Colorado Joint Replacement

Specialty: Orthopedic Surgery
Location
2535 S Downing St
STE 100
Denver, CO, 80210-5848
Fax: 720-524-1422
Distance:
Phone

Hours

Monday - Thursday: 8:00 am-5:00 pm
Friday: 8:00 am-2:00 pm
Saturday - Sunday: Closed

About

The Colorado Joint Replacement Customized Approach

When it comes to joint replacement, you want peace of mind that your doctor is an expert in their field—and you want to know that you’ll be safe and well cared for. Because the team at Colorado Joint Replacement focuses only on joint replacement, they perform more joint replacements each year leading to better outcomes and 5-star patient experience scores to help you move smoothly again, no matter the cause of your joint pain.

Our physicians are advanced specialists focused solely on total knee and hip replacement, which means you’re in experienced hands with tried-and-true practices in a compassionate and caring environment. The Colorado Joint Replacement team works with each patient to develop an individualized surgical care plan that includes the latest technology, the highest performing implants, and thoughtful pre- and post-surgery care to ensure the best outcomes. 

  • To learn from patients about their experience at Colorado Joint Replacement, check out our 5-Star Google rating.
  • To learn if joint replacement is right for you, request a consultation with one of our compassionate physicians and get started on the path to movement without pain.

Our Services

With thousands of knee and hip replacements performed each year by our doctors, Colorado Joint Replacement can pinpoint the many causes of joint pain, such as avascular necrosis, arthritis, bursitis, or traumatic joint injuries. The team begins with a consultation to understand you and your goals, then together, you and the team create a treatment plan that’s right for you.

If surgery is the best path forward, your doctor and care team will develop a personalized surgery plan for you, carefully selecting the appropriate techniques, procedures and technology to use.

What You Can Expect

Colorado Joint Replacement

What You Can Expect

Tailored Treatment
We offer a vast range of orthopedic treatment options for arthritis, osteoarthritis, joint pain and more.

Expert Care
Some of the nation’s top experts specializing in hip and knee replacement surgery practice here.

Extensive Experience
Our specialists have been performing hip and knee surgeries, corrections and revisions for years.

Innovative Facilities
Our state of the art joint replacement suite features private rooms and other unique amenities.

Leading Research
Our team of board-certified orthopedic surgeons lead the field in research and medical device development.

Easy Scheduling
Getting in to see a specialist should be the least of your worries, so we ensure appointments are easy.

Impeccable Bedside Manner
Our specialists and caregivers always treat you with the kindness and respect you deserve.

Dedication to Improvement
Our specialists are dedicated to constantly bettering themselves and teaching other doctors.

    Knee Procedures

    Colorado Joint Replacement

    Knee Procedures

    • Partial and total knee replacement
    • Other complex knee joint replacement procedures
    • Anterolateral, posterior or minimally invasive surgical approaches
    • Joint infection management
    • Second opinions

    Your physical therapy plan is also tailored to your unique needs. Our research shows that a well-designed physical therapy and pain management programs are critical to facilitate rapid recovery from joint replacement surgery. We utilize multimodal pain regimens to ensure focus on restoring normal functionality, so patients can return to everyday life sooner.

    Hip Procedures

    Colorado Joint Replacement

    Hip Procedures

    • Total hip replacement
    • Other complex hip joint replacement procedures
    • Revision (corrective joint replacement)
    • Second opinions

    Your physical therapy plan is also tailored to your unique needs. Our research shows that a well-designed physical therapy and pain management programs are critical to facilitate rapid recovery from joint replacement surgery. We utilize multimodal pain regimens to ensure focus on restoring normal functionality, so patients can return to everyday life sooner.

    Research

    Colorado Joint Replacement

    Research

    The doctors at Colorado Joint Replacement consider research a cornerstone of their practice. They are involved in both clinical studies with patients to investigate the efficiency and longevity of knee and hip replacements. In addition to clinical research, our team is also working with the engineering departments at both the University of Tennessee and University of Denver to improve both the quality and longevity of total joint replacements.

    The research performed by our doctors helps take the guesswork out of designing new medical devices and allows our doctors to find the most effective method of care, which translates into the latest technology and best care for our patients.

