Orthopedic Surgery at Total Orthopedics & Sports Medicine

When bone, joint, or muscle pain starts to interfere with your daily life, the right orthopedic care can make all the difference. At Total Orthopedics & Sports Medicine, we understand how mobility, comfort, and independence are deeply connected. That’s why we offer expert surgical solutions across every major orthopedic subspecialty—each one designed to restore function, reduce pain, and help you return to the life you love.

Our board-certified, fellowship-trained surgeons bring decades of experience to every procedure. They include pioneers in orthopedic subspecialties—physicians who serve as national instructors, published researchers, and residency program directors. 

Many of our surgeons trained at top institutions such as NYU, Stony Brook, and the Sports Clinic of California, and have gone on to become lead faculty in their fields. Several lead academic programs, and most actively mentor the next generation of orthopedic specialists. 

Advanced Orthopedic Surgeries We Offer

At Total Orthopedics, surgery isn’t a one-size-fits-all solution—it’s a precisely planned intervention tailored to the condition, the patient, and the goals of recovery. We offer a wide range of surgical procedures backed by subspecialty training, deep clinical experience, and data-informed decision-making at every stage of care. 

Whether you’re dealing with an injury, degeneration, or a condition missed elsewhere, our surgeons provide targeted solutions backed by clinical expertise and experience.

Spine Surgery

Spine problems often go untreated until nerve pain or weakness makes daily activities unbearable. At that point, you need a precise diagnosis and a surgeon who knows when and how to act. 

Our team performs minimally invasive spine surgeries, including lumbar decompression, microdiscectomy, endoscopic spine procedures, and spinal fusion. For patients with spinal deformity or instability, we also offer reconstruction and artificial disc replacement. Dr. Dante Leven led these cases with a focus on precise imaging, small incisions, and fast-track recovery protocols. We operate when it matters—and do it with clarity.

Sports Medicine & Arthroscopic Surgery

Tears, dislocations, and joint injuries won’t heal correctly without targeted intervention. Our surgeons perform thousands of arthroscopic procedures every year on knees, shoulders, and hips.

We handle ACL reconstruction (hamstring or patellar graft), labral repairs, meniscus preservation, and rotator cuff surgery with a results-driven mindset. Dr. Charles Ruotolo leads the department, having taught arthroscopic techniques to orthopedic surgeons nationwide. Whether you’re a college athlete or an active adult, we help you return with strength, not guesswork.

Joint Replacement

When joint damage is permanent, replacement isn’t the end—it’s the beginning of restored movement. We offer anterior hip replacement, robotic-assisted knee surgery, and complex revision procedures using 3D pre-op modeling.

Our patients benefit from same-day mobility, reduced risk of dislocation, and implants built to last. Dr. Brett Spain oversee every case personally, with no shortcuts in prep, alignment, or follow-up. If joint pain is limiting your movement or keeping you from doing the basics—walking, climbing stairs, driving—our team offers a replacement solution built for long-term function, stability, and performance.

Shoulder & Elbow Surgery

We treat rotator cuff tears, chronic instability, arthritis, and elbow deformities with precision procedures that restore range of motion without overcomplicating recovery. When shoulders fail conservative care, we act quickly.

Reverse shoulder arthroplasty, biceps tenodesis, SLAP repairs, and tendon transfers are part of our weekly caseload. Dr. Ruotolo and Dr. Spain lead these cases and are trusted across the region for solving failed repairs referred from outside surgeons.

Hand & Wrist Surgery

The difference between a functioning hand and a permanently stiff one often comes down to who operates—and when. We treat scaphoid fractures, carpal instability, trigger finger, nerve compression, and tendon ruptures.

Dr. Fillip Findling leads this program with deep expertise in microsurgery and reconstructive techniques. Our OR protocols for hand surgery prioritize motion recovery, not immobilization. We don’t delay dexterity—we restore it.

Hip & Knee Surgery

Some patients don’t need a full joint replacement—they need targeted surgical repair. That’s our focus. We perform hip labral repairs, femoroacetabular impingement correction, meniscus transplants, and ligament reconstructions.

Whether you have patellar instability or early joint degeneration, our goal is structural preservation, not defaulting to replacement. Surgeons like Dr. Ruotolo and Dr. Spain tailor every approach using diagnostic imaging and intraoperative mapping.

Foot & Ankle Surgery

Foot and ankle problems don’t fix themselves. We correct bunions, flatfoot deformities, tendon ruptures, and joint misalignments that affect your ability to walk or bear weight.

Our surgeons use real-time fluoroscopy, fixation hardware, and gait-based realignment to ensure the result isn’t just pain relief—it’s functional balance. Our procedures reduce the chance of future collapse or recurring pain. The result: restored support from the ground up.

Fracture Care & Trauma Surgery

Complex fractures need more than casting. We handle trauma cases involving the pelvis, femur, forearm, and joint surfaces with modern fixation techniques.

Dr. Spain and Dr. Leven oversee fracture cases that require open reduction, intramedullary nails, or periarticular plating. We’re equipped for high-risk patients and emergencies requiring immediate surgical stabilization. Our focus isn’t just healing—it’s correct alignment, faster mobility, and long-term function.

Orthopedic Oncology & Tumor Resection

Orthopedic tumors are rare, but when they occur, they require urgent evaluation and highly specialized treatment. Whether you’re facing a benign bone tumor, a soft tissue mass, or a malignant sarcoma, surgical precision is critical to protecting both function and longevity.

At Total Orthopedics, we offer comprehensive orthopedic oncology services including:

• Biopsy
• Tumor excision
• Complex limb reconstruction

These procedures are performed using 3D surgical planning, intraoperative navigation, and limb-sparing techniques wherever possible. Our team collaborates closely with oncologists, pathologists, and radiologists to ensure your treatment plan is accurate, safe, and customized to your diagnosis.

These surgeries are led by senior orthopedic surgeons with focused training in musculoskeletal oncology. Every case is handled with urgency, coordination, and a surgical strategy designed to preserve mobility and quality of life.

When your condition is rare, your care must be exceptional. That’s exactly what we provide.

Why Patients Trust Total Orthopedics for Surgical Excellence

Choosing the right orthopedic surgeon matters, especially when you’re navigating pain, failed treatments, or surgical decisions that affect your ability to live and work. At Total Orthopedics & Sports Medicine, we bring clarity and authority to complex cases, offering subspecialty-matched surgeons, surgical precision, and post-op plans built for real recovery.

Whether you’re seeking a minimally invasive procedure or require a full reconstruction, we operate with one focus: predictable, lasting results.

With offices across Long Island, NYC, and New Jersey—and appointments within 24 hours—you’ll never wait for answers. Imaging, therapy, and surgical consults happen in one place, led by people who deliver results where others hesitate.

Request an Appointment Today or call us directly at 855-321-6784 to speak with a surgical coordinator and get matched with the right specialist for your condition—no waiting, no confusion, just expert care.

Frequently Asked Questions