Total Joint Replacement

Total Joint Replacement Surgery

Knee, hip, and shoulder replacement should be one 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

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



Patient Testimonial: Life After Total Knee Replacement Surgery

What to expect

Preoperative Assessment

Our Orthopedic Care Nurse Liaison will visit you at home prior to surgery to see what obstacles you might face when you return—stairs, throw rugs, steep driveways, etc.—and what assistive devices you might need to help you bathe, use the toilet, or dress. The liaison will also work with you to address any risk factors and provide access to any resources needed such as smoking cessation and nutrition support.

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.

Presurgery 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 presurgery classes to help you and your caregiver know how to prepare for surgery, what your recovery will be like and much more.



Preadmission Testing (PAT)

Your PAT appointment will be scheduled two to three 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.
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.
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.

Meet the Team

Dr. 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. 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. Andrew Matson

Affiliated with Brigham and Women’s Hospital