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As you will read in the Department of Orthopaedic Surgery’s 2009-2010 Annual Report, Hospital for Special Surgery is a hospital of choice for the management of complex and atypical orthopaedic cases. Each of our 12 subspecialty services provides expertise in highly complicated issues that involve bone healing, soft tissue deficiency, bony deformity, and joint reconstruction. Collaboration with multiple disciplines frequently makes the difference in successful outcomes for patients with limb-threatening injuries.
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DEPARTMENT OFORTHOPAEDIC SURGERY2009-2010 ANNUAL REPORT
THE ART AND SCIENCE OFSOLVING COMPLEX CASES
Photo at right:Dr. S. Robert Rozbruch, Chief of the Limb Lengthening and Complex Reconstruction Service (center), frequently confrontssome of the most difficult orthopaedic challenges, often involvingsevere loss of bone due to major trauma. He is assisted here byRyhor Harbacheuski, MD, Fellow. On the following pages, Dr. Rozbruch documents the stages of treatment of a 60-year-oldfemale with a failed pilon fracture repair, osteomyelitis, and advanced destruction of the ankle and distal tibia.
CONTENTS
A Message from the Surgeon-in-Chief 2
Orthopaedic Surgery Services
Adult Reconstruction andJoint Replacement Division 7
Hip Service 8Knee Service 9Surgical Arthritis Service 10
Foot and Ankle Service 11Hand and Upper Extremity Service 12Limb Lengthening and Complex Reconstruction Service 13Metabolic Bone Disease/Musculoskeletal Oncology Service 14Orthopaedic Trauma Service 15Pediatric Orthopaedic Service 16Scoliosis Service 17Spine Service 18Sports Medicine and Shoulder Service 19
Department of Biomechanics 21
Professional Staff 22
Affiliations 23
Endowed Chairs, Professorships, and Fellowships 23
2009-2010 Notable Achievements 24
2009-2010 Selected Publications 29
Department of Orthopaedic Surgery 2009-2010 Graduating Residents and Fellows 40
9 months
ON ENT TSCO
A 60-year-old woman sustained multiple
injuries, including a comminuted pilon
fracture, in a motor vehicle accident.
The fracture was repaired at an outside
hospital, but it became infected with
MRSA. She presented to HSS with
advanced destruction of the ankle and
distal tibia. The total bone loss was 12 cm
(bone defect 6 cm + leg shortening 6 cm).
This was a limb salvage undertaking.
The challenges included eradication of
infection, reconstruction of the ankle, and
bone lengthening within a reasonable
amount of treatment time.
A three-stage surgical plan was
organized. First, we would eradicate the
infection and fuse the ankle. Second, we
would lengthen the tibia using a new
hybrid technique that has significantly
shortened the time needed in external
fixation. Third, we would insert an
intramedullary rod and remove the
external fixator.
A debridement of all infection, dead
bone, and hardware was done. The tibial
bone and talus bone were prepared for
eventual contact and fusion. Gradual
shortening was used to achieve contact
between the tibia and talus. As shown in
images below, the massive leg shortening
is apparent. Intravenous antibiotics
(vancomycin) were used for six weeks
to eradicate the MRSA infection.
SURGICAL PLANNING STAGE 1
Debridement and Ankle Fusion
Ankle fusion reconstruction with an Ilizarov/TaylorSpatial Frame (TSF) and eradication of infection
THE PROBLEM
Relevant PublicationsRozbruch SR, Pugsley JS, Fragomen AT, Ilizarov S.Repair of tibial nonunions and bone defects with theTaylor Spatial Frame. Journal of OrthopaedicTrauma 2008; 22(2): 88-95.
Tellisi N, Fragomen AT, Ilizarov S, Rozbruch SR.Limb salvage reconstruction of the ankle with fusion and simultaneous tibial lengthening using the Ilizarov/Taylor Spatial Frame. HSS Journal: The Musculoskeletal Journal of Hospital for SpecialSurgery 2008; 4:32-42.
Rozbruch SR, Kleinman D, Fragomen AT, Ilizarov S.Limb lengthening and then insertion of an intramedullary nail: A case-matched comparison.Clinical Orthopaedics and Related Research 2008;466:2923-2932.
Rozbruch SR, Segal K, Ilizarov S, Fragomen AT,Ilizarov G. Does the Taylor Spatial Frame accuratelycorrect tibial deformities? Clinical Orthopaedics andRelated Research 2010; 468:1352-61.
STAGE 2
Lengthening with LATN
STAGE 3
Rod Insertion
THE OUTCOME
Six weeks later, after the infection was
treated, we returned to the operating room
for the tibial lengthening. The TSF was
applied in a unique fashion to enable a
staged intramedullary rod insertion. We
developed lengthening and then nailing
(LATN) to minimize the time needed in
external fixation. Pins were placed so the
path of the rod would not be blocked or
contaminated. The osteotomy of the tibia
was performed and a gradual 10 cm
lengthening was accomplished over the
next four months.
Six months after the start of our treatment,
the ankle fusion was healed and the optimal
leg length was achieved. However, the newly
lengthened bone still needed time to
consolidate. We returned to the operating
room to insert the intramedullary rod using
the LATN technique and removed the
external fixator. The rod did not make
contact with the external fixation pins or
the previously infected ankle area. The total
time in the external fixator was six months.
At nine months, equal leg length was
achieved and the patient was walking
without any assistance.
10 cm
10 cm
mc010
a a obe ev u i in na ca oe e sR Pt tR l P lb i i
A A O O2 3TATA E TATA E THE UT MES G S G O CO
As you will read in the Department of Orthopaedic Surgery’s 2009-2010 Annual Report, Hospital for
Special Surgery is a hospital of choice for the management of complex and atypical orthopaedic cases.
Each of our 12 subspecialty services provides expertise in highly complicated issues that involve bone
healing, soft tissue deficiency, bony deformity, and joint reconstruction. Collaboration with multiple disciplines
frequently makes the difference in successful outcomes for patients with limb-threatening injuries.
A MESSAGE FROM THE SURGEON-IN-CHIEFThomas P. Sculco, MD
In 2009-2010, the Department of
Orthopaedic Surgery made significant
strides in several areas encompassing
clinical care, resident and fellow education,
and research at the basic, translational, and
clinical levels. Each of these components
of our mission is integrated, affording us
important opportunities to make advances
in the field.
We are deeply honored to be recognized
as the No. 1 hospital in orthopaedic
surgery in the nation in the U.S. News & World Report 2010 “America’s Best
Hospitals” issue. This accomplishment
reflects a true commitment to excellence
by our orthopaedic surgeons, rheumatol-
ogists, physiatrists, radiologists, anesthe-
siologists, neurologists, nurses, and all
those who work hard at HSS to further
the research and education that translate
into outstanding patient care.
We also continue our strong and
productive relationships with NewYork-
Presbyterian Hospital and Weill Cornell
Medical College in patient care, research,
and medical education.
Patient Care Initiatives
In addition to national recognition,
Hospital for Special Surgery was cited by
Consumer Reports last year as the besthospital for patient satisfaction in New YorkCity among the 43 hospitals evaluated.
In 2009, over 24,000 surgeries were
performed at Hospital for Special Surgery
– an increase of nearly 6.5 percent over
2008. Patients made nearly 215,000 visits
to our surgeons in the Department’s
12 subspecialty services and continue to
seek out our care in ever-growing numbers.
This growth is a continuing trend that
began over a decade ago. In just the
past three years, inpatient volume has
increased by almost 30 percent at HSS. To
keep pace with this demand, the Hospital
embarked on an expansion plan to create
more operating and patient rooms, as
well as facilitate access to ancillary
services. In 2009, the Hospital entered
the final phase of its expansion and
renovation project that will add three
floors to the main building. The new
51,048-square-foot space will include
additional beds and four new inpatient
operating rooms, scheduled to come on
line in 2011 and 2012. The new ninth floor
will serve as home for an enlarged hospital
pharmacy and the pediatric rehabilitation
department. Our new Children’s Pavilion
is scheduled to open in 2012.
In 2009, our surgeons performed more
than 3,800 hip replacement surgeries,
including revision and hip resurfacing
procedures, the highest volume for hip
surgeries of any hospital in the world. The
Hospital also has one of the largest volumes
of hip arthroscopies in the country. In our
ongoing efforts to enhance the care we
provide to patients with hip disorders, the
Center for Hip Pain and Preservation was
established. The Center is among the first
of its kind to bring together the medical
expertise of clinicians and researchers
in the fields of orthopaedics, radiology,
physiatry, physical therapy, and
bioengineering to provide comprehensive
diagnosis and treatment of hip disorders.
The Center’s hip specialists focus on slow-
ing or reversing the progression of degen-
erative hip disease to delay or eliminate
the need for more extensive surgeries.
The multidisciplinary Spine Care Institute
was also formally launched in 2009. A
collaborative team of experts from surgery,
neurology, physiatry, rehabilitation, pain
management, anesthesia, radiology, and
integrative complementary medicine
provide comprehensive patient care and
pursue research into new areas of
diagnosis and treatment. HSS currently
has 29 active clinical trials underway
evaluating innovative approaches for
spine conditions. Our goal is to limit pain
and disability as much as possible for
patients who do not require surgery, and
to make spinal procedures as safe and
efficacious as possible for those who do
need surgery.
At the core of all our patient care
endeavors is a Hospital-wide quality and
safety improvement program. In the
Department of Orthopaedic Surgery, a
critical component of our quality program
is infection prevention and control. HSS
has one of the lowest, if not the lowest,
infection rates for orthopaedics in the
world. In 2009, a report on infection rates
from the New York State Department of
Health singled out the Hospital as the
only one of 171 in the state with a
statistically lower rate of surgical site
infection (0.1 percent) for hip replacement
2
Photo Credit: Buck Ennis, Crain’s New York Business
or revision surgery compared to the state-
documented average (1.2 percent).
Reducing pulmonary embolus and deep
vein thrombosis is also a major focus of the
Department. Through the efforts of the
Hospital’s physicians and quality improve-
ment team, the rates for these known
complications of orthopaedic surgery
continued a marked decline in 2009.
To strengthen our quality and safety
programs, HSS established a Quality
Research Center, which is applying research
methodologies to healthcare quality issues.
Through this new initiative, any research
throughout the Hospital that impacts quality
and safety will be integrated under one
umbrella to provide evidence-based data
and develop best practices that will benefit
patients.
Educational Endeavors
In 2009, the Department of Orthopaedic
Surgery welcomed eight new residents from
Brown, Case Western Reserve, Columbia
University, Georgetown, Harvard, New York
University, Vanderbilt, and Weill Cornell. In
addition, 36 fellows joined us for subspe-
cialty orthopaedic training. We are pleased
to report that the orthopaedic residency
program and spine fellowship program
were reaccredited by ACGME and that the
Hospital’s first-time accreditation application
for its musculoskeletal radiology fellowship
program was approved. This year, the
pediatric sports medicine fellowship and
pathology fellowship programs will apply
for first-time accreditation.
HSS is at the forefront in the education and
training of orthopaedic residents. In 2009,
we took further steps to ensure quality and
excellence in the experience of our residents
and fellows, with particular focus on
reviewing rotation schedules to ensure a
proper balance of clinical, surgical, and
academic education.
We have one of the few orthopaedic
residency programs in the country that
dedicates the first hour of the morning as
protected time for resident education.
Finding a balance between teaching and
time in the operating room and maintaining
resident work hour requirements is a
challenge facing all orthopaedic residency
programs today. Recognizing that these
issues are universal, HSS convened a national
forum of program directors from highly
regarded orthopaedic residency programs
to discuss common challenges in 2008. The
recommendations that emerged from this
productive meeting were published in the
January 2010 issue of the Journal of Bone
and Joint Surgery.
We remain committed to maintaining the
resident research program and, in 2009,
three resident research studies received
external funding, with an Academic
Research Coordinator being hired to provide
support to the trainees.
We continued to develop common criteria,
curriculum standards, and practices that
can be applied across the Hospital’s 16
fellowship programs. In 2009, we created
two chief fellow positions to provide a
centralized source of communication for
the Hospital’s approximately 70 fellows and
help ensure that important information, such
as quality assurance issues, is disseminated
in a timely and efficient manner.
In 2009, the Psychomotor Skills Education
Lab was reclassified as the Bioskills
Education Laboratory to create a broader
� 7,447 Adult Reconstruction and Joint Replacement
� 2,106 Foot and Ankle
� 2,058 Hand and Upper Extremity
� 647 Limb Lengthening andComplex Reconstruction
� 88 Metabolic Bone Disease/Musculoskeletal Oncology
� 488 Orthopaedic Trauma
� 280 Pediatric Orthopaedics *
� 544 Scoliosis
� 2,037 Spine
� 8,084 Sports Medicine and Shouder* Excludes pediatric scoliosis surgeries,which are
included under Scoliosis Service
� 12,680 Total Inpatient Surgeries� 11,099 Total Ambulatory Surgeries
Total Patient Visits: 213,084Total Surgical Volume: 23,779
3
Department of Orthopaedic Surgery2009 Patient Care Volume
2009 Surgical Volume by Service
visibility of its features and resources.
Since 2003, the Lab has been an invaluable
addition to orthopaedic surgery resident
and fellow training and an integral part of
our GME curriculum. The Lab provides an
opportunity for residents and fellows to
develop and hone their surgical skills,
expand their understanding of anatomy,
become familiar with both existing and
cutting-edge technology under development,
and enables the Hospital’s physicians to
become acclimated to FDA-approved
technology before applying the technology
or techniques in the operating room.
To address ACGME core competencies, we
also inaugurated a collaborative program
to augment the education of residents in
the core competencies of professionalism
and interpersonal communication skills.
The initiative involves presentations by a
team of two to three PGY-3 residents on a
topic of their choice to a public audience –
a group of seniors who attend programs
sponsored by the Greenberg Academy on
Successful Aging.
The HSS Journal: The Musculoskeletal
Journal of Hospital for Special Surgery,
launched in 2005, reached a new milestone
in 2009 with its acceptance into PubMed
indexing. In 2009, we developed a new
biannual professional publication, Grand
Rounds from HSS – Management of
Complex Cases, which profiles highly
complicated cases with follow-up data and
a clinical treatment discussion. The first
issue, distributed in January 2010, focused
on simultaneous reconstruction of bone
and soft-tissue defect, salvage of bilateral
extensor mechanism failures after total
knee replacement, treatment of massive
pelvic discontinuity with a custom tri-
flange acetabular component, and severe
early onset kyphoscoliosis.
In 2009, through the International Learning
and Training Center, we continued to
explore educational opportunities for
international physicians. To this end, we
hosted three international conferences:
a two-day educational program on New
Advances in Hip and Knee Reconstructive
Surgery for 125 orthopaedic surgeons from
Spain; a program on Current Concepts in
Sports Medicine for 16 orthopaedic surgeons
from Greece; and the inaugural annual
scientific CME-accredited meeting of the
International Society of Hip Arthroscopy
for 250 leading surgeons from 30 countries
around the world. Nearly 400 physicians,
students, and allied health professionals
from 49 countries, including Italy, Spain,
Greece, Turkey, India, Germany, Japan,
China and Brazil, as well as Albania,
Belarus, Egypt, and Vietnam, visited HSS
for various training opportunities.
Orthopaedic surgeons from the Hospital
traveled to Kolkata, India, to hold the
eighth winter meeting of Advances and
Techniques in Joint Replacement Surgery
for 400 orthopaedic surgeons.
The International Society of Orthopaedic
Centers (ISOC), founded in 2006, is
comprised of senior physicians representing
the world’s leading orthopaedic centers.
ISOC serves as a vehicle for facilitating the
exchange of ideas and best practices and
collaborating on patient care, education,
and research-based programs to effect
improvement in orthopaedic care on an
international scale. Founding members
include centers from Chile, China,
Peggy Crow, MD, NamedHSS Physician-in-Chief
In April 2010, Mary K. (Peggy) Crow,MD, stepped into the role of Hospitalfor Special Surgery’s new Physician-in-Chief and Chair of the Division ofRheumatology, succeeding StephenA. Paget, MD, who served admirablyin this position for the past 15 years.
An internationally renowned scientist,Dr. Crow brings a wealth of experienceand expertise in autoimmune disordersto the role and an association withHSS spanning more than 30 years.Dr. Crow’s relationship with SpecialSurgery and its academic affiliatesbegan in 1978, when she receivedher MD degree from Cornell UniversityMedical College. She subsequentlycompleted her internship and residency at New York Hospital-Cornell Medical Center, followed by a fellowship in rheumatology and immunology research at HSS and TheRockefeller University.
Dr. Crow, a tenured Professor ofMedicine at Weill Cornell MedicalCollege, has served as AssociateChief, Division of Rheumatology, andDirector of Rheumatology Researchsince 2001. She is a past President ofthe American College of Rheumatology,and for the last two years, Dr. Crowserved as President of the prestigiousHenry Kunkel Society.
We are fortunate to have someone of the caliber of Dr. Crow as our newPhysician-in-Chief. A distinguishedand respected scientist, Dr. Crowprovides a model for bench-to-bedsideresearch that will lead to great improvements in patient care.
444
a - - eysi i i in nc ays ePH Ph i i i hi fSS C, , agg o de ey wrgg maoe eDPP MD N dC
5
Germany, Italy, Mexico, Switzerland, the
United Kingdom, and the United States.
Joining the group in 2009 were centers from
Belgium, The Netherlands, and Sweden, as
well as the Mayo Clinic. ISOC hosted its third
meeting for 13 institutions from 10 countries
at the Istituto Ortopedico Rizzoli in Bologna,
Italy, this past spring. Hospital CEOs from
around the world joined the three-day
conference to share insights into the
opportunities and challenges of running the
world’s leading orthopaedic programs. The
next meeting is scheduled for 2011 in Chile.
Research Pursuits
As an integral component of the Depart-
ment, research is being pursued at the
basic, translational, and clinical levels in
each of our orthopaedic subspecialties.
Taking advantage of the extraordinary
volume of orthopaedic surgeries
performed at HSS, a number of registries
have been established. In 2009, the
Hospital provided the Research Division
with $1 million of seed funding to establish
and continue to develop these patient
registries in several priority areas, including
an ACL registry, a hip pain and preservation
registry, and a total joint arthroplasty
registry. The funding also served to aid
in the development of a common organiza-
tional structure for the management of all
patient registries under the direction of
Timothy Wright, PhD, Senior Scientist and
Director of Biomechanics. Dr. Wright is
working with clinicians, research staff, and
administration to develop guidelines and
policies for data ownership and sharing;
coordination of data collection and analysis
with appropriate quality control; and over-
sight of registry activities by a steering
committee that
also manages
the important information that emerges
from the registries, including manuscripts
published in scientific and clinical journals.
The Hospital’s researchers were awarded
more than $2.8 million in funding through
the federal stimulus package, including
two Challenge Grants and seven additional
proposals. The Challenge Grants are
supporting a study on the role of MRI in
visualizing the repair and function of the
meniscus as well as research to identify
risk factors for early revision arthroplasty.
Additional grants awarded are supporting
investigations on FT-IR microscopy of
mineral structure in osteoporosis and
a randomized control trial on partial
meniscectomy in osteoarthritis.
In support of the Hospital’s commitment
to comparative effectiveness research, we
welcomed Art Sedrakyan, MD, PhD, to the
Research Division. Dr. Sedrakyan will
further our efforts in patient-oriented
comparative effectiveness. In a joint
appointment with the Department of
Public Health at Weill Cornell Medical
College and NewYork-Presbyterian Hospital,
Dr. Sedrakyan will design studies and
perform patient-oriented comparative
effectiveness research at HSS, focusing on
orthopaedics.
