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Volume 11, Issue 4 Message from the Chair “This is what Achilles will feel like when he is old. And then I remembered: he will never be old” - Madeline Miller, The Song of Achilles One of the most outstanding caregivers I’ve ever known died recently. His death was sudden, and it occurred during something he did regularly; making a last minute house call in response to someone who urgently needed his help. He was barely middle-aged, seemingly fit, and if he had a visible flaw, perhaps it was working too hard…dawn to dusk, six days a week, eager to help the next person through the door, while never even considering turning anyone away. A veritable maven in his field, he would approach all encounters, mundane or complex, with the same degree of enthusiasm and commitment, and his outcomes were exemplary. But it was his patient, calm, and always steady demeanor that made him truly successful. Far too often, success in medicine is measured by volume. An “accomplished” physician has crowded clinics, performs a lot of procedures, or is too busy to take on new patients. Paradoxically, as the experience level and/or professional standing of some physicians soars, there is a tendency to shun the more challenging patients, in favor of the cases that involve less time or aggravation. The people who sought out the individual I mourn were usually quite demanding, yet he was never too busy, nor did he ever appear outwardly annoyed. His name was Achilles (to this day I don’t know his last name), and he was my auto mechanic for decades. During this time he was entrusted with the care of an aging, 32 year old car that I treasure, and he always treated as if it were his own. Quietly, I’ve marveled (and benefited) from both the quality of his work, as well as the dignified manner by which he approached his job. To his legion of devotees, Achilles is truly irreplaceable. In healthcare, I wonder how many of our patients would actually think the same about us. CONNECTING - - - PATIENT CARE - - - EDUCATION - - - RESEARCH To Be Among the Premier Academic Orthopaedic Departments in the Country The Department of Orthopaedic Surgery and Rehabilitation www.utmb.edu/ortho NEWSLETTER New DOSR Full-Time Faculty The DOSR welcomes Elizabeth Salisbury, PhD, Assistant Professor in Orthopaedic Research. Dr. Salisbury completed her Doctorate work in Translational Biology and Molecular Medicine at Baylor College of Medicine in 2011. She was a Postdoctoral Fellow in the IRACDA Program, Center for Cell and Gene Therapy, at Baylor College of Medicine from 2011-2014. Dr. Salisbury has interest and expertise in histology, heterotopic bone formation, and molecular biology. Fred L. Speck, III, MD has joined the DOSR as an Assistant Professor. Dr. Speck is a 2015 DOSR Residency Program graduate with expertise in General Orthopedics, Orthopaedic Trauma and Sports Medicine. Dr. Speck will also play a chief role in resident education and our Orthopaedic Residency Surgical Simulation Lab. We also welcome Louis S. Stryker, MD, who has joined the DOSR as an Assistant Professor. Dr. Stryker received his MD from the University of Texas Medical School, Houston, TX, completed his Orthopaedic Residency at the Mayo Clinic, Rochester, MN, and an Adult Reconstructive Surgery Fellowship at the OrthoCarolina Hip and Knee Center, Charloe, NC. Dr. Stryker’s expertise is in Adult Joint Reconstruction.

The Department of Orthopaedic Surgery and Rehabilitation ... · This is what Achilles will feel like when he is old. ... -Madeline Miller, The Song of Achilles ... J Cell Biochem,

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Volume 11, Issue 4

Message from the Chair

“This is what Achilles will feel like when he is old. And then I remembered: he will never be old”

- Madeline Miller, The Song of Achilles

One of the most outstanding caregivers I’ve ever known died recently. His death was sudden, and it occurred during

something he did regularly; making a last minute house call in response to someone who urgently needed his help. He

was barely middle-aged, seemingly fit, and if he had a visible flaw, perhaps it was working too hard…dawn to dusk, six

days a week, eager to help the next person through the door, while never even considering turning anyone away.

A veritable maven in his field, he would approach all encounters, mundane or complex, with the same degree of

enthusiasm and commitment, and his outcomes were exemplary. But it was his patient, calm, and always steady

demeanor that made him truly successful.

