Department of Orthopaedic Surgery 2009-2010 Annual Report

DEPARTMENT OF ORTHOPAEDIC SURGERY 2009-2010 ANNUAL REPORT

THE ART AND SCIENCE OF SOLVING COMPLEX CASES

CONTENTS CO ON T EN TS A Message from the Surgeon-in-Chief

2

Orthopaedic Surgery Services Adult Reconstruction and Joint Replacement Division

Hand and Upper Extremity Service

7 8 9 10 11 12

Limb Lengthening and Complex Reconstruction Service

13

Hip Service Knee Service Surgical Arthritis Service Foot and Ankle Service

Metabolic Bone Disease/ Musculoskeletal Oncology Service Orthopaedic Trauma Service Pediatric Orthopaedic Service Scoliosis Service Spine Service Sports Medicine and Shoulder Service

9 months

Photo at right: Dr. S. Robert Rozbruch, Chief of the Limb Lengthening and Complex Reconstruction Service (center), frequently confronts some of the most difficult orthopaedic challenges, often involving severe loss of bone due to major trauma. He is assisted here by Ryhor Harbacheuski, MD, Fellow. On the following pages, Dr. Rozbruch documents the stages of treatment of a 60-year-old female with a failed pilon fracture repair, osteomyelitis, and advanced destruction of the ankle and distal tibia.

14 15 16 17 18 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

THE PROBLEM

SURGICAL PLANNING

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.

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.

STAGE 1 Debridement and Ankle Fusion

The challenges included eradication of infection, reconstruction of the ankle, and bone lengthening within a reasonable amount of treatment time.

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.

Ankle fusion reconstruction with an Ilizarov/Taylor Spatial Frame (TSF) and eradication of infection

STAGE S TA AG E 2

STAGE S TA AG E 3

THE O OUTCOME UTCO OME

Lengthening with LATN

Rod Insertion

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.

Relevant R ele evant Publications Publica ations Rozbruch SR, Pugsley JS, Fragomen AT, Ilizarov S. Repair of tibial nonunions and bone defects with the Taylor Spatial Frame. Journal of Orthopaedic Trauma 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 Special Surgery 2008; 4:32-42.

10 cm

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.

10 0 cm cm

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; 468:1352-61.

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-CHIEF Thomas 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, rheumatologists, physiatrists, radiologists, anesthesiologists, 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 NewYorkPresbyterian 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 best hospital for patient satisfaction in New York City 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.

2

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 slowing or reversing the progression of degenerative hip disease to delay or eliminate the need for more extensive surgeries.

Photo Credit: Buck Ennis, Crain’s New York Business

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

or revision surgery compared to the statedocumented 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 improvement 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 subspecialty 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.

Department of Orthopaedic Surgery 2009 Patient Care Volume Total Patient Visits: 213,084 Total Surgical Volume: 23,779

12,680 Total Inpatient Surgeries 11,099 Total Ambulatory Surgeries

2009 Surgical Volume by Service

7,447 Adult Reconstruction and Joint Replacement

2,106 Foot and Ankle

2,058 Hand and Upper Extremity

647 Limb Lengthening and Complex 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

In 2009, the Psychomotor Skills Education Lab was reclassified as the Bioskills Education Laboratory to create a broader

3

Peggy P eggy Crow, Crow, MD, MD D, N Named amed H SS Physician-in-Chief P ys Ph ysiician-in-Chiief HSS In April 2010, Mary K. (Peggy) Crow, MD, stepped into the role of Hospital for Special Surgery’s new Physicianin-Chief and Chair of the Division of Rheumatology, succeeding Stephen A. Paget, MD, who served admirably in this position for the past 15 years.

An internationally renowned scientist, Dr. Crow brings a wealth of experience and expertise in autoimmune disorders to the role and an association with HSS spanning more than 30 years.

Dr. Crow’s relationship with Special Surgery and its academic affiliates began in 1978, when she received her MD degree from Cornell University Medical College. She subsequently completed her internship and residency at New York HospitalCornell Medical Center, followed by a fellowship in rheumatology and immunology research at HSS and The Rockefeller University.

Dr. Crow, a tenured Professor of Medicine at Weill Cornell Medical College, has served as Associate Chief, Division of Rheumatology, and Director of Rheumatology Research since 2001. She is a past President of the American College of Rheumatology, and for the last two years, Dr. Crow served as President of the prestigious Henry Kunkel Society.

We are fortunate to have someone of the caliber of Dr. Crow as our new Physician-in-Chief. A distinguished and respected scientist, Dr. Crow provides a model for bench-to-bedside research that will lead to great improvements in patient care.

4

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 triflange 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,

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 Department, 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 organizational 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 oversight 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.

HSS H SS Team Te eam Travels Travels tto oH Haiti aiti A group of HSS orthopaedic trauma surgeons, anesthesiologists, and nurses were one of the first orthopaedic teams to arrive in Haiti just a few days after the catastrophic earthquake. They performed over 120 surgeries in four days before returning home.

Led by David L. Helfet, MD, Director of the Orthopaedic Trauma Service at HSS, and working with physicians from NewYork-Presbyterian Hospital, the team performed surgeries at L’Hôpital de la Communauté Haïtienne, a few miles from the earthquake’s epicenter. Air transport was provided by global medical device company Synthes, and surgical supplies were donated by Synthes, HSS, and NewYorkPresbyterian.

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.

5

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.

Learning to ‘Doctor’ As Medical Director of the Adult Ambulatory Care Center, Alejandro Leali, MD, oversees a large volume of patients referred to the Center from the tri-state area, many with complex conditions and multiple comorbidities. At the Center, patients are evaluated, diagnosed, and treated surgically as well as nonsurgically. Benefitting from exposure to this diverse patient caseload are eight PGY-1 residents who rotate through the various clinics, including hip, knee, spine, and shoulder, for six weeks at a time, giving them a first brush with

6

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 metalloproteases (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

orthopaedic surgery. “The educational yield of these patients is tremendous,” says Dr. Leali, who serves as the PGY-1 Faculty Mentor. “Residents see cases that they would not see in a community private practice on a regular basis, but which we see in the HSS clinics all the time.”

Residents learn history-taking, physical examination, the basics of orthopaedic pathology, and decision-making. “Right out of medical school, they start working with patients as independent doctors – they learn the verb ‘doctoring,’” says Dr. Leali. “Working under direct supervision in the Ambulatory Care Center, they will start making decisions and they will keep those patients under their care for the duration of their rotation.”

The diverse range of cases and patient characteristics seen are valuable for residents at any level, according to Dr. Leali. “We review the images, the

Quality, CERT is a collaborative effort with Weill Cornell Medical College to address questions regarding clinical outcome 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 Orthopaedic Surgery, 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.

pathology, and we discuss the treatment options. Residents start doing injections and everything else that is required.

They begin to get a sense of what it is to treat patients. This is something they will see throughout their career; hopefully they will absorb the good aspects of every single experience during their time with us.

“It’s been quite rewarding in that you see them coming in on day one of a six-week rotation for hip and knee with very little working knowledge,” adds Dr. Leali. “At the end of the rotation, they are able to take the history, examine the patient, review the imaging studies, create a differential diagnosis, and create a plan.

