What makes Dr. Calendine's surgical approach different from other orthopaedic surgeons in Nashville?

Three elements distinguish Dr. Calendine's practice. First, procedural focus: unlike general orthopaedic surgeons who cover the full musculoskeletal spectrum, Dr. Calendine focuses exclusively on adult hip and knee replacement, which means high case volume and deep specialization. Second, muscle-sparing technique: he uses the anterior approach for nearly all hip replacements and the subvastus approach for nearly all knee replacements, both of which preserve major muscle groups for a faster, more comfortable recovery. Third, robotic precision: as a Stryker® consultant and one of the highest-volume Mako® surgeons in Middle Tennessee, Dr. Calendine brings a level of robotic experience that is uncommon outside major academic centers.

BOARD-CERTIFIED · FELLOWSHIP-TRAINED · FRANKLIN, TN

Hip & Knee Replacement Surgery in
Franklin, TN — Dr. Cory Calendine, MD

Q: What hip and knee procedures does Dr. Calendine perform?

Dr. Calendine specializes in adult hip and knee replacement. For the hip, he performs total hip replacement using the anterior approach, partial hip replacement (hemiarthroplasty), and robotic-assisted total hip replacement using the Stryker® Mako® system. For the knee, he performs total knee replacement — typically using the muscle-sparing subvastus approach — partial (unicompartmental) knee replacement, and Mako® robotic-assisted knee replacement. He also offers nonsurgical joint pain management for patients who are not yet ready for surgery or for whom surgery is not appropriate.

Q: What is the difference between hip replacement and knee replacement?

Both procedures replace damaged joint surfaces with precision-engineered metal and plastic components, but the anatomy and surgical approach are different. Hip replacement removes the worn femoral head and acetabular cartilage and replaces them with a prosthetic ball-and-socket; the anterior approach Dr. Calendine uses preserves the gluteal muscles and avoids the traditional posterior dislocation precautions. Knee replacement resurfaces the damaged ends of the femur and tibia and the underside of the patella; the subvastus approach Dr. Calendine uses preserves the quadriceps mechanism, which speeds recovery of leg strength and walking. Recovery timelines, weight-bearing protocols, and physical therapy plans differ between the two.

Q: How does Dr. Calendine decide which procedure is right for a patient?

The decision is made individually after a thorough consultation that includes a physical examination, review of imaging (X-ray, and where indicated, MRI or CT), and a frank conversation about each patient's symptoms, activity goals, and overall health. Dr. Calendine evaluates the pattern and severity of cartilage loss, alignment, ligament integrity, and how much the joint is limiting daily life. Whenever appropriate, conservative treatment is recommended first. When surgery is the right answer, the specific procedure — total versus partial, anterior versus posterior, robotic-assisted or not — is matched to the patient's anatomy and goals.

Q: Does Dr. Calendine recommend surgery as a first option?

No. Surgery is recommended only when conservative measures have been given a fair trial and the joint is no longer responding meaningfully. Nonsurgical options that may be tried first include activity modification, weight management, physical therapy, anti-inflammatory medication, bracing, corticosteroid injections, and viscosupplementation. The goal of joint replacement is to restore quality of life — when conservative care can still deliver that, it is the right answer. When it can no longer, that is the moment surgery becomes the better option.

Q: Can I schedule a consultation for both a hip and knee problem at the same visit?

Yes. Dr. Calendine sees patients with concurrent hip and knee issues regularly, and a single consultation can cover both joints. In some cases, pain in one joint can mimic or refer to the other (hip arthritis can present as knee pain, for example), so evaluating both is often clinically useful. If both joints ultimately need surgery, the team can discuss timing, sequence, and recovery considerations — including whether a staged approach makes more sense than addressing only the most symptomatic joint first.

Fellowship-Trained Joint Replacement Surgeon · Mako® Robotic Surgery

Dr. Cory Calendine is a board-certified, fellowship-trained orthopedic surgeon specializing in hip and knee replacement at the Bone and Joint Institute of Tennessee in Franklin, TN. His practice offers total hip replacement using the anterior approach, total and partial knee replacement using the muscle-sparing subvastus technique, robotic-assisted joint replacement with the Stryker® Mako® system, and non-surgical joint pain management. Dr. Calendine is one of the highest-volume Mako robotic surgeons in Middle Tennessee and serves patients from Nashville, Brentwood, Murfreesboro, Spring Hill, and throughout Williamson County.

