Discover more.
Fear less.

Discover the benefits robotics-assisted knee surgery with Smith+Nephew implants can deliver-a more normal feeling knee,1 a quicker, smoother recovery2,3 and an implant built to last.


All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.

View profile

Discover more.
Fear less.

Discover the benefits robotics-assisted knee surgery with Smith+Nephew implants can deliver-a more normal feeling knee,1 a quicker, smoother recovery2,3 and an implant built to last.


All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.

View profile

Discover more.
Fear less.

Discover the benefits robotics-assisted knee surgery with Smith+Nephew implants can deliver-a more normal feeling knee,1 a quicker, smoother recovery2,3 and an implant built to last.


All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.

View profile

The ultimate knee
replacement experience

See how knee replacement has changed – and what it can do for you.

The ultimate knee
replacement experience

See how knee replacement has changed – and what it can do for you.

A unique plan.

With 3D digital modeling, you get a surgical plan that’s customized to your unique anatomy. That means your surgeon can perform your procedure more efficiently and accurately than traditional knee replacement surgery.1

A natural fit.

With a robotics-assisted procedure using Smith+Nephew implants, you can keep more of your natural bone and ligaments, including the ACL. That means your body can maintain more of its natural rhythm and step.2

A wide selection.

With Smith+Nephew knee implants, your surgeon is choosing from the widest selection available. That means your implant can be precision-matched to feel more like your own knee.

Schedule a consultation
Schedule a consultation

All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.

Schedule a consultation

All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.

Schedule a consultation

About Southern California Orthopedics

Center for Orthopedic Surgery is dedicated to providing high quality outpatient surgical care in a convenient and comfortable setting. We treat our patients and their families with the highest quality of care and maintain an enduring commitment to excellence.

Our physicians are board-certified with significant training and experience in their respective specialties. Our facility is designed with patient comfort in mind. Because the facility is not located in a busy hospital setting, patients enjoy a more soothing, stress-free environment.

Contact us

Bringing advancements to the market

Outpatient surgery centers like Center for Orthopedic Surgery are more cost effective than full-service hospitals, due to lower overhead costs. As a result, patients can expect significant savings compared with the cost of surgery at a local hospital.

Our state-of-the-art facility features technologically advanced medical equipment and our medical staff offers superior clinical expertise. We are dedicated to providing our patients with the absolute best that medicine has to offer and setting new standards of excellence in health care.

You really do have a choice when it comes to where your surgery is performed. Let your physician know your preference.

Learn more


Uncover more answers

Hear from others about how getting knee surgery has restored their ability to participate in their lives.

Lee’s story

Rodeo is in his blood, and 90 days after surgery he was back in the saddle.

Lucio’s story

Farming and hard work are his life; now he can get back to both.

Karla’s story

This active exerciser can walk and workout again without pain.

Bringing advancements to the market

Outpatient surgery centers like Center for Orthopedic Surgery are more cost effective than full-service hospitals, due to lower overhead costs. As a result, patients can expect significant savings compared with the cost of surgery at a local hospital.

Our state-of-the-art facility features technologically advanced medical equipment and our medical staff offers superior clinical expertise. We are dedicated to providing our patients with the absolute best that medicine has to offer and setting new standards of excellence in health care.

You really do have a choice when it comes to where your surgery is performed. Let your physician know your preference.

Learn more

Uncover more answers

Hear from others about how getting knee surgery has restored their ability to participate in their lives.

Lee's story

Rodeo is in his blood, and 90 days after surgery he was back in the saddle.

Lucio's story

Farming and hard work are his life; now he can get back to both.

 

Karla's story

This active exerciser can walk and workout again without pain.


All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.

Does your knee make you think twice about taking the stairs?

Section 1 of 3

1. Which knee is causing you problems?
2. How would you describe your knee pain?
  

Section 2 of 3

  

Section 3 of 3


Most important:
Next most important:
Third most important:
Fourth most important:
  

You're almost done!

Print out your results

You can print your assessment answers by clicking the "Print Results" button below. A separate window will open to display your answers. Print these out and click the Find a physician button to find a physician near you. If you do not see your results, please ensure you do not have pop-up blockers enabled for this site.

   

Discover the benefits

Request an appointment with us today to learn about robotics-assisted surgery that delivers a more normal feeling knee,1 a quicker, smoother recovery2,3 and an implant built to last.


All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.


Feed your curiosity.

Learn more about how robotics-assisted knee surgery with Smith+Nephew implants can give you a more normal and natural-feeling knee.1


All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.

