Joint Replacement & Orthopedics

jointCharlotte Hungerford Hospital Joint Replacement and Orthopedics is considered northwest Connecticut’s Premiere Joint Replacement Center offering innovative anterior hip surgery and knee replacements with muscle sparing and smaller incisions performed with specialized instrumentation to reduce trauma and promote faster recovery.  Part of the hospital’s Multi-Specialty Group of outpatient services, it features orthopedic surgery services with some of the best orthopedic doctors in CT specializing in joint replacement surgery including hips and knees, orthopedic sports medicine and general orthopedic services.

A joint is where two or more bones come together, like the knee, hip, and shoulder. Joints can be damaged by arthritis and other diseases, injuries, or other causes. Arthritis or simply years of use may cause the joint to wear away. This can cause pain, stiffness, and swelling. Joint replacement surgery is removing a damaged joint and putting in a new one, which can help relieve pain and help patients move and feel better.

David M. Freccero, M.D., a board-certified orthopedic surgeon heads up the practice and joint replacement program. Dr. Freccero earned his undergraduate degree from Yale University, medical degree from Wayne State University School of Medicine in Detroit, Michigan, and completed his internship in general surgery and residency in orthopedic surgery at Tripler Army Medical Center in Honolulu, Hawaii.

He also completed the prestigious Otto E. Aufranc Adult Reconstruction Surgery Fellowship at New England Baptist Hospital in Boston, Massachusetts. He is board certified for joint replacement by the American Board of Orthopedic Surgery and holds a Subspecialty Certificate in Orthopedic Sports Medicine.

Following his residency, Dr. Freccero was stationed in Seoul, South Korea at the 121st Combat Support Hospital/U.S. Army MEDDAC-Korea. As a Major in the U.S. Army, he served as Chief of the orthopedic surgery service there. While stationed in Korea, he provided a full-range of orthopedic surgery services to over 40,000 U.S. Army, Navy, and Air Force personnel and their families. He performed surgery on soldiers in the 2nd Infantry Division and Special Forces—active, athletic people with a wide range of sports injuries. Dr. Freccero holds two U.S. Army Commendation Medals and an Army Achievement Medal as well as numerous awards in research competitions.


Seasons Magazine, Spring 2013, Page 14-16


Publications – David M. Freccero, M.D.

Freccero DM, Providence, BL, Lee GY, Berkowitz MJ: “Postoperative Assessment of Vascularity of the Femoral Head after Surgical Hip Dislocation: An MRI Study,” Journal of Arthroplasty, 24 (5): 689-692, 2009

Bottoni CR, Liddell TR, Trainor TJ, Freccero DM, Lindell KK: “Postoperative Range of Motion Following Anterior Cruciate Ligament Reconstruction Using Autograft Hamstrings: A Prospective, Randomized Clinical Trial of Early Versus Delayed Reconstructions,” Am J Sports Med, 36 (4): 656-662, 2008

Raney ER, Freccero DM, Dolan, L, Lighter D, Fillman R, Chambers HG.“Evidence Based Analysis of Removal of Orthopaedic Implants in the Pediatric  Population,” Journal of Pediatric Orthopaedics, 28 (7): 701-704, 2008

Berkowitz MJ, Wohlrab KM, Freccero DM, Kim DH: “Internal Rotation of the Proximal Fibular Fragment Producing Symptomatic Tibiofibular Impingment after an SER-II Ankle Fracture,” Foot and Ankle International, 27 (9): 738-741, 2006

Freccero DM, Berkowitz, MJ:  “The Relationship between Tears of the Peroneus Brevis Tendon and Distal Insertion of its Muscle Belly: An MRI Study,” Foot and Ankle International, 27 (4): 236-239, 2006

Freccero DM, Donovan DJ: “Adjacent Segment Degeneration at T1-2 Presenting As Chest Pain: Case Report,” Spine, 30 (21): E655-657, 2005

Matzkin E, Smith EL, Freccero DM, Richardson AB: “Adequacy of Education in Musculoskeletal Medicine,” Journal of Bone and Joint Surgery, 87 (2): 310-314, 2005

Carmack DB, Moed BR, McCarroll K, Freccero DM: “Accuracy of Detecting Screw Penetration of the Acetabulum Using Intraoperative Fluoroscopy and Computed Tomography,” Journal of Bone and Joint Surgery, 83 (9): 1370 1379, 2001

HipSextant™ Surgical Navigation

David M. Freccero, M.D. of Charlotte Hungerford Hospital’s Joint Replacement and Orthopedics center has become the first orthopedic surgeon in Connecticut to use the HipSextant™ Navigation System during two hip replacement surgeries on Friday, April 26, 2013. This “smart” surgical instrument and system for joint replacement is designed to assist surgeons in placing the new artificial implant’s cup—the hip socket component—into the pelvis with greater precision during hip replacement surgery.

HS Nav Tool 1


The joint replacement system uses a navigation instrument that works in conjunction with Web-based software to determine the most precise positioning for the surgical implant. The joint replacement specialist takes a CT study of the patient, which is uploaded to a website, where a 3D model of the patient’s hip is created. The surgeon then downloads and opens the 3D plan, using software that runs on any desktop or laptop computer, and can then adjust the plan to input the desired cup orientation. This determines the exact settings on the instrument, which is then used during the surgery. The new technology has been proven to be significantly more accurate in joint replacements, not only compared to traditional surgery techniques, but also when compared to established computer-assisted surgery methods.

The joint replacement device was developed by Dr. Stephen Murphy, an orthopedic surgeon at New England Baptist Hospital in Boston, Mass., and an associate professor at Tufts University School of Medicine.  He has invented many surgical methods, instruments and implants to improve hip surgery for more than 25 years, including a minimally invasive surgery technique called the superior capsulotomy that allows most patients to safely return directly home just a day after a hip replacement.