A local center with a global reputation.

Consistently ranking in the Top 1% Nationally in Patient Satisfaction, The Connecticut Joint Center at Milford Hospital offers comprehensive care for people undergoing joint replacement surgery. Since opening in October 2005, patients have come to our Joint Center from throughout the state, region and as far away as Florida and Germany. Our team of renowned surgeons and clinicians have successfully enabled thousands of patients to resume an active lifestyle and improve their overall quality of life.

Your care at the Connecticut Joint Center at Milford Hospital begins as soon as you and your physician decide that joint replacement is the best option for you. From our pre-operative patient and family education program to your post operative physical therapy, the staff at the Connecticut Joint Center makes your care and recovery their first priority.

Visiting Hours and Phone Number

Visiting Hours are 11:00am – 8:00pm Daily
Special arrangements may be made by contacting the unit.

Connecticut Joint Center Main Phone Number: 203.876.4503
Physician Referral Number: 203.876.4500

A Blue Distinction Center + For Knee and Hip Replacement

A Blue Distinction Center

Anthem Blue Cross and Blue Shield has named Milford Hospital as a Blue Distinction Center+ in Knee and Hip Replacement. The Blue Distinction Centers for Specialty Care® program is a national designation awarded by Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality specialty care – which expanded recently to include more robust quality measures focused on improved patient health and safety, as well as new cost-efficiency measures.

The Blue Distinction program has been in place since 2006 identifying hospitals that deliver quality care in Bariatric Surgery, Cardiac Care, Complex and Rare Cancers, Knee and Hip Replacements, Spine Surgery, and Transplants. The selection criteria used to evaluate facilities were developed with input from the medical community and include general quality and safety metrics plus program specific metrics. Milford Hospital is proud to have met the rigorous selection criteria set by the Blue Distinction Centers for Specialty Care program.

Research confirms that the newly designated Blue Distinction Centers+ demonstrate better quality and improved outcomes for patients, with lower rates of complications and readmissions than their peers. Blue Distinction Centers+ also are more than 20 percent more cost-efficient. The program provides consumers with tools to help them make better informed healthcare decisions. These results will also enable employers, working with their local Blue Plan, to tailor benefits to meet their individual quality and cost objectives.

Quality Statistics

CT Joint Center at Milford Hospital20121st quarter 2013
Total Joint Replacements448120
Discharged by Day 394%92%
Readmission Rate1%0.08%
Complication Rate.002%0
Infection Rate00
Patient Satisfaction99%99%

State of the Art Facilities and Patient Centered Care

The Connecticut Joint Center at Milford Hospital is a state of the art, sophisticated, private unit dedicated exclusively to the post operative care of patients who have undergone total hip, knee or shoulder replacement surgery. The recently expanded unit houses eleven private and spacious rooms with attached baths, specially designed reclining chairs and plasma televisions.

Typically joint replacement patients can expect a 3 to 4 day post-operative stay in our facility. During that time patients at the Connecticut Joint Center at Milford Hospital, can expect personalized care that includes:

  • Pre-operative Joint Replacement Education
  • Nurses who specialize in the care and monitoring of joint-replacement patients
  • Physical therapy, twice a day, to mobilize you and your new joint, progressing from getting out of bed to climbing stairs
  • An occupational therapist to assist with returning to your normal daily activities
  • Daily meeting with Social Services / Case Management to document progress and assist with planning for your discharge to home or an aftercare facility
  • Special gourmet luncheon on your second day after surgery

Infection Free Environment

Patient safety is our top priority. Our goal is to maintain a 100% infection free environment. Patients are screened prior to admission for eligibility as a patient to our unit. Prospective patients with a history of nosocomial infections, such as MRSA, would not be admitted to the Joint Center, but would spend their post-operative stay in one of our Acute Care / Medical / Surgical units.

Pre-Operative Joint Replacement Class

Education is a key component of the Connecticut Center at Milford Hospital. Teaching individuals undergoing joint replacement surgery what to expect during and after their hospitalization can have an important impact on their recovery.

Pre-operative Joint Replacement Classes are offered twice a month. The class is open to patients and their family and will offer the opportunity to meet with the many disciplines that will be involved with their daily care while they are in the hospital including a Registered Nurses, Physical Therapist, Occupational Therapist, Dietician and Discharge Planner.

