Department of Orthopaedic Surgery 2010-2011 Annual Report

Department of orthopaeDic Surgery

2010-2011 AnnuAl RepoRt

While quality efforts permeate Hospital for Special Surgery’s environment of care, in the operating room a

surgical safety checklist forms the foundation of a new quality imperative. Before any incision is made, all

members of the surgical team stop what they’re doing while critical questions are asked and answered. In

the foldout that follows, we take you into the operating room of Dr. Douglas E. Padgett, Chief of the Division of

Adult Reconstruction and Joint Replacement, during a total knee replacement surgery. The key to a successful

patient outcome involves attention to the most minute details and a commitment by each member of the team

to the process. For more on the Hospital’s quality initiatives and surgical safety checklist, see page 6.

The QualiTy imperaTive

Hospital for Special Surgery 535 East 70th StreetNew York, NY 10021

212.606.1000www.hss.edu

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Department of orthopaeDic Surgery 2010-2011

The 2010-2011 Annual Report of the Department of Orthopaedic Surgery is produced by Education & Academic Affairs of Hospital for Special Surgery.

Laura Robbins, DSWSenior Vice PresidentEducation and Academic AffairsDesignated Institutional Officer, GME

Marcia EnnisDirectorEducation Publications and Communications

Linda ErranteRobert PryzgodaManaging Editors

Judy Pommett Associate Editor

Ali WilcoxArt Director

Robert EsselMajor Photography

Brad HessContributing Photography

about hoSpital for Special Surgery

Founded in 1863, Hospital for Special Surgery (HSS) is a world leader in orthopaedics, rheumatology, and rehabilitation. HSS is nationally ranked No. 1 in orthopaedics, No. 2 in rheumatology, and No. 19 in neurology by U.S.News & World Report. HSS has also received Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center and has one of the lowest infection rates in the country. For the last three years HSS has received the HealthGrades Joint Replacement Excellence Award. A member of the NewYork-Presbyterian Healthcare System and an affiliate of Weill Cornell Medical College, HSS provides orthopaedic and rheumatologic patient care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center. All Hospital for Special Surgery medical staff are on the faculty of Weill Cornell Medical College. The Hospital’s research division is internationally recognized as a leader in the investigation of musculoskeletal and autoimmune diseases.

© 2011 Hospital for Special Surgery. All rights reserved.

A surgical time out is conducted before the surgeon makes the incision. At this time, a final check is conducted of the surgical site, radiological studies, instrument count, and whether antibiotics were given within the last 60 minutes, among other important components of the surgery.

Before surgery, Anne Gallagher is visited by anesthes- iologist Dr. Jacques T. Ya Deau, who reviews the type of anesthesia she will have. Nearly all joint replacements are conducted under regional anesthesia. This technique, pioneered at HSS, has been shown to reduce bleeding, minimize postoperative pain, shorten surgical time, and lessen the risk for surgical infection by 50 percent.

Dr. Ya Deau and an OR nurse conduct the anesthesia time out to confirm the patient’s name, procedure, type of anesthesia, and if the patient has any allergies. They also verify that the surgical site has been signed and that blood products are available if needed.

A nurse secures Dr. Padgett’s hooded protective suit, which controls sources of environmental contamination and airborne bacteria – a major cause of postoperative infections – by expelling the surgeon’s exhaled air outside of the operating field.

Surgical Safety checkliSt: at a glance

Postoperative infection is one of the most serious complications of total joint arthroplasty. Administering antibiotics prophylactically one hour before surgery significantly reduces the opportunity for the develop-ment of joint sepsis.

The surgical team conducts an implant time out – a pro-tocol unique to HSS – to validate that the correct implant system is being used. The box containing the sterile implant is projected on a large screen monitor so that the information can be clearly visualized and read aloud.

Scrubbing is critical to the aseptic process to minimize patient exposure to microorganisms and the potential for surgical site infections.

The Hospital’s orthopaedic surgeons operate in a pristine environment. Each one of the 29 ORs is equipped with a laminar air flow system, which contributes to the reduction of airborne bacteria, and a Plexiglas enclosure that helps to maintain an ultra-sterile operating field.

Mrs. Gallagher is taken to the operating room for knee replacement surgery to be performed by Dr. Douglas E. Padgett, as OR team members finalize room preparations, including confirming needed instrumentation, implants, and supplies.

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212.606.1000www.hss.edu

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Contents

2 A Message from the Surgeon-in-Chief

6 The Quality Imperative

9 Adult Reconstruction and Joint Replacement Division Hip Service Knee Service Surgical Arthritis Service

12 Foot and Ankle Service

13 Hand and Upper Extremity Service

14 Limb Lengthening and Complex Reconstruction Service

15 Metabolic Bone Disease/Musculoskeletal Oncology Service

16 Orthopaedic Trauma Service

17 Pediatric Orthopaedic Service

18 Scoliosis Service

19 Spine Service

20 Sports Medicine and Shoulder Service

22 Department of Biomechanics

24 Professional Staff

25 Affiliations

26 Endowed Chairs, Professorships, and Fellowships

27 2010-2011 Notable Achievements

32 2010-2011 Selected Publications

52 Department of Orthopaedic Surgery 2010-2011 Graduating Residents and Fellows

54 Department of Orthopaedic Surgery – Contact Information

On the cover: Hospital for Special Surgery was among

the earliest hospitals to institute the sign-

ing of the surgical site. The practice was

implemented to avoid the “never event” of

operating on the wrong side. At HSS, only

the patient’s attending surgeon can sign

the site.

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I am pleased to bring you the 2010-2011 Annual Report of the Department of Orthopaedic Surgery. With recognition to each of our Service chiefs and their members, by all measures, the Department real-ized an exceptional year of accomplishments. Counted among them are the strengthening of quality initiatives within our orthopaedic services, a noteworthy surge in volume, recruitment of several new physicians, ongoing construction to accommodate our growth in patient care activities, and notable achievements in our research and academic sectors.

Maintaining Clinical Excellence In 2010, our orthopaedic surgeons performed more than 25,000 surgical procedures. Inpatient admissions grew by 4.4 percent over 2009 and ambulatory surgeries increased by 3.8 percent. An emphasis on developing clinical pathways, particularly for patients undergoing hip and knee replacement surgery, has reduced length of stay enabling us to accommodate clinical volume that continues at near capacity.

Of particular note is the development of a new perioperative care system for patients under the leadership of Mary K. Crow, MD, Physician-in-Chief and Chair of the Division of Rheumatology. Dr. Crow’s phenomenal effort in this area is enabling us to implement the new system as early as fall 2011. A major initiative, the perioperative care system will improve communication among key services involved in the treatment

of surgical patients and help address quality and safety issues, from preoperative medical assessments to postoperative follow-up. A heightened attention to comorbidi-ties that may increase operative risk, infection control, and prevention of blood clots, to name a few, will make a tremendous difference in patient outcomes.

Dr. Crow has also been directing plans for the Hospital’s new Step Down Unit, which will open up recovery beds in the Post Anesthesia Care Unit (PACU) and provide a better transition of care for patients undergoing complex spinal, trauma, and arthro-plasty surgery from the PACU to an inpatient nursing unit.

In April 2011, Scott W. Wolfe, MD, who ably led the Hand and Upper Extremity Service, stepped down as Chief. Dr. Wolfe is succeeded by Edward A. Athanasian, MD, a member of the Service and Chair of the Resident Curriculum Committee. Dr. Wolfe is establishing a Brachial Plexus and Complex Nerve Injury Center, which will be only the third program of its kind in the country. The Center will serve patients with these catastrophic injuries and create a clinical and basic research component in collaboration with Weill Cornell Medical College. Joining Dr. Wolfe in this endeavor is Steve K. Lee, MD, who was previously Associate Chief of the Hand Surgery Division at NYU Hospital for Joint Diseases Orthopaedic Institute.

In 2010, the Department of Orthopaedic Surgery welcomed Lawrence V. Gulotta, MD, who joined the Hospital’s Sports Medicine and Shoulder Service after completing his residency and a sports medicine fellowship at HSS, and an international fellowship in the management of complex shoulder reconstructions. Dr. Gulotta is organizing a clinic in this area and assisting Russell F. Warren, MD, as a member of the New York Giants medical staff. Ernest L. Sink, MD, an expert in acetabular osteotomy and open treatment of hip impingement conditions in children and adolescents, joined our Pediatric Orthopaedic Service from Denver Children’s Hospital in February 2011. Dr. Sink has also been appointed Co-Director of the Center for Hip Preservation.

amessagefromthesurgeon-in-Chief

Thomas P. Sculco, MD

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Supporting Our Growth Over the past five years, HSS continued an upward trend in the number of patients seeking musculoskeletal care with a concurrent escalation in surgical cases. As a result, the Hospital was outgrowing its ORs, recovery rooms, and inpatient units. To ensure that our infrastructure could accommodate this growth, we began a multi-phase transformation of our facilities several years ago. By 2012, we will have two additional patient care units, 35 operating rooms, 205 licensed inpatient beds, and new medical and rehabilitation facilities for pediatric patients.

In 2010, we celebrated the opening of the newly constructed Center for Hip Preservation on the first floor of the Caspary Research Building, providing patients with a coordinated treatment experience offered in a single location by the Center’s multispecialty experts. This summer, we opened a new Ambulatory Care Center offsite on East 72nd Street, and we will soon open our new building on East 75th Street to house facilities for physiatry and pain management programs and for addi-tional MRI, X-ray, and procedure rooms. This year will also see the new 7,000-square-foot CA Technologies Rehabilitation Center at the Lerner Children’s Pavilion come to fruition. The Center will provide a spacious physical therapy gym for children and adolescents, as well as dedicated therapy rooms for working on fine motor skills and for early intervention programs. In 2012, we will open the new Lerner Children’s Pavilion, a child- and family-friendly hospital within a hospital.

Pursuing High-Level Research The Hospital’s Research Division is thriving. In 2010, the National Institutes of Health awarded our scientists multi-year grants totaling $61.5 million, and increased its funding to us by 20 percent over 2009 levels. As of December 2010, Special Surgery’s annual operating research budget was $33 million, supported by the Hospital, NIH, foundations, industry, and generous donors.

I am pleased to report that the National Institute of Arthritis and Musculoskeletal and Skin Diseases awarded RO1 grants to three HSS research teams in 2010. Mathias P. Bostrom, MD, a senior clinician-scientist in the Musculoskeletal Integrity Program, will receive more than $1.5 million over four years to study mechanisms of bone integration in joint replacement surgery; Suzanne Maher, PhD, an assistant scientist in the Tissue Engineering, Rejuvenation and Repair Program, received nearly $1.5 million for a study of joint tissue substitutes to be used in a broad range of arthroplasty patients; and Timothy M. Wright, PhD, Director of the Department of Biomechanics, along with orthopaedic surgeons Robert N. Hotchkiss, MD, and Mark P. Figgie, MD, Chief of the Surgical Arthritis Service, obtained a grant of nearly $1.2 million for a three-year study aimed at understanding the biomechanical, patient, and surgical factors that affect the performance of elbow replacements.

Strengthening Academic Endeavors We continue to critically review our orthopaedic residency training program and develop strategies for its enhancement, including the establishment of a web-based resident portfolio, restructuring of PGY level mentor assignments, and better integration of quality and safety issues into the curriculum. With ongoing mentorship provided by Robert G. Marx, MD, MSc, FRCSC, Chair of the Resident Research Committee, resident research productivity has progressed. In addition to implementing a grant writing workshop, we developed a mock grant review. In 2010, residents submitted 18 research grants, presented 17 resident

* Surgical volume does not include surgeries performed by HSS orthopaedic surgeons at NewYork-Presbyterian/Weill Cornell and New York Hospital Queens

Department of Orthopaedic Surgery2010 Patient Care Volume

l13,454 TotalInpatientSurgeriesl11,595 TotalAmbulatorySurgeriesTotalSurgicalVolume:25,049*TotalPatientVisits:252,467

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In the field of orthopaedic surgery and the development of knee implants, John N. Insall, MD, is among the most famous. In the early 1970s, Dr. Insall, along with Chitranjan S. Ranawat, MD, and Peter S. Walker, PhD, developed the first total knee replacement designed at HSS. The implant was considered revolutionary, replacing for the first time the existing hinge-type implants with a more anatomically correct joint design. In 1978, Dr. Insall and Albert H. Burstein, PhD, then Director of the Hospital’s Department of Biomechanics, once again revolutionized the world of implant science, creating a knee system that provided a stable joint with a large range of motion. The total knee design they devised would bear their name, and the Insall Burstein Posterior Stabilized Knee would become one of the most successful knee replacements in the world.

Dr. Insall was a fellow at HSS in 1961 and joined the Hospital in 1965. He was appointed Chief of the HSS Knee Service in 1969. He was a founding member of the national Knee Society in 1983, becoming its President in 1987. In addition to implant design, Dr. Insall was known for his groundbreaking work in ACL surgery. He trained over 200 orthopaedic residents and 100 national and international knee fellows, and authored the classic text-book in the field – Surgery of the Knee.

The John N. Insall Chair in Knee Surgery is a fitting tribute to Dr. Insall, who passed away in December 2000. Made possible by the John N. Insall Foundation for Orthopaedics, the endowed chair will be held by Steven B. Haas, MD, Chief of the HSS Knee Service, and will support the Hospital’s research in knee surgery and biomechanics.

research projects – both podium and poster – at national meetings, and were awarded prizes at the national level through the Orthopaedic Research and Educational Foundation (OREF). Dennis Meredith, MD, PGY-4, and Peter Fabricant, MD, PGY-3, both were awarded OREF grants, and four former residents and fellows obtained grants from a pool of 15 grants available. PGY-5 resident Duretti Fufa, MD, received second prize for best research paper from the New York Hand Society.

In 2011, we added a fourth hand fellow, initiated a new one-year fellowship program in the emerging growth area of hip pain and preservation, and launched an ACGME-accredited Primary Care Sports Medicine Fellowship led by James J. Kinderknecht, MD. The Musculoskeletal Radiology Fellowship Program was awarded ACGME accreditation for seven positions; the Neuromuscular Medicine Fellowship Program received ACGME accreditation for two positions per year.

Two years ago, the Hospital obtained institutional accreditation status from the Accreditation Council for Continuing Medical Education, enabling us to further expand program partnerships and co-sponsorships. Collaborations for recent programming have included the American Austrian Foundation, Major League Soccer, University of Ottawa, the New York State Society of Orthopaedic Surgeons, and the International Society of Hip Arthroscopy, which held its second annual scientific meeting in Mexico in 2010 and was attended by 187 orthopaedic surgeons from around the world.

In 2010, the Department launched a new professional education publication: Grand Rounds from HSS/Management of Complex Cases. We produced and distributed two issues to nearly 25,000 orthopaedic surgeons and Special Surgery alumni worldwide and paired the publication with a website component highlighting a gallery of complex case images. Edward C. Jones, MD, MA, has assumed the position of Editor. The HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery completed its fifth year of publica-tion, reaching 19,000 health care professionals per issue. More than 100 health care professionals completed the CME process linked to accredited articles. We will be expanding the HSS Journal to three issues a year in 2011.

Our close, collaborative relationships with NewYork-Presbyterian Hospital and Weill Cornell Medical College continue to produce important patient care, research, and medical education initiatives. Dr. Antonio M. Gotto, Jr., who retires this year as Dean of the Medical College, has been a great friend and supporter, and we wish him all the best in his future endeavors.

Reaching Out Internationally In 2010, the third meeting of the International Society of Orthopaedic Centers (ISOC) was held in Bologna, Italy, featuring a day of scientific presentations and a half-day of meetings and work around four previously established task forces: Education/Fellowship; Outcomes/Clinical Studies/Registries; Implant Retrieval; and Information Exchange/Website. The meeting also included a new concurrent session for Chief Executive Officers of the participating institutions that focused discussions on common challenges facing leading orthopaedic centers. Results of this consortium were published in the July 2011 issue of the HSS Journal. Achievements of the 2010 meeting included

The John N. Insall Chair in Knee Surgery Established

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the establishment of an ISOC International Traveling Fellowship designed to provide a cross-cultural training experience, with the first selected fellow to begin in October 2011, and the launch of the ISOC website: www.isocweb.org. The next ISOC meeting is scheduled for October 2011 at Clinica Alemana in Chile. ISOC received attention in the September/October 2010 cover story of the internationally distributed professional publication Medical Meetings Magazine. Entitled “Change the World: How a Group of High-Level Orthopedists is Turning Small Meetings into Global Progress,” the article showcased the accomplishments of the Society since its inaugural meeting at HSS in 2007.

Furthering our mission to promote and facilitate orthopaedic surgery education and treatment globally, we held our fourth and fifth consecutive professional education programs, with the ongoing support of the Stavros Niarchos Foundation. The four-day programs were attended by 16 orthopaedic surgeons practicing in Greece. Our 2010 program focused on “Total Hip: Replacement and Resurfacing,” which included two days of cadaveric training and obser-vation in the operating room. In 2011, we presented a program on “Update on Total Joint Replacement of the Knee and Shoulder/Current Concepts in Sports Medicine.” During the course, participants performed total shoulder arthroplasties and knee replacements on cadaveric specimens, observed HSS surgeons performing these procedures in the OR, and attended a multidisci-plinary discussion of current trends in management of sports medicine problems.

In May 2011, with support from the Food and Drug Administration, the Hospital organized an international meeting of most of the joint replacement registries in the world. Held at the FDA in Silver Spring, Maryland, the meeting brought consensus on what data the registries should be collecting and began a process for developing collaborative projects that will be important to prosthesis outcomes and patient safety.

The Department of Biomechanics has begun collaborating with Yan Wang, MD, President of the Chinese Orthopaedic Society, and his engineering team. The Department has recently been able to establish a communication link to receive data from CT scans of the knees of patients from China to be used in the design and sizing of implants, with the goal of producing an HSS/Sino knee system.

Achieving Our Goals In 2011, HSS was again named the top hospital in the nation for orthopaedics and our Division of Rheumatology was ranked #2 by U.S.News & World Report in its “America’s Best Hospitals” issue. One reason for continued recognition by external organizations is our commitment to promoting quality and safety in the care of the musculoskeletal patient. As one of the leaders here, I continually evaluate whether the Hospital’s infrastructure is providing optimal patient safety and quality in an environment of continuous growth. Over the past several years, our quality initiatives have taken center stage in all of our strategic planning – from ways to improve patient care, to research that supports and validates our quality efforts, to education initia-tives that make vital quality constructs second nature for future orthopaedic surgeons. In this report, we have dedicated a feature article to the discussion of some of our major quality initiatives. This is at the heart of our mission – to share challenges and opportunities that will benefit patients the world over.

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The Importance of Patient Registries

HSS has institutional patient registries in development to track patient outcomes in a number of clinical areas, including hip preservation, anterior cruciate ligament (ACL) reconstruction, and total joint replacement. The registries are used to develop scientific evidence regarding the short- and long-term benefits and risks of treatment for musculoskeletal conditions. Registry data can provide insights into patient characteristics on outcomes and establish the safety and effectiveness of new devices and new surgical and non-surgical treatments.

“While some questions can be answered with a randomized clinical trial,” says Timothy M. Wright, PhD, who oversees the Hospital’s patient registries, “a whole host of important questions remains for which you really need to know something about every patient. That’s what a registry is for. All of our institutional registries have been built around research questions and the data elements that need to be collected to answer these questions.”

For example, the hip preservation registry is compiling information to determine the effectiveness of treatment for femoral acetabular impingement in improving pain and function. The ACL registry’s first question is: How will ACL reconstruc-tion influence the development of knee arthritis? This question may take 8 to 10 years to answer.

Of course, patient participation is essential to a successful registry, and at Hospital for Special Surgery, clinicians are very involved, explaining the value of registries to encourage patients to enroll. “Data from registries can be shared with patients during the clinical encounter to inform decision making and document progress, thus providing direct benefit to patients for their participation,” notes Dr. Wright.

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“Our mission at Hospital for Special Surgery is to set benchmarks in standards of care and establish best practices in orthopaedic surgery that benefit the field as a whole,” says Thomas P. Sculco, MD, Surgeon-in-Chief. “A high quality, safe patient care environment overarches everything that we do. In 2010, our orthopaedic surgeons performed over 25,000 surgical procedures. The diversity of quality- and safety-related issues that arises within this tremendous volume provides a wealth of material for developing quality improvement strategies within HSS and that can be applied by institutions across the country.”

Douglas E. Padgett, MD, Chief of the Division of Adult Reconstruction and Joint Replacement, has been proactive in health care quality initiatives for more than a decade. “The reality is that medicine continues to evolve, and many of the practices in place in 2011 were not done in 2006 and in 2001,” says Dr. Padgett. “The issue about quality for me and for the people who are also passionate about it is to deliver the best care that we can in the safest manner possible. Simply put, we’re trying to make things better for our patients.”

Keeping orthopaedic surgical patients safe is a multifactor endeavor, involving all members of the health care team and support from the highest levels of the institution. At HSS, quality efforts begin with the Board of Trustees, which oversees the Hospital Quality Council – the governing body responsible for directing the quality program, ensuring align-ment with strategic goals, and sanctioning resources needed to meet quality objectives. This Council is chaired by Louis A. Shapiro, President and CEO, and Dr. Sculco.

Steven B. Haas, MD, Chief of the Knee Service, and rheumatologist Steven K. Magid, MD, co-chair the Hospital’s Quality Coordinating Committee, which is charged with developing patient safety and performance improvement goals and projects. “Our work can range from identifying and establishing key protocols in perioperative medicine to implementing evidence-based practices in orthopaedic surgery,” says Dr. Haas. “As one example, patients coming to HSS today for surgery, compared to 10 or 20 years ago, are much sicker. So one of the challenges to our organization is how to deal with the challenges of patients with multiple comorbidities.”

As the Hospital’s quality infrastructure has grown and evolved in response to internal reviews and external mandates, so have the opportunities to address quality and safety issues. “We are not only looking at traditional indicators, such as infection rates and medication reconciliation, but also how we introduce new technology and new techniques into the Hospital in a safe and effective manner,” says Dr. Padgett.

Two years ago, HSS, with its academic foundation, established the Quality Research Center to bring a scientific perspective to the quality and risk management arena. According to Dr. Magid, Chair of the Quality Research Center, potentially adverse and near-miss events provide powerful opportunities to improve patient care practice. Under Dr. Magid’s leadership, the Center has undertaken studies based on quality initiatives to demonstrate in a repro-ducible way how Special Surgery and other institutions can minimize risk using research principles, methodologies, and standards.

Collaboration and Communication “Peer review is a mandate for all hospitals, and how that happens is done differently at different hospitals,” says Michelle Horvath, MSN, RN, CPHQ, Assistant Vice President, Quality Management. “The purpose of peer review is to constantly say, ‘There’s got to be a better way.’ At HSS, we have instituted a multispecialty Peer Review Committee, rather than a departmental-based process found at most hospitals. Our process includes representatives from orthopaedics, rheumatology/medicine, anesthesiology, neurology, radiology, nursing,

The QualiTy imperaTive:

meThods and meTrics for excellence in orThopaedic care

“ The diversity of quality- and

safety-related issues that arises

from our tremendous volume

of orthopaedic procedures

provides a wealth of material

for developing quality

improvement strategies.”

Thomas P. Sculco, MD Surgeon-in-Chief

“ The issue about quality for me

and for the people who are also

passionate about it is to deliver

the best care that we can in the

safest manner possible. Simply

put, we’re trying to make

things better for our patients.”

Douglas E. Padgett, MD

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and quality departments. In this way we can review safety issues or administrative policies and procedures that may not be physician-specific, but impact the orthopaedic care provided by surgeons and other members of the health care team. This multidisciplinary approach helps to inform the process and ensures that we are looking at both the forest and the trees.”

“Whether we are reviewing an individual case or looking at what may be an emerging trend within the orthopaedic surgery process, the Peer Review Committee conducts a root cause analysis,” adds Dr. Padgett. “What’s interesting is that some of the most revealing comments are made by those members who are not surgeons.”

In 2010, the Hospital launched a concerted effort, led by Mary K. Crow, MD, Physician-in-Chief, to redesign the preoperative process. Particular attention was paid to developing risk stratification strategies so that patients can receive the appropriate preoperative evaluation and intervention, if indicated, to minimize surgical risks well ahead of the date of surgery. The most difficult cases, including those with comorbidities such as coronary artery disease, diabetes, and pulmonary hypertension, are presented to the multidisciplinary Complex Case Review Panel co-chaired by Geoffrey H. Westrich, MD, Director of Research for the Adult Reconstruction and Joint Replacement Division. “Our job on the Complex Case Review Panel is to sort out which patients may be too sick for surgery, and those who can have surgery but have concerning medical issues,” says Dr. Westrich. “We try to make sure that we have done everything we possibly can to stack the deck in their favor to achieve a favorable outcome.”

Surgical Safety Measures The term “never event,” first introduced in 2001 by a former CEO of the National Quality Forum, refers to medical errors, such as wrong-site surgery, and other adverse events that should never occur. At Hospital for Special Surgery, orthopaedic surgeons have championed numerous protocols to assiduously avoid medical errors. “We were one of the first institu-tions in the country to implement the ‘sign your site’ prerequisite – long before The Joint Commission and New York State mandated it,” says Dr. Sculco. “We require that the attending surgeon who is going to do the operative procedure personally initial the extremity. Not only does this ensure that the surgeon takes responsibility for identifying the patient and confirming the site of surgery, but also allows the surgeon and patient to have a conver-sation prior to surgery, helping to alleviate any concerns the patient may have.”

“There have been major cultural shifts in how we approach surgery to achieve a safe patient outcome,” says Matthew M. Roberts, MD, a foot and ankle surgeon who serves on the Hospital’s Culture of Safety Physician Advisory Group. “The first major change occurred with the signing of the patient’s extremity. That’s a very small thing that we do, but it makes a huge difference – avoiding wrong-side, wrong-site surgery – a never event.” According to Dr. Roberts, it’s important that everyone in the OR is on the same page working for safe, efficient care. Enter the Hospital’s Surgical Safety Checklist designed specifically for orthopaedic surgery. The checklist is comprised of four key areas: operating room preparation, anesthesia time out, surgical time out (before skin incision), and sign out (before the surgeon leaves the operating room).

“The checklist gets everyone in the room more involved in the care of the patient,” says Robert G. Marx, MD, MSc, FRCSC, a sports medicine and shoulder surgeon who was instru-mental in bringing this process to the Hospital’s surgical team. “Before each procedure, the team members introduce themselves. By doing this, everyone feels more comfortable speaking up or intervening if they identify a potential problem. The checklist also contributes to efficiency. By confirming with the operating room staff what instruments and implants are

“ Our work on the Quality

Coordinating Committee can

range from identifying and

establishing key protocols

in perioperative medicine to

implementing evidence-based

practices in orthopaedic

surgery.”

Steven B. Haas, MD

“ The Complex Case Review

Panel sorts out which patients

may be too sick for surgery,

and those who can have

surgery but have concerning

medical issues. We try to make

sure that we have done every-

thing we possibly can to stack

the deck in their favor.”

Geoffrey H. Westrich, MD

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“ There have been major cultural

shifts in how we approach

surgery to achieve a safe patient

outcome. A critical change

occurred with the signing of

the patient’s extremity. That’s

a very small thing that we do,

but it makes a huge difference

– avoiding wrong-side, wrong-

site surgery – a never event.”

Matthew M. Roberts, MD

“ Multiple published studies

bear out that if all the steps of

the checklist are implemented

every time, you’re going to keep

patients safer by decreasing

complication and mortality

rates.”

Robert G. Marx, MD, MSc, FRCSC

required for the case before the start of the operation, we ensure that we won’t be delayed waiting for the missing item during surgery. Multiple published studies bear out that if all the steps of the checklist are implemented every time, you’re going to keep patients safer by decreasing complication and mortality rates.”

“For example, when we prepare for the case,” says Ron Perez, RN, JD, CNOR, Assistant Vice President, Perioperative Services, “we discuss issues specific to the orthopaedic subspecialty – implant options, bone allografts, type of regional anesthesia to be used, and orthopaedic equipment. Our presurgical dialogue is geared towards what we do here at HSS.”

During surgery, patients are isolated from the environment as much as possible to minimize exposure to contaminants. The Hospital’s 29 ORs are equipped with a Plexiglas enclosure and a vertical laminar air flow system – a high-tech air filtration system that directs the air flow away from the operation as it simultaneously cleans and replenishes the air to maintain an ultra-sterile environment. “Unidirectional bacteria-free air flow in the ORs, combined with special hoods worn by the surgical team to control exhaled air, greatly minimizes the risk of infection,” says Barry D. Brause, MD, Chief of Infectious Disease. “The exhaled air goes into a tube that extends to the edge of the enclosure where a vacuum withdraws it from the OR. Our infection rates are very low. Indeed, we have one of the lowest infection rates in the country, and have been recognized by the State of New York for having the only infection rate statistically lower than the state average for hip replacement surgery.”

