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Orthopedic Surgery

shoulder xray
As Chairman of Orthopedic Surgery at St. Francis Hospital, I would like to welcome you to our department. As a specialty, we performed over 3,200 surgical procedures in 2018, including 1,600 joint replacements, making us one of the busiest departments at St. Francis. We pride ourselves on being a major influence in orthopedic care in our region, having performed the most joint replacements on Long Island in 2017. St. Francis Hospital has been repeatedly ranked as high performing for Orthopedic Surgery by U.S. News and World Report. Becker's Hospital Review placed St. Francis Hospital on its list of "Top 100 Orthopedic Hospitals in the Nation." Our staff maintains the highest standards in surgical treatment of orthopedic conditions, and we enjoy a full staff of highly-trained Orthopedic Physician Assistants.

I am proud to direct a department filled with experienced, caring, and skilled orthopedic surgeons.
- Richard J. D'Agostino, M.D., Chairman of Orthopedic Surgery

Orthopedic Surgery - An Overview

The Orthopedic Surgery Department at St. Francis Hospital covers the full range of surgery in our field, with particular specialties in sports medicine, hand surgery, adult reconstructive surgery, and fracture care.

All of our physicians are board certified and have fellowship training in subspecialties. Sports Medicine is one of the largest components of our department. Our presence at the football fields, gyms, tennis courts, swimming pools, wrestling mats, volleyball courts, gymnastic venues, ice rinks, and lacrosse fields of Long Island and the surrounding counties has made us the premier site for repair and reconstruction of all sports injuries.

Our Chairman of Orthopedic Surgery, Richard D'Agostino, M.D., is fellowship trained in Sports Medicine and specializes in arthroscopic knee and shoulder surgery. He is among a small group of surgeons in New York State performing autologous chondrocyte implantation (ACI) and MACI, a leading-edge procedure to repair damaged articular cartilage in the knee using cartilage cells harvested arthroscopically from the patient. He has performed allograft cartilage implantation as well.

All our sports physicians are skilled in knee and shoulder arthroscopy. Meniscus surgery, ACL reconstruction, rotator cuff repair, shoulder labrum surgery and articular cartilage repair and reconstruction are the most commonly performed procedures. Several of our physicians perform hip arthroscopy as well.  He is the team physician for both Nassau Community College and LIU Post, as well as several local high schools. Our department supports the Student Athlete Screening Program, created by Dr. D'Agostino and managed by Dr. Sean Levchuk, a program designed to screen athletes for life threatening cardiac disease.
Our joint replacement service, under the direction of Dr. Bruce Seideman, has seen the most rapid growth over the past few years. With the recruitment of several physicians from other hospital systems, we have created a program second to none on Long Island. Our joint replacement surgeons are experts in using minimally invasive techniques for hip and knee replacements. They use the latest techniques in adult reconstruction, including unicompartmental knee replacement, anterior hip replacement, gender specific knee replacement, robotic knee replacement, and are leaders in revision joint replacement. Our surgeons perform shoulder, ankle and elbow replacements as well.

St. Francis Hospital boasts fellowship trained trauma surgeons on staff, providing patients with expertise in the field of complicated fracture care. Latest techniques in minimally invasive fracture surgery, wound care, limb sparing procedures, and complex fracture patterns are available through our trauma surgeons. They are experts in pelvic and hip fractures, as well as upper extremity and lower extremity, hand, foot and ankle techniques. St. Francis is a referral center for transfer of complicated fracture care.

Hand and wrist surgery remains a busy division of the department. All our hand and upper extremity physicians are fellowship trained. Most commonly treated problems include fracture treatment, soft tissue repair, compression neuropathies, tendon injuries, and tumors. Our fellowship-trained foot surgeons have brought the latest techniques in reconstructive foot surgery, tendon injuries and treatment for arthritis.

Our spine orthopedic surgeons are fellowship-trained, adding an important level of care to our department. They are trained in current reconstructive procedures, fracture care, disc and nerve related injuries, soft tissue injuries, congenital deformities and tumor pathology. These surgeons have added a dimension to our department that few programs enjoy.

Conditions Treated

  • All orthopedic diseases
  • Adult reconstructive surgery, including hip and knee replacement
  • Sports injuries
  • Hand, foot, ankle injuries
  • Spine


Key Treatments

Sports Medicine - Arthroscopic surgery allows athletes to go home the same day of surgery, with quicker recovery rates. Anterior cruciate ligament reconstruction, meniscal repair, articular cartilage repair and reconstruction, rotator cuff repair, and labrum repair are all out patient procedures.

Knee and Hip Replacement - As baby boomers reach middle age, more will require hip and knee replacement. The Orthopedic Surgery Department is at the forefront of joint replacement surgery, having remained at the leading edge of the latest techniques. Newer skills are being developed by several of our physicians. Minimally invasive surgery, guided navigation surgery, anterior hip replacement and alternative materials are all used by our reconstructive surgeons. Out patient joint replacement is being developed at St. Francis Hospital, and will allow patients to return home on the same day as their surgery. Physician recruitment has brought the most skilled and well trained joint replacement surgeons to our facility.

Hand Reconstructive Surgery - Our physicians are all fellowship-trained in hand surgery. Many are leaders in their field both clinically and at the research level. Fracture care for the hand has seen recent innovative procedures, all used by our physicians.

Spine Surgery - Our spine orthopedic surgeons are fellowship trained, adding an important dimension to our department. They are trained in current reconstructive procedures, fracture care, disc and nerve related injuries, soft tissue injuries, congenital deformities and tumor pathology.

Fractures and Trauma - St. Francis sees hundreds of patients requiring care of fractures. Our physicians are fellowship trained in trauma, performing up-to-date techniques used in the management of fractures, simple or complex. They are experts in pelvic and hip fractures, as well as upper extremity and lower extremity, hand, foot and ankle techniques.

Click for more information on the CMS Comprehensive Care for Joint Replacement (CJR) Model.


Best Nurses, Magnet Recognized

St. Francis Hospital has earned the coveted Magnet award for excellence in nursing.

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