Hospital for Special Surgery (HSS) Department of Orthopaedic Surgery 2008-2009 Annual Report by Hospital for Special Surgery

HOSPITAL FOR SPECIAL SURGERY 535 EAST 70TH STREET NEW YORK, NY 10021 www.hss.edu

DEPARTMENT OF ORTHOPAEDIC SURGERY 2008-2009 ANNUAL REPORT

Hospital for Special Surgery is a member of the NewYorkPresbyterian Healthcare System and an affiliate of Weill Cornell Medical College.

CONTENTS A Message from the Surgeon-in-Chief

Orthopaedic Surgery Services

7 7

Adult Limb Lengthening and Deformity Service Adult Reconstruction and Joint Replacement Division Hip Service

The 2008-2009 Annual Report of the Department of Orthopaedic Surgery is produced by the Education Division of Hospital for Special Surgery.

Knee Service Surgical Arthritis Service

Laura Robbins, DSW Vice President Education and Academic Affairs Designated Institutional Officer, GME

Foot and Ankle Service Hand and Upper Extremity Service Metabolic Bone Disease/ Musculoskeletal Oncology Service

Marcia Ennis Manager Publications and Communications Education Division

Orthopaedic Trauma Service Pediatric Orthopaedic Service

Linda Errante Managing Editor

Scoliosis Service

Ali Wilcox Art Director

Spine Service

Robert Essel Brad Hess Photography

Sports Medicine and Shoulder Service

INSIGHTS AND INNOVATIONS IN ORTHOPAEDIC SURGERY

8 9 10 11 12 13 14 15 16 17 18 19

Department of Biomechanics

Professional Staff

Affiliations

Endowed Chairs, Professorships, and Fellowships

2008-2009 Notable Achievements

2008-2009 Selected Publications

Department of Orthopaedic Surgery 2008-2009 Graduating Residents and Fellows

On the cover: Dr. Mathias P. Bostrom received the 2008 Orthopaedic Research and Education Foundation (OREF) Career Development Award, which is facilitating his research in bone healing, with an emphasis on enhancing cancellous bone formation.

In every facet of its mission, the Department of Orthopaedic Surgery at Hospital for Special Surgery is dedicated to the ultimate goal of providing patients the greatest opportunity to return to normal function and the highest probability for a successful outcome. The 2008-2009 Annual Report of the Department of Orthopaedic Surgery features the activities of each of the Department’s surgical services, as well as the work of the Hospital’s Department of Biomechanics, which plays an integral role in each of these services. Whether we are developing new surgical approaches and designing better implants, devices, and instrumentation in concert with bioengineers; fostering research breakthroughs through observations in the clinical arena and interdisciplinary collaborations among clinicians and scientists; or promoting the skills of new and seasoned surgeons through hands-on experience and global education programs—we do so in a deep-rooted culture of insight and innovation.

Graduating orthopaedic surgery resident Lawrence Vincent Gulotta, MD, was selected by the Hospital’s junior residents to receive the Jean C. McDaniel Award for Professionalism, Ethics, and Peer Leadership. Dr. Gulotta also received the Louis Clark Wagner Award for Excellence in Orthopaedic Surgery Research.

HOSPITAL FOR SPECIAL SURGERY 535 EAST 70TH STREET NEW YORK, NY 10021 www.hss.edu

DEPARTMENT OF ORTHOPAEDIC SURGERY 2008-2009 ANNUAL REPORT

Hospital for Special Surgery is a member of the NewYorkPresbyterian Healthcare System and an affiliate of Weill Cornell Medical College.

CONTENTS A Message from the Surgeon-in-Chief

Orthopaedic Surgery Services

7 7

Adult Limb Lengthening and Deformity Service Adult Reconstruction and Joint Replacement Division Hip Service

The 2008-2009 Annual Report of the Department of Orthopaedic Surgery is produced by the Education Division of Hospital for Special Surgery.

Knee Service Surgical Arthritis Service

Laura Robbins, DSW Vice President Education and Academic Affairs Designated Institutional Officer, GME

Foot and Ankle Service Hand and Upper Extremity Service Metabolic Bone Disease/ Musculoskeletal Oncology Service

Marcia Ennis Manager Publications and Communications Education Division

Orthopaedic Trauma Service Pediatric Orthopaedic Service

Linda Errante Managing Editor

Scoliosis Service

Ali Wilcox Art Director

Spine Service

Robert Essel Brad Hess Photography

Sports Medicine and Shoulder Service

INSIGHTS AND INNOVATIONS IN ORTHOPAEDIC SURGERY

8 9 10 11 12 13 14 15 16 17 18 19

Department of Biomechanics

Professional Staff

Affiliations

Endowed Chairs, Professorships, and Fellowships

2008-2009 Notable Achievements

2008-2009 Selected Publications

Department of Orthopaedic Surgery 2008-2009 Graduating Residents and Fellows

A MESSAGE FROM THE SURGEON-IN-CHIEF Thomas P. Sculco, MD As I reflect on the 2008–2009 academic year, I am pleased to report that the Department of Orthopaedic Surgery has made important advances on a number of fronts. Progress in our patient care, research, and educational efforts is the result of superb teamwork among the physicians, scientists, and many health professionals who serve the patients of Hospital for Special Surgery. It is also the product of an intellectual environment that fosters individual initiative, collaborative relationships, and a noticeable esprit de corps.

Photo Credit: Buck Ennis, Crains New York Business

As a specialty institution with a tremendous orthopaedic patient volume—over 22,600 surgical procedures and more than 93,000 patient visits to the Department’s 12 orthopaedic surgery services in 2008—Hospital for Special Surgery affords us the opportunity to focus on all aspects of care of the musculoskeletal patient and to be innovative in our approach to research —from ideas that are pursued in the laboratory, which inform new treatments, to the clinical research that allows us to evaluate conventional surgeries and alternative procedures to achieve maximal outcomes. The magnitude of our caseload also provides our residents and fellows with outstanding training and experience in a diverse range of orthopaedic procedures.