Far too often, success in medicine is measured by volume. An “accomplished” physician has crowded clinics, performs a

lot of procedures, or is too busy to take on new patients. Paradoxically, as the experience level and/or professional

standing of some physicians soars, there is a tendency to shun the more challenging patients, in favor of the cases that

involve less time or aggravation. The people who sought out the individual I mourn were usually quite demanding, yet

he was never too busy, nor did he ever appear outwardly annoyed.

His name was Achilles (to this day I don’t know his last name), and he was my auto mechanic for decades. During this

time he was entrusted with the care of an aging, 32 year old car that I treasure, and he always treated as if it were his

own. Quietly, I’ve marveled (and benefited) from both the quality of his work, as well as the dignified manner by which

he approached his job. To his legion of devotees, Achilles is truly irreplaceable. In healthcare, I wonder how many of our

patients would actually think the same about us.

CONNECTING - - - PATIENT CARE - - - EDUCATION - - - RESEARCH

To Be Among the Premier Academic Orthopaedic Departments in the Country

The Department of

Orthopaedic Surgery and Rehabilitation

www.utmb.edu/ortho

NEWSLETTER

New DOSR Full-Time Faculty

The DOSR welcomes Elizabeth Salisbury, PhD, Assistant Professor in Orthopaedic Research. Dr. Salisbury

completed her Doctorate work in Translational Biology and Molecular Medicine at Baylor College of

Medicine in 2011. She was a Postdoctoral Fellow in the IRACDA Program, Center for Cell and Gene

Therapy, at Baylor College of Medicine from 2011-2014. Dr. Salisbury has interest and expertise in

histology, heterotopic bone formation, and molecular biology.

Fred L. Speck, III, MD has joined the DOSR as an Assistant Professor. Dr. Speck is a 2015 DOSR

Residency Program graduate with expertise in General Orthopedics, Orthopaedic Trauma and Sports

Medicine. Dr. Speck will also play a chief role in resident education and our Orthopaedic Residency

Surgical Simulation Lab.

We also welcome Louis S. Stryker, MD, who has joined the DOSR as an Assistant Professor. Dr. Stryker

received his MD from the University of Texas Medical School, Houston, TX, completed his Orthopaedic

Residency at the Mayo Clinic, Rochester, MN, and an Adult Reconstructive Surgery Fellowship at the

OrthoCarolina Hip and Knee Center, Charlotte, NC. Dr. Stryker’s expertise is in Adult Joint

Reconstruction.

Publications

Alexander JJ, Morris RP, Kaimrajh D, Milne E, Latta LL, Flink A, Lindsey RW. Biomechanical evaluation of

periprosthetic refractures following distal femur locking plate fixation. Injury. 2015 Dec;46(12):2368-73.

Cowan AC, Stegink-Jansen CW. Hand function after burn injury. In: Clinical Assessment Recommendations, ed. 3.

American Society of Hand Therapists. Chapter 9, pp 157-161.

Dave OH, Patel KA, Andersen CR, Carmichael KD. Surgical procedures needed to eradicate infection in knee septic

arthritis. Orthopedics. 2015 Dec 31:1-5.

Davis EL, Salisbury EA, Olmsted-Davis E, Davis AR. Anaplerotic accumulation of tricarboxylic acid cycle intermediates

as well as changes in other key metabolites during heterotopic ossification. J Cell Biochem, Epub ahead of print, Dec 2

2015.

Drew JM, Griffin WL, Odum SM, Van Doren B, Weston BT, Stryker LS. Survivorship after periprosthetic femur

fracture: Factors affecting outcome. J Arthroplasty. 2015 Dec 9. [Epub ahead of print]

Gray AM, Buford WL, Jr. Incidence of patients with knee strain and sprain occurring at sports or recreation venues

and presenting to United States emergency departments. J Athl Train. 2015 Nov;50(11):1190-8.

