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TOTAL JOINT REPLACEMENT: HIP & KNEE

Advanced, Personalized Hip & Knee Replacement Care

Coastal Orthopedic Associates is proud to offer joint replacement surgery with fellowship-trained orthopedic surgeon Dr. Joseph Gibian, bringing advanced technology and personalized care to patients throughout the North Shore.

Coastal Orthopedic Associates provides comprehensive hip and knee replacement care with fellowship-trained orthopedic surgeon Dr. Joseph Gibian, offering individualized surgical options for patients throughout the North Shore.

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At Coastal Orthopedic Associates, our fellowship-trained orthopedic surgeons specialize in hip and knee replacement, including traditional total joint replacement, anterior approach hip replacement, complex revision surgery, and robotic-assisted surgery when appropriate.

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Every surgical plan is tailored to the individual patient. Dr. Gibian considers your diagnosis, anatomy, goals, lifestyle, and preferences when determining the most appropriate approach. For many patients with straightforward arthritis, traditional hip or knee replacement may be recommended. Robotic-assisted technology is also available for more complex cases or when appropriate based on a patient's individual needs and preferences.

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Whether you're considering your first joint replacement or require a complex revision procedure, our experienced team is committed to delivering exceptional care with a personalized, patient-centered approach.

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Our joint replacement services include:

  • Traditional total hip replacement

  • Traditional total knee replacement

  • Anterior approach hip replacement

  • Revision hip replacement

  • Revision knee replacement

  • Robotic-assisted hip and knee replacement

Joseph Gibian, MD

Joseph Gibian, M.D.

Hip and Knee Orthopedic Surgeon 

Our goal is simple: relieve pain, restore mobility, and help you get back to living your life with confidence.

Could Joint Replacement Be Right for You?​

Healthy cartilage allows your joints to move smoothly and pain-free. When arthritis, injury, or other conditions wear away cartilage, everyday activities like walking, climbing stairs, or getting out of a chair can become painful.

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If medications, injections, physical therapy, or other conservative treatments no longer provide relief, joint replacement may be an option. Our orthopedic surgeons will evaluate your condition, discuss your treatment options, and create a personalized plan based on your goals and lifestyle.

Robotic-Assisted Joint Replacement

Robotic-assisted technology is one of several tools available to Dr. Gibian when planning and performing hip and knee replacement surgery. It can be particularly useful in certain complex cases and may also be considered based on a patient's individual anatomy, needs, and preferences.

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When used, robotic technology helps create a surgical plan based on the patient's unique anatomy and provides real-time guidance during the procedure to assist with implant positioning and joint alignment.

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Robotic assistance is not necessary for every hip or knee replacement. Many patients with straightforward arthritis may be well suited for traditional joint replacement techniques. During your consultation, Dr. Gibian will discuss the available approaches with you and recommend a surgical plan based on your specific condition, goals, and preferences.

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Potential benefits for appropriate candidates may include:

  • Personalized surgical planning

  • Precise implant positioning

  • Improved joint alignment

  • Bone-sparing techniques

  • Faster recovery for many patients

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Joseph Gibian, MD

Meet Dr. Joseph Gibian

Coastal Orthopedic Associates is proud to welcome Dr. Joseph Gibian, a fellowship-trained orthopedic surgeon specializing in hip and knee replacement, including primary total joint replacement, anterior approach hip replacement, complex revision surgery, and robotic-assisted joint replacement when appropriate.

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Dr. Gibian completed both his orthopedic residency and Adult Reconstruction (Hip & Knee Replacement) Fellowship at Washington University in St. Louis, one of the nation's premier orthopedic training programs. His approach is centered on selecting the surgical technique and technology that best fits each patient's individual condition, anatomy, goals, and preferences.

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Specialties include:

  • Total hip replacement

  • Total knee replacement

  • Anterior approach hip replacement

  • Revision hip replacement

  • Revision knee replacement

  • Robotic-assisted joint replacement when appropriate

 

Learn more about Dr. Gibian →

What to Expect

From your initial consultation through recovery, our team is committed to providing exceptional, personalized care every step of the way.

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Depending on your overall health and procedure, you may be a candidate for outpatient joint replacement surgery, allowing you to return home the same day. Following surgery, early movement is encouraged, and many patients begin walking shortly after their procedure with the assistance of a walker or cane.

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Your surgeon will develop a personalized recovery plan that may include physical therapy and exercises to help restore strength, mobility, and function. As with any surgery, joint replacement carries potential risks, including blood clots, infection, blood loss, joint stiffness, implant loosening, and procedure-specific risks. Your physician will review these with you and answer any questions so you can make an informed decision with confidence.

Hip Replacement Surgery

Hip Replacement Surgery, Danvers, MA

Hip replacement surgery is one of the most successful orthopedic procedures for relieving pain and restoring mobility. It is commonly recommended for patients whose hip arthritis or injury no longer responds to conservative treatments such as medication, injections, or physical therapy.

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During surgery, the damaged portions of the hip joint are replaced with durable implants designed to restore smooth movement. The surgical approach is tailored to each patient based on their anatomy, condition, and goals. Depending on the individual case, this may include traditional surgical techniques, anterior approach hip replacement, or robotic-assisted technology when appropriate.

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The goal of hip replacement is to reduce pain, improve function, and help you return to the activities you enjoy with greater comfort and confidence.

Knee Replacement Surgery

Knee Replacement Surgery, Beverly MA

Knee replacement surgery may be recommended when arthritis or joint damage causes chronic pain, stiffness, and loss of function that no longer improve with conservative treatments such as medication, injections, activity modification, or physical therapy.

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During the procedure, damaged cartilage and bone are replaced with specialized implants designed to restore joint alignment and movement. Dr. Gibian performs both traditional and robotic-assisted knee replacement, selecting the approach based on each patient's anatomy, condition, goals, and preferences.

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The goal of knee replacement is to relieve pain, restore mobility, and help you return to an active lifestyle with improved knee function.

When Should You See a Hip & Knee Specialist?

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If hip or knee pain is limiting your daily activities or affecting your quality of life, it may be time for an evaluation. Schedule an appointment if you experience:

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  • Persistent joint pain that interferes with daily activities or sleep

  • Swelling, stiffness, or weakness in your hip or knee

  • Instability or the feeling that your joint may "give out"

  • Limping or difficulty walking, climbing stairs, or standing

  • Pain that doesn't improve with rest, medication, or other conservative treatments

  • A sudden injury, painful "pop," visible deformity, or inability to bear weight

 

Our specialists will perform a comprehensive evaluation, discuss your treatment options, and develop a personalized plan to help you get back to doing what you love.

Here are some helpful hip & knee resources provided by the American Academy of Orthopaedic Surgeons (AAOS) to help manage your bone and joint health:​

 

Hip articles, videos, and resources to help manage your bone and joint health:

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Knee articles, videos, and resources to help manage your bone and joint health:

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At Coastal Orthopedics, you can schedule an orthopedic appointment by phone at 978-927-3040,
submit our online form, or walk in to one of our three locations in Danvers, Gloucester or Beverly, MA.

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