In six weeks, they get really good. They start to feel like they can do this – they’re responsible for the care of another human being, which is what doctoring is all about.”

ADULT RECONSTRUCTION AND JOINT REPLACEMENT DIVISION

The Adult Reconstruction and Joint Replacement Division is composed of the Hip Service, the Knee Service, and the Surgical Arthritis Service. Led by 20 fulltime 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 continued to develop a Total Hip Replacement Rapid Recovery Pathway. These and other pathways have helped improve patient outcomes 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 Fellowship 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 20112012 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 responsibilities 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 interdisciplinary approach, involving close collaboration among the orthopaedic surgeons, radiologists, and the Hospital’s bioengineers. Using applied imaging techniques, such as performance of virtual joint reconstructions, the surgeons and bioengineers 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.

Douglas E. Padgett, MD Chief, Hip Service Steven B. Haas, MD Chief, Knee Service Mark P. Figgie, MD Chief, 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

2009 Surgical Volume

6,859 Inpatient Surgeries

588 Ambulatory Surgeries

Total Surgical Volume: 7,447

Patient Visits Adult Reconstruction and Joint Replacement Division 50,000 40,000 30,000 20,000 10,000 0

2005

2006

2007

2008

2009

7

HIP SERVICE

Douglas E. Padgett, MD Chief, Hip Service

2009 Total Hip Replacements

2,920 Primary Total Hip

Replacements 469 Hip Resurfacing Procedures 417 Revision 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.

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 threedimensional 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

8

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-molecularweight 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.

KNEE SERVICE

Steven B. Haas, MD Chief, Knee Service

Following a routine knee replacement at his local hospital, a patient developed a lifethreatening 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.

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.

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.

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 application of “patient-matched instruments.” This innovative approach begins with a preoperative 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.

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.

While most problems can be anticipated in knee replacement cases, familiarity with

2009 Total Knee Replacements *

3,520 Primary Total Knee

Replacements 300 Revision Total Knee Replacements

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

Our orthopaedic surgeons have a collective body of experience with challenging patients that proves vital when planning for the potential complications of a complex 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.

9

SURGICAL ARTHRITIS SERVICE

Mark P. Figgie, MD Chief, Surgical Arthritis Service

2009-2010 Highlights Adult Reconstruction and Joint Replacement Division Implemented the Unicondylar Knee Pathway and a Total Hip Replacement Rapid Recovery Pathway Enhanced patient education for total hip replacement and total knee replacement patients through books, online material, and educational classes Launched the Center for Hip Pain and Preservation to provide joint-preserving treatment options to young, active adult patients Developed new guidelines for discharge pain prescriptions to help ensure that patients receive adequate medication Initiated an “Industry Dialogue Series” in order to provide a forum to meet and build relationships with device company research teams and exchange ideas about new technologies and opportunities for collaboration

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 foot joints caused constant pain and made it difficult for her to function as a graphic designer. She underwent a fusion on her foot, followed less than a year later by elbow replacement surgery.

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 autoimmune diseases particularly challenging.

Lowered immunity due to drug therapy heightens concern for postoperative infection 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

10

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.

FOOT AND ANKLE SERVICE

Jonathan T. Deland, MD Chief 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 Jonathan T. Deland, MD Chief

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.

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

2009 Patient Care Volume

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.

711 Inpatient Surgeries 1,395 Ambulatory Surgeries

Total Surgical Volume: 2,106 Total Patient Visits: 19,580

2009-2010 Highlights Gaining a reputation globally.

This summer, five traveling fellows spent a week with the Service from around the world as far as Australia.

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 patients the highest possible function Implemented a new ambulatory postoperative pain protocol Continued a clinical outcomes registry with research data now available on more than 22,000 foot and ankle patients

11

HAND AND UPPER EXTREMITY SERVICE

Scott W. Wolfe, MD Chief Edward A. Athanasian, MD Michelle G. Carlson, MD Aaron Daluiski, MD Robert N. Hotchkiss, MD Lana Kang, MD Andrew J. Weiland, MD Scott W. Wolfe, MD Chief

2009 Patient Care Volume

184 Inpatient Surgeries 1,874 Ambulatory Surgeries

Total Surgical Volume: 2,058 Total Patient Visits: 20,199

2009-2010 Highlights Piloted an exchange fellowship rotation with Bellevue Hospital for a month-long microsurgical and replantation training experience Received an NIH grant to advance research to improve the performance of elbow joint replacement Coordinated patient registries for the basal joint, distal radius, carpal tunnel, neoplasia, pediatrics, brachial plexus, elbow, and compression syndrome of the ulna nerve Initiated successful non-surgical treatment for Dupuytren’s contracture with enzymatic injection Continued research on all aspects of elbow reconstruction and challenges to elbow replacement, PIP joint replacement arthroplasty, biologic augmentation of flexor tendon repair, non-invasive motion analysis of the upper extremity, and on the molecular events of fracture healing Planning a peripheral nerve center

12

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 underwent 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.

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 reconstruction 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.

LIMB LENGTHENING AND COMPLEX RECONSTRUCTION SERVICE S. Robert Rozbruch, MD Chief Austin T. Fragomen, MD

S. Robert Rozbruch, MD Chief

2009 Patient Care Volume

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.

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.

368 Inpatient Surgeries 279 Ambulatory Surgeries Total Surgical Volume: 647 Total Patient Visits: 3,309

2009-2010 Highlights Collaborating with the Department of 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 evaluate the effect of platelet-rich plasma on bone healing during limb lengthening and a comparative study of two systems for autologous bone marrow harvesting Pursuing two prospective gait studies evaluating the effect of proximal tibial deformity correction in adults and children Collaborating with the Leon Root, MD Motion Analysis Lab and the Foot and Ankle Service on gait analysis study of patients with complex ankle trauma treated with complex fusions versus below-theknee amputations and a second study evaluating the accuracy of bow leg deformity corrections

13

METABOLIC BONE DISEASE/ MUSCULOSKELETAL ONCOLOGY SERVICE Joseph M. Lane, MD Chief Juliet Aizer, MD, MPH Richard S. Bockman, MD, PhD Adele L. Boskey, PhD Shevaun M. Doyle, MD Azeez M. Farooki, MD Steven R. Goldring, MD Martin Nydick, MD Linda A. Russell, MD Alana Serota, MD Robert Schneider, MD David A. Zackson, MD 2009 Patient Care Volume

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: 9,862 DEXA Scans: 3,410 Nurse Consultations– Osteoporosis Prevention Center: 752 *Surgeries are performed by Hospital for Special Surgery’s orthopaedic surgeons at both HSS and NewYork-Presbyterian/Weill Cornell.

2009-2010 Highlights Continued to grow the Seymour Cohn Metabolic Bone Registry to identify methods to prevent and repair fragility fractures Conducting an NIH-funded study of bone quality, especially in subtrochanteric fractures associated with prolonged bisphosphonate treatment Pursuing a randomized controlled study comparing unipedicular and bipedicular balloon kyphoplasty; a study on the effect of bisphosphonates on biochemical bone markers in patients with teriparatide treatment; and evaluating the prevalence of Vitamin D deficiency among orthopaedic patients at HSS

14

Joseph M. Lane, MD Chief

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.