During the 2-hour class, you will receive information about:

  • Pre-operative testing
  • The surgical procedure
  • Anesthesia options
  • Our private Joint Replacement Center patient rooms
  • Factors that determine your length of stay in the hospital after surgery
  • Average recovery period to resume normal activity
  • The role of the nursing and rehabilitation staff in your recovery
  • Care you'll receive before, during and after surgery
  • How we help control and manage pain throughout the process
  • Making arrangements for leaving the hospital

Patients are given the chance to ask questions of our staff in hopes of decreasing any anxiety the patient may be experiencing about their surgery.

Class scheduling

  • Classes are held the first and third Monday of each month, 1:00 to 3:00 p.m
  • To register, call 203.876.4503
  • Family and caregiver participation is strongly encouraged
  • The class is complimentary
  • Light refreshments are served

Joint Replacement Services

Modern joint replacement surgery involves removal of the worn cartilage from both sides of the joint, followed by resurfacing of the joint with a metal and / or plastic replacement implant that looks and functions much like your normal joint. Although nearly every joint in the body can be replaced, most replacement surgeries involve the hip or knee. Over the last 30 years, improved surgical techniques and new implant materials have been developed, making total joint replacement one of the most reliable and durable procedures in any area of medicine.

The Connecticut Joint Center at Milford Hospital offers our patients enhanced services and treatment options. Our board-certified orthopaedic surgeons are experts in the latest minimally invasive techniques and computer guided surgery, so patients benefit from fewer side effects, shorter hospital stays, quicker recovery and long term effectiveness.

Knee Replacement

The goals of knee replacement surgery are to relieve pain, increase mobility and improve or restore normal joint function. During knee replacement surgery, diseased or damaged parts of the thighbone, shinbone and kneecap are removed and replaced with artificial implants.

In order to understand what a total knee replacement is, it is important to understand how a healthy knee works. The knee is the largest joint in the body. It is classified as a hinge joint and works very much like a common hinge. Your knee is made up of three bones: the femur (thigh bone), the tibia (lower leg bone), and the patella (knee cap). Your knee joint connects the femur to the tibia, and on top of this rests the patella. The patella protects the knee joint and slides in a groove found in your femur when you bend your knee. The muscles around the knee are responsible for supporting and moving your knee.

As a result of years of working, arthritis or trauma, a knee can become painful and less functional. Spurs (small pieces of bone) may deposit in the knee and arthritis may wear away the protective lining between the bones causing a painful condition.

Conditions that can lead to an unhealthy or painful knee include:

  • Rheumatoid arthritis: a chronic disease affecting primarily the lining of the joint resulting in destruction and deformity
  • Osteoarthritis: a degenerative joint disease affecting the surfaces of weight bearing joints. Although the exact cause is unknown, it is believed to be caused by abnormal wear and tear to the joint surfaces. Other factors that may contribute to osteoarthritis include age, sex, heredity and obesity
  • Trauma or injury

If other treatment options fail to relieve your symptoms, you and your orthopaedic surgeon may make the decision to have your knee replaced with an artificial joint.

Knee replacement may be total or partial. Minimally invasive techniques can reduce blood loss during surgery, lessen pain following surgery, shorten hospital stays and reduce recovery time. However, these procedures are not right for every patient. Your surgeon based on your joint problem and condition will determine the specific surgical technique and type of incision.

Hip Replacement

The goals of hip replacement surgery are to relieve pain, increase mobility and improve or restore normal joint functions. During hip replacement surgery, diseased or damaged parts of the hip joint are removed and replaced with artificial implants.

In order to understand what a total hip replacement is, it is important to understand how a healthy hip works. The hip is a ball and socket joint. The "ball" is at the top of your femur (thigh bone) and the "socket" is at the bottom of your pelvis. There is cartilage that covers the head of the femur. This allows the ball to move freely and smoothly in the socket. With the help of the muscles surrounding the hip, you are able to walk easily and pain free.

An unhealthy or painful hip usually results from a wearing away of the cartilage.

Without the cartilage present, there is no protection between the bony surfaces of the ball and socket. These two bony surfaces become rough and begin grinding against each other. This causes pain that results in stiffness and discomfort during movement.

