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Total Joint Replacement

Total Joint Replacement Surgery

Knee, hip, and shoulder 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
  • Total shoulder replacement
  • Reverse total shoulder replacement
Contact Information

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

Request an appointment>>

For Total Knee and Total Hip Replacements,
call P: (401) 287-0139

For all other orthopedic services, call
CNEMG Orthopedics P: (401) 205-3591

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

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Life Without Knee Pain

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.

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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.
Home
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.

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

Inpatient Rehabilitation FAQs

What is the average length of stay at the Kent Rehabilitation Center?
The average length of stay for overall patients is 12 days. This varies by diagnosis, with stroke patients averaging 14.75 days and orthopedic patients averaging 10.77 days.
What specialty programs or treatments do you offer at the Kent Rehabilitation Center?
The Kent Rehabilitation Center meets all the criteria for specialized therapy and care in the area of stroke. Kent Acute Rehab also offers many specialty therapeutic interventions, including VitalStim (NMES) for dysphagia (swallowing) therapy, LSVT for Parkinson's disease voice therapy, EStim for pain and muscle re-education, ultrasound for edema control, Wii for activity-based movement therapy, simulated grocery store, simulated real-life kitchen and laundry, Omnicycle (ACP's Omnicycle Elite Motorized Rehabilitation System) which represents the most advanced therapy cycle technology available today. It accommodates post-acute patients who may not typically be able to participate in therapeutic exercises due to lack of strength, coordination, partial paralysis, respiratory limitations and other conditions. By serving a broader range of neuromuscular and orthopedic diagnoses than traditional "resistance" cycles, the Omnicycle Elite supports expanded therapy services for neurological rehabilitation (Stroke-CVA), orthopedic rehabilitation (TKA, THA, shoulder, UE) and cardio-pulmonary rehabilitation (COPD).
How do you plan to discharge from the Kent Rehabilitation Program?

Upon completing Kent Hospital's inpatient rehabilitation program, our coordinated discharge planning process ensures that a patient's care needs continue without interruption even after discharge. Case Managers assist with any home equipment the patients may need, coordinate outpatient therapy and make follow-up appointments with their surgeon or referring physician.

Many factors will influence your length of stay, including severity of injury, previous health status, ability to tolerate three hours of rehabilitative services a day and medical complications. The rehabilitation team will discuss your length of stay with you after they have evaluated your condition. The team will work with you and your family to help determine the best discharge environment for you based on your needs at the time of discharge. If you are unable to return home, the team will assist you and your family in making other arrangements.

What are the accommodations at the Kent Rehabilitation Program?
  • Communication Assistance

    Interpretation services are available to all patients with limited English proficiency. Telecommunications devices (TDDs), television decoders, and hearing amplification devices are available upon request.

  • Food and Nutrition

    Since diet is an important part of your therapy, your physician may prescribe a special or modified diet. Special dietary requests are available upon request.

  • Room Assignment

    Your room assignment is based upon your admitting diagnosis. Accommodations are available as a single (private) or semi-private room. Private rooms are reserved for patients with specific infections. We have both private and semi-private rooms. Room assignments are made on medical assessment.

  • Television

    Cable television is provided at no cost.

  • Telephone

    Telephone is available at no cost for local calls.

  • The Blue Wave Café

    Family and friends are welcome to eat in the café, conveniently located on the first floor of the hospital.

  • Gift Shop

    The gift shop is open daily with a wonderful selection of unique gift items. The gift shop sells gift items, lotions, jewelry, toiletries, and greeting cards.

Are there support groups for family members?
Yes. Kent Hospital provides a stroke support group for family and friends and patients who have suffered strokes, as well as an amputee support group. There are also local Parkinson's disease support groups. Our social work team can provide information on getting the support you need.
What should I bring for my family member while at the Kent Rehabilitation Center?
Our focus is regaining independence through individualized treatment planning and intensive therapy. The goal is to have our patients dressed and engaged in daily living activities throughout the day. We ask that you bring casual, comfortable clothes and shoes/sneakers for your family member.
What is the Mission Statement, Scope of Service of the Kent Hospital's Rehabilitation Center?
Mission Statement:
The Rehabilitation Center at Kent County Hospital is an interdisciplinary program committed to fulfilling the rehabilitation needs of our patients. Our efforts are directed towards assisting every patient we serve in achieving their maximum potential and/or adjusting to their limitations. We see our staff as highly trained individuals dedicated to providing the most comprehensive acute rehabilitation program possible.
 
