Specialty care with advanced certification by The Joint Commission for hip and knee surgeries.

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Conditions & Treatment
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Care and Treatment
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Leadership & Practice
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Patient Education
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Patient Education
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Joint Replacement
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Advanced certified by The Joint Commission for hip and knee surgeries.
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Joint Commission designation
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Our Team
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Meet Our Team
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Joint Pain
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If you are struggling with hip or knee pain, our team will work with you to provide relief.
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Joint Pain
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Locations
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View Our Locations
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Orthopaedics and Bone Health
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From head to toe, our team collaborates on simple and complex orthopaedic problems.
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Awards
Gold Seal of Approval
The Joint Commission
Advanced Certified by The Joint Commission
Becker's Hospital Review
Becker's Hospital Review
Top 100 Hospitals With Great Orthopaedic Programs
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US News & World Report
High Performing for Hip/Knee Replacement at CRMH
Anthem Blue Distinction
Anthem Blue Distinction
Blue Distinction Center for Hip and Knee Surgery
Hip and Knee Society
Hip and Knee Society
Elite International Member Groups
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Top Joint Replacement Team
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Downward Trend
Readmission
Lowest readmission rates in the state of Virginia for Medicare patients
Experienced
Procedures
Nearly 1,000 knee replacement surgeries and over 600 hip replacement surgeries performed annually
Recovery at Home
Discharges
Approximately 75 percent of hip and knee replacement patients are discharged the day after surgery
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Proud to be ranked as a
Patient Education
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Do you need
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Joint Replacement Surgery?
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At Carilion Clinic, we want to ensure you are prepared for your upcoming surgery. That's why we offer a patient education video library in addition to our Joint Academy class. We know you want to start living a more active life, so we're here to help you get started.
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Video Education
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Hip Replacement Videos
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Learn more about what to expect before, during and after hip replacement surgery.
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Hip Surgery
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Knee Replacement Videos
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Learn more about what to expect before, during and after knee replacement surgery.
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Knee Surgery
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Joint replacement on-demand education
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Patient Education Videos
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Recovery
Patient Education Details
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What To Expect Before Surgery
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Our total joint coordinators will explain everything from the admission process to how to manage your pain.
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Hospital
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Getting Stronger After Surgery
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During class, you will participate in a hands-on therapy session to learn the exercises to do when you go home.
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Going Home
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Preparing you for your upcoming surgery.
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Joint Academy Class
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We're here to help.
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Are you ready to schedule an appointment? Do you need more information?
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Leadership and Practice
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Proud of our
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Joseph Moskal, M.D.
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Joseph T. Moskal M.D.
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Chair of Orthopaedics
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Carilion Clinic's Leader in Orthopaedic Care
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It’s been very flattering and an honor for me not only to be invited, but to collaborate with folks from all over the world who share the same passion and interests that we do to improve knowledge and improve patient care.
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Joseph Moskal, M.D.
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Seeing You Safely
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Don't put your health on hold—see us safely. Dr. Moskal shares an inside view of what we are doing to maintain our high level of care, with proper protections in place for our patients and employees.
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Joint Commission
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Advanced Certification
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The joint replacement program at Carilion Roanoke Memorial Hospital is the first in southwest Virginia to earn the advanced-level certification for hip and knee joint replacement surgeries from The Joint Commission. They first earned the accreditation back in 2007. This new designation goes beyond the core requirements, with additional clinical requirements of achieving consistent communication and collaboration among all health care providers involved in the care of the patient.
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Anterior Approach
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Anterior Approach to Hip Replacement
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With advanced imaging technology enabling computer-assisted techniques, surgeons perform anterior-approach hip replacements with increased accuracy and precision. Anterior-approach hip replacement is an innovative technique that uses an incision on the front of the body, rather than the side or back as with traditional hip replacement surgery. This brings less disruption to muscle and tissues, resulting in less pain, a lower risk of complications and a quicker recovery.
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Hip Preservation
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Hip Preservation
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Carilion Clinic’s orthopaedic surgery team provides treatments for hip pain with the goal of decreasing pain, slowing the progression of degenerative hip disease and restoring normal hip function. This early intervention should reduce the risk for premature arthritis and hip replacement surgery later in life. Athletes who use repetitive motions in the hip joint, such as dancers or adults who were diagnosed with hip dysplasia as children, are candidates for hip preservation procedures.
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Institute for Orthopaedics and Neurosciences (ION)
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Carilion Clinic's Institute for Orthopaedics and Neurosciences (ION) is an innovative convergence of leading medical practitioners who provide expert care to patients. It serves as a model for medical students, research fellows and residents—the next generation of providers. ION provides a shared vision of collaboration and a team-based approach to healing.

