One Strong Team. Two Convenient Locations. Outstanding Orthopaedic Care. 

 The orthopaedic specialists of AIMM (Alliance Institute of Musculoskeletal Medicine) and the orthopaedic practice of Roger Palutsis at the Carnation Clinic have combined to form The Orthopaedic Group of Alliance Community Medical Foundation (ACMF).


This expanded orthopaedic team operates at two locations – the AIMM group comprised of Dr. David Mungo, Dr. Michael Necci, Dr. Ryan Ficco and physician assistants, Chris Boatwright and Brant Miller will continue to operate at 1900 S. Union Ave. Dr. Palutsis and his staff will continue to operate from the Carnation Clinic at 1401 S. Arch Ave. 


Dr. David Mungo, M.D. graduated from medical school from the University of Rochester (NY).  He completed his internship and residency at Strong Memorial Hospital in Rochester. He is Board Certified by the American Board of Orthopedic Surgery.  He was one of the original physicians in the formation of the Alliance Community Medical Foundation.  Dr. Mungo specializes in the Oxford Partial Knee replacement surgery, the number-one knee replacement surgery in the world. He also works with patients who require hip and shoulder replacement, sports medicine and general orthopedics.

Dr. Michael Necci, D.O. graduated from medical school from Des Moines University (IA) He completed his internship and residency at Summa Western Reserve Hospital in Cuyahoga Falls, Ohio.  He is Board Certified by the American Osteopathic Board of Orthopaedic Surgeons.  Dr. Necci joined Dr. Mungo in 2010 to form AIMM Orthopaedics.  Dr. Necci specializes in muscle sparing anterior hip replacement surgery, a minimally invasive surgery that reduces tissue damage and allows for a quicker recovery than traditional hip replacement surgery.  He performs a variety of general orthopaedic surgeries.

Dr. Roger Palutsis, M.D earned his medical degree from Rush Medical College in Chicago (IL) and completed his internship at W. Suburban Hospital in Oak Park (IL) and residency at Northwestern University in Evanston (IL).  He earned a Fellowship from the Hughston Sports Medicine Program in Columbus (Ga.).  During his career, he has served as a physician for various athletic teams at all levels. An active part of the Alliance community for 24 years, he has served as team physician and orthopaedic surgeon for Mount Union, winners of 12 football national championships. He is Board certified by the American Board of Orthopaedic Surgery.  His specialties include the minimally invasive, two-incision hip replacements and custom knee implants using 3-D imaging.

Dr. Ryan Ficco, M.D earned his medical degree from The Ohio State University in Columbus, Ohio.  He completed his internship and residency at Jackson Memorial Hospital in Miami, Florida.  He earned a fellowship in Orthopaedic Trauma Surgery from Erlanger Health System and the University of Tennessee-Chattanooga. Before coming to the Alliance area, he served as orthopaedic traumatologist at Advanced Orthopaedic Associates, Wesley Medical Center in Wichita, Kansas. He is the author of numerous publications and has been a frequent presenter on sports injuries.

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