David Knesek, D.O.

Orthopedic Surgeon
Joint Replacement Specialist

David Knesek graduated from Pontiac Notre Dame Preparatory as Co-Valedictorian in 1999.  He then graduated from University of Notre Dame, Cum Laude, in 2003 with a major of Science Business.  He completed medical school at Michigan State College of Osteopathic Medicine (MSUCOM) graduating in 2008.  He completed his orthopedic surgery residency through the St. John Providence Hospital System – Macomb/Oakland campus in 2013 and then went on to a complete a fellowship in Adult Joint Reconstruction at the University of Chicago in 2014 with Dr. Henry Finn with a heavy focus on complex primary and revision total knee and hip arthroplasty.  

He is a board certified orthopedic surgeon who has practiced in southeast Michigan since 2014, working closely with Ascension St. John orthopedic residency program along-with the DMC orthopedic residency and  DMC Adult Reconstruction Fellowship program.  He is also an associate clinical faculty instructor for MSUCOM. He is active within the American Osteopathic Academy of Orthopedics lecture series speaking/presenting on topics ranging from painful total knees to management of total hip and knee infections.  Dr. Knesek was recognized by his peers as a Top Doc in Hour Detroit Magazine 2018-Present.

Dr. Knesek’s practice is focused on hip and knee osteoarthritis and he also treats a variety of general orthopedic conditions including fracture care and sports injuries.  In addition to his skill in minimally invasive hip and knee replacement, he has quickly established a reputation for expertise in complex joint reconstruction and is frequently asked by other surgeons around the state to evaluate patients who have had problematic hip and knee replacements.  As a result, a significant portion of his practice focuses on revision hip and knee replacements treating conditions including stiffness, instability, chronic pain, infections, or periprosthetic fractures. Dr. Knesek was recruited to Ascension Providence, in part, to assist the launch of their Mako Robotic-assisted hip and knee replacement program as he had years of experience with robotic replacement at DMC.  He is the highest-volume joint replacement surgeon at Ascension Providence hospitals.

He is married to Michelle Legacy, DO, a dermatologist in West Bloomfield. He has two children, Madison and Jameson.  He is passionate about exercise including running, peloton, yoga and advocates for self wellness. 

Areas of Expertise Include:

  • Joint preservations—Platelet-rich plasma, Stem Cell therapy
  • Treatment of hip and knee osteoarthritis and inflammatory arthritis
  • Treatment of Avascular Necrosis of the hip and knee
  • Minimally Invasive Joint Reconstruction
  • Primary Knee Arthroplasty – MAKO robotic trained
  • Revision Knee Arthroplasty – MAKO robotic trained
  • Primary Hip Arthroplasty – Anterior Hip Approach
  • Revision Hip Arthroplasty
  • Management and Treatment of periprosthetic Hip and Knee Infections
  • Management and Treatment of periprosthetic Hip and Knee Fractures
  • Limb salvage hip and knee surgery
  • General Orthopedic Trauma and fracture management
  • General Orthopedics including Foot/Ankle, Hand/Elbow and Shoulder injuries
  • Sports Medicine Injuries


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-Self-proclaimed aficionado of pairing any food/wine combo with the appropriate scented candle
-Thinks Lou Holtz walks on water
-Always willing to lend out hair product to those in need in the Mens OR Locker Room