Issue link: https://viewer.e-digitaledition.com/i/1384787
SOS Fellowship-Trained Joint Replacement Surgeons Stephen Bogosian, MD Michael Clarke, MD Brett Greenky, MD Max Greenky, MD — Joining August 2021 Seth Greenky, MD Timothy Izant, MD Kevin Kopko, MD Anthony Orio, MD While the typical patient goes home the day of their surgery, for those traveling more than two hours, or needing further recovery time, the Specialists' One-Day Surgery Center also includes eight rooms for overnight stays. These hotel-like rooms allow patients and their loved ones to receive post-operation care while still maintaining outpatient status. "At our surgery center we have a highly skilled, multidisci- plinary team caring for patients from arrival until departure," Dr. Kopko says. "The team has a direct communication pathway to the surgeon and has ready access to him whenever needed." "Our outpatient program has an emphasis on quality and safety outcomes," Dr. Kopko explains. "The team focuses on evidence-based protocols and pathways, including critically important early postoperative mobilization, pain management, blood conservation, state-of-the-art wound management and VTE prophylaxis." LOW INFECTION RATES By limiting the amount of time spent in the facility, patients limit their exposure to potential causes of infection. "Infection is probably the single thing that can cause joint replacement patients to have problems," Dr. Kopko says. "Generally, the risk of infection is between 2%–3% around the country. At our facility it's less than 0.03%. "If there's one thing we've learned from COVID-19, it's that social distancing works," he adds. "The fewer interactions patients have after surgery, the lower their risk of infection." ADVANCING CARE WITH ADVANCED TECHNOLOGY The Specialists' One-Day Surgery Center is one of the largest ambulatory surgery centers in the Northeast and currently one of the only outpatient facilities in the region to offer robotic surgery. Leading-edge robotic technology allows for patients with certain anatomical nuances who still meet outpatient qualifications to receive the benefits of robotic surgery as well as outpatient surgery. For some patients, robotic surgery for total or partial knee replacement is available with use of the robotic surgical system at the surgery center. The handheld operating technology assists the surgeon in achieving extremely precise implant placement and alignment. "I tell patients that all eight of us can hit the bull's-eye for hip and knee replacement, but the robot allows us to hit dead center," Dr. Orio says. "It's not something necessary for every case, but it provides extra information that lets us perform surgeries with even greater precision for certain indications." A COLLABORATIVE CARE TEAM To ensure patients are an excellent fit for outpatient joint replacement surgery, a high-quality, continuum-of-care team at SOS enables providers to consistently communicate with each other throughout the patient journey. As soon as a patient elects to undergo joint replacement, the nurse navigators at SOS are there to ensure patients and physicians are provided with the most accurate and up-to-date information. (See "Nurse Navigation Improves the Patient Journey.") Dr. Seth Greenky and Dr. Brett Greenky with Dr. Bogosian Dr. Orio confers with Dr. Kopko Dr. Clarke speaks with Dr. Izant 0 8