FELLOWSHIP-TRAINED HIP REPLACEMENT SURGEON · FRANKLIN, TN

Hip Replacement Procedures

Dr. Calendine’s hip replacement practice is built around two principles: preserving as much healthy tissue as possible and using precision technology to deliver an implant that fits your specific anatomy. Every hipreplacement patient is evaluated individually — the approach, implant, and surgical plan are tailored to you.

Total Hip Replacement

Total hip replacement resurfaces the damaged ball and socket of the hip joint with precision-engineered metal and plastic components, eliminating the bone-on-bone friction that causes arthritis pain. Dr. Calendine performs total hip replacement as an outpatient procedure for appropriate candidates, meaning most patients go home the same day as surgery and begin walking within hours.

Partial Hip Replacement

Partial hip replacement — also called hemiarthroplasty — replaces only the femoral head (the ball) of the hip joint rather than both the ball and socket. It is most commonly performed following a hip fracture when the socket remains healthy and intact. For appropriate patients, partial hip replacement restores hip function with a shorter, less complex surgical procedure than full total hip replacement.

Robotic-Assisted Hip Replacement

Mako® robotic-assisted hip replacement uses a patient-specific CT-based three-dimensional model to plan implant position before surgery. The Mako robotic arm works with Dr. Calendine to execute that plan with a level of precision that surpasses what is achievable with manual technique alone. Component position and precision is where robotic technology makes the most difference. Dr. Calendine is a Stryker consultant for the Mako platform and one of the highest-volume Mako hip surgeons in Middle Tennessee.

Anterior Approach Hip Replacement

The anterior approach accesses the hip from the front of the body, working through natural muscle intervals rather than cutting through the gluteal muscles. Because the major muscles that stabilize and power walking are left completely intact, patients typically experience faster recovery, less post-operative pain, and fewer activity restrictions compared to posterior-approach hip replacement. Dr. Calendine uses the anterior approach for the majority of his primary hip replacements.

Posterior Approach Hip Replacement

The posterior approach accesses the hip from the back, giving the surgeon a broad, direct view of the socket. It has the longest published track record of any hip replacement technique and remains the right choice for specific cases, including revision surgery and complex anatomy where that direct visualization matters most. When a patient’s hip calls for the posterior approach, Dr. Calendine explains what it means for the procedure and for recovery, including the hip precautions that follow surgery.

Outpatient (Same Day) Hip Replacement

Many hip replacements are now performed as same-day outpatient procedures, with the patient returning home the same evening rather than staying in a hospital. For appropriate candidates, Dr. Calendine performs hip replacement at the BJIT Ambulatory Surgery Center, where muscle-sparing technique and modern pain protocols make this possible. Candidacy depends on your overall health, home setup, and the support available for the first day. Dr. Calendine reviews whether outpatient surgery is right for you at your consultation.

Not ready for surgery? Dr. Calendine also offers non-surgical management for hip pain, including anti-inflammatory therapy, cortisone and gel injections, and activity modification guidance. Surgery is recommended only when conservative options are no longer providing meaningful relief.

FELLOWSHIP-TRAINED KNEE REPLACEMENT SURGEON · FRANKLIN, TN

Knee Replacement Procedures

Knee replacement resurfaces the damaged cartilage and bone of the knee joint with metal and plasti components, eliminating arthritis pain and restoring mobility. Dr. Calendine’s knee replacement practice is differentiated by two techniques not widely available in Middle Tennessee: the muscle-sparing subvastus approach and robotic-assisted precision with the Stryker® Mako® system.

Total Knee Replacement

Total knee replacement resurfaces all three compartments of the knee joint — the medial, lateral, and patellofemoral surfaces — with metal and high-density plastic components. It is the definitive treatment for advanced knee arthritis that is no longer responding to conservative management. Most patients with Dr. Calendine are weight-bearing on the day of surgery and performing functional daily activities within two to three weeks.