The Hospital’s Infection Control Committee, co-chaired by Dr. Brause and Dr. Westrich and with over 20 members, meets monthly, covering a range of issues from how instruments and implants are sterilized to procedures for cleaning patient rooms and beds. After surgery, the Hospital follows strict postoperative protocols for preventing blood clots and urinary tract infections. Without preventive care, as many as 30 to 50 percent of patients undergoing joint replacement surgery would develop blood clots. HSS has instituted an active surveillance program to identify at-risk patients and monitor all patients for blood clots and a protocol for the use of anticoagulants and compression devices.

“Many of our patients need indwelling catheters until the epidural block wears off and sensation returns,” says Eileen Finerty, MS, FNP, RN, CIC, Nursing Director for Infection Control and Occupational Health Services. “To minimize the risk of urinary infection, we looked at the reasons catheters were ordered and the duration of the catheterization. Our goal was to remove catheters by post-op day two.” To accomplish this, the process for ordering and discontinuing a patient’s catheter was automated and made part of the nurse’s order set. In addition, hand-held ultrasound bladder scanners are now used to determine if the patient is making urine, thereby avoiding having to reinsert a catheter. “We’ve definitely seen our rate of UTIs come down, as well as a decrease in catheter days.”

Influencing Health Care Quality As a specialty hospital that treats thousands of orthopaedic patients each year, Hospital for Special Surgery has the unique opportunity to make important inroads in quality improve-ment and surgical safety for this population. Information on our quality initiatives and outcomes is available on the Hospital’s quality website (www.hss.edu/quality) for review by physicians, patients, and consumers. “While tackling the quality and safety issues faced in our own hospital, we are frequently called upon to share what we learn with colleagues throughout the country,” says Dr. Sculco. “This speaks directly to our mission – to be in the vanguard of developing best practices in orthopaedic surgery and making sure that what we uncover or discover in the world of patient quality and safety contributes to good outcomes for patients not only here but elsewhere.”

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The Adult Reconstruction and Joint Replacement Division’s 20 full-time surgeons performed approximately 8,000 surgeries in 2010, an increase of 5 percent over 2009. They provide a broad approach to arthroplasty – from surface replacement, including unicompartmental knee replacement and hip arthroscopy, to total joint replacement – both primary and revision, unilateral and bilateral. The Division’s orthopaedic surgeons are also extremely experienced in elbow replacement.

Over the past year, the Division has made great strides in a number of patient care, education, and research initiatives spanning all three services. In September 2010, the Hospital’s Recuperative Pain Service, which addresses pain management issues of patients in the early postoperative period, launched a pilot program with the Adult Reconstruction and Joint Replacement Division to extend treatment of non-routine pain management issues into the post-hospital rehabilitation and recovery phases. Two recu-perative pain nurse practitioners, in collaboration with Dr. Vladimir Kramskiy, Director of the Hospital’s Ambulatory Recuperative Pain Medicine Program, serve as a pain management resource to patients on an outpatient basis up to eight weeks post surgery.

The Division has also implemented protocols to help reduce blood loss in total knee replacement surgery and is critically reviewing the management of blood donations in patients undergoing hip replacement surgery and their likelihood of needing a blood transfusion. These efforts have significantly reduced the need for blood donations.

Under the leadership of Dr. Michael Parks, and in collaboration with the Hospital’s Patient Education Department, the Division has developed new printed and online patient education material and enhanced the preoperative class for total hip replace-ment (THR) and total knee replacement (TKR) patients. The patient education books are distributed in physicians’ offices, enabling patients to have standardized and comprehensive information about their surgery much earlier in the process.

In 2010, the Division’s members continued to receive federal grant support for research, including a four-year research grant from the National Institute of Arthritis and Musculoskeletal and Skin Diseases for a new study to examine the mechanism of bone integration in joint arthroplasty, an NIH RO1 award to study elbow replacements, and a pilot award from the Agency of Healthcare Research and Quality to study short-term complications associated with total hip and total knee arthroplasty. The Division continues to investigate a variety of new total hip and total knee implant designs and conduct numerous outcomes studies in joint replacement. At the end of 2010, the Division began planning for the development of a Total Joint Replacement Registry, combining the strengths of current registries into one effort.

Adult ReconstRuction And Joint RePlAceMent division

2010 -2011 HigHligHts

For the second consecu-tive year, achieved a surgical site infection rate significantly lower than the New York State average for hip replacement

Spearheading studies of different techniques to reduce bleeding and blood loss following joint replacement surgery, including the

AQUAMANTYS® System, which uses a combination of radiofrequency energy and saline to stop the flow of blood during surgery

Developing a total hip replacement pathway with a target 48-hour length of stay

Identified key medical reasons, such as wound drainage, coumadin management, and post- op fevers, for extended stays among total joint replacement patients

Douglas E. Padgett, MDChief, Adult Reconstruction and Joint Replacement Division Chief, Hip Service

Steven B. Haas, MDChief, Knee Service

Mark P. Figgie, MDChief, Surgical Arthritis Service

Michael M. Alexiades, MD Friedrich Boettner, MDMathias P. Bostrom, MDRobert L. Buly, MDCharles N. Cornell, MDAlejandro Gonzalez Della Valle, MDDavid J. Mayman, MDBryan J. Nestor, MDMichael L. Parks, MDPaul M. Pellicci, MD Amar S. Ranawat, MDChitranjan S. Ranawat, MDEduardo A. Salvati, MD Thomas P. Sculco, MDEdwin P. Su, MDGeoffrey H. Westrich, MDPhilip D. Wilson, Jr., MD (Emeritus)Russell E. Windsor, MD

l7,418 Inpatient Surgeries l625 Ambulatory SurgeriesTotal Surgical Volume: 8,043Total Patient Visits: 45,966

2010 Surgical Volume

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1010

l3,101 PrimaryTotalHipReplacements

l451RevisionTotalHipReplacements

l387HipResurfacingProcedures

2010totalhipreplacements

Hip Service The Hip Service has again realized growth in volume and, at the same time, has worked diligently to develop strategies that will continue to reduce length of stay and maximize the efficiency of care for patients undergoing hip surgery.

To this end, a clinical pathways protocol has been developed for total hip replace-ment. The THR Rapid Recovery Pathway, which was launched in June 2010, facilitates mobility earlier in the hospital stay and has enabled more and more patients to be discharged directly to their home rather than a rehabilitation facility. The Service has taken a proactive approach in perioperative pain management to address issues of postoperative pain – a common reason for extending length of stay. The new protocol includes the use of different modalities to decrease pain, as well as nausea, so patients are able to get out of bed and begin ambulation sooner.

A study by members of the Hip Service showed that generally healthy patients who undergo total hip replacement can be fast tracked to be discharged safely in two days compared with the standard three to six days. This may ultimately help reduce hospital-acquired infections and hospital costs, and improve patient satisfaction. Patients in the study who were released within two days did not have an increase in complications, readmissions, or reoperations.

Another study by the Service looked at preventing postsurgical blood clots after hip replacement surgery and found that a compression device works as well as medication, is as useful as blood thinners, and is superior in safety. The results have the potential to change the paradigm as to how to prevent blood clots after hip replacement.



Douglas E. Padgett, MDChief, Hip Service

2010 -2011 highlighTs

Collaborating with Rheumatology to evaluate potential practice models for the treatment of non-operative OA patients

Conducting a pilot program to provide joint replacement patients with pain management resources post-hospitalization

Developing a new comprehensive Total Joint Replacement registry, bringing together existing data from multiple registry sources

Conducting retrospec-tive review of patients under the age of 35 who had joint replacement surgeries to determine reasons for the surgery and subsequent outcomes

Pursuing some 80 different research projects that include analysis of a variety of retrieved implants

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1111

Evaluating a potential tool to visualize inflam-mation around an implant and to identify patients who are at risk for implant failure

For the first time, participated in the San Francisco Match Program for the adult reconstruction and joint replacement fellowship

Hosted for the first time a Grand Rounds telecon-ference with University of Beijing with plans to continue to host interna-tional teleconferences

Hosted Dr. Arlen Hanssen as the 2010 Insall Visiting Professor, who discussed treatment of the unstable knee replacement, and

Dr. Richard Rothman as the 2011 Wilson Visiting Professor, who discussed the future of total hip replacement

l 3,555 Primary Total Knee Replacements, bilateral and unilateral

l354 Revision Total Knee Replacements

2010 Total Knee Replacements*

Knee Service The Knee Service continues to move the field of knee replacement forward in design development of implants and biomaterials, with a focus on creating prosthetic knee joints that will function at higher levels, last longer, and enable patients to recover faster. Seeing many more patients in their late 40s and 50s who want to return to a lifestyle of high-energy activities, the Knee Service is looking at implant systems that take into account the perfor-mance expectations of younger patients. These implant systems include newer cross-linked polyethylene and lower contact stresses intended to preserve the wear of the polyethylene component, allowing the polyethylene to endure for a longer period, thereby providing a more resilient knee implant for the active adult. Additionally, the Knee Service has begun collecting performance data relevant to the younger patient, including information related to skiing, golf, racquet sports, cross-country running, biking, and all types of exercise.

At the same time, Service members continue to explore less-invasive surgical approaches using modern instrumentation and partial knee replacement, incorporating the use of computer-assisted surgery in patients who undergo partial knee replacement for more precise placement of the implants. Additionally, helping to advance minimally invasive knee replacement surgery, our orthopaedic surgeons are using MRI to develop preoperative plans. By first performing a virtual operation on the computer, they can then design custom-made instruments specific to the case, reducing the number of instruments typically needed in this type of surgery.

The Knee Service is committed to providing perioperative pain management as a priority for patients undergoing total knee replacement. Adjuvant therapies, such as supplemental blocks injected at the time of surgery, have been shown to decrease postoperative pain.

Surgical Arthritis Service An important initiative of the Surgical Arthritis Service is focused on patients under the age of 35 who had joint replacements. Service members are looking at what prompted the joint replacement, how the joint replacement is affecting their activity, and implant survivorship. Plans are to develop this effort into a nationwide multicenter study, which is expected to provide the largest and longest follow-up on patients with juvenile inflammatory arthritis.

Service members have long been involved in research to determine why elbow replacements fail and what can be done to increase their longevity – different designs, improved fixation methods, and better options for revision surgeries. By studying failed elbow implants, they have identified mechanisms of failure and are designing an elbow replacement to uniquely address what was learned.

Service members also incorporate 3-D modeling preoperatively to be able to precisely determine any defects or other challenges presented by a joint replacement case, thereby providing the surgeon with a better ability to plan the surgery and decide if a custom implant is required. This is particularly valuable for patients with juvenile inflammatory arthritis, hemophilia, and skeletal dysplasia, which can affect growing bone and cause major deformities within the joint.

* Includes knee replacement surgeries performed by the Sports Medicine and Shoulder Service

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2010 Patient Care Volume

l608 InpatientSurgeriesl1,446 AmbulatorySurgeriesTotalSurgicalVolume:2,054TotalPatientVisits:19,071

fooT and anKle service

The Foot and Ankle Service, with eight full-time orthopaedic surgeons, is the largest of its kind in the country. Members of the Service continue to refine techniques in the reconstruction of foot and ankle deformities. In addition, foot and ankle problems in sports are a major focus of the Service, with several members consulting with professional sports teams, including the New Jersey Nets, New York Knicks, New York Giants, New York Mets, and New York Red Bulls, as well as the American Ballet Theatre. The Service has particular expertise in the treatment of Lisfranc injuries, which, while uncommon, can be highly debilitating for athletes who depend on their lower extremities for performance.

The Service has made great progress in pain control following foot and ankle surgery. Working collaboratively with the Department of Anesthesiology, the Service has developed a postoperative pain protocol using popliteal fossa nerve blockade along with various combinations of pain medications. With this, patients have been able to leave the Hospital with less discomfort. Anesthesiologists are currently tracking a cohort of patients using these different medication combina-tions to determine the duration of the analgesia after the nerve block. In addition, the Service is involved in a pivotal prospective, randomized, controlled, multicenter clinical trial to evaluate the safety and effectiveness of GEMOSI compared to autologous bone graft as a bone regeneration device in foot and ankle fusions.

The Foot and Ankle Fellowship Program includes three accredited positions, providing clinical knowledge and research skills in all aspects of foot and ankle care, including total ankle replacement, endoscopic and minimally invasive techniques of the foot and ankle, and adult flatfoot deformity. Fellows participate in ongoing clinical and basic science research programs and academic conferences, supervise patient care, and gain an in-depth surgical experience. Plans are now in development to further the training experience in complex pediatric reconstructive procedures and acute foot and ankle trauma, as well as to provide fellows with protected research time and related support.

The Foot and Ankle Service maintains a productive research program. Among the Service’s multiple ongoing research endeavors are the evaluation of radiographic parameters of successful versus unsuccessful flatfoot reconstruction; investigation of syndesmotic and lateral ankle injuries in the National Football League; and the use of platelet rich plasma on Achilles tendonitis. In 2010, the Foot and Ankle Registry, supported by the Susan and Elihu Rose Foundation, continued to expand. The Service-wide registry has enrolled over 29,550 patients and, to date, there are 11 research studies underway using data collected by the registry.

Jonathan T. Deland, MDChief

Walther H. O. Bohne, MD Andrew J. Elliott, MD Scott J. Ellis, MD John G. Kennedy, MD David S. Levine, MD Martin J. O’Malley, MD Matthew M. Roberts, MD


Instituted operational improvements in the Foot and Ankle Clinic, resulting in a 41 percent increase in total visits and a reduction in missed appointments

Hosted the Rose Honorary Lecture in Foot and Ankle featuring Dr. J. Christiaan Coetzee, a specialist in foot and ankle reconstruction,

trauma injuries, and sports medicine at the Minnesota Orthopaedics Sports Medicine Institute

Recruiting a nonoperative specialist to treat patients who do not require a surgical intervention

Organizing an interna-tional course on carti-lage injuries involving the foot and ankle to be held in Dublin, Ireland, in 2012

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l204 Inpatient Surgeriesl1,858 Ambulatory SurgeriesTotal Surgical Volume: 2,062Total Patient Visits: 20,065

The Hand and Upper Extremity Service provides subspecialty expertise in tumor, congenital, microsurgery, elbow reconstruction, neuromuscular disease, sports injuries, minimally invasive surgery, and microneural reconstruction. It also directs the hand surgical services at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, Memorial Sloan-Kettering Cancer Center, and the James J. Peters Veterans Administration Medical Center in the Bronx.

In 2011, the Service recruited a hand and wrist surgeon with peripheral nerve and micro-surgery expertise, bringing the total faculty complement to eight orthopaedic surgeons. The Service also developed plans for the Center for Brachial Plexus and Complex Nerve Injury, scheduled to launch in Fall 2011. The new multidisciplinary Center – the first of its kind in New York – will offer neurodiagnostic and intraoperative testing in collaboration with the Hospital’s Neurology and Physiatry Departments. The Center will also build on the Service’s existing brachial plexus registry, with ongoing data collection and research to facilitate assessment of outcomes and long-term improvement of care for these patients.

During the past year, the Service’s fellowship program was approved to train a fourth ACGME-accredited fellow, given the high case volume and outstanding educational experience provided. The Hand Surgery Fellowship is particularly sought after due to the breadth and depth of hand procedures performed at HSS and the opportunities for fellows to train in specialty niche areas. The Service continued its New York City exchange fellowship rotation with Bellevue Hospital, which provides a month-long microsurgical and replantation training experience.

The Service’s resident and medical student rotations provide an intense immersion in hand surgery. Two residents – a PGY-3 and PGY-4 – complete two six-week rotations on the Service, which has implemented a mentorship approach to facilitate learning. In 2010, a trial Senior Resident Fellowship was initiated in which PGY-4 and PGY-5 residents assume complete responsibility for one of four subspecialty areas. End-rotation evaluations demonstrated that the Senior Resident Fellowship affords a rewarding and productive learning experience.

The Hand and Upper Extremity Service has more than $3 million of local, regional, and national competitive grant funding for its research activities. The Service successfully completed three randomized trials of pharmacologic agents for distal radial fracture healing and Dupuytren’s disease. The Service continues to grow well-established patient registries in basal joint, distal radius, carpal tunnel, neoplasia, pediatrics, brachial plexus, and the elbow. In 2010, the Service engaged in an extensive analysis of data looking at the treatment of patients with soft tissue sarcomas of the hand, particularly the oncologic outcomes and complications associated with the use of radiation and the utility of MRI as a predictive tool of residual disease.

HAND AND UPPER EXTREMITY SERVICE

Edward A. Athanasian, MDChief(as of May 2011)

Michelle G. Carlson, MDAaron Daluiski, MDRobert N. Hotchkiss, MDLana Kang, MDSteve K. Lee, MD(as of August 2011)Andrew J. Weiland, MDScott W. Wolfe, MD(Chief Emeritus)

2010 -2011 HIgHlIgHTS

Following an extensive review, received a second five-year ACGME accreditation with commendation for the Hand Surgery Fellowship Program

Awarded a National Institutes of Health RO1 grant for research on improving the performance of elbow reconstruction

Developed a standard-ized tool derived from existing instruments and elements designed at HSS for assessing nerve, muscle, and joint recovery

Hosted the three-day Lee Ramsay Straub, MD, Endowed Lectureship in Hand Surgery featuring Dr. Paul Feldon from Tufts University School of Medicine

Further developed the upper extremity trauma program at New York Hospital Queens and NewYork-Presbyterian/ Weill Cornell

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Hosted the Second Annual Dr. Bonnie Reichman Distinguished Lectureship in Limb Lengthening and Reconstructive Surgery with keynote speaker Dr. Hiroyuki Tsuchiya

Initiated development of an objective tool to measure Vitamin D levels in patients and a treatment protocol to promote bone healing

Embarked on an investigation of PACS as a way to objectively determine when bone is healed

Continued basic science research in analysis of the biomechanics of external fixation

Studied PACS image and hard-copy 51-inch radio-graphs for measuring leg length and deformity, with results showing that both are comparable and reliable modalities

l395 InpatientSurgeriesl269 AmbulatorySurgeriesTotalSurgicalVolume:664TotalPatientVisits:3,404

The Limb Lengthening and Complex Reconstruction Service is among the most comprehensive limb lengthening programs in the world today. The Service continues to grow substantially in patient volume and research activities. In 2010, the Service further developed approaches and techniques incorporating new surgical options, improved tools, and bone healing enhancement, providing treatment opportunities for patients who have no other alternatives.

Vitamin D levels of 65 to 70 percent of the Service’s patients are considered low enough to delay bone healing. To that end, Service members developed an aggres-sive protocol in collaboration with the Hospital’s Metabolic Bone Disease Service to assess Vitamin D levels preoperatively and created an algorithm for treatment.

Making an assessment of when bone is healed is a challenging and largely subjective process. In concert with the Department of Radiology and Imaging, the Service has initiated an investigation to validate an objective tool to determine when bone is healed. The approach, which involves the use of PACS (Picture Archiving and Communication System) to study pixel density that appears in newly lengthened bone, may well contribute to other areas of orthopaedics beyond limb lengthening and reconstruction, especially in the treatment of fractures.

The Service’s education program is focused predominantly on two clinical fellows who receive intensive exposure to surgical, inpatient, and outpatient clinical care. The Limb Lengthening Fellowship provides in-depth experience in the management of patients with congenital, developmental, and post-traumatic limb deformity and leg length discrepancy. Emphasis is placed on evaluation and both nonoperative and operative management of these problems. Since 2008, the Service has offered a clinical elective to visiting medical students and residents with great success. Students participate in teaching conferences, journal clubs, and case reviews.

Research initiatives in 2010 included three new prospective randomized clinical trials: evaluating the effect of platelet rich plasma therapy on bone healing during limb lengthening; a comparative study of two systems for autologous bone marrow harvesting; and comparing the effect of two protocols of antibiotic prophylaxis on pin tract infections. Studies continue to evaluate a number of limb lengthening techniques, including the Ilizarov method in the reconstruction of bone tumors, as well as in complex ankle fusion. In addition, Service members are involved in three prospective gait studies evaluating the effect of proximal tibial osteotomy in adults and children and one comparing the functional gait of limb salvage patients to amputation patients.

The Service maintains a strong presence in the Limb Lengthening and Reconstruction Society, and at its 2011 annual meeting, Service members presented 10 of the meeting’s 50 abstracts – the single largest institutional representation at the meeting.

limB lengThening and

complex reconsTrucTion service

S. Robert Rozbruch, MDChief

Austin T. Fragomen, MD

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The Metabolic Bone Disease/Musculoskeletal Oncology Service continues to confront the challenges of bone development and fracture healing, emphasizing strategies that guide the use of agents in a particular clinical presentation. The Service is now delving aggressively into the study of anabolic agents – which actually make bone – including piloting their use in spine surgery and to enhance healing in fragility fractures.

The Service is also studying the use of anabolic agents to rapidly speed the healing of stress fractures in athletes and looking at low Vitamin D levels in members of professional sports teams. In 2010, a study by HSS investigators showed that a professional team’s performance was directly related to its members’ Vitamin D levels. Players with lower levels were sub-performers in terms of speed and weightlifting and also had more injuries. The implication is that Vitamin D may play a critical role in the performance of an athlete.

In addition, studies point to the benefits of raising levels of Vitamin D – essential for bone healing and muscle function – prior to an orthopaedic procedure. Members of the Service have found that nearly half of patients undergoing surgery have a Vitamin D deficiency, which can impair recovery, and have now implemented a protocol to improve Vitamin D levels before surgery for affected patients. In patients with slow healing bone, the Service has begun using an autologous technique prior to surgery in which bone marrow stem cells concentrated with bone morphogenetic protein are injected at the fracture site. Researchers have found that this percutaneous technique has led to successful healing for delayed and nonunion fractures in nearly 75 percent of patients.

Based on the work previously conducted by the Metabolic Bone Disease Service that demonstrated the need for a “pause” from osteoporosis drugs, the Service has estab-lished a protocol that individualizes drug treatment based on specific patient character-istics, including bone markers and fracture history, with dosing and duration of treatment dependent on patient responses. As a result, complications – including atypical fractures and osteonecrosis of the jaw – associated with long-term use of osteoporosis drugs have decreased. The Service has been one of the nation’s strongest advocates recommending that patients take a pause in their osteoporosis medication usage after five years, a protocol that has been endorsed by the FDA and adopted by physicians throughout the county.

Research activities include the Seymour Cohn Metabolic Bone Registry, which collects and analyzes patient data sets to identify methods to prevent and repair fragility fractures that result from osteoporosis and other metabolic bone disorders, and the Bone Mineral Density Core, which focuses on the repair and regeneration of bone and cartilage and other soft tissues, which is critical to the understanding of bone diseases.


meTaBolic Bone disease/

musculosKeleTal oncology service

Joseph M. Lane, MDChief

Richard S. Bockman, MD, PhDAdele L. Boskey, PhDShevaun M. Doyle, MDAzeez M. Farooki, MDSteven R. Goldring, MDMartin Nydick, MDLinda A. Russell, MDAlana Serota, MDRobert Schneider, MDDavid A. Zackson, MD


Piloting the use of anabolic agents in spine surgery and fragility fractures to enhance bone healing

Continues to offer a one-year “Step Out” program – funded by the Surgeon-in-Chief – enabling third-year medical students to do metabolic bone research for a year

Continues to grow the Seymour Cohn Metabolic Bone Registry, which collects and analyzes patient data sets to identify methods to prevent and repair fragility fractures

With support from the National Institute of Arthritis and Musculo-skeletal and Skin Diseases, a collaborative team of clinicians, physical chemists, and

bioengineers are continuing studies to determine what changes in bone properties in indi-viduals with osteoporosis result in bone breakage

l 40InpatientSurgeries-HSSl152InpatientSurgeries-

NewYork-Presbyterian/WeillCornelll 8AmbulatorySurgeries-HSSl 16AmbulatorySurgeries-

NewYork-Presbyterian/WeillCornellTotalSurgicalVolume:216*TotalPatientVisits:10,057DEXAScans:2,996

*SurgeriesareperformedbyHospitalforSpecialSurgery’sorthopaedicsurgeonsatbothHSSandNewYork-Presbyterian/WeillCornell

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l 385InpatientSurgeries-HSSl 816InpatientSurgeries-

NewYork-Presbyterian/WeillCornell

l 103AmbulatorySurgeries-HSSl 231AmbulatorySurgeries-

NewYork-Presbyterian/WeillCornell

TotalSurgicalVolume:1,535*TotalPatientVisits:4,674


The Orthopaedic Trauma Service has continued to focus efforts on understanding bone fixation in fractures in the elderly to develop better techniques to stabilize osteoporotic bones. The challenge is to address bone quality in the setting of multiple comorbidities; associated risks, including infection, pulmonary embolism, pneu-monia, and urinary tract infections; and other issues such as lifestyle and nutrition that can impact treatment. The Service applies a multisystem evaluation, drawing on medical, geriatric, and metabolic bone disease expertise, and pain management and physical therapy, to help heal and strengthen bones and improve outcomes.

The Medicine Orthopaedic Trauma Service (MOTS), established in 2008 in collaboration with NewYork-Presbyterian/Weill Cornell, is thriving. The dedicated service manages the care of elderly patients with multiple orthopaedic and medical problems. Staffed full time by a member of the geriatric team at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, MOTS has made a major difference in the management of older patients who arrive in the Emergency Department with hip fractures. Through this program, the Service has been able to minimize the risk of complications and maximize medical status to prepare patients for surgery, rehabilitation, and recovery.

The Service also actively participates in the Hospital’s Center for Hip Preservation, addressing traumatic hip injuries in younger patients, with a goal of preserving the hip in order to avoid early hip replacement.

The research component of the Orthopaedic Trauma Service includes a large database of complicated and unusual cases that forms the basis of important basic science and clinical research endeavors. A fragile bone registry collects data on patients with osteopenia, osteoporosis, or a history of low energy fracture, facilitating investigations in developing a better understanding of the clinical features, pathobiology, and genetic links associated with fragile bones.

The Service is conducting multiple vascularity studies, particularly in the shoulder, hip, ankle, and knee, to preserve the blood supply to certain problem bones and fractures and tailor surgery accordingly to avoid complication. Ongoing studies include an assessment of the effect of patellar fracture on the vascularity of the patella using gadolinium in enhanced magnetic resonance imaging and surgical implications of anterior versus posterior surgical hip dislocation.

Fellowship training takes place at Hospital for Special Surgery and NewYork-Presbyterian/Weill Cornell. Additionally, the fellows rotate for four months with Drs. David Asprinio and Andrew Grose at Westchester Medical Center, which has one of the busiest Level 1 Trauma Centers in New York State. Through the HSS orthopaedic trauma referral program, fellows gain extensive experience in manage-ment of more complicated polytrauma or periarticular orthopaedic trauma.

ORTHOPAEDIC TRAUMA SERVICE

David L. Helfet, MDChief

David E. Asprinio, MDGregory S. DiFelice, MDAndrew Grose, MDJoseph M. Lane, MDDean G. Lorich, MDJohn P. Lyden, MD

*TraumasurgeriesareperformedbyHospitalforSpecialSurgery’sorthopaedicsurgeonsatbothHSSandNewYork-Presbyterian/WeillCornell.VolumedoesnotincludesurgeriesperformedbytheMetabolicBoneDiseaseServiceorsurgeriesperformedatWestchesterMedicalCenter.

2010 -2011 HIgHLIgHTS

Developing a compre-hensive center for non-arthritic hip pain, encompassing evaluation and non-operative and surgical management

Expanded clinical and education program to include ligamentous injuries and surgery for complex periarticular fractures and fracture dislocations

Further developed the Trauma Expectation Factor/Trauma Outcomes Measure – a novel, user-friendly trauma injury outcomes measurement instrument

Continued to study long-term results of ankle fractures, including ligamentous injury and associated bony injuries, as well as surgical tech-niques and outcomes

Held the Eighth Annual Mosbacher Orthopaedic Trauma Lecture and Symposium focusing on the young adult with hip disease

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l657InpatientSurgeries-HSSl 94InpatientSurgeries-

NewYork-Presbyterian/WeillCornellandNewYorkHospitalQueens

l1,834AmbulatorySurgeries-HSSl 97AmbulatorySurgeries-

NewYork-Presbyterian/WeillCornellandNewYorkHospitalQueens

TotalSurgicalVolume:2,682*TotalPatientVisits:16,980

*TotalincludespediatricorthopaedicsurgicalcasesacrossallHSSorthopaedicservices

The Pediatric Orthopaedic Service realized a number of important achievements in 2010-2011. The Service expanded with the appointment of Dr. Ernest L. Sink, a pediatric orthopaedic surgeon who has specialty expertise in adolescent and young adult hip reconstruction, with particular emphasis on periacetabular osteotomies and surgical dislocation. Surgical dislocation involves recontouring the hip to alleviate stress on the cartilage and prevent the development of degenerative arthritis or the need for pelvic osteotomies. The goal of this hip preservation technique is to allow the patient’s native hip to endure indefinitely. The vast majority of patients presents in their late teens and early twenties and have developed either impingement or hip dysplasia once skeletally mature. This fall, the Service welcomes its ninth pediatric orthopaedic surgeon who has a particular interest in outcomes research.

