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Joint Replacement and Reconstruction

With credentials that include fellowship training in total knee, hip, shoulder and ankle replacement, the physicians of OrthoWilmington make up one of the most experienced, most highly skilled joint replacement and reconstruction teams in the Southeast. Our practice stays abreast of the newest techniques and innovations that improve outcomes for patients, including minimally invasive total joint replacement and reconstruction. OrthoWilmington has completed well over 1,500 joint replacement surgeries.

Hip and Knee Specialists

Both the knee and the hip are large, complex joints that are frequently injured through sports, accidents and the aging process. Additionally, conditions such as arthritis and bursitis may cause chronic pain. It’s estimated that about 32 million Americans—or about one in 10 adults in the U.S.— will see a physician for some form of arthritis pain.

Fortunately the specialists of OrthoWilmington offer many successful treatment options for this type of chronic pain—from physical therapy exercises to minimally invasive surgery to total joint replacement.

Arthroscopy and Other Treatment for Hip and Knee

OrthoWilmington also offers arthroscopy, a minimally invasive technique that allows surgeons to see and access a joint very clearly with a camera, avoiding large incisions and long recovery times. Arthroscopy is a very effective tool for repairing many common injuries, and because it provides such clear views of the joints, it is also very beneficial in helping the orthopaedic surgeon assess whether other types of reconstructive surgery would be warranted.

OrthoWilmington specializes in the surgical and non-surgical treatment of:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Fractures
  • Congenital conformity
  • ACL (anterior cruciate ligament) tears
  • Meniscus tears
Hip & Knee Physicians
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Walter W. Frueh, MD


Scott Q. Hannum, MD


Shawn B. Hocker, MD

Below are the most common surgeries performed by our total joint specialists:

Pelvis and Hip Joint

Total Hip Replacement (Artificial Hip)

Partial Hip Replacement 

Prosthetic Replacement for Hip Fractures

Revision of Hip Replacements

Conversion of Previous Surgery to Hip Replacements

Operative Fixation for Hip Fractures

Hip Arthroscopies

Hip Osteotomies

Hip Arthrodesis (Fusions)


Total Knee Replacement (Artificial Knee), including the Get Around Knee™ replacement

Partial Knee Replacement

Oxford Partial Knee Replacement - Biomet

Unicompartmental Knee Replacement

Knee Arthroscopies

Knee Osteotomies

Operative Fixation for Knee Fractures

Navigated Computer Assisted Knee Replacement

Natural Knee Replacement

Signature Customized Knee Replacement

About Hip & Knee Problems

The knee and hip joints on the human body take a tremendous toll. They receive the most abuse from enabling the human body to propel itself down the road. Impact from the concrete world we live in can damage knee and hip joints over time, causing excruciating pain.

For example, if you have knee pain, rest assured you are far from being alone. Each year six million Americans seek medical help for painful knees. This translates into 2.5 percent of the U.S. population seeking orthopaedic specialists for relief of knee pain.

Aside from self-destructive damage to knees and hips from wear and tear, Mother Nature also deals out some bad cards in the form of the disease call arthritis. This joint disease pits out the surfaces of the joints, preventing pain-free movement. It’s estimated that about 32 million Americans visit their physician for having some form of arthritis. That’s about one in 10 Americans suffering from some form of arthritis pain.

While knee problems can relate to wear and tear on the knee joint, hip pain sadly is often just a common problem as a person ages, as the hip joint becomes arthritic. The hip, essentially a ball and socket joint, can work very efficiently for a lifetime, providing the ball and socket don’t degrade or the surfaces become pitted.  When that happens, the sensation is much like metal on metal friction, where the act of walking is excruciatingly painful.

Thankfully, over the past 30 years, knee replacement and hip replacement have become a very reliable procedure, as orthopedic surgeons have continually revised and improved on the procedures.

According to the Center for Health Statistics, each year about 650,000 Americans need to have their knees or hips replaced through total joint replacement surgery.

Shawn B. Hocker, MD
Dual Fellowship-Trained in Sports Medicine and Adult
Joint Reconstruction

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For an orthopedic surgeon to recommend a knee replacement, the pain and extent of a person’s disability must be severe. A good surgeon will be honest about the limitations of the artificial new joint and will try to delay the procedure for as long as possible, since the life span of an artificial joint may be limited to about 15 or 20 years.  After that point, the surgery must be repeated to replace metal parts. And typically, a person can only have one redo because of the way the surgery is performed.

Most surgeons are reluctant to implant an artificial knee much before sixty years of age. The longer the initial surgery may be delayed, the better. However, there are some with rheumatoid arthritis or joints damaged badly from trauma that may need joint replacement surgery so they can continue with their lives.

The joint replacement surgeons at OrthoWilmington (locations in Wilmington, Porters Neck, Brunswick Forest and Jacksonville) will typically try to exhaust all non-surgical treatment options to see if your symptoms can disappear. This is an important step for your benefit. Unfortunately some arthritis is so severe that non-surgical treatment just does not eliminate pain and enable patients to return to activity. When that happens, surgery can be an excellent option to eliminate pain and restore function. Our surgeons are experts in all areas of hip and knee reconstruction; they are educators of other surgeons and leaders in the field of Joint Reconstruction.



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