Our Commitment to You:
It is the policy of the Inpatient Rehabilitation Unit that all team members will act in a manner consistent with the mission, philosophy and operating policies of the program. In accordance with these principles and policies, team members will:
  • Show respect for the dignity of the individual, whether patient, family member, co-worker, client, or any other person.
  • Provide the highest quality clinical and customer-related services.
  • Demonstrate fairness and honesty in all interactions with the public.
  • Adhere to their professional codes and practice guidelines.
  • Provide a program that recognizes the individual and adjusts to their needs.
  • Employ a treatment staff that is knowledgeable and able to work with other health care staff to provide the best care possible.
  • Provide an accurate portrayal of the services and outcomes of the program.
  • Be ethical in all marketing and public relations activities.
  • Continue to look for ways to improve our program.
  • Seek input from those we serve so that the program may reflect their needs and change over time.
  • Provide a financially sound program.

Patients Served: The rehabilitation program serves patients with a variety of medical, physical, and functional needs. Some of the conditions treated in the program are as follows:

  • Stroke (CVA).

  • Amputation.

  • Brain injury.

  • Inflammatory arthropathies.

  • Neuropathy and myopathy.

  • Neurological disorders.

  • General debility.

  • Cardiopulmonary.

  • Spinal cord injury.

  • Joint replacement.

  • Multiple trauma, fractures.

  • Hip fracture.

  • Orthopedic injuries.

Services Provided May Include
  • Rehabilitation physician.
  • Rehabilitation nurse.
  • Occupational therapy.
  • Speech and language pathology.
  • Physical therapy.
  • Specialty consults.
  • Social work/case management.
  • Orthotic and prosthetic.
  • Neuropsychology.
  • Respiratory services.
  • Psychiatry consults.
  • Dietary services.
  • Wound care.
  • Orthotic and prosthetic.
  • Medical consultations.
  • Renal dialysis.
  • Chaplaincy.

Medical, diagnostic, laboratory, and pharmacy services are located within our hospital. The response time is specific to each of these services in accordance with their policies and procedures. It is the expectation of this unit, however, that the vast majority of orders or consultations will receive some level of response within 24 hours of a department/medical consultative body receiving the order or consultation. That initial response will then be conveyed to the appropriate clinician(s) as soon as possible.
 
Scope of Services:
Persons served will receive a minimum of three hours a day,five days a week, of the following; physical therapy, occupational therapy and speech pathology as necessary. Your therapy program, including the frequency and intensity of the program, will be designed according to your needs after you have been fully evaluated. Persons who are not accepted to the program are: people under the age of 18 years old and ventilator dependent patients. The Inpatient Rehabilitation Unit will serve as a resource for suggestions for alternative placement when patients referred to the program do not qualify for our program.

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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. As a specialist in sports medicine, he has served as the orthopedic sports medicine team physician for Division I Bryant University since 2001, and previously as the Rhode Island College team physician.

Dr. Gastel treats a variety of conditions that are both sports and non-sports-related involving the upper and lower extremities. A majority of these problems involve the knee and shoulder (e.g. ACL reconstruction, meniscus repair, knee replacement, rotator cuff repair, shoulder replacement, shoulder instability, etc). Dr. Gastel also treats a variety of injuries/conditions including the elbow, hip, and foot including tennis elbow, tendinitis, ankle sprains, and fractures.

Dr. Brandon Lentine

Dr. Lentine specializes in adult reconstruction, hip and knee arthroplasty, robotic joint replacement/MAKOplasty, revision arthroplasty, partial knee replacement, and hip fracture care.

Dr. Lentine enjoys helping his patients stay active and is energized by their stories. He chose to specialize in joint replacement because arthritis affects so many people and his work may be able to provide a dramatic improvement in quality of life.

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.

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