IMPROVING CARE OF PATIENTS

In 2008, the Hospital’s patient volume grew by 13 percent, and the quality and end result of our care as documented by benchmarks and outcome measures continued to be outstanding. To be able to maintain quality while accommodating this significant increase in cases in our new OR facilities is an important accomplishment. During the past year, the Hospital restructured its quality process, enabling us to be more responsive to identifying trends in patient care and service, and to be able to more quickly implement programs to improve performance. Our rates for infection, pulmonary emboli, deep vein thrombosis, myocardial infarctions, and other measures of safety and quality are monitored very carefully. In 2008, the Hospital’s overall surgical site infection rate was reduced from 0.35 percent to 0.26 percent compared to a national rate of more than 2 percent; overall pulmonary embolus rate decreased from 0.48 percent to 0.25 percent; and overall deep vein thrombosis rate showed a reduction from 0.96 percent to 0.43 percent. We continue to work on reducing our infection rate to an absolute minimum, and our best practices in infection control have positioned us as a hospital that is likely to have the lowest infection rate for orthopaedics in the world. In addition, through the Hospital’s Center for Musculoskeletal Perioperative

2008 Surgical Volume

Medicine, our orthopaedic surgery patients—many of whom present with complex comorbidities—are screened by our rheumatologists and internists prior to surgery, helping to ensure the best possible outcomes. We were pleased to welcome Michael J. Klein, MD, as the Director of Laboratory Medicine and Pathologist-in-Chief. Dr. Klein, who is internationally renowned for his work in the surgical pathology of bone and joint diseases, succeeds Peter G. Bullough, MD, who retired as Director and Chief after 40 years of service. Dr. Klein comes to us from the University of Alabama, where he was the Director of Surgical Pathology. At Special Surgery, technology is playing an increasingly important role in the provision of high-quality care. With the installation of CliniCIS in mid-2007, many benefits accrued to clinical practice in 2008 from the availability of electronic patient orders, test results, medication alerts, and chart documentation. A Picture Archiving and Communication System (PACS) is now accessible in our ORs and physician offices, and a new state-of-the-art instrument tracking system has been implemented in central sterile supply. We were very pleased to once again be named the top hospital in the nation in orthopaedics by U.S.News & World Report in its 2008 “America’s Best Hospitals” issue. Hospital for Special Surgery also ranked fourth in the nation for rheumatology. For the 18th

consecutive year, the Hospital has been top ranked in the Northeast for orthopaedics and rheumatology. The Hospital also sustained its first place position in New York State for Joint Replacement Surgery and received the Health Grades Joint Replacement Excellence Award. These honors are a testament to the expertise of our physicians and health professionals and a dedication to continually advance the care we can provide to patients. RESTRUCTURING RESEARCH FOR CLINICAL RESULTS

At the core of the Department of Orthopaedic Surgery is a commitment to pursuing basic, translational, and clinical research. Our scientists understand the problems that arise in the clinical arena and our clinicians are adept in scientific investigation. Their collaborations enable us to translate discoveries much more rapidly and efficiently into improvements in patient care. In an era in which the National Institutes of Health (NIH) had less funding to provide for research, HSS increased its federal grant portfolio by 14.6 percent over 2007, with awards totaling $22.4 million. Total active awards for 2008 totaled $32.7 million, an increase of 14.2 percent or $4.1 million over the previous year. For the past two years, the Hospital has been moving forward with an ambitious plan to integrate its basic, translational, and clinical research efforts to allow us to maintain scientific excellence into the

7,600 Sports Medicine and Shoulder 7,054 Adult Reconstruction and Joint Replacement 2,108 Foot and Ankle 1,845 Spine 1,809 Hand and Upper Extremity 1,620 Orthopaedic Trauma 517* Pediatric Orthopaedics 611 Adult Limb Lengthening and Deformity 334 Scoliosis 111 Metabolic Bone Disease/Musculoskeletal Oncology * 1,570 total pediatric orthopaedic surgical cases

across all orthopaedic services

Inpatient Surgeries* 12000 11,527 10000 8000

9,411

7,207

6000 4000 2000 0

2000

2005

2008

Ambulatory Surgeries* 20000 17, 370 14,434

15000

10000 8,111

5000

2000

2005

2008

* Total number of inpatient and ambulatory

surgeries including minor procedures

2008-2009 > Developed new total ankle replacement and total shoulder replacement systems > Developing robotic technology applications for partial knee replacement > Exploring computer assisted navigation methods for more accurately performing joint replacements and improving ACL reconstructions > Incorporating locking-plate and fixed-angle screw technologies to address fractures in the elderly > Using vertical expandable prosthetic titanium rib for patients with early onset scoliosis > Established an osteolysis registry and repository to track long-term outcomes of patients with joint replacements > Studying ways to minimize bone loss around implants and to develop restorative techniques using new protein-coated implants > Investigating a new method for filling in cartilage defects using a patient’s own cells > Studying the effect of a combination of intermittent parathyroid hormone administration and weight-bearing exercise on new bone formation > Exploring new biological approaches to limb lengthening using adjuvant treatments > Studying the basic biology of meniscus transplantation healing and working with novel synthetic materials for meniscus replacement

future. Our objective is to create a platform for insuring the translation of basic science findings to patient care. To accomplish this, we have created an interdisciplinary model for supporting the physician-scientist career path at Special Surgery, thus providing a critical link for transforming clinical observations into testable research hypotheses and translating research findings into medical advances. Among our interdisciplinary translational research programs is the Osteolysis Translational Center, which is designed both to increase our understanding of osteolysis and identify candidate targets for therapeutic intervention. An osteolysis tissue repository and clinical data registry has been developed that will help elucidate the risk factors and molecular markers for osteolysis and lead to the development of diagnostic tools and treatments for osteolysis. Another translational research team is addressing bone structure and function, with a particular interest in bone healing, including fracture repair, response to implants, spine fusion, and defect healing. Recently, the Hospital created a major research program aimed at osteoarthritis. The Osteoarthritis (OA) Initiative is an integrated basic, translational, and clinical research program that will concentrate on identifying risk factors for OA, prevention or reduction of inflammation at the onset of the disease, medical intervention to slow its progression, and surgical solutions when other means have been exhausted. In addition to building a translational program, we have created a core facility for epidemiology and biostatistics that

is providing clinical trial study design consultation and assistance with questionnaire and database development. This effort is part of our Musculoskeletal Repair and Regeneration Core Center, funded by the National Institutes of Health (NIH), which is dedicated to providing services to further support the coordinated efforts of clinicians, scientists, and engineers. The Research Division was successful in obtaining two NIH Shared Instrumentation Grant awards, allowing the purchase of a musculoskeletal imaging microcomputed tomography (microCT) scanner and a high resolution confocal microscope. The microCT scanner provides a resolution of less than 40 microns, which provides visualization, measurement, and quantification of the structure of bone and expands our ability to determine the geometry, architecture, and material properties of musculoskeletal tissue. The confocal microscope provides high resolution optical imaging that improves our ability to study multiple cellular and in vivo processes. I am pleased to announce that funding has been completed for the Richard S. Laskin, MD Chair in Musculoskeletal Education, which honors the memory of Dr. Laskin, a valued member of the HSS staff for 17 years who passed away early in 2008. The Chair supports two areas of particular interest to Dr. Laskin: the Hospital’s Arthroplasty Registry and the HSS Journal. The Arthroplasty Registry—a component of the Center for Education and Research on Therapeutics—records and tracks detailed information about the thousands of joint replacement surgeries that our orthopaedic

