Exceptional,
personalized care

Consistent team of orthopedic specialists whose sole responsibility is to get you back to life as soon as possible

A team of hand-picked orthopedic leaders

Ready to serve you

 
 

Our dedicated staff is specially trained to provide top-quality, comprehensive clinical care for patients undergoing joint surgery. Each has been hand-picked for their positive attitude, compassion, and desire to provide outstanding service. In addition to our surgical, imaging, and therapy team members, our surgical coordinators assist with pre-op and post-operative care. We understand that your success is a collaborative effort between you, your family/caregiver, and our team.

Our team has made a concerted effort to review and improve the key areas that can affect the quality and safety of you and your family’s care. Our commitment ensures that our team will always:

  • Provide a safe environment for your care

  • Educate you on the risks and options for your diagnosis and treatment

  • Evaluate your condition—before, during and after surgery

  • Minimize your risk of adverse events in the post-op period

  • Always have a plan for emergency situations

W H A T P A T I E N T ’ S A R E S A Y I N G

  • “Dr. Kerina came highly recommended by many of my friends. They liked him very much. After going through this process, I could see why. Dr. Kerina makes you feel very comfortable. The nurses there are amazing. He has done a great job handpicking his staff. I’ve never ran into anyone there I didn’t like.”

    Marion L., 77.5 years, Complete knee replacement patient

The providers

Dr. Thomas McCoy, M.D.

Chief Medical Officer & Medical Director

“I went into medicine to help the least, the last, and the lost.”

Dr. McCoy has performed more than 24,000 hip and knee replacements throughout his career, Dr. McCoy is arguably one of the most experienced practicing orthopedic surgeons in the country. He is well known and respected amongst his peers, having been one of the founders of the largest private orthopedic practice in the country, OrthoCarolina, and trained more than forty hip and knee surgery fellows, many of whom have gone on to establish themselves as leaders in the field of orthopedics.

  • Dr. McCoy’s introduction to medicine occurred early on, since he was born into a family headed by two physicians. When he was three years old his life was impacted by the illness of his older brother and hero Jody. Dr. McCoy recounts that “Dad took me to the hospital and told me to wait in the car since children were not welcome in the hospital. He quickly vanished through the tall entry doors of the hospital. When you are three, you don’t listen very well. I quickly followed. I found a stairwell and walked from floor to floor in an attempt to find and help my brother. He was my first patient.”

    Watching his parents, he came to understand early in his life that in medicine “You have to love your calling and your patients, enough to put up with all that the profession demands of you.”

    Dr. McCoy attended Williams College in Massachusetts, where he states, “I quickly discovered that there were lots of people smarter than me in the world. As I matured so did my work ethic and insatiable curiosity.” He went on to medical school at the University of North Carolina at Chapel Hill. This was followed by general surgery residency at Roosevelt (Columbia Medical School Hospital) in New York City and culminated in an Orthopedic Surgery Residency at the Hospital for Special Surgery (also in NYC) for his orthopedic training. Dr. McCoy trained under a number of the pioneers and giants in hip and knee replacement surgery while they were in their prime. This drive to innovate has remained with him till today.

    Dr. McCoy joined a small five-surgeon orthopedic group in Charlotte, NC and under his leadership, the practice grew into OrthoCarolina one of the largest orthopedic groups in the country numbering 125 surgeons. During his tenure the OrthoCarolina hip and knee fellowship was started and became one of the country’s most sought-after joint replacement fellowships, graduating more than 40 US fellows and countless international fellows to date. Many of these fellows now train doctors themselves, as surgeons at institutions such as the Mayo and Cleveland Clinics. As Dr. McCoy often says “Knowledge, like love, is only worth something when you give it to others.”

    During his career, Dr. McCoy has published numerous peer-reviewed articles related to hip and knee replacement while also performing over 10,000 hip and 14,000 knee replacements.

    He has designed instrumentation for primary and revision total knees and hips. He also designed and patented one of the first instrumentation systems designed to lower the risk of Total Hip replacement dislocation.