The pediatric orthopaedists each focus their practice in a specific subspecialty area, including cerebral palsy and neuromuscular problems, pediatric foot, pediatric sports medicine, spinal deformity, hip problems, and trauma. Their expertise is complemented by pediatric nurses, nurse practitioners, physician assistants, rehabilitation therapists, and other allied health professionals highly trained in orthopaedics.

The continued growth of the Service over the past five years and the subsequent growth in patient volume will soon be accommodated with the opening of the Hospital’s new Lerner Children’s Pavilion. In 2010, significant progress was made on construction of this “hospital within a hospital.” In fall 2011, the new CA Technologies Pediatric Rehabilitation Center is scheduled to open, and in mid-2012, the Lerner Children’s Pavilion will make its debut, bringing together all of the Hospital’s pediatric clinical and surgical services in a family-centered environment.

Patient education remains an important focus of the Pediatric Orthopaedic Service, which continues to expand its series of condition-specific guides to provide pediatric patients and families with in-depth information about diagnosis, treatment, and recovery. Most recently, the Service published guides on pediatric scoliosis surgery, pediatric external fixators, and varus rotational osteotomy, and produced a 12-minute video on what to expect before, during, and after surgery.

The Service recently reported on a 10-year study of teenagers who underwent fusion for adolescent idiopathic scoliosis using the newer generation of spine implants. The study showed that the surgery appears to spare junctional disc degeneration and allows patients to have a relatively normal pain-free lifestyle.

Registries in osteochondritis dissecans, pediatric fractures, and patella subluxation continue to grow, and there are currently 10 active research projects that address scoliosis surgery on the adolescent athlete, methods for assessing bone age, and change of ankle kinetics and kinematics following proximal femoral varus osteotomy.


pediaTric orThopaedic service

Roger F. Widmann, MDChief

John S. Blanco, MDShevaun M. Doyle, MDDaniel W. Green, MD, FACSCathleen L. Raggio, MDLeon Root, MDDavid M. Scher, MDErnest L. Sink, MD


Recruited a new pediatric orthopaedic surgeon with specialty expertise in adolescent and young adult hip reconstruction

Completed a 10-year study of fusion for adolescent idiopathic scoliosis, showing that contrary to the expectation that surgery would cause damage to the spine just

below the fused discs, instead found that the area of the spine adjacent to the fusion remained relatively healthy without any major degeneration a decade later

Began process improve-ments in the Pediatric Ambulatory Care Center following a study of how patients are scheduled, triaged, and followed pre- and postoperatively

Hosted a CME course on pediatric orthopaedics for the primary care provider that attracted 120 participants

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Developing and refining approaches in complex spine surgery continues to be a focus of the Scoliosis Service. For the past few years, the Service has been employing tran-scranial magnetic motor-evoked potentials and spinal cord interoperative monitoring during surgery, eliminating the wake-up test and alerting surgeons to warning signals of possible spinal cord injury. The use of these monitoring techniques has tremendously reduced spinal cord injury during surgery to virtually none.

The Service further developed the use of minimally invasive surgery for adult deformities. Many of these surgeries involve long fusions, requiring welding of the vertebrae and instrumentation over many segments of the spine. In combined anterior and posterior surgeries, surgeons are now able to approach the anterior portion of the spine with smaller incisions. The Service’s surgeons also use transsacral interbody fusion to stabilize the base of the spine without going through the abdomen. In this procedure, the front part of the lumbar spine is fused from below. These minimally invasive procedures have reduced morbidity and length of stay and improved patient outcomes.

The Service is also using applied biologics, such as bone mineralized protein (BMP), to facilitate spinal fusion and avoid having to use bone from the rib cage, which can bring complications of chronic pain and difficulty breathing. The use of biologics has greatly increased the Service’s fusion rates.

In 2011, the Service inaugurated the John R. Cobb, MD, Fellowship, bringing on its first fellow for comprehensive training in the management of all deformities and pathologies of the cervicothoraco-lumbosacral spine in pediatric and adult patients. The fellow-ship focuses predominantly on spinal deformity and is geared to the orthopaedic surgeon who is interested in a career in scoliosis and spinal deformity surgery. The rationale for this unique one-year fellowship dedicated primarily to spinal deformity grew out of the need to offer extended training in a field that has become increas-ingly complex in terms of instrumentation and newer surgical techniques available.

Several years ago, the Service initiated a Scoliosis Registry, which to date has enrolled more than 2,000 patients. This robust registry has enabled the Service to conduct a number of clinical studies – many now completed, published, and presented at international meetings. These include a comparison of selective versus non-selective thoracic fusions; complications and revision rates for long fusions terminating at l5 versus the sacrum in adult spine deformity; and surgical outcomes review of adult idiopathic scoliosis. Several members of the Service also participate in multicenter studies, including the Complex Spine Study Group, the International Spine Study Group, and the Spinal Deformities Study Group.

l362 InpatientSurgeriesl 5AmbulatorySurgeriesTotalSurgicalVolume:367*TotalPatientVisits:10,096

scoliosis service

Oheneba Boachie-Adjei, MDChief

John S. Blanco, MDMatthew E. Cunningham, MD, PhDDaniel W. Green, MD, FACSCathleen L. Raggio, MDBernard A. Rawlins, MDRoger F. Widmann, MD


Advanced the use of minimally invasive surgery, including transsacral interbody fusion, for adult deformities

Enrolled some 2,000 patients to date in the Scoliosis Registry and established a registry and DNA repository for genetic mapping of congenital scoliosis

Selected the first fellow for the John R. Cobb, MD, Fellowship for the 2011 academic year

Allotted dedicated research time for scoliosis/spine fellows to enhance their presenta-tion and publication experience and skills

Presented several podium presentations at the 45th Annual Meeting of the Scoliosis Research Society in Kyoto, Japan, and the International Meeting of Advanced Spine Techniques (IMAST) in Toronto, Canada

*Includespediatricscoliosissurgeries

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1919

With a goal to advance patient care, develop an infrastructure for continued clinical and basic science research, and improve the education of residents and fellows, the Spine Service continued to focus on implementation of the multidisciplinary Spine Care Institute and the Integrated Spine Research Program in 2010. The surgeon-led Spine Care Institute is a Center of Excellence for both operative and nonoperative spine care, facilitating a seamless continuum among the Hospital’s multiple disciplines and resources that provide treatment for patients with spinal disorders. In 2010, the Service held four multidisciplinary case review and educational conferences for all members of the Institute, and launched a distinct website within the HSS parent website to enhance patient access to information, including videos that describe various procedures.

In addition, we are exploring the role of the Hospital’s Integrative Care Center as a key partner with the Spine Care Institute to further enhance nonoperative care for spine patients. In concert with the Metabolic Bone Disease Service, a clinical research program has been established to further elucidate the relationship between metabolic bone disease and spinal disorders, especially the effect on bone fusion.

The new Integrated Spine Research Program provides an infrastructure that continues to promote both basic science and clinical research. During the past several years, the Spine Service has been involved in a number of prospective randomized clinical trials, including the NIH-funded Spine Patient Outcome Research Trial (SPORT). SPORT has resulted in articles in The New England Journal of Medicine, Journal of the American Medical Association, and Spine. Other prospective trials have included non-fusion tech-nologies in lumbar and cervical total disc replacement arthroplasty. HSS was a main site for the IDE clinical trial for ProDisc-L for the treatment of two-level degenerative disc disease, the findings of which were published in the Journal of Bone & Joint Surgery (Am). The Service is also refining its clinical outcome measures, combining the SF-12 health survey, Oswestry Disability Index (ODI), and the Neck Disability Index (NDI) in a scale that better describes patient postoperative function for outcome analysis.

The Spine Service has continued basic science research in orthobiologics in bone healing using animal fusion models. Members have studied the efficacy of bone morphogenetic proteins (BMP), demineralized bone matrices (DBM), and beta-tricalcium phosphates (beta-TCP ceramics), and investigated a new surface coating for metallic implants.

In 2010, the clinical fellowship was further strengthened with an emphasis on research. Each clinical fellow spends one day a week devoted to research, which has resulted in a number of projects accepted for presentation at national and international society meetings.

spine service

Frank P. Cammisa, Jr., MDChief

James C. Farmer, MD Federico P. Girardi, MD Charles B. Goodwin, MD Russel C. Huang, MD Alexander P. Hughes, MD Joseph M. Lane, MD Patrick F. O’Leary, MD Andrew A. Sama, MD Harvinder S. Sandhu, MD


Further developed Spine Clinical Pathways to optimize clinical care and length of stay for spine operative procedures

Collaborating with the Biomechanics Department on a global registry of retrieved total disc replacements to better understand wear and performance

Launched a Minimally Invasive Spine Registry focused on the XLIF procedure

Welcomed the Spine Service’s first board-eligible neurosurgeon as a spine fellow, and expanded credentialling and inte-grated the Department of Neurosurgery at

Memorial Sloan-Kettering Cancer Center, spine trauma at Westchester Medical Center, and spine surgery at the Bronx VA Medical Center into the clinical fellowship


l2,036InpatientSurgeriesl152AmbulatorySurgeriesTotalSurgicalVolume:2,188TotalPatientVisits:11,375

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2020

With 25 orthopaedic surgeons and five primary care sports medicine physicians, the Sports Medicine and Shoulder Service continues to capitalize on its size, depth, and range of expertise.

Service members provide medical coverage to professional teams and organizations, including the New York Knicks, New York Mets, New York Giants, Nets Basketball, New York Liberty, New York Red Bulls, U.S. National Rowing Team, and the U.S.A. Swimming National Team, as well as many college and high school athletic programs. For all levels of athletes, the Service is focused on developing and refining techniques for more precise diagnosis of injuries and better defined, less-traumatic nonoperative or operative treatments that can return players to their previous skill level quickly and safely.

Innovators in the field of sports medicine, the Service’s physicians continue to be at the forefront of elbow reconstruction for injuries in the overhead athlete and repair of the anterior cruciate ligament. They also specialize in challenging cartilage problems that often involve complex osteotomies of the tibia or the femur and new and constantly changing cartilage replacement techniques. Major shoulder surgery – both primary and revision shoulder arthroplasty – is also a key area of focus. Surgeons incor-porate CT scans with 3-D reconstruction to evaluate boney anatomy, particularly around the shoulder and the hip, which ultimately guides therapeutic intervention.

The Service is expanding its Primary Care Sports Medicine Program under the direction of Dr. Brian C. Halpern with the recent addition of two new physicians in 2011: Dr. James J. Kinderknecht and Dr. Marci Anne Goolsby.

Research remains a top priority of the Service’s mission, with a commitment to collaborative group efforts in both basic and clinical research. The Service welcomed Sherrie Vassallo as the Director of Clinical Research to manage the many research activities of the group. Primary research efforts focus on soft tissue and cartilage reconstruction of joints and their clinical application to the active individual. The Service is pursuing in-depth studies in knee ligament stability, shoulder stability, rotator cuff tendon healing, and articular cartilage repair. A major component of the program includes the development of computerized research registries that track outcomes of patients undergoing surgery for ACL reconstruc-tion, rotator cuff repair, shoulder stabilization surgery, and cartilage defects.

The Service has created an articular cartilage repair registry, and great progress was made in the past year in the redesign of its ACL Registry. To date, 670 patients are enrolled in this registry. In 2011, the Service assumes stewardship of the total

sporTs medicine and shoulder service

David W. Altchek, MDScott A. Rodeo, MD Co-Chiefs

Answorth A. Allen, MDStruan H. Coleman, MD, PhDFrank A. Cordasco, MD, MSEdward V. Craig, MD, MPHDavid M. Dines, MDJoshua S. Dines, MDStephen Fealy, MDLawrence V. Gulotta, MDJo A. Hannafin, MD, PhDAnne M. Kelly, MDBryan T. Kelly, MDJohn D. MacGillivray, MDRobert G. Marx, MD, MSc, FRCSCMichael J. Maynard, MDStephen J. O’Brien, MD, MBAAndrew D. Pearle, MDAnil S. Ranawat, MDHoward A. Rose, MDBeth E. Shubin Stein, MDSabrina M. Strickland, MDRussell F. Warren, MDThomas L. Wickiewicz, MDRiley J. Williams, III, MD

Sports Medicine Affiliated StaffLisa R. Callahan, MDJoseph H. Feinberg, MDMarci Anne Goolsby, MDBrian C. Halpern, MDJames J. Kinderknecht, MDOsric S. King, MDJordan D. Metzl, MDPeter J. Moley, MDRock G. Positano, DPM, MSc, MPHHollis G. Potter, MDJennifer L. Solomon, MD


Formalized the Primary Care Sports Medicine Program and added two new physicians – one with expertise in pre-adolescent and adolescent

athletes, and the second with a specialty in stress fractures and the female athlete

Worked to develop consensus guidelines for rehabilitation following ACL reconstruction, rotator cuff repair, acromioplasty, and shoulder stabilization

Expanded clinic services to junior varsity and varsity teams in the Public School Athletic League

Provided ongoing opportunities for resi-dents and fellows to serve as team physicians for six high school foot-ball teams

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shoulder registry created by the Center for Education and Research on Therapeutics (CERT).

The Service continues to engage in a broad span of basic science research initiatives. Working with the Biomechanics Department has allowed for ongoing studies of knee and shoulder mechanics using a state-of-the-art robotic testing system. In conjunction with the Motion Analysis Laboratory, muscle function in patients with rotator cuff disease is being examined.

The Service has established an ongoing collabora-tion with the Laboratory for Soft Tissue Research, where studies include assessing feasibility of a non-biodegradable scaffold for treatment of osteochondral defects in a rabbit model; studies of the effect of mechanical loading on ligament fibroblasts; and evaluation of the effect of strain on ligament graft healing in an animal model. Researchers are also conducting basic laboratory studies in tendon and ligament biology, looking at cell-based approaches to tissue healing with a goal to bring these to the clinical trials arena.

Translational research is also underway using models of Vitamin D deficient rodents to evaluate the histology and mechanical properties of rotator cuff repairs. If rotator cuff healing is superior in the Vitamin D repletion group, this data has the potential to be used in humans. Trials will soon begin in patients for rotator cuff repair using bone marrow-derived cells to determine if they augment healing.

Several prospective projects have recently been completed on rotator cuff repair and arthroscopic shoulder instability surgery, with current projects investigating shoulder surgery focusing on anterior instability in adolescents.

The Sports Medicine Fellowship Program has seven accredited positions, an additional international fellow, and a two-year fellowship position that permits a dedicated research year. The Service established a fellowship program in primary care sports medicine, welcoming its first fellow in July 2011.

In 2010, the Service established small teaching groups – or pods – comprised of three to four orthopaedic surgeons, as well as a primary care physician, physical therapist, and physician assistant, based on similar interests and expertise. The goal is to enhance fellowship and residency training. This approach has been well received and can serve as a template to other large services at HSS.

Launched a Primary Care Sports Medicine Fellowship beginning in July 2011

Furthered a relationship with the New York Road Runners Club, holding a series of multidisci-plinary education

programs that includes tips and tools for training on their website and through a live Twitter feed

Developed a partnership with Asphalt Green (a member-based gym and sports center) where HSS provides health education, injury prevention, and

other sports medicine information to members via multiple media, including distribution of material at the sports center facility


l1,752InpatientSurgeriesl6,802AmbulatorySurgeriesTotalSurgicalVolume:8,554TotalPatientVisits:110,779

Scott A. Rodeo, MD, and David W. Altchek, MD

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2222

Peer Reviewed Scientific Manuscripts

The Department of Biomechanics remains a vital link between orthopaedic surgeons at Hospital for Special Surgery and translational research aimed at providing the best care to their patients. Collaborative research among the engineers in the Department and the orthopaedic staff spans from developing new treatments through to postoperative assessment of treatment efficacy. The past year was no exception in this ongoing process of continual improvement.

For example, research with the Sports Medicine and Shoulder Service has led to the development of a class of novel biomaterials for use in cartilage repair, meniscal replacement, and ligament reconstruction. By applying lessons learned by HSS surgeons and engineers in developing total joint replacements, the design of these materials centers on their ability to transfer the large loads that patients place across their joints during daily activities. Thus, treatments employing these new materials will not only relieve pain, but also restore function to the diseased or injured joint.

For more than 30 years, the Department of Biomechanics has been analyzing joint replacement implants retrieved from patients, amassing the largest collection in the world and providing surgeons and biomechanical engineers the rare opportunity to examine how the implants functioned while implanted. Such analysis suggests ways of improving performance through new designs, while also affording the means of comparing the effectiveness of existing designs. As one example, progress continued over the past year in combining observations of failed elbow replacements with computational stress analysis to understand why these implants undergo a higher rate of mechanical failure than their counterparts in the hip and knee. The results have fostered innovative new design concepts that are currently undergoing rigorous testing before applying them in the clinical setting.

Medical students, biomechanics graduate students, orthopaedic residents, and postdoctoral fellows are an integral part of the research and development projects in the Department. By effectively engaging these trainees in the research environ-ment, they experience firsthand clinical problems that require engineering solutions while, at the same time, they benefit from the synergy created by integrating students from multiple disciplines. A cornerstone of these efforts is the Hospital’s Ruth L. Kirschstein National Research Service Award from the National Institutes of Health. With more than 25 years of continuous funding, the award has enabled the creation of a Musculoskeletal Training Program that supports two postdoctoral fellows and one predoctoral student. These students contribute greatly to all orthopaedic services at HSS. We continued to emphasize the recruitment of women and minority students into bioengineering and orthopaedics, including participation in the Perry Outreach Program and a Luce Foundation grant for fellowships for women in engineering.

deparTmenT of Biomechanics

Timothy M. Wright, PhDDirector

Donald Bartel, PhDYingxin Gao, PhDChristopher Hernandez, PhD Carl Imhauser, PhDJoseph Lipman, MSSuzanne Maher, PhDMarjolein van der Meulen, PhD


Demonstrated the feasibility of using an implant-bound collagen binding molecule to create an immediate bond between non-degradable hydrogel implants and articular cartilage

Received an award from the Weill Cornell Clinical and Translational Science Center to develop objective methods to examine 3-D knee motions in the clinic after ACL injury and reconstruction

Submitted patent ap-plications centered on the development of novel non-degradable hydro-gels for the purposes of replacing damaged mus-culoskeletal soft tissues

Recruited Christopher Hernandez, PhD, to the faculty at Cornell Ithaca and to the Cornell-HSS Program in Biomechanics; since joining Cornell, Dr. Hernandez received a

grant from the National Science Foundation to study the spatial relation-ship between bone forma-tion and tissue mechanical stresses

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23

ContentS

24 Professional Staff

25 Affiliations

26 Endowed Chairs, Professorships, and Fellowships

27 2010-2011 Notable Achievements

32 2010-2011 Selected Publications

52 Department of Orthopaedic Surgery 2010-2011 Graduating Residents and Fellows

54 Department of Orthopaedic Surgery – Contact Information

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24

professional sTaff

Surgeon-in-Chief and Medical DirectorThomas P. Sculco, MD

Clinical DirectorCharles N. Cornell, MD

Academic DirectorMathias P. Bostrom, MD

Orthopaedic Research DirectorJo A. Hannafin, MD, PhD

Faculty Development DirectorScott W. Wolfe, MD

Adult ReconstRuction And Joint ReplAcement division

Douglas E. Padgett, MDChief, Hip Service



Michael M. Alexiades, MD Friedrich Boettner, MDMathias P. Bostrom, MDRobert L. Buly, MDCharles N. Cornell, MDAlejandro González Della Valle, MDDavid J. Mayman, MDBryan J. Nestor, MDMichael L. Parks, MDPaul M. Pellicci, MD Amar S. Ranawat, MDChitranjan S. Ranawat, MDEduardo A. Salvati, MD Thomas P. Sculco, MDEdwin P. Su, MDGeoffrey H. Westrich, MDPhilip D. Wilson, Jr., MD(Emeritus)Russell E. Windsor, MD

2010-2011 FellowsJohn A. Anderson, MDDeidre M. Blake, MDMichael R. Fraser, Jr., MDMark W. Gesell, MDSeth A. Jerabek, MDGregory G. Klingenstein, MDJohn L. Wang, MD

Foot And Ankle seRvice

Jonathan T. Deland, MDChief

Walther H. O. Bohne, MDAndrew J. Elliott, MDScott J. Ellis, MDJohn G. Kennedy, MDDavid S. Levine, MDMartin J. O’Malley, MDMatthew M. Roberts, MD

2010-2011 FellowsLan Chen, MDJoshua H. Lamb, MDAlejandro E. Pino, MD

HAnd And uppeR extRemity seRvice

Edward A. Athanasian, MDChief (as of May 2011)

Michelle G. Carlson, MDAaron Daluiski, MDRobert N. Hotchkiss, MDLana Kang, MDSteve K. Lee, MD(as of August 2011)Andrew J. Weiland, MD Scott W. Wolfe, MD (Chief Emeritus)

2010-2011 FellowsKeith M. Crivello, MD, MAArthur Ta-Tzu Lee, MDKieran E. O’Shea, MB, BCh, BAO

limb lengtHening And complex ReconstRuction seRvice

S. Robert Rozbruch, MD Chief

Austin T. Fragomen, MD

2010-2011 FellowsVladimir Goldman, MD Abhijit Y. Pawar, MBBS

metAbolic bone diseAse/ musculoskeletAl oncology seRvice

Joseph M. Lane, MDChief

Richard S. Bockman, MD, PhDAdele L. Boskey, PhDShevaun M. Doyle, MD

Azeez M. Farooki, MDSteven R. Goldring, MDMartin Nydick, MDLinda A. Russell, MDAlana Serota, MDRobert Schneider, MDDavid A. Zackson, MD

Metabolic Bone Affiliated StaffJessica G. Davis, MD Edward F. DiCarlo, MD Elizabeth M. Manejias, MD Cathleen L. Raggio, MD

2010-2011 FellowsLohrasb Ahmadian, MD, MPH, MScAasis Unnanuntana, MD

oRtHopAedic tRAumA seRvice

David L. Helfet, MDChief

David E. Asprinio, MDGregory S. DiFelice, MD Andrew Grose, MDJoseph M. Lane, MDDean G. Lorich, MDJohn P. Lyden, MD

2010-2011 FellowsT. William Axelrad, MD, PhDDirk Leu, MDDavid S. Wellman, MD

pediAtRic oRtHopAedic seRvice

Roger F. Widmann, MDChief

John S. Blanco, MDShevaun M. Doyle, MDDaniel W. Green, MD, FACSCathleen L. Raggio, MDLeon Root, MDDavid M. Scher, MDErnest L. Sink, MD

2010-2011 FellowTracey A. DeLucia, MD, PhD

scoliosis seRvice

Oheneba Boachie-Adjei, MDChief

John S. Blanco, MDMatthew E. Cunningham, MD, PhDDaniel W. Green, MD, FACSBernard A. Rawlins, MDRoger F. Widmann, MD

(continued on page 25)

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Scoliosis Service (continued)

2010-2011 FellowsJohn Caridi, MDJaspaul S. Gogia, MDPaul S. Issack, MD, PhDSuhel Y. Kotwal, MBBS, MSDarren R. Lebl, MDFred F. Mo, MD

spine seRvice

Frank P. Cammisa, Jr., MDChief

James C. Farmer, MDFederico P. Girardi, MDCharles B. Goodwin, MDRussel C. Huang, MDAlexander P. Hughes, MDJoseph M. Lane, MDPatrick F. O’Leary, MDAndrew A. Sama, MDHarvinder S. Sandhu, MD

2010-2011 FellowsJohn Caridi, MDJaspaul S. Gogia, MDPaul S. Issack, MD, PhDSuhel Y. Kotwal, MBBS, MSDarren R. Lebl, MDFred F. Mo, MD

spoRts medicine And sHouldeR seRvice

David W. Altchek, MDScott A. Rodeo, MD Co-Chiefs

Answorth A. Allen, MDStruan H. Coleman, MD, PhDFrank A. Cordasco, MD, MSEdward V. Craig, MD, MPHDavid M. Dines, MDJoshua S. Dines, MDStephen Fealy, MDLawrence V. Gulotta, MD Jo A. Hannafin, MD, PhDAnne M. Kelly, MDBryan T. Kelly, MDJohn D. MacGillivray, MDRobert G. Marx, MD, MSc, FRCSCMichael J. Maynard, MDStephen J. O’Brien, MD, MBAAndrew D. Pearle, MDAnil S. Ranawat, MDHoward A. Rose, MDBeth E. Shubin Stein, MDSabrina M. Strickland, MDRussell F. Warren, MDThomas L. Wickiewicz, MDRiley J. Williams, III, MD

Sports Medicine Affiliated StaffLisa R. Callahan, MDJoseph H. Feinberg, MDMarci Anne Goolsby, MDBrian C. Halpern, MDJames J. Kinderknecht, MDOsric S. King, MDJordan D. Metzl, MDPeter J. Moley, MDRock G. Positano, DPM, MSc, MPHHollis G. Potter, MDJennifer L. Solomon, MD

2010-2011 FellowsCourtney K. Dawson, MDGregory J. Galano, MDZakary A. Knutson, MDRobert B. Kohen, MDAaron J. Krych, MDFernando Contreras Soares, MDJohn M. Solic, MDMatthew M. Thompson, MD

Adult AmbulAtoRy cARe centeR

Alejandro Leali, MDMedical Director

depARtment oF biomecHAnics

Timothy M. Wright, PhDDirector

Donald Bartel, PhDYingxin Gao, PhDChristopher Hernandez, PhDCarl Imhauser, PhDJoseph Lipman, MSSuzanne Maher, PhDMarjolein van der Meulen, PhD

ReseARcH division

Steven R. Goldring, MDChief Scientific Officer

Lionel B. Ivashkiv, MDAssociate Chief Scientific Officer and Director of Basic Research

Robert N. Hotchkiss, MDDirector of Clinical Research

25

affiliaTions

memoRiAl sloAn-ketteRing cAnceR centeR

Orthopaedic SurgeryJohn H. Healey, MDChief

new yoRk HospitAl Queens

Department of Orthopaedicsand RehabilitationJeffrey E. Rosen, MDChair

newyoRk-pResbyteRiAn HospitAl/ weill coRnell medicAl centeR

Combined OrthopaedicTrauma ServiceDavid L. Helfet, MDDirector

Dean G. Lorich, MDDirector, Orthopaedic Trauma Service, NewYork-Presbyterian Hospital/Weill Cornell Medical Center

new yoRk univeRsity scHool oF medicine

Plastic SurgeryDavid T. W. Chiu, MDProgram Director,Hand Surgery Fellowship

st. luke’s-Roosevelt HospitAl centeR

Orthopaedic SurgeryWilliam G. Hamilton, MDSenior AttendingOrthopaedic Surgeon

JAmes J. peteRs veteRAns AdministRAtion medicAl centeR bRonx, ny

Orthopaedic SurgerySabrina M. Strickland, MDChief

westcHesteR medicAl centeR

Orthopaedic SurgeryDavid E. Asprinio, MDChair and Program Director

The affiliations of Hospital for Special Surgery enable orthopaedic surgery residents and fellows to benefit from a broad range of research and training opportunities.

