First State Orthopaedics has built a multispecialty practice devoted to meeting the needs of our patients. Our team of medical professionals is specially trained to treat a wide range of conditions and injuries that occur in adolescence, middle age, and later adult years.
First State Orthopaedics has built a multispecialty practice devoted to meeting the needs of our patients. Our team of medical professionals is specially trained to treat a wide range of conditions and injuries that occur in adolescence, middle age, and later adult years.
First State Orthopaedics has built a multispecialty practice devoted to meeting the needs of our patients. Our team of medical professionals is specially trained to treat a wide range of conditions and injuries that occur in adolescence, middle age, and later adult years. At our state-of-the-art facilities, we provide patients with the latest diagnostic, surgical, and nonsurgical treatments available. Our specialties include: general orthopaedics and fracture care, sports medicine, trauma care, shoulder, hand and elbow, hip and knee, foot and ankle, spine, and pain management and rehabilitation. We serve patients from 12 convenient locations in Delaware (Dover, Milford, Smyrna, Wilmington, Newark) and Pennsylvania (West Grove).

Adam Santoro, D.O.
Dr. Santoro was cordial and enthusiastic. I found him knowledgeable and helpful.
Deborah Hughes, PA
I’ve known De Hughes since 1999 and she has always been very nice and very professional. I’m very happy with her.
Drew Brady, M.D.
Professional and friendly. He did an amazing job on my heel. A plate and 12 screws, thanks to him I don't even need different size shoes. I can't thank him enough and the staff there. Everyone has been great.
Irene Mavrakakis, M.D.
One stop shopping!
Yu Chui, D.O.
I’m waiting for a response about my back brace
Jeremie Axe, M.D.
Great staff!! Great doctor! Shoulder replacement is going very well and I would recommend Dr Axe to anyone!
David Sowa, M.D.
Fast and friendly
Scott Newcomb, D.P.M.
Amazing doctor
Alex Mikhail, PA
Really friendly and professional. You are lucky to have him on your staff.
David Sowa, M.D.
Very understanding what my problem was.