    He has championed kinematic alignment total knee replacement and is the first surgeon to introduce this tissue-sparing total knee technique to Lake, Sumter and Marion counties.

    Dr. McCoy has lectured and trained surgeons extensively around the world and across the US. He played a pivotal role in the development of the Quadra-P total hip stem with his European colleagues at Medacta International, becoming the first surgeon to implant the stem in the United States and the first surgeon in the world to implant the Quadra-P cemented stem.

    “The last few years have been a time of amazing innovation in total hip and knee replacement surgery.” The drive to deliver value in total joint replacement has led to the development of not only alternate payment models for total knee replacements but also alternate facilities to deliver the care. Dr. McCoy and Dr. Kerina of the UNOVA Hip & Knee Center are national thought leaders in outpatient joint replacement surgery since the Medicare database shows that the safest place to have a total joint replacement is in a free-standing surgery center and the safest place to recover is in the safety of your own home. At UNOVA Hip & Knee Center Dr. McCoy specializes in Muscle and tissue sparing surgical techniques such as the direct anterior total hip and the kinematic alignment total knee, non-opioid/narcotic anesthesia and rapid recovery mobilization.

 

Dr. Jeffrey Mandume Kerina, M.D.

Orthopedic, joint replacement surgeon

“It is imperative that we do all we can to ensure our patients’ safety, while delivering the best possible outcomes to maintain both their health and quality of life.”

Using an individualized, patient-centered, research-based approach, Dr. Kerina focuses on improving both the outcomes and quality of life of his patients. He also works to reduce waste in the delivery of care—lowering both the cost of care and preserving resources.

  • Dr. Kerina is a fellowship-trained, board-certified senior surgeon at UNOVA Hip & Knee Center. He has been a private practice orthopedic surgeon in Lake county since 1993, developing a successful hip and knee practice over the years. Dr. Kerina specializes in minimally invasive hip and knee replacement surgery with special expertise in partial knee replacement and outpatient joint replacement surgery.

    Dr. Kerina was born in New York City and spent his early years traveling between Brooklyn, NY, and Southern and Western Africa. His father was petitioning the United Nations to pass resolutions pertaining to the independence of Namibia from South Africa, which was finally achieved on March 21, 1990.

    Dr. Kerina attended Achimota Secondary School in Accra, Ghana and graduated High School from Saint Ann’s School in Brooklyn, New York.

    He graduated from Amherst College in Amherst, Massachusetts receiving his bachelor’s degree, after double majoring in Biology and African American studies. He went on to receive his medical degree from SUNY Downstate Medical Center, where he also completed his Orthopedic residency and served as Chief Resident in his final year.

    Dr. Kerina then went on to complete both the prestigious University of California, San Diego Joint Replacement Fellowship under Dr. Richard Coutts, the then president of the Orthopedic Research Society (ORS), and followed this with the Texas Back Institute Spine Surgery Fellowship under Dr. Stanley Gertzbein.

    It was during his fellowship training in joint replacement that Dr. Kerina was introduced to clinical research in orthopedics. What Dr. Kerina took from that experience was that it was not only what you did to a patient but also where and how you did it that could have a significant impact on a patient’s clinical outcome. As Dr. Coutts often said, “the most pertinent information always comes from the patients themselves, not only in what they say but in how and why they respond to your interventions as they do.”

    Dr. Kerina has pioneered minimally invasive outpatient joint replacement surgery since 2005, performing the first outpatient Unicondylar Knee replacement in Lake county in 2008 and the first outpatient Total Knee replacement on a Medicare patient in Florida in January of 2020. He is regarded as a national and international thought leader in outpatient joint replacement surgery having developed, in a partnership with Zimmer Inc., the first nationally recognized outpatient arthroplasty program.

    In 2014, Dr. Kerina gave the first national keynote lecture on outpatient Joint replacement surgery at the renowned Harvard Arthroplasty Course, the oldest and most comprehensive joint replacement symposium for orthopedic surgeons in the country.