surgeons perform each year. Funded by a multi-year grant from the Agency for Healthcare Research and Quality, CERT is a collaborative effort with Weill Cornell Medical College to address questions regarding clinical outcome measurements, including pain and activity level, variations, and economic impacts of total joint surgeries. Patients will continue to be registered throughout the five-year grant, with an expected enrollment of 20,000 patients. This will make the registry one of the largest joint replacement registries in the world. The Arthroplasty Registry is one of more than 25 patient registries established by the Hospital, uniquely positioning us to conduct clinical research while evaluating how best to apply the most recent innovations in orthopaedics and rheumatology. The HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery, has just printed its eighth issue. This peer-reviewed publication, which was launched in 2005, disseminates pacesetting bone and joint research studies, clinical pathways, and state-of-the-art techniques to the broader musculoskele-

Dr. Charles N. Cornell, Clinical Director of Orthopaedic Surgery at HSS, serves as Editorin-Chief of the HSS Journal, which has recently been accepted into PubMed Central.

tal community. Charles N. Cornell, MD, Clinical Director of Orthopaedic Surgery at HSS, was named Editor-inChief in 2008 following the death of Richard L. Laskin, MD, founding Editor. In 2008, the HSS Journal was accepted into PubMed Central (PMC), a digital archive of biomedical and life sciences journals maintained by the National Institutes of Health, a precursor to full PubMed indexing. In 2005, Jo A. Hannafin, MD, PhD, Orthopaedic Research Director, and Chisa Hidaka, MD, Assistant Scientist, created a formal mentorship program with the goal of attracting the best and brightest medical students to clinical orthopaedics and orthopaedics research early in their medical training with the hopes that they will become the next leaders in the field. Students from Weill Cornell Medical College, Dartmouth University, Pennsylvania State University, Mount Sinai School of Medicine, Albert Einstein College of Medicine, Columbia University, George Washington University, and University of Michigan, to name a few, have taken part in the program. Of the students who were in the first

Outreach Overseas Members of the HSS community are involved in volunteer projects serving areas with limited access to medical care and working to raise the level of musculoskeletal care across the globe. Among them are Oheneba Boachie-Adjei, MD, who has traveled to Ghana and throughout West Africa since 1998, when he established F.O.C.O.S.—The Foundation of Orthopedics and Complex Spine. In June 2008, Frank A. Cordasco, MD, went to Ghana to perform various orthopaedic procedures, including total knee replacement on a woman with long-standing arthritis (photo below). Dr. Cordasco (center) was assisted by an orthopaedic resident (left) and scrub nurse (far right) from Ghana, and Panagiotis Koulouvaris, MD (foreground, left), a former HSS fellow. “It was an afternoon case,” says Dr. Cordasco. “The water had run out. We scrubbed with bottled water, and at one point we lost power during a thunder storm before the generators kicked in.”

Dr. Boachie (far left), accompanied by his scoliosis fellow, Satyajit Marawar, MBBS (middle row, sixth from left), and a volunteer team of HSS physicians, nurses and physical therapists, has just returned from his 25th trip to West Africa. In the past decade, volunteer teams have evaluated thousands of patients from different parts of Africa and performed hundreds of corrective orthopaedic procedures in Ghana. 5

program and have now finished medical school, two have been accepted into orthopaedic residency programs, one is pursuing a year of research at HSS and then will be applying for an orthopaedic residency, and one student was stimulated to pursue an interest in bone tissue engineering. EDUCATION ENDEAVORS

Our orthopaedic residency and fellowship programs continue to be highly competitive. This June, eight orthopaedic residents and 36 orthopaedic surgery fellows were recognized at the Hospital’s 121st graduation ceremonies. In July, we welcomed eight new orthopaedic residents from a pool of more than 500 outstanding applicants. All eight positions were filled with talented and diverse candidates coming from the prestigious medical schools of Brown, Case Western Reserve, Columbia University, Georgetown, Harvard, New York University, Vanderbilt, and Weill Cornell. We continue to expand our international educational initiatives. Under the leadership of Eduardo A. Salvati, MD, and Alejandro Gonzalez Della Valle, MD, and in collaboration with the Hospital’s International Learning and Training Center, we hosted an educational

program on reconstructive surgery featuring presentations on ACL reconstruction with bone tendon bone autograft and shoulder arthroscopic anterior stabilization for 120 orthopaedic surgeons from Spain. The program included two live surgeries transmitted from the OR—a total hip replacement and a knee replacement with computer navigation. In 2006, we founded the International Society of Orthopaedic Centers (ISOC) to facilitate the exchange of ideas and best practices to affect improvement in orthopaedic care on a global scale. Member institutions are specialty orthopaedic hospitals or large orthopaedic departments within a hospital, which perform more than 5,000 total orthopaedic procedures per year and have an orthopaedic staff of more than 20 surgeons who conduct research and training. In October 2008, the ISOC held its second meeting at the Schulthess Klinik in Zurich. During this meeting, members developed a consensus paper on challenges facing us in orthopaedic care and initiated four task forces: Education/Fellowship; Outcome/Clinical Studies/Registries; Implant Retrieval; and Information Exchange/Website.

A Global Alliance The second meeting of the International Society of Orthopaedic Centers—a collaborative group made up of 14 organizations in 11 countries—took place in Zurich, Switzerland in October 2008. ISOC members hail from Belgium, Chile, China, Germany, Italy, Mexico, The Netherlands, Sweden, Switzerland, the United Kingdom, and the United States. The third ISOC meeting is planned to take place at Istituto Ortopedico Rizzoli in Bologna, Italy in spring 2010.

