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Outpatient Joint Replacement at Campbell Clinic

Restoring quality of life…faster than ever before

Campbell Clinic’s physicians are redefining the experience for patients who require total joint replacement in Memphis and beyond. Patients who meet certain criteria may elect to have their surgery performed on a same-day basis in a more comfortable, relaxed setting, at one of our two surgery centers, avoiding a lengthy hospital stay in the process.

To schedule a visit with one of our joint replacement specialists, please call (901) 759-5400 today.

By choosing to have your procedure performed in one of our two conveniently located ambulatory surgery centers – on our clinic campus in Germantown and in Midtown – you can sleep in your own bed on the morning of your surgery and be home that evening.

Frequently Asked Questions

  • Can anyone undergo joint replacement at your surgery center? Surgery centers have a more strict focus in regard to the types of patients they may admit, and not all patients who seek outpatient joint replacement are candidates for a procedure in such a setting. However, many patients meet necessary criteria to be eligible for this outpatient option. Candidacy for outpatient surgery is dependent upon certain health factors and your insurance coverage.
  • What are the necessary requirements for me to consider outpatient joint replacement? Generally healthy patients who do not have significant underlying health conditions or concerns are typically able to undergo same-day, outpatient surgery. Consult your physician to determine the right surgical setting for you.
  • Does insurance cover this outpatient procedure? Several commercial insurances do allow for outpatient joint replacement, but currently Medicare does not. To learn if your specific carrier covers outpatient surgery, please contact us at (901) 759-5400.
  • Which patients need joint replacement? Joint replacement surgery is generally advisable for patients with severe arthritis or other joint disease who have failed conservative treatments that may include management through pain medication, local injections, exercise or activity modification, weight loss or physical therapy and rehabilitation.


Which joint replacement procedures are performed in an outpatient setting? (click the procedure for more information)


Hip Replacement

Since the inception of total hip replacement surgery decades ago, thousands of patients in Memphis have had their lives restored through this life-changing procedure. In fact, more than 300,000 patients nationally improve the quality of their lives each year by electing to receive a total hip replacement.

Beginning in the summer of 2013, we began to perform these procedures for some qualified patients in an outpatient setting at our Campbell Surgery Center facilities located in Germantown and Midtown.

The Anterior and Posterior Approaches to Hip Replacement

Posterior hip replacement, a more traditional approach, involves a surgical incision along the outer buttock and provides access to the joint through the muscles on the back side of the lower pelvis.

Hip replacement using an anterior surgical approach may not be suitable for all patients, but for those with limited comorbidities and who are not significantly overweight, it can be a successful alternative. It allows for a slightly smaller incision and accesses the joint through the front side of the patient’s hip.

Campbell Clinic offers physicians who practice both approaches – both in the outpatient setting as well as in the hospital. After a thorough evaluation of your medical records, imaging and physical examination by your physician, we can recommend which approach may best suit your particular needs. Whether you ultimately choose the anterior or posterior method, you can be certain you’re being cared for by some of the world’s most qualified and experienced total joint surgeons.

Both methods, anterior and posterior, are widely used elsewhere in the country, but outpatient joint replacement in a surgery center setting is new to Memphis and is a true benefit for some patients who may want to get back to life sooner and who meet the outlined necessary health guidelines.

To find a list of Campbell Clinic physicians who perform total joint replacement, click here.

For more specific information on anterior hip replacement, please contact one of our physicians who practice this approach.

      • Patrick C. Toy, M.D. – (901) 759-5400
      • Gregory D. Dabov, M.D. – (901) 759-5400
      • James L. Guyton, M.D. – (901) 759-5400
      • John R. Crockarell, M.D. – (901) 759-5400
      • Robert K. Heck, M.D.  – (901) 759-5400
      • Kevin B. Cleveland, M.D. – (901) 759-5400
      • Marc J. Mihalko, M.D. – (901) 759-5400
      • James W. Harkess, M.D. – (901) 759-5400


Knee Replacement

What is the difference between partial and total knee replacement?

Total or partial knee arthroplasty involves the repair and replacement of the natural components that make up your knee, which wear down and are damaged over time. These components are removed and artificial components take their place during surgery.

Partial knee replacement utilizes a minimally invasive approach (employing a smaller incision and less disruption) when compared to traditional total knee replacements. During a total knee replacement, patients have all cartilage in the knee removed and replaced by metal or plastic components. In a partial replacement, only the most damaged elements in your knee are removed and replaced by metal or plastic components. The healthy, functional elements of the joint are left remaining intact.

A Campbell Clinic orthopaedic surgeon will conduct the following steps to determine if partial or total knee replacement is right for you:

  • Review your medical history and evaluate previous methods of treatment
  • Perform a physical examination to determine the severity of your knee’s deterioration
  • Study your X-rays

Dependent on these factors, the surgeon will determine if you are a candidate for a partial knee replacement. For some patients, this less-invasive approach is appropriate. For others, who have more severely diseased or advanced degeneration in the joint, a total knee replacement is the better option.

Why choose a partial knee replacement?

Many people have knees that only have arthritis in one part of their knee. Therefore, the whole knee does not need to be replaced. In most cases, partial knee patients recover faster, have less pain, require less postoperative rehab and have a more normal-feeling knee after the procedure.