Partial Knee Replacement

Partial knee replacement — also called unicompartmental knee replacement — resurfaces only the damaged compartment of the knee rather than the entire joint surface. It is appropriate for patients whose arthritis is confined to one compartment, preserving the healthy cartilage and ligaments in the rest of the knee. Recovery is typically faster than total knee replacement, and patients often describe a more natural knee feel post-operatively.

Robotic-Assisted Knee Replacement

Mako® robotic-assisted knee replacement allows Dr. Calendine to plan each patient’s implant position using a three-dimensional CT-based model of their specific knee anatomy before surgery begins. Knee alignment is one of the strongest predictors of long-term patient satisfaction — a few degrees of misalignment can dramatically affect how a replacement feels over years of use. The Mako system provides real-time robotic guidance throughout the procedure to achieve that alignment with precision that is not possible through manual technique alone.

Subvastus Approach Knee Replacement

The subvastus approach is a muscle-sparing alternative to traditional total knee replacement. Rather than dividing the quadriceps tendon to access the joint — as in the standard approach — the subvastus technique passes underneath the vastus medialis muscle, leaving the entire quadriceps mechanism intact. Patients consistently describe faster early recovery of quad strength and a more natural-feeling knee in the first weeks after surgery. Dr. Calendine combines the subvastus approach with Mako® robotic precision to deliver the benefits of muscle preservation alongside the accuracy that robotics provides.

Knee Arthroscopy (Knee Scope)

Knee arthroscopy is a minimally invasive procedure that lets Dr. Calendine examine and treat the inside of the knee through small incisions using a camera and fine instruments. It addresses mechanical problems such as meniscus tears, loose bodies, and inflamed joint lining, and it can also clarify a knee’s condition before replacement is considered. In Dr. Calendine’s practice, arthroscopy and joint replacement are not competing options; they are sequential tools in complete knee care. In some cases arthroscopy resolves symptoms, and in others it confirms that replacement is the right next step.

Dr. Calendine does not recommend surgery unless conservative options have been given a fair trial. Non-surgical treatments — including physical therapy, anti-inflammatory medications, cortisone and hyaluronic acid injections, and activity modification — are reviewed at every consultation.

FIND YOUR PATH TO JOINT PAIN RELIEF

Not Sure Where to Start?

Whether you’re experiencing hip pain, knee arthritis, or are already considering surgery, Dr. Calendine’s team can
help you find the right path forward. Select the topic that best describes your situation:

I Have Hip Pain

I Have Knee Arthritis

Considering Hip Replacement

Considering Knee Replacement

Learn About Robotic Surgery

Muscle-Sparing Knee Surgery

Non-Surgical Options First

Schedule a Consultation

WHY PATIENTS CHOOSE DR. CALENDINE

A Different Standard of Hip & Knee Care

Robotic Precision, Personalized to Your Anatomy

Dr. Calendine performs hip and knee replacement using the Stryker® Mako® robotic system — one of the most advanced tools in joint replacement surgery. Before your procedure, a CT scan creates a three-dimensional model of your specific joint anatomy. On the day of surgery, the robotic arm executes the pre-planned implant position with a level of accuracy that manual technique alone cannot match. Implant alignment is one of the most important predictors of long-term satisfaction — and precision is what robotic surgery delivers.

Muscle-Sparing Technique for Faster Recovery

The way a surgeon accesses the joint matters as much as what they do inside it. For hip replacement, Dr. Calendine uses the anterior approach — entering from the front, through natural muscle intervals, without cutting through the gluteal muscles. For knee replacement, he offers the subvastus approach — passing underneath the quadriceps muscle, leaving it completely intact. Both techniques are designed to reduce post-operative pain, accelerate recovery, and minimize the trauma of surgery. Fewer cut muscles means a faster, more comfortable return to your life.

