Hip & Knee Replacement

Trusted joint replacement care in the Hudson Valley and Catskills

Overview

When chronic hip or knee pain begins limiting your ability to walk, work, or enjoy daily life, joint replacement surgery may offer lasting relief. At Catskill Orthopedics, Dr. Charles W. Episalla brings over 30 years of experience in hip and knee replacement surgery — helping patients return to mobility with confidence and comfort.

As a board-certified orthopedic surgeon and former Director of Orthopedic Surgery at Bon Secours Community Hospital and Garnet Health–Catskill, Dr. Episalla has performed thousands of joint procedures and continues to offer state-of-the-art care to patients throughout Sullivan, Orange, Ulster, Dutchess, and surrounding counties.

Why Choose Catskill Orthopedics for Hip & Knee Care?

Experienced surgical leadership
Dr. Episalla completed his orthopedic residency at top-tier institutions including Westchester Medical Center and Memorial Sloan Kettering, and has led surgical programs in multiple hospital systems across the region. His training and decades of practice allow him to perform both standard and complex joint reconstructions with a focus on minimally invasive techniques when possible.

Care tailored to your lifestyle
We understand that every patient is different. Whether you’re a retiree looking to stay active, a manual laborer who needs to return to work, or simply tired of daily pain, we work with you to determine the right treatment path — always starting with conservative options when appropriate.

Community-based access, big-city standards
Our offices in Ferndale and Goshen offer easy access to expert orthopedic care, with surgical procedures performed at local accredited hospitals and surgical centers. You don’t need to travel far to receive high-quality joint replacement from a physician with national credentials.

Continuity from consultation through recovery
From pre-operative evaluation to post-surgical follow-up, Dr. Episalla provides direct, personalized care. We coordinate therapy referrals and ensure a smooth recovery experience to help you get back on your feet — safely and confidently.

Common Upper Extremity Conditions We Treat

We treat patients with a wide range of hip and knee issues, including:

  • Osteoarthritis and degenerative joint disease

  • Rheumatoid arthritis affecting hip or knee joints

  • Post-traumatic joint damage

  • Avascular necrosis of the hip

  • Cartilage wear and joint space narrowing

  • Hip or knee stiffness and mobility loss

  • Failed prior joint replacements requiring revision surgery

Treatment Options

Non-Surgical Care First:
We always explore non-operative options first, including:

  • Physical therapy

  • Anti-inflammatory medications

  • Cortisone or hyaluronic acid injections

  • Activity modification and bracing

If these options no longer provide relief, we’ll discuss surgical solutions.

Hip Replacement Surgery:

  • Total hip replacement

  • Partial hip replacement (hemiarthroplasty)

  • Minimally invasive hip procedures

  • Posterior or anterior approach based on patient anatomy

  • Revision hip surgery for worn or failed implants

Knee Replacement Surgery:

  • Total knee replacement

  • Partial (unicompartmental) knee replacement

  • Revision knee replacement for loosening or complications

  • Minimally invasive techniques for faster recovery