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Nanoknee™ The Next Evolution

From go-to-market to twenty-one locations. Omnichannel marketing, supported by LeadLoop and Patient Acquisition Coaching contributes to a 44% YoY increase in revenue.

Nanoknee™

Researched and developed by board-certified orthopedic surgeon Dr. Thomas Ferro, who has 30+ years of joint-replacement experience, NanoKnee is a next-generation, technology-enabled approach to knee and hip replacement. Using 3D mapping to plan implants and correct alignment, NanoKnee personalizes procedures to be minimally invasive and muscle sparing, using regional anesthesia. After surgery, most patients walk within about 30 minutes and go home in roughly two hours. Its FDA-cleared implant system supports partial-knee options alongside total knee and hip procedures. With sixteen locations across California and Texas, NanoKnee has performed more than 18,000 joint replacement procedures.

Key Performance Metrics

+44% Annual Revenue

2x Case Volume

+69% Lead-to-Consult Conversions

Nanoknee™

Testimonial

Our partnership with Studio 3 has played a pivotal role in NanoKnee’s growth. We’ve seen a 400% increase in lead generation, significantly improved patient engagement, and a consistent rise in bookings and revenue. What’s made the biggest impact is their ability to blend creativity with strategy, delivering campaigns that not only look great but drive real results. They’ve become a trusted extension of our team.

- Austin Ferro, CEO

Objectives & Approach Digital Marketing for Medical Innovation

Studio 3 began working with Dr. Thomas Ferro in NanoKnee’s earliest days, when he performed knee replacements at a single Southern California location. The engagement was built from the ground up, from brand development to website design to establishing a scalable digital marketing strategy for the practice and product. SEO created early visibility in Los Angeles for knee and joint replacement searches, while paid campaigns on Google and Facebook supported lead generation. S3 Multi-Location Technology and Email Marketing further rounded out the approach. 

Today the brand operates in twenty-one locations across California and Texas, with ten providers trained in NanoKnee’s patented 3D mapping, which underpins the procedure. The approach enables most patients to walk within 30 minutes of surgery and return home in about two hours. In addition to ongoing performance marketing, NanoKnee adopted LeadLoop™ to streamline lead intake, standardize follow-up, and improve new patient conversion. 

Digital Infrastructure for Multi-State

The original NanoKnee website supported one location. As the brand’s vision expanded to revolutionize joint replacement, the site was restructured with S3 Multi-Location Technology to support marketing across multiple cities and states.

LeadLoop for Multi-Location

As digital and traditional advertising grew awareness and generated new leads across multiple markets, LeadLoop was implemented to automate lead capture, centralize intake, and coordinate lead management for brand expansion.

Optimizing Patient Acquisition

To maximize results from LeadLoop, Studio 3’s Vice President for Practice Growth, Andrea Watkins, was engaged to evaluate and optimize in-office practices for lead intake, follow-up, and scheduling protocols, resulting in a 69% increase in the lead-to-consultation booking rate.


Nanoknee Fold


S3 Multi-Location Technology Web Architecture for Twenty One Locations and More

NanoKnee’s website, built with S3 Multi-Location Technology, supports operations across multiple states with integrated, branded location pages and a custom location and provider finder, all optimized for search marketing. The system enables quick market additions to support the entrepreneurial vision.

21 Locations

79% Priority Keywords, Top 3

+61% Web Inquiries, Annual


S3 Lead Management (LeadLoop™), Patient Acquisition Coaching Converting Brand Marketing Into New Patients

Beyond digital channels, NanoKnee runs traditional TV advertising, generating inquiries from a broad range of sources. LeadLoop automates lead capture and source attribution and helps convert interest into new patient consultations. With the help of Studio 3’s VP for Practice Growth and Patient Acquisition Coaching, the average response times to inquiries sped up by 8.4x and the lead-to-consultation conversion rate increased by 69%.

8.4x Response Time

+69% Lead-to-Consultations

+25% Patient Consultations

S3 Lead Management (LeadLoop) Marketing Technology for Multi-Channel

As NanoKnee added locations, LeadLoop centralized lead intake across channels, automating capture, source attribution, routing and follow-up to speed responses and improve consult scheduling.

Consultations Booked / 6 Months Quarters

Patient Acquisition Coaching Converting 69% More Inquiries Into Consultations

Coaching identified call-center gaps, standardized follow-up, and helped restructure the team by adding two hires while phasing out low performers. Response time improved 8.4x and lead-to-consultation rates increased 69%.

Average Response Time / 3 Months Quarters
Lead-to-Consultation Conversion Rate / 3 Months Quarters

Email Marketing, Digital Advertising Bottom Funnel Strategies Maximize ROI

Rounding out NanoKnee’s funnel, digital ads on Google and Facebook reached new prospective patients, delivering 3.8x ROAS. Email marketing re-engaged thousands of prior leads who had not booked. Campaigns recorded open rates 40% above industry norms and double the average click-through rate. Now email remains a core channel to nurture interest, move prospects to consults, and support performance across markets.

3.8x Digital Ads ROAS

2x Email CTR

+40% Email Open Rate

Email Marketing Reengaging Thousands of “Lost Leads”

Complementing outreach via TV, SEO, and Digital Ads, email marketing re-engaged prior inquiries who had not yet converted into new patients.

Digital Advertising 3.8x ROAS on Digital Ads

Targeted Google and Facebook campaigns expanded reach across markets, complementing SEO and driving more consultations with a 3.8x return on ad spend.

Digital Ads ROAS Months

Impact Summary From Go-to-Market to Twenty One Locations

Logo to Multi-State Presence

Starting with the NanoKnee logo and brand system, then the first website and subsequent iterations to build multi-location marketing infrastructure, the digital presence both paralleled and supported the brand’s expansion.

Bottom-Funnel Conversions

Supporting Dr. Ferro and his team’s branded advertising across CBS, NBC, Fox, and other local affiliates, SEM kept NanoKnee front and center when people searched, converting interest into inquiries.

Email for Maximizing Return

Email, often the highest ROI digital channel, kept thousands of prior inquiries warm and nurtured them toward consultations and, ultimately, patients, maximizing return on market efforts.

Leads into Patients

With LeadLoop automation and analytics, plus Patient Acquisition Coaching to help the team get the most out of the software and its intake, follow-up, and conversion practices, the number of leads scheduling consultations increased 69%.

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