    • Comparison of outcomes in high activity and low activity level patients after total hip and total knee replacement
    • The Effect of mindfulness Training before Primary Total Joint Arthroplasty on Sleep Quality
    • Global, Multicenter, and Prospective Post-market Clinical Follow-Up Study of the G7® Acetabular System with Vivacit E® and Longevity® Highly Crosslinked Polyethylene (HXLPE) Liners & Instrumentation
    • Swelling Management after Total Knee Arthroplasty (Collaborative effort with the University of Colorado)
    • A prospective, randomized, double blind trial comparing dronabinol to a Placebo in the management of post-operative pain in total joint arthroplasty.
    • Effect of therapeutic joint arthrocentesis on pain and quadriceps function in patient with knee osteoarthritis (Collaborative effort with the University of Colorado)
    • Vancomycin Powder and Dilute Povidone Iodine Lavage for Infection Prophylaxis in High-Risk Total Joint Arthroplasty: A Randomized Prospective Trial (Multicenter Trial with NYU)
    • Cutibacterium Dermal Colonization: Implications for Hip Replacement
    • MymobilityTM clinical Study: A Prospective Multicenter Longitudinal Cohort Study of the mymobility Platform
    • Outcomes of revision or Reoperation for Patellar Crepitus
    • Clinical Utility of Synovasure testing in reimplantation for Periprosthetic Infections
    • Differences in the Prevalence of Depressive Symptoms Based on Failure Mode in Patients Undergoing Aseptic Revision Hip or Knee Arthroplasty.
    • Use of Computer Assisted Navigation in Knee Arthroplasty
    • Effect of marijuana on patients receiving a total knee replacement
    • Accuracy of Intra-operative 3D guidance in acetabular component placement during total hip arthroplasty
    • Incidence and Risk Factors for Orthostasis after Elective Primary Total Hip and Knee Arthroplasty
    • Discordant metal allergy tests and effects on patient outcomes
    • How variable are different forms of anatomic leg length discrepancy in THA
    • Sleep Quality Following Total Knee Arthroplasty.
    • 36mm CeramaxTM Ceramic Hip System PMA POST-APPROVAL STUDY:  Short to Mid-Term Follow-up
    • Multi-Center Clinical Evaluation of the ATTUNE® Revision System in Complex Primary Total Knee Arthroplasty
    • Outcomes of Knee Arthroplasty using a DePuy Knee System
    • Persona® The Personalized Knee System TKA Outcomes Study
    • Manipulation Under Anesthesia (MUA) to Treat Postoperative Stiffness after Total Knee Arthroplasty: A Multicenter Randomized Clinical Trial
    • Computed Tomographic (CT) Evaluation of Femoral and Tibial Component Rotation in a Gap-Balanced Total Knee Arthroplasty
    • The Utility of Next-generation sequencing for the diagnosis of periprosthetic joint infection
    • Colorado Joint Replacement Hip and Knee Data Repository
    • Outcomes after total joint arthroplasty in patients using marijuana
    • Movement Pattern Training after Total Knee Arthroplasty (Collaborative effort with the University of Colorado)

    Traditional Intravenous Fluid vs. Oral Fluid Administration in Primary Total Knee Arthroplasty: A Randomized Trial

    Dr. Jason Jennings was awarded the 2019 James A. Rand, Young Investigator’s Award for his research on fluid administration for patients undergoing a primary total knee replacement.  With the help of his co-author’s, Mauricio Mejia MD, Michael A. Williams MD, Roseann M. Johnson BS, CCRP, Charlie C. Yang MD and Douglas A. Dennis MD, Dr. Jennings and his team set to establish a preoperative fluid protocol for patient prior to their joint replacement. This protocol is now utilized by many surgeons both nationally and internationally. 