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 provides 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 osteoporosis 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.

ORTHOPAEDIC TRAUMA HAND AND UPPER SERVICE EXTREMITY SERVICE

David L. Helfet, MD Chief David E. Asprinio, MD Andrew Grose, MD Joseph M. Lane, MD Dean G. Lorich, MD John P. Lyden, MD

David L. Helfet, MD Chief

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.

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.

2009 Patient Care Volume

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

2009-2010 Highlights Studying long-term results of fracture types, including patterns of ligamentous injuries and the related bony injuries with ankle fractures Performing a detailed evaluation and quantitative assessment of the 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 joint identified a new vascular branch to the medial talar neck that has not been previously described in the literature. The finding of this new branch may have broader implications in surgical approaches around the talus.

15

PEDIATRIC ORTHOPAEDIC SERVICE

Roger F. Widmann, MD Chief John S. Blanco, MD Shevaun M. Doyle, MD Daniel W. Green, MD Cathleen L. Raggio, MD Leon Root, MD David M. Scher, MD Ernest L. Sink, MD (as of February 1, 2011)

2009 Patient Care Volume

630 Inpatient Surgeries – Hospital for Special Surgery n 150 Inpatient Surgeries – NewYork-Presbyterian Hospital/ Weill Cornell Medical Center and New York Hospital Queens n 1,690 Ambulatory Surgeries – Hospital for Special Surgery n 3 Ambulatory Surgeries – NewYork-Presbyterian Hospital/ Weill Cornell Medical Center n

Total Surgical Volume: 2,473* Total Patient Visits: 15,826 * Total includes pediatric orthopaedic surgical cases across all HSS orthopaedic services

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 the HSS Pediatric Orthopaedic Fellowship < Hosted “Surgical Advances in Pediatric Orthopaedics” for Annual Alumni Meeting, and two CME courses: Operative Management of Pediatric Fractures and Pediatric Orthopaedics for the Primary Care Provider < Published Family Guide to Pediatric Orthopedic Surgery as well as a series of patient education guides on Pediatric Scoliosis Surgery, Pediatric External Fixators, and Varus Rotational Osteotomy

16

Roger F. Widmann, MD Chief

A 17-year-old male survived being struck by a car going 70 mph, but among the worst of his multiple traumatic injuries was a shattered tibia in his left leg. He had lost about 12 centimeters of bone and doctors in the local ER discussed amputating his leg. The family came to Hospital for Special Surgery where they learned of a technically demanding procedure called bone transport – the bone at the top of the teenager’s tibia would be shifted to the bottom to promote bone growth in the gap between the two ends of the tibia.

The Pediatric Orthopaedic Service at Hospital for Special Surgery has earned a national reputation as a destination hospital for complex pediatric conditions and 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 adults and children is the concern and influence of the growth plate in terms of potential for remodeling or for creating deformity. This is dependent upon whether there is an injury to the growth plate or how the growth plate is managed surgically. The Pediatric Orthopaedic Service addresses some growth plate injuries through resection of the physeal bar that allows for ongoing normal growth.

In the absence of a functioning growth plate either through infection or trauma, surgical procedures to restore growth are performed via limb lengthening.

The Service’s orthopaedic surgeons have achieved great success in patients with early onset scoliosis, and indeed, in cases of extreme deformity of more than 90 degrees.

HSS surgeons have significant expertise with the vertical expandable prosthetic titanium rib (VEPTR) that allows for growth of the

spine, minimizes spinal deformity, and allows for normal lung development. The VEPTR procedure consists of attaching “cradles” to the upper rib cage which are then connected to elongating rods that can either be attached to other ribs, the spine, or occasionally even the top of the pelvis.

These elongating rods are then lengthened every six months to mimic the normal growth of the spine. During this treatment, the spine is not fused in order to allow for continued spine growth while the VEPTR device allows for control of the scoliosis.

Pediatric foot disorders resulting from neuromuscular diseases, particularly cerebral palsy, is a focused subspecialty of the Pediatric Orthopaedic Service. Our pediatric orthopaedic surgeons have applied advanced surgical techniques and implants to the reconstruction of pediatric foot deformities.

HSS provides care for one of the largest populations of osteogenesis imperfecta (OI) in the region. Our surgeons are using new rodding technology – some as small as three millimeters for the femur and humerus.

These specially designed implants do not affect the growth plate, and in many cases, the rods expand as the children grow.

SCOLIOSIS SERVICE

Oheneba Boachie-Adjei, MD Chief John S. Blanco, MD Matthew E. Cunningham, MD, PhD Daniel W. Green, MD, FACS Bernard A. Rawlins, MD Roger F. Widmann, MD

Oheneba Boachie-Adjei, MD Chief

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.

2009 Patient Care Volume

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 preoperative evaluation and the support of subspecialty services, including pulmonary, neurology, internal medicine, and anesthesia specialists, helped to achieve a successful 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 reconstruction – to stabilize the front of the spine.

Other surgical techniques under investigation 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.

410 Inpatient Surgeries 134 Ambulatory Surgeries Total Surgical Volume: 544* Total Patient Visits: 9,801 * Includes pediatric scoliosis

2009-2010 Highlights Instituted the John H. Cobb Scoliosis Fellowship Program to provide comprehensive spine education and training, both operative and nonoperative, in the management of all deformities and pathologies of the cervicothoraco-lumbosacral spine in pediatric and adult patients Upgraded the Scoliosis Registry and database in SCTR 3 to provide ongoing prospective and retrospective clinical reviews of surgically treated patients Conducting numerous research projects, including genetic mapping studies for adolescent idiopathic scoliosis and a multicenter retrospective evaluation of complications following adult spinal surgery working towards a risk scoring system for adult spinal deformity

17

SPINE SERVICE

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

2009 Patient Care Volume

1,869 Inpatient Surgeries

168 Ambulatory Surgeries

Total Surgical Volume: 2,037 Total Patient Visits: 10,540

2009-2010 Highlights Launched the Spine Care Institute, a multidisciplinary center for operative and nonoperative spine care dedicated to advancing new treatments through research and education Developed a patient registry for preand postoperative neurologic function Continuing to participate in the development of clinical pathways to help optimize clinical care and length of stay for spine operative procedures Pursuing prospective randomized controlled trials in non-fusion technologies in lumbar and cervical total disc replacement arthroplasty Collaborating with the Biomechanics Department on a global registry of retrieved total disc replacements to understand wear and failure mechanisms of all the early designs of total disc replacement Developing a new Scoliosis/Deformity Fellowship through both the Spine and Scoliosis Services

18

Frank P. Cammisa, Jr., MD Chief

A 64-year-old man underwent spinal surgery and developed an infection that led to an extreme deformity causing him to tip forward and to one side. The patient came to the Spine Service at HSS for revision surgery that required three very complex and challenging procedures in one 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 reach several 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 patient is standing and walking straight and doing very well.

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 comprehensive center for both operative and nonoperative 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 antiadhesion barriers in anterior spine surgery.

SPORTS MEDICINE AND SHOULDER SERVICE

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

David W. Altchek, MD Co-Chief

Scott A. Rodeo, MD Co-Chief

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.

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 commitment 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.