We were also pleased to welcome two noted
senior scientists: Alessandra Pernis, MD,
who brings special expertise in acquired
immunity and in experimental and genetic
models of rheumatoid arthritis and lupus,
and F. Patrick Ross, PhD, an international
leader in bone cell and molecular biology
research.
HSS Team Travels to Haiti
A group of HSS orthopaedictrauma surgeons, anesthesiologists,and nurses were one of the first orthopaedic teams to arrive inHaiti just a few days after the catastrophic earthquake. They performed over 120 surgeries infour days before returning home.Led by David L. Helfet, MD, Director of the OrthopaedicTrauma Service at HSS, and working with physicians fromNewYork-Presbyterian Hospital,the team performed surgeries atL’Hôpital de la Communauté Haïtienne, a few miles from theearthquake’s epicenter. Air transportwas provided by global medicaldevice company Synthes, and surgical supplies were donated bySynthes, HSS, and NewYork-Presbyterian.
5
a a aoe ev i iTrma a aoTe e s t tH l HTe Tr i iSS
Learning to ‘Doctor’
As Medical Directorof the Adult Ambulatory CareCenter, AlejandroLeali, MD, over-sees a large volume of patientsreferred to theCenter from thetri-state area, manywith complex conditions and
multiple comorbidities. At the Center,patients are evaluated, diagnosed, and treated surgically as well as non-surgically. Benefitting from exposure tothis diverse patient caseload are eightPGY-1 residents who rotate throughthe various clinics, including hip, knee,spine, and shoulder, for six weeks at atime, giving them a first brush with
orthopaedic surgery. “The educationalyield of these patients is tremendous,”says Dr. Leali, who serves as the PGY-1Faculty Mentor. “Residents see cases thatthey would not see in a community privatepractice on a regular basis, but whichwe see in the HSS clinics all the time.”
Residents learn history-taking, physical examination, the basics of orthopaedicpathology, and decision-making. “Rightout of medical school, they start workingwith patients as independent doctors –they learn the verb ‘doctoring,’” says Dr.Leali. “Working under direct supervisionin the Ambulatory Care Center, they willstart making decisions and they willkeep those patients under their care forthe duration of their rotation.”
The diverse range of cases and patientcharacteristics seen are valuable forresidents at any level, according to Dr. Leali. “We review the images, the
pathology, and we discuss the treatmentoptions. Residents start doing injectionsand everything else that is required.They begin to get a sense of what it isto treat patients. This is something theywill see throughout their career; hope-fully they will absorb the good aspectsof every single experience during theirtime with us.
“It’s been quite rewarding in that you seethem coming in on day one of a six-weekrotation for hip and knee with very littleworking knowledge,” adds Dr. Leali. “Atthe end of the rotation, they are able totake the history, examine the patient, review the imaging studies, create a differential diagnosis, and create a plan.In six weeks, they get really good. Theystart to feel like they can do this – they’reresponsible for the care of anotherhuman being, which is what doctoringis all about.”
6
Osteoarthritis is a principal area of study
by Hospital researchers with 19 of Special
Surgery’s 53 NIH-funded research studies
dedicated to OA, and the focus of 12 of the
Hospital’s 26 NIH-funded Principal
Investigators. Our Osteoarthritis Research
Initiative continues to develop with the
goal of establishing an integrated basic,
translational, and clinical research program
that focuses on each stage of the disease:
• Identification of risk factors and
susceptibility prior to clinical symptoms
• Prevention or reduction of
inflammation at the onset of disease
• Medical interventions to slow
progression of OA
• Surgical solutions when OA has
damaged joint tissue, compromising
mobility
The OA Initiative funded a peer-review
grant program for innovative and
collaborative pilot projects in OA research.
Following rigorous review by an External
Advisory Committee composed of three
distinguished scientists from Wake Forest
University School of Medicine, New
England Baptist Hospital, and Duke
University Medical Center, proposals were
funded for three pilot projects: a study on
the contribution of protein ectodomain
shedding and of cell surface metallopro-
teases (ADAMS) to osteoarthritis; the
effect of ACL injury and reconstruction
on contact mechanics of the tibiofemoral
joint; and post-traumatic osteoarthritis in
young and aged joints.
The Arthroplasty Registry – a component
of the Center for Education and Research
on Therapeutics – continues to record and
track detailed information on the thousands
of joint replacement surgeries that our
orthopaedic surgeons perform each year.
Funded by a multi-year grant from the
Agency for Healthcare Research and
Quality, CERT is a collaborative effort
with Weill Cornell Medical College to
address questions regarding clinical out-
come measurements, including pain and
activity level, variations, and economic
impacts of total joint surgeries.
The Art and Science of Solving
Complex Cases
With some 24,000 surgeries performed
annually, our surgeons care for virtually
every type of orthopaedic disorder or
condition. The path taken in treating a
complex case is not always clearly
delineated. In the 2009-2010 Annual Report of the Department of OrthopaedicSurgery, we feature a number of
challenging cases seen by our surgeons
that required innovative thinking and
unique approaches to treatment, and
highlight the expertise that enables us to
manage some of the most difficult cases
faced in each of our subspecialties.
7
Douglas E. Padgett, MDChief, Hip Service
Steven B. Haas, MDChief, Knee Service
Mark P. Figgie, MDChief, Surgical Arthritis Service
Michael M. Alexiades, MD
Friedrich Boettner, MD
Mathias P. Bostrom, MD
Robert L. Buly, MD
Charles N. Cornell, MD
Alejandro González Della Valle, MD
David J. Mayman, MD
Bryan J. Nestor, MD
Michael L. Parks, MD
Paul M. Pellicci, MD
Amar S. Ranawat, MD
Chitranjan S. Ranawat, MD
Eduardo A. Salvati, MD
Thomas P. Sculco, MD
Edwin P. Su, MD
Geoffrey H. Westrich, MD
Philip D. Wilson, Jr., MD
(Emeritus)
Russell E. Windsor, MD
The Adult Reconstruction and Joint
Replacement Division is composed of the
Hip Service, the Knee Service, and the
Surgical Arthritis Service. Led by 20 full-
time surgeons, the Division performed
approximately 7,500 surgeries in 2009, an
increase of 9 percent over 2008.
The Division is actively involved in patient
care, education, and research, and has
established a committee structure that
supports the development of new initiatives
in these key areas.
Patient Care Initiatives
In 2009, the Adult Reconstruction and Joint
Replacement Division launched several
initiatives focused on patient care quality
and safety, including:
Clinical Pathways The Division implemented
the Unicondylar Knee Pathway and contin-
ued to develop a Total Hip Replacement
Rapid Recovery Pathway. These and other
pathways have helped improve patient out-
comes and reduce length of stay.
Patient Education In collaboration with the
Patient Education Department, the Division
has developed new patient education
materials for patients undergoing total hip
replacement and total knee replacement,
including printed books and online material,
with additional improvements to the
pre-operative education class. The patient
education books are now distributed in
physicians’ offices, providing patients with
standardized and comprehensive information
about their surgery much earlier in the
process.
Postoperative Pain Management The
Division has developed new guidelines for
managing pain to help ensure that patients
are discharged with adequate medication.
In addition, the Division is working with the
Department of Anesthesia to manage the
more routine pain issues that patients may
experience within two months after discharge.
Fellowship Program
The Adult Reconstructive Surgery Fellow-
ship Program at HSS has been training
future leaders in total joint replacement
surgery, while perfecting their surgical
skills, for more than 40 years. For the 2011-
2012 academic year, the Fellowship Program
will participate in the San Francisco Match
Program for the first time.
Research and Innovation
In January 2009, the Division held its second
annual Research Retreat, identifying six
key areas of research on which to focus:
partial knee replacement, perioperative
processes, bone restoration, registries/
outcomes, osteoarthritis, and osteolysis.
A new position of Senior Clinical Research
Coordinator has been created with respon-
sibilities for coordinating and managing
research for each of the Division’s services,
with a particular focus on projects assigned
to fellows.
Addressing Complex Cases
The Hip, Knee, and Surgical Arthritis
Services see patients with a combination of
congenital, post-traumatic, and acquired
deformities. Some have had previous
reconstructive operations that have failed
and, for others, it is their first surgery.
These very complex cases require an inter-
disciplinary approach, involving close
collaboration among the orthopaedic
surgeons, radiologists, and the Hospital’s
bioengineers. Using applied imaging tech-
niques, such as performance of virtual joint
reconstructions, the surgeons and bioengi-
neers can determine optimal position, sizing,
and other factors that drive the ultimate
design, building, and insertion of the implant
for the best possible patient outcome.
ADULT RECONSTRUCTIONAND JOINT REPLACEMENTDIVISION
� 6,859 Inpatient Surgeries� 588 Ambulatory SurgeriesTotal Surgical Volume: 7,447
0
10,000
20,000
30,000
40,000
50,000
20092008200720062005
2009 Surgical Volume
Patient VisitsAdult Reconstruction and Joint Replacement Division
8
HIP SERVICE
The Hip Service often calls on the
Department of Biomechanics to help in
cases such as these that present with
atypical circumstances. For the past year
and a half, surgeons and bioengineers –
using computer-aided design to create
virtual blueprints of a patient’s anatomy –
have been able to build life-sized three-
dimensional plastic models with a rapid
prototype “model-maker” machine. The
3-D model enables the surgeon to
completely understand the patient’s unique
anatomy for purposes of implant design
and preoperative planning in complex
cases. In addition, software has been
created where the model can actually be
cut to simulate a surgical procedure.
The Hospital’s orthopaedic surgeons are
highly experienced in revision hip
replacement surgery, which presents its
own set of challenges. The implant may
have failed due to bone loss around the
prosthesis, or a revision may be necessary
due to infection, a dislocation, or instability.
The procedures are demanding from a
technical standpoint because bone needs to
be restored. To manage the bone defects,
our surgeons use either bone from a bone
bank or newer synthetic materials. They
are also exploring ways to compensate for
the defects through metal and plastic, and
have new bone grafting materials that
promote healing and enhance the fixation
of metal to the patient’s own bone.
Orthopaedic surgeons on the Hip Service
are also focused on common complications
of total hip arthroplasty, in particular,
thromboembolic disease. In a recent study,
our surgeons compared a new mobile
compression device with low-molecular-
weight heparin with regard to their safety
and effectiveness for the prevention of
venous thromboembolic disease. The
study showed that when compared with
the heparin, the use of the mobile
compression device for prophylaxis
against venous thromboembolic events
following total hip arthroplasty resulted
in a significant decrease in major bleeding
events.
� 2,920 Primary Total Hip Replacements
� 469 Hip Resurfacing Procedures
� 417 Revision Total Hip Replacements
2009 Total Hip Replacements A female patient who had been in an auto accident suffered damage to her hip joint. The
hip joint had been replaced twice and failed both times within months. The standard revision
systems were clearly not working, so a solution was sought with assistance from the
Department of Biomechanics. Before designing an implant system, the bioengineers built
analytical models, looked at how they were going to be loaded, and given the patient’s
anatomy, determined where the implant could be affixed appropriately. The case benefitted
from an engineering perspective combined with the insight of the orthopaedic surgeon who
provided the clinical viewpoint on what could and could not be done in terms of surgery.
Douglas E. Padgett, MDChief, Hip Service
9
KNEE SERVICE
� 3,520 Primary Total Knee Replacements
� 300 Revision Total Knee Replacements
* Includes knee replacement surgeries performedby the Sports Medicine and Shoulder Service
2009 Total Knee Replacements *
The Hospital’s orthopaedic surgeons
continually incorporate new and refined
technologies to improve the outcomes of
knee replacement surgeries. They are
focused on the creation of knee implants
that will function at higher levels, last
longer, and enable patients to recover faster.
HSS continues to move the field forward in
innovative design development for implants,
materials, and navigational technologies.
Most recently, the Hospital’s orthopaedic
surgeons have been evaluating the applica-
tion of “patient-matched instruments.” This
innovative approach begins with a preop-
erative MRI and X-ray of the patient’s knee,
which is used to create a computer model of
the patient’s bone and to perform a virtual
operation. With this technology, our surgeons
can predetermine alignment, implant sizes,
and other factors, enabling them to design
a surgical instrument specifically for that
patient. These instruments, which are
disposable, facilitate the surgery because
implant alignment marks are preset. The
surgery can be done in less time and
through smaller incisions, potentially
decreasing blood loss and recovery time.
While most problems can be anticipated in
knee replacement cases, familiarity with
and access to a variety of knee systems
can make a difference in complicated cases.
For example, if a surgeon needs a stem or
other component of a particular system
that is best suited for the case, it is
accessible immediately from the Hospital’s
comprehensive inventory of knee systems.
When infection is the cause of a revision
knee replacement, HSS orthopaedic
surgeons work closely with infectious
disease specialists at NewYork-Presbyterian
Hospital/Weill Cornell Medical Center to
cure the infection. Our surgeons then work
with the Hospital’s Department of
Biomechanics, as needed, to design a
custom knee implant if the infection has
caused extensive bone loss.
Our orthopaedic surgeons have a collective
body of experience with challenging
patients that proves vital when planning
for the potential complications of a com-
plex knee replacement or revision. These
cases also benefit from the Knee Service’s
Thursday morning conferences, which
provide an opportunity for the case to be
discussed among all the knee specialists.
At the same time, the conference is an
invaluable educational tool for the Hospital’s
fellows and residents.
Following a routine knee replacement at his local hospital, a patient developed a life-
threatening infection. Over the next two years, he endured several surgeries and multiple
admissions for antibiotic therapy. His implant was removed and replaced with a spacer device.
When the patient presented to HSS, he could not move his knee. The spacer was removed
and replaced with a larger spacer containing antibiotics. A second surgery to put in a
custom implant – a high-technology, rotating hinge knee – was performed four months later.
Steven B. Haas, MDChief, Knee Service
10
SURGICAL ARTHRITISSERVICE
� Implemented the UnicondylarKnee Pathway and a Total HipReplacement Rapid RecoveryPathway
� Enhanced patient education fortotal hip replacement and totalknee replacement patientsthrough books, online material,and educational classes
� Launched the Center for HipPain and Preservation to providejoint-preserving treatment optionsto young, active adult patients
� Developed new guidelines fordischarge pain prescriptions tohelp ensure that patients receiveadequate medication
� Initiated an “Industry DialogueSeries” in order to provide aforum to meet and build relationships with device company research teams and exchange ideas about new technologies and opportunitiesfor collaboration
The Surgical Arthritis Service brings
together the disciplines of orthopaedic
surgery and rheumatology to address all
of the very complex problems patients
with severe rheumatoid arthritis and other
inflammatory conditions confront in terms
of medications, rehabilitation, and surgery,
through a single service.
Surgery for patients with inflammatory
arthritis involves a particularly complex
set of considerations that arise from both
the illness itself and the medications used
to treat it – making the collaborative
approach that is provided through the
Surgical Arthritis Service invaluable.
Multiple joint involvement, complex
deformities in the joint, and poor bone
quality are all factors that make surgery
for patients with inflammatory and autoim-
mune diseases particularly challenging.
Lowered immunity due to drug therapy
heightens concern for postoperative infec-
tion and delayed wound healing. The
Service’s surgeons and rheumatologists
work together to determine the best way
to manage the medications and associated
risks and benefits.
When multiple joints are involved,
necessitating a series of surgeries, our
orthopaedic surgeons determine the optimal
order of these operations. For example,
if the patient is having problems in the
shoulder, elbow, hand, and wrist, the
surgeon may operate on the wrist before
the hand, since surgery on the wrist may
affect the length of bones and tendons,
which in turn will affect the function of the
fingers. After the hand and wrist have been
treated, the surgeon usually addresses the
elbow, since a pain-free, stable elbow is
critical to performing most activities of
daily living. A similar rationale is used for
problems of the leg, usually treating the
ankle and foot first, then the hip, and finally
the knee. In cases where deformities caused
by the disease dictate the need for a
custom-made prosthesis, engineers in the
Hospital’s Department of Biomechanics
become part of the team.
Most recently, the Surgical Arthritis Service
was awarded an RO1 grant to review
failures of elbow replacements, further
investigate kinematics, and apply finite
element analysis to ultimately develop a
better implant design for the elbow. The
Service is also spearheading a multicenter
study on joint replacement surgery issues
in patients with juvenile inflammatory
arthritis with the goal of improving
implant designs for this population.
A swollen thumb was the first sign of the patient’s rheumatoid arthritis – diagnosed at age 25. Within a year, nearly every joint in her body was inflamed and painful – her hands,right elbow, and feet the most affected. Structural damage in both the right elbow and footjoints caused constant pain and made it difficult for her to function as a graphic designer. Sheunderwent a fusion on her foot, followed less than a year later by elbow replacement surgery.
Mark P. Figgie, MDChief, Surgical Arthritis Service
2009-2010 HighlightsAdult Reconstruction and Joint Replacement Division
� 711 Inpatient Surgeries� 1,395 Ambulatory SurgeriesTotal Surgical Volume: 2,106Total Patient Visits: 19,580
2009 Patient Care Volume
2009-2010 Highlights
11
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
FOOT AND ANKLE SERVICE
� Gaining a reputation globally. This summer, five traveling fellowsspent a week with the Service from around the world as far asAustralia.
� Largest such Service in the country, with 18,000 patients seen and over 2,000 surgical procedures performed in 2009
� Continue to lead the pioneering of new treatments for conditions of the foot and ankle to restore tendon and joints giving patientsthe highest possible function
� Implemented a new ambulatorypostoperative pain protocol
� Continued a clinical outcomes registry with research data nowavailable on more than 22,000 foot and ankle patients
Surgeons on the Service are actively
performing total ankle replacements using
the most up-to-date models. A recent total
ankle replacement patient commented:
“You have given me a new lease on life,
and now I will be able to perform tasks and
do things that I have not been able to do in
a very long time [20 years].” Total ankle
replacements are now more clearly an
advance for foot and ankle patients. New
implants have been developed and are
showing good results. A new model is being
developed by a member of the Service at
HSS with rollout of its use due next year.
The Service is also looking at novel methods
of addressing focal cartilage defects in the
ankle joint. Traditional micropicking
techniques have been augmented with the
use of mesenchymal stem cells from bone
marrow aspirate. In addition, platelet-rich
plasma (PRP) is being used in conjunction
with mesenchymal stem cells to enhance the
biological effect and produce a better quality
infill of these defects. With the collaboration
of the Department of Radiology and
Imaging utilizing T2 MRI mapping, we are
able to quantify the amount of new cartilage
as well as determine the quality of this
infill material. We hope that by using these
biological adjuncts that the process of
“self regeneration,” albeit on a very small
scale, can be seen. This is pioneering work
that has implications not only on small
defects, but also potentially for larger
surface defects seen in the arthritic joint.
Another notable project has been a
prospective randomized controlled study
in the treatment of Achilles tendon
degeneration (tendinopathy). This study
will be used to determine efficacy of
physical therapy of this condition versus
gastrocnemius lengthening. With such
controlled studies the best treatment for
conditions such as this can be proven.
Further prospective studies are being
conducted using PRP injections for
Achilles tendonitis and plantar fasciitis
with promising results so far. One group
of patients with Achilles tendonitis was
presented at the national foot and ankle
meeting.
Reconstruction of deformity from
ligament failure at the ankle (deltoid
ligament) and foot (spring ligament)
associated with posterior tibial tendon
insufficiency have been pioneered at HSS.
Interim term follow-up presented this year
at the foot and ankle meeting has shown
good correction maintained over eight years
and very good potential from this novel
procedure to save joints and function.
Foot and Ankle Service surgeons are at the forefront of developing and applying innovative
techniques and approaches for the most challenging of foot and ankle disorders – from
nonoperative conditions to the most complex trauma and deformities in children and adults.