    The study enrolled 130 patient and randomized them into either a traditional or oral fluid management group.  The traditional group was asked to stop eating or drinking at midnight the night before the procedure.  The oral group was asked to encourage to drink a minimum of 20 ounces of clear liquids three times a day for three days leading up to their procedure.  Patients in this group also had 10 ounces of clear liquids 4 hours prior to their procedure. After analysis of outcomes, it was found that our oral testing group found short-term benefits with post-operative swelling and body weight fluctuations.

    https://pubmed.ncbi.nlm.nih.gov/32037213/

      

    Home-Health-Care Physical Therapy Improves Early Functional Recovery of Medicare Beneficiaries After Total Knee Arthroplasty

    Dr. Jason Jennings was also recognized with the 2020 Rose Excellence in Research Award at the American Physical Therapy Association from his collaborative efforts with University of Colorado Anschutz Campus Rehabilitation program.  Authors, Jason R FalveyMichael J BadeJeri E ForsterRobert E BurkeJason M JenningsEugene Nuccio and Jennifer E Stevens-Lapsley.

    The primary purpose of this project was to determine if physical therapy can be linked to improvements for patient in home-healthcare setting after a total knee replacement.  This study showed that low home-health-care PT utilization was significantly associated with worse recovery in activities of daily living after total knee arthroplasty for Medicare beneficiaries, after controlling for medical complexity, baseline function, and home-health-care episode duration. Patients who are served by rural agencies or who have higher medical complexity receive fewer PT visits after knee replacement and may need closer monitoring to ensure optimal functional recovery.  

    https://pubmed.ncbi.nlm.nih.gov/30334882/

     

    Control-Matched Evaluation of Patellar Crepitus after Total Knee Arthroplasty

    Dr. Douglas A. Dennis authored a study which evaluated the many factors that can cause  grinding (i.e., patellar crepitus) around the kneecap, which results when scar tissue develops around the kneecap after total knee replacement. The findings of this research will prove helpful in lessening the incidence of this problem for future total knee replacement recipients. This research received the prestigious John Insall Award for its authors: Dr. Dennis, and co-authors Raymond H. Kim, MD, Derek R. Johnson, MD, Bryan D. Springer, MD, Thomas K. Fehring, MD, and Adrija Sharma, PhD.

    The evaluation compared a group of patients who developed this problem with a group that did not suffer this condition that was matched for age, gender, and body weight. An extensive analysis of patient history and diagnostics showed there were many factors associated with development of patellar crepitus including implant size and design, a history of previous knee surgery, and thickness of the replaced kneecap, among others.

    https://pubmed.ncbi.nlm.nih.gov/20706813/

    2022

    • Nikkel LE, Tran L, Jennings JM, Hollenbeak CS. Cost-Effectiveness of Preoperative Spinal Imaging Before Total Hip Arthroplasty. J Arthroplasty. 2022 Jan;37(1):3-9.e1. doi: 10.1016/j.arth.2021.09.016. Epub 2021 Sep 27. PMID: 34592356.

    2021

    • Phocas A, Holst DC, Angerame MR, Kurkis G, Dennis DA. Total Hip Revision with a Custom Acetabular Component and Femoral Allograft-Prosthetic Composite as Salvage for Failed Unstable Megaprosthesis in an Adolescent Patient: A Case Report at 19-Year Follow-up Duration. JBJS Case Connect. 2021 Nov 4;11(4). doi: 10.2106/JBJS.CC.21.00171. PMID: 34735375.
       
    • Jennings JM, Miner TM, Johnson RM, Pollet AK, Brady AC, Dennis DA. A back table ultraviolet light decreases environmental contamination during operative cases. Am J Infect Control. 2021 Oct 2:S0196-6553(21)00640-4. doi:10.1016/j.ajic.2021.09.020. Epub ahead of print. PMID: 34610393.
       
    • Holst DC, Doan GW, Angerame MR, Roche MW, Clary CW, Dennis DA. What is the Effect of Posterior Osteophytes on Flexion and Extension Gaps in Total Knee Arthroplasty? A Cadaveric Study. Arthroplast Today. 2021 Sep 6;11:127-133. doi: 10.1016/j.artd.2021.08.007. PMID: 34522740; PMCID: PMC8427272.
       
