My philosophy is simply to give each patient the best possible care. In hip and knee arthritis often times non-surgical care is the best. In my experience each patient is unique and there is no "right time" to do surgery. It is important to be patient and tailor the treatment to each individual.
Once the pain becomes intolerable despite non-operative management we use a shared decision making program to decide whether it is time to do a joint replacement. The two criteria are bone on bone arthritis and severe pain that limits you from doing everyday activities despite non-operative treatments.
GivIng each patient the best possible care requires an individualized approach. We emphasize communication, education and safety to achieve long lasting durable pain relief for patients with arthritic hips and knees.
Dr. Johnston is a board certified, fellowship-trained orthopedic surgeon specializing in the surgical treatment of hip and knee disorders. He is driven by a desire to provide world-class personalized care for patients with hip and knee arthritis close to home. His training at Johns Hopkins Hospital and the Mayo Clinic utilizing state of the art technology, minimally invasive approaches and rapid recovery protocols has lead to outstanding patient outcomes.
He completed his 5 year Orthopaedic Surgery residency at the Johns Hopkins Hospital in Baltimore, Maryland which was ranked as the #1 hospital in the United States for over 20 years in a row. There he worked with pioneers in the world of joint replacement and won the award for the best resident research project for his work on the cellular changes that lead to avascular necrosis.
During his fellowship in hip and knee replacements at the Mayo Clinic in Rochester, Minnesota he worked closely with some of the world's pre-eminent experts in hip and knee replacements. He learned all aspects of primary and revision hip and knee replacements by assisting in surgery, participating in research and preparing weekly educational case seminars. Most importantly he learned the ideals that the Mayo Brothers lived by; that "The care of the patient comes first" and "The only needs to be considered are the needs of the patient'.
Since entering practice in 2012 Dr. Johnston has used his training to help grow the MaineGeneral Joint Replacement Program where hundreds of joint replacements are now done annually. The program has a strong emphasis on patient education, communication, quality and safety. Each patient participates in a class on joint replacement that Dr. Johnston helped to develop. In the operating room he has helped to develop a team centered approach that allows him to do these complex surgeries safely and efficiently with Oscar Falconer PA-C assisting on every surgery. After surgery, modern pain protocols and a team of nurses, and physical and occupational therapists trained in joint replacements allow early mobilization on the dedicated joint replacement unit. This teamwork ensures the best chance of quality outcomes and helps the vast majority of patients to go directly home after surgery. All patient outcomes are followed using using scientifically proven questionaires at 6 months and 1,2, 5 and 10 year points after surgery to monitor quality and data is reviewed at quarterly multi-disciplinary program meetings.
In addition to his board certification in orthopedic surgery Dr. Johnston is a fellow in the American Association of Hip and Knee Surgeons which allows him to stay current on cutting edge research and new trends in joint replacement.