INFLUENCING INNOVATION HSS surgeons, in collaboration with the Hospital’s biomechanical engineers, were among the earliest developers of prosthetic implants, creating joint replacements for the hip, knee, ankle, shoulder, elbow and wrist, as well as devices for enhancing spine fusion and improving spinal stabilization. One-third of all artificial joints manufactured worldwide are derived from designs created here. We continue to improve upon surgical techniques and implant technology to offer patients the greatest opportunity to return to normal function and the highest probability for long-term success of prosthetic joints. We also have been involved in the development of novel imaging protocols, the design of revolutionary fiber optic probes for distinguishing healthy and diseased cartilage during surgery, and computer modelling to solve biomechanical problems in the knee, ankle, and shoulder joints. In the 2008-2009 Annual Report of the Department of Orthopaedic Surgery, we highlight our more recent bench-to-bedside investigations, collaborations, and clinical advances, which are leading to improvements in the health and mobility of patients with musculoskeletal conditions the world over.

ADULT LIMB LENGTHENING AND DEFORMITY SERVICE 3,000 2,500

2004 - 2008 Total Surgical and Patient Visit Volume

2,000 1,500 1,000 500 0

In the four years since its inception, the Adult Limb Lengthening and Deformity Service has experienced substantial growth in clinical volume and research activity. Internationally recognized for its clinical achievements and research and educational initiatives, the Adult Limb Lengthening Service continues to advance innovative approaches to address complex limb deformities resulting from trauma, congenital conditions, or musculoskeletal diseases. In 2008-2009, we explored new biological approaches to limb lengthening using adjuvant treatments to improve and hasten bone healing, which is essential to limb lengthening procedures. Our surgeons have seen positive results with percutaneously injecting concentrated stem cells from a patient’s bone marrow directly into new bone growth to stimulate the healing process time by as much as 25 percent with great benefit and low morbidity. The more quickly the bone heals, the earlier the external fixator frames can be removed and the patient can resume full weight bearing. We continue to collaborate with the Foot and Ankle Service in ankle distraction procedures, the most conservative option for preserving the joint. During surgery, a hinged external fixator designed and developed by our surgeons is applied across the ankle and the arthritic joint is pulled apart. Our

Inpatient Surgeries Patient Visits

surgeons are using both bone marrow stem cells as well as platelet derived growth factor isolated from a person’s peripheral blood—another biological agent—which are injected into the

S. Robert Rozbruch MD, Chief Austin T. Fragomen, MD

joint to stimulate cartilage regeneration in the distracted joint. We recently published very positive outcomes in Foot & Ankle International. The LATN (lengthening and then nailing) and LAP (lengthening and then plating) hybrid techniques, procedures developed at Hospital for Special Surgery, incorporate staging with external fixation to lengthen the bone over time, followed by the insertion of an internal fixation device such as a rod or plate to complete the process without the need for an outside fixator. The technique has proven to be very successful and is currently being employed by surgeons around the country. Working with the Metabolic Bone Disease/Musculoskeletal Oncology Service, our surgeons are pursuing research that examines two stem cell concentration systems to determine which one produces the highest number of bone forming units. Other research underway includes computer navigation and fixator-assisted femoral osteotomy for correction of malunion after periprosthetic femur fracture, and tibial deformity correction with the IlizarovTaylor spatial frame.

2008-2009 > Pioneered the LATN and LAP hybrid techniques, which incorporate external and internal fixation devices > Conducting research on stem cell concentration systems for bone growth > Exploring new biological approaches to limb lengthening to hasten bone healing and improve cartilage rejuvenation > Developed an ankle distraction external fixator apparatus and published outcomes research on the subject > Published Limb Lengthening and Reconstruction Surgery, a 42-chapter authoritative textbook on the subject > Educate and train two limb lengthening clinical fellows per year

ADULT RECONSTRUCTION AND JOINT REPLACEMENT DIVISION 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

In 2008, the Adult Reconstruction and Joint Replacement Division—comprised of the Hip Service, Knee Service, and Surgical Arthritis Service—performed more than 7,000 surgeries, predominately hip and knee replacements, hip and knee revisions, and hip resurfacing. In 2009, the Division held its second annual research retreat with the goal of organizing its active research programs into major thematic groups. The retreat included representatives from the Department of Biomechanics and the Research Division, and physicians from the Hip, Knee, and Surgical Arthritis Services. Participants identified areas of common research interest and explored research collaborations that would achieve the greatest impact and results. Projects currently underway include: Osteoarthritis Initiative The OA Initiative is an unprecedented collaboration of our clinicians, basic scientists, and clinical researchers, undertaken to examine factors associated with the development of osteoarthritis and potential interventions to prevent this degenerative joint disease. Perioperative Issues Our clinicians are exploring patient care issues that include the optimal way to reduce the risk of blood clots following total joint replacement surgery, medications and implants used, and improving ways to rapidly mobilize patients for a safe discharge. Bone Restoration Researchers are studying ways to minimize bone loss around implants and to develop restorative techniques using new proteincoated implants, as well as systemic drug therapies, including parathyroid hormone and other agents. In the Hospital’s Osteolysis Laboratory, clinician-scientists

continue research to understand the body’s response to artificial joints, and the mechanism triggering the development of particulates, such as the bits of polymers, ceramic, and metal that wear off implants over time. Physicians are seeking answers as to why in some patients that process initiates an extremely aggressive reaction resulting in bone loss, yet in other patients, there is no reaction. The goal is to identify patients who might be at risk for these responses and determine how to modify that reaction by using a biologic agent. Registries and Outcomes The Hospital’s Arthroplasty Registry, which is a comprehensive database that records and tracks detailed information about the thousands of joint replacement surgeries that take place at the Hospital each year, is expected to ultimately become one of the largest joint replacement registries in the world. In addition to storing information about perioperative health status, implant types, and patient demographics, the registry tracks a variety of clinical outcome measurements over time, including pain and activity level. By following the functioning of joint replacement patients over long periods, our surgeons hope to determine which surgical practices and implant models are most effective. The Adult Reconstruction and Joint Replacement Division is facilitating the Center for Education and Research on Therapeutics (CERT) – a multi-year grant from the Agency for Healthcare Research and Quality that is dedicated to addressing questions regarding outcomes, variations, and economic impacts of total joint surgeries. In addition to looking at trends for complications, CERT has been expanded to examine issues such as patient expectations and factors affecting

HIP SERVICE 2008 Primary and Revision Total Hip Replacements

2,730 Primary Total Hip Replacements 384 Revision Total Hip Replacements

outcomes in patients who have had hip, knee, or shoulder replacements at Hospital for Special Surgery. The Division’s comprehensive Hip and Knee Replacement Registry continues to collect data to address questions of performance, the interplay of perioperative variables and medical co-morbidities, as well as the functional outcomes of joint replacement, hip replacement, knee replacement, and how patients respond to different bearings, materials, implants, and surgical approaches. HIP SERVICE Hospital for Special Surgery is one of the largest centers for hip problems in the country. In 2008, the Hip Service continued to experience remarkable growth, performing an unprecedented number of surgeries—including primary and revision replacements, hip resurfacing, and arthroscopic procedures. Our surgeons, collaborating with biologists and bioengineers, were among the earliest developers of prosthetic implants. They continue to improve upon surgical techniques and implant technology to offer patients the greatest opportunity to return to normal function and the highest probability for long-term success of the prosthetic hip. In addition, our surgeons continue to develop new procedures, including minimally invasive hip arthroscopy, for patients who have hip conditions that do not require a total hip replacement.