Jonathan T. Deland, MDChief
12
HAND AND UPPER EXTREMITY SERVICE
Scott W. Wolfe, MDChief
Edward A. Athanasian, MD
Michelle G. Carlson, MD
Aaron Daluiski, MD
Robert N. Hotchkiss, MD
Lana Kang, MD
Andrew J. Weiland, MD
� 184 Inpatient Surgeries � 1,874 Ambulatory SurgeriesTotal Surgical Volume: 2,058Total Patient Visits: 20,199
2009 Patient Care Volume
2009-2010 Highlights Treating complex nerve injuries is one of
many areas of expertise provided by the
Hand Service’s orthopaedic surgeons, who
address conditions affecting every aspect of
the upper extremity. Their subspecialties
include traumatic injuries, degenerative
diseases, congenital hand disorders,
vascular diseases, nerve injuries, tumors of
the upper limb, and complex elbow fractures.
Their surgical skills extend from recon-
struction of nerve injuries, arthroscopic
repair of complex ligament tears and wrist
and forearm fractures, to microsurgical
repair of blood vessels, contracture releases
of elbows, and revisions and reconstruction
of complicated elbow fractures.
These surgeons have performed a pelvic bone
graft and realignment to save the little
finger of a five-year-old facing amputation;
reconnected the vessels, nerves, and tendons
of a 30-year-old with near wrist amputation,
medevacked by air from Washington, D.C.;
and restored hand function to a 15-year-old
who had lived 10 years without it due to
transverse myelitis.
For difficult cases involving the elbow or
forearm pathology, the Service collaborates
with the Department of Biomechanics to
create three-dimensional reconstructions and
devise models prior to complex surgeries.
The Hand Service also provides expertise
on bone and soft tissue sarcomas of the
hand, forearm, and elbow with a goal to
accomplish both resecting the tumor and
preventing recurrence and metastasis, and
then reconstructing the anatomy.
A robust research program has enabled our
surgeons to make major contributions to the
treatment of conditions of the basal joint,
distal radius, carpal tunnel, neoplasia,
cerebral palsy, brachial plexus, and elbow.
The Service has successfully completed
three randomized trials of pharmacologic
agents for distal radial fracture healing
and Dupuytren’s disease. One such agent,
Xiaflex® (collagenase clostridium
histolyticum), received approval in
February 2010 by the U.S. Food and Drug
Administration as the first alternative to
surgery ever available to treat Dupuytren’s.
While working on his farm, a male in his early forties was struck by a dead branch that fell
80 feet, fracturing his skull, arm, neck, and back, and severely injuring his brachial plexus. Local
doctors painted a bleak picture that had the patient contemplating amputation. The patient
sought help through the Hand Service at HSS, and as it was already five months past the date
of the accident, surgery needed to occur immediately. Only a small window of time exists in
brachial plexus injuries before dense scarring develops, preventing nerves from regenerating
and connecting with paralyzed muscles in order to restore muscle function. The patient under-
went extensive microsurgery with intraoperative neurophysiological monitoring to repair and
reconnect the nerves, muscles, and blood vessels. His arm was saved, enabling him to return
to work as a tree farmer and furniture maker.
� Piloted an exchange fellowship rotationwith Bellevue Hospital for a month-longmicrosurgical and replantation trainingexperience
� Received an NIH grant to advanceresearch to improve the performanceof elbow joint replacement
� Coordinated patient registries for thebasal joint, distal radius, carpal tunnel,neoplasia, pediatrics, brachial plexus,elbow, and compression syndrome ofthe ulna nerve
� Initiated successful non-surgical treatment for Dupuytren’s contracturewith enzymatic injection
� Continued research on all aspects ofelbow reconstruction and challengesto elbow replacement, PIP joint replacement arthroplasty, biologicaugmentation of flexor tendon repair,non-invasive motion analysis of theupper extremity, and on the molecularevents of fracture healing
� Planning a peripheral nerve center
Scott W. Wolfe, MDChief
13
LIMB LENGTHENING AND COMPLEX RECONSTRUCTION SERVICE
S. Robert Rozbruch, MDChief
Austin T. Fragomen, MD
� 368 Inpatient Surgeries � 279 Ambulatory SurgeriesTotal Surgical Volume: 647Total Patient Visits: 3,309
2009 Patient Care Volume
2009-2010 Highlights
S. Robert Rozbruch, MDChief
With considerable experience in complicated
trauma, infections, and bone loss, the Limb
Lengthening and Complex Reconstruction
Service is frequently referred cases that
require novel, creative techniques devised
by the Service’s orthopaedic surgeons.
In the case of the young man from
Venezuela, a staged surgical approach was
used which began with cleaning out the
infected wound. In a second operation,
surgeons removed 2.5 inches (6 cm) of
necrotic bone and the original plate and
screws. They then devised a method of
coating an intramedullary rod with
tobramycin antibiotic mixed with cement.
This resulted in eradication of the infection
and stabilization of the limb. Next, the
patient returned for the limb-lengthening
phase. Since the site of the shortened bone
was not fully healed, the challenge was to
lengthen the bone and at the same time
maintain stability of the healing site. The
surgeons cut the bone in a fresh, healthy
area and inserted a new custom-made rod
that both stabilized the nonunion site and
allowed bone lengthening over the rod.
After two and a half months, the bone was
lengthened 6 cm back to its original length.
In a final operation, the rod was locked,
and surgeons retrieved stem cells from his
bone marrow and added them to the newly
grown bone, then removed the external
fixator. A year later the patient had full
weight-bearing, full hip motion, and the
lengthening and nonunion sites were
completely healed.
Another extraordinary case involved a
preteen who presented with an unusual
condition involving his growth plate that
over time would result in an astronomical
loss of limb length on his right side. Over
six years, three lengthening procedures
were performed to maintain his legs at
equal length. A total of 21 cm of new
bone was added. Today, the teenager has
completely normal functioning with no
indication that anything had ever been
amiss.
The Service continues to innovate and
refine their procedures and review their
outcomes. Projects include the comparison
of lengthening-over-nail versus the
internal lengthening nail for femur
lengthening, and traditional lengthening
versus lengthening and plating.
� Collaborating with the Departmentof Radiology and Imaging and the Pediatric Service to launch a specialized deformity planning program via the PACS system
� Embarking on a prospective randomized clinical trial to evaluatethe effect of platelet-rich plasma on bone healing during limb lengthening and a comparativestudy of two systems for autologousbone marrow harvesting
� Pursuing two prospective gaitstudies evaluating the effect ofproximal tibial deformity correctionin adults and children
� Collaborating with the Leon Root,MD Motion Analysis Lab and theFoot and Ankle Service on gaitanalysis study of patients with complex ankle trauma treated withcomplex fusions versus below-the-knee amputations and a secondstudy evaluating the accuracy ofbow leg deformity corrections
A 28-year-old man sustained a high-energy injury to his left femur in an automobile accident
in Venezuela. Surgeons attempted to repair the fracture by inserting a large plate and screws.
Several days later, the site became grossly infected. There were two significant complicating
factors: The infection was caused by a very resistant type of pseudomonas bacteria, and
the metal plates and screws had to be removed to treat the infection. The patient’s physicians
referred him to the Hospital’s Limb Lengthening and Complex Reconstruction Service.
14
METABOLIC BONE DISEASE/MUSCULOSKELETAL ONCOLOGY SERVICE
Joseph M. Lane, MDChief
Juliet Aizer, MD, MPHRichard 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
The Metabolic Bone Disease/Musculoskeletal
Oncology Service brings together basic
scientists, clinical diagnosticians, and
medical disciplines focused on the prevention
and treatment of osteoporosis, Paget’s disease,
and related bone disorders. The Service pro-
vides advanced clinical care in the inpatient
setting, the Metabolic Bone Disease Clinic,
and through the Osteoporosis Prevention
Center, one of only 14 centers nationwide to
be accredited by the International Society of
Clinical Densitometry.
As a member of a task force of the American
Association of Bone and Mineral Research,
the Service has been seeking to define a new
complication of bisphosphonates related to
subtrochanteric and femoral shaft fractures.
These fractures are occurring in relatively
young, active women who have been taking
bisphosphonates for more than five years.
While bisphosphonates are helpful in
preventing hip and spine fractures, our
findings indicate that a drug holiday allows
the bone to remodel itself and to repair
microdamage. Our physicians are also
working aggressively to understand the
pathophysiology of these fractures through
biopsy. Patients on prolonged bisphosphonate
therapy present with largely old bone that is
brittle and unable to repair its microdamage.
In addition, the Service has been leading
the way to change the diagnostic protocol
within the orthopaedic community when
patients present with side pain and a history
of bisphosphonate use. We recommend
including an X-ray of the leg and if a stress
fracture is present, X-ray the other leg as
well because 20 percent of these patients
will also have a stress fracture on the
opposite side.
The Service is achieving excellent results with
nonunion and delayed union by injecting a
patient’s bone marrow into the side of the
nonunion with the addition of a growth factor.
In 2009, the Service joined the PROMOTE
(Promoting Medication for Osteoporosis
with Education) Study, a collaboration
between NewYork-Presbyterian/Weill
Cornell and Teachers College-Columbia
University. Drawing from medicine,
behavioral sciences, and educational theories,
a tailored telephone intervention has been
developed to promote post-fracture osteo-
porosis medication adherence. The purpose
is to obtain pilot data for a larger randomized
controlled trial that will evaluate the
effectiveness of tailored telephone education
(compared to usual care) for increasing
rates of post-fracture adherence to oral
bisphosphonates.
A patient with multiple fractures developed uncontrollable osteomalacia, a softening of the bone due to defective bone mineralization. Laboratory testing confirmed oncogenic osteomalacia and that a tumor in his leg was producing a specific factor leading to this condition. Surgeons removed the tumor and reconstituted his bone to normal.
� Continued to grow the Seymour CohnMetabolic Bone Registry to identifymethods to prevent and repair fragilityfractures
� Conducting an NIH-funded study of bone quality, especially in sub-trochanteric fractures associated withprolonged bisphosphonate treatment
� Pursuing a randomized controlled studycomparing unipedicular and bipedicu-lar balloon kyphoplasty; a study on theeffect of bisphosphonates on biochemi-cal bone markers in patients with teri-paratide treatment; and evaluating theprevalence of Vitamin D deficiencyamong orthopaedic patients at HSS
� 80 Inpatient Surgeries - Hospital for Special Surgery
� 167 Inpatient Surgeries - NewYork-Presbyterian Hospital/Weill Cornell Medical Center
8 Ambulatory Surgeries - Hospital for Special Surgery
Total Surgical Volume: 255*Total Patient Visits: 9,862DEXA Scans: 3,410Nurse Consultations–
Osteoporosis Prevention Center: 752*Surgeries are performed by Hospital for Special Surgery’s orthopaedicsurgeons at both HSS and NewYork-Presbyterian/Weill Cornell.
2009 Patient Care Volume
2009-2010 Highlights
Joseph M. Lane, MDChief
15
David L. Helfet, MDChief
David E. Asprinio, MD
Andrew Grose, MD
Joseph M. Lane, MD
Dean G. Lorich, MD
John P. Lyden, MD
HAND AND UPPER EXTREMITY SERVICEORTHOPAEDIC TRAUMASERVICE
Orthopaedic trauma is unique with respect
to mechanism of injury and future sequelae,
often involving complicated polytrauma,
isolated but periarticular orthopaedic
trauma, and multisystem injuries. The
Orthopaedic Trauma Service has accrued
a large volume of complicated or unusual
cases, providing the Service’s three
orthopaedic trauma fellows with remarkable
experience in the management of single
and multisystem orthopaedic trauma
and in the sequelae of trauma, including
nonunions, malunions, and deformity.
The following cases illustrate the range of
challenges faced by members of the Service:
• A 27-year-old male in a high-speed car
accident suffered a right-sided transverse
posterior wall-type acetabular fracture
with an intraarticular fragment in the
acetabular fossa. ORIF was performed
using a Kocher-Langenbeck surgical
approach; an arthrotomy was also
performed for access and debridement
of the intraarticular fragment. The
acetabular fracture was then reduced
and fixed using two plates and multiple
screws, including interfragmentary lag
screws. A supplemental demineralized
bone matrix graft was used for
stabilization of the joint surface.
• A 23-year-old female professional
basketball player experiencing chronic
shin pain associated with activity level
was diagnosed with a tibial stress
fracture of the anterior tibial cortex.
ORIF was performed using an anterior
tension-band plating technique. The
stress fracture was carefully debrided
using an osteotome and demineralized
bone matrix graft placed at the stress
fracture site and a 2.7 mm plate was
contoured and screws placed in tension.
• A 63-year-old female with osteoporosis
slipped on wet pavement, incurring a
displaced right-sided anterior column
posterior hemitransverse-type acetabular
fracture with associated disruption of the
quadrilateral plate. ORIF was performed
using an ilioinguinal approach with
placement of two pelvic reconstruction
plates and multiple screws including
interfragmentary lag screws.
A 40-year-old male fell some 10 feet from a ladder, suffering a right-sided distal tibial pilon
fracture with diaphyseal extension and associated transverse fibula fracture with significant
swelling at the fracture site. He was placed in a spanning external fixator, and open reduction
and internal fixation (ORIF) was performed one week later upon improvement in soft tissue
status. Through an anterolateral surgical approach, the distal tibial fractures were reduced and
stabilized using a locking plate laterally, a scalloped plate medially. The fibula fracture was
repaired using a one-third tubular plate. Fixation included multiple cortical and unicortical
screws and interfragmentary lag screws. At 19 months following surgery, distal tibia and
fibula fractures were healed and he returned to his pre-injury work and recreational activities.
� Studying long-term results of fracture types, including patternsof ligamentous injuries and the related bony injuries with anklefractures
� Performing a detailed evaluationand quantitative assessment ofthe vasculature that contributes to the blood supply around joints, utilizing a novel MRI-based technique developed by our research team
� A recent study on the ankle jointidentified a new vascular branchto the medial talar neck that hasnot been previously described inthe literature. The finding of thisnew branch may have broader implications in surgical approaches around the talus.
� 388 Inpatient Surgeries - Hospital for Special Surgery
� 1,558 Inpatient Surgeries - NewYork-Presbyterian Hospital/Weill Cornell Medical Center
� 100 Ambulatory Surgeries - Hospital for Special Surgery
� 110 Ambulatory Surgeries -NewYork-Presbyterian Hospital/Weill Cornell Medical Center
Total Surgical Volume: 2,156*Total Patient Visits: 7,225*** Trauma surgeries are performed by Hospital for Special
Surgery’s orthopaedic surgeons at both HSS and NewYork-Presbyterian/Weill Cornell.
** Patients are seen at both HSS and NewYork-Presbyterian/Weill Cornell
2009 Patient Care Volume
2009-2010 Highlights
David L. Helfet, MDChief
n 630 Inpatient Surgeries –Hospital for Special Surgery
n 150 Inpatient Surgeries –NewYork-Presbyterian Hospital/Weill Cornell Medical Center andNew York Hospital Queens
n 1,690 Ambulatory Surgeries –Hospital for Special Surgery
n 3 Ambulatory Surgeries –NewYork-Presbyterian Hospital/Weill Cornell Medical Center
Total Surgical Volume: 2,473*Total Patient Visits: 15,826* Total includes pediatric orthopaedic surgical cases across all
HSS orthopaedic services
PEDIATRICORTHOPAEDIC SERVICE
Roger F. Widmann, MDChief
John S. Blanco, MDShevaun M. Doyle, MDDaniel W. Green, MDCathleen L. Raggio, MDLeon Root, MDDavid M. Scher, MDErnest L. Sink, MD(as of February 1, 2011)
2009 Patient Care Volume
2009-2010 Highlights
< Began the first phase of construction of the Children’s Pavilion
< Participated for the first time in the San Francisco Match program for theHSS Pediatric Orthopaedic Fellowship
< Hosted “Surgical Advances in Pediatric Orthopaedics” for AnnualAlumni Meeting, and two CME courses:Operative Management of PediatricFractures and Pediatric Orthopaedics for the Primary Care Provider
< Published Family Guide to PediatricOrthopedic Surgery as well as a seriesof patient education guides on PediatricScoliosis Surgery, Pediatric ExternalFixators, and Varus Rotational Osteotomy
The Pediatric Orthopaedic Service atHospital for Special Surgery has earneda national reputation as a destinationhospital for complex pediatric conditionsand disorders, including spinal deformity,limb length discrepancy and reconstruction,hip dysplasia and torticollis, foot deformity,cerebral palsy, and fracture management.
One of the major differences between adultsand children is the concern and influenceof the growth plate in terms of potential forremodeling or for creating deformity. Thisis dependent upon whether there is an in-jury to the growth plate or how the growthplate is managed surgically. The PediatricOrthopaedic Service addresses some growthplate injuries through resection of the physealbar that allows for ongoing normal growth.In the absence of a functioning growthplate either through infection or trauma,surgical procedures to restore growth areperformed via limb lengthening.
The Service’s orthopaedic surgeons haveachieved great success in patients with earlyonset scoliosis, and indeed, in cases of extreme deformity of more than 90 degrees.HSS surgeons have significant expertise withthe vertical expandable prosthetic titaniumrib (VEPTR) that allows for growth of the
spine, minimizes spinal deformity, and allows for normal lung development. TheVEPTR procedure consists of attaching“cradles” to the upper rib cage which arethen connected to elongating rods that caneither be attached to other ribs, the spine,or occasionally even the top of the pelvis.These elongating rods are then lengthenedevery six months to mimic the normalgrowth of the spine. During this treatment,the spine is not fused in order to allow forcontinued spine growth while the VEPTRdevice allows for control of the scoliosis.
Pediatric foot disorders resulting from neuromuscular diseases, particularly cerebralpalsy, is a focused subspecialty of the Pediatric Orthopaedic Service. Ourpediatric orthopaedic surgeons haveapplied advanced surgical techniques andimplants to the reconstruction of pediatricfoot deformities.
HSS provides care for one of the largestpopulations of osteogenesis imperfecta (OI)in the region. Our surgeons are using newrodding technology – some as small asthree millimeters for the femur and humerus.These specially designed implants do notaffect the growth plate, and in many cases,the rods expand as the children grow.
A 17-year-old male survived being struck by a car going 70 mph, but among the worstof his multiple traumatic injuries was a shattered tibia in his left leg. He had lost about12 centimeters of bone and doctors in the local ER discussed amputating his leg. Thefamily came to Hospital for Special Surgery where they learned of a technically demandingprocedure called bone transport – the bone at the top of the teenager’s tibia would beshifted to the bottom to promote bone growth in the gap between the two ends of the tibia.
Roger F. Widmann, MDChief
16
17
Oheneba Boachie-Adjei, MDChief
John S. Blanco, MD
Matthew E. Cunningham, MD, PhD
Daniel W. Green, MD, FACS
Bernard A. Rawlins, MD
Roger F. Widmann, MD
SCOLIOSIS SERVICE
� Instituted the John H. Cobb Scoliosis Fellowship Program toprovide comprehensive spine education and training, both operative and nonoperative, in the management of all deformitiesand pathologies of the cervico-thoraco-lumbosacral spine in pediatric and adult patients
� Upgraded the Scoliosis Registryand database in SCTR 3 to provide ongoing prospective andretrospective clinical reviews ofsurgically treated patients
� Conducting numerous researchprojects, including genetic mapping studies for adolescentidiopathic scoliosis and a multi-center retrospective evaluation of complications following adultspinal surgery working towards a risk scoring system for adultspinal deformity
� 410 Inpatient Surgeries � 134 Ambulatory SurgeriesTotal Surgical Volume: 544*Total Patient Visits: 9,801* Includes pediatric scoliosis
2009 Patient Care Volume
2009-2010 Highlights
The Scoliosis Service has a long history of
achieving excellent results with patients
with complex spinal deformities. Critical
to their success is a multidisciplinary
approach and outstanding perioperative
management – both of which were key in
the case described above. The careful pre-
operative evaluation and the support of
subspecialty services, including pulmonary,
neurology, internal medicine, and anesthe-
sia specialists, helped to achieve a success-
ful outcome. The patient’s surgeries took
place in two parts separated by two months.
