TOTAL JOINT REPLACEMENT: HIP & KNEE

Now Offering Advanced Robotic-Assisted Hip & Knee Replacement

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

At Coastal Orthopedic Associates, our fellowship-trained orthopedic surgeons specialize in advanced hip and knee replacement using the latest robotic-assisted technology to help patients relieve pain, restore mobility, and return to the activities they love.

Robotic-assisted technology enables your surgeon to create a personalized surgical plan based on your unique anatomy. During surgery, the robotic system provides real-time guidance to optimize implant placement while helping preserve healthy bone and surrounding tissue whenever possible.

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

Our joint replacement services include:

Robotic-assisted total hip replacement
Robotic-assisted total knee replacement
Anterior approach hip replacement
Traditional hip and knee replacement
Revision hip replacement
Revision knee replacement

Joseph Gibian, M.D.

Hip and Knee Orthopedic Surgeon Specializing in Robotic-assisted Joint Replacement Surgery

Learn more about Joseph Gibian, M.D.

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.

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

Why Robotic-Assisted Joint Replacement?

Robotic-assisted joint replacement combines advanced technology with your surgeon's expertise to create a personalized surgical plan based on your unique anatomy. For appropriate candidates, robotic guidance may improve implant positioning, joint alignment, and surgical precision, potentially leading to a faster recovery and excellent long-term outcomes.

Potential benefits for appropriate candidates may include:

Personalized surgical planning
Precise implant positioning
Improved joint alignment
Bone-sparing techniques
Faster recovery for many patients

Not every patient requires robotic-assisted surgery. During your consultation, your surgeon will determine whether this advanced technology is appropriate for your condition and treatment goals.

Meet Dr. Joseph Gibian

Coastal Orthopedic Associates is proud to welcome Dr. Joseph Gibian, a fellowship-trained orthopedic surgeon specializing in robotic-assisted hip and knee replacement, anterior approach hip replacement, and complex joint reconstruction.

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. He combines advanced surgical technology with personalized, patient-centered care to help relieve pain, restore mobility, and get patients back to the activities they enjoy.

Specialties include:

Robotic-assisted hip replacement
Robotic-assisted knee replacement
Anterior approach hip replacement
Revision hip replacement
Revision knee replacement

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.

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 most patients begin walking shortly after their procedure with the assistance of a walker or cane.

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 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.

During surgery, the damaged portions of the hip joint are replaced with durable implants designed to restore smooth, natural movement. For eligible patients, robotic-assisted technology allows your surgeon to create a personalized surgical plan and perform the procedure with enhanced precision.

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 is 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.

During the procedure, damaged cartilage and bone are replaced with specialized implants that restore joint alignment and movement. For appropriate candidates, robotic-assisted knee replacement provides enhanced precision and a personalized approach designed to optimize implant placement and function.

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

Today's advanced surgical techniques—including robotic-assisted technology for appropriate candidates—allow many patients to experience less pain, improved mobility, and a quicker return to the activities they enjoy. Your surgeon will recommend the approach that's best suited to your individual condition and goals.

When Should You See a Hip & Knee Specialist?

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:

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.

SCHEDULE AN APPOINTMENT

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:

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

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