We are a specialty orthopaedic practice focused on treating problems of the knee, hip and shoulder. We are experts in rapid recovery total joint replacement using a customized approach to care called AVATAR. This acronym stands for Alignment of Vital Assets to Accelerate Recovery. Using this program, we have been able to allow patients to recover quicker after surgery and in the comfort of their own home. We have performed more outpatient joint replacement procedures than any other practice in Northern New England using the AVATAR method.What distinguishes our practice is our focus on enhanced recovery after joint replacement and our commitment to outcomes by tailoring the care to individual patient needs. Having a narrow scope of practice allows us to provide the most expert care using the best proven techniques that yield durable results.We are also experts at bundled payment solutions for joint replacement including employer contracting and surgical tourism. We can accommodate patients from out of state or out of the country.