Gray AM, Gugala Z, Baillargeon JG. Effects of oral contraceptive use on anterior cruciate ligament injury

epidemiology. Med Sci Sports Exerc. 2015 Nov 4. [Epub ahead of print]

Harris DY, Lindsey RW. Variability in fluoroscopic image acquisition during operative fixation of ankle fractures.

Orthopedics. 2015 Oct 1;38(10):e864-8.

Janssen SJ, Teunis T, Guitton TG, Ring D; Science of Variation Group [includes Todd Siff]. Do surgeons treat their

patients like they would treat themselves? Clin Orthop Relat Res. 2015 Nov;473(11):3564-72.

Klein GL. The effect of glucocorticoids on bone and muscle. Osteoporos Sarcopenia. 2015 Sep 1;1(1):39-45.

Kreuzer SW, Pourmoghaddam A, Leffers KJ, Johnson CW, Dettmer M. Computed tomography analysis of

postsurgery femoral component rotation based on a force sensing device method versus hypothetical rotational

alignment based on anatomical landmark methods: A pilot study. Advances in Orthopedics, vol. 2016, Article ID

4961846, 8 pages, 2016.

Marmor M, Alt V, Latta L, Lane J, Rebolledo B, Egol K, Miclau T. Osteoporotic fracture care: Are we closer to gold

standards? J Orthop Trauma. 2015 Dec;29 Suppl 12:S53-6.

Melvin JS, Stryker LS, Sierra RJ. Tranexamic acid in hip and knee arthroplasty. J Am Acad Orthop Surg. 2015 Dec;23

(12):732-40.

Morris BJ, Sciascia AD, Jacobs CA, Edwards TB. Preoperative opioid use associated with worse outcomes after anatomic

shoulder arthroplasty. J Shoulder Elbow Surg. 2015 Dec 1. [Epub ahead of print]

Bold - Full-time DOSR Faculty or Resident

Bold Italics - Voluntary Faculty

Italics– DOSR Student/Fellow/Staff

Publications Continued

Olson SA, Schemitsch G, Morwood M, Schemitsch E, Russell TA, Latta LL. Hot topics in biomechanics: hip fracture

fixation. J Orthop Trauma. 2015 Dec;29 Suppl 12:S1-5.

Reeves PT, Herndon DN, Tanksley JD, Jennings K, Klein GL, Mlcak RP, Clayton RP, Crites NN, Hays JP, Andersen C,

Lee JO, Meyer W, Suman OE, Finnerty CC. Five-year outcomes after long-term oxandrolone administration in severely

burned children: a randomized clinical trial. Shock. 2015 Oct. 19. [Epub ahead of print]

Schottel PC, O'Connor DP, Brinker MR. Time trade-off as a measure of health-related quality of life: long bone

nonunions have a devastating impact. J Bone Joint Surg Am. 2015 Sep 2;97(17):1406-10.

Sheu CL, Gray AM, Brown D, Smith BA. Sex differences in knee flexion angle during a rapid change of direction while

running. Orthop J Sports Med. 2015 Dec 15;3(12):2325967115617932. eCollection 2015.

Sibonga JD, Spector ER, Johnston SL, Tarver WJ. Evaluating bone loss in ISS astronauts. Aerosp Med Hum Perform.

2015 Dec;86(12 Suppl):A38-44.

Smith SM, Heer M, Shackelford LC, Sibonga JD, Spatz J, Pietrzyk RA, Hudson EK, Zwart SR. Bone metabolism and renal

stone risk during International Space Station missions. Bone. 2015 Dec;81:712-20.

Staub BN, Holman PJ, Reitman CA, Hipp J. Sagittal plane lumbar intervertebral motion during seated flexion-extension

radiographs of 658 asymptomatic nondegenerated levels. J Neurosurg Spine. 2015 Dec;23(6):731-8.

Bold - Full-time DOSR Faculty or Resident

Bold Italics - Voluntary Faculty

Italics– DOSR Student/Fellow/Staff

Presentations

Brett M. Hall, MD, Susan M. Odum, PhD, Thomas K. Fehring, MD, Louis S. Stryker, MD. “Differences in Billing for Total

Joint Arthroplasty Based on Hospital Profit Status.“ American Association of Hip and Knee Surgeons Annual

Meeting, Dallas, TX, November 5-8, 2015.