Jaime D. Hernandez, MD, is a board-certified orthopedic surgeon who specializes in hip and knee replacement. Each year, he performs over 900 joint replacements. He was specialty trained in hip and knee replacement at Harvard Medical School’s Brigham and Women’s Hospital.  He is a member of the American Association of Hip and Knee Surgeons (AAHKS), the specialty society for surgeons focused on hip and knee replacement. While in Boston, Dr. Hernandez gained tremendous experience performing complex joint replacements and revising failed joint replacements. He was further trained in techniques of partial knee replacement, anterior hip replacement, and hip resurfacing.

View profile

Yes—you can.

It's time to stop settling and start getting on with your life. You can take the stairs.*8 You can go for walks. You can stop being afraid. You can—with the ultimate knee replacement experience.


All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.

Discover more

Yes—you can.

It's time to stop settling and start getting on with your life. You can take the stairs.*8 You can go for walks. You can stop being afraid. You can—with the ultimate knee replacement experience.


All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.

Discover more
The information listed on this site is for informational and educational purposes and is not meant as medical advice. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. ◊ Trademark of Smith+Nephew. The information on this site is intended for US residents only © 2020 Smith+Nephew References *Journey II BCS.
  1. Hall, et al. Unicompartmental knee arthroplasty (alias uni-knee): an overview with nursing implications. Orthopaedic Nursing. 2004;23(3):163-171. Accessed April 25, 2019.
    • Based on pre-surgical pain levels in UKA patients.
  2. Mayman DJ, Patel AR, Carroll KM. Hospital related clinical and economic outcomes of a bicruciate knee system in total knee arthroplasty patients. Poster presented at: ISPOR Symposium; May 19-23, 2018; Baltimore, Maryland, USA.
  3. Nodzo SR, Carroll KM, Mayman DJ. The Bicruciate Substituting Knee Design and Initial Experience. Techniques in Orthopaedics. 2018;33(1):37-41
    • Compared to non-JOURNEY II knees; Based on BCS evidence
  4. Smith JR, Picard F, LonnerJ, et al. The accuracy of a robotically-controlled freehand sculpting tool for unicondylarknee arthroplasty. Congress of the International Society of Biomechanics. August 4-9, 2013. Natal, Brazil.
  5. Batailler C, White N, Ranaldi FM, Neyret P, Servien E, Lustig S. Improved implant position and lower revision rate with robotic-assisted unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2019;27(4):1232-1240.
  6. Herry Y, Batailler C, Lording T, Servien E, Neyret P, Lustig S. Improved joint-line restitution in unicompartmental knee arthroplasty using a robotic-assisted surgical technique. Int Orthop. 2017;41(11):2265-2271
  7. 00225 V3 JOURNEY II Design Rationale 11.17.
  8. Iriuchishima T, Ryu K. Bicruciate substituting total knee arthroplasty improves stair climbing ability when compared with cruciate-retain or posterior stabilizing total knee arthroplasty. Indian J Orthop. 2019. doi:10.4103/ortho.IJOrtho_392_18.
Additional claim statements and support regarding Smith+Nephew implants and Robotics-assisted surgery
  • Implants that are built to last
    • Learn More
      • Zardiackas, Lyle D., Kraay, Matthew J., Freese, Howard L, editors. Titanium, Niobium, Zirconium, and Tantalum for Medical and Surgical Applications ASTM special technical publication; 1471. Ann Arbor, MI: ASTM, Dec. 2005
  • LEGIONCR Knee with VERILAST technology was lab-tested for 45 million cycles (estimating 30 years of wear performance) and showed 81% less wear than similar 5-million cycle cobalt chrome implant.
    • Learn More
      • ISO 14243-3
      • VERILAST knee wear testing and results apply only to the VERILAST LEGION CR Primary Knee System only. Extended lab-testing for other VERILAST knee systems have not been performed. The results of laboratory wear simulation testing have not been proven to predict actual joint durability and performance in people. A reduction in wear alone may not result in improved joint durability and performance because other factors, such as bone structure, can affect joint durability and performance and cause medical conditions that may result in the need for additional surgery. These other factors were not studied as part of the testing.
  • Smith+Nephew implants may offer a more normal feeling knee
    • Based on JOURNEY II BCS knee implant
    • Learn More
      • Verstaete MA, Van Onsem S, Zambianchi F, et al. Multi-centre evaluation of knee kinematics during different activities for anatomic total knee design. Poster presented at: 2nd World Arthroplasty Congress; 19-21 April, 2018; Rome, Italy.
