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The Charleston Joint Replacement Institute

Don’t let pain and discomfort hold you back – let Charleston Joint Replacement Institute get you back to you quicker. We’ve created a nationally ranked program, offering non-surgical treatments options, all the way to advanced robotic total joint replacement which results in less pain and shorter recovery times. At the Charleston Joint Replacement Institute, we are committed to the highest level of care for our patients.

High Quality

Our team is dedicated to evidence-based clinical pathways, pain management, and quality care. East Cooper’s Joint Program has been recognized as a Watson Health Top 100 Hospital, and by US News & World Report as a high performing hospital for Hip & Knee Replacements. Amongst 68 Tenet Healthcare owned hospitals, East Cooper has earned the highest patient satisfaction rating for 14 consecutive years. We offer a personalized touch and care for a lifetime for every patient.

US News - Knee Replacement
US News - Hip Replacement
Watson Health 100 Top Hospitals

High Performance

Our goal is to get you back to you quicker by providing all of the tools that you’ll need for a rapid recovery.

Our Approach to Rapid Recovery

  • Most patients will go home the same day or one day after surgery.
  • Most patients walk on the same day of surgery.
  • Muscle-sparing knee replacements and direct anterior hip replacements approach to preserve muscles.
  • Light sedation under regional anesthesia to minimize any side effects.

We're Here Every Step of the Way

We are committed to making sure every patient has an exceptional experience. Your individualized care plan is a collaborative effort amongst your expert surgeon, hospitalist, anesthesiologist, and your primary care provider. This team will help you optimize your overall health in preparation for surgery so you reach the maximum benefits of your surgery.

Joint Class is offered to all joint replacement patients prior to surgery. During this class you will learn how to prepare for surgery including how to manage pain, prep your living space for your return home, and the resources that will be provided during your stay. You will have the chance to designate a “Coach.” This person will help navigate you through the process before and after surgery. A coach will join the patient during preoperative appointments, be present during hospitalization, and assist the patient upon returning home.

Post-surgical education will be led by the therapy and nursing team. This education will encompass incision care, rehabilitation exercises, dietary recommendations, and how to adjust your everyday activities all in an effort to restore your range of motion.

Any time during your patient journey you can always reach out to us if you have any questions or concerns.

High Tech

Stryker Mako: Robotic-arm Assisted Surgery

When you hear ‘robotic-arm assisted technology,’ it’s important to understand that the Mako Robotic-Arm does not perform the actual surgery. Surgery is performed by an Orthopedic Surgeon, who uses the Mako System software to pre-plan your surgery. Your orthopedic surgeon will guide the roboticarm to remove diseased bone and cartilage. Then the surgeon will insert your joint implant.

Mako Technology was designed to help surgeons provide patients with a personalized surgical experience based on their specific diagnosis and anatomy.


It begins with a CT Scan of your joint that is used to generate a 3D virtual model to create your personalized pre-operative plan.


Your surgeon guides the robotic-arm within the plan’s predefined area and the Mako System helps him stay within the planned boundaries. The Mako System allows your surgeon to make adjustments to your plan during surgery as needed.


Your surgeon, nurses, and physical therapists will set goals with you to get you back on the move.

Free the Knee™

  • No Tourniquets
  • No Transfusions
  • No Foley Catheterization
  • No Drains
  • No Bone Cement

Radlink GPS: Surgical Imaging

Radlink GPS provides real-time feedback on cup position, offset, femoral leg length correction for Posterior and Anterior Approach Hip Arthroplasty. Surgical guidance, planning, imaging evaluation tools for orthopedic surgeons to verify accurate implant placement in joint reconstruction procedures.