In 2008, the Hip Service, in collaboration with the Sports Medicine and Shoulder Service, embarked on the establishment of the Center for Hip Pain and Preservation, an interdisciplinary center that involves

Douglas E. Padgett, MD Chief , Hip Service

both adult reconstruction and sports medicine surgeons. The Center will seek to learn more about the interplay between how the joint moves in its natural environment and the abnormalities that initiate the cascading effect that results in loss of cartilage and the development of osteoarthritis. The Center will also provide a unique opportunity to follow a younger patient population and enroll these patients in a hip preservation registry to determine if interventions done earlier in life impact and influence whether or not patients will later develop degenerative hip problems. Information recorded will include physical data and morphological data, and the shape and orientation of the hip joint. Newer novel imaging techniques will help our physicians understand not only the quantity of cartilage, but also the quality of the cartilage, and in time, we hope to answer what impact that has on a patient’s hip condition years later. The Hip and Knee Registry continues to support a number of clinical trials underway. Recent studies have reported on results of the use of ceramic hip replacements, as well as the Service’s Fast Track program, which facilitates a quicker discharge from the Hospital.

2008-2009 > Developing new procedures, including minimally invasive hip arthroscopy, for patients who have hip conditions that do not require a total hip replacement > Establishing the Center for Hip Pain and Preservation, an interdisciplinary center that involves surgeons from the Adult Reconstruction and Joint Replacement Division and the Sport Medicine and Shoulder Service > Creating a hip preservation registry to determine if interventions done earlier in life impact and influence whether or not patients will later develop degenerative hip problems > Implemented a Fast Track program to facilitate a quicker discharge following hip replacement surgery

KNEE SERVICE 2008 Primary and Revision Total Knee Replacements

Primary Total Knee Replacements, including bilateral and unilateral replacements 2,628 Revision Total Knee Replacements 251

Steven B. Haas, MD Chief , Knee Service

2008-2009 > Evaluating partial or unicompartmental knee replacement > Studying tibial post wear in posterior-stabilized knee replacements and venous thromboembolic disease after total hip and knee arthroplasty > Conducting assessments in conjunction with the Department of Biomechanics of various materials and designs in knee replacement based on analysis of specimens from the Department’s implant retrieval archive > Evaluating the use of newer ceramic surfaces in knee replacement implant system > Pursuing the use of computerdesigned patient specific instruments in surgery

KNEE SERVICE The Hospital’s Knee Service performs approximately 2,500 knee replacements each year and has helped to advance standard-setting developments in knee implants and knee replacement surgery. The Knee Service has been involved in the evaluation of the partial or unicompartmental knee replacement, which may promote faster recovery by removing and replacing only the most damaged areas of the knee. Our surgeons continue to explore who the best candidates are to benefit from this technology and approach, and why some benefit from partial knee replacement and others do not. Our surgeons also continue to investigate less invasive ways to perform knee replacement and help design and evaluate newer implants that allow for higher levels of function. Recent research looked at tibial post wear in posteriorstabilized knee replacements and venous thromboembolic disease after total hip and knee arthroplasty. Knee Service surgeons continue to work with the Hospital’s Department of Biomechanics conducting assessments of various materials and designs in knee replacement based on analysis of the plastic posts on hundreds of specimens from the implant retrieval archive—the largest in the world— which has provided opportunities for implant design changes.

They have also evaluated newer ceramic surfaces in knee replacement, showing they may improve the performance of the implant system with lower wear rates of the plastic and less scratching of the femur. Working with an industry partner, the Knee Service and the Department of Biomechanics are participating in the development of the newest design of knee replacement incorporating information for improvements derived from clinical and implant retrieval data. The new design will facilitate implantation, result in less wear of the plastic post, and improve function. Our orthopaedic surgeons are also beginning to use computer-designed patient specific instruments in surgery. Utilizing pre-operative MRI and long x-ray images, we are able to develop a computerized plan of the surgery and design instrumentation that is custommade for that patient with precise sizing and more accurate alignment of the implant. The surgery can also be done more efficiently and is potentially more accurate. The Knee Service, in collaboration with the Sports Medicine and Shoulder Service, has established a joint educational program for fellows to optimize their unicompartmental knee replacement research effort.

SURGICAL ARTHRITIS SERVICE 2004 - 2008 Adult Reconstruction and Joint Replacement Division Total Patient Visits

127,833 Total Visits

SURGICAL ARTHRITIS SERVICE The Surgical Arthritis Service is a multidisciplinary program for the treatment of patients with severe inflammatory arthritis. It is one of the few programs in the country where orthopaedic surgeons and rheumatologists together provide comprehensive care for rheumatoid arthritis and other autoimmune diseases, including juvenile rheumatoid arthritis, systemic lupus erythematosus, psoriatic arthritis, ankylosing spondylitis, and Paget’s disease. Patients benefit from the interdisciplinary approach taken by the Service’s physicians and surgeons, who work with a dedicated team of medical and orthopaedic residents and fellows, nurses, physical and occupational therapists, and social workers. In 2008, the Surgical Arthritis Service spearheaded efforts in joint registries in order to track implant performance and patient satisfaction, and to critically analyze the impact of the surgeries performed. Our physicians also continue to study surface replacements in the hip to analyze their durability and longevity. Our surgeons constantly seek to improve minimally invasive techniques, as well as develop better pathways for patients regarding pain management, faster discharge, and quicker recovery following hip, knee, and unicompartmental procedures. We are also working

on the kinematics of elbow replacements and finite element analysis with the ultimate goal of designing an enhanced elbow replacement. This process involves studying implants that have failed and learning why they have failed, as well as examining those implants that have succeeded. Other research focuses on studying implant fixation and exploring more novel articulations; exploring computerassisted navigation methods for more accurately performing joint replacements; reducing blood loss after knee replacement using a fibrin gel; and studying a patient’s blood count before surgery to determine how much blood might be needed during surgery. Results have shown that if a patient’s hemoglobin is over 12.5 the likelihood of needing a transfusion is 3 percent, thereby eliminating the need for autologous blood donations in patients with this level. In addition, we are designing implants specifically for children and adolescents with specific problems including hemophilia and juvenile RA. Currently, our surgeons must rely on adult or custom implants for children. Our goal is to design better implants specifically for children who have growth patterns and bone alignments that are unlike those of adults.