    • Sharma AK, Cizmic Z, Dennis DA, Kreuzer SW, Miranda MA, Vigdorchik JM. Low dislocation rates with the use of patient specific "Safe zones" in total hip arthroplasty. J Orthop. 2021 Aug 21;27:41-48. doi: 10.1016/j.jor.2021.08.009. PMID: 34483549; PMCID: PMC8397909.
    • Pahlavan S, Hegde V, Bracey DN, Jennings JM, Dennis DA. Bone Cement Hypersensitivity in Patients With a Painful Total Knee Arthroplasty: A Case Series of Revision Using Custom Cementless Implants. Arthroplast Today. 2021 Aug 9;11:20-24. doi: 10.1016/j.artd.2021.06.001. PMID: 34409143; PMCID: PMC8361018.
    • Smith LA, LaCour MT, Dennis DA, Komistek RD. Anatomic vs Dome Patella: Is There a Difference Between Fixed- vs Mobile-Bearing Posterior-Stabilized Total Knee Arthroplasties? J Arthroplasty. 2021 Nov;36(11):3773-3780. doi: 10.1016/j.arth.2021.07.006. Epub 2021 Jul 17. PMID: 34362598.
    • Bracey DN, Hegde V, Shimmin AJ, Jennings JM, Pierrepont JW, Dennis DA. Spinopelvic mobility affects accuracy of acetabular anteversion measurements on cross-table lateral radiographs. Bone Joint J. 2021 Jul;103-B(7 Supple B):59-65. doi: 10.1302/0301-620X.103B7.BJJ-2020-2284.R1. PMID: 34192919.
    • Angerame MR, Eschen CL, Johnson RM, Jennings JM, Dennis DA. Ten-Year Follow-Up of High-Flexion Versus Conventional Total Knee Arthroplasty: A Matched-Control Study. J Arthroplasty. 2021 Aug;36(8):2795-2800. doi:10.1016/j.arth.2021.03.017. Epub 2021 Mar 6. PMID: 33810919.
    • Bracey DN, Hegde V, Pollet AK, Johnson RM, Jennings JM, Miner TM. Incidence and Predictive Risk Factors of Postoperative Urinary Retention After Primary Total Knee Arthroplasty. J Arthroplasty. 2021 Jul;36(7S):S345-S350. doi: 10.1016/j.arth.2021.02.043. Epub 2021 Feb 20. PMID: 33722408.
    • Mayer AS, Erb S, Kim RH, Dennis DA, Shirname-More L, Pratte KA, Barker EA, Maier LA, Pacheco KA. Sensitization to Implant Components Is Associated with Joint Replacement Failure: Identification and Revision to Nonallergenic Hardware Improves Outcomes. J Allergy Clin Immunol Pract. 2021 Aug;9(8):3109-3117.e1. doi: 10.1016/j.jaip.2020.12.068. Epub 2021 Mar 17. PMID: 33744472.
    • Brown TS, Bedard NA, Rojas EO, Anthony CA, Schwarzkopf R, Stambough JB, Nandi S, Prieto H, Parvizi J, Bini SA, Higuera CA, Piuzzi NS, Blankstein M, Wellman SS, Dietz MJ, Jennings JM, Dasa V; AAHKS Research Committee. The Effect of the COVID-19 Pandemic on Hip and Knee Arthroplasty Patients in the United States: A Multicenter Update to the Previous Survey. Arthroplast Today. 2021 Feb;7:268-272. doi: 10.1016/j.artd.2020.11.025. Epub 2020 Dec 3. PMID: 33294537; PMCID: PMC7713541.