In the first daylong procedure, an entire
section of her spine was removed through
the chest cavity. In the second procedure,
surgeons reconstructed her entire spine.
Today she is married, working, and enjoys
a normal life.
The Scoliosis Service continues to advance
techniques for the treatment of complex
spinal deformities. Recently, the Service
has been using segmental instrumentation
performed posteriorally for resection of
the bone or removal of sections of the
spine. The approach is achieving similar
corrections to those realized with
combined anterior and posterior spinal
fusion and is showing decreased inpatient
hospitalization days and reductions in
complications such as blood clots,
infections, pain, and wound healing. Our
surgeons are also using minimally invasive
procedures performed through the back –
especially at the end of a long reconstruc-
tion – to stabilize the front of the spine.
Other surgical techniques under investiga-
tion include fusing the front of the spine
through minimal incisions made either in
the side of the patient or at the level of the
tailbone to stabilize the front of the spine,
long fusions to the lower lumbar spine and
the sacrum for adult deformity, and dual
rod instrumentation with limited fusion
for treatment of progressive early onset
scoliosis. The Service is also participating
in an NIH-sponsored prospective brace
study (non-randomized and randomized)
to assess the efficacy of brace treatment
in level 1 and level 2 combined, and a
prospective study of operative versus
nonoperative adult spine deformity.
Diagnosed with severe scoliosis at the age of three, a patient from Bangladesh had for years
coped with the physical and emotional consequences of her deformity. As an adult, her
significant spinal curvature brought on major restrictive lung disease. Her respiratory condition
continued to deteriorate as her curvature progressed. Though a poor surgical candidate, she
would most certainly die in a few years if nothing was done to correct the curvature. She came
to the Hospital’s Scoliosis Service where surgeons outlined a plan for treatment, as well as the
risks involved. The patient’s restrictive lung disease and her spinal deformity were so severe
that the risk of paralysis with surgery was almost 50 percent. She decided to proceed.
Oheneba Boachie-Adjei, MDChief
18
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
� Launched the Spine Care Institute, amultidisciplinary center for operativeand nonoperative spine care dedicatedto advancing new treatments throughresearch and education
� Developed a patient registry for pre-and postoperative neurologic function
� Continuing to participate in the development of clinical pathways tohelp optimize clinical care and lengthof stay for spine operative procedures
� Pursuing prospective randomizedcontrolled trials in non-fusion technologies in lumbar and cervicaltotal disc replacement arthroplasty
� Collaborating with the BiomechanicsDepartment on a global registry of retrieved total disc replacements tounderstand wear and failure mechanisms of all the early designsof total disc replacement
� Developing a new Scoliosis/DeformityFellowship through both the Spineand Scoliosis Services
� 1,869 Inpatient Surgeries� 168 Ambulatory SurgeriesTotal Surgical Volume: 2,037Total Patient Visits: 10,540
2009 Patient Care Volume
2009-2010 Highlights
Patients with complex spine deformities,
post-trauma, and infection are routinely
referred to the Spine Service, which provides
expertise in the full range of cervical,
thoracic, and lumbar spine disorders,
including degenerative conditions, tumors,
and metabolic diseases. The Service’s
surgeons are highly skilled in decompressing,
stabilizing, reconstructing, and reducing
deformities utilizing the latest surgical
approaches and technologies. Our goal in
caring for every patient, and particularly
those with complex deformities and
conditions, is to determine the right
diagnosis, select the appropriate surgical
approach limited only to what needs to be
done, and decrease the morbidity of the
procedure in terms of complications. The
optimal outcome is a well-balanced spine
without deformity so that the patient can
return to a functional lifestyle.
Some of the most challenging cases
include those patients who present with
pseudarthrosis following a previously
attempted fusion elsewhere, and older
patients with osteoporosis. These patients
require a focused and individualized
treatment plan that draws on the skills of
multiple disciplines found in the Spine
Service’s Spine Care Institute, launched in
2009. This multidisciplinary and compre-
hensive center for both operative and non-
operative spine care provides excellent
clinical care with protocols supported by
evidence-based medicine. Emphasizing
research and education, the Spine Care
Institute aims to advance the diagnosis and
treatment of all types of spinal disorders.
Research is an important component of
the Spine Service, which has been involved
in a number of prospective randomized
clinical trials, including the NIH-funded
Spine Patient Outcome Research Trial
(SPORT). Our surgeons are using data
from SPORT to further examine the
relationship of the dural tears and
infection, as well as narcotic use and its
effects on surgical outcomes. The Service
continues to pursue basic science research
in orthobiologics, specifically bone healing
in animal fusion models, and has developed
a new rabbit model to evaluate anti-
adhesion barriers in anterior spine surgery.
A 64-year-old man underwent spinal surgery and developed an infection that led to an extremedeformity causing him to tip forward and to one side. The patient came to the Spine Serviceat HSS for revision surgery that required three very complex and challenging procedures inone day in order to realign his spine. In the first operation, surgeons entered through the patient’s abdomen to address the lower two levels of discs. Next they entered his side to reachseveral more levels from the front. In the final procedure, surgeons opened up his back to revise the decompression, perform a fusion, and insert the instrumentation. Today the patientis standing and walking straight and doing very well.
Frank P. Cammisa, Jr., MDChief
19
David W. Altchek, MDScott A. Rodeo, MDCo-Chiefs
Sports Medicine and Shoulder Surgeons
Answorth A. Allen, MD
Struan H. Coleman, MD, PhD
Frank A. Cordasco, MD, MS
Edward V. Craig, MD, MPH
David M. Dines, MD
Joshua S. Dines, MD
Stephen Fealy, MD
Jo A. Hannafin, MD, PhD
Anne M. Kelly, MD
Bryan T. Kelly, MD
John D. MacGillivray, MD
Robert G. Marx, MD, MSc, FRCSC
Michael J. Maynard, MD
Stephen J. O’Brien, MD, MBA
Andrew D. Pearle, MD
Anil S. Ranawat, MD
Howard A. Rose, MD
Beth E. Shubin Stein, MD
Sabrina M. Strickland, MD
Russell F. Warren, MD
Thomas L. Wickiewicz, MD
Riley J. Williams, III, MD
Sports Medicine Affiliated Staff
Lisa R. Callahan, MD
Joseph H. Feinberg, MD
Marci Anne Goolsby, MD
Brian C. Halpern, MD
James J. Kinderknecht, MD
Osric S. King, MD
Jordan D. Metzl, MD
Peter J. Moley, MD
Rock G. Positano, DPM, MSc, MPH
Hollis G. Potter, MD
Jennifer L. Solomon, MD
SPORTS MEDICINE ANDSHOULDER SERVICE
In 2009, the Sports Medicine and Shoulder
Service performed over 8,000 surgical
procedures and had more than 75,000
patient visits. The Service also provides
medical coverage to numerous local high
school, collegiate, and professional teams
and organizations, which include the New
York Knicks, New York Mets, New York
Giants, Nets Basketball, New York Liberty,
New York Red Bulls, Brooklyn Cyclones,
U.S. National Rowing Team, U.S.A.
Swimming National Team, National Retired
Basketball Players Association, Major
League Baseball Players Alumni, St. John’s
University, St. Peter’s College, CUNY
Athletic Conference, Iona College Athletes,
the Association of Tennis Professionals,
Federation Cup Tennis Athletes, and the
Wendy Hilliard Rhythmic Gymnastics
Foundation.
In addition, under the leadership of the
orthopaedic and physical therapy staff,
HSS supports the Public School Athletic
League (PSAL). Sports Medicine fellows
and residents served as the team physicians
again this past year for three local area
high school football teams. A clinic at HSS
has been established to provide care to
players on all junior varsity and varsity
football teams in the League, and our com-
mitment to the PSAL continues to expand.
Advances in Clinical Care
The Sports Medicine and Shoulder Service
is focused on identifying methods for
improving the outcomes of surgical
procedures. For example, our surgeons
have made important modifications to elbow
ulnar collateral ligament reconstruction,
including the development of the “docking”
technique – first applied in the late 1990s –
which involves “docking” the ends of the
grafts to the bone, rather than leaving
them free as in the original Tommy John
procedure. Their more current modification
involves the use of a three-strand graft in
some cases. Both the docking and modified
docking techniques achieve good to excellent
results in the majority of cases with a low
complication rate.
With a better understanding of the
limitations of traditional ACL reconstruction,
Service members have developed a
On the Sports Medicine and Shoulder Service, some 40 orthopaedic surgeons, primary care
physicians, imaging specialists, and rehabilitation professionals work closely together to
provide care for injured athletes at every level, including professional players on major
league teams, collegiate athletes, those for whom sports is a hobby, and children and
teenagers who may be participating in a sport for the first time. Patients that present to the
Sports Medicine and Shoulder Service often include those who have had a prior surgery,
those with deformity resulting from a previous injury, and those with nerve injuries or
conditions that require the collaboration of multiple specialists.
Scott A. Rodeo, MDCo-Chief
David W. Altchek, MDCo-Chief
(continued on page 20)
20
SPORTS MEDICINE ANDSHOULDER SERVICE
reconstruction approach that replicates the
anatomy of the natural ACL. Members of
the Service are also collaborating with the
American Orthopaedic Society for Sports
Medicine to better understand factors that
influence outcomes after revision ACL
reconstruction – a much more technically
demanding procedure.
Service members are also pursuing
improvements in sports rehabilitation,
working with physical therapy colleagues to
further their understanding and treatment
of both operative and nonoperative injuries
in athletes and to determine a scientific basis
for the design of postoperative rehabilitation.
The Service worked this past year to
complete postoperative guidelines for ACL
reconstruction and rotator cuff repair
among other conditions. These guidelines
can travel with patients to wherever they
choose to complete their rehabilitation.
Emphasis on Education
With one of the largest sports medicine
services in the country, HSS is a tremendous
training and education resource for residents
and fellows. The Service has seven accred-
ited sports medicine fellowship positions,
an international fellow, and offers a two-
year fellowship position with a dedicated
research year. All members of the Service
play an active role in the education program.
In 2009, we established a Primary Care
Sports Medicine Fellowship and are pleased
that James Kinderknecht, MD, has joined
the Service to assume a leadership role
and to complete the development of the
curriculum, with the goal of welcoming our
first primary care fellow in the fall of 2011.
Research Priorities
Research is a major component of the
Service’s mission with a commitment to a
strong, organized group effort to answer
questions through basic and clinical projects.
Our general research effort addresses soft
tissue reconstruction of joints and its
clinical application to the active individual.
The Service is focused on the following areas:
knee ligament stability, shoulder stability,
rotator cuff tendon healing, and articular
cartilage repair. In 2009, we completed
several prospective projects on rotator cuff
repair, arthroscopic shoulder instability
surgery, and knee ligament mechanics.
The Service is also establishing and
further developing computerized registries
of all patients undergoing surgery for ACL
reconstruction, rotator cuff repair, shoulder
stabilization surgery, and articular cartilage
repair. The Service has made great progress
in organizing its ACL registry, which will
formally launch in the fall of 2010.
Several members of the Service continue to
direct basic science research, with major
projects supported by the National Institutes
of Health to investigate ligament healing,
ligament fibroblast physiology, cartilage
repair, meniscus transplantation, and
rotator cuff tendon healing, including
studies on stem cells and how they may
help regenerate rotator cuff muscle. The
Service has an active collaboration with
the Laboratory for Soft Tissue Research,
and there are ongoing studies of knee and
shoulder mechanics with the Department
of Biomechanics. The Service is also
investigating knee ligament mechanics
using a state-of-the-art robotic system and
a human gait simulator for cadaveric
specimens and has developed a similar
testing system for shoulder mechanics.
In conjunction with the Leon Root, MD
Motion Analysis Laboratory, Service
members are examining muscle function
in patients with rotator cuff disease.
� Expanded outreach to New York Cityschools through the Public SchoolAthletic League to provide care forathletes during games and on-site atthe Hospital in a clinic establishedspecifically for this population
� Worked with Rehabilitation staff to develop consensus guidelines for rehabilitation following ACL recon-struction, rotator cuff repair, acromio-plasty, and shoulder stabilization
� Initiated a relationship with New YorkRoad Runners, manager of the NewYork City Marathon, to provide educational programs and support
� Instituted a state-of-the-art robotictesting system to rigorously evaluateknee joint mechanics
� Continued focused research programattention to the areas of knee ligamentstability, shoulder stability, rotator cufftendon healing, and articular cartilagerepair
� Completed a study on arthroscopictreatment of femoro-acetabular impingement, showing that arthroscopyallows a large percentage of athletesto return to a high level of competitionand is a good alternative to open surgery in the appropriate patient
� 1,661 Inpatient Surgeries� 6,423 Ambulatory SurgeriesTotal Surgical Volume: 8,084Total Patient Visits: 75,504
2009 Patient Care Volume
2009-2010 Highlights
(continued from page 19)
21
Timothy M. Wright, PhDDirector
Donald Bartel, PhDYingxin Gao, PhDCarl Imhauser, PhDJoseph Lipman, MSSuzanne Maher, PhDMarjolein van der Meulen, PhD
DEPARTMENT OF BIOMECHANICS
� Relocated the Department’s design and research laboratories to newly designed space to facilitate research collaborations
� Received an NIH grant to advance research to improve the perform-ance of elbow joint replacement
� Received an NIH grant to definethe relationship between the material and structural propertiesof novel materials used to replace soft tissues and the subsequent joint contact mechanics under daily activities
� Submitted patent applications forseveral technologies, includingconstrained condylar knee replacements and elbow replacements
� Awarded funding from the American Orthopaedic Foot andAnkle Society to investigate the effects of cartilage defects andmethods for cartilage repair ofthe ankle joint
Orthopaedic Implants Retrieved
2009-2010 Highlights
Since the mid 1970s, the Department of
Biomechanics has been working side-by-side
with the Department of Orthopaedic Surgery
to address complex cases for which standard
medical devices or traditional approaches
would not suffice. As reconstructive surgery
has matured over the years, the role of
engineers has remained key – developing,
testing, and refining new implants for joint
replacement, fracture fixation, and spinal
reconstruction, and designing custom
solutions to improve patient outcomes.
This collaboration among surgeons and
engineers fosters innovative ideas that not
only benefit the most challenging cases, but
also provides insight for applying custom
solutions to other cases, thus furthering the
development of implants for more routine
problems as well. Discussions focus on every
anatomical and clinical aspect of the case –
from surgical approach, to quality of bone,
to functional goals – all aimed at designing
an implant best suited for the patient. The
process may include the creation of solid
models of a patient’s anatomy using 3-D
CT or MRI images. For custom designs,
such prototypes can be refined by the
engineer and the surgeon before being sent
to an orthopaedic device company that
manufactures the implant based on our
specifications.
The Department continues to pursue research
on how implants perform, how they handle
loads, and how they should be designed to
achieve functional and biomechanical goals.
Our engineers have also begun working
with surgeons to improve revision systems
for total joint replacements that have failed.
Tackling complex cases combined with what
we have learned from our vast retrieval
system and our patient registries is
providing information on how current
revision systems are performing and how to
improve them. Another area of focus is the
development of novel materials that can
be used in less invasive procedures to
reconstruct damaged joints. By applying the
same biomechanical principles that have
been used for conventional joint replacements,
engineers and surgeons are exploring a
range of solutions for reconstructing less
damaged joints in younger patients.
A patient with extensive bone loss due to a major trauma of the elbow was not a candidate
for a joint replacement but needed to have a functional elbow. The orthopaedic surgeon
described the patient’s anatomy, as well as the intended surgical approach and which soft
tissues and muscles could be saved, to the engineers in the Hospital’s Department of
Biomechanics. This provided the engineers with an idea of the level of function and stability
the patient could achieve through surgery. They then set about designing an implant intended
to rebuild the destroyed half of the patient’s joint. Using 3-D imaging of the patient’s elbow,
the engineers built a rapid prototype based on the normal anatomy of the patient’s other elbow,
which was then refined through collaboration with the surgeon to reach the final design.
