Joint Replacement Center at Crovetti Orthopaedics & Sports Medicine

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 Reconstruction of the Shoulder

Tomas J. Kucera, MD, MS
Pain Management Specialist

What is the Joint Replacement Center at Crovetti Orthopaedics & Sports Medicine?

The Joint Replacement Center (JRC) at Crovetti Orthopedics & Sports Medicine was created to merge physician experience with innovative surgical techniques and unique surgical facilities to deliver a patient experience focused on Hip, Knee and Shoulder Replacement. Our pioneering approach to joint replacement surgery and patient care has earned Crovetti Orthopaedics & Sports Medicine a pristine reputation for more than twenty years.

1. Fellowship Trained Orthopedic Surgeons*

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 Reconstruction of the Shoulder

Monthly Joint Replacement Conference
Surgeons collaborate on difficult cases

* Fellowship – additional year of training further specializing Orthopedic Surgery skills

2. Joint Replacement Centers of Excellence

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.

Coming Soon…to Summerlin
     Queensridge Surgical Center
     Recovery Suites at Queensridge

PHOTO GALLERY

3. Minimally Invasive Surgical Techniques

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 pain 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!

4. Innovative Post Operative Pain Programs

Fellowship Trained, Tomas J. Kucera, MD, MS
Pain Management Physician specializing in Post Operative Pain Control Protocols.

Iovera
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 a Knee Replacement 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 Anesthetic (LIA)
Medication injected after Hip Surgery to minimize post operative pain and allow patients to ambulate within hours of surgery.

5. Home Health Services Owned and Operated by JRC Surgeons*

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

*Insurance eligible

6. Accelerated Rehabilitation Protocols

     • 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.

7. Non-Surgical Solutions

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.

8. Transparent Patient Outcomes

     • 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 Experiences – WATCH VIDEO

RESULTS – WHITE PAPER REPORT FINDINGS

This study presents results of 3,322 patients (1,972 males, 1,650 females) having total hip (1,172) or knee replacement surgery (2,150) in an Ambulatory Outpatient Surgery Center and recovering in the adjacent Coronado Surgery Recovery Suites (CSRS).

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

Operative Time
44.25 minutes (Hips 42.3, Knees 46.2)

Tourniquet Time
32.7 minutes (2,150 Knees)

Recovery Room Time
121.7 minutes

Ambulation
Time from Coronado Surgical Suites Admission to Ambulation: 57.9 min.
Cumulative Number of Feet Walked During Stay: 3,442.1 ft.
Average Number of Feet Walked Daily: 1,009 ft.

VAS Pain Scores (Scale 0-10)
Pre Surgery: 6.3
Post Surgery (upon CSRS Admission): 3.8
Upon discharge from CSRS: 4.6
3 weeks: 3.0
3 months: 2.0
6 months: 1.8

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