Joint Replacement Center at Crovetti Orthopaedics & Sports Medicine

Joint Replacement of the Hip and Knee

Joint Replacement of the Hip and Knee

Joint Replacement of the Shoulder

Joint Replacement Center at Crovetti Orthopaedics & Sports Medicine

We created our innovative private surgery center and recovery suites to prioritize the patient experience. Our pioneering approach to joint replacement surgery and patient care has earned us a pristine reputation for the last ten years. Our facility offers patients a comfortable and safe alternative to hospitals.

Ideal Option

Our surgical staff’s experience and dedication combined with our nurses and physical therapists’ attentive care have always made recovery at our surgical suites an ideal option. Joint pain sufferers need fast relief. Living in pain while waiting months to see a hospital surgeon is not a good solution. We provide a safe, comfortable alternative.

Increased Safety

The number of patients served at any one time is limited to six, allowing us to focus on delivering exceptional, individualized care.. Private outpatient surgeries have always been linked to fewer complications than procedures performed in hospitals. The recovery process is smoother at our state-of-the-art center, as well. Patients aren’t exposed to the bustle and stress typical at large hospitals.

Trusted Care

Highly trained Outpatient Surgical Recovery Suites nurses provide round-the-clock service. Their diligence and expertise help patients recover swiftly and safely. Your nurse will handle everything from administrating your daily pain medication to answering your family’s questions about your at-home care. The staff has constant, reliable access to your surgeon and consulting physician. Your nurse will also coordinate with a physical therapist and therapy assistant. Our goal is to get you back home and comfortably on the road to recovery within 48 hours. You’ll start working on your mobility with our trained team a few hours after your surgery. That same afternoon, you’ll begin your pain therapy. Before you leave, you’ll be given a detailed aftercare plan to follow when you get home.

PHOTO GALLERY

VIP Experience

Our facility achieves excellent patient outcomes because we focus on all aspects of the medical experience. Patients enjoy internet access, comfortable, Tempurpedic beds, delicious catered meals, and 24-hour personalized care in a private, relaxed setting. 

Why a Joint Replacement Center?

Specializing in Joint Replacement of the hip, knee and shoulder

Michael J. Crovetti, Jr., DO
Joint Replacement of the hip and knee

Sandeep Pandit, MD
Joint Replacement of the Hip and Knee

Caleb Pinegar, DO
Joint Replacement of the shoulder 

Monthly Joint Replacement Conference
– Surgeons collaborate on difficult cases
* Fellowship – additional year of training further specializing Orthopedic Surgery skills

Mini – Posterior Approach to the Hip
– A small incision that provides less pain, less blood loss and allows patients to ambulate within hours of their surgery.

Anterior Approach to the Hip
– An incision in the front of the hip that provides less and allows patients to ambulate within hours of their surgery.

Minimally Invasive Knee Replacement Surgery
– A smaller incision in the front of the knee that preserves muscle, provides less blood loss, less pain and a quicker recovery!

Facilities that have dedicated space and resources to optimize post-operative healing and recovery.

Private Surgical Facility
Coronado Surgery Center

– State of the Art Surgery Center with more than 10 years of outpatient total Joint Replacement experience.

Coronado Surgical Recovery Suites
– Five star Recovery Center adjacent to the Surgery Center that specializes in rehabilitation following Joint Replacement Surgery.
– “Incredible patient experience”.

Dignity Health – St. Rose Dominican Siena Campus
– Joint Replacement Center (JRC) program began 20 years ago.
– Nationally recognized for patient safety and rehabilitation protocols.

• Dedicated patient floor and specialized nursing and therapy staff to insure a positive patient experience.

Queensridge Surgical Center & Private Recovery Suites
Coming Soon

SecureTracks ceiling ambulation support located in Coronado Recovery Suites.

Patients are walking within hours of their Joint Replacement surgery.

With assistance of specialized staff, patients often walk hundreds of feet the day of the procedure.

Patients navigate steps prior to discharge to insure safe transition to home.

Not every patient needs surgery right away for arthritic conditions.

Corticosteroid Injections (Cortisone)
– Cortisone is an anti-inflammatory medication that is injected directly into the knee or hip.

Hyaluronic Acid (HA)
– Also known as the “Gel “ injections, HA is used to lubricate and arthritic joint.

PRP Injections (Concentrated Platelets in your blood)
– A concentration of a chemical in your blood that releases growth factors to call the healing cells to the knee or hip joint to relieve pain.

Tomas Kucera, MD
Pain Management Physician specializing in Post Operative Pain Control Protocols.

Iovera (link)
Cryotherapy technique designed to reduce the need for narcotic pain management up to 40% after Knee Replacement Surgery

Pain Management
Consultation prior to Surgery to better understand medication and pain control treatments.

Pain Medication Synergy Recommendations
The use of pain and nerve medication that complement each other and improve daytime and sleep pain control.

Regional Nerve Block
Anesthesiologist performs a nerve block in the preoperative area to minimize post operative pain and allow patients to ambulate comfortable following surgery.

Intraoperative Pain Block
– During the procedure, the Surgeon uses a combination of numbing medicine, anti-inflammatory and pain medication to relieve post operative pain and reduce narcotic needs to control pain.
– Allows anesthesia to wear off and minimize nausea before requiring narcotic pain medication.

Local Infiltrative Anestheticn (LIA)
– Medication injected after Hip Surgery to minimize post operative pain and allow patients to ambulate within hours of surgery.

– Nurses and Physical Therapists that provide in-home care.
– Therapy on average 3 x a week for three weeks.
– Specialized equipment delivered to your home.
– Surgeon communication critical to minimizing post-operative complications.

*Insurance eligible

10 year Patient Outcome Study.*

More than 3000 patients studied in outpatient Joint Replacement model.

Clear reduction in complications including Infection, blood clots and falls.

Patient Satisfaction Scores in excess of 99%
– Patient “quotes” about experience

Results

This study presents results of 2,934 patients (1,487 males, 1,447 females) having total hip (1,053) or knee replacement surgery (1,881) in a State Licensed Ambulatory Outpatient Surgery Center and recovering in an adjacent Licensed Intermediate Care Facility (OSRS).

Average Length of Stay
2 nights. All patients discharged to home.

Operative Time
45 minutes (Hips 42.3, Knees 46.5)

Tourniquet Time
33 minutes (1,881 Knees)

Recovery Room Time
121.7 minutes

Ambulation
Time from Suites Admission to Ambulation: 57.9 minutes Cumulative Number of Feet Walked During Stay: 3,068 ft. Average Number of Feet Walked Daily: 1,005 ft.

VAS Pain Scores (Scale 0-10) Hip/Knee
Pre Surgery: 6.5 (6.7/6.3)
Post Surgery (upon OSRS Admission): 3.7 (4.1/3.5)
Upon discharge from OSRS: 4.6 (4.1/4.8)
3 weeks: 3.1 (2.5/3.4)
3 months: 2.0 (1.8/2.2)
6 months: 1.8 (1.7/1.9)
12 months: 1.4 (1.3/1.4)

No Blood Transfusions
No Urinary Catheters
No Blood Clots
No Acute Deep Vein Thrombosis (DVT)
No Acute Pulmonary Embolism (PE)
No Traumatic Falls