Hip & Knee Reconstruction in Hauppauge & Stony Brook, NY
When hip or knee pain begins to limit everyday activities, walking, climbing stairs, or simply getting through the day without discomfort, it may be time to explore reconstruction. Dr. Richard Savino, MD, a board-certified orthopedic surgeon serving Suffolk County, specializes in hip and knee reconstruction at his offices in Hauppauge and Stony Brook, NY. With a fellowship-trained background and an affiliation with NYU Langone, Dr. Savino brings advanced surgical expertise and a patient-centered philosophy to every case.
Whether the underlying cause is osteoarthritis, joint degeneration, a fracture, or years of wear and tear, Dr. Savino designs a personalized treatment plan focused on one goal: restoring your mobility and getting you back to the life you enjoy.
What Is Hip & Knee Reconstruction?
Hip and knee reconstruction refers to a range of surgical procedures designed to repair or replace damaged joint surfaces. The most common form is joint replacement surgery, also called arthroplasty, in which the worn or damaged portions of the hip or knee are removed and replaced with precision-engineered implants that replicate natural joint movement.
Reconstruction may be recommended when nonsurgical treatments such as physical therapy, cortisone injections, or anti-inflammatory medications have not provided adequate relief. Patients who are candidates typically experience one or more of the following:
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Chronic hip or knee pain that interferes with daily activities or sleep
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Severe osteoarthritis or rheumatoid arthritis causing significant joint damage.
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A hip fracture or traumatic knee injury with structural joint involvement
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Progressive loss of range of motion or a feeling of instability in the joint
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Stiffness that does not improve after rest or conservative care
Common Conditions Treated with Hip & Knee Reconstruction
Joint pain has many underlying causes, and identifying the right one is the first step toward effective treatment. Dr. Savino evaluates and treats a wide range of hip and knee conditions at his Hauppauge and Stony Brook offices, including:
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Osteoarthritis — the most common reason for joint replacement, caused by the gradual breakdown of cartilage that cushions the hip or knee.
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Rheumatoid and inflammatory arthritis — autoimmune conditions that damage the joint lining and can affect both hips and knees.
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Post-traumatic arthritis — joint deterioration that develops months or years after a fracture, dislocation, or serious injury.
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Avascular necrosis (osteonecrosis) — loss of blood supply to the bone, most often affecting the hip, which can lead to joint collapse if untreated.
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Hip dysplasia and developmental abnormalities — structural issues that place uneven stress on the joint over time.
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Meniscus tears, cartilage damage, and ligament injuries of the knee, many of which can be addressed with minimally invasive arthroscopy.
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Failed or worn prior joint replacements requiring revision surgery to restore stability and function.
Because the right procedure depends on an accurate diagnosis, Dr. Savino begins every evaluation with a thorough physical exam and imaging review before discussing treatment options. Request a consultation to have your condition properly assessed.
Hip Reconstruction — Procedures Offered
Dr. Savino's approach to hip reconstruction is grounded in the use of advanced techniques that minimize surgical trauma and support faster recovery. Procedures include:
Total Hip Replacement
Total hip replacement is one of the most successful procedures in all of orthopedic surgery. The damaged ball-and-socket joint is replaced in its entirety using a prosthetic implant, typically a combination of metal, ceramic, and high-density polyethylene. The result is a stable, pain-free joint that closely mimics the natural anatomy.
Partial Hip Replacement
In cases where only one component of the hip joint is affected, most commonly following a femoral neck fracture, a partial (hemiarthroplasty) replacement may be the most appropriate option. This procedure replaces only the femoral head while preserving the natural acetabular socket.
Anterior Approach Hip Replacement
Dr. Savino performs hip replacement using the direct anterior approach, a minimally invasive technique that accesses the joint from the front rather than the side or back. This approach works between, rather than through, the surrounding muscles, which typically means less post-operative pain, a lower risk of dislocation, and a faster return to normal activities.