    • Kleeman-Forsthuber LT, Dennis DA, Brady AC, Pollet AK, Johnson RM, Jennings JM. Alpha-Defensin Is Not Superior to Traditional Diagnostic Methods for Detection of Periprosthetic Joint Infection in Total Hip Arthroplasty and Total Knee Arthroplasty Patients. J Arthroplasty. 2021 Jun;36(6):2144-2149. doi: 10.1016/j.arth.2021.01.036. Epub 2021 Jan 21. PMID: 33602586.
    • Hegde V, Bracey DN, Brady AC, Kleeman-Forsthuber LT, Dennis DA, Jennings JM. A Prophylactic Tibial Stem Reduces Rates of Early Aseptic Loosening in Patients with Severe Preoperative Varus Deformity in Primary Total Knee Arthroplasty. J Arthroplasty. 2021 Jul;36(7):2319-2324. doi: 10.1016/j.arth.2021.01.049. Epub 2021 Jan 23. PMID: 33583669.
    • Kefala V, Shelburne KB, Mannen EM, Dennis DA, Haas BD, Rullkoetter PJ. In vivo comparison of rotating platform and fixed bearing knee replacements during lunge and pivot activities. Knee. 2021 Mar;29:86-94. doi: 10.1016/j.knee.2021.01.011. Epub 2021 Feb 12. PMID: 33582595.
    • Angerame MR, Holst DC, Phocas A, Williams MA, Dennis DA, Jennings JM. Usefulness of Perioperative Laboratory Tests in Total Hip and Knee Arthroplasty: Are They Necessary for All Patients? Arthroplast Today. 2021 Jan 30;7:136-142. doi: 10.1016/j.artd.2020.12.001. PMID: 33553540; PMCID: PMC7850936.
    • Hegde V, Bracey DN, Johnson RM, Dennis DA, Jennings JM. Tourniquet Use Improves Cement Penetration and Reduces Radiolucent Line Progression at 5 Years After Total Knee Arthroplasty. J Arthroplasty. 2021 Jul;36(7S):S209-S214. doi: 10.1016/j.arth.2020.12.048. Epub 2021 Jan 5. PMID: 33500203.
    • Vigdorchik JM, Sharma AK, Madurawe CS, Pierrepont JW, Dennis DA, Shimmin AJ. Prevalence of Risk Factors for Adverse Spinopelvic Mobility Among Patients Undergoing Total Hip Arthroplasty. J Arthroplasty. 2021 Jul;36(7):2371-2378. doi: 10.1016/j.arth.2020.12.029. Epub 2021 Jan 5. PMID: 33446383.
    • Kleeman-Forsthuber LT, Johnson RM, Brady AC, Pollet AK, Dennis DA, Jennings JM. Alpha-Defensin Offers Limited Utility in Routine Workup of Periprosthetic Joint Infection. J Arthroplasty. 2021 May;36(5):1746-1752. doi: 10.1016/j.arth.2020.12.018. Epub 2020 Dec 17. PMID: 33386183.
    • Dessinger GM, LaCour MT, Dennis DA, Kleeman-Forsthuber LT, Komistek RD. Can an OA Knee Brace Effectively Offload the Medial Condyle? An In Vivo Fluoroscopic Study. J Arthroplasty. 2021 Apr;36(4):1455-1461. doi: 10.1016/j.arth.2020.10.044. Epub 2020 Oct 28. PMID: 33223413.
    • Jennings JM, Czuczman GJ, Johnson RM, Dennis DA. Metal Artifact Reduction Sequence Magnetic Resonance Imaging Abnormalities in Asymptomatic Patients With a Ceramic-on-Ceramic Total Hip Replacement. J Arthroplasty. 2021 Feb;36(2):612-615. doi: 10.1016/j.arth.2020.07.082. Epub 2020 Aug 6. PMID:32950341.

