerken earned his Doctor of medicine from St. George’s University School of Medicine…

Guy E. Reyes, MD
Dr. Guy E. Reyes earned his Doctor of Medicine from the University of Illinois at Chicago…

Dmitry Tuder, MD
Dr. Dmitry Tuder earned his Doctor of Medicine from the Uniformed Services University of the Health Sciences…

Ian J. Whitney, MD
Dr. Ian J. Whitney earned his Doctor of Medicine from Texas A&M Health College of Medicine…

Experienced, professional and knowledgeable.

"Dr. Charlton and his staff are experienced, professional and knowledgeable. They put my foot back together after a traumatic injury."

— Anonymous

Follow these helpful links for additional information about Joint Replacement.

Southwest Clinic

7500 Barlite Blvd, Suite 311

San Antonio, TX 78224

Office: (210) 598-5605

Fax: (210) 598-5620

Westover Hills Clinic

10010 Rogers Crossing, Suite 308

San Antonio, TX 78251

Office: (210) 598-5605 ext 801

Fax: (210) 598-5620