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22
PROFESSIONAL STAFF
Surgeon-in-Chief andMedical 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
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 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
2009-2010 FellowsYossef Blum, MDCraig H. Dushey, MDProuskeh B. Ebrahimpour, MDJordan N. Greenbaum, MD,
MBAStephen Kim, MDJonathan H. Lee, MDJacob B. Manuel, MDMichael A. Robinson, MDSebastian Rodriguez-
Elizalde, MD, FRSC(C)
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
2009-2010 FellowsStephanie P. Adam, DOLucas J. Bader, MDJ. Turner Vosseller, MD
HAND AND UPPER EXTREMITY
SERVICE
Scott W. Wolfe, MDChief
Edward A. Athanasian, MDMichelle G. Carlson, MDAaron Daluiski, MDRobert N. Hotchkiss, MDLana Kang, MDAndrew J. Weiland, MD
2009-2010 FellowsWilliam S. Green, MDKristin K. Warner, MDKimberly C. Young, MD
LIMB LENGTHENING AND
COMPLEX RECONSTRUCTION
SERVICE
S. Robert Rozbruch, MD Chief
Austin T. Fragomen, MD
2009-2010 FellowsRhyor Harbacheuski, MD, MSShahab Mahboubian, DO, MPH
METABOLIC BONE DISEASE/MUSCULOSKELETAL
ONCOLOGY SERVICE
Joseph M. Lane, MDChief
Juliet Aizer, MD, MPHRichard 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
2009-2010 FellowsKashif Ashfaq, MBBSAasis Unnanuntana, MD
ORTHOPAEDIC TRAUMA
SERVICE
David L. Helfet, MDChief
David E. Asprinio, MDAndrew Grose, MDJoseph M. Lane, MDDean G. Lorich, MDJohn P. Lyden, MD
2009-2010 FellowsDaniel B. Chan, MDDevon M. Jeffcoat, MDNeil R. MacIntyre, III, 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, MD
2009-2010 FellowVladimir Goldman, MD
SCOLIOSIS SERVICE
Oheneba Boachie-Adjei, MDChief
John S. Blanco, MDMatthew E. Cunningham,
MD, PhDDaniel W. Green, MD, FACSBernard A. Rawlins, MDRoger F. Widmann, MD
2009-2010 FellowsRahul D. Chaudhari, MBBSIlya Kupershtein, MDManish Lambat, MBBS, MS,
DNBPeter G. Passias, MDRavi J. Patel, MDHiroyuki Yoshihara, MB, PhD
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
2009-2010 FellowsRahul D. Chaudhari, MBBS
Ilya Kupershtein, MDManish Lambat, MBBS, MS,
DNBPeter G. Passias, MDRavi J. Patel, MDHiroyuki Yoshihara, MD, PhD
SPORTS MEDICINE
AND SHOULDER SERVICE
David W. Altchek, MDScott A. Rodeo, MDCo-Chiefs
Answorth A. Allen, MDStruan H. Coleman, MD, PhDFrank A. Cordasco, MD, MSEdward V. Craig, MD, MPHDavid M. Dines, MDJoshua S. Dines, MDStephen Fealy, 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
2009-2010 FellowsAndrea L. Bowers, MDSaadiq F. El-Amin, MD, PhD,
MMSLawrence V. Gulotta, MDCraig S. Mauro, MDFrank A. Petrigliano, MDMichael K. Shindle, MDJames E. Voos, MD
23
ADULT AMBULATORY
CARE CENTER
Alejandro Leali, MDMedical Director
DEPARTMENT OF
BIOMECHANICS
Timothy M. Wright, PhDDirector
Donald Bartel, PhDYingxin Gao, 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
MEMORIAL SLOAN-KETTERING
CANCER CENTER
Orthopaedic SurgeryJohn H. Healey, MD Chief
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 TraumaService, NewYork-PresbyterianHospital/Weill Cornell MedicalCenter
NEW YORK UNIVERSITY
SCHOOL OF MEDICINE
Plastic SurgeryDavid T.W. Chiu, MD
Program Director, Hand Surgery Fellowship
ST. LUKE’S-ROOSEVELT
HOSPITAL CENTER
Orthopaedic SurgeryWilliam G. Hamilton, MDSenior Attending Orthopaedic Surgeon
JAMES J. PETERS VETERANS
ADMINISTRATION MEDICAL
CENTER - BRONX, NYOrthopaedic SurgerySabrina M. Strickland, MDChief
WESTCHESTER MEDICAL
CENTER
Orthopaedic SurgeryDavid E. Asprinio, MD Chair and Program Director
NAMED CHAIRS AND
PROFESSORSHIPS
Franchellie M. Cadwell ChairSergio Schwartzman, MD
Collette Kean Research Chair Jane E. Salmon, MD
F.M. Kirby Chair in Orthopaedic BiomechanicsTimothy M. Wright, PhD
David H. Koch Chair for Arthritis and TissueDegeneration ResearchLionel B. Ivashkiv, MD
Korein-Wilson Professorshipin Orthopaedic SurgeryThomas P. Sculco, MD
David B. Levine, MD Chair in ScoliosisOheneba Boachie-Adjei, MD
C. Ronald MacKenzie MDChair in Ethics and MedicinesupportingWayne Shelton, PhD
Stephen A. Paget, MD Chairin RheumatologyStephen A. Paget, MD
Leon Root, MD Chair in Pediatric OrthopaedicsLeon Root, MD
Benjamin M. Rosen Chair in Immunology and Inflammation ResearchPeggy K. Crow, MD
Virginia F. and William R. Salomon Chair in Musculoskeletal ResearchCarl Blobel, MD, PhD
Eduardo A. Salvati, MDChair in Hip ArthroplastyEduardo A. Salvati, MD
St. Giles Research Chair Steven R. Goldring, MD
Starr Chair in Mineralized Tissue ResearchAdele L. Boskey, PhD
ENDOWED CHAIRS
Joel and Anne Bick EnhrenkranzChair in Spine Research
Richard S. Laskin, MD Chairin Musculoskeletal Education
Starr Chair in Tissue Engineering Research
Russell F. Warren, MD Research Chair
NAMED FELLOWSHIPS
Robert and Helen Appel Fellowship in Biomedical EngineeringNatalie Galley, MASc, andRussell Main, PhD
Finn and Barbara CaspersenFellowship for Spine ResearchKai Zhang, MD
Charles L. Christian Research FellowshipLisa Mandl, MD
Ira W. DeCamp Fellowship inMusculoskeletal GeneticsMary Goldring, PhD
Leo Farbman Fellowship forPediatric Musculoskeletal ResearchMichelle Patterson, MS,
OTR/L
Helen Frankenthaler Fellow-ship in Restorative MobilityAndrew D. Pearle, MD
Ken and Jill Iscol Fellowshipin Orthopaedic ResearchEduardo Suero, MD
Irving and Sally Lipstock Fel-lowship in Orthopaedic SurgeryFrank Petrigliano, MD
Ludwig Fellowship for Women’sSports Medicine ResearchHalley Smith, BA
William T. Morris Fellowshipin Pediatric RheumatologyTheresa Lu, MD, PhD
Stavros S. Niarchos – ThomasP. Sculco, MD International Orthopaedic FellowshipLazaros Poultsides, MD, PhD
Mary Rodgers and HenryGuettel Fellowship in Biomedical MechanicsStephanie Tow
Robert and Gillian Steel Fellowship in Musculoskeletal ResearchInez Rogatsky, PhD
Nancy Dickerson WhiteheadResearch FellowshipPhilipp Mayer-Kuckuk, PhD
Fellowship in ArthroplastyEdward Purdue, PhD
Immunology and Inflammation FellowshipVictor Guaiquil, PhD
ENDOWED CHAIRS, PROFESSORSHIPS, AND FELLOWSHIPS
Endowed chairs, professorships, and fellowships recognize the generosity of our donors and sustain excellence in
musculoskeletal care, research, and medical education.
AFFILIATIONS
The affiliations of Hospital for Special Surgery enable orthopaedic surgery residents and
fellows to benefit from a broad range of research and training opportunities.
24
2009-2010 NOTABLE ACHIEVEMENTS
AWARDS AND SPECIAL RECOGNITION
Answorth A. Allen, MDHead Team Orthopaedist, New York Knicks
Orthopaedic Consultant, West Indies Cricket Board of Control
Head Team Physician, St. John’s University
Consultant, Major League Baseball
David W. Altchek, MDMedical Director, New York Mets
Medical Director, Nets Basketball
Mathias P. Bostrom, MD2009 Philip D. Wilson, Jr., MD Teaching Award, Hospital for
Special Surgery
Lisa R. Callahan, MDDirector of Player Care, New York Knicks and New York Liberty
Frank P. Cammisa, Jr., MDSpinal Consultant, New York Giants
Spinal Consultant, National Hockey League Players’
Association
Struan H. Coleman, MD, PhDHead Team Physician, New York Mets
Jonathan T. Deland, MDAmerican Orthopaedic Foot and Ankle Society
2009 Research Award
2009 Service Excellence Award, Healthnetwork Foundation
David M. Dines, MDMedical Director, Association of Tennis Professionals –
ATP World Tour
Team Physician, U.S. Davis Cup Tennis Team
Head Orthopaedic Consultant, U.S. Open Tennis
Team Physician and Medical Director, Long Island Ducks
Minor League Baseball Team
Joshua S. Dines, MDTeam Physician, U.S. Davis Cup Tennis Team
Team Physician, Long Island Ducks Minor League
Baseball Team
Orthopaedic Consultant, Los Angeles Dodgers
Scott J. Ellis, MDYoung Investigators Workshop Award, United States
Bone and Joint Decade
Traveling Fellowship, American Orthopaedic Foot and
Ankle Society
Stephen Fealy, MDTeam Physician, Chaminade High School
Joseph H. Feinberg, MDTeam Physician, St. Peter’s College
Jo A. Hannafin, MD, PhDTeam Physician, U.S. Rowing
Team Physician, New York Liberty
Bryan T. Kelly, MDAssociate Team Physician, New York Giants
Assistant Team Physician, New York Red Bulls
Consulting Team Physician, Nets Basketball
John G. Kennedy, MD American Orthopaedic Foot and Ankle Society
2009 Research Award
Wounded Warrior Project Award for Outstanding Service
and Dedication to Wounded Soldiers
Osric S. King, MDSports Medicine Coordinator, City University of New York
Athletic Conference
Associate Medical Director, St. John’s University
David B. Levine, MDRecipient of the Lifetime Achievement Award,
Scoliosis Society
Suzanne Maher, PhDRepresentative of the Orthopaedic Research Society,
Biomedical Engineering Committee, American Academy
of Orthopaedic Surgeons
David J. Mayman, MD2009 First Annual Richard S. Laskin, MD Young Attending
Award for Demonstrating Exemplary Teaching Skills,
Hospital for Special Surgery
Michael J. Maynard, MDMedical Director, Department of Athletics, Marist College
Stephen J. O’Brien, MD, MBAChief Orthopaedic Consultant, Department of Athletics,
St. John’s University
Andrew D. Pearle, MDAssistant Team Physician, New York Mets
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.
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25
Anil S. Ranawat, MDAssistant Team Physician, New York Mets
Chitranjan S. Ranawat, MD2009 Lifetime Achievement Award, Asia Pacific
Arthroplasty Society
Scott A. Rodeo, MDAssociate Team Physician, New York Giants
Chair, USA Swimming Sports Medicine Committee
Beth E. Shubin Stein, MDTeam Physician, U.S. Federation Cup Tennis Team
Marjolein van der Meulen, PhDSwanson Chair in Biomedical Engineering, College of
Engineering, Cornell University
Elected Fellow, American Society of Mechanical Engineers
Russell F. Warren, MDTeam Physician, New York Giants
Thomas L. Wickiewicz, MDOrthopaedic Consultant, Department of Athletics,
St. Peter’s College
Riley J. Williams, III, MDHead Team Physician, Department of Athletics, Iona College
Head Team Physician, Nets Basketball
Medical Director, New York Red Bulls
Orthopaedic Consultant, National Football League
Timothy M. Wright, PhD, and Douglas E. Padgett, MDAwarded one of the two top scientific posters, 19th Annual
Meeting, American Association of Hip and Knee Surgeons
for “A study of retrieved mobile bearing knee replacements”
LEADERSHIP POSITIONS AND APPOINTMENTS
Michael M. Alexiades, MDVice President, Alumni Board, Weill Cornell Medical College
Answorth A. Allen, MDMaster Instructor, Knee and Shoulder Surgery, Learning
Center, American Orthopaedic Society for Sports Medicine
Education Committee, American Shoulder and Elbow Society
Oheneba Boachie-Adjei, MDPresident, Scoliosis Research Society and The Hibbs Society
Richard S. Bockman, MD, PhDClinical Research Committee, Federation of American Societies
for Experimental Biology – Representative for
The American Society of Bone and Mineral Research
Mathias P. Bostrom, MDBoard Member and Past President,
International Society for Fracture Repair
Board of Directors and Fellowship Committee, Hip Society
Board of Directors – Member-at-Large,
Orthopaedic Research Society
Study Section, Musculoskeletal Tissue Engineering,
National Institutes of Health
Course Director, American Austrian Foundation
Robert L. Buly, MDBoard Member, Maurice Muller Foundation of North America
Secretary, International Society for Hip Arthroscopy
Lisa R. Callahan, MDAdvisory Board Member, American Ballet
Advisory 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 Paralysis
Michele G. Carlson, MDMember, Kiros Hand Study Organization
Frank A. Cordasco, MD, MSBoard of Directors, Cunningham Dance Foundation
Medical Advisory Board,
Children of China Pediatrics Foundation
Edward V. Craig, MD, MPHBoard of Directors,
American Academy of Orthopaedic Surgeons
Chairman, Traveling Fellowship,
American Orthopaedic Association
Jonathan T. Deland, MDResearch Committee, Nike
Research Committee, Foot and Ankle Society
David M. Dines, MDPlanning and Development and Executive Committees,
American Shoulder and Elbow Surgeons
Education Committee, American Orthopaedic Association
Scott J. Ellis, MDAwards Committee, American Orthopaedic Foot
and Ankle Society
James C. Farmer, MDSpine Evaluation Subcommittee, American Academy of
Orthopaedic Surgeons
Medical Student and Fellow Education Committee, American
Academy of Orthopaedic Surgeons
Patient-Based Outcomes Committee and Global Outreach
Committee, Scoliosis Research Society
26
Leadership Positions and Appointments (continued)
Stephen Fealy, MDTechnology Committee,
Arthroscopy Association of North America
Federico P. Girardi, MDInternational Medical Graduate Committee, Medical Society of
the State of New York
Daniel W. Green, MD, FACSBoard Member, New York State Society of Orthopaedic Surgeons
Board Member and Treasurer, New York County Medical Society
Representative to the American Academy of Orthopaedic Surgeons
Representative to the American College of Surgeons for the
Pediatric Orthopaedic Society of North America
Advocacy Committee, Pediatric Orthopaedic Society of
North America
Evaluation Committee, American Academy of
Orthopaedic Surgeons
Division of Socio-Medical Economics Committee on
Interspecialty, Medical Society of the State of New York
Advocacy and Patient Education Committees, Scoliosis
Research Society
Clinic Chief, Association of Children’s Prosthetic-Orthotic Clinics
Steven B. Haas, MDProgram Chair and New York Coordinator,
John N. Insall Traveling Fellows, Knee Society
Brian C. Halpern, MDFounding Member and Past President,
American Medical Society for Sports Medicine
President, Foundation of the American Medical Society
for Sports Medicine
Jo A. Hannafin, MD, PhDVice President, Board of Trustees, National Rowing Foundation
Board of Trustees and Secretary Elect; Chair, Committee on
Enduring Education; Education Council; and Study Section,
National Institutes of Health, Skeletal Biology Structure and
Regeneration Section, American Orthopaedic Society for
Sports Medicine
Grant Review Committee, Ruth Jackson Orthopaedic Society
Secretary, Herodicus Society
Vice Chair, Development Committee; Board of Trustees;
Educational Grants Board; and Nominating Committee,
Orthopaedic Research and Education Foundation
David L. Helfet, MDTrustee, AO Foundation
Chair, Clinical Investigation and Documentation, AO Foundation
Technical Commission, AO Foundation
Lana Kang, MDDiversity Committee, American Society for Surgery of the Hand
Young Members Committee,
Medical Society of the State of New York
Committee on Medical Economics and Managed Care Task Force,
New York County Medical Society
Hand Caucus, American Medical Association
Anne M. Kelly, MDMembership Committee, Arthroscopy Association of
North America
Secretary/Treasurer, Thomas B. Quigley Sports Medicine Society
Bryan T. Kelly, MDOLC Education Committee,
Arthroscopy Association of North America
Joseph M. Lane, MD Chair, MOAC Recertification Program, American Academy of
Orthopaedic Surgeons
Study Section, National Institutes of Health and National
Institute of Arthritis and Musculoskeletal and Skin Disorders
Dean G. Lorich, MDTechnical Commission, Teaching Faculty, and
Osteoporosis Task Force, AO-ASIF
Suzanne Maher, PhDCo-Chair, Scientific Session, Annual Meeting, Orthopaedic
Research Society
Judge, PhD Student Paper, Summer Bioengineering Conference,
American Society of Mechanical Engineers
Douglas E. Padgett, MDAmerican Association of Hip and Knee Surgeons
Committee on Education
Board Member-at-Large
Program Committee, 2010-2012 Annual Meeting,
American Academy of Orthopaedic Surgeons
Michael L. Parks, MDVice President, New York State Society of Orthopaedic Surgeons
Board of Directors, Member-at-Large, American Academy of
Orthopaedic Surgeons
Rock G. Positano, DPM, MSc, MPHBoard of Trustees, New York College of Podiatric Medicine
and Foot Clinics of New York
Board of Directors, Children’s Health Fund
Hollis G. Potter, MDResearch Committee, American Orthopaedic Society for
Sports Medicine
Program Committee, International Society for Magnetic
Resonance in Medicine
2009-2010 NOTABLE ACHIEVEMENTS2009-2010 NOTABLE ACHIEVEMENTSOO SS0000 00 0000 00 00 TATA AA22 22 BB CCOO EE EE EE EELL99 AA HH99-- BBNN NN11 AA00 TATA TTMMVVBB II
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Chitranjan S. Ranawat, MD President Elect, Hip Society
President, Eastern Orthopaedic Association
President, Eastern Orthopaedic Education Foundation
Chair, Ranawat Orthopaedic Research Foundation
Chair, Annual “ROC Advances and Techniques
in Joint Replacement Surgery”
Past President and Member, The Knee Society
Past President and Member, New York Society for
Surgery of the Hand
Past President and Member, American Association of
Hip and Knee Surgeons
Bernard A. Rawlins, MDFounding Member, J. Robert Gladden Society
Matthew M. Roberts, MDPost-Graduate Education and Training Committee,
American Orthopaedic Foot and Ankle Society
Scott A. Rodeo, MDChair, Research Committee and Council of Delegates,
American Orthopaedic Society for Sports Medicine
Chair, Professional Liaison Committee,
Orthopaedic Research Society
Leon Root, MDChair, Orthopaedic Section, New York Academy of Medicine
S. Robert Rozbruch, MDSecondary School Committee, Undergraduate Admissions,
University of Pennsylvania
Eduardo A. Salvati, MDPast President, American Hip Society
Past Secretary/Treasurer, International Hip Society
Thomas P. Sculco, MDExecutive Director and Founder, International Society of
Orthopaedic Centers
Board of Governors and Medical and Scientific Committee,
Arthritis Foundation – New York Chapter
Governing Board, Salzburg Medical Seminar International,
Austrian Orthopedic Association
Honorary Fellow, Foreign Policy Association
Member, Advisory Council on Biology and Medicine,
Brown University
Research Advisory Board, Istituto Rizzoli, Bologna
David M. Scher, MDVice President, Pediatric Orthopaedic Club of New York
History 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, MDAdult Reconstruction – Hip Program Subcommittee,
American Academy of Orthopaedic Surgeons
Marjolein van der Meulen, PhDStudy Section, Grant Applications, Skeletal Biology Structure
and Regeneration, National Institutes of Health
Russell F. Warren, MDFounding Member and Past President, American Shoulder
and Elbow Surgeons
Past President, American Orthopaedic Society for
Sports Medicine
Past President, Herodicus Society
Geoffrey H. Westrich, MDBoard Member and Member-at-Large, Program Committee,
and 2011 Program Chair, Eastern Orthopaedic 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
Riley J. Williams, III, MDResearch and Education Committees, American Orthopaedic
Society for Sports MedicineTechnology Committee, American Shoulder and
Elbow Surgeons
Russell E. Windsor, MDExaminer, American Board of Orthopaedic Surgery
Scott W. Wolfe, MDWebsite Committee, Electronic Information Committee,
Clinical Trials and Outcomes Committee, and Joint ResearchCommittee, American Society of Surgery for the Hand
Timothy M. Wright, PhDEducation and Program Committees, The Knee Society
Review Committee, Grant Applications, Loan Repayment
Program, Challenge Grants and Grand Opportunities
Grants, National Institutes of Health
28
EDITORIAL APPOINTMENTS
John S. Blanco, MDReviewer, Journal of Pediatric Orthopaedics
Oheneba Boachie-Adjei, MDBoard of Associate Editors, Spine
Reviewer, Journal of Pediatric Orthopaedics
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, MDReviewer: Journal of Hand Surgery; Journal of Hand and
Microsurgery
Editorial Board, HSS Journal: The Musculoskeletal Journal
of Hospital for Special Surgery
Charles N. Cornell, MDEditor-in-Chief, HSS Journal: The Musculoskeletal Journal
of Hospital for Special Surgery
Matthew E. Cunningham, MD, PhDReviewer: Clinical Orthopaedics and Related Research;
HSS Journal: The Musculoskeletal Journal of Hospital for
Special Surgery
Aaron Daluiski, MDEditorial Board, HSS Journal: The Musculoskeletal Journal
of Hospital for Special Surgery
Jonathan T. Deland, MDEditor-in-Chief, Foot and Ankle Section, Orthopaedia
Associate Editor, Foot and Ankle International 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
Joseph H. Feinberg, MDEditorial Board, HSS Journal: The Musculoskeletal Journal
of Hospital for Special Surgery
Austin T. Fragomen, MDReviewer, Clinical Orthopaedics and Related Research
Steven R. Goldring, MDAssociate Editor, Arthritis Research & Therapy
Daniel W. Green, MD, FACSEditor, Orthopaedics Section, Current Opinion in
Orthopaedics
Reviewer, Spine
Consultant Reviewer: Journal of Pediatric Orthopaedics;
Clinical Orthopaedics and Related Research
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
Martin J. O’Malley, MDEditorial Advisory Committee, Physician Link
Robert G. Marx, MD, MSc, FRCSCSenior Associate Editor, HSS Journal: The Musculoskeletal
Journal of Hospital for Special Surgery
Hollis G. Potter, MDAssociate Editor: Imaging; Sports Health
Amar S. Ranawat, MDEditorial Board, Journal of Arthroplasty
Reviewer: Clinical Orthopaedics and Related Research;
HSS Journal: The Musculoskeletal Journal of Hospital for
Special Surgery; Current Orthopaedic Practice
Chitranjan S. Ranawat, MDFounder and Editor, Orthopaedics E-Journal
S. Robert Rozbruch, MDEditorial Board, Journal of Orthopaedic Trauma
Reviewer, Clinical Orthopaedics and Related Research
Harvinder S. Sandhu, MDCo-Editor, Symposium Section, Journal of the Spine
Arthroplasty Society
David M. Scher, MDEditorial Board, HSS Journal: The Musculoskeletal
Journal of Hospital for Special Surgery
Consultant Reviewer: Journal of Pediatric Orthopaedics;
Clinical Orthopaedics and Related Research
2009-2010 NOTABLE ACHIEVEMENTS2009-2010 NOTABLE ACHIEVEMENTSOO SS0000 00 0000 00 00 TATA AA22 22 BB CCOO EE EE EE EELL99 AA HH99-- BBNN NN11 AA00 TATA TTMMVVBB II
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Hospital for Special Surgery orthopaedic surgeons are prolific authors with scientific and clinical articles routinely published in peer-reviewed journals.