    2020

    • Kleeman-Forsthuber LT, Elkins JM, Miner TM, Yang CC, Jennings JM, Dennis DA. Reliability of Spinopelvic Measurements That May Influence the Cup Position in Total Hip Arthroplasty. J Arthroplasty. 2020 Dec;35(12):3758-3764. doi: 10.1016/j.arth.2020.06.056. Epub 2020 Jun 24. PMID: 32888750.
    • Jennings JM, Johnson RM, Brady AC, Dennis DA. Patient Perception Regarding Potential Effectiveness of Cannabis for Pain Management. J Arthroplasty. 2020 Dec;35(12):3524-3527. doi: 10.1016/j.arth.2020.06.051. Epub 2020 Jun 23. PMID: 32684396.
    • Jiao X, Li Z, An S, Huang J, Yang G, Zhao Y, Shen J, Chu Y, Yang CC, Cao G. An elderly female with adult-onset Still's disease initially misdiagnosed as prosthetic joint infection after total knee arthroplasty: lessons in differential diagnosis and treatment. BMC Geriatr. 2020 Nov 27;20(1):512. doi: 10.1186/s12877-020-01925-w. PMID: 33246419; PMCID: PMC7694938.
    • Parvizi J, Gehrke T, Krueger CA, Chisari E, Citak M, Van Onsem S, Walter WL; International Consensus Group (ICM) and Research Committee of the American Association of Hip and Knee Surgeons (AAHKS). Resuming Elective Orthopaedic Surgery During the COVID-19 Pandemic: Guidelines Developed by the International Consensus Group (ICM). J Bone Joint Surg Am. 2020 Jul 15;102(14):1205-1212. doi: 10.2106/JBJS.20.00844. Erratum in: J Bone Joint Surg Am. 2020 Oct 7;102(19):e113. PMID: 32675662; PMCID: PMC7431146.
    • Elkins JM, Dennis DA, Kleeman-Forsthuber L, Yang CC, Miner TM, Jennings JM. Cutibacterium colonization of the anterior and lateral thigh. Bone Joint J. 2020 Jul;102-B(7_Supple_B):52-56. doi:10.1302/0301-620X.102B7.BJJ-2019-1606.R1. PMID: 32600208.
    • Cameron JE, Dennis DC, Herrel NR, Chapple AG, Hagensee ME. Risk of abnormal cervical cytology in HIV-infected women testing positive for both human papillomavirus and Epstein-Barr virus in genital tract specimens. Cancer Causes Control. 2020 Apr;31(4):365-375. doi: 10.1007/s10552-020-01287-z. Epub 2020 Feb 28. PMID: 32112173; PMCID: PMC8432267.
    • Vigdorchik JM, Sharma AK, Dennis DA, Walter LR, Pierrepont JW, Shimmin AJ. The Majority of Total Hip Arthroplasty Patients With a Stiff Spine Do Not Have an Instrumented Fusion. J Arthroplasty. 2020 Jun;35(6S):S252-S254. doi: 10.1016/j.arth.2020.01.031. Epub 2020 Jan 22. PMID: 32089366.
    • Jennings JM, Mejia M, Williams MA, Johnson RM, Yang CC, Dennis DA. The James A. Rand Young Investigator's Award: Traditional Intravenous Fluid vs. Oral Fluid Administration in Primary Total Knee Arthroplasty: A Randomized Trial. J Arthroplasty. 2020 Jun;35(6S):S3-S9. doi: 10.1016/j.arth.2020.01.029. Epub 2020 Jan 22. PMID: 32037213.
    • Ali AA, Clary CW, Smoger LM, Dennis DA, Fitzpatrick CK, Rullkoetter PJ, Laz PJ. Computational framework for population-based evaluation of TKR-implanted patellofemoral joint mechanics. Biomech Model Mechanobiol. 2020 Aug;19(4):1309-1317. doi: 10.1007/s10237-020-01295-7. Epub 2020 Feb 4. PMID: 32020408; PMCID: PMC7398844.
    • Kleeman-Forsthuber LT, Dennis DA, Jennings JM. Medicinal Cannabis in Orthopaedic Practice. J Am Acad Orthop Surg. 2020 Apr 1;28(7):268-277. doi: 10.5435/JAAOS-D-19-00438. PMID: 31800438.
    Operation Walk

    Colorado Joint Replacement

    Operation Walk

    Operation Walk Denver is a volunteer organization that provides joint replacements to people in developing countries and here at home.

    Operation Walk doctors, physical therapists, nurses, anesthesiologists and surgery support teams perform dozens of joint replacements on each mission. While there, they also provide education and training to medical staff in these often remote villages, enabling them to treat patients on their own. To make this work possible, however, Operation Walk depends on a community of supporters.

    By supporting the Operation Walk doctors and their teams through a donation, you can help make joint replacement possible for people who could never afford it otherwise. For many of these people, it's more than living without pain-it's usually life changing.

    Learn more and make a donation

    Conditions We Treat

    • Advanced Arthritic Change
    • Avascular Necrosis
    • Hip Bursitis
    • Hip Dysplasia
    • Post-Traumatic Arthritis
    • Previous Joint Infection
    Todd Miner, MD

    Joint replacement advancements

    The surgeons at Colorado Joint Replacement offer a number of highly advanced options like robotic-assisted total knee replacements, computer-navigation-assisted total knee or hip replacements, customized implant positioning and templating for total hip replacements, and biomechanical analysis for revision in total hip replacements.

