Photo of Laurie Oestreich on a golf course

Specializing in Complex Joint Disorders

Laurie Oestreich
Knee Revision Surgery

Photo of Bill Didlake on safari

Best-in-class treatment
for the most challenging cases

Bill Didlake
Hip Revision Surgery

Complex Joint Reconstruction Center

Expert Care for the Most Complex Cases

Under the direction of Thomas P. Sculco, MD, the Complex Joint Reconstruction Center (CJRC) is the first of its kind in the world.

The mission of the CJRC is to provide best-in-class diagnosis and treatment for the most challenging cases in joint reconstruction and to conduct leading-edge research on the causes, prevention and treatment of implant failure.

The CJRC serves as a single point of access to medical care for patients with complex joint disorders. These patients, who may be seeking care for either a complicated joint disorder or for treatment of an infected or failed implant, are often referred to HSS by practitioners from around the world because of the difficulty of their cases. They require the expertise that only HSS and its team of specialists can deliver.

The Center provides seamless coordination of care from renowned physicians and surgeons to achieve the best possible results for each patient and to make care less stressful and more cost effective.

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Surgeons

Thomas P. Sculco, MD
Thomas P. Sculco, MD
Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Sculco specializes in hip and knee replacement and the treatment of surgical arthritis. He is Surgeon-in-Chief Emeritus at HSS.

Douglas E. Padgett, MD
Douglas E. Padgett, MD
Co-Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Padgett is Chief of the ARJR Service and specializes in total hip and knee replacement and revision surgery.

Mathias P. Bostrom, MD
Mathias P. Bostrom, MD
Co-Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Bostrom is a specialist in total knee and total hip replacement and is the ARJR Fellowship Program Director.

Michael B. Cross, MD
Michael B. Cross, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Cross is an orthopedic surgeon specializing in adult reconstructive surgery of the hip and knee, including primary and revision joint replacements.

Seth A. Jerabek, MD
Seth A. Jerabek, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Jerabek is an orthopedic surgeon at Hospital for Special Surgery specializing in hip and knee musculoskeletal care, including joint preserving procedures, joint replacement, and complex revision joint replacement.

David J. Mayman, MD
David J. Mayman, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Mayman is an orthopedic surgeon at Hospital for Special Surgery specializing in utilizing computer navigation to complete minimally invasive hip and knee surgeries.

Peter K. Sculco, MD
Peter K. Sculco, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Sculco specializes in adult reconstruction of the hip and knee, including primary and revision joint replacements.

Geoffrey H. Westrich, MD
Geoffrey H. Westrich, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Westrich is the Research Director of the Adult Reconstruction and Joint Replacement Division at HSS, specializing in complex orthopedic cases of the hip and knee.

Thomas P. Sculco, MD
Thomas P. Sculco, MD
Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Sculco specializes in hip and knee replacement and the treatment of surgical arthritis. He is Surgeon-in-Chief Emeritus at HSS.
Douglas E. Padgett, MD
Douglas E. Padgett, MD
Co-Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Padgett is Chief of the ARJR Service and specializes in total hip and knee replacement and revision surgery.
Mathias P. Bostrom, MD
Mathias P. Bostrom, MD
Co-Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Bostrom is a specialist in total knee and total hip replacement and is the ARJR Fellowship Program Director.
Michael B. Cross, MD
Michael B. Cross, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Cross is an orthopedic surgeon specializing in adult reconstructive surgery of the hip and knee, including primary and revision joint replacements.
Seth A. Jerabek, MD
Seth A. Jerabek, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Jerabek is an orthopedic surgeon at Hospital for Special Surgery specializing in hip and knee musculoskeletal care, including joint preserving procedures, joint replacement, and complex revision joint replacement.
David J. Mayman, MD
David J. Mayman, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Mayman is an orthopedic surgeon at Hospital for Special Surgery specializing in utilizing computer navigation to complete minimally invasive hip and knee surgeries.
Peter K. Sculco, MD
Peter K. Sculco, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Sculco specializes in adult reconstruction of the hip and knee, including primary and revision joint replacements.
Geoffrey H. Westrich, MD
Geoffrey H. Westrich, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Westrich is the Research Director of the Adult Reconstruction and Joint Replacement Division at HSS, specializing in complex orthopedic cases of the hip and knee.