    As a design surgeon, Dr. Kerina has a unique perspective on development. “You cannot develop any meaningful product in a vacuum. In biomedical development, you must first start with the patient and the condition. Identify which patients with the condition you are seeking to impact and why. Develop an objective means of identifying or selecting which patients will benefit from the intervention. Identify or develop the procedure or technique to address the condition. You can then develop the instruments to facilitate the technique and finally the implants to tie the complete process together.”

    As a design surgeon in partnership with Medacta International, Dr. Kerina has developed many surgical techniques, instruments and implants that have improved patient outcomes and will continue to do so for years to come. Dr. Kerina is honored to serve as a lecturer, proctor and teacher to surgeons both nationally and internationally on both minimally invasive knee surgery and outpatient joint replacement surgery. After visiting Dr. Kerina in Lake County, a group of French surgeons were instrumental in changing their national legislation in order to initiate the first outpatient orthopedic surgery programs in France in 2016–17.

    In partnership with Medacta International, Dr. Kerina’s innovative concepts on knee arthritis classification and partial knee replacement technique, were instrumental in the development of the MOTO Medial partial knee replacement. The first medial anatomic partial knee replacement linked to the innovative Balanced Aligned Resection surgical technique. This implant received FDA approval in January of 2017 and has since been implanted in thousands of knees by surgeons all over the world. This was followed by the development of the MOTO Lateral partial knee replacement which received FDA approval in January of 2019, and finally the MOTO Patella-femoral resurfacing system, thereby completing the MOTO Unicompartmental replacement platform.

    After migrating to the minimally invasive Direct Anterior Total Hip replacement Dr. Kerina and his partner Dr. Thomas McCoy have developed the first Opioid free Anesthesia and recovery program for total hips in the country, which led to the first outpatient Total Hip Replacements in Lake, Sumter and Marion counties. Dr. Kerina feels that “Witnessing our patients go through the process has been extremely enlightening, not only for us as surgeons, but for our patients who did not think it was possible, as well. The joy that this has brought back to their lives alone, is enough to stimulate us to continue to strive constantly for ways to improve our patients’ experience and outcomes. These are the advances that truly move healthcare delivery forward.”

    Dr. Kerina believes “We are entrusted to take care of a very special segment of the population here in Central Florida, our seniors over the age of 65 years old. It has been shown time and again that the safest environment for recovery is in the safety of our own homes. Especially in today’s uncertain times when dealing with the unique challenges we are all facing, it is imperative that we do all we can to ensure both, our patients’ safety and the delivery of the best outcomes possible. We must never lose our drive to innovate in order to continue to warrant this trust.”

    Dr. Kerina has in the past served as Chief of orthopedics as well as credential committee chair for a number of years at Leesburg Regional Medical Center where he continues to operate. He also operates out of TLC Outpatient Surgery and Laser Center in Lady Lake. Since moving with his family to Lake county in 1993, Dr. Kerina has served the communities of Lake, Sumter and South Marion counties his whole professional life, while raising his two sons and daughter with his wife.

OUR PROMISE

 We promise to give you outstanding personalized care by addressing your needs while striving to meet our shared expectations.

Our commitment to patient care

At UNOVA Hip & Knee Center, we believe the key to better joint surgery outcomes includes a strong commitment to superior education—for both you and your family.

 

Coordinated care plan

Knowing what to expect at each step goes a long way toward reducing stress and anxiety, as well as preparing you for a smooth recovery.

To help you and your family or coach through the process, we have put together a seamlessly coordinated care plan outlining all the action steps in the pre and post-op periods. This plan will guide you and your family through and prepare you for what to expect before and after joint replacement surgery.

 

Advanced techniques and procedures

Our team understands the potentially devastating impact that degenerative arthritis can have on you and your family’s quality of life. The team is experienced at performing the most advanced techniques and procedures for joint replacement surgeries including:

  • Outpatient Total Hip/Total Knee Replacement

  • Opioid/Narcotic-Free Anesthesia & Recovery

  • Direct Anterior Approach for Total Hip Replacement

  • Kinematic Alignment for Total Knee Replacement

  • High-Performance Partial Knee Replacement