Gordon L. Klein, MD, “Benefits of Bisphosphonate in Children with Burns: Potential Extension to other

Conditions," FDA Workshop on Osteoporosis Drug Development, Silver Spring, MD, November 4, 2015.

Gordon L. Klein, MD, “The Effect of Burns on Calcium Metabolism,” course on Burn Nutrition,

Shriners Hospital, Galveston, TX, November 12, 2015.

Vinod K. Panchbhavi, MD, “Midfoot TMT Lecture and Cases,” Foot & Ankle Module - Faculty at the

Comprehensive Fracture Course for Residents, 31st Annual Meeting of the Orthopedic Trauma

Association, San Diego, CA, October 9, 2015.

Vinod K. Panchbhavi, MD, “Musculoskeletal and Gait Assessment to Detect Anomalies and Prevent

Ulcers.” Invited International Faculty, 13th DFSICON (Diabetic Foot Society of India) Chandigarh, India,

November 20–22, 2015.

Vinod K. Panchbhavi, MD, “Surgery in Charcot – When & How.” Invited International Faculty, 13th DFSICON

(Diabetic Foot Society of India ) Chandigarh, India, November 20– 22, 2015.

Bold - Full-time DOSR Faculty or Resident

Bold Italics - Voluntary Faculty

Italics– DOSR Student/Fellow/Staff

Presentations Continued

Lattisha Rowe, MD, "The Road to Orthopaedic Surgery,” Morehouse School of Medicine, October, 2015.

Elizabeth A. Salisbury, PhD, ZaWaunyka Lazard, BSEE, Eric Beal, BS, Corinne Sonnet, Eleanor L.

Davis, Elizabeth A. Olmsted-Davis, PhD, Alan R. Davis, PhD. “Peripheral nerves provide essential cellular

components for heterotopic ossification.” American Society of Bone and Mineral Research, 2015 Annual

Meeting, Seattle, WA, October 9-12, 2015.

Louis S. Stryker, MD. “Perioperative Diabetes Management.“ Modifying Risk Factors: Strategies that Work

Symposium, American Association of Hip and Knee Surgeons Annual Meeting, Dallas, TX, November 5-8, 2015.

Louis S. Stryker, MD. The Vagaries of TJA Charges and Payments: Cui Bono? UTMB Department of Orthopaedic

Surgery Grand Rounds, Galveston, TX, November, 2015.

50th Annual Meeting of the Riordan Hand Society in conjunction with the Texas Orthopaedic Association, Tremont Hotel, Galveston, TX, October 15-17, 2015.

Jamie Alexander, MD, Netscher DT, Badal JJ, Yang J, Kaufman Y, Noble P, “Biomechanical Analysis of Cadaveric

Flexor Tendon Repair using Looped Sutures.”

James Bennett, MD, “Elbow Salvage Procedure.”

Kevin Leffers, MD, Glenn M. Garcia, MD, John W. Kosty, MD, Daniel Jupiter, PhD, Matthew Ditzler,

MD, Jorge A. Lee-Diaz, MD, Stephen Dryden, MD, Zbigniew Gugala, MD, PhD, Ronald W. Lindsey, MD,

“Low Dose Radiation Computed Tomography for Detection of Doral Penetrating Screw after Distal

Radius Volar Plating.”

Daniel Torres, MD, “Proximal Median Nerve Entrapment.”

Grand Rounds

October 14, 2015: John P. Dormans, MD, Chief, Pediatric Orthopedic Surgery, Texas Children’s

Hospital, Houston, TX. Dr. Dormans’ lecture was entitled “Musculoskeletal Tumors in

Children: 2015.”

October 28, 2015: Omer Ilahi, MD, founding partner, South West Orthopedic Group, LLP,

Houston, TX. Dr. Ilahi’s lectured was entitled “Practicing Real World Orthopaedics.”