Robotic-Assisted Hip Replacement
Robotic-assisted technology allows for unparalleled precision in implant positioning during hip replacement surgery. By mapping each patient's anatomy in advance, the robotic system enables Dr. Savino to place the implant with an accuracy difficult to achieve with traditional methods alone, improving alignment, reducing wear over time, and supporting longer implant longevity.
Knee Reconstruction — Procedures Offered
The knee is the largest joint in the body and one of the most frequently affected by arthritis and sports-related injury. Dr. Savino offers a full range of knee reconstruction options, from arthroscopic procedures to total joint replacement:
Total Knee Replacement
Total knee replacement is recommended when arthritis or joint damage affects the entire knee joint. The procedure resurfaces the ends of the femur, tibia, and, where appropriate, the underside of the kneecap, replacing them with implants that restore smooth, pain-free movement. Most patients experience significant improvement in pain and function within weeks of surgery.
Partial Knee Replacement
When arthritis is confined to a single compartment of the knee, typically the medial (inner) side, a partial knee replacement may be an option. This bone-sparing procedure preserves the healthy portions of the joint and generally involves a shorter recovery timeline than total knee replacement.
Robotic-Assisted Knee Replacement
As with hip surgery, robotic-assisted technology improves the precision of knee implant placement. The system creates a three-dimensional model of the patient's knee anatomy, allowing Dr. Savino to plan and execute the procedure with a level of accuracy that contributes to better alignment, improved function, and reduced long-term complications.
Knee Arthroscopy
For patients who do not yet require replacement surgery, knee arthroscopy offers a minimally invasive way to diagnose and treat a range of intra-articular conditions, including meniscus tears, cartilage damage, and ligament injuries. Through small incisions and a tiny camera, Dr. Savino can address the source of pain with minimal disruption to the surrounding tissue.
Nonsurgical Treatment Options
At Savino Orthopedics, the decision to pursue surgery is never taken lightly. Before recommending reconstruction, Dr. Savino thoroughly evaluates each patient's condition and may recommend one or more nonsurgical interventions, including:
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Cortisone or corticosteroid injections to reduce inflammation and manage acute pain
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Viscosupplementation (hyaluronic acid injections) for knee osteoarthritis
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Activity modification and assistive devices to reduce joint stress
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Oral anti-inflammatory medications for pain management
When these measures no longer provide adequate relief and joint damage has progressed, reconstruction becomes the most effective path to lasting pain relief and restored function.
How to Prepare for Hip or Knee Reconstruction
A well-prepared patient tends to have a smoother surgery and a faster recovery. Once you and Dr. Savino decide that reconstruction is the right path, his team guides you through each step of the preparation process. Preparing for joint replacement typically involves:
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A pre-operative medical evaluation to confirm you are healthy enough for surgery and to identify any conditions that should be managed beforehand.
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Optimizing your overall health — steps such as managing blood sugar, reaching a healthier weight where possible, and stopping smoking can meaningfully improve surgical outcomes.
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Prehabilitation exercises to strengthen the muscles around the joint, which can make post-surgical rehab easier.
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Preparing your home by arranging a comfortable recovery space, removing tripping hazards, and setting up items you’ll need within easy reach.
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Arranging support for the first days after surgery, including transportation home and help with daily tasks.
Dr. Savino and his team provide detailed, personalized instructions during your pre-operative visit so you know exactly what to expect on the day of surgery and in the weeks that follow.
Patient Note: Preparation guidelines vary by procedure and individual health status. Dr. Savino will provide instructions specific to your situation during your consultation.
What to Expect: Recovery After Joint Reconstruction
Recovery following hip or knee replacement has improved significantly in recent years, thanks in large part to advances in minimally invasive surgical techniques and enhanced recovery protocols. Most patients at Savino Orthopedics can expect:
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Early mobilization, including standing and walking with assistance, often begins within 24 hours of surgery.