2009-2010 SELECTED PUBLICATIONS
ADULT RECONSTRUCTION AND JOINT REPLACEMENT DIVISION
HIP SERVICE/KNEE SERVICE/SURGICAL ARTHRITIS SERVICE
Anderson JA, Sculco PK, Heitkemper S, Mayman DJ,
Bostrom MP, Sculco TP. An articulating spacer to treat
and mobilize patients with infected total knee arthroplasty.
The Journal of Arthroplasty 2009.
Bek D, Beksaç B, González Della Valle A, Sculco TP, Salvati
EA. Aspirin decreases the prevalence and severity of hetero-
topic ossification after 1-stage bilateral total hip arthroplasty
for osteoarthrosis. Journal of Arthroplasty 2009.
Beksaç B, Salas A, González Della Valle A, Salvati EA.
Wear is reduced in THA performed with highly cross-linked
polyethylene. Clinical Orthopaedics and Related Research 2009.
Boettner F, Altneu EI, Williams BA, Hepinstall M, Sculco TP.
Nonanemic patients do not benefit from autologous blood
donation before total hip replacement. HSS Journal: The
Musculoskeletal Journal for Hospital of Special Surgery 2009.
Bono JV, Sherman P, Windsor RE, Laskin RS, Sculco TP,
Figgie MP, Haas SB, Talmo CT. Intramedullary arthrodesis
after failed septic total knee. Techniques in Knee Surgery 2009.
Cooper HJ, Ranawat AS, Potter HG, Foo LF, Jawetz ST,
Ranawat CS. Magnetic resonance imaging in the diagnosis
and management of hip pain after total hip arthroplasty.
The Journal of Arthroplasty 2009.
Cross M, Bostrom MP. Cement mantle retention: filling the
hole. Orthopedics 2009.
Cross M, Bostrom MP. Periprosthetic fractures of the femur.
Orthopedics 2009.
Ghelman B, Kepler CK, Lyman S, González Della Valle A. CT
outperforms radiography for determination of acetabular cup
version after total hip arthroplasty. Clinical Orthopaedics and
Related Research 2009.
González Della Valle A, Khakharia S, Glueck CJ, Taveras N,
Wang P, Fontaine RN, Salvati EA. VKORC1 variant genotypes
influence warfarin response in patients undergoing total joint
arthroplasty: a pilot study. Clinical Orthopaedics and Related
Research 2009.
González Del1a Valle A, Reynoso FJ, Ben Ari J, Salvati EA.
The multimodal approach for the prevention of thrombo-
embolic disease after total joint arthroplasty. Seminars in
Arthroplasty 2009.
Haas SB, Westrich GH (Guest Editors). DVT prophylaxis
alternatives. Seminars in Arthroplasty 2009.
Thomas P. Sculco, MDDeputy Editor, American Journal of Orthopedics
Editorial Board, Istituto Ortopedico Rizzoli
Editorial Board, HSS Journal: The Musculoskeletal
Journal of Hospital for Special Surgery
Russell F. Warren, MDEditorial Board, HSS Journal: The Musculoskeletal
Journal of Hospital for Special Surgery
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, MDReviewer: The Journal of Bone & Joint Surgery; Journal of
Orthopaedic Research; Clinical Orthopaedics and
Related Research
Timothy M. Wright, PhDCo-Editor, Journal of Orthopaedic Research
Deputy Editor, HSS Journal: The Musculoskeletal
Journal of Hospital for Special Surgery
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Adult Reconstruction and Joint Replacement Division (continued)
Hamilton TW, Goodman SM, Figgie MP. SAS weekly rounds:
avascular necrosis. HSS Journal: The Musculoskeletal Journal
of Hospital for Special Surgery 2009.
Heyse TJ, Decking R, Davis J, Boettner F, Laskin RS.
Varus gonarthrosis predisposes to varus malalignment in
TKA. HSS Journal: The Musculoskeletal Journal of Hospital
for Special Surgery 2009.
Issack PS, Lauerman MH, Helfet DL, Sculco TP, Lane JM. Fat
embolism and respiratory distress associated with cemented
femoral arthroplasty. American Journal of Orthopaedics 2009.
Issack PS, Nousiainen M, Beksac B, Helfet DL, Sculco TP,
Buly RL. Acetabular component revision in total hip
arthroplasty. Part I: cementless shells. American Journal of
Orthopaedics 2009.
Issack PS, Nousiainen M, Beksac B, Helfet DL, Sculco TP,
Buly RL. Acetabular component revision in total hip
arthroplasty. Part II: management of major bone loss and
pelvic discontinuity. American Journal of Orthopaedics 2009.
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 cytokines
is critically important in the determination of myeloid cell fate.
The Journal of Immunology 2010.
Jarrett CA, Ranawat AS, Bruzzone M, Blum YC, Rodriguez JA,
Ranawat CS. The squeaking hip: a phenomenon of ceramic-
on-ceramic total hip arthroplasty. The Journal of Bone & Joint
Surgery 2009.
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.
Kendoff DO, Moreau-Gaudry A, Plaskos C, Granchi C, Sculco TP,
Pearle AD. A navigated 8-in-1 femoral cutting guide for total knee
arthroplasty technical development and cadaveric evaluation.
Journal of Arthroplasty 2010.
Kim HJ, Walcott-Sapp S, Leggett K, Bass A, Adler RS, Pavlov H,
Westrich GH. Detection of pulmonary embolism in the post-
operative orthopedic patient using spiral CT scans.
HSS Journal: The Musculoskeletal Journal of Hospital for
Special Surgery 2009.
Koenig JH, Maheshwari AV, Ranawat AS, Ranawat CS.
Extra-articular deformity is always correctable intra-
articularly: in the affirmative. Orthopedics 2009.
Koulouvaris P, Sculco P, Finerty E, Sculco TP, Sharrock NE.
Relationship between perioperative urinary tract infection
and deep infection after joint arthroplasty. Clinical
Orthopaedics and Related Research 2009.
Lonner JH, Fehring TK, Hanssen AD, Pellegrini VD Jr,
Padgett DE, Wright TM, Potter HG. Revision total knee
arthroplasty: the preoperative evaluation. The Journal of
Bone & Joint Surgery 2009.
Malik A, Salas A, Ben Ari J, Ma Y, González Della Valle A.
Range of motion and function are similar in patients
undergoing TKA with posterior stabilized and high-flexion
inserts. International Orthopaedics 2009.
Mancuso CA, Jout J, Salvati EA, Sculco TP. Fulfillment of
patients’ expectations for total hip arthroplasty. The Journal
of Bone & Joint Surgery 2009.
Matsushita T, Cornell CN. Biomechanics of bone healing:
editorial comment. Clinical Orthopaedics and Related
Research 2009.
Memtsoudis SG, Besculides MC, Gaber L, Liu S, González
Della Valle A. Risk factors for pulmonary embolism after
hip and knee arthroplasty: a population-based study.
International Orthopaedics 2009.
Memtsoudis SG, Ma Y, González Della Valle A. Mazumdar M,
Gaber-Baylis LK, MacKenzie CR, Sculco TP. Perioperative
outcomes after unilateral and bilateral total knee arthroplasty.
Anesthesiology 2009.
Memtsoudis SG, Starcher B, González Della Valle A, Ma Y,
Jules-Elyssee K, Sculco TP. Urine desmosine as a marker of
lung injury in total knee arthroplasty patients. A pilot study.
HSS Journal: The Musculoskeletal Journal of Hospital for
Special Surgery 2009.
Neviaser AS, Chang C, Lyman S, González Della Valle A,
Haas SB. High incidence of complications from enoxaparin
treatment after arthroplasty. Clinical Orthopaedics and
Related Research 2010.
Padgett DE, Lewallen DG, Penenberg BL, Hanssen AD,
Garvin KL, Mahoney OM, Kinsey TL. Surgical technique for
revision total hip replacement. The Journal of Bone & Joint
Surgery 2009.
Philips BD, Liu SS, Wukovits B, Boettner F, Waldman S,
Liguori G, Goldberg S, Goldstein L, Melia J, Hare M, Jasphey L,
Tondel S. Creation of a novel recuperative pain medicine
service to optimize postoperative analgesia and enhance
patient satisfaction. HSS Journal: The Musculoskeletal Journal
of Hospital for Special Surgery 2009.
2009-2010 SELECTED PUBLICATIONSB- AD00 0 09 BP O1009 0 02 2 E E ED PUB ICATI NL CT L ATS SCT CA O
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Ranawat AS, Zelken J, Helfet DL, Buly RL. Total hip
arthroplasty for post-traumatic arthritis after acetabular
fracture. The Journal of Arthroplasty 2009.
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.
Rodriguez JA, Fada R, Murphy SB, Rasquinha VJ, Ranawat
CS. Two-year to five-year follow-up of femoral defects in
femoral revision treated with the link MP modular stem.
The Journal of Arthroplasty 2009.
Rodriguez JA, Goyal A, Thakur RR, Deshmukh AJ, Ranawat
AS, Ranawat CS. Preoperative planning and surgical
technique in the management of periprosthetic femoral
fractures using a tapered modular fluted prosthesis with
distal fixation. Operative Techniques in Orthopaedics 2009.
Sanchez Marquez JM, Del Sel N, Leali A, González Della Valle
A. Case reports: tantalum debris dispersion during revision
of a tibial component for TKA. Clinical Orthopaedics and
Related Research 2009.
Sculco TP. Exercising the soft tissues may help avoid the
nodular formation of patellar clunk. Orthopaedics Today –
Current News in Musculoskeletal Health & Disease 2009.
Sculco TP. Case challenges in total hip arthroplasty. Seminars
in Arthroplasty 2009.
Sculco TP, Klinghoffer IP. Global musculoskeletal health:
inaugural meeting of the International Society of Orthopaedic
Centers. HSS Journal: The Musculoskeletal Journal of
Hospital for Special Surgery 2009.
Sculco TP, Rossi R. Posterior mini-incision approach of the
hip. Seminars in Arthroplasty 2009.
Shah SN, Kaye RJ, Kelly NH, Su ZEP, Padgett DE, Wright TM.
Retrieval analysis of failed constrained acetabular liners.
The Journal of Arthroplasty 2009.
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.
Sussmann PS, Simmen BR, Goldhahn J, ISOC participants,
Sculco TP. Challenges for large orthopaedic hospitals
world-wide – an ISOC position statement. HSS Journal: The
Musculoskeletal Journal of Hospital for Special Surgery 2009.
Toulson C, Walcott-Sapp S, Hur J, Salvati EA, Bostrom MP,
Brause B, Westrich GH. Treatment of infected total hip
arthroplasty with a 2-stage reimplantation protocol: update on
“our institution’s” experience from 1989 to 2003. The Journal
of Arthroplasty 2009.
van der Meulen MC, Yang X, Morgan TG, Bostrom MP.
The effects of loading on cancellous bone in the rabbit. Clinical
Orthopaedics and Related Research 2009.
Vavken P, Castellani L, Sculco TP. Prophylaxis of heterotopic
ossification of the hip: systematic review and meta-analysis.
Clinical Orthopaedics and Related Research 2009.
Walcott-Sapp S, Bornstein L, Bostrom MP, Windsor RE,
Brause B, Westrich GH. Modern treatment of infected total
knee arthroplasty with a two-stage reimplantation protocol.
The Journal of Arthroplasty 2010.
Westrich GH, Bornstein LJ. Prophylactic modalities:
pharmacologic and mechanical compression. Seminars in
Arthroplasty 2009.
Westrich GH, Schaefer S, Walcott-Sapp S, Lyman S.
Randomized prospective evaluation of adjuvant hyaluronic
acid therapy administered after knee arthroscopy. American
Journal of Orthopaedics 2009.
Willie BM, Yang X, Kelly NH, Merkow J, Gagne S, Ware R,
Wright TM, Bostrom MP. Osseointegration into a novel
titanium foam implant in the distal femur of a rabbit.
Journal of Biomedical Materials Research Part B: Applied
Biomaterials 2010.
FOOT AND ANKLE SERVICE
Borens O, Kloen P, Richmond J, Roederer G, Levine DS, Helfet
DL. Minimally invasive treatment of pilon fractures with a
low profile plate: preliminary results in 17 cases. Archives of
Orthopaedic and Trauma Surgery 2009.
Brophy RH, Gamradt SG, Ellis SJ, Barnes RP, Rodeo SA,
Warren RF, Hillstrom H. The effect of turf toe on plantar
contact foot pressures in professional American football players.
Foot and Ankle International 2009.
Ellis SJ, Williams BR, Deyer T, Lehto S, Yu J, Pavlov H,
Moderazo A, Deland JT. Assessment of lateral hindfoot pain
in flatfoot deformity using weightbearing multiplanar
imaging. Foot & Ankle International 2009.
Ellis SJ, Yu JC, Johnson H, O’Malley MJ, Elliott A, Deland JT.
Plantar pressure measurements in patients with lateral
discomfort after lateral column lengthening. The Journal of
Bone & Joint Surgery 2010.
Ellis SJ, Yu JC, Williams BR, Lee C, Chiu YL, Deland JT.
New radiographic parameters assessing forefoot abduction
in the adult-acquired flatfoot deformity. Foot & Ankle
International 2009.
Ellis SJ, Yu JC, Williams BR, Lee C, Chiu YL, Deland JT. Stage IV
flatfoot deformity reconstruction of the deltoid ligament with
peroneus longus autograft. Foot & Ankle International 2009.
32
Foot and Ankle Service (continued)
Oh IC, Ellis SJ, O’Malley MJ. Routine histopathologic evalua-
tion in hallux valgus surgery. Foot & Ankle International 2009.
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 2009.
O’Loughlin PF, Murawski CD, Egan C, Kennedy JG. Ankle
instability in sports. The Physician and Sports Medicine 2009.
Panchbhavi VK, Aronow MS, Digiovanni BF, Giza E,
Grimes JS, Harris TG, Roberts MM, Straus B. Foot and ankle
experience in orthopaedic residency. Foot & Ankle
International 2010.
Rao S, Ellis SJ, Deland JT, Hillstrom H. Nonmedicinal therapy
in the management of ankle arthritis. Current Opinion in
Rheumatology 2010.
Saltzman CL, Mann RA, Ahrens JE, Amendola A,
Anderson RB, Berlet GC, Brodsky JW, Chou LB, Clanton TO,
Deland JT, Deorio JK, Horton GA, Lee TH, Mann JA,
Nunley JA, Thordarson DB, Walling AK, Wapner KL,
Coughlin MJ. Prospective controlled trial of STAR total ankle
replacement versus ankle fusion: initial results. Foot & Ankle
International 2009.
Tellisi N, Deland, JT, Rozbruch SR. Gradual reduction of
chronic fracture dislocation of the ankle using Ilizarov/Taylor
Spatial Frame. Foot & Ankle International 2010. (Accepted for
publication)
Williams BR, Ellis SJ, Deland, JT. Spring ligament
reconstruction in posterior tibial tendon insufficiency.
Current Orthopaedic Practice 2010.
Williams BR, Garg R, Ellis SJ, Pavlov H, Deland JT. Lateral
discomfort after lateral column lengthening for posterior
tibial tendon insufficiency. Clinical Orthopaedics and Related
Research 2010.
Young KW, Deland JT, Lee KT, Lee YK. Medial approaches to
osteochondral lesion of the talus without medial malleolar
osteotomy. Knee Surgery, Sports Traumatology,
Arthroscopy 2010.
HAND AND UPPER EXTREMITY SERVICE
Abdeen A, Hoang BH, Athanasian EA, Morris CD, Boland PJ,
Healey JH. Allograft-prosthesis composite reconstruction of
the proximal part of the humerus. Functional outcome and
survivorship. The Journal of Bone & Joint Surgery 2009.
Carter TI, Pansy B, Wolff AL, Hillstrom HJ, Backus SI,
Lenhoff M, Wolfe SW. Accuracy and reliability of three
different techniques for manual goniometry for wrist motion:
a cadaveric study. The Journal of Hand Surgery 2009.
Farfalli GL, Boland PJ, Morris CD, Athanasian EA,
Healey JH. Early equivalence of uncemented press-fit and
compress femoral fixation. Clinical Orthopaedics and Related
Research 2009.
Giuffrida AY, Gyuricza C, Perino G, Weiland AJ. Foreign body
reaction to artelon spacer: case report. The Journal of Hand
Surgery 2009.
Gyuricza C, Umoh E, Wolfe SW. Multiple pulley rupture
following corticosteroid injection for trigger digit: case report.
The Journal of Hand Surgery 2009.
Healey JH, Abdeen A, Morris CD, Athanasian EA, Boland PJ.
Telescope allograft method to reconstitute the diaphysis in
limb salvage surgery. Clinical Orthopaedics and Related
Research 2009.
Hurst LC, Badalamente MA, Hentz VR, Hotchkiss RN, Kaplan
FT, Meals RA, Smith TM, Rodzvilla J; for the CORD I Study
Group. Injectable collagenase clostridium histolyticum for
Dupuytren’s contracture. The New England Journal of
Medicine 2009.
Kepler CK, Kummer JL, Lorich DG, Weiland AJ.
Radiocapitellar prosthetic arthroplasty for capitellar
nonunion. Journal of Shoulder and Elbow Surgery 2009.
Mandl LA, Hotchkiss RN, Adler RS, Lyman S, Daluiski A,
Wolfe SW, Katz, JN. Injectable hyaluronan for the treatment of
carpometacarpal osteoarthritis: open label pilot trial. Current
Medical Research and Opinion 2009.
Marx RG, Fives G, Chu SK, Daluiski A, Wolfe SW. Allograft
reconstruction for symptomatic chronic complete proximal
hamstring tendon avulsion. Knee Surgery, Sports
Traumatology, Arthroscopy 2009.
Pearce C, Feinberg J, Wolfe SW. Ulnar neuropathy at the wrist.
HSS Journal: The Musculoskeletal Journal of Hospital for
Special Surgery 2009.
Puhaindran ME, Healey JH, Athanasian EA. Single ray
amputation for tumors of the hand. Clinical Orthopaedics
and Related Research 2009.
Tedore TR, YaDeau JT, Maalouf DB, Weiland AJ, Tong-Ngork
S, Wukovits B, Paroli L, Urban MK, Zayas VM, Wu A, Gordon
MA. Comparison of the transarterial axillary block and the
ultrasound-guided infraclavicular block for upper extremity
surgery: a prospective randomized trial. Regional Anesthesia
and Pain Medicine 2009.
Walsh E, Crisco JJ, Wolfe SW. Computer-assisted navigation
of volar percutaneous scaphoid placement. The Journal of
Hand Surgery 2009.
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LIMB LENGTHENING AND
COMPLEX RECONSTRUCTION SERVICE
Gantsoudes G, Fragomen AT, Rozbruch SR. Intraoperative
measurement of mounting parameters for the Taylor Spatial
Frame. Journal of Orthopaedic Trauma 2010.
