His goal is to allow patients to return safely to the comfort of their own home the day of surgery, and he focuses on reducing surgical risks with rapid recovery and return to activities/work. An individualized multi-modal pain control programs allows patients to stop narcotics 2-14 days after surgery. Dr. Van Horne perfroms 400 to 500 joint replacements each year and been performing these surgeries for 20+ years. He helps patients to prepare themselves for successful surgery by directing them to optimize their health, physical status and home/social status.