Total Joint Replacement

Total Joint Replacement Surgery

Knee and hip replacement should be one of the most successful and rewarding medical experiences you could have. Our specialized program is fully integrated from start to finish to deliver personalized care. From the time you consider joint replacement as an option, our program guides you through the preparation process before surgery, your surgery, and hospital experience, and through your post-discharge care. Our program is designed for your safety and satisfaction with the best possible outcome.

Services we provide:
  • Total knee replacement
  • Partial knee replacement
  • Mako robotic-assisted knee replacement
  • Total hip replacement
  • Mako robotic-assisted hip replacement
Contact Information

Surgeries performed at:
Kent Hospital
455 Toll Gate Road
Warwick, RI 02886

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For Total Knee and Total Hip Replacements,
call (401) 736-1042

For all other orthopedic services, call
CNEMG Orthopedics (401) 729-2800

The Joint Commission’s Gold Seal of Approval® for Advanced Total Hip and Knee Replacement Certification.  Learn more here.
Gold Seal_Total Joint Commission


Meet Mako

Robotic-Arm Assisted Technology

Mako Technology transforms how total and partial knee/hip replacement procedures are done by integrating 3D virtual modeling and robotic-arm precision into the process. It’s an innovative solution that has been helping knee/hip pain sufferers for more than a decade. 

Learn More



We're Doing Things Differently


What to Expect

Preoperative Assessment
Your Kent Hospital Joint Program surgeon will go over your medical history, obtain an x-ray, and perform a physical examination at your first visit. Together, you will make a plan for treatment.
Prehab Appointment
Most patients benefit from a prehab appointment during which a physical therapist evaluates your physical readiness for surgery and prepares you for the rehab process after your joint replacement.
Pre-surgery Classes

We have found that the patients who have the most success after their total joint replacement surgery are the ones who are the most prepared. We offer pre-surgery classes to help you and your caregiver know how to prepare for surgery, what your recovery will be like and much more.



Pre-admission Testing (PAT)
Your PAT appointment will be scheduled one to two weeks before surgery for preoperative testing, which may include lab work, EKGs, and X-rays.
Day of Surgery
On the day of surgery, you will have time to speak to your surgeon as well as meet your anesthesiologist. At that time, you will confirm which anesthetic best meets your individual needs. Rest assured, you will not feel any pain during the surgery or be more awake than is necessary.
Same Day Surgery
For those who suffer from osteoarthritis, but no other health issues, Same Day Joint Replacement may be an option.  

Same Day Surgery will be performed early in the morning.  After surgery, if you can get up and move around, and your pain is controlled, you will be sent home that same day.  As part of your discharge, you will be given information about follow-up care – such as at-home visits and outpatient physical therapy.
Partial Knee Replacement Surgery

The knee is made up of three components.  If only one of those compartments is damaged, a partial knee replacement may be an option.

A partial knee replacement spares as much of the bone as possible.  During the procedure, only one compartment of the knee is resurfaced.  This is different from a total knee replacement - during which the three main compartments are replaced.

Also, with partial knee replacement surgery, the procedure is performed in an outpatient setting and the recovery time is shorter. 

Like Total Joint Replacement, Mako Technology can be used during partial knee replacement procedures.  Mako integrates 3D virtual modeling and robotic-arm precision into the process.  

Hospital Stay
After surgery, you will stay in the hospital for one or two days while our physical therapists work with you to begin regaining the use of your joint.
Once you go home, specialists from the VNA of Care New England will visit you to continue working on exercises to restore your strength and get you back to your normal level of activity.
After Surgery Care
When you are discharged after your Total Joint Replacement Surgery, specialists from the VNA of Care New England will visit you at home.  These specialists will continue working on exercises to restore your strength and get you back to your normal level of activity.

Once cleared by your surgeon, you will transition to one of our preferred outpatient clinics, such as Spaulding Outpatient Rehabilitation of Kent Hospital’s Joint Health program, to continue physical therapy. Physical therapy will help you increase the range of motion and strength in your new joint, lower your pain, and will make sure you get back your independence.
Outpatient Physical Therapy
When you have been cleared by your surgeon, we will transition you to one of our preferred outpatient clinics to continue with physical therapy. Your progress will be shared with the outpatient therapist and they will keep your surgeon up to date on your progress throughout your treatment. Physical therapy will help you increase the range of motion and strength in your new joint, help lower your pain, and will make sure you get your independence back.
Inpatient Rehabilitation

Although rare, a discharge to our Inpatient Rehabilitation Unit may be necessary following your procedure. However, this type of rehabilitation must be approved by your insurance and recommended by a member of the physical and occupational therapy team.