    Providers

    Douglas Dennis, MD
    Orthopedic Surgery
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    Jason Jennings, MD
    Orthopedic Surgery
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    Todd Miner, MD
    Orthopedic Surgery
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    Charlie Yang, MD
    Orthopedic Surgery
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    James Boyle, PA-C
    Physician Assistant, Orthopedics
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    Jason Forsythe, PA-C
    Physician Assistant, Orthopedics
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    Brooke Garcia, PA-C
    Physician Assistant, Orthopedics
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    Laura Rachwalski, PA-C
    Physician Assistant, Orthopedics
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    Megan Rodgers Brickweg, PA-C
    Physician Assistant, Orthopedics
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    Kateryna Sergeev, PA-C
    Physician Assistant, Orthopedics
    View profile
    Liset Vargas, PA-C
    Physician Assistant - Surgical, Orthopedics
    View profile

    Locations

    Colorado Joint Replacement
    2535 S Downing St
    STE 100
    Denver, CO, 80210-5848
    Fax: 720-524-1422
    Colorado Joint Replacement Lone Tree
    9695 S Yosemite St.
    Ste 255C
    Lone Tree, CO, 80124-2890
    Fax: 720-524-1422

    Patient Resources

    What Makes Us Different?

    Colorado Joint Replacement

    What Makes Us Different?

    The Colorado Joint Replacement difference is in the experience.

    Patient Experience: From consultation to surgery to recovery, Colorado Joint Replacement provides a customized treatment and recovery plan. Every patient has unique needs, and CJR’s team of doctors create the optimal care experience every step of the way.  When it comes to patient satisfaction and online reviews, Colorado Joint Replacement leads the way in offering the best patient experience.

    • 99th percentile in HCAHPS – the industry standard in patient quality and satisfaction measurement
    • 5.0 Google rating with more than 250 reviews
    • 5.0 Healthgrades online rating for all physicians
    • Awarded Healthgrades 100 Best Hospitals for Joint Replacement, 6 years in a row

    Academic Excellence in Improving Patient Care: The surgeons at Colorado Joint Replacement have been committed to improve their care of patients by participating in leading research endeavors for over two decades. Their dedication to research has been recognized worldwide and resulted in numerous national awards for the improvement of patient care in the areas of hip and knee replacement surgery.

    • Awarded the PRISM award which provides special national recognition to the exemplary nursing practice of medical-surgical units.
    • Insall Award – the John Insall Award was established to honor Dr. Insall's achievements and contributions to orthopedics. This award recognizes outstanding papers concerning clinical results and techniques.
    • Rand Award – The James A. Rand Young Award was established to award a young investigator’s research in honor of James A. Rand, MD, founding member and past president of the Association. The purpose of the Award is to recognize a young investigator who demonstrates clinical excellence in knee-related research.
    • Colorado Joint Replacement has published over 400 scholarly journal articles and book chapters to help educate other orthopedic surgeons in the latest trends and techniques in hip and knee replacement.
    • Our team of doctors participate in research collaborations to improve surgical outcomes for patients, partnering with organizations including the University of Colorado School of Medicine and the Bioengineering departments of Denver University and the University of Tennessee.
    • Surgeons from around the world regularly visit Colorado Joint Replacement to watch live surgery and receive training in the latest surgical techniques in hip and knee replacement in addition to learning the rehabilitation programs developed at Colorado Joint Replacement which are focused to allow patients to have simpler and more rapid recoveries following their joint replacements procedures.
    Provider Care Teams

    Colorado Joint Replacement

    Provider Care Teams

    Colorado Joint Replacement takes a multidisciplinary approach to each patient’s plan of care to ensure an environment where they are supported through each area of the journey, from beginning to end. Find out more about each of our physician's comprehensive care teams below:

    When you are a patient of Dr. Dennis, you will have a consistent Colorado Joint Replacement team to support you through our joint replacement process. In addition to Dr. Dennis, your team includes:

    • James Boyle, PA-C
    • Peggy Kettler, Joint Outcomes Coordinator
    • Fransisca Mascarenaz, Medical Assistant
    • Lorena Flores, Medical Assistant

    When you are a patient of Dr. Miner, you will have a consistent Colorado Joint Replacement team to support you through our joint replacement process. In addition to Dr. Miner, your team includes:

    • Jason Forsythe, PA-C
    • Kateryna Sergeev, PA-C
    • Rhonda Wellborn, Medical Assistant
    • Lorena Flores, Medical Assistant