Fellowship-Trained Expertise, Global Recognition

Dr. Calendine completed fellowship training in adult hip and knee reconstruction — subspecialty preparation beyond standard orthopaedic residency that is focused exclusively on joint replacement. He serves as a consultant to Stryker for the ongoing development of the Mako® robotic platform, a role that places him at the leading edge of advances in robotic surgery. Orthopedic surgeons worldwide seek his expertise on the latest techniques in hip and knee replacement. That same depth of knowledge is what Dr. Calendine brings to every patient in Franklin and across Middle Tennessee.

TAKE THE FIRST STEP

Am I a Candidate for Hip or Knee Replacement?

What Dr. Calendine Looks for in a Consultation

Most patients who benefit from joint replacement share a common experience: pain that limits daily life, stiffness that doesn’t resolve with rest, and conservative treatments that are no longer working. If you find yourself avoiding activities you used to enjoy — walking, climbing stairs, getting out of a chair — because of hip or knee pain, a consultation is the right next step.

There is no arbitrary age requirement for joint replacement. Dr. Calendine has performed successful replacements in patients in their 20s and in patients in their 80s. What matters is the severity of your joint disease, your overall health, and how significantly pain is affecting your quality of life.

When Joint Replacement Is Appropriate

Hip or knee pain that persists at rest or at night
Pain or stiffness that limits walking, stair climbing, or daily activities
Significant morning stiffness that takes time to loosen
Grinding, catching, or locking sensation in the joint
Swelling that does not resolve with medication or rest
Decreased effectiveness of pain medications that once provided relief
Visible limp or change in gait due to joint pain
Conservative treatments (PT, injections, medications) no longer providing
adequate relief

The only reliable way to determine whether joint replacement is right for you is a consultation with Dr. Calendine. He will review your X-rays, your symptoms, and your goals — and give you a clear, honest assessment of your options.

What Our Patients Are Saying

Real Patients, Real Experiences

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5 Over 452 Reviews

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Shannon Hoffman 1 week ago

I would recommend Dr. Calendine and the bone joint institute to anyone.

...

Kenna Obregon 1 month ago

I have been telling everybody about my experience at bone and joint because it has so different from my long-term experience with Vanderbilt. They received my request to become a patient And responded in two days. I have never had a Had such a smooth experience as my first visit to the doctor. High praise to the check-in ladies, the nurses everybody that was there for my first visit to answer my questions and to listen to my concerns. Dr. Calendine was that I had hoped he would be. He listened, he answered my questions, he gave me confidence in his skills and experience but also that we would get through this together as a team. I can’t wait to get my knee replaced so that I am not going through life and constant pain 24 seven. I am so thankful that the staff at premier chiropractic pointed me in the direction of Dr. Calendine. They said bone and joint was the best possible place for Orthopedic surgery So I will be going into the process Faith, hope, and a feeling of peace.

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K F 1 month ago

Very professional initial surgery consult for knee replacement. Very much looking forward to my new knee!

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Elaine Wadford 1 month ago

This was our first visit to see Dr. Callandine, everything went great .Quick service to check-in getting us in an office. Very quick absolutely loved his personality and professionality.

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Pauline Chadwick 1 month ago

I researched Dr Calendine before making appointment and was impressed with his credentials. I made appointment and found him to be the best in his field, AND equally important, attentive to his patient’s needs. He listened to my concerns and addressed every one of them. In addition, his staff had called me and ask if I could come in earlier because Dr Calendine was going to have to leave early that day. Even though he was pressed for time, he made sure I was comfortable in my understanding of options. I opted to try steroid joint injections in both knees, even though I was terrified of the thought of painful joint injections! I can tell you Dr Calendine was so easy in administering the injections, I did not even realize when he had finished. For me, the injections produced quick relief of pain and I could ambulate without the cane I had been using. One last comment, I told Dr Calendine I had to get my knees in shape before football season because my grandson played for LSU and I want to travel to Baton Rouge for his games. When I read my medical record, I saw Dr Calendine had made mention of this, which brought a smile to my face…. A top-notch physician AND person.
Pauline Chadwick,
aka *LSU Gami

...

Sheila Mabry 1 month ago

He listened, he explained and gave me a plan to get to my treatment! Highly recommend.