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

With a better understanding of the limitations of traditional ACL reconstruction, Service members have developed a (continued on page 20)

19

SPORTS MEDICINE AND SHOULDER SERVICE

(continued from page 19)

2009 Patient Care Volume

1,661 Inpatient Surgeries 6,423 Ambulatory Surgeries

Total Surgical Volume: 8,084 Total Patient Visits: 75,504

2009-2010 Highlights Expanded outreach to New York City schools through the Public School Athletic League to provide care for athletes during games and on-site at the Hospital in a clinic established specifically for this population Worked with Rehabilitation staff to develop consensus guidelines for rehabilitation following ACL reconstruction, rotator cuff repair, acromioplasty, and shoulder stabilization Initiated a relationship with New York Road Runners, manager of the New York City Marathon, to provide educational programs and support Instituted a state-of-the-art robotic testing system to rigorously evaluate knee joint mechanics Continued focused research program attention to the areas of knee ligament stability, shoulder stability, rotator cuff tendon healing, and articular cartilage repair Completed a study on arthroscopic treatment of femoro-acetabular impingement, showing that arthroscopy allows a large percentage of athletes to return to a high level of competition and is a good alternative to open surgery in the appropriate patient

20

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 â&#x20AC;&#x201C; 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 accredited sports medicine fellowship positions, an international fellow, and offers a twoyear 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 Serviceâ&#x20AC;&#x2122;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.

DEPARTMENT OF BIOMECHANICS

Timothy M. Wright, PhD Director Donald Bartel, PhD Yingxin Gao, PhD Carl Imhauser, PhD Joseph Lipman, MS Suzanne Maher, PhD Marjolein van der Meulen, PhD

Timothy T iim imoth otthy M oth o M.. Wright, Wri right, t P PhD hD Director Di D iirrreecttoor

Orthopaedic Implants Retrieved 2000

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.

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.

2001 2002 2003 2004 2005 2006 2007 2008 2009 0

200

400

600

800

2009-2010 Highlights 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 performance of elbow joint replacement Received an NIH grant to define the relationship between the material and structural properties of novel materials used to replace soft tissues and the subsequent joint contact mechanics under daily activities Submitted patent applications for several technologies, including constrained condylar knee replacements and elbow replacements Awarded funding from the American Orthopaedic Foot and Ankle Society to investigate the effects of cartilage defects and methods for cartilage repair of the ankle joint

21

PROFESSIONAL STAFF Surgeon-in-Chief and Medical Director Thomas P. Sculco, MD Clinical Director Charles N. Cornell, MD Academic Director Mathias P. Bostrom, MD Orthopaedic Research Director Jo A. Hannafin, MD, PhD Faculty Development Director Scott W. Wolfe, MD ADULT R ECONSTRUCTION AND JOINT R EPLACEMENT D IVISION

Douglas E. Padgett, MD Chief, Hip Service Steven B. Haas, MD Chief, Knee Service Mark P. Figgie, MD Chief, 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 2009-2010 Fellows Yossef Blum, MD Craig H. Dushey, MD Prouskeh B. Ebrahimpour, MD Jordan N. Greenbaum, MD, MBA Stephen Kim, MD Jonathan H. Lee, MD Jacob B. Manuel, MD Michael A. Robinson, MD Sebastian RodriguezElizalde, MD, FRSC(C)

22

FOOT AND ANKLE S ERVICE

Jonathan T. Deland, MD Chief 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 2009-2010 Fellows Stephanie P. Adam, DO Lucas J. Bader, MD J. Turner Vosseller, MD HAND AND U PPER EXTREMITY S ERVICE

Scott W. Wolfe, MD Chief Edward A. Athanasian, MD Michelle G. Carlson, MD Aaron Daluiski, MD Robert N. Hotchkiss, MD Lana Kang, MD Andrew J. Weiland, MD 2009-2010 Fellows William S. Green, MD Kristin K. Warner, MD Kimberly C. Young, MD LIMB LENGTHENING AND COMPLEX R ECONSTRUCTION S ERVICE

S. Robert Rozbruch, MD Chief Austin T. Fragomen, MD 2009-2010 Fellows Rhyor Harbacheuski, MD, MS Shahab Mahboubian, DO, MPH M ETABOLIC BONE D ISEASE / M USCULOSKELETAL ONCOLOGY S ERVICE

Joseph M. Lane, MD Chief Juliet Aizer, MD, MPH Richard S. Bockman, MD, PhD Adele L. Boskey, PhD Shevaun M. Doyle, MD Azeez M. Farooki, MD Steven R. Goldring, MD Martin Nydick, MD Linda A. Russell, MD Alana Serota, MD Robert Schneider, MD David A. Zackson, MD 2009-2010 Fellows Kashif Ashfaq, MBBS Aasis Unnanuntana, MD

ORTHOPAEDIC TRAUMA S ERVICE

David L. Helfet, MD Chief David E. Asprinio, MD Andrew Grose, MD Joseph M. Lane, MD Dean G. Lorich, MD John P. Lyden, MD 2009-2010 Fellows Daniel B. Chan, MD Devon M. Jeffcoat, MD Neil R. MacIntyre, III, MD PEDIATRIC ORTHOPAEDIC S ERVICE

Roger F. Widmann, MD Chief John S. Blanco, MD Shevaun M. Doyle, MD Daniel W. Green, MD, FACS Cathleen L. Raggio, MD Leon Root, MD David M. Scher, MD 2009-2010 Fellow Vladimir Goldman, MD SCOLIOSIS S ERVICE

Oheneba Boachie-Adjei, MD Chief John S. Blanco, MD Matthew E. Cunningham, MD, PhD Daniel W. Green, MD, FACS Bernard A. Rawlins, MD Roger F. Widmann, MD 2009-2010 Fellows Rahul D. Chaudhari, MBBS Ilya Kupershtein, MD Manish Lambat, MBBS, MS, DNB Peter G. Passias, MD Ravi J. Patel, MD Hiroyuki Yoshihara, MB, PhD S PINE S ERVICE

Frank P. Cammisa, Jr., MD Chief James C. Farmer, MD Federico P. Girardi, MD Charles B. Goodwin, MD Russel C. Huang, MD Alexander P. Hughes, MD Joseph M. Lane, MD Patrick F. O’Leary, MD Andrew A. Sama, MD Harvinder S. Sandhu, MD 2009-2010 Fellows Rahul D. Chaudhari, MBBS

Ilya Kupershtein, MD Manish Lambat, MBBS, MS, DNB Peter G. Passias, MD Ravi J. Patel, MD Hiroyuki Yoshihara, MD, PhD S PORTS M EDICINE AND S HOULDER S ERVICE

David W. Altchek, MD Scott A. Rodeo, MD Co-Chiefs 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 2009-2010 Fellows Andrea L. Bowers, MD Saadiq F. El-Amin, MD, PhD, MMS Lawrence V. Gulotta, MD Craig S. Mauro, MD Frank A. Petrigliano, MD Michael K. Shindle, MD James E. Voos, MD