Executive Advisory Board

 

Radiology Consultants

 
 
 

Infectious Diseases Consultants

Surgeons

Thomas P. Sculco, MD
Thomas P. Sculco, MD
Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Sculco specializes in hip and knee replacement and the treatment of surgical arthritis. He is Surgeon-in-Chief Emeritus at HSS.

Douglas E. Padgett, MD
Douglas E. Padgett, MD
Co-Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Padgett is Chief of the ARJR Service and specializes in total hip and knee replacement and revision surgery.

Mathias P. Bostrom, MD
Mathias P. Bostrom, MD
Co-Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Bostrom is a specialist in total knee and total hip replacement and is the ARJR Fellowship Program Director.

Michael B. Cross, MD
Michael B. Cross, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Cross is an orthopedic surgeon specializing in adult reconstructive surgery of the hip and knee, including primary and revision joint replacements.

Seth A. Jerabek, MD
Seth A. Jerabek, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Jerabek is an orthopedic surgeon at Hospital for Special Surgery specializing in hip and knee musculoskeletal care, including joint preserving procedures, joint replacement, and complex revision joint replacement.

David J. Mayman, MD
David J. Mayman, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Mayman is an orthopedic surgeon at Hospital for Special Surgery specializing in utilizing computer navigation to complete minimally invasive hip and knee surgeries.

Peter K. Sculco, MD
Peter K. Sculco, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Sculco specializes in adult reconstruction of the hip and knee, including primary and revision joint replacements.

Geoffrey H. Westrich, MD
Geoffrey H. Westrich, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Westrich is the Research Director of the Adult Reconstruction and Joint Replacement Division at HSS, specializing in complex orthopedic cases of the hip and knee.

Thomas P. Sculco, MD
Thomas P. Sculco, MD
Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Sculco specializes in hip and knee replacement and the treatment of surgical arthritis. He is Surgeon-in-Chief Emeritus at HSS.
Douglas E. Padgett, MD
Douglas E. Padgett, MD
Co-Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Padgett is Chief of the ARJR Service and specializes in total hip and knee replacement and revision surgery.
Mathias P. Bostrom, MD
Mathias P. Bostrom, MD
Co-Director, CJRC
Orthopedic Surgery, Hip and Knee Replacement
Dr. Bostrom is a specialist in total knee and total hip replacement and is the ARJR Fellowship Program Director.
Michael B. Cross, MD
Michael B. Cross, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Cross is an orthopedic surgeon specializing in adult reconstructive surgery of the hip and knee, including primary and revision joint replacements.
Seth A. Jerabek, MD
Seth A. Jerabek, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Jerabek is an orthopedic surgeon at Hospital for Special Surgery specializing in hip and knee musculoskeletal care, including joint preserving procedures, joint replacement, and complex revision joint replacement.
David J. Mayman, MD
David J. Mayman, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Mayman is an orthopedic surgeon at Hospital for Special Surgery specializing in utilizing computer navigation to complete minimally invasive hip and knee surgeries.
Peter K. Sculco, MD
Peter K. Sculco, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Sculco specializes in adult reconstruction of the hip and knee, including primary and revision joint replacements.
Geoffrey H. Westrich, MD
Geoffrey H. Westrich, MD
Orthopedic Surgery, Hip and Knee Replacement
Dr. Westrich is the Research Director of the Adult Reconstruction and Joint Replacement Division at HSS, specializing in complex orthopedic cases of the hip and knee.

Executive Advisory Board

 

Radiology Consultants

 
 
 

Infectious Diseases Consultants

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World-Class Care for Complex Cases

The Center is a single point of access to medical care for patients with complex joint disorders. Patients who may be seeking care for either a complicated joint disorder or for treatment of an infected or failed implant are often referred to HSS by practitioners from around the world because of the difficulty of their cases. They require the expertise that only HSS and its team of specialists can deliver.

The Center will provide seamless coordination of care from renowned physicians and surgeons to achieve the best possible results for each patient and to make care less stressful and more cost effective. Key features include:

  • expert coordination of care
  • complete care in one location
  • world-class care from expert surgeons

World-Class Care for Complex Cases

The Center is a single point of access to medical care for patients with complex joint disorders. Patients who may be seeking care for either a complicated joint disorder or for treatment of an infected or failed implant are often referred to HSS by practitioners from around the world because of the difficulty of their cases. They require the expertise that only HSS and its team of specialists can deliver.

