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Best-in-class treatment
for the most challenging cases

Bill Didlake
Hip Revision Surgery

Complex Joint Reconstruction Center at HSS

Expert Care for the Most Complex Cases

The Stavros Niarchos Foundation Complex Joint Reconstruction Center is the first of its kind in the world. Under the direction of Thomas P. Sculco, MD, the mission of the Center 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.


Photo: Dr. Sculco and Andreas Dracopoulos


HSS receives $10 million grant from Stavros Niarchos Foundation

Given to the Center, the gift will support the expansion of its clinical research and education programs and will officially change the name to the Stavros Niarchos Foundation Complex Joint Reconstruction Center.


Team of Experts in One Location

The Center 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. Watch the videos below to learn more.

The Complex Joint Reconstruction Center

Why Choose HSS for Complex Joint Care


The Center provides seamless coordination of care from world renowned physicians and surgeons to achieve the best possible results for each patient and to make care less stressful and more cost effective. Patients can expect a complete coordination of care in one location. Learn more in the sections below.



Executive Advisory Board


Radiology Consultants


Infectious Diseases Consultants


Pathology Consultants

Tania Pannellini, MD, PhD

Internal Medicine Consultants


Patient Education Hub


Videos and Animations

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 and 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.

Educational meetings

Photo of many physicians sitting at tables during the meeting.
A Consensus Meeting on Acetabular Bone Loss was convened by the Stavros Niarchos Foundation Complex Joint Reconstruction Center at HSS. More than 30 national and international faculty in orthopaedics discussed recommendations. A consensus document is forthcoming.

Request education video: Acetabular Bone Loss Symposium


Photo of Dr. Thomas Sculco and others at the 2019 Biofilm Symposium.
Nearly 50 national and international faculty in orthopaedics, infectious disease, and translational science recently attended our Biofilm Symposium early August 2019.The symposium, which was convened by the Stavros Niarchos Foundation Complex Joint Reconstruction Center (CJRC) at HSS, was an opportunity to discuss the current areas of research and practices as it relates to managing biofilm in periprosthetic joint infection. A summarized document of the knowledge gained from our symposium will be published with discussions on clinical strategies for biofilm and a proposed framework for research for the next 5 years.

Request education video: Biofilm Symposium


The Stavros Niarchos Foundation Complex Joint Reconstruction fellowship program at Hospital for Special Surgery represents the continued commitment of HSS to train clinicians in the evaluation and management of patients in the musculoskeletal specialty of hip and knee arthroplasty. The one-year clinical fellowship is designed to provide the fellow with an ongoing, in-depth experience in the management of patients undergoing complex primary joint replacement and revision surgery. We currently have over 3000 patients in our database and over 120 cases presented through our monthly CJRC Case conference. The SNF-CJRC Clinical fellow will have the opportunity to: perform extensive arthroplasty surgery primarily in complex revisions and also management of periprosthetic infections,, publish articles in a high impact journal, attend national/ international orthopedic conferences, have presentations accepted at AAHKS/AAOS .

Why choose HSS? Our patients say it best.

Case Reviews

The Stavros Niarchos Foundation Complex Joint Reconstruction Center offers case reviews. A surgeon will conduct an initial review of your case. Especially complex cases are also reviewed by a 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 surgeons, please call or email us directly.

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


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