Kendoff DO, Fragomen AT, Pearle AD, Citak M, Rozbruch SR.
Computer navigation and fixator-assisted femoral osteotomy
for correction of malunion after periprosthetic femur fracture.
The Journal of Arthroplasty 2009.
Khakharia S, Fragomen AT, Rozbruch SR. Limited
quadricepsplasty for contracture during femoral lengthening.
Clinical Orthopaedics and Related Research 2009.
Rozbruch SR, Segal K, Ilizarov S, Fragomen AT, Ilizarov G.
Does the Taylor Spatial Frame accurately correct tibial
deformities? Clinical Orthopaedics and Related Research 2010.
Shafi R, Fragomen AT, Rozbruch SR. Ipsilateral fibular
transport using Ilizarov Taylor Spatial Frame for a limb
salvage reconstruction. A case report. HSS Journal: The
Musculoskeletal Journal of Hospital for Special Surgery 2009.
Tellisi N, Fragomen AT, Kleinman D, O’Malley MJ, Rozbruch
SR. Joint preservation of the osteoarthritic ankle using
distraction arthroplasty. Foot & Ankle International 2009.
METABOLIC BONE DISEASE/MUSCULOSKELETAL ONCOLOGY SERVICE
Baughn LB, Di Liberto M, Niesvizky R, Cho HJ, Jayabalan D,
Lane J, Liu F, Chen-Kiang S. CDK2 phosphorylation of Smad2
disrupts TGF-beta transcriptional regulation in resistant
primary bone marrow myeloma cells. The Journal of
Immunology 2009.
Beamer B, Hettrich C, Lane JM. Vascular endothelial growth
factor: an essential component of angiogenesis and fracture
healing. HSS Journal: The Musculoskeletal Journal of
Hospital for Special Surgery 2009.
Bilezikian JP, Matsumoto T, Bellido T, Khosla S, Martin J,
Recker RR, Heaney R, Seeman E, Papapoulos S, Goldring SR.
Targeting bone remodeling for the treatment of osteoporosis:
summary of the proceedings of an ASBMR workshop.
Journal of Bone and Mineral Research 2009.
Bogunovic L, Doyle SM, Vogiatzi MG. Measurement of bone
density in the pediatric population. Current Opinion in
Pediatrics 2009.
Boskey AL, Frank A, Fujimoto Y, Spevak L, Verdelis K, Ellis B,
Troiano N, Philbrick W, Carpenter T. The PHEX transgene
corrects mineralization defects in 9-month-old hypophos-
phatemic mice. Calcified Tissue International 2009.
Boskey AL, Chiang P, Fermanis A, Brown J, Taleb H, David V,
Rowe PS. MEPE’s diverse effects on mineralization. Calcified
Tissue International 2009.
Boskey AL, Gelb BD, Pourmand E, Kudrashov V, Doty SB,
Spevak L, Schaffler MB. Ablation of cathepsin K activity in
the young mouse causes hypermineralization of long bone
and growth plates. Calcified Tissue International 2009.
Chen IP, Wang CJ, Strecker S, Koczon-Jaremko B, Boskey AL,
Reichenberger EJ. Introduction of a Phe377del mutation in
ANK creates a mouse model for craniometaphyseal dysplasia.
Journal of Bone and Mineral Research 2009.
Cipriano CA, Issack PS, Shindle L, Werner CM, Helfet DL,
Lane JM. Recent advances toward the clinical application
of PTH (1-34) in fracture healing. HSS Journal: The
Musculoskeletal Journal of Hospital for Special Surgery 2009.
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 2009.
Doyle SM, Monahan A. Osteochondroses: a clinical review for
the pediatrician. Current Opinion in Pediatrics 2009.
Dugar A, Farley ML, Wang AL, Goldring MB, Goldring SR,
Swaim BH, Bierbaum BE, Burstein D, Gray ML. The effect of
paraformaldehyde fixation on the delayed gadolinium-
enhanced MRI of cartilage (dGEMRIC) measurement. Journal
of Orthopaedic Research 2009.
Farooki AM. Central obesity and increased risk of dementia
more than three decades later (author reply). Neurology 2009.
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 Musculoskeletal Journal
of Hospital for Special Surgery 2009.
Goldring SR. Needs and opportunities in the assessment
and treatment of osteoarthritis of the knee and hip:
the view of the rheumatologist. The Journal of Bone & Joint
Surgery 2009.
Goldring SR. Periarticular bone changes in rheumatoid
arthritis: pathophysiological implications and clinical utility.
Annals of the Rheumatic Diseases 2009.
Goldring SR. Role of bone in osteoarthritis pathogenesis.
Medical Clinics of North America 2009.
34
Metabolic Bone Disease/Musculoskeletal Oncology Service(continued)
Gordon JK, Magro C, Lu T, Schneider R, Chiu A, Furman RR,
Solomon G, Bass A, Erkan D. Overlap between systemic lupus
erythematosus and Kikuchi Fujimoto disease: a clinical
pathology conference held by the Department of Rheumatology
at Hospital for Special Surgery. HSS Journal: The
Musculoskeletal Journal of Hospital for Special Surgery 2009.
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 2009.
Gourion-Arsiquaud S, Burket JC, Havill LM, DiCarlo E, Doty
SB, Mendelsohn R, van der Meulen MC, Boskey AL. Spatial
variation in osteonal bone properties relative to tissue and
animal age. Journal of Bone and Mineral Research 2009.
Gourion-Arsiquaud S, Faibish D, Myers E, Spevak L,
Compston J, Hodsman A, Shane E, Recker RR, Boskey ER,
Boskey AL. Use of FTIR spectroscopic imaging to identify
parameters associated with fragility fracture. Journal of Bone
and Mineral Research 2009.
Gralow JR, Biermann JS, Farooki AM, Fornier MN, Gagel RF,
Kumar RN, Shapiro CL, Shields A, Smith MR, Srinivas S,
Van Poznak CH. NCCN Task Force report: bone health in
cancer care. Journal of the National Comprehensive Cancer
Network 2009.
Issack PS, Lauerman MH, Helfet DL, Sculco TP, Lane JM. Fat
embolism and respiratory distress associated with cemented
femoral arthroplasty. American Journal of Orthopaedics 2009.
Morr S, Chisena EC, Tomin E, Mangino M, Lane JM. Local
soft tissue compression enhances fracture healing in a rabbit
fibula. HSS Journal: The Musculoskeletal Journal of Hospital
for Special Surgery 2009.
Palestro CJ, Love C, Schneider R. The evolution of nuclear
medicine and the musculoskeletal system. Radiologic Clinics
of North America 2009.
Roy R, Boskey AL, Bonassar LJ. Processing of type I collagen
gels using nonenzymatic glycation. Journal of Biomedical
Materials Research Part A 2009.
Scanzello CR, Umoh E, Pessler F, Diaz-Torne C, Miles T,
Dicarlo E, Potter HG, Mandl L, Marx RG, Rodeo SA, Goldring
SR, Crow MK. Local cytokine profiles in knee osteoarthritis:
elevated synovial fluid interleukin-15 differentiates early from
end-stage disease. Osteoarthritis and Cartilage 2009.
Seidel K, Etzkorn M, Schneider R, Ader C, Baldus M.
Comparative analysis of NMR chemical shift predictions for
proteins in the solid phase. Solid State Nuclear Magnetic
Resonance 2009.
Unnanuntana A, Bonsignore L, Shirtliff ME, Greenfield E.
The effects of farnesol on staphylococcus aureus biofilms and
osteoblasts: an in vitro study. The Journal of Bone & Joint
Surgery 2009.
Unnanuntana A, Dimitroulias A, Bolognesi MP, Hwang KL,
Goodman SB, Marcus RE. Cementless femoral prostheses
cost more to implant than cemented femoral prostheses.
Clinical Orthopaedics and Related Research 2009.
Unnanuntana A, Wagner D, Goodman SB. The accuracy of
preoperative templating in cementless total hip arthroplasty.
The Journal of Arthroplasty 2009.
Vogiatzi MG, Macklin EA, Fung EB, Cheung AM, Vichinsky E,
Olivieri N, Kirby M, Kwiatkowski JL, Cunningham ME, Holm I,
Lane JM, Schneider R, Fleisher M, Grady RW, Peterson C,
Giardina PJ. Bone disease in thalassemia: a frequent and still
unresolved problem. Journal of Bone and Mineral Research 2009.
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 21-month-
old mice. Aging Cell 2009.
Yamamoto T, Schneider R, Iwamoto Y, Bullough PG.
Bilateral rapidly destructive arthrosis of the hip joint resulting
from subchondral fracture with superimposed secondary
osteonecrosis. Skeletal Radiology 2009.
Zhao Y, Urganus AL, Spevak L, Shrestha S, Doty SB,
Boskey AL, Pachman LM. Characterization of dystrophic
calcification induced in mice by cardiotoxin. Calcified Tissue
International 2009.
ORTHOPAEDIC TRAUMA SERVICE
Boraiah S, Barker, JU, Lorich DG. Efficacy of an aiming
device for the placement of distal interlocking screws in
trochanteric fixation nailing. Archives of Orthopaedic and
Trauma Surgery 2009.
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 2009.
Boraiah S, Paul O, Hawkes D, Wickham M, Lorich DG.
Complications of recombinant human BMP-2 for treating
complex tibial plateau fractures: a preliminary report.
Clinical Orthopaedics and Related Research 2009.
Boraiah S, Paul O, Parker RJ, Miller AN, Hentel KD, Lorich DG.
Osteochondral lesions of talus associated with ankle fractures.
Foot & Ankle International 2009.
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Chan DB, Jeffcoat DM, Lorich DG, Helfet DL. Nonunions
around the knee joint. International Orthopaedics 2009.
Dines JS, Hettrich CM, Kelly BT, Savoie FH III, Lorich DG.
Arthroscopic removal of proximal humerus locking plates.
Knee Surgery, Sports Traumatology, Arthroscopy 2009.
Feeley BT, Doty SB, Devcic Z, Warren RF, Lane JM. Deleteri-
ous effects of intermittent recombinant parathyroid hormone
on cartilage formation in a rabbit microfracture model: a
preliminary study. HSS Journal: The Musculoskeletal Journal
of Hospital for Special Surgery 2009.
Gehrig LM, Collinge C, Kaufman J, Lane JM, O’Connor MI,
Tosi LL. Osteoporosis: management and densitometry for
orthopaedic surgeons. Instructional Course Lectures 2009.
Gehrig LM, Lane JM, O’Connor MI. Osteoporosis: management
and treatment strategies for orthopaedic surgeons.
Instructional Course Lectures 2009.
Helfet DL, Hanson B. Evidence was sufficient yesterday,
added value is needed today. American Journal of
Orthopedics 2009.
Issack PS, Helfet DL. Sciatic nerve injury associated with
acetabular fractures. HSS Journal: The Musculoskeletal
Journal of Hospital for Special Surgery 2009.
Issack PS, Nousiainen M, Beksac B, Helfet DL, Sculco TP,
Buly RL. Acetabular component revision in total hip
arthroplasty. Part I: cementless shells. American Journal
of Orthopedics 2009.
Junyent M, Tucker KL, Smith CE, Lane JM, Mattei J, Lai CQ,
Parnell LD, Ordovas JM. The effects of ABCG5/G8 polymor-
phisms on HDL-cholesterol concentrations depend on ABCA1
genetic variants in the Boston Puerto Rican Health Study.
Nutritional, Metabolism & Cardiovascular Diseases 2009.
Kepler CK, Kummer JL, Lorich DG, Weiland AJ.
Radiocapitellar prosthetic arthroplasty for capitellar
nonunion. Journal of Shoulder and Elbow Surgery 2009.
Lane JM, Ismail AE, Chandross M, Lorenz CD, Grest GS.
Forces between functionalized silica nanoparticles in solution.
Physical Review E: Statistical, Nonlinear, and Soft Matter
Physics 2009.
Lenart BA, Neviaser AS, Lyman S, Chang CC, Edobor-Osula
F, Steele B, van der Meulen MC, Lorich DG, Lane JM.
Association of low-energy femoral fractures with prolonged
bisphosphonate use: a case control study. Osteoporosis
International 2009.
Lorenz CD, Lane JM, Chandross M, Stevens MJ, Grest GS.
Molecular dynamics simulations of water confined between
matched pairs of hydrophobic and hydrophilic self-assembled
monolayers. Langmuir 2009.
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 2009.
Morr S, Chisena EC, Tomin E, Mangino M, Lane JM. Local
soft tissue compression enhances fracture healing in a rabbit
fibula. HSS Journal: The Musculoskeletal Journal of Hospital
for Special Surgery 2009.
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 2009.
O’Loughlin PF, Cunningham ME, Bukata SV, Tomin E,
Poynton AR, Doty SB, Sama AA, Lane JM. Parathyroid hormone
(1-34) augments spinal fusion, fusion mass volume, and fusion
mass quality in a rabbit spinal fusion model. Spine 2009.
Prasarn ML, Ahn J, Achor T, Matuszewski P, Lorich DG,
Helfet DL. Management of infected femoral nonunions with a
single-staged protocol utilizing internal fixation. Injury 2009.
Ranawat AS, Zelken J, Helfet DL, Buly RL. Total hip
arthroplasty for posttraumatic arthritis after acetabular
fracture. The Journal of Arthroplasty 2009.
PEDIATRIC ORTHOPAEDIC SERVICE
Doyle SM, Monahan A. Osteochondroses: a clinical review for
the pediatrician. Current Opinion in Pediatrics 2009.
Goldman V, Green DW. Advances in growth plate modulation
for lower extremity malalignment (knock knees and bow
legs). Current Opinion in Pediatrics 2009.
Green DW, Mogekwu N, Scher DM, Handler S, Chalmers P,
Widmann RF. A modification of Klein’s Line to improve
sensitivity of the anterior-posterior radiograph in
slipped capital femoral epiphysis. Journal of Pediatric
Orthopaedics 2009.
Kocher MS, Sink EL, Blasier RD, Luhmann SJ, Mehlman CT,
Scher DM, Matheney T, Sanders JO, Watters WC III, Goldberg
MJ, Keith MW, Haralson RH III, Turkelson CM, Wies JL, Sluka
P, Hitchcock K. Treatment of pediatric diaphyseal femur
fractures. Journal of the American Academy of Orthopaedic
Surgeons 2009.
Raphael BS, Dines JS, Akerman M, Root L. Long-term
follow-up of total hip arthroplasty in patients with cerebral
palsy. Clinical Orthopaedics and Related Research 2009.
Root L. Surgical treatment for hip pain in the adult
cerebral palsy patient. Developmental Medicine & Child
Neurology 2009.
36
Pediatric Orthopaedic Service (continued)
Widmann RF, Amaral TD, Yildiz C, et al. Percutaneous
radiofrequency epiphysiodesis in a rabbit model: a pilot study.
Clinical Orthopaedics and Related Research 2010.
SCOLIOSIS SERVICE
Bess S, Boachie-Adjei O, Burton D, Cunningham M, Shaffrey
C, Shelokov A, Hostin R, Schwab F, Wood K, Akbarnia B.
International Spine Study Group. Pain and disability determine
treatment modality for older patients with adult scoliosis,
while deformity guides treatment for younger patients.
Spine 2009.
Green DW, Mogekwu N, Scher DM, Handler S, Chalmers P,
Widmann RF. A modification of Klein’s Line to improve
sensitivity of the anterior-posterior radiograph in
slipped capital femoral epiphysis. Journal of Pediatric
Orthopaedics 2009.
Hidaka C, Maher S, Packer J, Gasinu S, Cunningham ME,
Rodeo SA. What’s new in orthopaedic research. The Journal
of Bone & Joint Surgery 2009.
Kim HJ, Blanco JS, Widmann RF. Update on the management
of idiopathic scoliosis. Current Opinion in Pediatrics 2009.
O’Loughlin PF, Cunningham ME, Bukata SV, Tomin E,
Poynton AR, Doty SB, Sama AA, Lane JM. Parathyroid
hormone (1-34) augments spinal fusion, fusion mass volume,
and fusion mass quality in a rabbit spinal fusion model.
Spine 2009.
Quirno M, Kamerlink JR, Valdevit A, Kang M, Yaszay B,
Duncan N, Boachie-Adjei O, Lonner BS, Errico TJ. Biomechanical
analysis of a disc prosthesis distal to a scoliosis model.
Spine 2009.
Widmann RF, Amaral TD, Yildiz C, Yang X, Bostrom MP.
Percutaneous radiofrequency epiphysiodesis in a rabbit model:
a pilot study. Clinical Orthopaedics and Related Research 2010.
SPINE SERVICE
Diwan AD, Khan SN, Cammisa FP, Sandhu HS, Lane JM.
Nitric oxide modulates recombinant human bone
morphogenetic protein-2-induced corticocancellous autograft
incorporation: a study in rat intertransverse fusion.
European Spine Journal 2010.
Huang RC, Meredith DS, Taunk R. Transforaminal thoracic
interbody fusion (TTIF) for treatment of a chronic chance
surgery. HSS Journal: The Musculoskeletal Journal of
Hospital for Special Surgery 2009.
Koutsomboulis S, Hughes A, Girardi FP, Cammisa FP, Finerty
EA, Gausden E, Sama AA. Risk factors for postoperative
infection following posterior lumbar instrumented fusion.
The Journal of Bone & Joint Surgery 2010. (In press)
Marawar S, Girardi FP, Sama AA, Ma Y, Gaber-Baylis LK,
Besculides MC, Memtsoudis SG. National trends in anterior
cervical fusion procedures. Spine 2010.
Memtsoudis SG, Hughes A, Ma Y, Chiu YL, Gaber-Baylis LK,
Sama AA, Girardi FP. Perioperative outcomes after primary
anterior and posterior cervical spine fusion. Clinical
Orthopaedics and Related Research 2010.
Papadopoulos EC, O’Leary PF, Pappou IP, Girardi FP.
Spontaneous posterior iliac crest regeneration enabling
second bone graft harvest: a case report. HSS Journal: The
Musculoskeletal Journal of Hospital for Special Surgery 2009.
SPORTS MEDICINE AND SHOULDER SERVICE
Attia E, Brown H, Henshaw R, George S, Hannafin JA. Pat-
terns of gene expression in a rabbit partial anterior cruciate
ligament transection model: the potential role of mechanical
forces. The American Journal of Sports Medicine 2009.
Ballyns JJ, Cohen D, 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 2009.
Barker JU, Drakos MC, Maak TG, Warren RF, Williams RJ III,
Allen AA. Effect of graft selection on the incidence of postop-
erative infection in anterior cruciate ligament reconstruction.
The American Journal of Sports Medicine 2009.
Bedi A, Altchek DW. The “footprint” anterior cruciate
ligament technique: an anatomic approach to anterior cruciate
ligament reconstruction. Arthroscopy: The Journal of
Arthroscopic & Related Surgery 2009.
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 2009.
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 2009.
Besleaga D, Castellano V, Lutz C, Feinberg JH.
Musculocutaneous neuropathy: case report and discussion.
HSS Journal: The Musculoskeletal Journal of Hospital for
Special Surgery 2009.
Black BR, Chong le R, Potter HG. Cartilage imaging in sports
medicine. Sports Medicine and Arthroscopy Review 2009.
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Brockmeier SF, Voos JE, Williams RJ III, Altchek DW,
Cordasco FA, Allen AA; Hospital for Special Surgery Sports
Medicine and Shoulder Service. Outcomes after arthroscopic
repair of type-II SLAP lesions. The Journal of Bone & Joint
Surgery 2009.
Brophy RH, Levy B, Chu S, Dahm DL, Sperling JW, Marx RG.
