 [ Symptoms ] what surgery options do i have for pagets disease of bone [ Disease ] joint replacements are the most common surgeries doctors use to treat joint complications from paget is disease such as osteoarthritis of the hip or knee joints if a joint has been damaged by this disease and is causing pain your doctor may recommend a joint replacement depending on the affected joint osteotomy removes a wedge of bone to help reshape the remaining bone an osteotomy for the hip or knee is another bone surgery that may help delay a joint replacement but it is usually only a good choice for a younger person for more information on joint replacement surgery see hip replacement surgery knee replacement surgery sometimes doctors may do surgery to take pressure off a nerve such as a nerve pinched by extra bone forming in the spine or to correct deformed bone such as bowed legs  if you have paget is disease and are going to have bone or joint surgery you may need medicine for a period of time before surgery to slow the breakdown of bone tissue and decrease the risk of bleeding during surgery webmd medical reference from healthwise this information is not intended to replace the advice of a doctor healthwise disclaims any liability for the decisions you make based on this information © 1995 2011 healthwise incorporated healthwise healthwise for every health decision and the healthwise logo are trademarks of healthwise incorporated