The practice was established in 1996 by Dr. Tom Altizer and Dr. Ralph Salvagno. Both doctors had extensive experience in total joint replacement surgery in their previous practices and felt a strong desire to focus more fully on improving the quality of their patients' lives through these procedures. Since the inception of the practice they have performed hundreds of joint replacements.

Dr. Altizer passed away in the Spring of 2001 and is greatly missed by his patients and those in the medical community. His desire was for this practice to continue in the tradition of providing quality orthopaedic care.

While Dr. Salvagno continues to focus on joint replacement, the practice has broadened our scope of services with the addition of Dr. Roberta "Bobbie" Rothen, a board certified orthopaedic surgeon; Ronald Spruill, PA-C, a physician assistant; Lyne Snowden, CRNP, a nurse practitioner; and Laura Blair, PT, a physical therapist. We offer a team approach in Diagnosis, Treatment, Rehabilitation, and Patient Education.

We welcome patients of all ages.