Joseph Fetto, MD

  • Specialty: Hip & Knee Reconstruction
  • Language: English
  • Phone: 212-263-7296

About Me

Conditions and Treatments

shoulder injury, hip replacement, joint replacement, knee ligament tear, revision of total hip replacement, ligament reconstruction, knee injury, shoulder replacement, revision of total knee arthroplasty, total knee replacement (TKR), knee surgery
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  • Clinical Associate Professor, Department of Orthopaedic Surgery
Board Certifications
  • American Board of Orthopaedic Surgery - Orthopaedic Surgery, 1980
Education and Training
  • Residency, Hospital For Special Surgery, Orthopaedic Surgery, 1979
  • Fellowship, Hospital For Special Surgery, Sports Medicine, 1976
  • Residency, Metropolitan Hospital, Staff Physician, 1975
  • MD from New York Medical College, 1974

Locations and Appointments

10 Insurance Plans Accepted
  • Cigna POS
  • Cigna PPO
  • Fidelis (Medicaid)
  • Fidelis (Medicare)
  • Fidelis Child Health Plus
  • Fidelis Family Health Plus
  • Oxford Freedom Plan
  • UHC Community
*Insurance listed above may not be accepted at all office locations. Please confirm prior to each visit. The information presented here may not be complete or may have been changed.

530 1st Avenue
New York, NY 10016


Phone: 212-263-7296

Manhattan Medical Hip Replacement PC

51 East 25th Street, 6th Floor
New York, NY 10010


Phone: 212-263-7296

Welcome back!

As a returning patient for this doctor, please schedule an appointment using your MyChart at NYU Langone account.

Learn more about MyChart at NYU Langone.

My Research

I developed a unique new design for total hip femoral components, referred to as the lateral-flare internal collar (L-FIC). It distributes weight over the entire proximal femur by the addition of a lateral extension onto conventional designs. This new design, based on an improved understanding of hip biomechanics, was possible with advanced computer technologies such as three-dimensional finite element analysis, stress optimization programs, and virtual reality systems. These new technologies permitted improvements of the traditional model of hip biomechanics established in 1917 by John Koch, M.D. of Johns Hopkins University, specifically by more accurately and more completely including soft tissue forces. Limited by the technology of his time, Dr. Koch could not include the many muscle and soft tissue forces surrounding the hip. By including these soft tissue factors, particularly the ilio-tibial band (ITB) as a tension band lateral to the femur, I theorized that compression load weighed on the lateral aspect of the proximal femur rather than tension, as predicted by the Koch model.

Mathematical and computer models and laboratory testing have proven this prediction valid. More importantly, the L-FIC design for femoral components, predicted on my model, has been reported in international studies to more effectively distribute weight to the proximal femur than do conventional hip devices. As a consequence, unlike conventional cemented and noncemented total hip replacement (THR) devices which can lose 20% to 40% of proximal femoral bone mass within the first 24 mo following surgery, the L-FIC components have been shown densitometri cally to preserve 95+% of original bone in primary THR surgeries and regeneration of bone in revision THR surgeries where prior bone loss has occurred. This biologic acceptance and response to the L-FIC design holds great promise for total joint replacement and further substantiates the validity of the concept and model.


  • Mechanical failure of metal-polyethylene sandwich liner in metal-on-metal total hip replacement

    Oshima, Yasushi; Fetto, Joseph F
    Journal of materials science. Materials in medicine. 2015 Jan. 26 (1): 5383-5383

  • Phialophora verrucosa as a cause of deep infection following total knee arthroplasty

    Hochfelder, Jason; Fetto, Joseph
    American journal of orthopedics (Belle Mead, NJ). 2013 Nov. 42 (11): 515-518

  • Evaluation of femoral strains with cementless proximal-fill femoral implants of varied stem length

    Arno, Sally; Fetto, Joseph; Nguyen, Nguyen Q; Kinariwala, Neal; Takemoto, Richelle; Oh, Cheongeun; Walker, Peter S
    Clinical biomechanics. 2012 Aug. 27 (7): 680-685

Read All Publications (34)