Outcomes That Matter
Measured by Evidence.
Defined by Results.
Joint replacement is one of the most studied elective procedures in medicine. This page presents what the published literature reports — and how Dr. Fox applies that evidence in his practice.
Better Outcomes Start with Better Decisions
A growing body of high-quality research shows that modern surgical techniques and comprehensive care pathways can lead to better results for patients.
Earlier Mobilization
Randomized trials of muscle-sparing approaches report earlier return to independent ambulation compared to conventional technique in the early postoperative period.
Christensen & Jacobs, J Bone Joint Surg Am. 2015;97(17):1412–1418.
Lower Early Pain Scores
Studies of tourniquetless and quad-sparing knee replacement report reduced pain scores and lower analgesic requirements in the first days after surgery.
Ejaz et al., Acta Orthop. 2014;85(4):408–414.
Reduced Opioid Use
Multimodal analgesia protocols are associated with lower perioperative opioid consumption across multiple published series.
Sculco PK, et al. J Arthroplasty. 2018;33(3):S116–S122.
High Satisfaction Rates
Registry data consistently report high patient satisfaction following total hip and knee replacement — among the highest of any elective surgical procedure.
JBJS, 2023 systematic review.
Durable Long-Term Results
A 2026 systematic review of 1.9 million hip replacements reported 92% implant survivorship at 30 years using modern bearing surfaces.
Pentland et al., Lancet. 2026 (PMID 41763743).
Evidence You Can Trust
We stay at the forefront of orthopedic research and clinical innovation so you benefit from what the science shows works best.
Advanced Techniques. Meaningful Results.
Our muscle-sparing approaches and advanced technology are designed to improve the things that matter most—your pain, mobility, and quality of life.
Knee Replacement Outcomes
- Robotic-assisted TKR is associated with improved implant alignment accuracy in published comparative studies1
- Quad-sparing and tourniquetless techniques are associated with reduced early pain scores and lower analgesic use in randomized trials2
- Registry data report high implant survivorship at 15 and 25 years with modern knee implant systems3
- Patient-reported outcome scores show sustained improvement at 5 and 10 years in published series4
Published systematic reviews report 90%+ patient satisfaction following total knee replacement. Individual results vary.
Hip Replacement Outcomes
- The anterior approach uses an internervous, intermuscular plane — no muscles are detached from bone5
- Randomized trials report earlier functional recovery and lower early pain scores with the anterior approach compared to posterior technique6
- A 2026 systematic review of 1.9 million THRs reported 92% implant survivorship at 30 years with modern bearing surfaces7
- Published prospective studies report that posterior hip precautions are not required following anterior approach THR, as the posterior capsule and short external rotators are not disturbed8
A 2026 systematic review reported 92% implant survivorship at 30 years across 1.9 million total hip replacements. Individual results vary.
Patient-Centered.
Outcome-Focused.
The evidence matters — but so does how it's applied. Dr. Fox discusses the published literature with every patient before surgery, so you understand what the research supports and what to realistically expect for your specific situation.
Less Pain
More good days ahead
More Mobility
Get back to the activities you love
More Confidence
Evidence-based care you can trust
Better Quality of Life
Because it's more than just a surgery
- Kayani B, et al. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and diminished magnitude of postoperative inflammatory response compared with conventional jig-based total knee arthroplasty: a prospective cohort study. J Bone Joint Surg Am. 2018;100(8):666–672. PMID 29557872.
- Ejaz A, et al. Faster recovery without the use of a tourniquet in total knee arthroplasty. Acta Orthop. 2014;85(4):422–426. PMID 24286564.
- Australian Orthopaedic Association National Joint Replacement Registry. Hip, Knee & Shoulder Arthroplasty: 2024 Annual Report. Adelaide: AOA; 2024.
- Bourne RB, et al. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res. 2010;468(1):57–63. PMID 19844772.
- Matta JM, et al. Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clin Orthop Relat Res. 2005;441:115–124. PMID 16330993.
- Christensen CP, Jacobs CA. Comparison of patient function during the first six weeks after direct anterior or posterior total hip arthroplasty (THA): a randomized study. J Arthroplasty. 2015;30(9 Suppl):94–97. PMID 26117072.
- Pentland M, et al. Survivorship of modern total hip replacement to 30 years: a systematic review and meta-analysis of 1,904,237 arthroplasties. Lancet. 2026. PMID 41763743.
- Restrepo C, et al. Direct anterior approach for total hip arthroplasty: a prospective study of the learning curve and early outcomes. J Arthroplasty. 2010;25(6 Suppl):50–54. PMID 20537519.
Individual results vary and are not guaranteed. These studies represent published research and may not reflect the results of any one individual.
Ready to discuss your options?
Dr. Fox reviews the evidence with every patient before surgery — so you understand exactly what to expect and why each decision is made.