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COMMON QUESTIONS ABOUT HIP & KNEE REPLACEMENT

Frequently Asked Questions — Procedures

What hip and knee procedures does Dr. Calendine perform?

Dr. Calendine’s practice focuses exclusively on hip and knee replacement at the Bone and Joint Institute of Tennessee in Franklin, TN. For the hip, he performs total hip replacement using the anterior approach, partial hip replacement (hemiarthroplasty), and robotic-assisted total hip replacement using the Stryker Mako® system. For the knee, he performs total knee replacement — with the subvastus muscle-sparing technique as his preferred approach — partial (unicompartmental) knee replacement, and robotic-assisted knee replacement. He also provides non-surgical joint pain management for patients who are not yet candidates for surgery.

What is the difference between hip replacement and knee replacement?

Hip replacement and knee replacement both relieve arthritis pain by replacing a damaged joint with a precision-engineered implant — but the anatomy, surgical approach, and recovery differ for each. In hip replacement, the damaged ball and socket are replaced. Dr. Calendine uses the anterior approach for most hip replacements, accessing the joint from the front without cutting through the gluteal muscles — which results in faster recovery and fewer restrictions. In knee replacement, the worn surfaces of the knee are resurfaced with metal and plastic components. Dr. Calendine performs total knee replacement using the subvastus approach, which preserves the quadriceps muscle entirely.

How does Dr. Calendine decide which procedure is right for a patient?

The procedure recommendation comes from a combination of factors evaluated at the consultation: your X-rays and imaging, a physical examination of the joint, your symptoms, your activity goals, and your overall health. For knee patients, Dr. Calendine also determines whether the subvastus approach is appropriate based on examination and anatomy review. For hip patients, he assesses anterior approach candidacy. The decision is always patient-specific — there is no one-size-fits-all protocol. Dr. Calendine discusses all options and his recommendation at the consultation, and patients are never pressured to make a decision on the same day.

Does Dr. Calendine recommend surgery as a first option?

No. Joint replacement is typically considered after conservative treatments have been given a fair trial. These may include physical therapy, anti-inflammatory medications, cortisone or hyaluronic acid injections, activity modification, and weight management strategies. Dr. Calendine reviews your full treatment history at the consultation. If non-surgical management is still a reasonable option for you, he will support continuing it. Joint replacement becomes the right conversation when conservative care is no longer providing meaningful relief and pain is limiting your daily quality of life. The goal is the right intervention at the right time — not too early, not too late.

What makes Dr. Calendine's surgical approach different from other orthopedic surgeons in Nashville?

Three elements distinguish Dr. Calendine’s practice. First, procedural focus: unlike general orthopedic surgeons who cover the full musculoskeletal spectrum, Dr. Calendine limits his practice exclusively to hip and knee replacement — a concentration that translates directly into surgical volume and expertise. Second, technique: both the anterior approach for hip replacement and the subvastus approach for knee replacement are muscle-sparing techniques that prioritize faster, more comfortable recovery. Third, robotic precision: as a Stryker consultant and one of the highest-volume Mako® surgeons in Middle Tennessee, Dr. Calendine brings a level of robotic expertise that most surgeons in the region cannot match.

Can I schedule a consultation for both a hip and knee problem at the same visit?

Yes. Patients who have pain in both a hip and a knee are welcome to discuss both at the same consultation. Dr. Calendine will examine each joint independently and provide his assessment and recommendation for each. When both joints require eventual replacement, the sequencing — which joint to address first and the timing between procedures — is an important part of the surgical planning conversation. In many cases, treating one joint first provides clarity on how the other is performing once the primary pain source is resolved.

FRANKLIN, TN · SERVING ALL OF MIDDLE TENNESSEE

Ready to Take the Next Step? Dr.
Calendine Is Accepting New Patients.

Schedule a consultation for hip replacement, knee replacement, or robotic joint surgery at the Bone and Joint Institute of Tennessee, 3000 Edward Curd Lane, Franklin, TN 37067. Call or schedul online — our team is ready to help.

Dr. Cory Calendine, MD

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Hip & Knee Replacement Surgery in
Franklin, TN — Dr. Cory Calendine, MD