Hip and knee problems are very common, particularly as people age. Severe issues can lead patients to need a total hip replacement; a surgery that previously had many complications, a longer recovery period, and the potential for extensive scarring. Orthopaedic surgeon Joshua Campbell, MD, uses minimally invasive techniques at The George Washington University (GW) Medical Faculty Associates that can lead to better outcomes than traditional surgery.
Campbell, who is also an assistant professor of orthopaedic surgery at the GW School of Medicine and Health Sciences, offers insight into his experience and discusses the advantages of arthroscopic surgery, a minimally invasive procedure to visualize, diagnose, and treat problems inside a joint, for total hip replacements.
Q: Why did you choose orthopedic surgery as a specialty, especially with a focus on total hip and knee replacement?
Campbell: My interest in orthopedics as a specialty started with total joint arthroplasty, the surgical reconstruction or replacement of a joint. The first time I saw a total hip arthroplasty in medical school I was instantly fascinated by the procedure and had to know more about it. As I came to learn more about total joints, my passion for it only grew, leading me to pursue a fellowship in this area. The fascination with the procedure itself got me started, but what has kept me passionate about the field is the results we can achieve for our patients.
Q: What brought you to GW?
Campbell: I was working in private practice for several years after fellowship, and found that I missed the academic environment and teaching residents. There is an inherent reward in training up-and-coming surgeons to take care of patients and perform these procedures well. Working with residents is a learning experience for the teacher as well; you really become an expert in a topic when you can teach it to someone else.
Q: What age range of patients do you see for hip replacements?
Campbell: I see hip patients of all ages. In addition to total hip arthroplasty, I also perform hip arthroscopy. I found in training that if you only have one tool you tend to want to apply it to everything, therefore I sought to gain experience with hip arthroscopy in addition to total hip arthroplasty. Knowing how to match patients with the best procedure for their injury is a valuable skill, it enables me to provide the highest level of care for my patients.
Q: Do you see a lot of osteoarthritis patients? How is osteoarthritis treated?
Campbell: Hip and knee problems are very common, and osteoarthritis is the most common problem leading to arthroplasty. But before requiring surgery, there are a multitude of other options available for treatment including medications, injections, pain procedures, and ultimately, if all else fails, surgical options.
Q: What are some specific exercise tips that people should keep in mind to maintain good joint health?
Campbell: Being a hip arthroscopist, the best piece of advice I can give is the avoidance of repetitive deep hip flexion, such as with deep squats, in younger athletes. A condition called FAI (femoroacetabular impingement) is very common in the athletic population. In these patients, the deep hip flexion promotes labral tears and may lead to early hip arthritis.
Q: When should people visit an orthopedic surgeon?
Campbell: Any time a patient has musculoskeletal pain that lasts more than a few weeks and doesn’t respond to simple measures like ice, rest, and over the counter pain medications. It is reasonable to be evaluated if the pain is interfering with quality of life.
Schedule Your Visit
Dr. Campbell is currently accepting new patients and he is ready to see you virtually or in-person for total knee and hip replacement consultations. Don’t delay care, call GW Orthopaedics at (202) 741-3300 or schedule an appointment online.