Hip, knee and shoulder arthritis can cause substantial pain and activity limitation that affects people’s quality of life and impairs both daily and leisure-time physical activity. As more people are remaining very active into their older years and as more younger patients are developing osteoarthritis, the demand for the total joint replacement is expected to increase exponentially over the next 10 years. Modern advancements in surgical techniques, pain management, and care navigation now allow a majority of patients to undergo same-day discharge after joint replacement and leave the facility within a few hours of the procedure. Furthermore, many patients are now eligible to avoid hospitals altogether and undergo joint replacement at an outpatient surgery center. Our AVATAR program has perfected same-day joint replacement care based on an experience of nearly 2000 cases. Our PACE program provides cash-pay options with fixed transparent prices that include a full bundle of services related to surgical procedures. Together, these programs can allow patients on the waiting list in Canada to consider surgical care in the United States which can greatly expedite the timing of surgery and get people on the road to recovery and back to what they love.
Critical to these programs is advanced care coordination which includes telehealth visits between the physician and patient prior to surgery. Our physician coordinators and physician assistants are skilled in the process of designing a care plan that can include a local hotel stay with concierge-level treatment and on-site physical therapy. Our practice is currently the only one in Northern New England offering cash prices for joint replacement and our patient satisfaction rates and complication rates are substantially better than national norms. Our office and surgical facility are located driving distance from Montreal and we are 1 hour north of Boston Logan International Airport. Portsmouth, NH is a beautiful and historic New England town located on the Atlantic Coast with a great culinary scene.