ADULT AMBULATORY CARE CENTER

AFFILIATIONS

Alejandro Leali, MD Medical Director

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

D EPARTMENT OF B IOMECHANICS

MEMORIAL SLOAN-KETTERING CANCER CENTER

Timothy M. Wright, PhD Director Donald Bartel, PhD Yingxin Gao, PhD Carl Imhauser, PhD Joseph Lipman, MS Suzanne Maher, PhD Marjolein van der Meulen, PhD

Orthopaedic Surgery John H. Healey, MD Chief NEW YORK HOSPITAL QUEENS

Department of Orthopaedics and Rehabilitation Jeffrey E. Rosen, MD Chair

R ESEARCH D IVISION

Steven R. Goldring, MD Chief Scientific Officer Lionel B. Ivashkiv, MD Associate Chief Scientific Officer and Director of Basic Research Robert N. Hotchkiss, MD Director of Clinical Research

N EWYORK-PRESBYTERIAN HOSPITAL/WEILL CORNELL M EDICAL CENTER

Combined Orthopaedic Trauma Service David L. Helfet, MD Director Dean G. Lorich, MD Director, Orthopaedic Trauma Service, NewYork-Presbyterian Hospital/Weill Cornell Medical Center N EW YORK U NIVERSITY SCHOOL OF M EDICINE

Plastic Surgery David T.W. Chiu, MD Program Director, Hand Surgery Fellowship

ST. LUKE’S-ROOSEVELT HOSPITAL CENTER

Orthopaedic Surgery William G. Hamilton, MD Senior Attending Orthopaedic Surgeon JAMES J. PETERS VETERANS ADMINISTRATION M EDICAL CENTER - B RONX, NY

Orthopaedic Surgery Sabrina M. Strickland, MD Chief WESTCHESTER M EDICAL CENTER

Orthopaedic Surgery David E. Asprinio, MD Chair and Program Director

E NDOWED 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.

NAMED CHAIRS AND PROFESSORSHIPS

Franchellie M. Cadwell Chair Sergio Schwartzman, MD Collette Kean Research Chair Jane E. Salmon, MD F.M. Kirby Chair in Orthopaedic Biomechanics Timothy M. Wright, PhD David H. Koch Chair for Arthritis and Tissue Degeneration Research Lionel B. Ivashkiv, MD Korein-Wilson Professorship in Orthopaedic Surgery Thomas P. Sculco, MD

Leon Root, MD Chair in Pediatric Orthopaedics Leon Root, MD Benjamin M. Rosen Chair in Immunology and Inflammation Research Peggy K. Crow, MD Virginia F. and William R. Salomon Chair in Musculoskeletal Research Carl Blobel, MD, PhD Eduardo A. Salvati, MD Chair in Hip Arthroplasty Eduardo A. Salvati, MD St. Giles Research Chair Steven R. Goldring, MD

David B. Levine, MD Chair in Scoliosis Oheneba Boachie-Adjei, MD

Starr Chair in Mineralized Tissue Research Adele L. Boskey, PhD

C. Ronald MacKenzie MD Chair in Ethics and Medicine supporting Wayne Shelton, PhD

E NDOWED CHAIRS

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

Joel and Anne Bick Enhrenkranz Chair in Spine Research Richard S. Laskin, MD Chair in Musculoskeletal Education Starr Chair in Tissue Engineering Research Russell F. Warren, MD Research Chair

NAMED FELLOWSHIPS

Robert and Helen Appel Fellowship in Biomedical Engineering Natalie Galley, MASc, and Russell Main, PhD Finn and Barbara Caspersen Fellowship for Spine Research Kai Zhang, MD Charles L. Christian Research Fellowship Lisa Mandl, MD Ira W. DeCamp Fellowship in Musculoskeletal Genetics Mary Goldring, PhD Leo Farbman Fellowship for Pediatric Musculoskeletal Research Michelle Patterson, MS, OTR/L Helen Frankenthaler Fellowship in Restorative Mobility Andrew D. Pearle, MD Ken and Jill Iscol Fellowship in Orthopaedic Research Eduardo Suero, MD Irving and Sally Lipstock Fellowship in Orthopaedic Surgery Frank Petrigliano, MD

Ludwig Fellowship for Women’s Sports Medicine Research Halley Smith, BA William T. Morris Fellowship in Pediatric Rheumatology Theresa Lu, MD, PhD Stavros S. Niarchos – Thomas P. Sculco, MD International Orthopaedic Fellowship Lazaros Poultsides, MD, PhD Mary Rodgers and Henry Guettel Fellowship in Biomedical Mechanics Stephanie Tow Robert and Gillian Steel Fellowship in Musculoskeletal Research Inez Rogatsky, PhD Nancy Dickerson Whitehead Research Fellowship Philipp Mayer-Kuckuk, PhD Fellowship in Arthroplasty Edward Purdue, PhD Immunology and Inflammation Fellowship Victor Guaiquil, PhD

23

2009-2010 2 009-2010 N 009 NOTABLE OTA TAB AB LE A ACHIEVEMENTS CHIEVEMENTS

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

AWARDS AND S PECIAL R ECOGNITION Answorth A. Allen, MD Head 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, MD Medical Director, New York Mets Medical Director, Nets Basketball Mathias P. Bostrom, MD 2009 Philip D. Wilson, Jr., MD Teaching Award, Hospital for Special Surgery Lisa R. Callahan, MD Director of Player Care, New York Knicks and New York Liberty Frank P. Cammisa, Jr., MD Spinal Consultant, New York Giants Spinal Consultant, National Hockey League Players’ Association Struan H. Coleman, MD, PhD Head Team Physician, New York Mets Jonathan T. Deland, MD American Orthopaedic Foot and Ankle Society 2009 Research Award 2009 Service Excellence Award, Healthnetwork Foundation David M. Dines, MD Medical 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, MD Team Physician, U.S. Davis Cup Tennis Team Team Physician, Long Island Ducks Minor League Baseball Team Orthopaedic Consultant, Los Angeles Dodgers Scott J. Ellis, MD Young Investigators Workshop Award, United States Bone and Joint Decade Traveling Fellowship, American Orthopaedic Foot and Ankle Society

24

Stephen Fealy, MD Team Physician, Chaminade High School Joseph H. Feinberg, MD Team Physician, St. Peter’s College Jo A. Hannafin, MD, PhD Team Physician, U.S. Rowing Team Physician, New York Liberty Bryan T. Kelly, MD Associate 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, MD Sports Medicine Coordinator, City University of New York Athletic Conference Associate Medical Director, St. John’s University David B. Levine, MD Recipient of the Lifetime Achievement Award, Scoliosis Society Suzanne Maher, PhD Representative of the Orthopaedic Research Society, Biomedical Engineering Committee, American Academy of Orthopaedic Surgeons David J. Mayman, MD 2009 First Annual Richard S. Laskin, MD Young Attending Award for Demonstrating Exemplary Teaching Skills, Hospital for Special Surgery Michael J. Maynard, MD Medical Director, Department of Athletics, Marist College Stephen J. O’Brien, MD, MBA Chief Orthopaedic Consultant, Department of Athletics, St. John’s University Andrew D. Pearle, MD Assistant Team Physician, New York Mets