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A structured physical therapy program beginning in the first days after surgery
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A return to light daily activities within several weeks for most patients
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Continued improvement in strength, range of motion, and comfort over three to six months
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Ongoing follow-up with Dr. Savino to monitor implant function and recovery progress
Dr. Savino works closely with each patient throughout the recovery process, adjusting rehabilitation plans as needed and providing the guidance necessary to achieve the best possible outcome.
Patient Note: Individual recovery timelines vary based on the procedure performed, the patient's overall health, and their adherence to the rehabilitation program. Dr. Savino will provide a detailed recovery plan during your consultation.
Why Choose Dr. Savino for Hip & Knee Reconstruction?
Patients across Long Island choose Savino Orthopedics for hip and knee reconstruction because of Dr. Savino's specialized training, advanced technology, and commitment to individualized care. Key reasons include:
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Board-certified orthopedic surgeon with fellowship training in hip and knee reconstruction and sports medicine
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Affiliated with NYU Langone, providing access to world-class resources and specialist collaboration.
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Experienced in robotic-assisted and anterior approach techniques that reduce recovery time and improve precision
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Conveniently located in Hauppauge and near Stony Brook, serving all of Suffolk County.
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A personalized, patient-first approach, from initial consultation through full recovery
Frequently Asked Questions
How do I know if I need hip or knee replacement surgery?
The strongest indicators are persistent joint pain that limits daily function and has not responded to conservative treatments over a period of months. An evaluation with Dr. Savino, including a physical exam and imaging, will determine whether reconstruction is the appropriate next step.
How long do hip and knee implants last?
Modern implants are designed to last 15 to 25 years or more for the majority of patients. Factors such as activity level, body weight, and implant type all play a role in the long-term longevity of implants.
What is the advantage of the anterior approach for hip replacement?
The direct anterior approach allows Dr. Savino to access the hip joint without cutting through major muscles, which generally results in less post-operative pain, a lower risk of dislocation, and a faster recovery compared to traditional posterior or lateral approaches.
Does Savino Orthopedics accept insurance for joint replacement surgery?
Savino Orthopedics works with a range of insurance plans. We encourage prospective patients to contact our office directly to verify coverage prior to scheduling a consultation.
Where is Savino Orthopedics located?
Dr. Savino sees patients at two convenient Long Island locations: 517 Route 111, 3rd Floor, Suite 3B, Hauppauge, NY 11788, and 2500 Nesconset Hwy, Building 20-A, Stony Brook, NY 11790. Both offices serve patients throughout Suffolk County, including Smithtown, Ronkonkoma, Islip, and surrounding communities. Visit our contact page for directions and office hours.
Am I too young or too old for joint replacement?
Age alone is not the deciding factor. Dr. Savino evaluates each patient based on their overall health, activity level, degree of joint damage, and how much pain is affecting daily life. Both younger, active patients and older adults can be excellent candidates.
How long does hip or knee replacement surgery take?
Most primary hip and knee replacements take approximately one to two hours, though the exact time depends on the procedure and the complexity of the case. Dr. Savino will review the specifics of your surgery during your consultation.
When can I drive again after joint replacement?
Many patients return to driving within a few weeks, once they are off narcotic pain medication and have regained sufficient strength and control. Recovery timelines vary, and Dr. Savino will advise you when it is safe based on your progress.
What is robotic-assisted joint replacement, and is it right for me?
Robotic-assisted surgery uses a 3D model of your anatomy to guide highly precise implant placement. This can improve alignment and long-term implant performance. Dr. Savino will discuss whether a robotic-assisted, anterior, or traditional approach best fits your anatomy and goals.
Schedule Your Hip or Knee Reconstruction Consultation
Living with chronic joint pain is not inevitable. If hip or knee discomfort is limiting your mobility and quality of life, Savino Orthopedics is here to help. Dr. Richard Savino will evaluate your condition, review your imaging, and walk you through every available treatment option, from conservative management to advanced joint reconstruction.
To request an appointment at our Hauppauge or Stony Brook office, call 631-675-9193 (Stony Brook) or 631-486-8855 (Hauppauge), or request a consultation online. Take the first step toward pain-free movement today.