Dr. Mileto received his MD from New York Medical College in 2010 and completed his residency in orthopedic surgery at Maimonides Medical Center in Brooklyn. Following his training in general orthopedics, he went on to complete a fellowship in adult reconstruction at the Hedley Orthopedic Institute in Phoenix, AZ. Under Dr. Anthony Hedley, a preeminent leader in the field of arthroplasty, Dr. Mileto learned to perform the most complex primary and revision joint surgeries in orthopedic surgery.
Dr. Mileto's practice focuses on complete care of the musculoskeletal system with particular emphasis on those conditions that require joint replacement of the hip, shoulder, or knee. Dr. Mileto strives to improve the lives of his patients and understands the importance of easy patient recovery. Whenever possible, Dr. Mileto uses minimally invasive surgical techniques with muscle-sparing approaches to ensure that his patients can leave the hospital and resume normal activities immediately after surgery. In addition, he uses cutting-edge technology, including custom patient-specific guides and robotics, to improve surgical precision and outcomes. Prior to surgery, Dr. Mileto always exhausts all conservative, nonoperative options for his patients' conditions, including medication, physical therapy, braces, Shockwave therapy, and the latest biologic options, such as PRP and stem cell therapies.
"This was my first visit and experience with this practice and I had no knowledge other than what I was able to learn online before my appointment. I arrived physically compromised and everyone was wonderfully accommodating, pleasant, and caring. Extremely great experience all around from the lovely appointment scheduler at initial and follow-up call, to the greeter/triage at entrance, front desk, x-ray, and, PA, and medical assistant. Dr. Mileto is a very patient listener was most cordial, thorough, and very clear in explaining his findings and recommendations. I left his office not only feeling cared for but cared about. As a longtime career health care administrator who knows what good care and treatment should be like, I was impressed and am personally very appreciative of the care I received! I gladly give my enthusiastic best recommendation." -
- General orthopedics
- Adult joint reconstruction
- Primary and revision hip, shoulder and knee replacement surgery
- East Setauket
Dr. Mileto has subspecialty training in hip, shoulder, and knee replacement. He performs both primary and revision surgery, including complex cases resulting from dysplasia, trauma, bone loss, and deformity.
Whenever possible, Dr. Mileto utilizes minimally invasive muscle sparing approaches. In total knee arthroplasty, the surgery can usually be performed using the subvastus approach which does not include cutting the quadricep muscle as in traditional total knee replacement surgery. This allows much faster recovery of strength and range of motion after surgery.
In total hip replacement, Dr. Mileto is proud to be one of the few doctors in New York offering the direct superior approach to the hip. With this technique, the hip is approached without detaching any of the major muscles about the hip which allows immediate ambulation after surgery. Additional benefits of this approach are that there is no limitation on which implants can be used, the scar is more cosmetic, and it can be immediately converted to a traditional approach to deal with any difficult situation.
In addition, Dr. Mileto utilizes the latest technologies to enhance surgical outcomes. These include patient specific instrumentation and robotic surgery. These advances help place the implants in the optimal position. Robotic surgery is particularly helpful for partial knee replacements, which must perfectly match the patient's anatomy to function correctly.
COMMONLY TREATED CONDITIONS
- Hip, shoulder, and knee arthritis
- Meniscus tears
- Rotator cuff tears
- Muscle and tendon injuries
- Carpal tunnel syndrome
- Trigger finger
- General orthopedics