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26

endoWed chairs, professorships, and felloWships

nAmed cHAiRs And pRoFessoRsHips

Franchellie M. Cadwell ChairSergio Schwartzman, MD

Joel and Anne Bick Ehrenkranz Research Chair

John N. Insall Chair in Knee SurgerySteven B. Haas, MD

Collette Kean Research ChairJane E. Salmon, MD

F.M. Kirby Chair in Orthopaedic BiomechanicsTimothy M. Wright, PhD

David H. Koch Chair for Arthritis and Tissue Degeneration ResearchLionel B. Ivashkiv, MD

Korein-Wilson Professorshipin Orthopaedic SurgeryThomas P. Sculco, MD

Richard S. Laskin, MD, Chair in Musculoskeletal EducationCharles N. Cornell, MD

David B. Levine, MD, Chair in ScoliosisOheneba Boachie-Adjei, MD

C. Ronald MacKenzie, MD, Chair in Ethics and MedicinesupportingWayne N. Shelton, PhD, and Stephanie M. Vertrees, MD

Richard L. Menschel Research Chair

Stephen A. Paget, MD, Chair in RheumatologyStephen A. Paget, MD

Leon Root, MD, Chair in Pediatric OrthopaedicsLeon Root, MD

Benjamin M. Rosen Chair in Immunology and Inflammation ResearchMary K. Crow, MD

Joseph P. Roth Professor of Rheumatic Diseases in MedicineMary K. Crow, MD

Virginia F. and William R. Salomon Chair in Musculoskeletal ResearchCarl Blobel, MD, PhD

Eduardo A. Salvati, MD, Chair in Hip ArthroplastyEduardo A. Salvati, MD

St. Giles Research ChairSteven R. Goldring, MD

Starr Chair in Mineralized Tissue ResearchAdele L. Boskey, PhD

Starr Chair in Tissue Engineering Research

Russell F. Warren, MD, Research Chair supportingSuzanne Maher, PhD

nAmed FellowsHips

Robert and Helen Appel Fellowship in Biomedical EngineeringNatalie Galley, MASc, and Russell P. Main, PhD

Finn and Barbara CaspersenFellowship for Spine Research

Charles L. Christian, MD, Research FellowshipLisa Mandl, MD

Ira W. DeCamp Fellowship in Musculoskeletal GeneticsMary Goldring, PhD

Leo Farbman Fellowship for Pediatric Musculoskeletal ResearchMichelle Leach, MS, OTR/L

Helen Frankenthaler Fellowship in Restorative MobilityAndrew D. Pearle, MD

Ken and Jill Iscol Fellowship in Orthopaedic ResearchEduardo Suero, MD

Irving and Sally Lipstock Fellowship in Orthopaedic SurgeryLawrence V. Gulotta, MD

Ludwig Fellowship for Women’s Sports Medicine Research

William T. Morris Fellowshipin Pediatric RheumatologyTheresa Lu, MD, PhD

Stavros S. Niarchos – Thomas P. Sculco, MD, International Orthopaedic FellowshipLazaros Poultsides, MD, PhD

Mary Rodgers and Henry Guettel Fellowship in Biomedical MechanicsStephanie Tow

Robert and Gillian Steel Fellowship in Musculoskeletal ResearchInez Rogatsky, PhD

Nancy Dickerson Whitehead Research FellowshipPhilipp Mayer-Kuckuk, PhD

Fellowship in ArthroplastyEdward Purdue, PhD

Immunology and Inflammation Fellowship

Endowed chairs, professorships, and fellowships recognize the generosity of our donors and sustain excellence inmusculoskeletal care, research, and medical education.

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27

2010-2011 NOTABlE ACHIEVEMENTS

The orthopaedic surgeons at Hospital for Special Surgery are regularly cited for their professional achievements and outstanding contributions to musculoskeletal medicine, research, and education. They manage the care of numerous major professional sports teams and organizations, hold leadership positions and serve on committees for national and international organizations and professional societies, and serve on editorial boards and as reviewers for numerous peer-reviewed journals.

AwARds And speciAl Recognition

Answorth A. Allen, MDHead Team Orthopaedist, New York KnicksOrthopaedic Consultant, West Indies Cricket Board of ControlHead Team Physician, St. John’s UniversityConsultant, Major League BaseballMaster Instructor, Knee and Shoulder Surgery, American Orthopaedic Society for Sports Medicine

David W. Altchek, MDMedical Director, New York MetsMedical Director, Nets Basketball

Donald Bartel, PhD2011 Alfred R. Shands, Jr., MD, Award, Orthopaedic Research Society

Adele L. Boskey, PhD2010 Alfred R. Shands, Jr., MD, Award, Orthopaedic Research Society

Lisa R. Callahan, MDDirector of Player Care, New York Knicks and New York Liberty

Frank P. Cammisa, Jr., MDSpinal Consultant, New York GiantsSpinal Consultant, National Hockey League Players’ Association

Struan H. Coleman, MD, PhDHead Team Physician, New York MetsMaster Instructor for Hip Arthroscopy, Orthopedic Learning Center, Chicago

David M. Dines, MD2010 Lifetime Achievement Award, American Academy of Orthopaedic SurgeonsMedical Director, Association of Tennis Professionals – ATP World TourTeam Physician, U.S. Davis Cup Tennis TeamHead Orthopaedic Consultant, U.S. Open TennisTeam Physician and Medical Director, Long Island Ducks Minor League Baseball Team

Joshua S. Dines, MDTeam Physician, U.S. Davis Cup Tennis TeamTeam Physician, Long Island Ducks Minor League Baseball TeamOrthopaedic Consultant, Los Angeles Dodgers

Scott J. Ellis, MDTraveling Fellowship, American Orthopaedic Foot & Ankle Society

Stephen Fealy, MDTeam Consultant, Major League BaseballTeam Physician, Chaminade High School

Joseph H. Feinberg, MDTeam Physician, St. Peter’s College

Marci Anne Goolsby, MDTeam Physician, New York Liberty

Jo A. Hannafin, MD, PhDEinstein-Montefiore Orthopaedics Distinguished Alumnus AwardHonorary Medical Officer, City of New York Fire DepartmentTeam Physician, U.S. RowingHead Team Physician, New York LibertyChief Medical Officer, FISA World Cup Regatta, Munich, Germany

David L. Helfet, MDInducted, Society of Scholars of Johns Hopkins UniversityVisiting Professor, Department of Orthopaedics, George Washington University

Bryan T. Kelly, MD2011 Excellence Award, American Orthopaedic Society for Sports MedicineAssociate Team Physician, New York GiantsAssistant Team Physician, New York Red BullsConsulting Team Physician, Nets Basketball

John G. Kennedy, MDTravel Grant Award for Top Resident/Fellow Abstract, Eastern Orthopaedic Association

Osric S. King, MDSports Medicine Coordinator, City University of New YorkAssociate Medical Director, St. John’s University

Joseph M. Lane, MDInaugural JBJS/OREF Orthopaedic Journal Club Award, University of California at Davis2011 Lifetime Achievement Award, Hospital for Special Surgery

Dean G. Lorich, MDRoger E. Joseph Prize for Humanitarian Medical Rescue Work, Hebrew Union College – Jewish Institute of Religion in New York

Stephen J. O’Brien, MD, MBA2010 Cappagh Foundation Honoree for Outstanding Career Contribution to Orthopedics, Cappagh Foundation Day Lecture, Cappagh Hospital Medical Board, Dublin, Ireland

Martin J. O’Malley, MDMedical Staff, New Jersey Nets BasketballFoot and Ankle Consultant, New York KnicksFoot and Ankle Consultant, New York Giants

Andrew D. Pearle, MDRichard S. Laskin Research Award, Hospital for Special SurgeryAircast Award for Basic Science and the Cabaud Memorial Award, American Orthopaedic Society for Sports MedicineAssistant Team Physician, New York Mets

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28

2010 - 2011 noTaBle achievemenTs

Matthew M. Roberts, MDLeadership Fellowship Program, American Academy of Orthopaedic Surgeons

Scott A. Rodeo, MDCharles Neer Award, American Shoulder and Elbow SocietyAssociate Team Physician, New York Giants

Jennifer L. Solomon, MDTeam Physician, U.S. Federation Cup Tennis Team

Beth E. Shubin Stein, MDTeam Physician, U.S. Federation Cup Tennis Team

Russell F. Warren, MDCharles Neer Award, American Shoulder and Elbow SocietyLeach Lectureship Award, Boston UniversityPhilip D. Wilson, Jr., MD, Resident Teaching Award (2010), Hospital for Special SurgeryTeam Physician, New York Giants

Andrew J. Weiland, MD2010 American Orthopaedic Association’s Distinguished Clinician Award

Thomas L. Wickiewicz, MDTeam Physician, Department of Athletics, St. Peter’s CollegeHonoree, The Saint Peter’s College Hearts & Minds Annual Scholarship Dinner

Timothy M. Wright, PhDAchievement Award, American Academy of Orthopaedic Surgeons

leAdeRsHip positions And Appointments

Michael M. Alexiades, MDPresident, Weill Cornell Medical College Alumni AssociationMember, Board of Overseers, Weill Cornell Medical College

Richard S. Bockman, MD, PhDUS-FDA Advisory Panel for New Drug Applications (Bone Field)US-FDA Advisory Committee for Reproductive Drugs

Adele L. Boskey, PhDCollege of Reviewers, NIH Center for Scientific Review

Mathias P. Bostrom, MDBoard Member and Past President, International Society for Fracture RepairBoard of Directors and Fellowship Committee, Hip SocietyBoard of Directors, Member-at-Large, Orthopaedic Research SocietyStudy Section, Musculoskeletal Tissue Engineering, National Institutes of HealthCourse Director, American Austrian Foundation

Robert L. Buly, MDBoard Member, Maurice Muller Foundation of North AmericaSecretary, International Society for Hip Arthroscopy

Lisa R. Callahan, MDAdvisory Board Member, American Ballet TheatreAdvisory Board Member, Center for Women’s Healthcare, Weill Cornell Medical College

Frank P. Cammisa, Jr., MDMedical Advisory Board, The Alan T. Brown Foundation to Cure ParalysisProgram Committee, Spine Arthroplasty Society 9th Annual Meeting

Michelle G. Carlson, MDMember, Kiros Hand Study Organization

Frank A. Cordasco, MD, MSBoard of Directors, Cunningham Dance FoundationMedical Advisory Board, Children of China Pediatrics FoundationHealth Policy Committee and Shoulder and Elbow Subcommittee, American Academy of Orthopaedic SurgeonsCo-Chairman, Program Committee, American Shoulder and Elbow Surgeons

Edward V. Craig, MD, MPHBoard of Directors, American Academy of Orthopaedic SurgeonsChairman, Traveling Fellowship, American Orthopaedic Association

Matthew E. Cunningham, MD, PhDOrthopedic Basic Science Evaluation Subcommittee, American Academy of Orthopaedic Surgeons

Jonathan T. Deland, MDMember-at-Large, Board of Trustees, and Research Committee, American Orthopaedic Foot & Ankle Society

Scott J. Ellis, MDAwards Committee and Young Physicians Committee, American Orthopaedic Foot & Ankle Society

James C. Farmer, MDSpine Evaluation Subcommittee and Medical Student and Fellow Education Committee, American Academy of Orthopaedic Surgeons

Stephen Fealy, MDTechnology Committee, Arthroscopy Association of North America

Austin T. Fragomen, MDTreasurer and Member, Board of Trustees, Limb Lengthening and Reconstruction Society

Federico P. Girardi, MDInternational Medical Graduate Committee, Medical Society of the State of New YorkPublications Committee, Spine Arthroplasty SocietyPatient-Based Outcomes Committee and Global Outreach Committee, Scoliosis Research Society

Marci Anne Goolsby, MDResearch Committee, American Medical Society for Sports Medicine

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29

Daniel W. Green, MD, FACSBoard Member, New York State Society of Orthopaedic SurgeonsPresident-Elect and Board Member, New York County Medical SocietyRepresentative to the American College of Surgeons for the Pediatric Orthopaedic Society of North America Representative to the American Academy of Orthopaedic SurgeonsEvaluation Committee, American Academy of Orthopaedic SurgeonsDivision of Socio-Medical Economics Committee on Interspecialty, Medical Society of the State of New YorkAdvocacy and Public Relations and Patient Education Committees, Scoliosis Research SocietyClinic Chief, Association of Children’s Prosthetic-Orthotic Clinics

Andrew Grose, MDFaculty, AO North America

Steven B. Haas, MDProgram Chair and New York Coordinator, John N. Insall Traveling Fellows, The Knee Society

Brian C. Halpern, MDFounding Member and Past President, American Medical Society for Sports Medicine

Jo A. Hannafin, MD, PhDBoard of Trustees and Secretary; Chair, Committee on Enduring Education; and Education Council, American Orthopaedic Society for Sports MedicineBoard of Trustees and Educational Grants Committee, Orthopaedic Research and Education FoundationNational Institutes of Health Study Section, Skeletal Biology Structure and Regeneration SectionGrant Review Committee, Ruth Jackson Orthopaedic Society

David L. Helfet, MDTrustee, AO FoundationChair Emeritus, Clinical Investigation and Documentation, AO Foundation Technical Commission, AO North America, AO Foundation

Lana Kang, MDDiversity Committee and Government Affairs Committee, American Society for Surgery of the HandYoung Members Committee, Medical Society of the State of New York

Anne M. Kelly, MDMembership Committee, Arthroscopy Association of North AmericaSecretary/Treasurer, Thomas B. Quigley Sports Medicine Society

Bryan T. Kelly, MDOLC Education Committee, Arthroscopy Association of North America

Joseph M. Lane, MDChair, MOAC Recertification Program, American Academy of Orthopaedic SurgeonsStudy Section, National Institutes of Health and National Institute of Arthritis and Musculoskeletal and Skin Disorders

David S. Levine, MDMember-at-Large, Medical Board, Hospital for Special Surgery

Dean G. Lorich, MDTechnical Commission, Teaching Faculty, and Osteoporosis Task Force, AO-ASIF

Suzanne Maher, PhDProgram Committee and Basic Science Committee, Orthopaedic Research Society Biomedical Engineering Committee, American Academy of Orthopaedic Surgeons

Stephen J. O’Brien, MD, MBAVice President and Program Chair for 2011 Meeting, Thomas B. Quigley Sports Medicine SocietyResearch and Nominating Committees, American Orthopaedic Society for Sports MedicineProgram Committee, American Shoulder and Elbow Surgeons

Douglas E. Padgett, MDCommittee on Education, Board Member-at-Large American Association of Hip and Knee SurgeonsProgram Committee, 2010-2012 Annual Meeting, American Academy of Orthopaedic Surgeons

Michael L. Parks, MDVice President, New York State Society of Orthopaedic SurgeonsBoard of Directors, Member-at-Large, American Association of Hip and Knee Surgeons

Andrew D. Pearle, MDTechnology Committee, American Orthopaedic Society for Sports MedicineEmerging Leaders Program, American Orthopaedics Association

Rock G. Positano, DPM, MSc, MPHBoard of Trustees, New York College of Podiatric Medicine and Foot Clinics of New YorkBoard of Directors, Children’s Health Fund

Hollis G. Potter, MDResearch Committee, American Orthopaedic Society for Sports MedicineProgram Committee Chair, International Society for Magnetic Resonance in Medicine Reviewer, NIH Study Section on Biomedical Imaging TechnologyReviewer, NIH (NIAMS) Ancillary Studies Review Panel Consultant, Orthopaedic and Rehabilitation Devices Panel, Medical Devices Advisory Committee and Center for Devices and Radiological Health, Food and Drug AdministrationNIAMS Panel for Centers of Research Translation grant applicationsMember, International Scientific Advisory Board, Austrian Science Fund and Medical University of Vienna

Amar S. Ranawat, MDChairman, Technical Exhibits Committee, Eastern Orthopaedic AssociationConsultant Orthopaedic Surgeon, Bronx Veterans Administration Medical Center

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30

2010 - 2011 noTaBle achievemenTs

Chitranjan S. Ranawat, MDChair, Ranawat Orthopaedic Research FoundationChair, Annual “ROC Advances and Techniques in Joint Replacement Surgery”

Bernard A. Rawlings, MDFounding Member, J. Robert Gladden SocietyExaminer, American Board of Orthopaedic Surgery

Matthew M. Roberts, MDPost-Graduate Education and Training Committee, American Orthopaedic Foot & Ankle Society

Scott A. Rodeo, MDChair, Research Committee, American Orthopaedic Society for Sports MedicineChair, Professional Liaison Committee, Orthopaedic Research SocietyChair, USA Swimming Sports Medicine Committee Member, NIH Study Section on Skeletal Biology Structure and Regeneration

Leon Root, MDChair, Orthopaedic Section, New York Academy of Medicine

S. Robert Rozbruch, MDVice President and Member, Board of Trustees, Limb Lengthening and Reconstruction SocietySecondary School Committee, Undergraduate Admissions, University of Pennsylvania

Eduardo A. Salvati, MDPast President, American Hip SocietyPast Secretary/Treasurer, International Hip Society

David M. Scher, MDPresident, Pediatric Orthopaedic Society of North AmericaHistory Committee, Pediatric Orthopaedic Society of North America

Thomas P. Sculco, MDExecutive Director and Founder, International Society of Orthopaedic Centers Vice Chair, Board of Trustees, Arthritis Foundation – New York ChapterBoard of Trustees, Carnegie Hall

Ernest L. Sink, MDEducation Committee, Pediatric Orthopaedic Society of North America

Jennifer L. Solomon, MDWomen’s Sports Medicine Committee, Association of American College of Sports Medicine

Edwin P. Su, MDHip Program Subcommittee, American Academy of Orthopaedic Surgeons

Marjolein van der Meulen, PhDTask Force, Atypical Femoral Fractures, American Society of Bone and Mineral Research Fellow, American Society of Mechanical Engineers Secretary, Orthopaedic Research SocietyCharter Member, NIH Skeletal Biology Structure and Regeneration Study Section

Russell F. Warren, MDFounding Member and Past President, American Shoulder and Elbow SurgeonsPast President, American Orthopaedic Society for Sports MedicinePast President, Herodicus Society

Andrew J. Weiland, MDPresident, International Bone Research AssociationNominating Committee, American Society of Surgery for the HandNominating Committee, American Orthopaedic Association

Geoffrey H. Westrich, MDBoard Member, Program Committee Chairman, and Finance Committee, Eastern Orthopedic Association

Thomas L. Wickiewicz, MDBoard of Trustees, Medical Publishing Group, American Orthopaedic Society for Sports Medicine

Roger F. Widmann, MDPublications Committee, Pediatric Orthopaedic Society of North America

Russell E. Windsor, MDExaminer, American Board of Orthopaedic Surgery

Scott W. Wolfe, MDWebsite Committee, Electronic Information Committee, Clinical Trials and Outcomes Committee, and Joint Research Committee, American Society for Surgery of the Hand

Timothy M. Wright, PhDPanel Discussant, FDA Medical Device Innovation Initiative WorkshopOrthopaedic Research Society Representative, FDA Closed Meeting on Metal-on-Metal Hip ArthroplastyCo-Chair, Sino-HSS Workshop on Total Knee ArthroplastyCo-Chair, HSS Osteoarthritis Summit: Frontiers in OA Research, Prevention, and CareEducation and Program Committees, The Knee Society

editoRiAl Appointments

John S. Blanco, MDReviewer, Journal of Pediatric Orthopaedics

Oheneba Boachie-Adjei, MDBoard of Associate Editors, Spine

Mathias P. Bostrom, MDEditorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

Lisa R. Callahan, MDEditorial Advisor: Journal of Women’s Health; Women’s Health Advisor; Food and Fitness Advisor

Michelle G. Carlson, MDEditorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special SurgeryReviewer: Journal of Hand Surgery; Journal of Hand and Microsurgery

Struan H. Coleman, MD, PhDEditorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

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31

Charles N. Cornell, MDEditor-in-Chief, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Senior Associate Editor, Clinical Orthopaedics and Related Research

Matthew E. Cunningham, MD, PhDReviewer, Clinical Orthopaedics and Related Research

Jonathan T. Deland, MDEditor-in-Chief, Foot and Ankle Section, OrthopaediaAssociate Editor, Foot and Ankle Journal

David M. Dines, MDTreasurer and Board of Trustees, Journal of Shoulder and Elbow Surgery

Scott J. Ellis, MDReviewer: Clinical Orthopaedics and Related Research; HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery; Journal of Orthopaedic Research; Journal of Musculoskeletal Medicine

Joseph H. Feinberg, MDEditorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

Austin T. Fragomen, MDEditorial Board, Clinical Orthopaedics and Related Research

Steven R. Goldring, MDAssociate Editor, Arthritis Research & Therapy

Daniel W. Green, MD, FACSEditor, Orthopaedics Section, Current Opinion in OrthopaedicsConsultant Reviewer: Journal of Pediatric Orthopaedics; Clinical Orthopaedics and Related ResearchReviewer, Spine

Lawrence V. Gulotta, MD Editorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

Russel C. Huang, MDEditorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

Lana Kang, MDReviewer: Clinical Orthopaedics and Related Research; Journal of Hand Surgery

Anne M. Kelly, MDPrincipal Reviewer, American Journal of Sports Medicine

Joseph M. Lane, MDEditorial Boards: Bone; Journal of Arthroplasty; Journal of Orthopaedic Research; Spine; HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

Alejandro Leali, MDSenior Associate Editor, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

David S. Levine, MDEditorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

Robert G. Marx, MD, MSc, FRCSCSenior Associate Editor, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

Douglas E. Padgett, MDEditorial Board, Journal of ArthroplastyReviewer: Journal of Orthopaedic Research; Journal of Bone and Joint Surgery; Clinical Orthopaedics and Related Research

Hollis G. Potter, MDAssociate Editor: Imaging; Sports Health Editorial Board, Cartilage

Amar S. Ranawat, MDEditorial Board, Journal of ArthroplastyReviewer: HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery; Clinical Orthopaedics and Related Research; Current Orthopaedic Practice

S. Robert Rozbruch, MDEditorial Board, Journal of Orthopaedic TraumaReviewer, Clinical Orthopaedics and Related Research

David M. Scher, MDEditorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special SurgeryConsultant Reviewer: Journal of Pediatric Orthopaedics; Clinical Orthopaedics and Related Research

Thomas P. Sculco, MDDeputy Editor, American Journal of OrthopedicsAssociate Editor, Techniques in Orthopaedics Editorial Board, Istituto Ortopedico RizzoliReviewer, The LancetAdvisory Board and Editorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

Marjolein van der Meulen, PhDDeputy Editor, Journal of Orthopaedic Research

Andrew J. Weiland, MDReviewer: The Journal of Bone & Joint Surgery; Journal of Orthopaedic Trauma; Journal of the American Society for Surgery of the Hand; Clinical Orthopaedics and Related Research

Thomas L. Wickiewicz, MDTreasurer, American Journal of Sports Medicine

Roger F. Widmann, MDConsultant Reviewer: Journal of Pediatric Orthopaedics; Clinical Orthopaedics and Related Research; Journal of Children’s Orthopaedics

Scott W. Wolfe, MDEditor-in-Chief, Green’s Operative Hand SurgeryReviewer: Journal of Hand Surgery, Clinical Orthopaedics and Related Research; The Journal of Bone & Joint Surgery; Journal of Orthopaedic Research; Clinical Orthopaedics and Related Research

Timothy Wright, PhDCo-Editor, Journal of Orthopaedic ResearchDeputy Editor, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

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2010 - 2011 SElECTED PUBlICATIONS

Adult ReconstRuction And Joint ReplAcement divisionHip seRvice/knee seRvice/suRgicAl ARtHRitis seRvice

Amstutz HC, Su EP, Le Duff MJ, Fowble VA. Are there benefits to one- versus two-stage procedures in bilateral hip resur-facing? Clinical Orthopaedics and Related Research 2010.

Bang H, Chiu Y, Memtsoudis SG, Mandl LA, Gonzalez Della Valle A, Marx RG, Mazumdar M. Total hip and knee arthro-plasties: trends and disparities revisited. American Journal of Orthopedics 2010.

Carulli C, Buly RL. Arthroscopy of the hip: a procedure for surgeons with extensive experience or a “starting point” for the young orthopedist? Journal of GIOT 2010.

Chalmers PN, Sherman SL, Raphael BS, Su EP. Rheumatoid synovectomy: does the surgical approach matter? Clinical Orthopaedics and Related Research 2011.

Chen D, Lin S, Cutrera N, Padgett DE, Wright TM. Ceramic bearings in total hip replacement: a retrieval analysis. Minerva Ortopedica e Traumatologica 2010.

Cohn RM, Gonzalez Della Valle A, Cornell CN. Heterotopic ossification is less after THA in patients who receive aspirin compared to coumadin. Bulletin for NYU Hospital for Joint Diseases 2010.

Colwell CW Jr, Froimson MI, Mont MA, Ritter MA, Trousdale RT, Buehler KC, Spitzer A, Donaldson TK, Padgett DE. Thrombosis prevention after total hip arthroplasty: a prospective, randomized trial comparing a mobile compres-sion device with low-molecular-weight heparin. The Journal of Bone & Joint Surgery 2010.

Cooper HJ, Ranawat AS, Potter HG, Foo LF, Koob TW, Ranawat CS. Early reactive synovitis and osteolysis after total hip arthroplasty. Clinical Orthopaedics and Related Research 2010.

Crawford R, Ranawat CS, Rothman RH. Metal on metal: is it worth the risk? The Journal of Arthroplasty 2010.

Cross M, Perna M, Boettner F. A review of the most common complications following total hip arthroplasty. Minerva Ortopedica E Traumatologica 2010.

Deshmukh AJ, Thakur RR, Goyal A, Klein DA, Ranawat AS, Rodriguez JA. Accuracy of diagnostic injection in differentiating source of atypical hip pain. The Journal of Arthroplasty 2010.

Dolan MM, Kelly NH, Nguyen JT, Wright TM, Haas SB. Implant design influences tibial post wear damage in posterior- stabilized knees. Clinical Orthopaedics and Related Research 2011.

Dorr LD, Ranawat CS, Rothman RH. The presumption of guilt: what degree of disclosure is appropriate? The Journal of Arthroplasty 2011.

Down C, Xu Y, Osagie LE, Bostrom MP. The lack of correla-tion between radiographic findings and cartilage integrity. The Journal of Arthroplasty 2010.

Dushey CH, Bornstein LJ, Alexiades MM, Westrich GH. Short-term coagulation complications following total knee arthroplasty: a comparison of patient-reported and surgeon-verified complication rates. The Journal of Arthroplasty 2011.

Fahlgren A, Bostrom MP, Yang X, Johansson L, Edlund U, Agholme F, Aspenberg P. Fluid pressure and flow as a cause of bone resorption. Acta Orthopaedica 2010.

Fraitzl CR, Moya LE, Castellani L, Wright TM, Buly RL. Corrosion at the stem-sleeve interface of a modular titanium alloy femoral component as a reason for impaired disengage-ment. The Journal of Arthroplasty 2011.

Franco-Ferrando N, Malik A, Gonzalez Della Valle A, Salvati EA. Perioperative planning for hip arthroplasty in patients with a femoral neck fracture. Revista Espanola de Cirugia Ortopedica y Traumatologia (in press).

Gadinsky NE, Ehrhardt JK, Urband C, Westrich GH. Effect of body mass index on range of motion and manipulation after total knee arthroplasty. The Journal of Arthroplasty 2011.

Ghomrawi HM, Mandl LA, Rutledge J, Alexiades MM, Mazumdar M. Is there a role for expectation maximization imputation in addressing missing data in research using WOMAC questionnaire? Comparison to the standard mean approach and a tutorial. BMC Musculoskeletal Disorders 2011.

Hash TW 2nd, Maderazo AB, Haas SB, Saboeiro GR, Trost DW, Potter HG. Magnetic resonance angiography in the management of recurrent hemarthrosis after total knee arthroplasty. The Journal of Arthroplasty 2011.

Hayter CL, Potter HG, Su EP. Imaging of metal-on-metal hip resurfacing. Orthopaedic Clinics of North America 2011.

Hepinstall M, Ranawat AS, Rasquinha VJ, Weiskopf J, Howard H, Ranawat CS. Revision total hip arthroplasty for ceramic head fracture: a long-term follow-up. The Journal of Arthroplasty 2010.

Hepinstall MS, Rutledge JR, Bornstein LJ, Mazumdar M, Westrich GH. Factors that impact expectations before total knee arthroplasty. The Journal of Arthroplasty 2010.

Heyse TJ, Chen DX, Kelly N, Boettner F, Wright TM, Haas SB. Matched-pair total knee arthroplasty retrieval analysis: Oxidized zirconium vs. CoCrMo. Knee 2010.

Heyse TJ, Davis J, Haas SB, Chen DX, Wright TM, Laskin RS. Retrieval analysis of femoral zirconium components in total knee arthroplasty preliminary results. The Journal of Arthroplasty 2011.

James DE, Nestor BJ, Sculco TP, Ivashkiv LB, Ross FP, Goldring SR, Purdue PE. The relative timing of exposure to phagocytosable particulates and to osteoclastogenic cyto-kines is critically important in the determination of myeloid cell fate. Journal of Immunology 2010.

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33

Jules-Elysee KM, Lipnitsky JY, Patel N, Anastasian G, Wilfred SE, Urban MK, Sculco TP. Use of low-dose steroids in decreasing cytokine release during bilateral total knee replacement. Regional Anesthesia and Pain Medicine 2011.

Kelly NH, Fu RH, Wright TM, Padgett DE. Wear damage in mobile-bearing TKA is as severe as that in fixed-bearing TKA. Clinical Orthopaedics and Related Research 2011.

Kendoff D, Citak M, Stueber V, Nelson L, Pearle AD, Boettner F. Feasibility of a navigated registration technique in FAI surgery. Archives of Orthopaedic and Trauma Surgery 2011.

