The majority of Dr Neiman's fracture care is provided at Sutter Roseville Medical Center. Dr Neiman is co-director of the Acute Care Orthopedic Service and hence manages the inpatient trauma and general orthopedic care at Sutter Roseville. Dr Neiman provides follow-up care for his Trauma Service patients though Sutter Roseville's Trauma Clinic. The remainder of patients are seen in the Carmichael office.
Orthopedic Trauma Surgeons apply highly specialized fellowship training acquired after orthopedic residency is complete. This training enables us to make decisions about life-threatening injuries and perform surgeries and other urgent orthopedic care to manage problems arising from high-energy trauma. Dr Neiman has been an active, practicing Orthopedic Traumatologist since completing Fellowship training in 2001. Dr Neiman has been co-managing the Orthopedic Trauma and Acute Care Service at Sutter Roseville since 2002.
Post-Traumatic Reconstruction refers to the part of an orthopedic traumatologist's specialty where we help patients regain function after a traumatic injury. The problems may take the form of post-traumatic deformity, failure of fractures to heal (also known as nonunion), and post-traumatic infection.
Orthopedic Traumatologists are also specialists in the treatment of traumatic injuries that have gone wrong. In other words, when an extremity or pelvis injury fails to heal, or heals in a misaligned or crooked position, this could lead to poor function for a lifetime. Our goal as Orthopedic Traumatologists is to bring a patient back to as high a level of function as possible through corrective surgery. This can be a lengthy process with challenges along they way, though every patient's needs are individualized when arriving at an optimum solution.
Dr Neiman does not accept new patients for infection from non-traumatic causes (such as diabetes or neuropathy) unless referred specifically to him through the emergency room at Sutter Roseville during his on-call days.
Dr Neiman performs various surgeries on the adult hip, including hip preservation surgery for impingement and total hip replacement via the direct anterior approach.
Dr Neiman clearly understands the diagnosis and treatment of hip impingement. Dr Neiman has traveled nationally and internationally to attend courses and observe the masters of these techniques, including clinical and surgical observation of Dr Reinhold Ganz of Switzerland, known to be the world's pioneer in advancing the understanding and treatment of hip impingement. Dr Neiman has practiced during the evolution of the techniques, along the way performing surgical dislocations, hip arthroscopy, and mini-open hip debridements.
End Stage Hip Disease is a final pathway for many problems, including osteoarthritis, rheumatoid arthritis, avascular necrosis, and trauma. This causes severe pain and immobility for many patients, and is often unrelieved until hip replacement is chosen as a treatment.
For hip replacement surgery, Dr Neiman prefers to use the Direct Anterior Approach, and has received special training over the years to learn this technique. Dr Neiman first learned the Direct Anterior Approach while obtaining post-fellowship training with Dr Joel Matta in Summer/Fall 2001. Over the years Dr Neiman has gained the necessary experience to perform this challenging approach for primary total hips, resurfacing arthroplasty, and certain hip revision surgeries.
Click for additional information on the Direct Anterior Approach to hip arthroplasty
On occasion Dr Neiman's patients will request general orthopedic care, including evaluation of upper and lower extremity problems.
Dr Neiman is a Trauma Specialist who is also skilled in the many aspects of general orthopedic care. However, in most circumstances, Dr Neiman does not accept new patients with general orthopedic problems, preferring to focus on his specialties of Acute Care/Trauma orthopedics and Adult Hip Disease.
Dr Neiman is not currently accepting new patients for general orthopedic problems, unless referred specifically to him through the Sutter Roseville Emergency Room.
Dr Neiman will see 'new' patients on whom he has operated via the acute care service at Sutter Roseville and who are seeing him for the first time in the outpatient office setting.
The principal members of Orthopedic Trauma Surgeons of Northern California are Christopher Finkemeier MD, Paul Gregory MD, and Rafael Neiman MD.
OTSNC runs a fellowship program for Orthopedic Traumatology, training one fellow per year. This fellow works primarily at Sutter Roseville Medical Center, but spends moderate time in Carmichael at the Mercy San Juan Medical Center. Both centers have a significant trauma load, which enables the fellow to gain experience in all aspects of Trauma and Post-Traumatic Reconstruction during the course of a twelve month fellowship.