Mark P. Figgie, MD Chief , Surgical Arthritis Service

2008-2009 > Spearheading efforts in joint registries in order to track implant performance and patient satisfaction, and to critically analyze the impact of the surgeries performed > Developing better pathways for patients regarding pain management, faster discharge, and quicker recovery following hip, knee, and unicompartmental procedures > Working on the kinematics of elbow replacements and finite element analysis with the ultimate goal of designing an enhanced elbow replacement > Exploring the use of computer assisted navigation methods to more accurately perform joint replacement surgery > Designing implants specifically for children and adolescents with specific problems including hemophilia and juvenile RA

11 13

FOOT AND ANKLE SERVICE 2008 Total Surgical Volume

660 Inpatient Surgeries 1,448 Ambulatory Surgeries

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

2008-2009 > Using 3-D multicolored animation of the pressures beneath one’s feet (shown above) to quantify how someone walks, runs or stands > Investigating new treatments to stimulate bone growth and healing > Implanting bone and cartilage graft harvested from the knee for treatment of osteochondral lesions > Evaluating fusion as an effective method for treating severe trauma to the metatarsal tarsal joints > Studying methods to achieve even pressure across the ankle joint > Established a clinical outcomes registry with research data now available on more than 18,000 foot and ankle patients > Developed a new total ankle replacement system

The Foot and Ankle Service provides expert treatment for the broad range of foot and ankle conditions that can occur at any stage of life, from non-operative conditions to the most complex trauma and deformities. In addition to performing more than 2,000 surgeries in 2008, the Service’s team of eight orthopaedic surgeons pursue an active basic and clinical research program, seeking to improve techniques for treating the often challenging disorders of the foot and ankle. In collaboration with the Adult Limb Lengthening and Deformity Service, our foot and ankle surgeons are actively pursuing the treatment of significant arthritis and cartilage injuries in the ankle joint by injecting concentrated stem cells to determine the benefits of this technique. In another cartilage and bone repair technique, we continue to evaluate improved measures for the treatment of osteochondral lesions, including implanting bone and cartilage graft harvested from the knee into the ankle. Working with researchers in the Leon Root, MD, Motion Analysis Laboratory, our surgeons are studying the best way to achieve even pressure across the ankle joint by looking at the pressure patterns that defects create and how well they are resolved by implanting bone and cartilage plugs so that pressure is evenly distributed. Our surgeons are also studying whether fusion is an effective method for treating

severe trauma to the metatarsal tarsal joints in the midfoot. With pins or screws to hold the ligaments in place, the joint can still become arthritic and uncomfortable. Some patients do better when the joints are fused because they do not lose significant motion and the fusion creates a stable midfoot. Follow-up is ongoing to determine which approach is preferable. The Foot and Ankle Service continues to search for new treatments to stimulate bone growth and healing. Selected patients with poor bone healing have been given Forteo, a recombinant form of parathyroid hormone that stimulates the cells that build bone. Other agents— bone morphogenetic proteins that stimulate bone and cartilage growth or stem cells that are spun from peripheral blood—are delivered directly into the site during surgery. The Foot and Ankle Research Center, established in 2005, manages more then 18,000 patient records with scored and analyzed research data with up to 10year follow-up on all categories of surgical and nonsurgical patients. The database enables our surgeons to document details of surgical interventions during cartilage repair and to compare them with clinical outcomes. In 2008, our surgeons contributed to the design and development of a new total ankle replacement system, which is expected to be available by the end of 2009.

HAND AND UPPER EXTREMITY SERVICE 2008 Total Surgical Volume

135 Inpatient Surgeries 1,674 Ambulatory Surgeries

The orthopaedic surgeons of the Hand and Upper Extremity Service are highly skilled in reconstruction of brachial plexus and peripheral nerve injuries, arthroscopic repair of complex ligament tears, fixation of pediatric and adult wrist, hand and forearm fractures, complex tumor resection, microsurgical repair of blood vessels, and reconstruction of complex elbow injuries. In collaboration with the Leon Root, MD, Motion Analysis Laboratory, our hand surgeons have developed novel motion analysis technology, for the first time, to map motion in the upper extremity with respect to the trunk. The team has developed a battery of tests to assess functional ability and that help to better define patient outcomes. Funding from the National Institutes of Health has enabled kinematic mapping of the “dart-thrower’s” wrist motion, a complex pattern of motion that is unique to humans and critical for efficient performance of many occupational and recreational tasks. By mapping the arc of a dart-thrower’s motion using markers affixed to the hand and the forearm, the parameters that allow wrist motion can be calculated. The data will provide important information so that surgical procedures can be tailored to better facilitate patient function. A two-year Research Grant from the Orthopedic Research and Education Foundation (OREF) is funding collaborative work

by a team from HSS and Brown University to correlate functional performance and motion following simulated and actual surgical reconstruction of the posttraumatic wrist. These advancements have sparked collaborations with industry on the development of an innovative wrist prosthesis designed to benefit active individuals with wrist arthritis. Hand surgeons are making great strides in resecting bone and soft tissue sarcomas of the hand, forearm, and elbow, preventing local recurrence and metastasis, and performing reconstruction to restore optimal function. They are also pioneering the concept of thumb salvage and have recently completed a study showing that reconstruction following resection can result in acceptable functional outcomes with a low risk of complication. Our surgeons are increasingly using percutaneous and other less invasive approaches to fix scaphoid and finger fractures, for arthroscopic release of tendons in tennis elbow, and for arthroscopy of the fingers, wrist, and elbow. The goal is to diminish the size of incisions and limit the amount of additional trauma so that recovery can be expedited. Our Service, which established the Hospital’s first patient registry, now has nearly 1,000 patients enrolled in nine different registries, including those for thumb arthritis, distal radial fractures, and brachial plexus injuries.