The Department of

Orthopaedic Surgery and

Rehabilitation

Ronald W. Lindsey, MD, FACS

Department Chair

The John Sealy Distinguished

Centennial Chair in Rehabilitation Sciences

Foot & Ankle

Vinod K. Panchbhavi, MD, FACS

Chanel J. Houston, DPM

Hand & Upper Extremity

Lauren N. Hinojosa, MD

Nicholas H. Maassen, MD

John W. Kosty, MD

Niki L. Carayannopoulos, DO

Daniel Torres, MD

Joint Reconstruction &

General Orthopaedics

Stanley D. Allen, MD

John W. Kosty, MD

Kelly W. Stephenson, MD

Kenneth Brooks, MD

Nicholas H. Maassen, MD

Brian A. Smith, MD

Craig L. McDonald, MD

Fred L. Speck III, MD

Louis S. Stryker, MD

Orthopaedic Research

Zbigniew Gugala, MD, PhD

Gordon L. Klein, MD

Elizabeth Salisbury, PhD

William L. Buford, Jr., PhD, PE,

Professor Adjunct

Orthopaedic Trauma

Niki L. Carayannopoulos, DO

Ronald W. Lindsey, MD, FACS

Fred L. Speck III, MD

Pediatric Orthopaedics

Kelly D. Carmichael, MD

David A. Yngve, MD, The E. Burke

Evans Chair in Orthopaedic Sur-

gery

Spine Surgery, Scoliosis Sur-

gery & Rehabilitation

Ronald W. Lindsey, MD, FACS

David A. Yngve, MD

Sports Medicine

Brian A. Smith, MD

Kenneth Brooks, MD

Nicholas H. Maassen, MD

Craig L. McDonald, MD

Honors, Awards, and Acknowledgements

Caroline W. Stegink-Jansen, PhD, was the winner of the Natalie

Barr Lectureship Award by the American Society of Hand

Therapists. This award is among ASHT’s highest honors, recognizing

significant achievements and contributions to the profession of hand

therapy and rehabilitation.

Zbigniew Gugala, MD, PhD, was inducted into the

Academy of Master Teachers at UTMB. Members of this

honorary service organization are selected by their peers

in a competitive process according to specific standards.

Members of AMT serve three-year terms and may be

honored with the designation as University of Texas

Distinguished Teaching Professors.

Zbigniew Gugala, MD, PhD and Ronald W. Lindsey, MD, were recognized by

the Association of Bone and Joint Surgeons Clinical Orthopaedics and Related

Research Board of Trustees as “Top Reviewers” for their contributions to the

journal and to orthopaedic science. DOSR is the only orthopaedic department in

the nation to have this distinction for more than one faculty member.

Gordon L. Klein, MD was selected for the inaugural editorial board of

Osteoporosis and Sarcopenia: Journal of the Asian Federation of Osteoporosis

Societies.

Elizabeth Salisbury, PhD received a Young Investigator Award from the

American Society of Bone and Mineral Research. This award recognizes young

investigators who submit top-ranking abstracts to an ASBMR Meeting.

The publication by Dorothy Y. Harris, MD and Ronald W. Lindsey,

MD, "Variability in Fluoroscopic Image Acquisition During

Operative Fixation of Ankle Fractures,” was selected as one of the

"Editor's Picks" in the October 2015 issue of Orthopedics (vol. 38, no.

10. pp. e864-e868).

DOSR had five surgeons named to Texas Monthly Magazine’s list of Texas Super

Doctors© for 2015. The rigorous selection process identifies physicians who have

attained a high degree of peer recognition and professional achievement.

Congratulations to Kelly D. Carmichael, MD, Ronald W. Lindsey, MD, (both

selected for the 9th year in a row), and Vinod K. Panchbhavi, MD. Congratulations

to Niki L. Carayannopoulos, DO and Louis S. Stryker, MD for being selected as

Texas Rising Stars.

Surgical Procedures Workshop

The DOSR Trauma Program was approved last quarter as an AO Trauma Fellowship Host Center. We will be

hosting two clinical fellows next fall which will bolster our training program and patient care.