Through advances in pain control, technology and specialized medical staff, partial knee replacement at Campbell Clinic Surgery Center has been performed successfully in an outpatient setting for nearly a decade.

Partial knee replacement utilizes a minimally invasive approach (employing a smaller incision and less disruption) when compared to traditional total knee replacements.

Why choose a total knee replacement?

The basic reason for total knee replacement surgery is to repair advanced joint damage caused by osteoarthritis – the wearing away or disease of most of the structural elements of your knee joint. People who need knee replacement surgery usually have problems walking, standing up, participating in light exercise, or climbing stairs. They may also experience significant discomfort even at rest. A total knee replacement is better for a patient who has more total or comprehensive wear and tear in bones and cartilage that make up the knee.

For a complete list of Campbell Clinic total joint replacement specialists, click here.

For more information about partial or total knee replacement in the outpatient setting, please contact the following physicians who perform these procedures in our surgery center:

      • Anthony A. Mascioli, M.D. – (901) 759-5400
      • Patrick C. Toy, M.D. – (901) 759-5400
      • Gregory D. Dabov, M.D. – (901) 759-5400
      • Kevin B. Cleveland, M.D. – (901) 759-5400
      • James L. Guyton, M.D. – (901) 759-5400
      • John R. Crockarell, M.D. – (901) 759-5400
      • Marc J. Mihalko, M.D. – (901) 759-5400
      • Robert K. Heck, M.D. – (901) 759-5400
      • James W. Harkess, M.D. – (901) 759-5400


Shoulder Replacement

While somewhat less common than hip or knee replacement, shoulder replacement surgery is a procedure with proven effectiveness for relieving pain and improving quality of life.  And the improvements in pain and range of motion following shoulder replacement are similar to those of hip and/or knee replacemenst.

Patients who experience advanced arthritis in their shoulder or have large tears in the rotator cuff often find replacement of the joint to be the best option if conservative treatment efforts prove ineffective.

According to the American Academy of Orthopaedic Surgeons, more than 53,000 people in the U.S. undergo shoulder replacement surgery each year.

Some patients who benefit from this procedure find that even simple tasks like raising their arm to put on a shirt or lifting a cup of water are nearly impossible due to pain prior to surgical intervention.  But shoulder replacement enables most patients to return to a moderate and sensible level of activity and movement.

 Are You a Candidate for Shoulder Replacement?

Consultation with an orthopaedic surgeon at Campbell Clinic is the best way to determine if you are a candidate for shoulder replacement surgery. Some of the factors below may also indicate that it’s the right option for you.

  • Moderate or severe pain in your shoulder even while sitting or resting
  • Reduction in range of motion in your shoulder or progressive weakness in the joint
  • Inability to lift light objects or significant pain while performing simple tasks such as dressing or showering

Which Approach is Right for You?

Total Shoulder Replacement

During a total shoulder replacement, the damaged surfaces in an arthritic joint are replaced with artificial components that include a metal ball attached to a stem and a plastic socket. A patient with an intact rotator cuff tendon who suffers from advanced osteoarthritis would likely benefit from a total shoulder replacement.

Reverse Shoulder Replacement

For older individuals who suffer from a large rotator cuff tear, with or without arthritis, a Reverse Shoulder Replacement may be a better option. During a reverse replacement, the surgeon still implants a metal ball and a plastic socket, but he switches the placement of these components so that the socket is instead attached to the upper humerus and the ball opposite it. This reconstitutes the function of the rotator cuff and typically allows patients to improve their range of motion, particularly in overhead activities.

Other partial joint replacement procedures include replacing only one component, typically the humeral head.

For a complete list of Campbell Clinic total joint replacement specialists, click here. (will include a hyperlink)

For more information about shoulder replacement in the outpatient setting, please contact the following physicians who perform these procedures in our surgery center:

      • Thomas “Quin” Throckmorton, M.D. – (901) 759-5400


Total Ankle Replacement

Campbell Clinic has performed major surgical procedures on the foot and ankle, including total ankle replacement and ankle fusions, in its outpatient surgery center for more than three years.

When these procedures are performed in a hospital setting, a patient typically requires a two or three night stay in the facility. Campbell Surgery Center enables patients to go home on the same day of their surgery, and outpatient ankle surgery often allows for better pain management for the patient.

Is Total Ankle Replacement Right for Me?

Patients who experience significant pain in their ankle along with limited mobility who do not respond to conservative treatment may consult their surgeon and consider total ankle replacement. Physical therapy, activity modification, diet and weight management and anti-inflammatory medication may help patients manage pain without the need for surgery. For all other patients, surgery may be a viable option.

During a total ankle replacement, the ankle is approached from the front or side by the surgeon and metal and plastic components that re-create the ankle joint are implanted. Some patients may also need to have their calf muscle or Achilles tendon lengthened to improve range of motion after the surgery if those parts of the ankle or leg are tight. After the wounds are closed, a patient’s foot and ankle are typically immobilized for a period of time after the surgery to allow the joint to heal. The patient is not able to bear weight during this time.

For more information about ankle replacement in the outpatient setting, please contact the following physicians who perform these procedures in our surgery center:

      • Andrew Murphy, M.D. – (901) 759-5400
      • David R. Richardson, M.D. – (901) 759-5400