Kirkpatrick JS, Cornell CN, Hoang BH, Hsu W, Watson JT, Watters WC 3rd, Turkelson CM, Wies JL, Anderson S. Bone void fillers. Journal of the American Academy of Orthopaedic Surgeons 2010.

Lu N, Salvati EA. Multimodal prophylaxis for venous throm-boembolic disease after total hip and knee arthroplasty: current perspectives. Chinese Journal of Traumatology 2010.

Ma Y, Gonzalez Della Valle A, Zhang H, Tu X. A U-statistics based approach for modeling Cronbach Coefficient Alpha within a longitudinal data setting. Statistics in Medicine (in press).

Malik A, Salas AP, Ben Ari J, Ma Y, Gonzalez Della Valle A. Range of motion and function are similar in patients undergoing posterior stabilized total knee arthroplasty with conventional and high flexion polyethylene inserts. International Orthopaedics 2010.

Mancuso CA, Pavlov H, Hays PL, Sculco TP. Symptoms associated with compartmental radiographic disease in hip arthroplasty patients. The Journal of Arthroplasty 2010.

Manson TT, Kelly NH, Lipman JD, Wright TM, Westrich GH. Unicondylar knee retrieval analysis. The Journal of Arthroplasty 2010.

Meftah M, Ranawat AS, Ranawat CS. The natural history of anterior knee pain in two posterior-stabilized, modular total knee arthroplasty designs. The Journal of Arthroplasty 2011.

Memtsoudis SG, Gonzalez Della Valle A, Besculides MC, Esposito M, MacKenzie R, Koulouvaris P, Salvati EA. The impact of pre- and postoperative risk factors on peri-operative mortality after lower extremity arthroplasty: a population based study of 6,901,324 patients. The Journal of Arthroplasty (in press).

Memtsoudis SG, Gonzalez Della Valle A, Besculides MC, Gaber LK, Koulouvaris P, Liu SS. Demographics, outcomes and risk factors for adverse events associated with primary and revision hip arthroplasties in the United States. A study of 2,748,187 hospital discharges. American Journal of Orthopedics 2010.

Memtsoudis SG, Gonzalez Della Valle A, Jules-Elysse K, Poultsides L, Reid S, Starcher B, Ma Y, Sculco TP. Perioperative inflammatory response in total knee arthro-plasty patients: impact of limb preconditioning. Regional Anesthesia and Pain Medicine 2010.

Memtsoudis SG, Ma Y, Gonzalez Della Valle A, Besculides MC, Gaber LK, Koulouvaris P, Liu S. Demographics, out-comes and risk factors for adverse events associated with primary and revision hip arthroplasties in the United States. American Journal of Orthopedics 2010.

Memtsoudis SG, Mazumdar M, Gonzalez Della Valle A. Don’t patients have two knees? Reply to letter to the editor. Journal of Anesthesiology 2010.

Memtsoudis SG, Salvati EA, Go G, Ma Y, Sharrock NE. Perioperative pulmonary circulatory changes during bilateral total hip arthroplasty under regional anesthesia. Regional Anesthesia and Pain Medicine 2010.

Nam D, Jerabek SA, Haughom B, Cross MB, Reinhardt KR, Mayman DJ. Radiographic analysis of a hand-held surgical navigation system for tibial resection in total knee arthro-plasty. The Journal of Arthroplasty 2011.

Nestor BJ, Toulson CE, Backus SI, Lyman SL, Foote KL, Windsor RE. Mini-midvastus vs standard medial parapa-tellar approach: a prospective, randomized, double-blinded study in patients undergoing bilateral total knee arthroplasty. The Journal of Arthroplasty 2010.

Neviaser AS, Chang C, Lyman S, Gonzalez Della Valle A, Haas SB. High incidence of complications from enoxaparin treatment after arthroplasty. Clinical Orthopaedics and Related Research 2010.

Nousianen MT, Sen MK, Mintz DN, Lorich DG, Paul O, Buly RL, Helfet DL. The use of osteochondral allograft in the treatment of a severe femoral head fracture. Journal of Orthopaedic Trauma 2010.

Osagie LE, Bostrom MP. A custom coupling device of total knee and ipsilateral total hip arthroplasties after distal femoral fracture. The Journal of Arthroplasty 2011.

Ranawat CS, Rothman RH. A surgeon’s transition: when to retire from surgical practice. The Journal of Bone & Joint Surgery 2010.

Randelli F, Pierannunzil L, Banci L, Rangone V, Aliprandi A, Buly RL. Heterotopic ossifications after arthroscopic management of femeroacetabular impingement: the role of NSAID prophylaxis. Journal of Orthopaedics and Traumatology 2010.

Robbins L, Bostrom MP, Craig E, Sculco TP. Proposals for change in orthopaedic education: recommendations from an orthopaedic residency directors’ peer forum. The Journal of Bone & Joint Surgery 2010.

Schroder DT, Bornstein L, Bostrom MP, Nestor BJ, Padgett DE, Westrich GH. Ceramic-on-ceramic total hip arthroplasty: incidence of instability and noise. Clinical Orthopaedics and Related Research 2011.

Schroder DT, Kelly NH, Wright TM, Parks ML. Retrieved highly cross linked UHMWPE acetabular liners have similar wear damage as conventional UHMWPE. Clinical Orthopaedics and Related Research 2011.

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2010 - 2011 SElECTED PUBlICATIONS

Adult Reconstruction and Joint Replacement Division (continued)

Sculco TP. The economics of new age arthroplasty: can we afford it? Orthopedics 2010.

Su EP. Lysis in the well-fixed shell: “hold ‘em” or “fold ‘em.” Orthopedics 2010.

Su EP, Chatzoudis N, Sioros V, Go G, Sharrock NE. Markers of thrombin generation during resurfacing and non-cemented total hip arthroplasty – a pilot study. Clinical Orthopaedics and Related Research 2011.

Su EP, Su SL, Gonzalez Della Valle A. Stiffness after TKR: how to avoid repeat surgery. Orthopedics 2010.

Thakur RR, Deshmukh AJ, Goyal A, Ranawat AS, Rasquinha VJ, Rodriguez JA. Management of failed tochanteric fracture fixation with cementless modular hip arthroplasty using a distally fixing stem. The Journal of Arthroplasty 2010.

Westrich GH. In reply. The Journal of Arthroplasty 2011.

Westrich GH, Walcott-Sapp S, Bornstein LJ, Bostrom MP, Windsor RE, Brause BD. Modern treatment of infected total knee arthroplasty with a 2-stage reimplantation protocol. The Journal of Arthroplasty 2010.

Willie BM, Yang X, Kelly NH, Han J, Nair T, Wright TM, van der Meulen MC, Bostrom MP. Cancellous bone osseointegra-tion is enhanced by in vivo loading. Tissue Engineering Part C: Methods 2010.

Foot And Ankle seRvice

Adam SP, Choung SC, Gu Y, O’Malley MJ. Outcomes after scarf osteotomy for treatment of adult hallux valgus deformity. Clinical Orthopaedics and Related Research 2011.

Bonnin M, Laurent JR, Ellis SJ, Gaudot F, Colombier JA, Judet T. Results of the Salto total ankle arthroplasty with seven to eleven years of follow-up. Clinical Orthopaedics and Related Research 2010.

Ellis SJ, Deyer T, Williams BR, Yu JC, Lehto S, Maderazo A, Pavlov H, Deland JT. Assessment of lateral hindfoot pain in acquired flatfoot deformity using weightbearing multiplanar imaging. Foot & Ankle International 2010.

Ellis SJ, Stoecklein H, Yu J, Syrkin G, Hillstrom H, Deland JT. The accuracy of an automasking algorithm in plantar pressure measurements. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2011.

Ellis SJ, Williams BR, Garg R, Campbell G, Pavlov H, Deland JT. Lateral column lengthening: the incidence of plantar lateral foot pain before and after the use of trial metal wedges. Foot & Ankle International 2011.

Ellis SJ, Williams BR, Pavlov H, Deland JT. Results of anatomic lateral ankle ligament reconstruction with anterior tibial tendon allograft. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2010.

Ellis SJ, Williams BR, Wagshul AD, Pavlov H, Deland JT. Reconstruction of the deltoid ligament with peroneus longus autograft in flatfoot deformity. Foot & Ankle International 2010.

Kennedy JG. Current concepts in the diagnosis and treatment of osteochondral lesions of the ankle. Letter to the editor. The American Journal of Sports Medicine 2010.

Murawski CD, Egan CJ, Kennedy JG. A rotational scarf osteotomy decreases troughing when treating hallux valgus. Clinical Orthopaedics and Related Research 2010.

Murawski CD, Kennedy JG. Anteromedial impingement in the ankle joint: outcomes following arthroscopy. The American Journal of Sports Medicine 2010.

Murawski CD, Kennedy JG. Arthroscopic bone marrow stimulation of the talus: the good, the bad, and the causes for concern. Cartilage 2010.

Murawski CD, Kennedy JG. Percutaneous internal fixation of proximal fifth metatarsal jones fracture (Zones I and II) with Charlotte Carolina screw and bone marrow aspirate concentrate – an outcome study in athletes. The American Journal of Sports Medicine 2011.

Murawski CD, Kennedy JG. Platelet-rich plasma releasate promotes differentiation of tendon stem cells into active tenocytes. Letter to the editor. The American Journal of Sports Medicine 2010.

Oh IC, Williams BR, Ellis SJ, Kwon DJ, Deland JT. Reconstruction of the symptomatic idiopathic flatfoot in adolescents and young adults. Foot & Ankle International 2011.

Oh IC, Williams BR, Kwon DJ, Ellis SJ, Deland JT. Clinical and radiographic evaluation of reconstruction of the idiopathic flexible flatfoot in adolescents and young adults. Foot & Ankle International 2010.

O’Loughlin PF, Carter TI, Hodgkins CW, Kennedy JG. Osteochondral lesion of the fifth metatarsal head in a triathlete. Irish Journal of Medical Science 2010.

O’Loughlin PF, Heyworth BE, Kennedy JG. Current concepts in the diagnosis and treatment of osteochondral lesions of the ankle. The American Journal of Sports Medicine 2010.

Prisk VR, Imhauser CW, O’Loughlin PF, Kennedy JG. Lateral ligament repair and reconstruction restore neither contact mechanics of the ankle joint nor motion patterns of the hind-foot. The Journal of Bone & Joint Surgery 2010.

Rao S, Song J, Kraszewski A, Backus S, Ellis SJ, Deland JT, Hillstrom H. The effect of foot structure on first metatar-sophalangeal joint flexibility and hallucal loading. Gait & Posture 2010.

Williams BR, Ellis SJ, Deland JT. Spring ligament reconstruc-tion using a peroneus longus tendon transfer. Foot & Ankle International 2010.

Williams BR, Ellis SJ, Deyer TW, Pavlov H, Deland JT. Reconstruction of the spring ligament using a peroneus longus autograft tendon transfer. Foot & Ankle International 2010.

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HAnd And uppeR extRemity seRvice

Calfee RP, Van Steyn MO, Gyuricza C, Adams A, Weiland AJ, Gelberman RH. Joint leveling for advanced Kienböck’s disease. The Journal of Hand Surgery 2010.

Crisco JJ, Heard WMR, Rich RR, Paller DJ, Wolfe SW. The mechanical axes of the wrist are oriented obliquely to the anatomical axes. The Journal of Bone & Joint Surgery 2011.

Cross MB, Sherman SL, Kepler CK, Neviaser AS, Weiland AJ. The evolution of elbow arthroplasty: innovative solutions to complex clinical problems. The Journal of Bone & Joint Surgery 2010.

Garg R, Hammoud S, Lipman J, Wolfe SW. Preoperative computer-assisted design templating of complex articular olecranon osteotomy: a case report. The Journal of Hand Surgery 2010.

Garg R, Merrell GA, Hillstrom HJ, Wolfe SW. Comparison of nerve transfers and nerve grafting for traumatic upper plexus palsy: a systematic review and analysis. The Journal of Bone & Joint Surgery 2011.

Gay DM, Raphael BS, Weiland AJ. Revision arthroscopic contracture release in the elbow resulting in an ulnar nerve transection: a case report. The Journal of Bone & Joint Surgery 2010.

Henn RF 3rd, Kuo CE, Kessler MW, Razzano P, Grande DP, Wolfe SW. Augmentation of zone II flexor tendon repair using growth differentiation factor 5 in a rabbit model. The Journal of Hand Surgery 2010.

Kang L, Carlson MG. Extensor tendon centralization at the metacarpophalangeal joint: surgical technique. The Journal of Hand Surgery 2010.

Kang L, Manoso MW, Boland PJ, Healey JH, Athanasian EA. Features of grade 3 giant cell tumors of the distal radius associated with successful intralesional treatment. The Journal of Hand Surgery 2010.

Kepler CK, Kummer JL, Lorich DG, Weiland AJ. Radiocapitellar prosthetic arthroplasty for capitellar nonunion. Journal of Shoulder and Elbow Surgery 2010.

Lam, J, Wolfe SW. Distal radius fractures: what cannot be fixed with a volar plate? The role of fragment-specific fixa-tion in modern fracture treatment. Orthopaedic Tech. Sports Med. 2010.

Leventhal EL, Moore DC, Akelman E, Wolfe SW, Crisco JJ. Carpal and forearm kinematics during a simulated hammering task. The Journal of Hand Surgery 2010.

Leventhal EL, Moore DC, Akelman E, Wolfe SW, Crisco JJ. Conformational changes in the carpus during finger trap distraction. The Journal of Hand Surgery 2010.

Orr CM, Leventhal EL, Chivers SF, Marzke MW, Wolfe SW, Crisco JJ. Studying primate carpal kinematics in three dimensions using a computed-tomography-based markerless registration method. Anatomical Record (Hoboken) 2010.

Puhaindran ME, Athanasian EA. Double ray amputation for tumors of the hand. Clinical Orthopaedics and Related Research 2010.

Puhaindran ME, Athanasian EA. Malignant and metastatic tumors of the hand. The Journal of Hand Surgery 2010.

Puhaindran ME, Healey JH, Athanasian EA. Single ray amputation for tumors of the hand. Clinical Orthopaedics and Related Research 2010.

Puhaindran ME, Pratt J, Manoso MW, Healey JH, Mintz DN, Athanasian EA. Predictive value of magnetic resonance imaging in determining presence of residual disease after marginal excision of unsuspected soft tissue sarcomas of the hand. The Journal of Hand Surgery 2010.

Puhaindran ME, Rohde RS, Chou J, Morris CD, Athanasian EA. Clinical outcomes for patients with soft tissue sarcoma of the hand. Cancer 2011.

Puhaindran ME, Steensma MR, Athanasian EA. Partial hand preservation for large soft tissue sarcomas of the hand. The Journal of Hand Surgery 2010.

Raphael BS, Weiland AJ, Altchek DW, Gay DM. Revision arthroscopic contracture release in the elbow resulting in an ulnar nerve transection: surgical technique. The Journal of Bone & Joint Surgery 2011.

Rohde RS, Crisco JJ, Wolfe SW. The advantage of throwing the first stone: how understanding the evolutionary demands of Homo sapiens is helping us understand carpal motion. Journal of the American Academy of Orthopaedic Surgeons 2010.

Rohde RS, Puhaindran ME, Morris CD, Alektiar KM, Schupak KD, Healey JH, Athanasian EA. Complications of radiation therapy to the hand after soft tissue sarcoma surgery. The Journal of Hand Surgery 2010.

limb lengtHening And complex ReconstRuction seRvice

Kendoff DO, Fragomen AT, Pearle AD, Citak M, Rozbruch SR. Computer navigation and fixator-assisted femoral oste-otomy for correction of malunion after periprosthetic femur fracture. The Journal of Arthroplasty 2010.

Khakharia S, Bigman D, Fragomen AT, Pavlov H, Rozbruch SR. Comparison of PACS and hard copy 51-inch radio-graphs for measuring leg length and deformity. Clinical Orthopaedics and Related Research 2011.

Matuszewski PE, Rozbruch SR. Limb lengthening for radia-tion-induced growth arrest of the pelvis and femur. Current Orthopaedic Practice 2010.

Rozbruch SR. Fixator assisted plating of limb deformities. Operative Techniques in Orthopaedics 2011.

Rozbruch SR, Fryman C, Bigman D, Adler R. Use of ultra-sound in detection and treatment of nerve compromise in a case of humeral lengthening. HSS Journal: The Musculo- skeletal Journal of Hospital for Special Surgery 2011.

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2010 - 2011 SELECTED PUBLICATIONS

Limb Lengthening and Complex Reconstruction Service (continued)

Rozbruch SR, Schachter L, Bigman D, Marx RG. Growth arrest of the tibia after ACL reconstruction: lengthening and deformity correction with the Taylor Spatial Frame. American Journal of Sports Medicine 2010.

Seah KT, Shafi R, Fragomen AT, Rozbruch SR. Distal femoral osteotomy: is internal fixation better than external? Clinical Orthopaedics and Related Research 2011.

Tellisi N, Deland J, Rozbruch SR. Gradual reduction of fracture dislocation of the ankle using Ilizarov/Taylor Spatial Frame. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2011.

Metabolic bone Disease/ Musculoskeletal oncology service

Andrews JC, Almeida E, van der Meulen MC, Alwood JS, Lee C, Liu Y, Chen J, Meirer F, Feser M, Gelb J, Rudati J, Tkachuk A, Yun W, Pianetta P. Nanoscale X-ray microscopic imaging of mammalian mineralized tissue. Microscopy and Microanalysis 2010.

Andrews JC, Pianetta P, Meirer F, Chen J, Almeida E, van der Meulen MC, Alwood JS, Lee C, Zhu J, Cui Y. Hard X-ray full field nano-imaging of bone and nanowires at SSRL. AIP Conference Proceedings 2010.

Bahar H, Yaffe A, Boskey AL, Binderman I. Influence of bone-derived matrices on generation of bone in an ectopic rat model. Journal of Orthopaedic Research 2010.

Bargman R, Huang A, Boskey AL, Raggio C, Pleshko N. RANKL inhibition improves bone properties in a mouse model of osteogenesis imperfecta. Connective Tissue Research 2010.

Barnes AM, Carter EM, Cabral WA, Weis M, Chang W, Makareeva E, Leikin S, Rotimi CN, Eyre DR, Raggio CL, Marini JC. Lack of cyclophilin B in osteogenesis imperfecta with normal collagen folding. The New England Journal of Medicine 2010.

Bockman RS. First it’s rickets, then it’s not the sodium-phos-phate transporter 2a knockout mystery. Endocrinology 2010.

Bockman RS, Lane JM, Everett S. Bone consequences of high dietary phosphate. Clinical Imaging 2010.

Bogunovic L, Kim AD, Beamer BS, Nguyen J, Lane JM. Hypovitaminosis D in patients scheduled to undergo ortho-paedic surgery: a single-center analysis. The Journal of Bone & Joint Surgery 2010.

Boskey AL, Chiang P, Fermanis A, Brown J, Taleb H, David V, Rowe PS. MEPE’s diverse effects on mineralization. Calcified Tissue International 2010.

Boskey AL, Coleman R. Aging and bone. Journal of Dental Research 2010.

Boskey AL, Donnelly E, Kinnett JG. Bone quality: from bench to bedside: opening editorial comment. Clinical Orthopaedics and Related Research 2011.

Brophy RH, Backus S, Kraszewski AP, Steele BC, Ma Y, Osei D, Williams RJ. Differences between sexes in lower extremity alignment and muscle activation during soccer kick. The Journal of Bone & Joint Surgery 2010.

Burket J, Gourion-Arsiquaud S, Havill LM, Baker SP, Boskey AL, van der Meulen MC. Microstructure and nanomechanical properties in osteons relate to tissue and animal age. Journal of Biomechanics 2011.

Cremers S, Farooki AM. Biochemical markers of bone turn-over in osteonecrosis of the jaw in patients with osteoporosis and advanced cancer involving the bone. Annals of the New York Academy of Sciences 2011.

Crotti TN, O’Sullivan RP, Shen Z, Flannery MR, Fajardo RJ, Ross FP, Goldring SR, McHugh KP. Bone matrix regulates osteoclast differentiation and annexin A8 gene expression. Journal of Cell Physiology 2011.

Cunningham ME, Beach JM, Bilgic S, Boachie-Adjei O, van der Meulen MC, Hidaka C. In vivo and in vitro analysis of rat lumbar spine mechanics. Clinical Orthopaedics and Related Research 2010.

Diwan AD, Khan SN, Cammisa FP, Sandhu HS, Lane JM. Nitric oxide modulates recombinant human bone morphoge-netic protein-2-induced corticocancellous autograft incorpora-tion: a study in rat intertransverse fusion. European Spine Journal 2010.

Dodson CC, Craig EV, Cordasco FA, Dines DM, Dines JS, Dicarlo E, Brause BD, Warren RF. Propionibacterium acnes infection after shoulder arthroplasty: a diagnostic challenge. Journal of Shoulder and Elbow Surgery 2010.

Donnelly E, Boskey AL, Baker SP, van der Meulen MC. Effects of tissue age on bone tissue material composition and nanomechanical properties in the rat cortex. Journal of Biomedical Materials Research Part A 2010.

Donnelly E, Chen DX, Boskey AL, Baker SP, van der Meulen MC. Contribution of mineral to bone structural behavior and tissue mechanical properties. Calcified Tissue International 2010.

Doyle SM, Monahan A. Osteochondroses: a clinical review for the pediatrician. Current Opinion in Pediatrics 2010. .

Dy CJ, Dossous PM, Ton QV, Hollenberg JP, Lorich DG, Lane JM. Does a multidisciplinary team decrease complications in male patients with hip fractures? Clinical Orthopaedics and Related Research 2011.

Dy CJ, Lamont LE, Ton QV, Lane JM. Sex and gender considerations in male patients with osteoporosis. Clinical Orthopaedics and Related Research 2011.

Fabricant PD, Unnanuntana A, Hartman BJ, Lane JM. Multifocal osteomyelitis with Streptococcus pneumoniae in a patient with Waldenstrom macroglobulinemia: a case report. The Journal of Bone & Joint Surgery 2011.

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37

Feeley BT, Doty SB, Devcic Z, Warren RF, Lane JM. Deleterious effects of intermittent recombinant parathyroid hormone on cartilage formation in a rabbit microfracture model: a preliminary study. HSS Journal: The Musculo-skeletal Journal of Hospital for Special Surgery 2010.

Fung EB, Xu Y, Kwiatkowski JL, Vogiatzi MG, Neufeld E, Olivieri N, Vichinsky EP, Giardina PJ. Thalassemia Clinical Research Network: relationship between chronic transfusion therapy and body composition in subjects with thalassemia. Journal of Pediatrics 2010.

Gericke A, Qin C, Sun Y, Redfern R, Redfern D, Fujimoto Y, Taleb H, Butler WT, Boskey AL. Different forms of DMP1 play distinct roles in mineralization. Journal of Dental Research 2010.

Ghosh A, Haiss F, Sydekum E, Schneider R, Gullo M, Wyss MT, Mueggler T, Baltes C, Rudin M, Weber B, Schwab ME. Rewiring of hindlimb corticospinal neurons after spinal cord injury. Nature Neuroscience 2010.

Goldring MB, Goldring SR. Articular cartilage and subchon-dral bone in the pathogenesis of osteoarthritis. Annals of the New York Academy of Sciences 2010.

Goldring SR, Goldring MB. Bone and cartilage in osteo-arthritis: is what’s best for one good or bad for the other? Arthritis Research & Therapy 2010.

Gourion-Arsiquaud S, Allen MR, Burr DB, Vashishth D, Tang SY, Boskey AL. Bisphosphonate treatment modifies canine bone mineral and matrix properties and their hetero-geneity. Bone 2010.

Hosogane N, Huang Z, Rawlins BA, Liu X, Boachie-Adjei O, Boskey AL, Zhu W. Stromal derived factor-1 regulates bone morphogenetic protein 2-induced osteogenic differentiation of primary mesenchymal stem cells. The International Journal of Biochemistry & Cell Biology 2010.

Hwang S, Schneider R. Eponyms of tumors and tumor-like lesions in the musculoskeletal system: who were the people and what are the lesions? Pictorial review. American Journal of Roentgenology 2010.

Ibarra M, Chou PM, Pachman LM, Zhao YD, Boskey AL. Calcification in a case of circumscribed myositis ossificans. The Journal of Rheumatology 2010.

James DE, Nestor BJ, Sculco TP, Ivashkiv LB, Ross FP, Goldring SR, Purdue PE. The relative timing of exposure to phagocytosable particulates and to osteoclastogenic cyto-kines is critically important in the determination of myeloid cell fate. The Journal of Immunology 2010.

Kara FM, Doty SB, Boskey AL, Goldring SR, Zaidi M, Fredholm BB, Cronstein BN. Adenosine A(1) receptors regulate bone resorption in mice: adenosine A(1) receptor blockade or deletion increases bone density and prevents ovariectomy-induced bone loss in adenosine A(1) receptor-knockout mice. Arthritis and Rheumatism 2010.

Lee CS, Moyer HR, Gittens RA, Williams JK, Boskey AL, Boyan BD, Schwartz Z. Regulating in vivo calcification of alginate microbeads. Biomaterials 2010.

Lindahl K, Barnes AM, Fratzl-Zelman N, Whyte MP, Hefferan TE, Makareeva E, Brusel M, Yaszemski MJ, Rubin CJ, Kindmark A, Roschger P, Klaushofer K, McAlister WH, Mumm S, Leikin S, Kessler E, Boskey AL, Ljunggren O, Marini JC. COL1 C-propeptide cleavage site mutations cause high bone mass osteogenesis imperfecta. Human Mutation 2011.

Lynch ME, Main RP, Xu Q, Walsh DJ, Schaffler MB, Wright TM, van der Meulen MC. Cancellous bone adaptation to tibial compression is not sex dependent in growing mice. Journal of Applied Physiology 2010.

Main RP, Lynch ME, van der Meulen MC. In vivo tibial stiffness is maintained by whole bone morphology and cross-sectional geometry in growing female mice. Journal of Biomechanics 2010.

McHugh KP, Shen Z, Crotti TN, Flannery MR, O’Sullivan RP, Purdue PE, Goldring SR. The role of cell-substrate interaction in regulating osteoclast activation: potential implications in targeting bone loss in rheumatoid arthritis. Annals of the Rheumatic Diseases 2010.

Miot M, Reidy M, Doyle SM, Hoskins JR, Johnston DM, Genest O, Vitery MC, Masison DC, Wickner S. Species-specific collaboration of heat shock proteins (Hsp) 70 and 100 in thermotolerance and protein disaggregation. Proceedings of the National Academy of Sciences 2011.

Monir AU, Gundberg CM, Yagerman SE, van der Meulen MC, Budell WC, Boskey AL, Dowd TL. The effect of lead on bone mineral properties from female adult C57/BL6 mice. Bone 2010.

Nestor BJ, Toulson CE, Backus SI, Lyman SL, Foote KL, Windsor RE. Mini-midvastus vs standard medial parapa-tellar approach: a prospective, randomized, double-blinded study in patients undergoing bilateral total knee arthroplasty. The Journal of Arthroplasty 2010.

Nieves JW, Bilezikian JP, Lane JM, Einhorn TA, Wang Y, Steinbuch M, Cosman F. Fragility fractures of the hip and femur: incidence and patient characteristics. Osteoporosis International 2010.

Oen K, Duffy CM, Tse SM, Ramsey S, Ellsworth J, Chedeville G, Chetaille AL, Saint-Cyr C, Cabral DA, Spiegel LR, Schneider R, Lang B, Huber AM, Dancey P, Silverman E, Rosenberg AM, Cameron B, Johnson N, Dorval J, Scuccimarri R, Campillo S, Petty RE, Duffy KN, Boire G, Haddad E, Houghton K, Laxer R, Turvey SE, Miettunen P, Gross K, Guzman J, Benseler S, Feldman BM, Espinosa V, Yeung RS, Tucker L. Early outcomes and improvement of patients with juvenile idiopathic arthritis enrolled in a Canadian multi-center inception cohort. Arthritis Care & Research 2010.

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Metabolic Bone Disease/Musculoskeletal Oncology Service (continued)

Paschalis EP, Mendelsohn R, Boskey AL. Infrared assess-ment of bone quality: a review. Clinical Orthopaedics and Related Research 2011.

Quan LD, Purdue PE, Liu XM, Boska MD, Lele SM, Thiele GM, Mikuls TR, Dou H, Goldring SR, Wang D. Development of a macromolecular prodrug for the treatment of inflam-matory arthritis: mechanisms involved in arthrotropism and sustained therapeutic efficacy. Arthritis Research & Therapy 2010.

