Dr. Warren Kramer III
Board Certified in Orthopaedic Surgery
Board Certified in Sports Medicine
Arthroscopy, Shoulder, Hip and Knee Specialist

Dr. Sten Kramer
Board Certified in Interventional Pain Management
Board Certified Spine Specialist
Board Certified in Sports Medicine

Newport Center Surgical
17 Corporate Plaza, Suite 120
Newport Beach, CA 92663
949-706-6300
www.NewportCenterSurgical.com

Hoag Surgicare (Fashion Island)
1441 Avocado Ave, Suite 101
Newport Beach, CA 92660
949-760-1205

Newport Coast Surgery Center
1441 Avocado Ave. Suite 103
Newport Beach, CA 92660
949-718-3600
Scheduling: 949-999-3600 x309

Dr. Warren Kramer’s surgeries are performed under general anesthesia under the direct supervision of an anesthesiologist.

Dr. Sten Kramer’s procedures are performed under light IV sedation/conscious sedation under the direct supervion of an anesthesiologist.

Dr. Warren Kramer III has been in practice for over 18 years. Dr. Sten Kramer has been in practice for over 15 years.

If your films have not yet been reviewed by the Physician or Physician Assistant you are seeing, you should bring them to your appointment. This will avoid any delay in your care.

Cold therapy is a product that consists of a fluid circulating pad that is placed on the patient post-operatively and covers the surgical site. The cold therapy acts as an anti-inflammatory, pain reducer and decreases swelling.

The cold therapy machine is typically used for a period of 3-10 days. Please keep in mind, depending on your insurance coverage, the time period in which the equipment is supplied to you may vary. Please keep a clean t-shirt, paper barrier or thin towel between your skin and the cold therapy pad at all times to avoid thermal burns.

A Continuous Passive Motion (CPM) is a postoperative treatment method that is utilized to assist in the recovery of a joint after surgery. Passive range of motion means that the joint is moved without the muscles in the area being engaged. The CPM machine prevents the tissue around the joint from becoming stiff and decreases scar tissue to form, allowing the joint to maintain its mobility. In surgeries where microfracture or osteoplasty is done it is also used to promote new fibro-cartilage to grow.

A CPM is used when a knee ligament reconstruction is done. The CPM is typically used for a period of 1 to 6 weeks depending on the surgery performed.

A joint is the site of union between bones, generally one that allows motion of the bones. An intra-articular injection is a shot that is administered in between this union.

Bleeding, infection, nerve and vessel damage, stiffness, late arthritis, and the need for further surgery.

Hyaluronic Acid (HA) is a viscosupplementation injection. Hyaluronate is a natural chemical found in high amounts in joint tissue and the fluid that fills the joint. HA (like hyaluronate) acts as a lubricant and a shock absorber in the joint, thereby decreasing inflammation. The shots are administered in a series of 3 to 5 shots depending on the severity of symptoms and the brand chosen. They are given 7 to 10 days apart and the patient is instructed to rest for 24-48 hours after the injection. HA injections can be given every six months but it is important to note that not all insurance companies will approve them at this time increment. As with anything, there are risks that are involved but are rare. These risks include: pain at the injection site, infection, swelling, allergic reaction and bleeding. Please let your health care provider now if you have an allergy to products from birds such as feathers, eggs, and poultry.

This is a procedure done to promote marrow production in areas where articular defects (areas of bare bone) are present. The procedure is accomplished by utilizing a small pick to break through the subchondral bone. This allows for the potential of stem cells to produce a new fibro-cartilage to grow. Typically patients are non-weight bearing for a period of 1 to 8 weeks depending on the area treated.

An MRI arthrogram is an imaging technique that allows visualization of an internal joint that has been injected with a contrast material. This allows better visualization of the structures and tissues within the joint.

Please note that it takes about 20-30 minutes for the study to be completed. Please wear loose fitting clothes for easy exposure to all limbs. Please do not use any lotion prior to the appointment.

• Do not eat for 6 hours prior to procedure
• Do not drink for 3 hours prior to procedure
• You must have a driver (due to IV sedation)
• Discontinue the following medications:
• Discontinue Plavix 7 days before procedure
• Discontinue Coumadin 5 days before procedure
• Discontinue NSAIDs (prescription strength anti-inflammatories) 4 days before procedure
• Discontinue Advil or Aleve 4 days before procedure

You may begin PT 2-3 days after your procedure.

You may begin your medication immediately following the epidural.

The surgery center will call you the day before your surgery to notify you of your surgery time and go over any questions or concerns you have.

No, the office does not check benefits to verify coverage prior to you being seen by the health care provider. It is advised that you verify your health care benefits prior to your appointment to avoid any unexpected charges.

If you need a prescription refill please have the pharmacy fax our office a refill request. Please note, opioid medications are used for pain management. The patient is to request refills from this office only, and understands that early requests for refills might not be honored. Opioid medications are not refilled on the weekend or after hours.