Conditions that can lead to an unhealthy or painful hip include:

  • Rheumatoid arthritis: a chronic disease affecting primarily the lining of the joint resulting in destruction and deformity.
  • Osteoarthritis: a degenerative joint disease affecting the surfaces of weight bearing joints. Although the exact cause is unknown, it is believed to be caused by abnormal wear and tear to the joint surfaces. Other factors that may contribute to osteoarthritis include age, sex, heredity and obesity
  • Other causes of hip degeneration include previous hip injury, metabolic bone disease, and abnormalities of growth.

If your surgeon recommends a total hip replacement, he or she will choose the best surgical option and artificial hip (prosthesis) for you. Minimally invasive techniques can reduce blood loss during surgery, lessen pain following surgery, shorten hospital stays and reduce recovery time. However, these procedures are not right for every patient. Your surgeon based on your joint problem and condition will determine the specific surgical technique and type of incision.

Ask your surgeon if you have specific questions about your surgery or the types of implants available to replace your hip. The artificial hip will act almost like a healthy hip and should allow for walking with ease and without pain.

Shoulder Replacement

Many people know someone with an artificial knee or hip joint. Shoulder replacement is less common. The goals of shoulder replacement surgery are to relieve pain, increase mobility and improve or restore normal joint functions. During shoulder replacement surgery, diseased or damaged parts of the shoulder joint are removed and replaced with artificial implants.

In order to understand what a shoulder replacement is, it is important to understand how a healthy shoulder works. The shoulder is a ball-and-socket joint that enables you to raise, twist and bend your arm. It also lets you move your arm forward, to the side and behind you. In a normal shoulder, the rounded end of the upper arm bone (head of the humerus) glides against the small dish-like socket (glenoid) in the shoulder blade (scapula). These joint surfaces are normally covered with smooth cartilage. They allow the shoulder to rotate through a greater range of motion than any other joint in the body. The surrounding muscles and tendons provide stability and support.

Shoulder replacement surgery has been practiced in the United States since the 1950s. Over the years, this surgery has come to be used for many other painful conditions of the shoulder. These including:

  • Osteoarthritis: a degenerative joint disease affecting the surfaces of weight bearing joints. Although the exact cause is unknown, it is believed to be caused by abnormal wear and tear to the joint surfaces. Other factors that may contribute to osteoarthritis include age, sex, heredity and obesity
  • Rheumatoid arthritis: a chronic disease affecting primarily the lining of the joint resulting in destruction and deformity.
  • Trauma or injury
  • Rotator cuff tear arthropathy: a combination of severe arthritis and a massive non-reparable rotator cuff tendon tear)

Total shoulder replacement surgery alleviates pain by replacing the damaged bone and cartilage with a metal and plastic implant. When shoulder replacement surgery is performed, the ball is removed from the top of the humerus and replaced with a metal implant. This is shaped like a half-moon and attached to a stem inserted down the center of the arm bone. The socket portion of the joint is shaved clean and replaced with a plastic socket that is cemented into the scapula.

Meet Our Leaders In Orthopaedic Surgery

The expert, board certified orthopaedic surgeons practicing at the Connecticut Joint Center at Milford Hospital perform hundreds of joint replacement surgeries each year utilizing our state of the art facilities and up-to-date technology. Our patients benefit from minimally invasive and computer assisted surgical procedures and the use of durable materials and new implant technology allowing for faster recovery and long-term effectiveness.


John F. Irving, MD

John F. Irving, MD

Dr. Irving is with The Orthopaedic Group of Connecticut. He is a Board Certified Orthopaedic Surgeon, who specializes in Arthritis Surgery, Total Joint Replacement and all aspects of adult reconstructive surgery of the shoulder, elbow, hip and knee. His primary focus is on joint preservation and reconstruction for arthritic, degenerative and post-traumatic conditions. This includes Arthroscopy and Osteotomy, as well as Total Joint Replacement.

Dr. Irving graduated from the Tulane University School of Medicine and completed a five-year residency program in Orthopaedic Surgery at the Mayo Clinic Graduate School of Medicine in Rochester, Minnesota.

Dr. Irving has offices in Milford, Hamden and other shoreline communities. He has been an Orthopaedic Surgeon in the New Haven area since 1987. He is an Attending Surgeon at Milford Hospital where in 2011, he received their Physician Award for "Outstanding Patient Satisfaction. Dr. Irving also has the distinction of being designated a Connecticut Magazine "Top Doc" in Orthopaedics multiple times.