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

2008-2009 > Developing technology to map motion in the hand, wrist, elbow, and shoulder with respect to the trunk > Pioneering the concept of thumb salvage surgery for tumors > Pursuing research to correlate functional performance and motion following simulated and actual surgical reconstruction of the post-traumatic wrist > Developing a wrist prosthesis designed to benefit active individuals with wrist arthritis > Conducting trials of pharmacologic agents in distal radius fracture healing and Dupuytren’s disease > Established the first exchange hand fellowship in New York City with NYU Langone Medical Center plastic surgical fellows

METABOLIC BONE DISEASE/MUSCULOSKELETAL ONCOLOGY SERVICE 2008 Osteoporosis Prevention Center Volume

Nurse Consultations DEXA Scans

Joseph M. Lane, MD, Chief Richard S. Bockman, MD, PhD Martin Nydick, MD Linda A. Russell, MD Robert Schneider, MD David A. Zackson, MD

2008-2009 > Launched the Medicine Orthopaedic Trauma Service (MOTS), which combines medical and orthopaedic disciplines to provide comprehensive care for patients presenting with fragility fractures > Investigating a variety of agents, including teraparitide, to enhance bone healing, and alternative methods to facilitate local bone healing at the hip > Identifying methods to prevent and repair fragility fractures that result from osteoporosis and other metabolic bone disorders through data collected and analyzed by its Seymour Cohn Metabolic Bone Registry > Conducting a retrospective study to determine the association between hyperflexibility and frequency of fracture > Evaluating the use of subcutaneous parathyroid hormone in osteoporosis after failed treatment with bisphosphonates

The Metabolic Bone Disease/Musculoskeletal Oncology Service brings together a consortium of basic scientists, clinical diagnosticians, and medical disciplines focused on the prevention and treatment of osteoporosis, Paget’s disease, and related bone disorders, and offers a comprehensive program for the treatment of bone and soft tissue tumors. In 2008, the Service helped launch the Medicine Orthopaedic Trauma Service (MOTS) in collaboration with our Orthopaedic Trauma Service and with NewYork-Presbyterian Hospital/Weill Cornell Medical Center to provide comprehensive care for patients presenting with fragility fractures. The program aims to reduce medical and surgical complications and improve management of medical comorbidities. The Metabolic Bone Disease Service pursues a wide range of research activities with a common focus of preserving the quality of bone or enhancing bone healing. Studies include applications of existing drugs to new areas to develop alternative treatment methods for osteoporosis and other metabolic bone diseases. In particular, our clinicians are looking at the utility of anticatabolic drugs now used for treating stable osteoporosis for preventing bone loss in the setting of a new fracture or in circumstances where bone healing is needed. In collaboration with centers across the country and with industry, we are establishing a random-

ized trauma trial and a randomized spine fusion trial using selected agents, including teraparitide—currently the only agent that is readily available in the United States—to build bone, enhance bone volume and bone synthesis, and improve bone healing. The Metabolic Bone Disease Service is also working both with experimental models and in clinical trials using factors or pathways responsible for bone production to identify agents that block the chemicals responsible for interfering with these pathways—the next step towards developing enhanced bone production. Our physicians are also about to embark on a clinical trial investigating the use of a ceramic containing bone morphogenic protein injected directly into the hip, which is expected to increase bone mass by up to 30 percent at the site thereby decreasing hip fractures. The Seymour Cohn Metabolic Bone Registry collects and analyzes patient data sets to identify methods to prevent and repair fragility fractures. Some 230 participants have been enrolled to date, and seven families, each with three generations of family members with fragility fractures, have been indentified. These findings have led to the development of a pilot study to identify possible areas of the human genome that may contribute to decreased bone quality seen in some patients with multiple fractures.

ORTHOPAEDIC TRAUMA SERVICE 2008 Surgical Volume*

1,080 Inpatient Surgeries NewYork-Presbyterian/Weill Cornell 347 Inpatient Surgeries Hospital for Special Surgery 101 Ambulatory Surgeries Hospital for Special Surgery 92 Ambulatory Surgeries NewYork-Presbyterian/Weill Cornell * Trauma surgeries are performed by Hospital for Special Surgery’s orthopaedic surgeons at both HSS and NewYork-Presbyterian Hospital/Weill Cornell Medical Center.

The Orthopaedic Trauma Service cares for patients with complex orthopaedic trauma, both acute and subacute injuries, including the upper and lower extremities, pelvis, acetabulum and other bones and joints, isolated fractures/ dislocations, and poly-trauma. Additionally, our surgeons treat non-unions and mal-unions including cases requiring deformity correction. The Service continues its ongoing efforts in the treatment of fractures in the elderly, who present significant challenges not only in their medical status, but also in bone and soft tissue quality and ability to heal. Stabilizing a fracture and at the same time ensuring that the patient can ambulate in order to prevent the limb from becoming nonfunctional requires a better coordination of care among multi-specialties. To that end, we established the Medicine Orthopaedic Trauma Service (MOTS) in March 2008. MOTS is designed to ensure that geriatric patients, particularly those with hip fractures, receive quality care through the collaboration of the Department of Medicine at NewYork-Presbyterian Hospital/Weill Cornell Medical Center and the Orthopaedic Trauma Service. The goal is to operate on the patient within the first 24 hours to minimize the risk of “fracture disease,” as well as to identify and manage all other medical issues, comorbidities, postoperative

care, rehabilitation, and follow-up. To address fractures in the elderly, our surgeons are using the latest devices, including locking-plate and fixed-angle screw technologies, to improve fixation and durability of implants in poor or deformed bone. With locking technology, stability can be maintained while bone healing occurs. We are also exploring the use of synthetic or cadaveric bone, bone matrix, bone growth factors—including bone morphogenic protein—and hormonal treatment, such as parathyroid hormone, to enhance bone healing. The Orthopaedic Trauma Service is currently developing a comprehensive center for the evaluation and treatment of non-arthritic hip pain. The center will encompass clinical evaluation, nonoperative management, surgical treatment, and postoperative management. A major research emphasis has focused on fractures and a number of our studies are looking at historical controls of conventional surgery versus the more modern minimally invasive techniques. We are learning that perhaps the future of fracture care should be less invasive and not necessarily minimally invasive. The quality of the reduction, especially in the joint, is key. The ultimate goal must be perfect restoration of articular injuries both in the joint surface itself and then restoring the length, alignment, and rotation of the limb.