Anil S. Ranawat, MD Assistant Team Physician, New York Mets Chitranjan S. Ranawat, MD 2009 Lifetime Achievement Award, Asia Pacific Arthroplasty Society Scott A. Rodeo, MD Associate Team Physician, New York Giants Chair, USA Swimming Sports Medicine Committee Beth E. Shubin Stein, MD Team Physician, U.S. Federation Cup Tennis Team Marjolein van der Meulen, PhD Swanson Chair in Biomedical Engineering, College of Engineering, Cornell University Elected Fellow, American Society of Mechanical Engineers Russell F. Warren, MD Team Physician, New York Giants Thomas L. Wickiewicz, MD Orthopaedic Consultant, Department of Athletics, St. Peter’s College

Mathias P. Bostrom, MD Board 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, MD Board Member, Maurice Muller Foundation of North America Secretary, International Society for Hip Arthroscopy Lisa R. Callahan, MD Advisory Board Member, American Ballet Advisory Board Member, Center for Women’s Healthcare, Weill Cornell Medical College Frank P. Cammisa, Jr., MD Medical Advisory Board, The Alan T. Brown Foundation to Cure Paralysis Michele G. Carlson, MD Member, Kiros Hand Study Organization

Riley J. Williams, III, MD Head Team Physician, Department of Athletics, Iona College Head Team Physician, Nets Basketball Medical Director, New York Red Bulls Orthopaedic Consultant, National Football League

Frank A. Cordasco, MD, MS Board of Directors, Cunningham Dance Foundation Medical Advisory Board, Children of China Pediatrics Foundation

Timothy M. Wright, PhD, and Douglas E. Padgett, MD Awarded 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”

Edward V. Craig, MD, MPH Board of Directors, American Academy of Orthopaedic Surgeons Chairman, Traveling Fellowship, American Orthopaedic Association

LEADERSHIP POSITIONS AND APPOINTMENTS

Jonathan T. Deland, MD Research Committee, Nike Research Committee, Foot and Ankle Society

Michael M. Alexiades, MD Vice President, Alumni Board, Weill Cornell Medical College Answorth A. Allen, MD Master Instructor, Knee and Shoulder Surgery, Learning Center, American Orthopaedic Society for Sports Medicine Education Committee, American Shoulder and Elbow Society Oheneba Boachie-Adjei, MD President, Scoliosis Research Society and The Hibbs Society Richard S. Bockman, MD, PhD Clinical Research Committee, Federation of American Societies for Experimental Biology – Representative for The American Society of Bone and Mineral Research

David M. Dines, MD Planning and Development and Executive Committees, American Shoulder and Elbow Surgeons Education Committee, American Orthopaedic Association Scott J. Ellis, MD Awards Committee, American Orthopaedic Foot and Ankle Society James C. Farmer, MD Spine 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

25

2009-2010 NOTABLE OTA AB LE A ACHIEVEMENTS CH I EVE M E NTS 2009-2010 N

Leadership Positions and Appointments (continued)

Stephen Fealy, MD Technology Committee, Arthroscopy Association of North America Federico P. Girardi, MD International Medical Graduate Committee, Medical Society of the State of New York Daniel W. Green, MD, FACS Board 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 Childrenâ&#x20AC;&#x2122;s Prosthetic-Orthotic Clinics Steven B. Haas, MD Program Chair and New York Coordinator, John N. Insall Traveling Fellows, Knee Society Brian C. Halpern, MD Founding Member and Past President, American Medical Society for Sports Medicine President, Foundation of the American Medical Society for Sports Medicine Jo A. Hannafin, MD, PhD Vice 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, MD Trustee, AO Foundation Chair, Clinical Investigation and Documentation, AO Foundation Technical Commission, AO Foundation

26

Lana Kang, MD Diversity 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, MD Membership Committee, Arthroscopy Association of North America Secretary/Treasurer, Thomas B. Quigley Sports Medicine Society Bryan T. Kelly, MD OLC 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, MD Technical Commission, Teaching Faculty, and Osteoporosis Task Force, AO-ASIF Suzanne Maher, PhD Co-Chair, Scientific Session, Annual Meeting, Orthopaedic Research Society Judge, PhD Student Paper, Summer Bioengineering Conference, American Society of Mechanical Engineers Douglas E. Padgett, MD American 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, MD Vice President, New York State Society of Orthopaedic Surgeons Board of Directors, Member-at-Large, American Academy of Orthopaedic Surgeons Rock G. Positano, DPM, MSc, MPH Board of Trustees, New York College of Podiatric Medicine and Foot Clinics of New York Board of Directors, Childrenâ&#x20AC;&#x2122;s Health Fund Hollis G. Potter, MD Research Committee, American Orthopaedic Society for Sports Medicine Program Committee, International Society for Magnetic Resonance in Medicine

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, MD Founding Member, J. Robert Gladden Society Matthew M. Roberts, MD Post-Graduate Education and Training Committee, American Orthopaedic Foot and Ankle Society Scott A. Rodeo, MD Chair, Research Committee and Council of Delegates, American Orthopaedic Society for Sports Medicine Chair, Professional Liaison Committee, Orthopaedic Research Society Leon Root, MD Chair, Orthopaedic Section, New York Academy of Medicine S. Robert Rozbruch, MD Secondary School Committee, Undergraduate Admissions, University of Pennsylvania Eduardo A. Salvati, MD Past President, American Hip Society Past Secretary/Treasurer, International Hip Society Thomas P. Sculco, MD Executive 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

Jennifer L. Solomon, MD Women’s Sports Medicine Committee, Association of American College of Sports Medicine Edwin P. Su, MD Adult Reconstruction – Hip Program Subcommittee, American Academy of Orthopaedic Surgeons Marjolein van der Meulen, PhD Study Section, Grant Applications, Skeletal Biology Structure and Regeneration, National Institutes of Health Russell F. Warren, MD Founding Member and Past President, American Shoulder and Elbow Surgeons Past President, American Orthopaedic Society for Sports Medicine Past President, Herodicus Society Geoffrey H. Westrich, MD Board Member and Member-at-Large, Program Committee, and 2011 Program Chair, Eastern Orthopaedic Association Thomas L.Wickiewicz, MD Board of Trustees, Medical Publishing Group, American Orthopaedic Society for Sports Medicine Roger F. Widmann, MD Publications Committee, Pediatric Orthopaedic Society of North America Riley J. Williams, III, MD Research and Education Committees, American Orthopaedic Society for Sports Medicine Technology Committee, American Shoulder and Elbow Surgeons Russell E. Windsor, MD Examiner, American Board of Orthopaedic Surgery Scott W. Wolfe, MD Website Committee, Electronic Information Committee, Clinical Trials and Outcomes Committee, and Joint Research Committee, American Society of Surgery for the Hand Timothy M. Wright, PhD Education and Program Committees, The Knee Society Review Committee, Grant Applications, Loan Repayment Program, Challenge Grants and Grand Opportunities Grants, National Institutes of Health

David M. Scher, MD Vice President, Pediatric Orthopaedic Club of New York History Committee, Pediatric Orthopaedic Society of North America