Ren K, Purdue PE, Burton L, Quan LD, Fehringer EV, Thiele GM, Goldring SR, Wang D. Early detection and treatment of wear particle-induced inflammation and bone loss in a mouse calvarial osteolysis model using HPMA copolymer conjugates. Molecular Pharmacology 2011.

Reumann MK, Nair T, Strachna O, Boskey AL, Mayer-Kuckuk P. Production of VEGF receptor 1 and 2 mRNA and protein during endochondral bone repair is differential and healing phase specific. Journal of Applied Physiology 2010.

Reumann MK, Strachna O, Lukashova L, Verdelis K, Donnelly E, Boskey AL, Mayer-Kuckuk P. Early growth response gene 1 regulates bone properties in mice. Calcified Tissue International 2011.

Roy R, Boskey AL, Bonassar LJ. Processing of type I collagen gels using nonenzymatic glycation. Journal of Biomedical Materials Research 2010.

Roy R, Kudryashov V, Binderman I, Boskey AL. The role of apoptosis in mineralizing murine versus avian micromass culture systems. Journal of Cellular Biochemistry 2010.

Roy R, Kudryashov V, Doty SB, Binderman I, Boskey AL. Differentiation and mineralization of murine mesenchymal C3H10T1/2 cells in micromass culture. Differentiation. 2010.

Russell LA. Osteoporosis and osteomalacia. Rheumatic Disease Clinics of North America 2010.

Safdieh JE, Lin AL, Aizer J, Marzuk PM, Grafstein B, Storey-Johnson C, Kang Y. Standardized patient outcomes trial (SPOT) in neurology. Medical Education Online 2011.

Saurenmann RK, Levin AV, Feldman BM, Laxer RM, Schneider R, Silverman ED. Risk factors for development of uveitis differ between girls and boys with juvenile idiopathic arthritis. Arthritis & Rheumatism 2010.

Scanzello CR, McKeon B, Swaim BH, Dicarlo E, Asomugha EU, Kanda V, Nair A, Lee DM, Richmond JC, Katz JN, Crow MK, Goldring SR. Synovial inflammation in patients under-going arthroscopic meniscectomy: molecular characterization and relationship with symptoms. Arthritis & Rheumatism 2011.

Schmeling H, Stephens S, Goia C, Manlhiot C, Schneider R, Luthra S, Stringer E, Feldman BM. Nailfold capillary density is importantly associated over time with muscle and skin disease activity in juvenile dermatomyositis. Rheumatology 2010.

Schneider R, Heverhagen AE, Moll R, Bartsch DK, Schlosser K. Differentiation between thyroidal and ectopic calcitonin secretion in patients with coincidental thyroid nodules and pancreatic tumors – a report of two cases. Experimental and Clinical Endocrinology & Diabetes 2010.

Schneider R, Heverhagen AE, Moll R, Bartsch DK, Schlosser K. Differentiation between thyroidal and ectopic calcitonin secretion in patients with coincidental thyroid nodules and pancreatic tumors – a report of two cases. Experimental and Clinical Endocrinology & Diabetes 2010.

Sfeir C, Lee D, Li J, Zhang X, Boskey AL, Kumta P. Expression of phosphophoryn is sufficient for the induction of matrix mineralization by mammalian cells. The Journal of Biological Chemistry 2011.

Shane E, Burr D, Ebeling PR, Abrahamsen B, Adler RA, Brown TD, Cheung AM, Cosman F, Curtis JR, Dell R, Dempster D, Einhorn TA, Genant HK, Geusens P, Klaushofer K, Koval K, Lane JM, McKiernan F, McKinney R, Ng A, Nieves J, O’Keefe R, Papapoulos S, Sen HT, van der Meulen MC, Weinstein RS, Whyte M, American Society for Bone and Mineral Research. Atypical subtrochanteric and diaphyseal femoral fractures: report of a task force of the American Society for Bone and Mineral Research. Journal of Bone and Mineral Research 2010.

Sloofman LG, Verdelis K, Spevak L, Zayzafoon M, Yamauchi M, Opdenaker LM, Farach-Carson MC, Boskey AL, Kirn-Safran CB. Effect of HIP/ribosomal protein L29 deficiency on mineral properties of murine bones and teeth. Bone 2010.

Teixeira CC, Xiang J, Roy R, Kudrashev V, Binderman I, Mayer-Kuckuk P, Boskey AL. Changes in matrix protein gene expression associated with mineralization in the differenti-ating chick limb-bud micromass culture system. Journal of Cellular Biochemistry 2011.

Tsay J, Yang Z, Ross FP, Cunningham-Rundles S, Lin H, Coleman R, Mayer-Kuckuk P, Doty SB, Grady RW, Giardina PJ, Boskey AL, Vogiatzi MG. Bone loss caused by iron over-load in a murine model: importance of oxidative stress. Blood 2010.

Unnanuntana A, Chen DX, Unnanuntana A, Wright TM. Trunnion fracture of the anatomic medullary locking a plus femoral component. The Journal of Arthroplasty 2010.

Unnanuntana A, Gladnick BP, Donnelly E, Lane JM. The assessment of fracture risk. The Journal of Bone & Joint Surgery 2010.

Unnanuntana A, Murphy JE, Petersilge WJ. Management of chronic lateral instability due to lateral collateral ligament deficiency after total knee arthroplasty: a case report. Journal of Medical Case Reports 2010.

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Unnanuntana A, Rebolledo BJ, Michael Khair M, Dicarlo EF, Lane JM. Diseases affecting bone quality: beyond osteopo-rosis. Clinical Orthopaedics and Related Research 2010.

Unnanuntana A, Toogood P, Hart D, Cooperman D, Grant RE. The evaluation of two references for restoring proximal femoral anatomy during total hip arthroplasty. Clinical Anatomy 2010.

Unnanuntana A, Toogood P, Hart D, Cooperman D, Grant RE. Evaluation of proximal femoral geometry using digital photographs. Journal of Orthopaedic Research 2010.

Vogiatzi MG, Tsay J, Verdelis K, Rivella S, Grady RW, Doty S, Giardina PJ, Boskey AL. Changes in bone microarchitec-ture and biomechanical properties in the beta thalassemia mouse are associated with decreased bone turnover and occur during the period of bone accrual. Calcified Tissue International 2010.

Wang CJ, Chen IP, Koczon-Jaremko B, Boskey AL, Ueki Y, Kuhn L, Reichenberger EJ, Lane JM. Pro416Arg cherubism mutation in Sh3bp2 knock-in mice affects osteoblasts and alters bone mineral and matrix properties. Bone 2010.

Weinstein RS, Wan C, Liu Q, Wang Y, Almeida M, O’Brien CA, Thostenson J, Roberson PK, Boskey AL, Clemens TL, Manolagas SC. Endogenous glucocorticoids decrease skeletal angiogenesis, vascularity, hydration, and strength in aged mice. Aging Cell 2010.

Willie BM, Yang X, Kelly NH, Han J, Nair T, Wright TM, van der Meulen MC, Bostrom MP. Cancellous bone osseointegra-tion is enhanced by in vivo loading. Tissue Engineering 2010.

Yamamoto T, Schneider R, Iwamoto Y, Bullough PG. Bilateral rapidly destructive arthrosis of the hip joint resulting from subchondral fracture with superimposed secondary osteone-crosis. Skeletal Radiology 2010.

Yeagerman SE, Cross MB, Positano R, Doyle SM. Evaluation and treatment of symptomatic pes planus. Current Opinion in Pediatrics 2011.

orthopaeDic trauMa service

Ayeni OR, Bedi A, Lorich DG, Kelly BT. Femoral neck fracture after arthroscopic management of femoroacetabular impingement: a case report. The Journal of Bone & Joint Surgery 2011.



Boraiah S, Kemp TJ, Erwteman A, Lucas PA, Asprinio DE. Outcome following open reduction and internal fixation of open pilon fractures. The Journal of Bone & Joint Surgery 2010.

Boraiah S, Paul O, Gardner MJ, Parker RJ, Barker JU, Helfet DL, Lorich DG. Outcomes of length-stable fixation of femoral neck fractures. Archives of Orthopaedic and Trauma Surgery 2010.

Boraiah S, Paul O, Hammoud S, Gardner MJ, Helfet DL, Lorich DG. Predictable healing of femoral neck fractures treated with intraoperative compression and length-stable implants. The Journal of Trauma 2010.

Carroll EA, Huber FG, Goldman AT, Virkus WW, Pagenkopf E, Lorich DG, Helfet DL. Treatment of acetabular fractures in an older population. Journal of Orthopaedic Trauma 2010.

Chan DB, Jeffcoat DM, Lorich DG, Helfet DL. Nonunions around the knee joint. International Orthopaedics 2010.

Cross MB, Osbahr DC, Gardner MJ, Nguyen JT, Helfet DL, Lorich DG, Dines JS. An analysis of the Musculoskeletal Trauma Section of the Orthopaedic In-Training Examination (OITE). The Journal of Bone & Joint Surgery 2011.

Diwan AD, Khan SN, Cammisa FP, Sandhu HS, Lane JM. Nitric oxide modulates recombinant human bone morphoge-netic protein-2-induced corticocancellous autograft incorpora-tion: a study in rat intertransverse fusion. European Spine Journal 2010.

Dines JS, Hettrich C, Kelly BT, Savoie FH, Lorich DG. Arthoscopic removal of proximal humeral locking plates. Knee Surgery, Sports Traumatology, Arthroscopy 2010.

Dy CJ, Dossous PM, Ton QV, Hollenberg JP, Lorich DG, Lane JM. Does a multidisciplinary team decrease complications in male patients with hip fractures? Clinical Orthopaedics and Related Research 2011.

Dy CJ, Lamont LE, Ton QV, Lane JM. Sex and gender considerations in male patients with osteoporosis. Clinical Orthopaedics and Related Research 2011.

Fabricant PD, Unnanuntana A, Hartman BJ, Lane JM. Multifocal osteomyelitis with Streptococcus pneumoniae in a patient with Waldenstrom macroglobulinemia: a case report. The Journal of Bone & Joint Surgery 2011.

Feeley BT, Doty SB, Devcic Z, Warren RF, Lane JM. Deleterious effects of intermittent recombinant parathyroid hormone on cartilage formation in a rabbit microfracture model: a preliminary study. HSS Journal: The Musculo-skeletal Journal of Hospital for Special Surgery 2010.

Helfet DL. Extraarticular proximal tibial fractures: treat-ment with intramedullary nail versus plate fixation. Chinese Journal of Orthopaedic Trauma 2010.

Helfet DL. Floating knee injury: risk of unsatisfactory func-tional score following injury. Chinese Journal of Orthopaedic Trauma 2010.

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Orthopaedic Trauma Service (continued)

Helfet DL. Weight-bearing versus nonweight-bearing exercise for improving physical ability. Chinese Journal of Orthopaedic Trauma 2010.

Helfet DL, Hanson BP. How outcomes can affect cost: the importance of defining patient-relevant and proxy outcome measurements. The American Journal of Orthopedics 2010.

Hettrich CM, Boraiah S, Dyke JP, Neviaser A, Helfet DL, Lorich DG. Quantitative assessment of the vascularity of the proximal part of the humerus. The Journal of Bone & Joint Surgery 2010.

Kepler C, Kummer KL, Lorich DG, Weiland AJ. Radiocapi-tellar prosthetic arthroplasty for capitellar nonunions. Journal of Shoulder and Elbow Surgery 2010.

Lorich DG, Jeffcoat DM, MacIntyre NR, Chan DB, Helfet DL. The 2010 Haiti earthquake: lessons learned? Techniques in Hand and Upper Extremity Surgery 2010.

MacIntyre NR, Jeffcoat DM, Chan DB, Lorich DG, Helfet DL. The experiences of a surgical response team in Haiti. Guest editorial. American Journal of Orthopedics 2010.

Miller AN, Carroll EA, Parker RJ, Helfet DL, Lorich DG. Posterior malleolar stabilization of syndesmotic injuries is equivalent to screw fixation. Clinical Orthopaedics and Related Research 2010.

Miller AN, Paul O, Boraiah S, Parker RJ, Helfet DL, Lorich DG. Functional outcomes after syndesmotic screw fixation and removal. Journal of Orthopaedic Trauma 2010.

Miller AN, Prasarn ML, Lorich DG, Helfet DL. The radio-logical evaluation of acetabular fractures in the elderly. The Journal of Bone & Joint Surgery 2010.

Nam D, Shindle MK, Buly RL, Kelly BT, Lorich DG. Traumatic osteochondrial injury of the femoral head treated by mosaic-plasty. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2010.

Nieves JW, Bilezikian JP, Lane JM, Einhorn TA, Wang Y, Steinbuch M, Cosman F. Fragility fractures of the hip and femur: incidence and patient characteristics. Osteoporosis International 2010.

Nousiainen MT, Sen MK, Mintz DN, Lorich DG, Omesh P, Buly RL, Helfet DL. The use of osteochondral allogroaft in the treatment of a severe femoral head fracture. Journal of Orthopaedic Trauma 2010.

Nousiainen M, Zingg P, Omoto D, Carnahan H, Weil YA, Kreder H, Helfet DL. Help versus harm? The effect of training femoral neck screw insertion skills to surgical trainees with computer assisted surgery: comparison to conventional fluoroscopic technique. International Journal of Computer Assisted Radiology and Surgery 2010.

Oh LS, Lewis PB, Prasarn ML, Lorich DG, Helfet DL. Painless, atraumatic, isolated lateral compartment syndrome of the leg: an unusual triad of atypical findings. American Journal of Orthopedics 2010.

Partal G, Meyers KN, Sama N, Pagenkopf E, Lewis PB, Goldman A, Wright TM, Helfet DL. Superior versus antero-inferior plating of the clavicle revisited: a mechanical study. Journal of Orthopaedic Trauma 2010.

Prasarn ML, Achor T, Paul O, Lorich DG, Helfet DL. Manage-ment of nonunions of the proximal humeral diaphysis. Injury 2010.

Prasarn ML, Ahn J, Paul O, Morris EM, Kalandiak SP, Helfet DL, Lorich DG. Dual plating for fractures of the distal third of the humeral shaft. Journal of Orthopaedic Trauma 2011.

Prasarn ML, Cattaneo MD, Achor T, Ahn J, Klinger CE, Helfet DL, Lorich DG. The effect of entry point on malalign-ment and iatrogenic fracture with the Synthes lateral entry femoral nail. Journal of Orthopaedic Trauma 2010.

Prasarn ML, Miller AN, Dyke JP, Helfet DL, Lorich DG. Arterial anatomy of the talus: a cadaver and gadolinium-enhanced MRI study. Foot & Ankle International 2010.

Reinhardt KR, Kim HJ, Lorich DG. Anomalous external jugular vein: clinical concerns in treating clavicle fractures. Archives of Orthopaedic and Trauma Surgery 2011.


Unnanuntana A, Gladnick BP, Donnelly E, Lane JM. The assessment of fracture risk. The Journal of Bone & Joint Surgery 2010.

Unnanuntana A, Rebolledo BJ, Michael Khair M, Dicarlo EF, Lane JM. Diseases affecting bone quality: beyond osteopo-rosis. Clinical Orthopaedics and Related Research 2010.

Wang CJ, Chen IP, Koczon-Jaremko B, Boskey AL, Ueki Y, Kuhn L, Reichenberger EJ, Lane JM. Pro416Arg cherubism mutation in Sh3bp2 knock-in mice affects osteoblasts and alters bone mineral and matrix properties. Bone 2010.

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peDiatric orthopaeDic service

Aversano F, Kepler CK, Blanco JS, Green DW. Rare cause of block to reduction after radial head dislocation in children. Journal of Orthopaedic Trauma 2011.


Delucia TA, Yohay K, Widmann RF. Orthopaedic aspects of neurofibromatosis: update. Current Opinion in Pediatrics 2011.

Fabricant PD, Admoni S, Green DW, Ipp L, Widmann RF. Distal level of spinal fusion for adolescent idiopathic scoliosis is a predictor for return to organized athletics. Spine 2010.

Goldman V, Green DW. Advances in growth plate modulation for lower extremity mal-alignment (knock knees and bow legs). Current Opinion in Pediatrics 2010.

Gaston RG, Cates TB, Devito D, Schmitz M, Schrader T, Busch M, Fabregas J, Rosenberg E, Blanco JS. Medial and lateral pin versus lateral-entry pin fixation for Type 3 supracondylar fractures in children: a prospective, surgeon-randomized study. Journal of Pediatric Orthopaedics 2010.

Genest O, Hoskins JR, Camberg JL, Doyle SM, Wickner S. Heat shock protein 90 from Escherichia coli collaborates with the DnaK chaperone system in client protein remodeling. Proceedings of the National Academy of Sciences 2011.

Ghanem I, Karam JA, Widmann RF. Surgical epiphysiodesis indications and techniques: update. Current Opinion in Pediatrics 2011.

Green DW, Lawhorne TW 3rd, Widmann RF, Kepler CK, Ahern C, Mintz DN, Rawlins BA, Burke SW, Boachie-Adjei O. Long-term MRI follow-up demonstrates minimal transitional level lumbar disc degeneration after posterior spine fusion for adolescent idiopathic scoliosis. Spine 2011.

Kepler CK, Bogner E, Hammoud S, Green DW, Potter HG. Zone of injury of the medial patellofemoral ligament after acute patellar dislocation in children and adolescents. American Journal of Sports Medicine 2010.

Kepler C, Green DW, Mintz DN, Ahern C, Rawlins BA, Burke SW, Widmann RF, Boachie-Adjei O. Evidence of early DDD at 10-year after posterior spinal fusion for adolescent idiopathic scoliosis. Spine 2010.

Kocher MS, Sink EL, Blasier RD, Luhmann SJ, Mehlman CT, Scher DM, Matheney T, Sanders JO, Watters WC 3rd, Goldberg MJ, Keith MW, Haralson RH 3rd, Turkelson CM, Wies JL, Sluka P, McGowan R; American Academy of Orthopaedic Surgeons. American Academy of Orthopaedic Surgeons clinical practice guideline on treatment of pediatric diaphyseal femur fracture. The Journal of Bone & Joint Surgery 2010.

Koff MF, Chong le R, Virtue P, Ying L, Gholve PA, Rodeo SA, Widmann RF, Potter HG. Correlation of magnetic resonance imaging and histologic examination of physeal bars in a rabbit model. Journal of Pediatric Orthopaedics 2010.

McLawhorn AS, Sherman SL, Blyakher A, Widmann RF. Humeral lengthening and deformity correction with the multiaxial correction system. Journal of Pediatric Orthopaedics 2010.

Miot M, Reidy M, Doyle SM, Hoskins JR, Johnston DM, Genest O, Vitery MC, Masison DC, Wickner S. Species-specific collaboration of heat shock proteins (Hsp) 70 and 100 in thermotolerance and protein disaggregation. Proceedings of the National Academy of Sciences 2011.

Osbahr DC, Chalmers PN, Frank JS, Williams RJ 3rd, Widmann RF, Green DW. Acute, avulsion fractures of the medial epicondyle while throwing in youth baseball players: a variant of Little League elbow. Journal of Shoulder and Elbow Surgery 2010.

Scher DM, Green DW, Widmann RF. Reliability of computer-ized lateral pillar classification for Perthes disease. Journal of Pediatric Orthopaedics 2010.

Widmann RF, Green DW, Blanco JS, Ipp L. The role of preop-erative cardiac screening studies in adolescent idiopathic scoliosis surgery. Pediatrics 2010.

Yeagerman SE, Cross MB, Positano RG, Doyle SM. Evaluation and treatment of symptomatic pes planus. Current Opinion in Pediatrics 2011.

scoliosis service

Aversano F, Kepler CK, Blanco JS, Green DW. Rare cause of block to reduction after radial head dislocation in children. Journal of Orthopaedic Trauma 2011.

Bargman R, Huang A, Boskey AL, Raggio C, Plesko N. RANKL inhibition improves bone properties in a mouse model of osteogenesis imperfecta. Connective Tissue Research 2010.


Bess S, Akbarnia BA, Thompson GH, Sponseller PD, Shah SA, El Sebaie H, Boachie-Adjei O, Karlin LI, Canale S, Poe-Kochert C, Skaggs DL. Complications of growing-rod treatment for early-onset scoliosis: analysis of one hundred and forty patients. The Journal of Bone & Joint Surgery 2010.

Boachie-Adjei O. Expert’s comment concerning Grand Rounds case entitled “Severe Kyphoscoliosis after primary echinococcus granulosus infection of the spine” (by Thaler M, Gabl M, Lechner R, Gstöttner M, Bach CM). European Spine Journal 2010.

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Scoliosis Service (continued)

Bowles RD, Gebhard HH, Dyke JP, Ballon DJ, Tomasino A, Cunningham ME, Härtl R, Bonassar LJ. Image-based tissue engineering of a total intervertebral disc implant for restora-tion of function to the rat lumbar spine. NMR in Biomedicine 2011.


Cunnignham ME, Cottrell J, Bilgic S, Boachie-Adjei O, Van Der Meulen M, Hidaka C. In vivo and in vitro analysis of rat lumbar spine mechanics. Clinical Orthopaedics and Related Research 2010.

Delucia TA, Yohay K, Widmann RF. Orthopaedic aspects of neurofibromatosis: update. Current Opinion in Pediatrics 2011.

Fabricant PD, Admoni S, Green DW, Ipp L, Widmann RF. Distal level of spinal fusion for adolescent idiopathic scoliosis is a predictor for return to organized athletics. Spine 2010.

Fu KM, Smith JS, Polly DW Jr, Perra JH, Sansur CA, Berven SH, Broadstone PA, Choma TJ, Goytan MJ, Noordeen HH, Knapp DR Jr, Hart RA, Zeller RD, Donaldson WF 3rd, Boachie-Adjei O, Shaffrey CI. Morbidity and mortality in the surgical treatment of 10,329 adults with degenerative lumbar stenosis. Journal of Neurosurgery: Spine 2010.

Gaston RG, Cates TB, Devito D, Schmitz M, Schrader T, Busch M, Fabregas J, Rosenberg E, Blanco JS. Medial and lateral pin versus lateral-entry pin fixation for Type 3 supracondylar fractures in children: a prospective, surgeon-randomized study. Journal of Pediatric Orthopaedics 2010.

Ghanem I, Karam JA, Widmann RF. Surgical epiphysiodesis indications and techniques: update. Current Opinion in Pediatrics 2011.

Goldman V, Green DW. Advances in growth plate modulation for lower extremity malalignment (knock knees and bow legs). Current Opinion in Pediatrics 2010.

Green DW, Lawhorne TW 3rd, Widmann RF, Kepler CK, Ahern C, Mintz DN, Rawlins BA, Burke SW, Boachie-Adjei O. Long-term MRI follow-up demonstrates minimal transitional level lumbar disc degeneration after posterior spine fusion for adolescent idiopathic scoliosis. Spine 2011.

Hamilton DK, Smith JS, Sansur CA, Glassman SD, Ames CP, Berven SH, Polly DW Jr, Perra JH, Knapp DR Jr, Boachie-Adjei O, McCarthy RE, Shaffrey CI; Scoliosis Research Society Morbidity and Mortality Committee. Rates of new neurological deficit associated with spine surgery based on 108,419 procedures: a report of the Scoliosis Research Society Morbidity and Mortality Committee. Spine 2011.

Hosogane N, Huang Z, Rawlins BA, Liu X, Boachie-Adjei O, Boskey AL, Zhu W. Stromal derived factor-1 regulates bone morphogenetic protein 2-induced osteogenic differentiation of primary mesenchymal stem cells. The International Journal of Biochemistry & Cell Biology 2010.

Kepler CK, Bogner EA, Hammoud S, Malcolmson G, Potter HG, Green DW. Zone of injury of the medial patellofemoral ligament after acute patellar dislocation in children and adolescents. The American Journal of Sports Medicine 2011.

Kepler C, Green DW, Mintz DN, Ahern C, Rawlins BA, Burke SW, Widmann RF, Boachie-Adjei O. Evidence of early DDD at 10-year after posterior spinal fusion for adolescent idiopathic scoliosis. Spine 2010.

Kepler CK, Huang RC, Meredith D, Cunningham ME, Boachie-Adjei O. Delayed pleural effusion after anterior thoracic spinal fusion using bone morphogenetic protein-2. Spine 2011.

Kepler CK, Rawlins BA. Mesh cage reconstruction with autol-ogous cancellous graft in anterior cervical discectomy and fusion. Journal of Spinal Disorders and Techniques 2010.

Kim HJ, Green DW. Spondylolysis in the adolescent athlete. Current Opinion in Pediatrics 2011.

Kim HJ, Cunningham ME, Boachie-Adjei O. Revision spine surgery to manage pediatric deformity. Journal of the American Academy of Orthopaedic Surgeons 2010.

Kim HJ, Kepler C, Cunningham M, Rawlins B, Boachie-Adjei O. Pulmonary embolism in spine surgery: a comparison of combined anterior/posterior approach versus posterior approach surgery. Spine 2011.

Koff MF, Chong LR, Virtue P, Ying L, Gholve PA, Rodeo SA, Widmann RF, Potter HG. Correlation of MRI and histological examination of physeal bars in a rabbit model. Journal of Pediatric Orthopaedics 2010.

Lafage V, Schwab F, Vira S, Hart R, Burton D, Smith JS, Boachie-Adjei O, Shelokov A, Hostin R, Shaffrey CI, Gupta M, Akbarnia BA, Bess S, Farcy JP. Does vertebral level of pedicle subtraction osteotomy correlate with degree of spinopelvic parameter correction? Journal of Neurosurgery: Spine. 2011.

Lawhorne TW, Kepler C, Green DW, Mintz DN, Ahern C, Rawlins BA, Burke SW, Widmann RF, Boachie-Adjei O. Evidence of early DDD at 10-year after posterior spinal fusion for adolescent idiopathic scoliosis. Spine 2010.

McLawhorn AS, Sherman SL, Blyakher A, Widmann RF. Humeral lengthening and deformity correction with the multiaxial correction system. Journal of Pediatric Orthopaedics 2010.

Osbahr DC, Chalmers PN, Frank JS, Williams RJ 3rd, Widmann RF, Green DW. Acute, avulsion fractures of the medial epicondyle while throwing in youth baseball players: a variant of Little League elbow. Journal of Shoulder and Elbow Surgery 2010.

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Papanastassiou I, Boland PJ, Boachie-Adjei O, Morris CD, Healey JH. Scoliosis after extended hemipelvectomy. Spine 2010.

Rodeo SA, Delos D, Weber A, Ju X, Cunningham ME, Fortier L, Maner S. Specialty update: what’s new in orthopaedic research. The Journal of Bone & Joint Surgery 2010.

Sansur CA, Reames DL, Smith JS, Hamilton DK, Berven SH, Broadstone PA, Choma TJ, Goytan MJ, Noordeen HH, Knapp DR, Hart RA, Zeller RD, Donaldson WF, Polly DW, Perra JH, Boachie-Adjei O, Shaffrey CI. Morbidity and mortality in the surgical treatment of 10,242 adults with spondylolisthesis. Journal of Neurosurgery: Spine 2010.

Sansur CA, Smith JS, Coe JD, Glassman SD, Berven SH, Polly DW Jr, Perra JH, Boachie-Adjei O, Shaffrey CI. Scoliosis research society morbidity and mortality of adult scoliosis surgery. Spine 2011.

Scher DM, Green DW, Widmann RF. Reliability of computer-ized lateral pillar classification for Perthes disease. Journal of Pediatric Orthopaedics 2010.

Smith JS, Fu KM, Polly DW Jr, Sansur CA, Berven SH, Broadstone PA, Choma TJ, Goytan MJ, Noordeen HH, Knapp DR Jr, Hart RA, Donaldson WF 3rd, Perra JH, Boachie-Adjei O, Shaffrey CI. Complication rates of three common spine procedures and rates of thromboembolism following spine surgery based on 108,419 procedures: a report from the Scoliosis Research Society Morbidity and Mortality Committee. Spine 2010.

Smith JS, Sansur CA, Donaldson WF 3rd, Perra JH, Mudiyam R, Choma TJ, Zeller RD, Knapp DR Jr, Noordeen HH, Berven SH, Goytan MJ, Boachie-Adjei O, Shaffrey CI. Short-term morbidity and mortality associated with correction of thoracolumbar fixed sagittal plane deformity: a report from the Scoliosis Research Society Morbidity and Mortality Committee. Spine 2010.

Smith JS, Shaffrey CI, Sansur CA, Berven SH, Fu KM, Broadstone PA, Choma TJ, Goytan MJ, Noordeen HH, Knapp DR Jr, Hart RA, Donaldson WF 3rd, Polly DW Jr, Perra JH, Boachie-Adjei O; Scoliosis Research Society Morbidity and Mortality Committee. Rates of infection after spine surgery based on 108,419 procedures: a report from the Scoliosis Research Society Morbidity and Mortality Committee. Spine 2011.