    When you are a patient of Dr. Jennings, you will have a consistent Colorado Joint Replacement team to support you through our joint replacement process. In addition to Dr. Jennings, your team includes:

    • Brooke Garcia, PA-C
    • Kayla Yutrzenka, Medical Assistant

    When you are a patient of Dr. Yang, you will have a consistent Colorado Joint Replacement team to support you through our joint replacement process. In addition to Dr. Yang, your team includes:

    • Megan Rodgers, PA-C
    • Laura Rachwalski, PA-C
    • Rachel Sturm, Medical Assistant
    Pre-Operative Information

    Colorado Joint Replacement

    Pre-Operative Information

    • You will have 2 pre-op appointments one with Colorado Joint Replacement and one with CMC the doctors that will be following you while you are staying here at the hospital. Please plan to spend about 3 hours between these two appointments.

    What to expect at Colorado Joint Replacement:

    • You will sign authorizations and consents for surgery
    • You will fill out a questionnaire for our research department
    • In most cases you will have x-rays taken
    • You will be seeing the physician assistant and will have the opportunity to ask any questions you might have regarding the surgery (we recommend you bring a list and bring the person who will be caring for you after surgery)
    • You will receive a list of your post-operative appointments

    What to expect from your appointment with the hospital:

    • This will be scheduled directly after your appointment at Colorado Joint Replacement, we will give you directions You will register with the hospital
    • You will sign any needed paperwork for the hospital
    • You will be asked to show your insurance cards and ID 
    • You will have blood work, a urine sample and EKG done (you can eat and drink as normal- these are not fasting blood tests)
    • You will need to bring a list of your medications 
    • Other tests could be performed based on your health history
    • It is also Mandatory that you take the corresponding joint class with your surgery. These classes are approximately 3 hours and are free of charge. 

      Note: If you plan to have your pre-operative appointment done with your Primary Care provider arrangements must be made ahead of time.

    Post Operative Information

    Colorado Joint Replacement

    Post Operative Information

    • Continue with pain medication as needed. Wean off pain medication as you are able by cutting down on the dosage, extending the time between doses or both. Do not stop pain medications abruptly.
    • Take stool softeners and laxatives as needed while on narcotics and stay hydrated.
    • Maximum Tylenol in a 24 hour period is 3000MG (6 extra strength Tylenol), please remember there may be Tylenol in the pain medication you are taking.
    • Do not drive while taking pain medication and until you have control of your leg. Typically this is around 3-5 weeks from surgery.
    • Stay on your crutches or walker for total 2-3 weeks unless instructed differently.
    • Attempt to ambulate one time every hour while you are awake.
    • Continue to ice and elevate at home for at least 3 hours a day.  Each session should last 20-30 minutes.  (ankle and knee above the heart – “KEEP YOUR TOES ABOVE YOUR NOSE”)
    • Continue ted stockings for two weeks.
    • Remove the Aquacel bandage as directed.
    • After your staples/sutures are removed, wait until the next day to shower.  If you have steri-strips applied, you many remove them after two week if they are still on.
    • Do not submerge wound until 6 weeks post-operatively. Shower normally, don’t scrub wound.
    • Please do not put any lotion, cream or scar reduction agent on your wound until cleared by your physician.
    • Feel free to eat whatever is in your typical diet. Good nutrition helps in healing. If you do not have much of an appetite, try protein shakes.
    Your Hospital Stay

    Colorado Joint Replacement

    Your Hospital Stay

    What to expect from your stay at Porter Hospital:

    • We have a wing of the hospital that is dedicated to joint replacement patients and nurses that specialize in your care
    • You will be up and moving around on the day of your surgery, if your surgery is in the morning you will have your first physical therapy that afternoon/night
    • You will have physical therapy and occupational therapy multiple times before you leave the hospital; this will ensure you are able to perform needed daily functions when you return home
    • If you have dietary restrictions or requests our kitchen staff will make the necessary changes to accommodate these
    • You will be staying in a single patient room and there is a couch/bed that can be used for a loved one to stay with you overnight
    • Please feel free to bring reading material or something to make your stay more comfortable
    • On the day of discharge you will need someone to drive you home and help listen to the discharge instructions