Iovera Cryoanalgesia

If you’re undergoing a total knee replacement, your surgeon may suggest a procedure called Iovera Cryoanalgesia Therapy.  This can be part of your multimodal pain control plan.
Iovera Treatment is performed by an anesthesiologist at Kent Hospital 5-28 days before your knee replacement surgery.  It involves using numbing medication at six sites where nerves become irritated and inflamed after your knee replacement.  
The anesthesiologist will use a handheld ultrasound wand with a smart tip to freeze the nerves.  Those nerves will remain numb for up to 90 days which can be very helpful in aiding your recovery.  

Find more information about the Iovera Cryoanalgesia Therapy here: iovera patient brochure | iovera treatment

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Meet the Team

Dr. Thomas Barrett

Dr. Thomas Barrett is a fellowship trained adult reconstructive surgeon. His medical practice is devoted to the diagnosis and treatment of arthritis, a disease that currently affects millions of people in the US. This includes first time and revision replacements of the hip and knee, including partial knee replacements. Dr. Barrett’s practice also involves care for fractures of the hip and knee and arthroscopy of the knee for the treatment of torn cartilage, and many other indications.

After completing his Orthopedic Residency at Albany Medical Center, Dr. Barrett was selected for an advanced joint reconstruction fellowship training at Baylor College of Medicine in Houston, Last year Dr. Barrett. participated in the surgical treatment of over 400 joint replacement patients in Rhode Island, many of which were complicated revisions.

Dr. Barrett has authored numerous publications and book chapters in several aspects of orthopedic surgery and has presented research nationally.

Dr. Jonathan Gastel

Board-certified in orthopedics and subspecialty certified in sports medicine by the American Board of Orthopedic Surgeons, Dr. Jonathan Gastel has been practicing in Rhode Island since 1999. Dr. Gastel has special training in total joint replacement, including Mako robot-assisted joint replacement. Dr. Gastel treats a variety of conditions that are both sports and non-sports-related, involving the upper and lower extremities.

As a specialist in sports medicine, Dr. Gastel has served as the orthopedic sports medicine team physician for Division I Bryant University since 2001. He presently serves as the Rhode Island College orthopedic team physician and the team physician for the elite Mount Saint Charles Ice Hockey Academy. 

Dr. Brandon Lentine

Dr. Brandon Lentine is a board-certified, fellowship trained joint replacement surgeon. He takes pride in knowing his patients and helping them stay active. You might find him on the beach at sunrise when the surf is up. While keeping surgery as a last resort, he specializes in MAKO robotics, anterior hip replacement, partial knee replacement and “re-do” procedures where necessary.

Dr. Lentine is comfortable managing complex joint replacement challenges. His research is published in well-read medical journals and he has presented both nationally and internationally. He earned his MD degree from Albert Einstein College of Medicine in New York City, completed orthopedic surgery residency at University of Vermont Medical Center and sub-specialized in hip and knee arthritis at Boston Medical Center.

Dr. Robert Shalvoy

Dr. Shalvoy is a board-certified orthopedic surgeon and sports medicine specialist and serves as the Executive Chief of Orthopedic Surgery and Sports Medicine for Care New England. He earned a bachelor of science degree in biology summa cum laude from Boston College and a doctorate of medicine from New Jersey Medical School. He completed a residency in orthopedic surgery at Boston University Medical Center where he was chief resident in his last year and a fellowship in sports medicine at the Hughston Orthopedic Clinic in Columbus, Georgia.

Dr. Shalvoy is an Associate Professor of Orthopedic Surgery at the Alpert Medical School of Brown University and a member of the editorial board of the American Journal of Sports Medicine. He specializes in computer navigated ACL reconstruction and sports-related knee ligament reconstructions, robotic-assisted knee replacements, rotator cuff surgery, and the treatment of throwing injuries.

Dr. Jason Tartaglione

Dr. Tartaglione is a board-certified orthopedic surgeon with a strong background in general orthopedics and orthopedic trauma, as well as advanced fellowship training in foot and ankle orthopedic surgery. His interests include ankle replacement surgery, complex foot and ankle deformity correction, foot and ankle arthritis, sports related injuries, ankle arthroscopy, bunions, lesser toe deformities, fracture care, and lower extremity reconstruction including knee replacement surgery.

Our Recent Blogs

Total Joint
Robert M. Shalvoy, MD

Athletes commonly experience symptoms of osteoarthritis after knee injuries and surgery from years past. Activities that were once easy and pain-free gradually become harder and more uncomfortable - u...

Total Joint
Robert M. Shalvoy, MD

For this article, we will discuss who is a good candidate for surgery, what you can expect after surgery, complications, and the process to follow if you decide Total Joint Replacement Surgery is the ...

Total Joint
Thomas Barrett, MD

If you have severe joint pain or stiffness - Total Joint Replacement Surgery may be for you. The knees, hips, ankles, shoulders, wrists, and elbows can all be replaced.