Dr. JAVAD PARVIZI

You may use WhatsApp or Telegram line 0 (537) 699 81 11 International Joint Center Coordianator Dr Aida Maidfar will be in touch

IJC Acıbadem is in Maslak Acıbadem Hospital in Maslak-Istanbul- Turkiye

Hip preservation Hip and knee arthritis requiring joint replacement Failed hip or knee replacements Periprosthetic joint infection (PJI) Complex revision surgeries

Yes. Dr. Parvizi mentors fellows through internationally recognized programs, offering both surgical and research training opportunities.

Periprosthetic Joint Infection (PJI) is an infection that occurs around a joint replacement implant, such as a hip or knee replacement. It happens when bacteria enter the area around the artificial joint, leading to pain, swelling, and difficulty moving the joint. Treatment Options for PJI Treatment depends on how severe the infection is and when it occurs after surgery. 1️ Antibiotic Therapy (For Early, Mild Cases) If the infection is caught early, it may be treated with strong antibiotics through an IV or pills. Sometimes, a surgical cleaning (debridement) is needed to remove bacteria and infected tissue. 2️ DAIR Procedure (Debridement, Antibiotics, and Implant Retention) This is used if the implant is still stable. The surgeon cleans the infected area, replaces the plastic part of the joint, and gives long-term antibiotics to clear the infection. 3️ Two-Stage Revision Surgery (For Severe Infections) First surgery: The infected implant is completely removed, and a temporary spacer with antibiotics is placed. Second surgery: After weeks or months of antibiotics, a new joint implant is inserted. This is the gold standard for treating chronic infections. 4️ One-Stage Revision Surgery (For Some Chronic Cases) The infected implant is removed and replaced with a new one in a single procedure. This option is used in selected patients and can speed up recovery.

You may be a candidate if you have: ✔ Severe knee pain that affects walking, climbing stairs, or daily tasks. ✔ Osteoarthritis or Rheumatoid Arthritis causing joint damage. ✔ Knee stiffness and swelling that doesn’t improve with medication or therapy. ✔ Deformity – such as a bowed or knocked-knee appearance.

🔹Makes an incision over the knee. 🔹 The surgeon removes damaged cartilage and bone from the knee joint. Leaving the healthy bone intact 🔹 A metal and plastic implant (prosthesis) is placed to mimic a natural knee joint. 🔹 The artificial joint allows for smooth movement and eliminates pain. The surgery takes about 1–2 hours, and patients typically stay in the hospital for a day or two before starting rehabilitation.

Walking with support starts within 24 hours after surgery. Physical therapy is crucial for regaining strength and movement. Most patients return to normal activities within 6–12 weeks.

Recovery time varies depending on the patient’s overall health, the procedure performed, and the complexity of the case. Most patients are able to walk the day after surgery.

Patients with severe hip arthritis, fractures, or other joint damage who experience persistent pain, stiffness, or reduced mobility despite non-surgical treatments may be candidates.

Hip replacement (arthroplasty) is a surgical procedure where the damaged parts of the hip joint are replaced with artificial implants to relieve pain and improve mobility.

Most patients walk with support within days. Full recovery varies but generally takes 6 to 12 weeks, with improvements continuing for up to a year.

Patients can typically return to walking, swimming, cycling, and golfing. High-impact activities like running or jumping are discouraged to prolong implant life.

Hip preservation refers to a group of treatments and surgeries designed to keep your natural hip joint healthy and functioning for as long as possible. Instead of replacing the hip with an artificial implant, the goal is to correct problems early, relieve pain, and delay or avoid hip replacement surgery.

Patients with hip pain caused by structural issues such as femoroacetabular impingement (FAI), hip dysplasia, or early cartilage/labral damage may benefit. These are often younger, active patients who want to stay mobile without undergoing a hip replacement

Hip arthroscopy – a minimally invasive surgery to repair labral tears, remove impingement, or smooth cartilage. Periacetabular osteotomy (PAO) – re-aligns the hip socket in patients with dysplasia. Femoral osteotomy – reshapes the thigh bone to improve hip function. Cartilage or labral repair – restores damaged tissue.

Typically, younger and middle-aged patients with hip pain but without advanced arthritis are good candidates. If the joint still has healthy cartilage, hip preservation procedures can be very effective.

This depends on how much arthritis is present. If your hip joint is already badly worn, replacement may be the best option. If you have pain but the joint is still healthy, hip preservation can provide pain relief and extend the life of your natural hip.

Recovery is a process, and it varies depending on the type of surgery. For arthroscopy, many patients walk with crutches for a short period and then progress to physical therapy. For osteotomies, recovery takes longer, but the results can be life-changing when the hip is properly realigned.

PJI is an infection that occurs in the tissues surrounding a joint implant (hip or knee). It can happen shortly after surgery or years later.

Symptoms include persistent joint pain, swelling, warmth, redness, fever, and sometimes drainage from the surgical site.

Treatment may involve antibiotics, surgical cleaning (debridement), implant removal and replacement, or staged revision surgery depending on severity.

Yes. Preventive strategies include strict infection-control measures during surgery, patient optimization (e.g., diabetes control, smoking cessation), and prophylactic antibiotics.

Dr. Parvizi has led global efforts to improve infection prevention, including chairing the International Consensus Meeting (ICM) on Musculoskeletal Infection, which established worldwide, evidence-based guidelines.

With appropriate treatment, most patients recover. However, outcomes depend on patient health, timing of intervention, and type of bacteria

Yes, many patients return to active lives after treatment, but recovery may take longer than primary hip replacement surgery.