Shoulder activity level varies by diagnosis. Knee Surgery,
Sports Traumatology, Arthroscopy 2009.
Brophy RH, Gamradt SC, Ellis SJ, Barnes RP, Rodeo SA,
Warren RF, Hillstrom H. Effect of turf toe on foot contact
pressures in professional American football players. Foot
& Ankle International 2009.
Brophy RH, Gill CS, Lyman S, Barnes RP, Rodeo SA, Warren
RF. Effect of anterior cruciate ligament reconstruction and
meniscectomy on length of career in National Football League
athletes; a case control study. The American Journal of Sports
Medicine 2009.
Brophy RH, Rodeo SA, Barnes RP, Powell JW, Warren RF.
Knee articular cartilage injuries in the National Football
League: epidemiology and treatment approach by team
physicians. Journal of Knee Surgery 2009.
Coleman S, Gallo R, Kompel J, Purnell G, Altman G. A low-
profile method of hybrid tibial fixation for soft tissue grafts in
anterior cruciate ligament reconstruction. Orthopedics 2009.
Cooper HJ, Ranawat AS, Potter HG, Foo LF, Jawetz ST,
Ranawat CS. Magnetic resonance imaging in the diagnosis
and management of hip pain after total hip arthroplasty.
The Journal of Arthroplasty 2010.
Cordasco FA, Chen NC, Backus SI, Kelly BT, Williams RJ III,
Otis JC. Subacromial injection improves deltoid firing in
subjects with large rotator cuff tears. HSS Journal: The
Musculoskeletal Journal of Hospital for Special Surgery 2009.
Crawford DC, Heveran CM, Cannon WD, Foo LF, Potter HG.
An autologous cartilage tissue implant NeoCart for treatment
of grade III chondral injury to the distal femur: prospective
clinical safety trial at 2 years. The American Journal of
Sports Medicine 2009.
Dines JS, Hettrich CM, Kelly BT, Savoie FH III, Lorich DG.
Arthroscopic removal of proximal humerus locking plates.
Knee Surgery, Sports Traumatology, Arthroscopy 2009.
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 2009.
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 2009.
Dodson CC, Kitay A, Verma NN, Alder RS, Nguyen J,
Cordasco FA, Altchek DW. The long-term outcome of
recurrent defects after rotator cuff repair. The American
Journal of Sports Medicine 2009.
Dodson CC, Shindle MK, Dines JS, Altchek DW. Arthroscopic
suture anchor repair for lateral patellar instability. Knee
Surgery, Sports Traumatology, Arthroscopy 2009.
Drakos MC, Rudzki JR, Allen AA, Potter HG, Altchek DW.
Internal impingement of the shoulder in the overhead athlete.
The Journal of Bone & Joint Surgery 2009.
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 Musculoskeletal
Journal of Hospital for Special Surgery 2009.
Fetzer GB, Spindler KP, Amendola A, Andrish JT, Bergfeld
JA, Dunn WR, Flanigan DC, Jones M, Kaeding CC, Marx RG,
Matava MJ, McCarty EC, Parker RD, Wolcott M, Vidal A,
Wolf BR, Wright RW. Potential market for new meniscus
repair strategy: evaluation of the MOON cohort. Journal of
Knee Surgery 2009.
Good CR, Shindle MK, Griffith MH, Wanich T, Warren RF.
Effect of radiofrequency energy on glenohumeral fluid
temperature during shoulder arthroscopy. The Journal of
Bone & Joint Surgery 2009.
Gulotta LV, Kovacevic D, Ehteshami JR, Dagher E, Packer JD,
Rodeo SA. Application of bone marrow-derived mesenchymal
stem cells in a rotator cuff repair model. The American
Journal of Sports Medicine 2009.
Gulotta LV, Rudzki JR, Kovacevic, D, Chen CC, Milentijevic D,
Williams RJ III. Chondrocyte death and cartilage degradation
after autologous osteochondral transplantation surgery in a
rabbit model. The American Journal of Sports Medicine 2009.
Hidaka C, Maher S, Packer J, Gasinu S, Cunningham ME,
Rodeo SA. What’s new in orthopaedic research. The Journal
of Bone & Joint Surgery 2009.
Kepler CK, Nho SJ, Ala OL, Craig EV, Wright TM, Warren RF.
Comparison of early and delayed failed total shoulder
arthroplasty. Acta Orthopaedica Belgica 2009.
38
Sports Medicine and Shoulder Service (continued)
Kim M, Foo L, Lyman S, Ryaby JT, 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 Part C:
Methods 2009.
King OS. Infectious disease and boxing. Clinics in Sports
Medicine 2009.
Koenig JH, Ranawat AS, Umans HR, Difelice GS. Meniscal
root tears: diagnosis and treatment. Arthroscopy: The Journal
of Arthroscopic & Related Surgery 2009.
Koff MF, Potter HG. Noncontrast MR techniques and imaging
of cartilage. Radiologic Clinics of North America 2009.
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 2009.
Levy BA, Marx RG. Outcome after knee dislocation. Knee
Surgery, Sports Traumatology, Arthroscopy 2009.
Lonner JH, Fehring TK, Hanssen AD, Pellegrini VD Jr,
Padgett DE, Wright TM, Potter HG. Revision total knee
arthroplasty: the preoperative evaluation. The Journal of
Bone & Joint Surgery 2009.
Lyman S, Koulouvaris P, Sherman S, Do H, Mandl LA, Marx RG.
Epidemiology of anterior cruciate ligament reconstruction:
trends, readmissions, and subsequent knee surgery.
The Journal of Bone & Joint Surgery 2009.
Lyman S, Marx RG, Bach PB. Cost-effectiveness analysis
of an established, effective procedure. Archives of Internal
Medicine 2009.
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 2009.
Mikulic P, Smoljanovic T, Bojanic I, Hannafin JA, Matkovic
BR. Relationship between 2000-m rowing ergometer perform-
ance times and World Rowing Championships rankings in
elite-standard rowers. Journal of Sports Sciences 2009.
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 2009.
Nho SJ, Adler RS, Tomlinson DP, Allen AA, Cordasco FA,
Warren RF, Altchek DW, MacGillivray JD. Arthroscopic
rotator cuff repair: prospective evaluation with sequential
ultrasonography. The American Journal of Sports
Medicine 2009.
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. The American
Journal of Sports Medicine 2009.
O’Loughlin PF, Kendoff D, Pearle AD, Kennedy JG.
Arthroscopic-assisted fluoroscopic navigation for retrograde
drilling of a talar osteochondral lesion. Foot & Ankle
International 2009.
Pearce C, Feinberg J, Wolfe SW. Ulnar neuropathy at the wrist.
HSS Journal: The Musculoskeletal Journal of Hospital for
Special Surgery 2009.
Pellicci PM, Potter HG, Foo LF, Boettner F. MRI shows
biologic restoration of posterior soft tissue repairs after THA.
Clinical Orthopaedics and Related Research 2009.
Potter HG, Black BR, Chong le R. New techniques in articular
cartilage imaging. Clinics in Sports Medicine 2009.
Potter HG, Chong le R. Magnetic resonance imaging assess-
ment of chondral lesions and repair. The Journal of Bone
& Joint Surgery 2009.
Radecki J, Feinberg JH, Zimmer ZR. T1 radiculopathy:
electrodiagnostic evaluation. HSS Journal: The Musculo-
skeletal Journal of Hospital for Special Surgery 2009.
Ranawat AS, Zelken J, Helfet DL, Buly RL. Total hip
arthroplasty for posttraumatic arthritis after acetabular
fracture. The Journal of Arthroplasty 2009.
Ranawat AS, Koenig JH, Thomas AJ, Krna CD, Shapiro LA.
Aligning physician and hospital incentives: the approach at
Hospital for Special Surgery. Clinical Orthopaedics and
Related Research 2009.
Ranawat AS, Nunley R, Bozic K. Executive summary: value-
based purchasing and technology assessment in orthopaedics.
Clinical Orthopaedics and Related Research 2009.
Raphael BS, Dines JS, Akerman M, Root L. Long-term follow-
up of total hip arthroplasty in patients with cerebral palsy.
Clinical Orthopaedics and Related Research 2009.
Richmond J, Hunter D, Irrgang J, Jones MH, Levy B, Marx RG,
Snyder-Mackler L, Watters WC III, Haralson RH III,
Turkelson CM, Wies JL, Boyer KM, Anderson S, St. Andre J,
Sluka P, McGowan R, American Academy of Orthopaedic
Surgeons. Treatment of osteoarthritis of the knee
(nonarthroplasty). Journal of the American Academy of
Orthopaedic Surgeons 2009.
2009-2010 SELECTED PUBLICATIONSB- AD00 0 09 BP O1009 0 02 2 E E ED PUB ICATI NL CT L ATS SCT CA O
39
Ryliskis S, Brophy RH, Kocius M, Marx RG. Shoulder
activity level in the preoperative assessment of patients
with rotator cuff tears. Knee Surgery, Sports Traumatology,
Arthroscopy 2009.
Shindle MK, Marx RG, Kelly BT, Bisson L, Burke CJ III.
Hockey injuries: a pediatric sport update. Current Opinion
in Pediatrics 2009.
Stubbs AJ, Potter HG. Section VII: Chondral lesions. The Journal
of Bone & Joint Surgery 2009.
Toman CV, Dunn WR, Spindler KP, Amendola A, Andrish JT,
Bergfeld JA, Flanigan D, Jones MH, Kaeding CC, Marx RG,
Matava MJ, McCarty EC, Parker RD, Wolcott M, Vidal A,
Wolf BR, Huston LJ, Harrell FE Jr, Wright RW. Success of
meniscal repair at anterior cruciate ligament reconstruction.
The American Journal of Sports Medicine 2009.
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 2009.
Wilson NA, Ranawat AS, Nunley R, Bozic KJ. Executive
summary: aligning stakeholder incentives in orthopaedics.
Clinical Orthopaedics and Related Research 2009.
DEPARTMENT OF BIOMECHANICS
Ballyns JJ, Cohen D, Malone E, Maher SA, Potter HG, Wright
TM, Lipson H, Bonassar LJ. An optical method for evaluation
of geometric fidelity for anatomically shaped tissue engi-
neered constructs. Tissue Engineering Part C: Methods 2009.
Ellis SJ, Hillstrom H, Cheng R, Lipman J, Garrison G, Deland
JT. The development of an intraoperative plantar pressure
assessment device. Foot & Ankle International 2009.
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
disengagement. The Journal of Arthroplasty 2010.
Gao Y, Wineman AS, Waas AM. Time-dependent lateral
transmission of force in skeletal muscle. Proceedings of the
Royal Society 2009.
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.
Gourion-Arsiquad S, Burket JC, Havill LM, DiCarlo E, Doty
SB, Mendelsohn R, van der Meulen MC, Boskey AL. Spatial
variation in osteonal bone properties relative to tissue and
animal age. Journal of Bone and Mineral Research 2009.
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 2010.
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 2009.
Kiuru M, Solomon J, Ghali B, van der Meulen MC, Crystal RG,
Hidaka C. Transient overexpression of sonic hedgehog alters
the architecture and mechanical properties of trabecular bone.
Journal of Bone and Mineral Research 2009.
Lenart BA, Neviaser AS, Lyman S, Chang CC, Edobor-Osula F,
Steele B, van der Meulen MC, Lorich DG, Lane JM. Association
of low-energy femoral fractures with prolonged bisphosphonate
use: a case control study. Osteoporosis International 2009.
Lonner JH, Fehring TK, Hanssen AD, Pellegrini VD Jr,
Padgett DE, Wright TM, Potter HG. Revision total knee
arthroplasty: the preoperative evaluation. The Journal of
Bone & Joint Surgery 2009.
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.
Shah SN, Kaye RJ, Kelly NH, Su EP, Padgett DE, Wright TM.
Retrieval analysis of failed constrained acetabular liners. The
Journal of Arthroplasty 2009.
Stasiak M, Imhauser C, Packer J, Bedi A, Brophy R, Kovacevic
D, Jackson K, Deng XH, Rodeo SA, Torzilli PA. 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.
van der Meulen MC, Yang X, Morgan TG, Bostrom MP. The
effects of loading on cancellous bone in the rabbit. Clinical
Orthopaedics and Related Research 2010.
Willie BM, Yang X, Kelly NH, Merkow J, Gagne S, Ware R,
Wright TM, Bostrom MP. Osseointegration into a novel
titanium foam implant in the distal femur of a rabbit.
Journal of Biomedical Materials Research Part B: Applied
Biomaterials 2010.
Willie BM, Yang X, Kelly NH, Han J, Nair T, Wright TM,
van der Meulen MC, Bostrom MP. An in vivo loading model to
examine cancellous bone osseointegration. Tissue Engineering
Part C: Methods 2010.
40
Front row, from left:
Dr. Edward V. Craig, Dr. Thomas
P. Sculco, Dr. Mathias P. Bostrom,
and Dr. Christopher K. Kepler
Center row, from left:
Dr. Cassie A. Gyuricza, Dr. Anna N. Miller,
and Dr. Andrew S. Neviaser
Top row, from left:
Dr. Ngozi I. Mogekwu, Dr. Daryl C.
Osbahr, Dr. Carolyn M. Hettrich,
Dr. Seth L. Sherman, and
Dr. Bradley S. Raphael
Photo Credit: Brad Hess
HOSPITAL FOR SPECIAL SURGERY2009–2010 ORTHOPAEDIC SURGERY GRADUATING RESIDENTS
ACADEMIC LEADERSHIP
Thomas P. Sculco, MD, Surgeon-in-Chief
Mathias P. Bostrom, MD, Program Director, Orthopaedic Surgery Residency Program
Edward V. Craig, MD, MPH, Associate Program Director, Orthopaedic Surgery Residency Program
Alejandro Leali, MD, PGY-1 Faculty Mentor
2009-2010 ORTHOPAEDIC SURGERY GRADUATING RESIDENTS
Cassie A. Gyuricza, MD, Hand and Upper Extremity Fellowship, Washington University, St. Louis, Barnes Jewish Hospital
Carolyn M. Hettrich, MD, MPH, Sports Medicine Fellowship, Vanderbilt University, Vanderbilt Orthopaedic Institute
Christopher K. Kepler, MD, MBA, Spine Fellowship, Rothman Institute, Thomas Jefferson Hospital
Anna N. Miller, MD, Trauma Fellowship, Harborview Medical Center, University of Washington
Ngozi I. Mogekwu, MD, Hand and Upper Extremity Fellowship, The Cleveland Clinic
Andrew S. Neviaser, MD, Shoulder and Upper Extremity Fellowship, Mt. Sinai Hospital
Daryl C. Osbahr, MD, Sports Medicine Fellowship, University of Alabama
Bradley S. Raphael, MD, Sports Medicine Fellowship, Kerlen Jobe Institute
Seth L. Sherman, MD, Sports Medicine Fellowship, Rush University Medical Center
NANCY KANE BISCHOFF MENTOR AWARD
Andrew J. Weiland, MD
SAMUEL DELGADO, CST AWARD FOR OUTSTANDING EDUCATOR AND MENTOR TO RESIDENTS IN THE OR Samuel Delgado, CST
RICHARD S. LASKIN, MD YOUNG ATTENDING AWARD
Alejandro Leali, MD
JEAN C. MCDANIEL AWARD FOR PROFESSIONALISM, ETHICS AND PEER LEADERSHIP
Anna N. Miller, MD
LEWIS CLARK WAGNER, MD AWARD FOR EXCELLENCE IN ORTHOPAEDIC SURGERY RESEARCH
Carolyn M. Hettrich, MD, MPHThe Effect of Mechanical Load on Tendon-to-Bone Healing
PHILIP D. WILSON, JR., MD TEACHING AWARD
Russell F. Warren, MD
– A A AD D D00 0 09 R R R R RPO O1009 0 02 2 R H PAPAEDI UR ERYRY RADUATIN RE IDENT AT TS S SO O C G G GA AR R RP PO OH PITA F R PE IA UR ERYRYTAL LS S SO O C G
James C. Farmer, MD, Fellowship Program Director,and Thomas P. Sculco, MD, Surgeon-in-Chief
Photo Credit: Brad Hess
HOSPITAL FOR SPECIAL SURGERY2009-2010 ORTHOPAEDIC SURGERY GRADUATING FELLOWS
PHILIP D. WILSON, MD AWARD FOR EXCELLENCE IN ORTHOPAEDIC SURGERY RESEARCH
Sebastian Rodriguez-Elizalde, MDUtilizing Computerized Virtual Surgery to Assess the Impact of Acetabular Rim Osteophytes on the Range of Motion in Total Hip Arthroplasty
ADULT RECONSTRUCTION AND
JOINT REPLACEMENT DIVISION
Craig H. Dushey, MDProuskeh B. Ebrahimpour, MDJordan N. Greenbaum, MD, MBAStephen Kim, MDJonathan H. Lee, MDJacob B. Manuel, MDMichael A. Robinson, MDSebastian Rodriguez-Elizalde, MD, FRCS(C)
FOOT AND ANKLE SERVICE
Stephanie P. Adam, DOLucas J. Bader, MDJ. Turner Vosseller, MD
HAND AND UPPER EXTREMITY SERVICE
William S. Green, MDKristin K. Warner, MDKimberly C. Young, MD
LIMB LENGTHENING AND COMPLEX
RECONSTRUCTION SERVICE
Ryhor Harbacheuski, MD, MSShahab Mahboubian, DO, MPH
METABOLIC BONE DISEASE/MUSCULOSKELETAL ONCOLOGY SERVICE
Kashif Ashfaq, MBBS
ORTHOPAEDIC TRAUMA SERVICE
Daniel B. Chan, MDDevon M. Jeffcoat, MDNeil R. MacIntyre, III, MD
PEDIATRIC ORTHOPAEDIC SERVICE
Vladimir Goldman, MD
SCOLIOSIS/SPINE SERVICE
Rahul D. Chaudhari, MBBSIlya Kupershtein, MDManish Lambat, MBBS, MS, DNBPeter G. Passias, MDRavi J. Patel, MDHiroyuki Yoshihara, MB, PhD
SPORTS MEDICINE AND
SHOULDER SERVICE
Andrea L. Bowers, MDSaadiq F. El-Amin, III, MD, PhDLawrence V. Gulotta, MDCraig S. Mauro, MDFrank A. Petrigliano, MDMichael K. Shindle, MDJames E. Voos, MD
HOSPITAL FOR SPECIAL SURGERY535 East 70th StreetNew York, NY 10021www.hss.edu
The 2009-2010 Annual Report of theDepartment of Orthopaedic Surgery isproduced by the Education Division ofHospital for Special Surgery.
Laura Robbins, DSWSenior Vice PresidentEducation and Academic AffairsDesignated Institutional Officer, GME
Marcia EnnisDirectorEducation Publicationsand Communications
Linda ErranteManaging Editor
Ali WilcoxArt Director
Robert EsselPhotography
About Hospital for Special SurgeryFounded in 1863, Hospital for Special Surgery(HSS) is a world leader in orthopaedics,rheumatology, and rehabilitation. HSS isnationally ranked No. 1 in orthopaedics, No. 3in rheumatology, and No. 16 in neurology byU.S. News & World Report. HSS has alsoreceived Magnet Recognition for Excellence inNursing Service from the American NursesCredentialing Center and has one of the lowestinfection rates in the country. For the last threeyears HSS has received the HealthGrades JointReplacement Excellence Award. A member ofthe NewYork-Presbyterian Healthcare Systemand an affiliate of Weill Cornell Medical College,HSS provides orthopaedic and rheumatologicpatient care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center. All Hospital forSpecial Surgery medical staff are on the facultyof Weill Cornell Medical College. The Hospital’sresearch division is internationally recognized asa leader in the investigation of musculoskeletaland autoimmune diseases.
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