Thomas A, Kepler CK, Meyers K, Green DW, Wright TM, Rawlins BA. The effect of sacral decortication on lumbosacral fixation in a calf spine model. Spine 2011.

Widmann RF, Green DW, Blanco JS, Ipp L. The role of preop-erative cardiac screening studies in adolescent idiopathic scoliosis surgery. Pediatrics 2010.

Williams BJ, Sansur CA, Smith JS, Berven SH, Broadstone PA, Choma TJ, Goytan MJ, Noordeen HH, Knapp DR Jr, Hart RA, Zeller RD, Donaldson WF 3rd, Polly DW Jr, Perra JH, Boachie-Adjei O, Shaffrey CI. Incidence of unin-tended durotomy in spine surgery based on 108,478 cases. Neurosurgery 2011.

Yagi M, Akilah KB, Boachie-Adjei O. Incidence, risk factors and classification of proximal junctional kyphosis: surgical outcomes review of adult idiopathic scoliosis. Spine 2011.

Yagi M, Boachie-Adjei O, King AB. Characterization of osteopenia/osteoporosis in adult scoliosis. Does bone density affect surgical outcome? Spine 2011.

Yoshihara H, Kepler C, Hasegawa K, Rawlins BA. Surgical treatment for atlantooccipital osteoarthritis: a case report of two patients. European Spine Journal 2010.

spine service

Bae H, Shen M, Maurer P, Peppelman W, Beutler W, Linovitz R, Westerlund E, Peppers T, Lieberman I, Kim C, Girardi FP. Clinical experience using Cortoss for treating vertebral compression fractures with vertebroplasty and kyphoplasty: twenty four-month follow-up. Spine 2010.

Blondel B, Tropiano P, Gaudart J, Huang RC, Marnay T. Clinical results of lumbar total disc arthroplasty in accor-dance with modic signs, with a 2-year minimum follow-up. Spine 2011.



Delamarter R, Zigler J, Balderston R, Cammisa FP, Goldstein J, Spivak J. Prospective, randomized, multicenter Food and Drug Administration Investigational Device Exemption Study of the ProDisc-L total disc replacement compared with the circumferential arthrodesis for the treatment of two-level lumbar degenerative disc disease: results at twenty four months. The Journal of Bone & Joint Surgery 2011.

Dua K, Kepler CK, Huang RC, Marchenko A. Vertebral body fracture after anterolateral instrumentation and interbody fusion in two osteoporotic patients. The Spine Journal 2010.

Hofstetter CC, Chou D, Newman B, Aryan HE, Girardi FP, Hartl R. Posterior approach for thoracolumbar corpectomies with expandable cage placement and circumferential arthrodesis: a multicenter case series of 67 patients. Journal of Neurosurgery: Spine 2011.

Huang RC, Meredith DS, Kepler CK, Tropiano P. Salvage of lumbar pseudoarthrosis with customized large diameter pedicle screws: report of two cases. Spine 2011.

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Spine Service (continued)

Kepler CK, Bogner, Herzog RJ, Huang RC. Anatomy of the psoas muscle and lumbar plexus with respect to the surgical approach for the lateral transpsoas interbody fusion. European Spine Journal 2010.

Kepler CK, Huang RC, Meredith D, Cunningham ME, Boachie-Adjei O. Delayed pleural effusion after anterior thoracic spinal fusion using bone morphogenetic protein-2. Spine 2011.

Kepler CK, Huang RC, Meredith D, Kim JH, Sharma AK. Omega-3 and fish oil supplements do not cause increased bleeding during spinal decompression surgery. Journal of Spinal Disorders and Techniques 2011.

Kepler CK, Sharma AK, Huang RC. Lateral transpsoas inter-body fusion (LTIF) with plate fixation and unilateral pedicle screws: a preliminary report. Journal of Spinal Disorders and Techniques 2010.

Ma Y, Passias P, Gaber-Baylis, Girardi FP, Memtsoudis SG. Comparative in-hospital morbidity and mortality after revi-sion versus primary thoracic and lumbar spine fusion. The Spine Journal 2010.

Memtsoudis SG, Hughes A, Ma Y, Chiu YL, Sama AA, Girardi FP. Increased in-hospital complications after primary posterior versus primary anterior cervical fusion. Clinical Orthopaedics and Related Research 2011.

Memtsoudis SG, Vougioukas VI, Ma Y, Gaber-Baylis LK, Girardi FP. Perioperative morbidity and mortality after ante-rior, posterior, and anterior/posterior spine fusion surgery. Spine 2010.

Meredith DS, Huang RC, Nguyen J, Lyman S. Obesity increases the risk of recurrent herniated nucleus pulposus after lumbar microdiscectomy. The Spine Journal 2010.

Passias P, Ma Y, Chiu YL, Mazumdar M, Girardi FP, Memtsoudis SG. Comparative safety of simultaneous and staged anterior and posterior spinal surgery. Spine 2011.


Sharma AK, Sama AA, Girardi FP, Cammisa FP, Huang RC, Kepler C. Lateral lumbar interbody fusion – clinical and radiographic outcome at one year. A preliminary report. Journal of Spinal Disorders and Techniques 2010.

Weinstein JN, Tosteson TD, Lurie JD, Tosteson A, Blood EA, Herkowitz H, Cammisa FP, Albert TJ, Boden SD, Hilibrand AS, Goldberg H, Berven S, An H. Surgical versus nonopera-tive treatment for lumbar spinal stenosis four-year results of the Spine Patients Outcomes Research Trial. Spine 2010.

sports MeDicine anD shoulDer service

Arnoczky SP, Rodeo SA. What is platelet-rich plasma (PRP)? Operative Techniques in Sports Medicine 2010 (in press).

Altchek DW, Bowers AL, Bedi A, Lipman JD, Potter HG, Rodeo SA, Pearl AD, Warren RF. Comparison of ACL tunnel position and graft obliquity with transtibial and anteromedial portal femoral tunnel reaming techniques. The American Journal of Sports Medicine 2010.

Attia E, Brown HC, Henshaw R, George S, Hannafin JA. Patterns of gene expression in a rabbit partial anterior cruciate ligament transection model: the potential role of mechanical forces. The American Journal of Sports Medicine 2010.

Ayeni OR, Bedi A, Lorich DG, Kelly BT. Femoral neck fracture after arthroscopic management of femoroacetabular impingement. The Journal of Bone & Joint Surgery 2011.

Bach BR, Warren RF, Wickiewicz TL. The pivot shift phenomenon: results and description of a modified clinical test for anterior cruicate ligament insufficiency. The American Journal of Sports Medicine 2010.

Ballyns J, Cohen D, Malone E, Maher S, Potter HG, Wright TM, Lipson H, Bonassar L. An optical method for evaluation of geometric fidelity for anatomically shaped tissue engineered constructs. Tissue Engineering 2010.

Bang H, Chiu Y, Memtsoudis SG, Mandl LA, Gonzalez Della Valle A, Mushlin AI, Marx RG, Mazumdar M. Total hip and total knee arthroplasties: trends and disparities revisited. The American Journal of Orthopedics 2010.

Barker JU, Drakos MC, Maak TG, Warren RF, Williams RJ 3rd, Allen AA. Effect of graft selection on the incidence of postoperative infection in anterior cruciate ligament recon-struction. The American Journal of Sports Medicine 2010.

Bedi A, Dines JS, Dines DM, Kelly BT, O’Brien SJ, Altchek DW, Allen AA. Use of the 70˚ arthroscope for improved visualization with common arthroscopic procedures. Arthroscopy 2010.

Bedi A, Dines JS, Warren RF, Dines DM. Massive tears of the rotator cuff. The Journal of Bone & Joint Surgery 2010.

Bedi A, Dodson C, Altchek DW. Symptomatic SLAP tear and paralabral cyst in a pediatric athlete: a case report. The Journal of Bone & Joint Surgery 2010.

Bedi A, Dolan M, Leunig M, Kelly BT. Static and dynamic mechanical causes of hip pain. Arthroscopy 2010.

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Bedi A, Feeley BT, Williams RJ. Management of articular cartilage defects of the knee. The Journal of Bone & Joint Surgery 2010.

Bedi A, Foo LF, Williams RJ, Potter HG. Maturation of synthetic scaffolds for osteochondral donor sites of the knee: an MRI and T2 mapping analysis. Cartilage 2010.

Bedi A, Fox AJ, Harris PE, Deng XH, Ying L, Warren RF, Rodeo SA. Diabetes mellitus impairs tendon-bone healing after rotator cuff repair. Journal of Shoulder and Elbow Surgery 2010.

Bedi A, Fox AJ, Kovacevic D, Deng XH, Warren RF, Rodeo SA. Doxycycline-mediated inhibition of matrix metalloproteinases improves healing after rotator cuff repair. The American Journal of Sports Medicine 2010.

Bedi A, Kelly NH, Baad M, Fox AJ, Brophy RH, Warren RF, Maher SA. Dynamic contact mechanics of the medial meniscus as a function of radial tear, repair, and partial meniscectomy. The Journal of Bone & Joint Surgery 2010.

Bedi A, Kovacevic D, Fox AJ, Imhauser CW, Stasiak M, Packer J, Brophy RH, Deng X, Rodeo SA. The effect of early and delayed mechanical loading on tendon-to-bone healing after anterior cruciate ligament reconstruction. The Journal of Bone & Joint Surgery 2010.

Bedi A, Kovacevic D, Hettrich C, Gulotta LV, Ehteshami JR, Warren RF, Rodeo SA. The effect of matrix metalloproteinase inhibition on tendon-to-bone healing in a rotator cuff repair model. Journal of Shoulder and Elbow Surgery 2010.

Bedi A, Maak T, Musahl V, Citak M, O’Loughlin PF, Choi D, Pearle AD. Effect of tibial tunnel position on stability of the knee after anterior cruciate ligament reconstruction: is the tibial tunnel position most important? The American Journal of Sports Medicine 2011.

Bedi A, Musahl V, Lane C, Citak M, Warren RF, Pearle AD. Lateral compartment translation predicts the grade of pivot shift: a cadaveric and clinical analysis. Knee Surgery, Sports Traumatology, Arthroscopy 2010.

Bedi A, Musahl V, O’Loughlin P, Maak T, Citak M, Dixon P, Pearle AD. A comparison of central anatomic single-bundle ACL reconstruction and double-bundle ACL reconstruction on pivot shift kinematics. The American Journal of Sports Medicine 2010.

Bedi A, Musahl V, Steuber V, Kendoff D, Choi D, Allen AA, Pearle AD, Altchek DW. Transtibial versus anteromedial portal reaming in anterior cruciate ligament reconstruction: an anatomic and biomechanical evaluation of surgical technique. Arthroscopy 2011.

Bedi A, Raphael B, Maderazo A, Pavlov H, Williams RJ. Transtibial versus anteromedial portal drilling for anterior cruciate ligament reconstruction: a cadaveric study of femoral tunnel length and obliquity. Arthroscopy 2010.

Bedi A, Rodeo SA. Biology of anterior cruciate ligament graft healing. Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes 2010.

Bowers AL, Dines JS, Dines DM, Altchek DA. Elbow medial ulnar collateral ligament reconstruction: clinical relevance and the docking technique. Journal of Shoulder and Elbow Surgery 2010.

Brophy RH, Backus SI, Kraszewski AP, Steele BC, Ma Y, Osei D, Williams RJ. Differences between sexes in lower extremity alignment and muscle activation during soccer kick. The Journal of Bone & Joint Surgery 2010.

Brophy RH, Cottrell J, Rodeo SA, Wright TM, Warren RF, Maher SA. Implantation of a synthetic meniscal scaffold improves joint contact mechanics in a partial meniscectomy cadaver model. Journal of Biomedical Research Part A 2010.

Brophy RH, Gill CS, Lyman S, Barnes RP, Rodeo SA, Warren RF. Effect of shoulder stabilization on career length in national football league athletes. The American Journal of Sports Medicine 2011.

Brophy RH, Kovacevic D, Imhauser CW, Stasiak M, Bedi A, Fox AJ, Deng XH, Rodeo SA. Effect of short-duration low-magnitude cyclic loading versus immobilization on tendon-bone healing after ACL reconstruction in a rat model. The Journal of Bone & Joint Surgery 2011.

Brophy RH, Voss JE, Fintan JS, Granchi CC, Wickiewicz TL, Warren RF, Pearle AD. Changes in the length of virtual anterior cruciate ligament fibers during stability testing: a comparison of conventional single-bundle reconstruction and native anterior cruciate ligament. The American Journal of Sports Medicine 2010.

Citak M, Bosscher MR, Citak M, Musahl V, Pearle AD, Suero EM. Anterior cruciate ligament reconstruction after unicompartmental knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy 2011.

Citak M, Suero EM, Rozell JC, Bosscher MR, Kuestermeyer J, Pearle AD. A mechanized and standardized pivot shifter: technical description and first evaluation. Knee Surgery, Sports Traumatology, Arthroscopy 2011.

Cooper J, Ranawat AS, Potter HG, Koob T, Foo LF. Early reactive synovitis and osteolysis after total hip arthroplasty. Clinical Orthopaedics and Related Research 2010.

Cross MB, Fabricant PD, Maak TG, Kelly BT. Impingement (acetabular side). Clinics in Sports Medicine 2011.

Cross MB, Osbahr DC, Gardner MJ, Nguyen JT, Helfet DL, Lorich DG, Dines JS. An analysis of the Musculoskeletal Trauma Section of the Orthopaedic In-Training Examination (OITE). The Journal of Bone & Joint Surgery 2011.

Cross, MB, Shindle MD, Kelly BT. Arthroscopic anterior and posterior labral repair after traumatic hip dislocation: case report and review of the literature. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2010.

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Sports Medicine and Shoulder Service (continued)

Delos D, Shindle MK, Mintz DN, Warren RF. Meniscectomy of the sternoclavicular joint: a report of two cases. Journal of Shoulder and Elbow Surgery 2010.

Delos D, Warren RF, Marx RG. Multiligament knee injuries and their treatment. Operative Techniques in Sports Medicine 2010.

Deshmukh AJ, Thakur RR, Goyal A, Klein DA, Ranawat AS, Rodriguez JA. Accuracy of diagnostic injection in differentiating source of atypical hip pain. The Journal of Arthroplasty 2010.

Dines JS. Growth factor confusion. Arthroscopy 2010.

Dines JS, Bedi A, ElAttrache NS, Dines DM. Single-row versus double-row rotator cuff repair: techniques and outcomes. Journal of the American Academy of Orthopaedic Surgeons 2010.

Dines JS, Cross MB, Dines DM, Pantazopoulos C, Kim HJ, Razzano P, Grande D. In vitro analysis of an rhGDF-5 suture coating process and the effects of rhGDF-5 on rat tendon fibroblasts. Growth Factors 2011.

Dines JS, Hettrich CM, Kelly BT, Savoie FH 3rd, Lorich DG. Arthroscopic removal of proximal humerus locking plates. Knee Surgery, Sports Traumatology, Arthroscopy 2010.

Dodson CC, Altchek DW. Arthroscopic management of patellar instability. Operative Techniques in Sports Medicine 2010.

Dodson CC, Bedi A, Sahai A, Potter HG, Cordasco FA. Complete rotator cuff tendon avulsion and glenohumeral joint incarceration in a young patient: a case report. Journal of Shoulder and Elbow Surgery 2010.

Dodson CC, Craig EV, Cordasco FA, Dines DM, Dines JS, Dicarlo E, Brause BD, Warren RF. Propionibacterium acnes infection after shoulder arthroplasty: a diagnostic challenge. Journal of Shoulder and Elbow Surgery 2010.

Dodson CC, Kitay A, Verma NN, Adler RS, Nguyen J, Cordasco FA, Altchek DW. The long-term outcome of recur-rent defects after rotator cuff repair. The American Journal of Sports Medicine 2010.

Dodson CC, Shindle MK, Dines JS, Altchek DW. Arthroscopic suture anchor repair for lateral patellar instability. Knee Surgery, Sports Traumatology, Arthroscopy 2010.

Dolan MM, Heyworth BE, Bedi A, Duke G, Kelly BT. CT reveals a high incidence of osseous abnormalities in hips with labral tears. Clinical Orthopaedics and Related Research 2010.

Dolan MM, Heyworth BE, Bedi A, Kelly BT. CT evaluation of structural abnormalities in hips with labral tears. Clinical Orthopaedics and Related Research 2011.

Drakos MC, Barker JU, Osbahr DC, Lehto S, Rudzki JR, Potter HG, Coleman SH, Allen AA, Altchek DW. Effective glenoid version in professional baseball players. American Journal of Orthopaedics 2010.

Drakos MC, Feeley BT, Barnes R, Muller M, Burruss TP, Warren RF. Lower cervical posterior element fractures in the National Football League: a report of two cases and a review of the literature. Neurosurgery 2011.

Drakos MC, Hillstrom H, Voos JE, Miller AN, Kraszewski AP, Wickiewicz TL, Warren RF, Allen AA, O’Brien S. The effect of the shoe-surface interface in the development of anterior cruciate ligament strain. Journal of Biomechanical Engineering 2010.

Dunn WR, Spindler KP, Amendola A, Andrish JT, Kaeding CC, Marx RG, McCarty EC, Parker RD, Harrell FE Jr, An AQ, Wright RW, Brophy RH, Matava MJ, Flanigan DC, Huston LJ, Jones MH, Wolcott ML, Vidal AF, Wolf BR. MOON ACL Investigation. Which preoperative factors, including bone bruise, are associated with knee pain/symptoms at index anterior cruciate ligament reconstruction (ACLR)? A multicenter Orthopaedic Outcomes Network (MOON) ACLR Cohort Study. The American Journal of Sports Medicine 2010.

El-Amin SF, Hogan MV, Allen AA, Hinds J, Laurencin CT. The indications and use of bone morphogenetic proteins in foot, ankle, and tibia surgery. Foot and Ankle Clinics 2010.

Encalada-Diaz I, Cole BJ, Macgillivray JD, Ruiz-Suarez M, Kercher JS, Friel NA, Valero-Gonzalez F. Rotator cuff repair augmentation using a novel polycarbonate polyurethane patch: Preliminary results at 12 months’ follow up. Journal of Shoulder and Elbow Surgery 2010.

Enseki KR, Martin R, Kelly BT. Rehabilitation after arthroscopic decompression for femoroacetabular impinge-ment. Clinics in Sports Medicine 2010.

Fanelli GC, Stannard JP, Stuart MJ, MacDonald PB, Marx RG, Whelan DB, Boyd JL, Levy BA. Management of complex knee ligament injuries. The Journal of Bone & Joint Surgery 2010.

Feeley BT, Doty SB, Devcic Z, Warren RF, Lane JM. Deleterious effects of intermittent recombinant parathyroid hormone on cartilage formation in a rabbit microfrac-ture model: a preliminary study. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2010.

Feeley BT, Muller MS, Sherman S, Allen AA, Pearle AD. Comparison of posterolateral corner reconstructions using computer-assisted navigation. Arthroscopy 2010.

Fortier LA, Potter HG, Rickey EJ, Schnabel LV, Ellsworth JR, Foo LF, Nixon A. Concentrated bone marrow aspirate improves full-thickness cartilage repair. The Journal of Bone & Joint Surgery 2010.

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Fox AJ, Bedi A, Deng XH, Ying L, Harris PE, Warren RF, Rodeo SA. Diabetes mellitus alters the mechanical properties of the native tendon in an experimental rat model. Galley NK, Gleghorn JP, Rodeo S, Warren RF, Maher SA, Bonassar LJ. Frictional properties of the meniscus improve after scaffold-augmented repair of partial meniscectomy: a pilot study. Clinical Orthopaedics and Related Research 2011.

Gallo RA, Gamradt SC, Mattern CJ, Cordasco FA, Craig EV, Dines DM, Warren RF. Instability after reverse total shoulder replacement. Journal of Shoulder and Elbow Surgery 2010.

Gamradt SC, Gallo RA, Adler RS, Maderazo A, Altchek DW, Warren RF, Fealy SJ. Vascularity of the supraspinatus tendon three months after repair: characterization using contrast-enhanced ultrasound. Journal of Shoulder and Elbow Surgery 2010.

Gleghorn JP, Doty SB, Warren RF, Wright TM, Maher SA, Bonassar LJ. Analysis of frictional behavior and changes in morphology resulting from cartilage articulation with porous polyurethane foams. Journal of Orthopaedic Research 2010.

Gulotta LV, Kovacevic D, Montgomery S, Ehteshami JR, Packer JD, Rodeo SA. Stem cells genetically modified with the developmental gene MT1-MMP improve regeneration of the tendon-to-bone insertion site. The American Journal of Sports Medicine 2010.

Gulotta LV, Kovacevic D, Packer JD, Ehteshami JR, Rodeo SA. Adenoviral-mediated gene transfer of human bone morphogenetic protein-13 does not improve rotator cuff healing in a rat model. The American Journal of Sports Medicine 2011.

Gulotta LV, Rodeo SA. Emerging ideas: evaluation of stem cells genetically modified with scleraxis to improve rotator cuff healing. Clinical Orthopaedics and Related Research 2010.

Gulotta LV, Voos JE, Shindle MK, Weiss L, Barnes R, Rodeo SA, Warren RF. Gastrocnemius injury complicated by an arteriovenous malformation in a professional American foot-ball player. Clinical Journal of Sports Medicine 2011.

Hammoud S, Reinhardt KR, Marx RG. Outcomes of posterior cruciate ligament treatment: a review of the evidence. Sports Medicine and Arthroscopy Review 2010.

The MARS Group (Hannafin JA, contributing author). Descriptive epidemiology of the Multicenter ACL revision Study (MARS) cohort. The American Journal of Sports Medicine 2010.

Hetsroni I, Lyman S, Do H, Mann G, Marx RG.Symptomatic pulmonary embolism after outpatient arthroscopic proce-dures of the knee: the incidence and risk factors in 418,323 arthroscopies. The Journal of Bone & Joint Surgery 2011.

Hetsroni I, Rosenberg H, Grimm P, Marx RG. Mycobacterium fortuitum infection following patellar tendon repair: a case report. The Journal of Bone & Joint Surgery 2010.

Hettrich CM, Rodeo SA, Hannafin JA, Ehteshami JR, Shubin Stein BE. The effect of muscle paralysis using Botox on the healing of tendon to bone in a rat model. Journal of Shoulder and Elbow Surgery 2010.

Jelinsky SA, Rodeo SA, Li J, Gulotta LV, Archambault JM, Seeherman HJ. Regulation of gene expression in human tendinopathy. BMC Musculoskeletal Disorders 2011.

Jeong WS, Yoo YS, Kim DY, Shetty NS, Smolinski P, Logishetty K, Ranawat AS. An analysis of the posterior cruciate ligament isometric position using an in vivo 3-dimensional computed tomography-based knee joint model. Arthroscopy 2010.

Kendoff D, Citak M, Stueber V, Nelson L, Pearle AD, Boettner F. Feasibility of a navigated registration technique in FAI surgery. Archives of Orthopaedic and Trauma Surgery 2011.

Kendoff D, Koulalis D, Citak M, Voos J, Pearle AD. Open wedge valgus tibial osteotomies: affecting the distinct ACL bundles. Knee Surgery, Sports Traumatology, Arthroscopy 2010.

Kennedy A, Coughlin DG, Metzger MF, Tang R, Pearle AD, Lotz JC, Feeley BT. Biomechanical evaluation of pediatric anterior cruciate ligament reconstruction techniques. The American Journal of Sports Medicine 2011.

Kepler CK, Nho SJ, Bansal M, Ala OL, Craig EV, Wright TM, Warren RF. Radiographic and histopathologic analysis of osteolysis after total shoulder arthroplasty. Journal of Shoulder and Elbow Surgery 2010.

Kim M, Foo LF, Uggen C, Lyman S, Ryaby JT, Moynihan D, Grande DA, Potter HG, Pleshko N. Evaluation of early osteochondral defect repair in a rabbit model utilizing Fourier transform infrared imaging spectroscopy (FT-IRIS), magnetic resonance imaging (MRI) and quantitative T2 mapping. Tissue Engineering 2010.

Koff MF, Chong LR, Virtue P, Chen D, Wang X, Wright T, Potter HG. Validation of cartilage thickness calculations using indentation analysis. Journal of Biomedical Engineering 2010.

Koff MF, Chong LR, Virtue P, Ying L, Gholve PA, Rodeo SA, Widmann RF, Potter HG. Correlation of MRI and histological examination of physeal bars in a rabbit model. Journal of Pediatric Orthopaedics 2010.

Koulalis D, Kendoff D, Citak M, O Loughlin PF, Pearle AD. Freehand versus navigated glenoid anchor positioning in anterior labral repair. Knee Surgery, Sports Traumatology, Arthroscopy 2011.

Koulalis D, O’Loughlin PF, Plaskos C, Kendoff D, Cross MB, Pearle AD. Sequential versus automated cutting guides in computer-assisted total knee arthroplasty. Knee 2010.

Koulalis D, O’Loughlin PF, Plaskos C, Kendoff D, Pearle AD. Adjustable cutting blocks for computer-navigated total knee arthroplasty: a cadaver study. The Journal of Arthroplasty 2010.

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Kovacevic D, Fox AJ, Bedi A, Ying L, Deng XH, Warren RF, Rodeo SA. Calcium-phosphate matrix with or without TGF-{beta}3 improves tendon-bone healing after rotator cuff repair. The Journal of Bone & Joint Surgery 2011.

Maak TG, Bedi A, Raphael BS, Citak M, Suero EM, Wickiewicz T, Pearle AD. Effect of femoral socket position on graft impingement after anterior cruciate ligament recon-struction. The American Journal of Sports Medicine 2011.

Maak TG, Marx RG, Wickiewicz TL. Management of chronic tibial subluxation in the multiple-ligament injured knee. Sports Medicine and Arthroscopy 2011.

Maak TG, Voos JE, Wickiewicz TL, Warren RF. Tunnel widening in revision anterior cruciate ligament reconstruc-tion. Journal of the American Academy of Orthopaedic Surgeons 2010.

Magnussen RA, Granan LP, Dunn WR, Amendola A, Andrish JT, Brophy R, Carey JL, Flanigan D, Huston LJ, Jones M, Kaeding CC, McCarty EC, Marx RG, Matava MJ, Parker RD, Vidal A, Wolcott M, Wolf BR, Wright RW, Spindler KP, Engebretsen L. Cross-cultural comparison of patients under-going ACL reconstruction in the United States and Norway. Knee Surgery, Sports Traumatology, Arthroscopy 2010.

Maher SA, Rodeo SA, Doty SB, Brophy R, Potter HG, Foo LF, Rosenblatt L, Deng XH, Turner AS, Wright TM, Warren RF. Evaluation of a porous polyurethane scaffold in a partial meniscal defect ovine model. Arthroscopy 2010.

Martin HD, Kelly BT, Leunig M, Philippon MJ, Clohisy JC, Martin RL, Sekiya JK, Pietrobon R, Mohtadi NG, Sampson TG, Safran MR. The pattern and technique in the clinical evaluation of the adult hip: the common physical examination tests of hip specialists. Arthroscopy 2010.

Martin RL, Kelly BT, Leunig M, Martin HD, Mohtadi NG, Philippon MJ, Sekiya JK, Safran MR. Reliability of clinical diagnosis in intraarticular hip diseases. Knee Surgery, Sports Traumatology, Arthroscopy 2010.

Marx RG, Grimm P, Lillemoe KA, Robertson CM, Ayeni OR, Lyman S, Bogner EA, Pavlov H. Reliability of lower extremity alignment measurement using radiographs and PACS. Knee Surgery, Sports Traumatology, Arthroscopy 2011.

Mazzocca AD, Bollier MJ, Ciminiello AM, Obopilwe E, DeAngelis JP, Burkhart SS, Warren RF, Arciero RA. Biomechanical evaluation of arthroscopic rotator cuff repairs over time. Arthroscopy 2010.

McRae SM, Chahal J, Leiter JR, Marx RG, Macdonald PB. Survey study of members of the Canadian Orthopaedic Association on the natural history and treatment of anterior cruciate ligament injury. Clinical Journal of Sport Medicine 2011.

Meftah M, Ranawat AS, Ranawat CS. The natural history of anterior knee pain in 2 posterior-stabilized, modular total knee arthroplasty designs. The Journal of Arthroplasty 2011.

Minwook K, Foo LF, Uggen C, Lyman S, Ryaby JT, Moynihan DP, Grande DA, Potter HG, Pleshko N. Evaluation of early osteochondral defect repair in a rabbit model utilizing fourier transform – infrared imaging spectroscopy, magnetic resonance imaging, and quantitative T2 mapping. Tissue Engingeering 2010.

Mithoefer K, Williams RJ, Mandelbaum B. Clinical outcome and return to competition after microfracture chondroplasty in the athlete’s knee: an evidence-based analysis. Cartilage 2010.