More DOSR News

On December 8, 2015, the DOSR held a 3-hour cadaver workshop on total hip arthroplasty and total knee

arthroplasty. The event was directed by our new faculty member Louis Stryker, MD, and sponsored by

Stryker Orthopaedics. This was the first full-scale workshop held in our expanding Resident Anatomy Lab,

and we plan to host several training workshops throughout each year going forward.

Kenneth Brooks, MD has contributed his expertise to two videos featured on UTMB’s

YouTube channel: The Dangers of Concussion in Youth Athletics and Youth Safety in Athletics.

Congratulations to Nick Vance, MD (PGY5) and William K. Wilson, MD (PGY3) who both welcomed baby

girls this quarter.

Kelly Carmichael, MD placed 1st in his age/gender group in the D'Feet Breast Cancer 5K, October 24, 2015,

Galveston, TX.

The DOSR welcomes a new Physician’s Assistant, Andrew Goldstein, MPAS, PA-C. Andrew

received his Master's degree in Physician Assistant Studies at The University of Texas Medical

Branch, Galveston, and will be working with orthopaedic patients on the island.

Eugene Stautberg III, MD, (PGY 4) had an article featured in the October edition of the AAOS

Now Newsletter about the National Orthopaedic Leadership Conference entitled “My first

NOLC!”

More to come in the next issue of the Newsletter…

Volunteer Faculty

To view previous issues of the newsletter, please visit: http://www.utmb.edu/ortho/

Comments, suggestions, and queries on the Newsletter or Website can be addressed to: [email protected]

Oladapo A. Alade, MD

Charlotte B. Alexander, MD

Jeffrey Baker, PhD

James Bennett, MD

James Bocell, MD

Joseph Borrelli, MD

Mark Brinker, MD

Taylor Brown, MD

William L. Buford, Jr., PhD

George Cox, MD

Marc DeHart, MD

Allen Deutsch, MD

Andrew Ebert, MD

T. Bradley Edwards, MD

David W. Edelstein, MD

Daniel Eidman, MD

Gary Gartsman, MD

Stanley Gertzbein, MD

Tyler Goldberg, MD

William Granberry, MD

Thomas Greider, MD

Joseph Gugenheim, MD

Alexander Hadjipavlou, MD

Eric Heinrich, MD

John A. Hipp, PhD

Omer Ilahi, MD

Caroline W. S. Jansen, PhD

Don Johnson, MD

Robert Josey III, MD

Anand Joshi, MD

John Knecht, DPM

Marc Labbe, MD

Glenn C. Landon, MD

Loren Latta, PhD

Adrian LeBlanc, PhD

Bonnie Simpson Mason, MD

Vasilios Mathews, MD

Anita Mercado, MD

Anthony Muffoletto, MD

Haring Nauta, MD

Jose Nolla, MD

Okay Onan, MD

Daniel O'Neill, MD

Manish Patel, MD

Rita Patterson, PhD

Michael Putney, MD

J. Clark Race, MD

David Randall, MD

Eric R. Santos, MD

Walter Sassard, MD

L. Edward Seade, MD

Jack Seaquist, MD

Jean Sibonga, PhD

Sherwin Siff, MD

Todd Siff, MD

Terry Siller, MD

James Simmons III, DO

James Simmons, Jr., MD

Roy Smith, MD

Gregory Stocks, MD

Nicholas Tsourmas, MD

Gregg Vagner, MD

William Watters III, MD

Jeffrey M. Whelan, MD

The New Jennie Sealy Hospital

The new Jennie Sealy Hospital at the University of

Texas Medical Branch is nearing completion and

scheduled to open on April 9, 2016.

The state-of-the-art hospital complex will house 310

beds, 20 operating rooms, intraoperative MRI, day

surgery, and vital connections to the Clinical Services

Wing and future modernization of the John Sealy

Hospital.

To learn more about this exciting new facility, please

visit The New Jennie Sealy Hospital site at UTMB

Health.