Michael J. Crovetti, Jr. DO
Hip Replacement
Knee Replacement

Richard Michelin, DO
Shoulder Replacement
Elbow Replacement

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

The Joint Replacement Center (JRC) at Crovetti Orthopedics & Sports Medicine was created to bring together physician experience, 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 20 years.

1. Fellowship Trained Orthopedic Surgeons

Specializing in Joint Replacement of the Hip, Knee, and Shoulder.

*A fellowship is an additional year of training that further specializes in orthopedic surgery skills.

Michael J. Crovetti, Jr., DO
Joint Replacement of the Hip and Knee

Richard Michelin, DO
Joint Replacement of the Shoulder and Elbow

Monthly Joint Replacement Conference
Surgeons collaborate on difficult cases.

2. Joint Replacement Centers of Excellence

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

Private Surgical Facility

Coronado Surgery Center • Queensridge Surgery Center

State-of-the-art surgery centers with more than 10 years of outpatient total joint replacement experience.

Coronado Surgical Recovery Suites • Queensridge Surgical Recovery Suites

Five-star recovery centers that specialize in rehabilitation following joint replacement surgery, located adjacent to the surgery centers.
Patients have praised an “incredible patient experience.”

Dignity Health – St. Rose Dominican Hospital, Siena Campus

The 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 achieve a positive patient experience.

3. Minimally Invasive Surgical Techniques

Mini-Posterior Approach to the Hip

A small incision that provides less pain and less blood loss, allowing patients to walk within hours of surgery.

Minimally Invasive Knee Replacement Surgery

A smaller incision in the front of the knee that preserves muscle and provides less blood loss, less pain, and a quicker recovery.

4. Innovative Post Operative Pain Programs

Iovera

A cryotherapy technique designed to reduce the need for narcotic pain management by up to 40% after knee replacement surgery.

Pain Management

A consultation before surgery to better understand medication and pain control treatments.

Pain Medication Synergy Recommendations

The use of pain and nerve medications that complement each other to improve daytime and sleep pain control.

Regional Nerve Block

An anesthesiologist performs a nerve block in the preoperative area to minimize post-operative pain and allow patients to walk comfortably after surgery.

Intraoperative Pain Block

During a knee replacement procedure, the surgeon uses a combination of numbing medicine, anti-inflammatory medication, and pain medication to relieve post-operative pain and reduce the need for narcotics to control pain. This allows anesthesia to wear off and nausea to be minimized before narcotic pain medication is required.

Local Infiltrative Anesthetic (LIA)

Medication administered after hip surgery to minimize post-operative pain and allow patients to walk within hours of surgery.

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

Nurses and physical therapists who provide in-home care.
Therapy averages 3 times a week for three weeks.
Specialized equipment delivered to your home.
Surgeon communication is critical to minimizing post-operative complications.

*Insurance eligible

6. Accelerated Rehabilitation Protocols

SecureTracks ceiling ambulation support is located in Coronado Recovery Suites.
Patients are walking within hours of their joint replacement surgery.
With the assistance of specialized staff, patients often walk hundreds of feet on the day of the procedure.
Patients navigate steps before discharge to ensure a safe transition back home.

7. Non-Surgical Solutions

Not every patient needs surgery right away for arthritic conditions.

Corticosteroid Shots (Cortisone)

Cortisone is an anti-inflammatory medication that is administered directly into the knee or hip.

Hyaluronic Acid (HA)

Also known as the “gel” shots, HA is used to lubricate an arthritic joint.

PRP Shots (Platelet-Rich Plasma)

A concentration of a chemical in your blood that releases growth factors to call healing cells to the knee or hip joint to relieve pain.

8. Transparent Patient Outcomes

10-year patient outcome Study.
More than 3,000 patients studied in an 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 5,050 patients (2,503 males and 2,547 females) who had total hip replacement (1,712) or knee replacement surgery (3,338) in a state-licensed ambulatory outpatient surgery center and recovered in an adjacent licensed intermediate care facility (OSRS).

Average Length of Stay

Average length of stay: 2 nights.
All patients were discharged home.

Operative Time

64.96 (Hips 65.08, Knees 64.84)

Tourniquet Time

44.47 minutes (3,338 Knees)

Ambulation

Time from Coronado Surgical Suites Admission to Ambulation: 16.58 minutes
Cumulative Number of Feet Walked During Stay: Hips 2,400.2 ft; Knees 1,962.46 ft.
Average Number of Feet Walked Daily: 1,120 ft.

VAS Pain Scores (Scale 0-10)

Pre-surgery: 5.9
Post-surgery (upon CSRS Admission): 3.8
Upon discharge from CSRS: 4.5
3 weeks: 3.0
3 months: 2.0
6 months: 1.8

Safety Outcomes:

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