Montgomery S, Chen N, Rodeo SA. Arthroscopic capsular plication in the treatment of shoulder pain in competitive swimmers. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2010.

Muller MS, Drakos MC, Feeley B, Barnes R, Warren RF. Nonoperative management of complete lateral elbow ligamen-tous disruption in an NFL player: a case report. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2010.

Musahl V, Ayeni OR, Citak M, Irrgang JJ, Pearle AD, Wickiewicz TL. The influence of bony morphology on the magnitude of the pivot shift. Knee Surgery, Sports Traumatology, Arthroscopy 2010.

Musahl V, Bedi A, Citak M, O’Loughlin P, Choi D, Pearle AD. Effect of single-bundle and double-bundle anterior cruciate ligament reconstructions on pivot-shift kinematics in ante-rior cruciate ligament- and meniscus-deficient knees. The American Journal of Sports Medicine 2011.

Musahl V, Citak M, O’Loughlin PF, Choi D, Bedi A, Pearle AD. The effect of medial versus lateral meniscectomy on the stability of the ACL-deficient knee. The American Journal of Sports Medicine 2010.

Musahl V, Voos JE, O’Loughlin PF, Choi D, Stueber V, Kendoff D, Pearle AD. Comparing stability of different single and double bundle ACL reconstruction techniques: a cadav-eric study using navigation. Arthroscopy 2010.

Musahl V, Voos J, O’Loughlin PF, Stueber V, Kendoff D, Pearle AD. Mechanized pivot shift test achieves greater accuracy than manual pivot shift test. Knee Surgery, Sports Traumatology, Arthroscopy 2010.

Nam D, Kepler CK, Neviaser AS, Jones KJ, Wright TM, Craig EV, Warren RF. Reverse total shoulder arthroplasty: current concepts, results, and component wear analysis. The Journal of Bone & Joint Surgery 2010.

Nam D, Kepler CK, Nho SJ, Craig EV, Warren RF, Wright TM. Observations on retrieved humeral polyethylene components from reverse total shoulder arthroplasty. Journal of Shoulder and Elbow Surgery 2010.

Nevaiser AS, Hannafin JA. Adhesive capsulitis: A review of current treatment. The American Journal of Sports Medicine 2010.

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Nho SJ, Delos D, Yadav H, Pensak M, Romeo AA, Warren RF, MacGillivray JD. Biomechanical and biologic augmentation for the treatment of massive rotator cuff tears. American Journal of Sports Medicine 2010.

Ohnsorge Jorg AK, Wickiewicz TL, Davis J, Laskin RS. Revision knee arthroplasty including reconstruction of the lateral collateral ligament by allograft: a case report. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2010.

Osbahr DC, Chalmers P, Frank J, Williams RJ, Widmann RF, Green D. Acute, avulsion Fractures of the Medial Epicondyle While Throwing in Youth Baseball Players: A Variant of Little League Elbow. Journal of Shoulder and Elbow Surgery 2010.

Osbahr DC, Cross MB, Bedi A, Nguyen JT, Allen AA, Altchek DW, Dines JS. Orthopaedic in-training Examination: an analysis of the sports medicine section. The American Journal of Sports Medicine 2011.

Osbahr DC, Dines JS, Breazeale NM, Deng XH, Altchek DW. Ulnohumeral chondral and ligamentous overload (UCLO): biomechanical correlation for posteromedial chondromalacia of the elbow in throwing athletes. The American Journal of Sports Medicine 2010.

Osbahr DC, Swaminathan SS, Allen AA, Dines JS, Coleman SH, Altchek DW. Combined flexor-pronator mass and ulnar collateral ligament injuries in the elbows of older baseball players. The American Journal of Sports Medicine 2010.

Paxton ES, Moorman CT, Chehab EL, Barnes RP, Warren RF, Brophy RH. Effect of hyperconcavity of the lumbar vertebral endplates on the playing careers of professional American football linemen. The American Journal of Sports Medicine 2010.

Peskun CJ, Levy BA, Fanelli GC, Stannard JP, Stuart MJ, MacDonald PB, Marx RG, Boyd JL, Whelan DB. Diagnosis and management of knee dislocations. The Physician and Sportsmedicine 2010.

Potter HG, Schachar J. High resolution noncontrast MRI of the hip. Journal of Magnetic Resonance Imaging 2010.

Ranawat AS, Schulz B, Baumbach SF, Meftah M, Ganz R, Leunig. Radiographic predictors of hip pain in femoroac-etabular impingement. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2010.

Raphael BS, Dines JS, Akerman M, Root L. Long-term followup of total hip arthroplasty in patients with cerebral palsy. Clinical Orthopaedics and Related Research 2010.

Raphael BS, Dines JS, Warren RF, Figgie MP, Craig EV, Fealy S, Dines DM. Symptomatic glenoid loosening complicating total shoulder arthroplasty. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2010.

Raphael BS, Weiland AJ, Altchek DW, Gay DM. Revision arthroscopic contracture release in the elbow resulting in an ulnar nerve transection: surgical technique. The Journal of Bone & Joint Surgery 2011.

Reinhardt KR, Hetsroni I, Marx RG. Graft selection for anterior cruciate ligament reconstruction: a level I systematic review comparing failure rates and functional outcomes. Orthopedic Clinics of North America 2010.

Richmond J, Hunter D, Irrgang J, Jones MH, Snyder-Mackler L, Van Durme D, Rubin C, Matzkin EG, Marx RG, Levy BA, Watters WC 3rd, Goldberg MJ, Keith M, Haralson RH 3rd, Turkelson CM, Wies JL, Anderson S, Boyer K, Sluka P, St. Andre J, McGowan, R; American Academy of Orthopaedic Surgeons. American Academy of Orthopaedic Surgeons clinical practice guideline on the treatment of osteoarthritis of the knee. The Journal of Bone & Joint Surgery 2010.

Rodeo SA, Delos D, Weber A, Ju X, Cunningham ME, Fortier L, Maher S. Specialty update: what’s new in orthopaedic research. The Journal of Bone & Joint Surgery 2010.

Rodeo SA, Gulotta LV. Bone marrow-derived mesenchymal cells transduced with scleraxis improve rotator cuff healing in a rat model. The American Journal of Sports Medicine 2011.

Rosenbaum A, Wicker J, Dines JS, Bonasser L, Razzano P, Dines DM, Grande D. Histologic stages of healing correlate with restoration of tensile strength in a model of experi-mental tendon repair. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2010.

Santoni BG, McGilvray KC, Lyons AS, Bansal M, Turner AS, Macgillivray JD, Coleman SH, Puttlitz CM. Biomechanical analysis of an ovine rotator cuff repair via porous patch augmentation in a chronic rupture model. The American Journal of Sports Medicine 2010.

Scholten PM, Ng KW, Joh K, Serino LP, Warren RF, Torzilli PA, Maher SA. A semi-degradable composite scaffold for articular cartilage defects. Journal of Biomedical Materials Research A 2011.

Sharma V, Ranawat AS, Rasquinha VJ, Weiskopf J, Howard H, Ranawat CS. Revision total hip arthroplasty for ceramic head fracture: a long-term follow-up. The Journal of Arthroplasty 2010.

Shindle MK, Marx RG, Kelly BT, Bisson L, Burke CJ 3rd. Hockey injuries: a pediatric sport update. Current Opinion in Pediatrics 2010.

Spindler KP, Huston LJ, Wright RW, Kaeding CC, Marx RG, Amendola A, Parker RD, Andrish JT, Reinke EK, Harrell FE Jr; MOON Group, Dunn WR. The prognosis and predictors of sports function and activity at minimum 6 years after anterior cruciate ligament reconstruction: a population cohort study. The American Journal of Sports Medicine 2011.

Stasiak M, Imhauser C, Packer J, Bedi A, Brophy R, Kovacevic D, Jackson K, Deng X-H, Rodeo SA, Torzilli P. A novel in vivo joint loading system to investigate the effect of daily mechanical load on a healing anterior cruciate ligament reconstruction. Journal of Medical Devices 2010.

Strauss EJ, Nho SJ, Kelly BT. Greater trochanteric pain syndrome. Sports Medicine and Arthroscopy 2010.

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Thakur RR, Deshmukh AJ, Goyal A, Ranawat AS, Rasquinha VJ, Rodriguez JA. Management of failed trochanteric fracture fixation with cementless modular hip arthroplasty using a distally fixing stem. The Journal of Arthroplasty 2011.

Uggen C, Dines JS, McGarry M, Grande D, Lee T, Limpisvasti O. The effect of recombinant human platelet-derived growth factor BB-coated sutures on rotator cuff healing in a sheep model. Arthroscopy 2010.

van Eck CF, Liu TT, Fu FH, Dodson CC, Altchek DW. Letter to the editor. The American Journal of Sports Medicine 2010.

Vasanth LC, Foo LF, Potter HG, Adler RS, Finzel KC, Pavlov H, Mandl LA. Using magnetic resonance angiography to measure synovial blood vessels in early inflammatory arthritis. Journal of Rheumatology 2010.

Voos JE, Dines JS, Dines DM. Arthroplasty for fractures of the proximal part of the humerus. The Journal of Bone & Joint Surgery 2010.

Voos JE, Livermore RW, Feeley BT, Altchek DW, Williams RJ, Warren RF, Cordasco FA, Allen AA. Prospective evaluation of arthroscopic bankart repairs for anterior instability. The American Journal of Sports Medicine 2010.

Voos JE, Musahl V, Maak TG, Wickiewicz TL, Pearle AD. Comparison of tunnel positions in single bundle ACL recon-structions using computer navigation. Knee Surgery, Sports Traumatology, Arthroscopy 2010.

Wright V, Attia E, Bohnert K, Brown H, Bhargava M, Hannafin JA. Activation of MKK3/6, SAPK, and ATF-2/c-jun in ACL fibroblasts grown in 3-dimension collagen gels in response to application of cyclic strain. Journal of Orthopaedic Research 2011.

Yoo YS, Tsai AG, Ranawat AS, Bansal M, Fu FH, Rodosky MW, Smolinski P. A biomechanical analysis of the native coracoclavicular ligaments and their influence on a new reconstruction using a coracoid tunnel and free tendon graft. Arthroscopy 2010.

DepartMent of bioMechanics

Andrews JC, Almeida E, van der Meulen MC, Alwood JS, Lee C, Liu Y, Chen J, Meirer F, Feser M, Gelb J, Rudati J, Tkachuk A, Yun W, Pianetta P. Nanoscale X-ray microscopic imaging of mammalian mineralized tissue. Microscopy and Microanalysis 2010.

Ballyns JJ, Cohen DL, Malone E, Maher SA, Potter HG, Wright TM, Lipson H, Bonassar LJ. An optical method for evaluation of geometric fidelity for anatomically shaped tissue-engineered constructs. Tissue Engineering Part C: Methods 2010.

Ballyns JJ, Wright TM, Bonassar LJ. Effect of media mixing on ECM assembly and mechanical properties of anatomically shaped tissue engineered meniscus. Biomaterials 2010.

Bedi A, Kelly NH, Baad M, Fox AJ, Brophy RH, Warren RF, Maher SA. Dynamic contact mechanics of the medial meniscus as a function of radial tear, repair, and partial meniscectomy. The Journal of Bone & Joint Surgery 2010.

Bedi A, Kovacevic D, Fox AJ, Imhauser CW, Stasiak M, Packer J, Brophy RH, Deng X, Rodeo SA. Effect of early and delayed mechanical loading on tendon-to-bone healing after anterior cruciate ligament reconstruction. The Journal of Bone & Joint Surgery 2010.

Brophy RH, Cottrell J, Rodeo SA, Wright TM, Warren RF, Maher SA. Implantation of a synthetic meniscal scaffold improves joint contact mechanics in a partial meniscectomy cadaver model. Journal of Biomedical Research A 2010.

Brophy RH, Kovacevic D, Imhauser CW, Stasiak M, Bedi A, Fox AJ, Deng XH, Rodeo SA. Effect of short-duration low-magnitude cyclic loading versus immobilization on tendon-bone healing after ACL reconstruction in a rat model. The Journal of Bone & Joint Surgery 2011.

Buckwalter JA, Wright TM, Donahue HJ. A new feature of the journal of orthopaedic research: research perspectives. Journal of Orthopaedic Research 2011.

Burket J, Gourion-Arsiquaud S, Havill LM, Baker SP, Boskey AL, van der Meulen MC. Microstructure and nanome-chanical properties in osteons relate to tissue and animal age. Journal of Biomechanics 2011.


Dolan MM, Kelly NH, Nguyen JT, Wright TM, Haas SB. Implant design influences tibial post wear damage in posterior-stabilized knees. Clinical Orthopaedics and Related Research 2011.

Donnelly E, Boskey AL, Baker SP, van der Meulen MC. Effects of tissue age on bone tissue material composition and nanomechanical properties in the rat cortex. Journal of Biomedical Materials Research Part A 2010.

Donnelly E, Chen DX, Boskey AL, Baker SP, van der Meulen MC. Contribution of mineral to bone structural behavior and tissue mechanical properties. Calcified Tissue International 2010.

Fraitzl CR, Moya LE, Castellani L, Wright TM, Buly RL. Corrosion at the stem-sleeve interface of a modular titanium alloy femoral component as a reason for impaired disengage-ment. The Journal of Arthroplasty 2011.

Galley NK, Gleghorn JP, Rodeo SA, Warren RF, Maher SA, Bonassar LJ. Frictional properties of the meniscus improve after scaffold-augmented repair of partial meniscectomy: a pilot study. Clinical Orthopaedics and Related Research 2011.

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Garg R, Hammoud S, Lipman J, Wolfe SW. Preoperative computer-assisted design templating of complex articular olecranon osteotomy: a case report. The Journal of Hand Surgery 2010.

Gleghorn JP, Doty SB, Warren RF, Wright TM, Maher SA, Bonassar LJ. Analysis of frictional behavior and changes in morphology resulting from cartilage articulation with porous polyurethane foams. Journal of Orthopaedic Research 2010.

Heyse TJ, Chen DX, Kelly N, Boettner F, Wright TM, Haas SB. Matched-pair total knee arthroplasty retrieval analysis: Oxidized zirconium vs. CoCrMo. Knee 2010.

Heyse TJ, Davis J, Haas SB, Chen DX, Wright TM, Laskin RS. Retrieval analysis of femoral zirconium components in total knee arthroplasty preliminary results. The Journal of Arthroplasty 2011.

Jost PW, Marawar S, O’Leary PF. Paraspinal muscle impinge-ment causing acute Brown-Sequard syndrome after posterior cervical decompression. Spine 2010.

Kelly NH, Fu RH, Wright TM, Padgett DE. Wear damage in mobile-bearing TKA is as severe as that in fixed-bearing TKA. Clinical Orthopaedics and Related Research 2011.

Kelly NH, Rajadhyaksha AD, Wright TM, Maher SA, Westrich GH. High stress conditions do not increase wear of thin highly crosslinked UHMWPE. Clinical Orthopaedics and Related Research 2010.

Kepler CK, Nho SJ, Bansal M, Ala OL, Craig EV, Wright TM, Warren RF. Radiographic and histopathologic analysis of osteolysis after total shoulder arthroplasty. Journal of Shoulder and Elbow Surgery 2010.

Lynch ME, Main RP, Xu Q, Schmicker TL, Schaffler MB, Wright TM, van der Meulen MC. Tibial compression is anabolic in the adult mouse skeleton despite reduced respon-siveness with aging. Bone 2011.

Lynch ME, Main RP, Xu Q, Walsh DJ, Schaffler MB, Wright TM, van der Meulen MC. Cancellous bone adaptation to tibial compression is not sex dependent in growing mice. Journal of Applied Physiology 2010.

Maher SA, Mauck RL, Rackwitz L, Tuan RS. A nanofibrous cell-seeded hydrogel promotes integration in a cartilage gap model. Journal of Tissue Engineering and Regenerative Medicine 2010.

Maher SA, Rodeo SA, Doty SB, Brophy R, Potter H, Foo LF, Rosenblatt L, Deng XH, Turner AS, Wright TM, Warren RF. Evaluation of a porous polyurethane scaffold in a partial meniscal defect ovine model. Arthroscopy 2010.

Main RP, Lynch ME, van der Meulen MC. In vivo tibial stiffness is maintained by whole bone morphology and cross-sectional geometry in growing female mice. Journal of Biomechanics 2010.

Manson TT, Kelly NH, Lipman JD, Wright TM, Westrich GH. Unicondylar knee retrieval analysis. The Journal of Arthroplasty 2010.

Monir AU, Gundberg CM, Yagerman SE, van der Meulen MC, Budell WC, Boskey AL, Dowd TL. The effect of lead on bone mineral properties from female adult C57/BL6 mice. Bone 2010.

Nam D, Kepler CK, Neviaser AS, Jones KJ, Wright TM, Craig EV, Warren RF. Reverse total shoulder arthroplasty: current concepts, results, and component wear analysis. The Journal of Bone & Joint Surgery 2010.

Nam D, Kepler CK, Nho SJ, Craig EV, Warren RF, Wright TM. Observations on retrieved humeral polyethylene components from reverse total shoulder arthroplasty. Journal of Shoulder and Elbow Surgery 2010.

Partal G, Meyers KN, Sama N, Pagenkopf E, Lewis PB, Goldman A, Wright TM, Helfet DL. Superior versus antero-inferior plating of the clavicle revisited: a mechanical study. Journal of Orthopaedic Trauma 2010.

Prisk VR, Imhauser CW, O’Loughlin PF, Kennedy JG. Lateral ligament repair and reconstruction restore neither contact mechanics of the ankle joint nor motion patterns of the hind-foot. The Journal of Bone & Joint Surgery 2010.

Scholten PM, Ng KW, Joh K, Serino LP, Warren RF, Torzilli PA, Maher SA. A semi-degradable composite scaffold for articular cartilage defects. Journal of Biomedical Materials Research A 2011.


Spiller KL, Maher SA, Lowman AM. Hydrogels for the repair of articular cartilage defects. Tissue Engineering Part B: Reviews 2011.

Thomas A, Kepler CK, Meyers K, Green DW, Wright TM, Rawlins BA. The effect of sacral decortication on lumbosa-cral fixation in a calf spine model. Spine 2011.

Unnanuntana A, Chen DX, Unnanuntana A, Wright TM. Trunnion fracture of the anatomic medullary locking a plus femoral component. The Journal of Arthroplasty 2011.

Willie BM, Yang X, Kelly NH, Han J, Nair T, Wright TM, van der Meulen MC, Bostrom MP. Cancellous bone osseointegra-tion is enhanced by in vivo loading. Tissue Engineering Part C: Methods 2010.

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hospiTal for special surgery2010–2011 orThopaedic surgery graduaTing residenTs

Academic LeadershipThomas P. Sculco, MD, Surgeon-in-ChiefMathias P. Bostrom, MD, Program Director, Orthopaedic Surgery Residency ProgramEdward V. Craig, MD, MPH, Associate Program Director, Orthopaedic Surgery Residency ProgramAlejandro Leali, MD, PGY-1 Faculty Mentor

2010-2011 Orthopaedic Surgery Graduating ResidentsHaydèe C. Brown, MD, Foot and Ankle Fellowship, Hospital for Special SurgeryDuretti T. Fufa, MD, Hand Surgery Fellowship, Washington UniversitySommer Hammoud, MD, Sports Medicine Fellowship, Massachusetts General HospitalPatrick W. Jost, MD, Sports Medicine Fellowship, Andrews Sports Medicine InstituteHan Jo Kim, MD, Spine Fellowship, Washington UniversityTravis G. Maak, MD, Sports Medicine and Shoulder Fellowship, Hospital for Special SurgeryDaniel A. Osei, MD, Hand and Upper Extremity Surgery Fellowship, Washington University

Nancy Kane Bischoff Mentor AwardMathias P. Bostrom, MD

Samuel Delgado, CST, Award for Outstanding Educator and Mentor to Residents in the OR Michael Guglielmo, CST

Richard S. Laskin, MD, Young Attending AwardDavid J. Mayman, MD

Jean C. McDaniel Award for Professionalism, Ethics, and Peer LeadershipTravis G. Maak, MD

Lewis Clark Wagner, MD, Award for Excellence in Orthopaedic Clinical/Translational ResearchHan Jo Kim, MD The Efficacy of a Thrombin-based Hemostatic Agent in Minimizing Blood Loss in Total Knee Arthroplasty – A Randomized Control Trial

Russell F. Warren, MD, Award for Excellence in Orthopaedic Basic/Translational Research Sommer Hammoud, MD Attaching Implants to Articular Cartilage: Functionalizing with a Collagen Adhesion Protein

Philip D. Wilson, Jr., MD, Teaching AwardSabrina M. Strickland, MD

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Front row, from left: Dr. Edward V. Craig, Dr. Thomas P. Sculco, Dr. Mathias P. Bostrom; center row, from left: Dr. Travis G. Maak, Dr. Daniel Osei, Dr. Haydèe C. Brown, Dr. Duretti T. Fufa; top row, from left: Dr. Sommer Hammoud, Dr. Patrick W. Jost, Dr. Han Jo Kim

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hospiTal for special surgery2010–2011 orThopaedic surgery graduaTing felloWs

Adult Reconstruction and Joint Replacement DivisionJohn A. Anderson, MDDeidre M. Blake, MDMichael R. Fraser, Jr., MDMark W. Gesell, MDSeth A. Jerabek, MDGregory G. Klingenstein, MDJohn L. Wang, MD

Foot and Ankle ServiceLan Chen, MDJoshua H. Lamb, MDAlejandro E. Pino, MD

Hand and Upper Extremity ServiceKeith M. Crivello, MD, MA Arthur Ta-Tzu Lee, MDKieran E. O’Shea, MB, BCh, BAO

Limb Lengthening and Complex Reconstruction ServiceVladimir Goldman, MD Abhijit Y. Pawar, MBBS

Metabolic Bone Disease/ Musculoskeletal Oncology ServiceLohrasb Ahmadian, MD, MPH, MScAasis Unnanuntana, MD

Niarchos Foundation International FellowshipLazaros Poultsides, MD, MS, PhD

Orthopaedic Trauma ServiceT. William Axelrad, MD, PhDDirk Leu, MDDavid S. Wellman, MD

Pediatric Orthopaedic ServiceTracey A. DeLucia, MD, PhD

Scoliosis/Spine ServiceJohn Caridi, MDJaspaul S. Gogia, MDPaul S. Issack, MD, PhDSuhel Y. Kotwal, MBBS, MSDarren R. Lebl, MDFred F. Mo, MD

Sports Medicine and Shoulder ServiceCourtney K. Dawson, MDGregory J. Galano, MD (2010-2011 Chief Fellow)Zakary A. Knutson, MDRobert B. Kohen, MDAaron J. Krych, MD Fernando Contreras Soares, MDJohn M. Solic, MDMatthew M. Thompson, MD

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Front row, center: Dr. Thomas P. Sculco, Surgeon-in-Chief, and Dr. John S. Blanco, Chair, Fellowship Committee

Philip D. Wilson, MD, Award for Excellence in Orthopaedic Surgery ResearchAaron J. Krych, MD Cartilage Integration with Porous Nondegradable Hydrogels after Enzymatic Treatment of Osteochondral Defects in a Rabbit Model

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deparTmenT of orThopaedic surgery

oRtHopAedic suRgeRy seRvices

Adult Reconstruction and Joint Replacement DivisionDouglas E. Padgett, MD, Chief, Hip Service212.606.1642

Steven B. Haas, MD, Chief, Knee Service212.606.1852

Mark P. Figgie, MD, Chief, Surgical Arthritis Service212.606.1932

Foot and Ankle ServiceJonathan T. Deland, MD, Chief212.606.1665

Hand and Upper Extremity ServiceEdward A. Athanasian, MD, Chief212.606.1962

Limb Lengthening and Complex Reconstruction ServiceS. Robert Rozbruch, MD, Chief212.606.1415

Metabolic Bone Disease/ Musculoskeletal Oncology ServiceJoseph M. Lane, MD, Chief212.606.1172

Orthopaedic Trauma ServiceDavid L. Helfet, MD, Chief212.606.1888

Pediatric Orthopaedic ServiceRoger F. Widmann, MD, Chief212.606.1325

Scoliosis ServiceOheneba Boachi-Adjei, MD, Chief212.606.1948

Spine ServiceFrank P. Cammisa, Jr., MD, Chief212.606.1946

Sports Medicine and Shoulder ServiceDavid W. Altchek, MD, Co-Chief212.606.1909Scott A. Rodeo, MD, Co-Chief212.606.1513

Adult Ambulatory Care CenterAlejandro Leali, MD, Medical Director212.606.1433

Department of BiomechanicsTimothy M. Wright, PhD, Director212.606.1093

Research DivisionSteven R. Goldring, MD, Chief Scientific Officer212.606.2394

Surgeon-in-ChiefThomas P. Sculco, MD212.774.2478

Clinical DirectorCharles N. Cornell, MD212.606.1414

Academic Director and Program Director,Orthopaedic Surgery Residency ProgramMathias P. Bostrom, MD212.606.1674

Chair, Fellowship CommitteeJohn S. Blanco, MD646.797.8366

Orthopaedic Research DirectorJo A. Hannafin, MD, PhD212.606.1469

Faculty Development DirectorScott W. Wolfe, MD212.606.1529

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Department of orthopaeDic Surgery 2010-2011

The 2010-2011 Annual Report of the Department of Orthopaedic Surgery is produced by Education & Academic Affairs of Hospital for Special Surgery.

Laura Robbins, DSWSenior Vice PresidentEducation and Academic AffairsDesignated Institutional Officer, GME

Marcia EnnisDirectorEducation Publications and Communications

Linda ErranteRobert PryzgodaManaging Editors

Judy Pommett Associate Editor

Ali WilcoxArt Director

Robert EsselMajor Photography

Brad HessContributing Photography

about hoSpital for Special Surgery

Founded in 1863, Hospital for Special Surgery (HSS) is a world leader in orthopaedics, rheumatology, and rehabilitation. HSS is nationally ranked No. 1 in orthopaedics, No. 2 in rheumatology, and No. 19 in neurology by U.S.News & World Report. HSS has also received Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center and has one of the lowest infection rates in the country. For the last three years HSS has received the HealthGrades Joint Replacement Excellence Award. A member of the NewYork-Presbyterian Healthcare System and an affiliate of Weill Cornell Medical College, HSS provides orthopaedic and rheumatologic patient care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center. All Hospital for Special Surgery medical staff are on the faculty of Weill Cornell Medical College. The Hospital’s research division is internationally recognized as a leader in the investigation of musculoskeletal and autoimmune diseases.

© 2011 Hospital for Special Surgery. All rights reserved.

A surgical time out is conducted before the surgeon makes the incision. At this time, a final check is conducted of the surgical site, radiological studies, instrument count, and whether antibiotics were given within the last 60 minutes, among other important components of the surgery.

Before surgery, Anne Gallagher is visited by anesthes- iologist Dr. Jacques T. Ya Deau, who reviews the type of anesthesia she will have. Nearly all joint replacements are conducted under regional anesthesia. This technique, pioneered at HSS, has been shown to reduce bleeding, minimize postoperative pain, shorten surgical time, and lessen the risk for surgical infection by 50 percent.

Dr. Ya Deau and an OR nurse conduct the anesthesia time out to confirm the patient’s name, procedure, type of anesthesia, and if the patient has any allergies. They also verify that the surgical site has been signed and that blood products are available if needed.

A nurse secures Dr. Padgett’s hooded protective suit, which controls sources of environmental contamination and airborne bacteria – a major cause of postoperative infections – by expelling the surgeon’s exhaled air outside of the operating field.

Surgical Safety checkliSt: at a glance

Postoperative infection is one of the most serious complications of total joint arthroplasty. Administering antibiotics prophylactically one hour before surgery significantly reduces the opportunity for the develop-ment of joint sepsis.

The surgical team conducts an implant time out – a pro-tocol unique to HSS – to validate that the correct implant system is being used. The box containing the sterile implant is projected on a large screen monitor so that the information can be clearly visualized and read aloud.

Scrubbing is critical to the aseptic process to minimize patient exposure to microorganisms and the potential for surgical site infections.

The Hospital’s orthopaedic surgeons operate in a pristine environment. Each one of the 29 ORs is equipped with a laminar air flow system, which contributes to the reduction of airborne bacteria, and a Plexiglas enclosure that helps to maintain an ultra-sterile operating field.

Mrs. Gallagher is taken to the operating room for knee replacement surgery to be performed by Dr. Douglas E. Padgett, as OR team members finalize room preparations, including confirming needed instrumentation, implants, and supplies.

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212.606.1000www.hss.edu

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Department of Orthopaedic Surgery 2010-2011 Annual Report

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Transcript of Department of Orthopaedic Surgery 2010-2011 Annual Report