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Research & Education
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Elevating care through innovative
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Research and Education
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Education
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Fellowship Training
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Fellowship Training
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The Orthopaedic Department provides fellowship training for surgeons from across the United States to help them provide better care.
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Education
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VTCSOM Virtual Tour
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VTCSOM
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We are proud to have nationally and internationally recognized faculty committed to educating the next generation of students at VTCSOM.
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Education
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Graduate Medical Education
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Graduate Medical Education
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When it comes to residencies and fellowships, finding the right fit is very important. Our GME program offers amazing support and training.
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Research
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Select Research Studies
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Select Research Studies
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At Carilion Clinic Orthopaedics, we are actively involved in finding innovative ways to improve the care we give to our patients. Here is a list of select research studies currently taking place in joint replacement.

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  • Comparison of Screws in Periacetabular Osteotomies to Reduce the Risk of Symptomatic Hardware (Prospective)
  • Comparison of Headed vs Headless Screws in Periacetabular Osteotomy- A Biomechanical Study
  • Outcomes of Total Hip Arthroplasty in Patients with Prior Spinal Fusion
  • The Effects of Optimism on Functional Outcome Following Total Knee Arthroplasty or Total Hip Arthroplasty
  • ORIF Posterior Wall Fracture in Skeletally Immature Patient- Case Report
  • Effect of Tibial Slope on Coronal Alignment in Total knee Arthroplasty
  • Efficacy of an Intraoperative Marcain Adductor Canal Block During Total Knee Arthroplasty
  • A Prospective, Randomized, Multicenter Clinical Investigation Comparing Clinical Results of the Zimmer NexGen Flex Mobile Bearing vs. DePuy PFC Sigma Rotating Platform Total Knee Replacement
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  • Effect of Exparel (long acting Bupivicaine) on Post-op Pain Management in Total Knee Arthroplasty
  • 30 and 90 Day Readmission After Total Hip Arthroplasty
  • BMI association with 30 and 90 Day Readmissions
  • One Stage Versus Two Stage Exchange for Periprosthetic Hip and Knee Infection- A Multicenter Study
  • The Effect of Intrathecal Morphine on Postoperative Urinary Retention in Total Hip Arthroplasty
  • The Effect of Orthopaedic Referral on Decision for Weight Loss Management
  • The effect of Tranexamic Acid on Post-Operative Blood Transfusion for Acute Hip Fractures Requiring Intramedullary Nail or Hemiarthroplasty Surgical Fixation
  • Modified Extensile Anterior Approach to the Acetabulum for Complex Acetabular Defects
  • Biofeedback in TKA Adults During Walking
  • Gait Asymmetry, Balance and Fall Risk
Providers
Provider Facts
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First total joint procedure performed at Carilion Roanoke Memorial Hospital in 1972
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All fellowship-trained adult reconstruction surgeons
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Active in state and national orthopaedic societies (AAOS, VOS)
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Quality outcomes exceed national averages
Providers CTA
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Meet Our Joint Replacement Team
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Our team of orthopaedic joint replacement surgeons provides care at the Institute for Orthopaedics and Neurosciences in several locations throughout southwest Virginia. Our board-certified, fellowship-trained reconstruction surgeons evaluate and treat thousands of patients each year.
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