27

2009-2010 NOTABLE OTA AB LE A ACHIEVEMENTS CH I EVE M E NTS 2009-2010 N

EDITORIAL APPOINTMENTS John S. Blanco, MD Reviewer, Journal of Pediatric Orthopaedics Oheneba Boachie-Adjei, MD Board of Associate Editors, Spine Reviewer, Journal of Pediatric Orthopaedics Mathias P. Bostrom, MD Editorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Lisa R. Callahan, MD Editorial Advisor: Journal of Women’s Health; Women’s Health Advisor; Food and Fitness Advisor

Lana Kang, MD Reviewer: Clinical Orthopaedics and Related Research; Journal of Hand Surgery Anne M. Kelly, MD Principal Reviewer, American Journal of Sports Medicine Joseph M. Lane, MD Editorial Boards: Bone; Journal of Arthroplasty; Journal of Orthopaedic Research; Spine; HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

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

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

Charles N. Cornell, MD Editor-in-Chief, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

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

Matthew E. Cunningham, MD, PhD Reviewer: Clinical Orthopaedics and Related Research; HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

Martin J. O’Malley, MD Editorial Advisory Committee, Physician Link

Aaron Daluiski, MD Editorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Jonathan T. Deland, MD Editor-in-Chief, Foot and Ankle Section, Orthopaedia Associate Editor, Foot and Ankle International Journal David M. Dines, MD Treasurer and Board of Trustees, Journal of Shoulder and Elbow Surgery Scott J. Ellis, MD Reviewer: Clinical Orthopaedics and Related Research; HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Joseph H. Feinberg, MD Editorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Austin T. Fragomen, MD Reviewer, Clinical Orthopaedics and Related Research Steven R. Goldring, MD Associate Editor, Arthritis Research & Therapy

28

Daniel W. Green, MD, FACS Editor, Orthopaedics Section, Current Opinion in Orthopaedics Reviewer, Spine Consultant Reviewer: Journal of Pediatric Orthopaedics; Clinical Orthopaedics and Related Research

Robert G. Marx, MD, MSc, FRCSC Senior Associate Editor, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Hollis G. Potter, MD Associate Editor: Imaging; Sports Health Amar S. Ranawat, MD Editorial 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, MD Founder and Editor, Orthopaedics E-Journal S. Robert Rozbruch, MD Editorial Board, Journal of Orthopaedic Trauma Reviewer, Clinical Orthopaedics and Related Research Harvinder S. Sandhu, MD Co-Editor, Symposium Section, Journal of the Spine Arthroplasty Society David M. Scher, MD Editorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Consultant Reviewer: Journal of Pediatric Orthopaedics; Clinical Orthopaedics and Related Research

2009-2010 2 009-2010 SELECTED 009 S E LECTED D PUBLICATIONS P B LICATI PUB CA A ON S AT

Thomas P. Sculco, MD Deputy 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, MD Editorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Andrew J. Weiland, MD Reviewer: 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, MD Treasurer, American Journal of Sports Medicine Roger F. Widmann, MD Consultant Reviewer: Journal of Pediatric Orthopaedics; Clinical Orthopaedics and Related Research; Journal of Children’s Orthopaedics Scott W. Wolfe, MD Reviewer: The Journal of Bone & Joint Surgery; Journal of Orthopaedic Research; Clinical Orthopaedics and Related Research Timothy M. Wright, PhD Co-Editor, Journal of Orthopaedic Research Deputy Editor, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

Hospital for Special Surgery orthopaedic surgeons are prolific authors with scientific and clinical articles routinely published in peer-reviewed journals.

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 heterotopic 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 thromboembolic disease after total joint arthroplasty. Seminars in Arthroplasty 2009.

Haas SB, Westrich GH (Guest Editors). DVT prophylaxis alternatives. Seminars in Arthroplasty 2009.

29

2009-2010 2 009-2010 S 009 SELECTED E LECTED D PUB P PUBLICATIONS B LICATI CA A ON S AT

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.

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.

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.

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.

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.

Mancuso CA, Jout J, Salvati EA, Sculco TP. Fulfillment of patients’ expectations for total hip arthroplasty. The Journal of Bone & Joint Surgery 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 ceramicon-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 postoperative 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 intraarticularly: in the affirmative. Orthopedics 2009.

30

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.

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.

Ranawat AS, Zelken J, Helfet DL, Buly RL. Total hip arthroplasty for post-traumatic arthritis after acetabular fracture. 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.

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.

Vavken P, Castellani L, Sculco TP. Prophylaxis of heterotopic ossification of the hip: systematic review and meta-analysis.

Clinical Orthopaedics and Related Research 2009.

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.

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.

31

2009-2010 2 009-2010 S 009 SELECTED E LECTED D PUB P PUBLICATIONS B LICATI CA A ON S AT

Foot and Ankle Service (continued)

Oh IC, Ellis SJ, O’Malley MJ. Routine histopathologic evaluation 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.

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.

O’Loughlin PF, Murawski CD, Egan C, Kennedy JG. Ankle instability in sports. The Physician and Sports Medicine 2009.

Giuffrida AY, Gyuricza C, Perino G, Weiland AJ. Foreign body reaction to artelon spacer: case report. The Journal of Hand Surgery 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.

Gyuricza C, Umoh E, Wolfe SW. Multiple pulley rupture following corticosteroid injection for trigger digit: case report.

The Journal of Hand Surgery 2009.

Rao S, Ellis SJ, Deland JT, Hillstrom H. Nonmedicinal therapy in the management of ankle arthritis. Current Opinion in Rheumatology 2010.

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.

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

32

different techniques for manual goniometry for wrist motion: a cadaveric study. The Journal of Hand Surgery 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.

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, Oâ&#x20AC;&#x2122;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, Chiang P, Fermanis A, Brown J, Taleb H, David V, Rowe PS. MEPEâ&#x20AC;&#x2122;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 gadoliniumenhanced 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.

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 hypophosphatemic mice. Calcified Tissue International 2009.

33

2009-2010 2 009-2010 S 009 SELECTED E LECTED D PUB P PUBLICATIONS B LICATI CA A ON S AT

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 heterogeneity. Bone 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.

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.

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.

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.

Weinstein RS, Wan C, Liu Q, Wang Y, Almeida M, Oâ&#x20AC;&#x2122;Brien CA, Thostenson J, Roberson PK, Boskey AL, Clemens TL, Manolagas SC. Endogenous glucocorticoids decrease skeletal angiogenesis, vascularity, hydration, and strength in 21-monthold mice. Aging Cell 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.

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.

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.

34

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.

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 S ERVICE 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.

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. 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.

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.

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.

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.

PEDIATRIC ORTHOPAEDIC S ERVICE

Junyent M, Tucker KL, Smith CE, Lane JM, Mattei J, Lai CQ, Parnell LD, Ordovas JM. The effects of ABCG5/G8 polymorphisms on HDL-cholesterol concentrations depend on ABCA1 genetic variants in the Boston Puerto Rican Health Study.

Nutritional, Metabolism & Cardiovascular Diseases 2009.

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

Doyle SM, Monahan A. Osteochondroses: a clinical review for the pediatrician. 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.

35

2009-2010 2 009-2010 S 009 SELECTED E LECTED D PUB P PUBLICATIONS B LICATI CA A ON S AT

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.

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)

SCOLIOSIS S ERVICE

Marawar S, Girardi FP, Sama AA, Ma Y, Gaber-Baylis LK, Besculides MC, Memtsoudis SG. National trends in anterior cervical fusion procedures. Spine 2010.