      • Sharma A, Dessinger G, Cates H, Komistesk R. In vivo kinematic comparison for subjects having a bi-cruciate substituting TKA vs the normal knee. Poster presented at: 2nd World Arthroplasty Congress; 19-21 April, 2018; Rome, Italy.
      • Kosse NM, Heesterbeek PJC, Defoort KC, Wymenga AB, van Hellemondt GG. Improved maximal flexion after minor adaptations in implant design bicruciate-substituted total knee arthroplasty. Poster presented at 19th Congress of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT); May 30 - June 1 2018; Barcelona, Spain.
  • 89% of patients were able to take the stairs again after surgery.
    • Based on JOURNEY II BCS knee implant patients
      • Iriuchishima T and Ryu K. Bicruciate substituting total knee arthroplasty improves stair climbing ability when compared with cruciate-retain or posterior stabilizing total knee arthroplasty. Indian J Orthop. 2019. DOI:10.4103/ortho.IJOrtho_392_18
  • A robotics-assisted knee replacement with Smith+Nephew implants may get you back in the game six months sooner than traditional knee replacement surgery
    • Based on UKA patients
      • Canetti R, Batailler C, Bankhead C, Neyret P, Servien E, Lustig S. Faster return to sport after robotic-assisted lateral unicompartmental knee arthroplasty: a comparative study. Arch Orthop Trauma Surg. 2018;138(12):1765-1771
  • Over 90% of patients who had a Smith+Nephew knee replacement surgery returned to work within 6 months.
      • Harris AI, Luo TD, Lang JE, Kopjar B. Short-term safety and effectiveness of a second-generation motion-guided total knee system. Arthroplast Today. 2018;4:240-243. 1
        • n= 28 (n=11 robotic procedures), p<0.01.
  • Robotics-assisted surgery with Smith+Nephew implants may lead to a faster rehabilitation and shorter recovery time than traditional knee surgery when following your doctor's recovery plan and physical therapy recommendations.
    • Claim 19 & 20 (PCS REC.015)
  • Due to its improved accuracy, Smith+Nephew robotics-assisted UKA has lower revision rates* compared to conventional techniques
    • Shown in clinical studies with follow-up of up to 5.5 years
      • Batailler C, White N, Ranaldi FM, Neyret P, Servien E, Lustig S. Improved implant position and lower revision rate with robotic-assisted unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2019;27(4):1232-1240.
      • Battenberg AK, Netravali NA, Lonner JH. A novel handheld robotic-assisted system for unicompartmental knee arthroplasty: surgical technique and early survivorship. J Robot Surg. 2019;14(1):55-60.
      • Gregori A. 5 Yr Experience Semi Active Robotic Partial Knee Replacement: The Financial Impact. Poster presented at: SICOT;October, 2018; Montreal, Canada.
  • A study has shown Smith+Nephew robotic technology has demonstrated faster return to sport (4.2 vs 10.5 months) when compared to conventional techniques*
    • *n= 28 (n=11 robotic procedures), p<0.01
      • Canetti R, Batailler C, Bankhead C, Neyret P, Servien E, Lustig S. Faster return to sport after robotic-assisted lateral unicompartmental knee arthroplasty: a comparative study. Arch Orthop Trauma Surg. 2018;138(12):1765-1771
  • Robotics-assisted surgery with Smith+Nephew implants may help patient get discharged sooner
    • Study of UKA patients
      • Sephton BM, et al. EKS Arthroplasty Conference. May 2-3, 2019; Valencia, Spain.
      • Shearman AD, et al. EKS Arthroplasty Conference. May 2-3, 2019; Valencia, Spain.
  • Robotics-assisted surgery with Smith+Nephew implants may provide patients with a smoother recovery
    • Compared to non-JOURNEY II knees; Based on BCS evidence
      • Mayman DJ, Patel AR, Carroll KM. Hospital Related Clinical and Economic Outcomes of a Bicruciate Knee System in Total Knee Arthroplasty Patients. Poster presented at: ISPOR Symposium; May 19-23, 2018; Baltimore, Maryland, USA.
  • Robotics-assisted surgery with Smith+Nephew implants may help patients regain function faster
      • Shearman AD, et al. EKS Arthroplasty Conference. May 2-3, 2019; Valencia, Spain.
Additional statements and support regarding Knee Replacement
  • More than 90% of people who have knee replacement surgery experience dramatic relief in knee pain and are better able to perform common activities.
    • Based on pre-surgical pain levels
      • American Academy of Orthopaedic Surgeon website, http://orthoinfo.aaos.org/topic.cfm
  • The majority of patients experience profound improvements in their physical activity after having knee replacement surgery.
    • Based on pre-surgical activity levels
      • Brandes M, et. al., "Changes in physical activity and health-related quality of life during the first year after total knee arthroplasty." Clin Orthop Relat Res. 1991 Dec;(273):151-6. https://www.ncbi.nlm.nih.gov/pubmed/20981812 Accessed Wednesday, April 17, 2019

All information provided on this website is for information purposes only. Every patient's case is unique and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2020 Smith & Nephew, All Rights Reserved.