
08/13/2025
From pain to possibility: Couple regains mobility after total joint replacement -
Paolo Pappalardo and Virginia Kingsbury have been married for 15 years. They enjoy spending time with each other as well as their three children and five grandchildren. Thanks to total joint replacement surgery, they now have the mobility to do the things they enjoy with those they love.
New hips, new life
In 2020, Pappalardo was experiencing extreme pain in his hips.
“Over time, I wore them down,” he explains. “I couldn’t get up from a chair. I couldn’t walk freely.”
His primary care physician recommended Dr. Leonard Buller, orthopedic surgeon and medical director of Orthopedics and Sports Medicine at IU Health Fishers.
Pappalardo met with Dr. Buller, ready to find relief for the pain he’d been experiencing for years.
“He was skilled at what he does. He was interested in Paolo as both a patient and a person,” Kingsbury recalls. “He answered all of our questions.”
Dr. Buller's specialty is in adult reconstruction of the hip and knee, and he recently won the 2025 Mark Coventry Award from the Knee Society. He is also the chair of the 2025 American Association of Hip and Knee Surgeons annual meeting this October.
“When I meet a new patient in the office, they come in with some goals and some objectives,” Dr. Buller says. “My first goal as their doctor and their surgeon is to understand where they're coming from, what they want to get out of their hip or knee and set some expectations in terms of how we get there. Then, we talk about the options, whether those are surgical or non-surgical options. The goal is to meet the patient where they are and make sure that we try and exhaust conservative things before we jump straight into surgery.”
For Pappalardo, surgery made the most sense.
“Dr. Buller told me I didn’t have any cartilage and was bone-on-bone,” he recalls.
The surgery to replace his right hip took place about a month later. He underwent a hip replacement for his left side a few months later.
“I think one of the biggest reasons that people delay hip and knee replacement is because they're afraid of pain after surgery,” Dr. Buller explains. “So, expressing our individualized plan for pain management after surgery is really important. It is going to hurt a little bit and sometimes a lot, but the goal is that there's never suffering as part of that process.”
“I was in some pain because of the surgery, but the bone-on-bone pain was gone immediately,” Pappalardo adds.
Stronger steps
Throughout his recovery, Kingsbury was there to support her husband. When her knees began giving her problems, she knew she needed to speak with Dr. Buller.
“My knees were getting worse and worse. They were being very sore. I had spent 15 years on a concrete floor as a nurse,” she recalls.
But unlike her husband, the idea of surgery made Kingsbury nervous.
“I think it's really common for patients to be fearful of surgery and the unknown, especially if they've never had something similar before,” Dr. Buller says. “It’s important compassion and empathy and express that that it's normal to feel scared and have emotions. Also, the more we can educate the patient on what to expect and set reasonable expectations can help just eliminate some of those fears.”
“I think the meeting you have ahead of time is important to answer any questions,” Kingsbury adds. “It is so worth it to have it done. Write down your fears and questions about it and just ask the team.”
She underwent surgery to replace her right knee in early 2023. Dr. Buller replaced her left knee a few months later.
After her recovery, she was able to do active things with her family, such as multiple trips to Michigan to visit her daughter and a trip to Disney with her family that involved several miles of walking per day.
“I wouldn’t have been able to do that before,” she says.
Active again
Since their surgeries, Pappalardo and Kingsbury have become more active. Pappalardo goes to the gym, bikes multiple times per week and does strength training. Kingsbury gardens and is starting water running.
“We can do just about anything we want to do now,” Kingsbury says.
“There are no issues with my hips anymore,” Pappalardo adds. “Where we are now and where we were before are different lives.”
To learn more about IU Health’s Orthopedics program and total joint replacement surgery, visit iuhealth.org/orthopedics.