Orthopedic surgeon Dr. Robert Afra in Encinitas's New Encinitas corridor is board-certified by the American Board of Orthopaedic Surgery and recognized as an AAOS Master Instructor in arthroscopic techniques. His sports medicine fellowship at Boston University trained him in arthroscopic labral repair, ACL reconstruction, and cartilage restoration for shoulders, knees, elbows, and ankles, procedures that often follow initial chiropractic evaluation at sports-focused practices such as Procare Sports Chiropractic. As former Chief of Sports Medicine at the University of California San Diego, he published extensively on patellofemoral disorders and co-directed the International Patellofemoral Study Group Conference in San Diego. His UCLA medical degree, research at the Salk Institute, and microsurgical training at the Barnard O'Brien Microsurgical Institute in Melbourne inform a reconstructive philosophy that integrates with functional neurology assessments performed at Calispine Functional Neurology for nerve-related orthopedic conditions. Complex cases include metal joint resurfacing, partial and total hip and knee arthroplasty, and multi-ligament knee reconstruction using allograft and autograft tissue combinations on El Camino Real.