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.

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.

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.

S PINE S ERVICE

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.

S PORTS M EDICINE AND S HOULDER S ERVICE Attia E, Brown H, Henshaw R, George S, Hannafin JA. Patterns of gene expression in a rabbit partial anterior cruciate ligament transection model: the potential role of mechanical forces. The American Journal of Sports Medicine 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 postoperative 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.

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.

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.

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.

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.

36

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 lowprofile 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.

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.

Dines JS, Hettrich CM, Kelly BT, Savoie FH III, Lorich DG. Arthroscopic removal of proximal humerus locking plates.

Knee Surgery, Sports Traumatology, Arthroscopy 2009.

Hidaka C, Maher S, Packer J, Gasinu S, Cunningham ME, Rodeo SA. Whatâ&#x20AC;&#x2122;s new in orthopaedic research. The Journal of Bone & Joint Surgery 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.

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.

37

2009-2010 2 009-2010 S 009 SELECTED E LECTED D PUB P PUBLICATIONS B LICATI CA A ON S AT

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 undergoing 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 performance 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.

38

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 assessment 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 Musculoskeletal 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: valuebased purchasing and technology assessment in orthopaedics.

Clinical Orthopaedics and Related Research 2009.

Raphael BS, Dines JS, Akerman M, Root L. Long-term followup of total hip arthroplasty in patients with cerebral palsy.

Clinical Orthopaedics and Related Research 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.

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.

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.

Shindle MK, Marx RG, Kelly BT, Bisson L, Burke CJ III. Hockey injuries: a pediatric sport update. Current Opinion in Pediatrics 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.

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.

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.

D EPARTMENT OF B IOMECHANICS

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.

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.

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.

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.

Shah SN, Kaye RJ, Kelly NH, Su EP, Padgett DE, Wright TM. Retrieval analysis of failed constrained acetabular liners. The Journal of Arthroplasty 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.

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.

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.

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.

39

HOS PITA HOSPITAL P TAL A FOR FOR SPECIAL S PE P CIA AL S SURGERY UR RG ERY R RY 2009–2010 2 009–2010 O 009 ORTHOPAEDIC RTHOPA PA D C SURGERY PAEDI SUR RG ERY R G RY GRADUATING RAD AT RADUATIN A G RE R RESIDENTS S IDEN D TS

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

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 G RADUATING R ESIDENTS 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 B ISCHOFF M ENTOR AWARD Andrew J. Weiland, MD

SAMUEL D ELGADO, CST AWARD FOR OUTSTANDING E DUCATOR AND M ENTOR TO R ESIDENTS IN THE OR Samuel Delgado, CST

R ICHARD S. LASKIN, MD YOUNG ATTENDING AWARD Alejandro Leali, MD

J EAN C. MCDANIEL AWARD FOR PROFESSIONALISM, ETHICS AND PEER LEADERSHIP Anna N. Miller, MD

LEWIS CLARK WAGNER, MD AWARD FOR EXCELLENCE IN ORTHOPAEDIC SURGERY R ESEARCH Carolyn M. Hettrich, MD, MPH The Effect of Mechanical Load on Tendon-to-Bone Healing

PHILIP D. WILSON, J R., MD TEACHING AWARD Russell F. Warren, MD

40

HOSPITAL FOR SPECIAL SURGERY 2009-2010 ORTHOPAEDIC SURGERY GRADUATING FELLOWS

James C. Farmer, MD, Fellowship Program Director, and Thomas P. Sculco, MD, Surgeon-in-Chief

ADULT R ECONSTRUCTION AND JOINT R EPLACEMENT D IVISION

LIMB LENGTHENING AND COMPLEX R ECONSTRUCTION S ERVICE

Craig H. Dushey, MD Prouskeh B. Ebrahimpour, MD Jordan N. Greenbaum, MD, MBA Stephen Kim, MD Jonathan H. Lee, MD Jacob B. Manuel, MD Michael A. Robinson, MD Sebastian Rodriguez-Elizalde, MD, FRCS(C)

Ryhor Harbacheuski, MD, MS Shahab Mahboubian, DO, MPH

FOOT AND ANKLE S ERVICE Stephanie P. Adam, DO Lucas J. Bader, MD J. Turner Vosseller, MD

M ETABOLIC BONE D ISEASE / M USCULOSKELETAL ONCOLOGY S ERVICE Kashif Ashfaq, MBBS

ORTHOPAEDIC TRAUMA S ERVICE Daniel B. Chan, MD Devon M. Jeffcoat, MD Neil R. MacIntyre, III, MD

PEDIATRIC ORTHOPAEDIC S ERVICE Vladimir Goldman, MD

HAND AND U PPER EXTREMITY S ERVICE William S. Green, MD Kristin K. Warner, MD Kimberly C. Young, MD

PHILIP D. WILSON, MD AWARD FOR EXCELLENCE IN ORTHOPAEDIC SURGERY R ESEARCH Sebastian Rodriguez-Elizalde, MD Utilizing Computerized Virtual Surgery to Assess the Impact of Acetabular Rim Osteophytes on the Range of Motion in Total Hip Arthroplasty

Photo Credit: Brad Hess

SCOLIOSIS/SPINE SERVICE Rahul D. Chaudhari, MBBS Ilya Kupershtein, MD Manish Lambat, MBBS, MS, DNB Peter G. Passias, MD Ravi J. Patel, MD Hiroyuki Yoshihara, MB, PhD

S PORTS M EDICINE AND S HOULDER S ERVICE Andrea L. Bowers, MD Saadiq F. El-Amin, III, MD, PhD Lawrence V. Gulotta, MD Craig S. Mauro, MD Frank A. Petrigliano, MD Michael K. Shindle, MD James E. Voos, MD

HOSPITAL FOR SPECIAL SURGERY 535 East 70th Street New York, NY 10021 www.hss.edu The 2009-2010 Annual Report of the Department of Orthopaedic Surgery is produced by the Education Division of Hospital for Special Surgery.

Laura Robbins, DSW Senior Vice President Education and Academic Affairs Designated Institutional Officer, GME Marcia Ennis Director Education Publications and Communications Linda Errante Managing Editor Ali Wilcox Art Director Robert Essel Photography About Hospital for Special Surgery Founded in 1863, Hospital for Special Surgery (HSS) is a world leader in orthopaedics, rheumatology, and rehabilitation. HSS is nationally ranked No. 1 in orthopaedics, No. 3 in rheumatology, and No. 16 in neurology by U.S. News & World Report. HSS has also received Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center and has one of the lowest infection rates in the country. For the last three years HSS has received the HealthGrades Joint Replacement Excellence Award. A member of the NewYork-Presbyterian Healthcare System and an affiliate of Weill Cornell Medical College, HSS provides orthopaedic and rheumatologic patient care at NewYork-Presbyterian Hospital/ Weill Cornell Medical Center. All Hospital for Special Surgery medical staff are on the faculty of Weill Cornell Medical College. The Hospitalâ&#x20AC;&#x2122;s research division is internationally recognized as a leader in the investigation of musculoskeletal and autoimmune diseases.

Š 2010 Hospital for Special Surgery. All rights reserved.