Dr. Irving's practice focuses on minimally invasive surgical techniques for hip and knee replacements. These tissue sparing surgical techniques combine well proven, reliable hip and knee implants with less traumatic soft tissue dissection. Less muscle and tissue damage allow for a faster and more complete recovery and provides long lasting results.

Dr. Irving performs 90% of hip and knee surgeries at the Connecticut Joint Center at Milford Hospital. The post-op care at Milford Hospital is in a private wing, where all patients recover in private specially designed rooms. The most important aspect of the post-op care, however, is the highly professional services of the exclusive and dedicated nurses, aids, physical therapists, and housekeepers. This team is very proud of the excellent care they give to patients (there were over 500 in 2006) in a clean environment conducive to rapid post-op rehabilitation.

For more information on Dr. John Irving and The Orthopaedic Group of CT, please click here.


Dr. Amit Lavav

Dr. Amit Lavav

Dr. Amit Lahav is with OrthopedicHealth LLC. He is a board certified orthopedic surgeon known amongst his patients for his superb surgical skills as well as his outstanding bedside manner. He is proficient in arthroscopic surgery and minimally invasive total joint replacement surgery, including computer navigation and robotic-assisted surgery. He has a special interest in state-of-the-art surgical technology to provide more accurate and precise results in joint replacement.

Dr. Lahav is currently a member of the Active Attending Staff at Connecticut's Milford Hospital, where he has introduced a number of innovative ideas for orthopedic care. He and his partner Dr. Aaron Schachter are currently the only two surgeons in Connecticut offering patients the option of replacing a worn-out knee with a ConforMIS 3D implant. This exciting advancement in joint replacement technology provides patients with the perfect fit of a biologically customized implant. In addition to being a pioneer in advanced techniques, Dr. Lahav has authored numerous articles, lectured at several national medical conferences, and currently hosts a TV medical program called Health Care from the Hill on Citizens TV in New Haven County.

Dr. Lahav serves on the Connecticut State Medical Society Aspects of Sports Medicine Committee and in 2011 was awarded the prestigious Milford Hospital Outstanding Physician for Clinical Excellence Award.

After earning his bachelor's degree in Engineering at Cooper Union, Dr. Lahav graduated from New York's prestigious Mount Sinai School of Medicine in 1998 and served as Chief Resident in the Department of Orthopedic Surgery at Stony Brook University Medical Center. He also completed two fellowships at the University of Utah, Orthopedic Sports Medicine/Arthroscopy and Adult Joint Reconstruction Surgery. He served as a visiting instructor at the University of Utah and an attending staff member in the Department of Orthopedic Surgery at the Salt Lake City Veterans Administration Medical Center.

For more information on Dr. Lahav or OrthopedicHealth LLC, please click here

In addition to Dr. Irving and Dr. Lahav, you can locate one of our other expert physicians in orthopaedic health below:


Christopher B. Lynch, MD
30 Commerce Park
Milford, CT 06460
(203) 865-6784
http://www.togct.com/

Alan M. Reznik, MD
30 Commerce Park
Milford, CT 06460
(203) 865-6784
http://www.togct.com/

Aaron Schachter, MD
30 Commerce Park
Milford, CT 06460
(203) 877-5522
http://orthopedichealthllc.com/

Tedd L. Weisman, MD
30 Commerce Park
Milford, CT 06460
(203) 877-5522
http://orthopedichealthllc.com/

Shirvinda Wijesekera, MD
199 Whitney Avenue
New Haven, CT 06511
(203) 865-6784
http://www.togct.com/

Richard Zell, MD
199 Whitney Avenue
New Haven, CT 06511
(203) 865-6784
http://www.togct.com/

Physical and Occupational Therapy

Physical and Occupational Therapy are part of our patient's recovery plan at the Connecticut Joint Center at Milford Hospital. Following joint replacement surgery, physical and occupational therapy sessions are conducted on-site, twice per day in order to promote healing, increase range of motion and return to daily activities.

Our skillful physical and occupational therapists know the unique challenges of recovery following joint replacement surgery. They work with patients so they are safe, comfortable and confident in reaching their recovery goals.

  • A physical therapist can help with exercises to strengthen the muscles around the joint and work on regaining motion in the new joint.
  • An occupational therapist will work on safely mastering the motions necessary to live independently, such as bending and lifting.

Depending on each patients unique situation, our entire staff will determine whether the patient can be safely discharged to their home or if they require a short term stay in a rehabilitation center.