The Center will provide seamless coordination of care from renowned physicians and surgeons to achieve the best possible results for each patient and to make care less stressful and more cost effective. Key features include:

  • expert coordination of care
  • complete care in one location
  • world-class care from expert surgeons

X

Research to Improve Care

The Center will be the nexus of a highly collaborative basic and clinical research program that will bring together experts in biomechanics, bone destruction secondary to reaction to debris (osteolysis), molecular biology, imaging, and genomics, and orthopaedic surgeons to address key scientific questions related to success of joint replacement surgery and the longevity of implants under the following themes:

  • Causes of Implant Failure
  • Genetic Contributors to Outcomes
  • Populations with Increased Risk
  • Targeted Therapies to Prevent Complications
  • Precision Care
  • Technology Aided Surgery

Creation of Complex Joint Reconstruction Registry & Repository

The Center has taken significant steps towards the creation of a new registry and repository that will capture patient data, genetic profiles, and store tissue samples that will serve as the foundation for clinical trials, translational research, and innovations in treatment that can influence the standard of care. In addition, it will be unique in collecting tissue samples from patients at all stages—pre-operatively, intra-operatively, and post-operatively— thereby enabling research on the biological response to implants as a complement to mechanics-focused studies. There is no such registry in the world today.

Launch of Precision Medicine Studies

The Center has initiated collaboration with Dr. Lionel Ivashkiv, Chief Scientific Officer and Director of the David Z. Rosensweig Genomics Research Center, and partners across the Hospital to pioneer precision medicine approaches to improve outcomes for knee replacement surgery patients. Precision medicine is a subset of genomics research that combines the careful clinical characterization of patients with detailed analysis of their blood and tissue samples using high throughput technology. These investigations will focus on improving our ability to predict outcomes, prevent and treat complications, and to discover new biological treatments that will enhance recovery and long-term results.

Research to Improve Care

The Center will be the nexus of a highly collaborative basic and clinical research program that will bring together experts in biomechanics, bone destruction secondary to reaction to debris (osteolysis), molecular biology, imaging, and genomics, and orthopaedic surgeons to address key scientific questions related to success of joint replacement surgery and the longevity of implants under the following themes:

  • Causes of Implant Failure
  • Genetic Contributors to Outcomes
  • Populations with Increased Risk
  • Targeted Therapies to Prevent Complications
  • Precision Care
  • Technology Aided Surgery

Creation of Complex Joint Reconstruction Registry & Repository

The Center has taken significant steps towards the creation of a new registry and repository that will capture patient data, genetic profiles, and store tissue samples that will serve as the foundation for clinical trials, translational research, and innovations in treatment that can influence the standard of care. In addition, it will be unique in collecting tissue samples from patients at all stages—pre-operatively, intra-operatively, and post-operatively— thereby enabling research on the biological response to implants as a complement to mechanics-focused studies. There is no such registry in the world today.

Launch of Precision Medicine Studies

The Center has initiated collaboration with Dr. Lionel Ivashkiv, Chief Scientific Officer and Director of the David Z. Rosensweig Genomics Research Center, and partners across the Hospital to pioneer precision medicine approaches to improve outcomes for knee replacement surgery patients. Precision medicine is a subset of genomics research that combines the careful clinical characterization of patients with detailed analysis of their blood and tissue samples using high throughput technology. These investigations will focus on improving our ability to predict outcomes, prevent and treat complications, and to discover new biological treatments that will enhance recovery and long-term results.

Why choose HSS? Perhaps our patients say it best.


Case Reviews

The Complex Joint Reconstruction Center (CJRC) offers case reviews. A CJRC surgeon will conduct an initial review of your case. Especially complex cases are also reviewed by a CJRC Case Review Panel (CaRP) that may include surgeons, internists, and special consultants. After the completion of the review or reviews, a comprehensive recommendation is made. The case review fee is $500.

Request a case review


Contact the Center

To schedule an appointment with one of our CJRC surgeons, please call or email us directly.

212.774.CJRC (2572)    |    complexjoint@hss.edu