Total Joint Surgery

Total joint surgery involves the replacement of a "worn out" joint with an "artificial" joint. Surgical treatment usually includes removal of bone and replacement of the diseased joint with a metal, plastic, or ceramic implant.

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Joint replacement surgery may be necessary when badly damaged joints no longer move properly and cause severe pain. This most commonly occurs because of degenerative arthritis, rheumatoid arthritis, or post traumatic arthritis arising from injuries. Surgical treatment is undertaken only after the patient has tried non-surgical treatments, such as medication, the use of a cane, the loss of excessive body weight, and/or modification of activity level. Total joint replacement surgery can reduce or eliminate your pain and return you to your active lifestyle.


Concord Orthopaedics is now offering total hip arthroplasty through the anterior muscle sparing approach. This surgical technique requires no cutting of muscle, no dislocation precautions post-operatively and a quicker return to walking without assistance of a walker, crutch or cane.

If you are having a Total Shoulder Replacement, please click HERE to be directed to the Sports Medicine page.

Inpatient Total Joint Education

Please watch this video if you are having inpatient total hip or knee replacement surgery at Concord Hospital. Please join our Nurse Navigator and Physical Therapist for a question and answer period via zoom. This takes place the first and third Thursday of every month at 12 PM.

Outpatient Total Joint Education

Please watch this video if you are having outpatient total hip or knee replacement surgery at the Concord or Derry Orthopaedic Surgery Center, Speare Hospital or Concord Hospital Laconia. Please join our Nurse Navigator and Physical Therapist for a question and answer period via zoom. This takes place the first and third Thursday of every month at 12 PM.


Please join an Orthopaedic Nurse and a Physical Therapist every 1st and 3rd Thursday of the month from 12 p.m. - 1 p.m. for a Q&A session after viewing the video. To access the Zoom class LIVE, click the following link: https://concordhospital.zoom.us/j/92813619047

Patient Guides and Information

Total Hip and Knee Replacement Patient Guide

Total Joint Exercise Patient Guide

Total Joint Antibiotic Guide

Weight Loss Guide

Assistive Device Guide

Post Joint Replacement Bowel Management Guide

Total Joint Patient Education Modules

Module 1: Preparing to go Home

Module 2: Comfort

Module 3: Activity and Rest

Module 4: Incision Care

Module 5: Diet and Hydration

Total Joint Replacement Exercise Videos

Please click HERE to access the videos provided by Concord Hospital.

To better serve our patients we offer onsite X-rays and MRIs.

Our Physicians

JASON M. DESMARAIS, MD

Total Joint Surgery

NEIL T DION, MD NEIL T. DION, MD

Total Joint Surgery

STEPHEN J. FOX, MD STEPHEN J. FOX, MD

Total Joint Surgery

JEFFREY W WILEY, M.D. JEFFREY W. WILEY, MD

Total Joint Surgery