


Our goal is to provide excellence in care for all our patients. We strive to improve our technique and the care we deliver every day. Although we see general orthopaedic patients our subspecialty interest is in the area of Total Joint Replacement. Dr. H. Morton Bertram III, M.D. is recognized nationally and internationally for his care of the Total Joint Replacement patient.
One of the most exciting advances in Total Joint Surgery in years is what Dr. Bertram is calling his “Accelerated Recovery Technique”. Dr. Bertram has been invited by Exactech, an orthopedic company based in Gainesville, Florida to speak on this accelerated recovery technique nationally three times in 2007. This is a sophisticated combination of modalities and techniques that allow patients to avoid wound healing problems, nearly eliminate the need for a blood transfusion, return to more normal function faster than ever before, and significantly decrease the hospital stay. The most important part of the technique is that with proprietary pain management techniques, the pain after surgery is less than ever before, with 98% of the patients taking only pills by mouth for the pain after surgery. Some patients are leaving the hospital after 1.5 days postop. Our patients are receiving compliments from other patients that are amazed at their rapid recovery. Imagine a 92 year old lady getting rid of her cane 2 weeks after Total Hip Surgery. That is what we are seeing.
Surgeons from literally all over the United States and the world are coming to Naples, Florida, to watch Dr. Bertram perform his accelerated recovery technique. We have had surgeons from as far away as Los Angeles and Oklahoma, Texas, New Jersey, New York and Minnesota, as well as multiple other parts of the country come to Naples. Surgeons from the United Kingdom and multiple surgeons from Puerto Rico. We are continuing to refine that process and at this point very few of our patients after surgery receive anything except oral narcotic medication. Blood transfusion rates continue to be decreasing, so it is unusual at this time for a first time hip or knee surgery to need a blood transfusion. Dr. Bertram is currently in the process of reviewing approximately 900 patients from 2007, 2008, and 2009 on this technique. The early results are that almost none of the patients needed anything intravenous for pain. We also have approval to do an IRB approved study at the hospital on a prospective basis to publish these results.