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

2008-2009 > Established the Medicine Orthopaedic Trauma Service (MOTS), a collaboration of general medicine and orthopaedic trauma to maximize medical and surgical care for elderly fracture patients > Conducting studies that examine minimally invasive versus less invasive surgical techniques for the treatment of fractures > Published study in The New England Journal of Medicine indicating that prolonged use of Fosamax was associated with a specific pattern of low-energy femoral shaft fracture in a subset of patients, leading to low bone turnover and inability to repair microdamage > Developing a comprehensive center for the evaluation and treatment of non-arthritic hip pain > Enhanced the trauma fellow experience by adding Westchester Medical Center—one of the busiest Level 1 Trauma Centers in New York State—to the rotation

PEDIATRIC ORTHOPAEDIC SERVICE 2008 Total Surgical Volume*

303 Inpatient Surgeries 214 Ambulatory Surgeries *1,570 total pediatric orthopaedic surgical cases across all orthopaedic services

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

2008-2009 > Incorporating guided growth techniques to allow for safe and gradual correction of limb alignment > Treating spinal deformities with vertical expandable prosthetic titanium rib (VEPTR), a minimally invasive surgical approach that uses growing rods to minimize spinal deformity and allow lung development > Managing osteogenesis imperfecta with intermedullary nails > Establishment of a Fracture and Injury Hotline, 1-877-HSS-1KID, offering 24-hour urgent and emergent care for all major highenergy trauma cases > Continuing development of the Children’s Pavilion at Hospital for Special Surgery that will bring together all pediatric programs in a family-centered environment

The Pediatric Orthopaedic Service provides focused expertise in the treatment of rare and common musculoskeletal disorders in infants, children and adolescents, including orthopaedic complications resulting from physical disabilities, traumatic injuries, and neuromuscular and acute musculoskeletal conditions. Areas of particular emphasis include limb length discrepancy, cerebral palsy, spinal deformity, hip dysplasia and toritcollis, and fracture management.

medullary nails for the management of osteogenesis imperfecta; the rods expand as the child grows, helping to avoid repeat surgical procedures. We are also using guided growth techniques to allow

Our pediatric orthopaedic surgeons continue to explore the use of the vertical expandable prosthetic titanium rib (VEPTR), a relatively new device that has shown positive results in patients with early onset scoliosis. Growing rods are attached to the spine and affixed to vertebrae at the top and bottom and can be expanded over time using a mechanism that allows the lengthening to be performed in an outpatient surgery. The approach minimizes spinal deformity and allows lung development to occur to preserve a normal life span for the patient. VEPTR was developed initially for use in children with congenital spine deformities associated with rib and chest wall deformities, and today this minimally invasive approach is also used for both primary spine deformities, as well as primary chest wall deformities that require reconstruction.

In 2008-2009, the Service pursued an active research program that includes studies on measurement of bone density in the pediatric population; genetic and orthopaedic aspects of collagen disorders; and management of idiopathic scoliosis.

In other advanced techniques, our surgeons are utilizing growing inter-

the Hospital’s Children’s Pavilion.

natural, safe and gradual correction of limb alignment. Minimally invasive plates crossing the growth plate inhibit growth on one side of the growth plate to allow for self-correction of limb deformities and avoid the need for more invasive osteotomies.

In 2008, the Pediatric Orthopaedic Service established a Fracture and Injury Hotline—1-877-HSS-1KID—for referring physicians, offering 24-hour urgent and emergent care for all major high-energy trauma cases. Our staff coordinate patient transfers to either the Pediatric Ambulatory Care Center at Hospital for Special Surgery or the Pediatric Emergency Department at NewYorkPresbyterian Hospital/Weill Cornell Medical Center, where our orthopaedic team retains admitting privileges. In 2008-2009, the Pediatric Orthopaedic Service continued to make significant progress in the design and planning for

SCOLIOSIS SERVICE

The Scoliosis Service has earned worldwide recognition for its work in the correction of complex pediatric and adult spinal deformities, including pediatric and adult scoliosis and kyphosis, neck and lower back disc herniations, spondylolisthesis, stenosis, and fractures. The Service has established clinical pathways to provide early and efficient discharge for patients undergoing deformity surgery. This process includes education for patients and clinical staff on perioperative care. Our surgeons are advancing the treatment of adult lumbar scoliosis with minimally invasive methods such as the extreme lateral technique, which obviates the need for a large anterior incision, minimizes disruption to surrounding tissues, and decreases the morbidity associated with open fusion approaches. Patients are shown to recover more quickly and with a shorter hospital stay. The Scoliosis Service continues to implement endoscopic procedures for thoracic deformities that allow access to the spine through the chest cavity. We are also advancing surgery for progressive early onset scoliosis with severe curvature using a modified and improved dual-rod technique that achieves correction through the implantation of growing rods, thereby avoiding major fusion surgery, which carries the risk of stunted growth. For the younger patient with early onset scoliosis, we have been employing the titanium rib cage device

for patients with severe congenital scoliosis rib cage deformity and thoracic insufficiency syndrome. The Scoliosis Service is now employing pedicle screw systems to treat thoracic adolescent idiopathic scoliosis. This type of internal fixation device provides three-dimensional correction of spine deformity and has eliminated the need to perform conventional procedures such as rib resection and thoracoplasty. With the pedicle screw constructs, surgeons not only correct the scoliosis, but derotate the rib cage and improve the rib hump leading to better rib cage performance. Hospital stays are reduced and patient recoveries are faster. Patients also do not experience problems with breathing, and our surgeons believe they will be able to return to full activities more quickly than with either the hybrid or the hook wire screw construct and thoracoplasty approach. The Scoliosis Service is an integral part of the Hospitalâ&#x20AC;&#x2122;s Spine Care Institute, and has also contributed to the formation of the Integrated Spine Research Program. One of few scoliosis centers with a physician-scientist on staff, the Scoliosis Service is currently working to develop fusion models with biologics and tissue regeneration to better understand spine fusion in patients. In 2009, Dr. Oheneba Boachie-Adjei, Chief of Service, was named President of the Scoliosis Research Society.

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

2008-2009 > Advancing the treatment of adult lumbar scoliosis with minimally invasive techniques, such as the extreme lateral technique > Incorporating endoscopic procedures for thoracic deformities that allow access to the spine through the chest cavity > Employing pedicle screw systems to treat thoracic adolescent idiopathic scoliosis > Advancing surgery for early onset scoliosis with severe curvature using a modified and improved dual-rod technique > Incorporating the titanium rib cage device in procedures for the younger patient with early onset of scoliosis. Establishing clinical pathways for surgical care in deformity surgery > Establishment of a scoliosis registry with an enrollment of more than 1,000 patients

SPINE SERVICE

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

2008-2009 > Developing non-fusion technology, including total disc replacement > Forming the Integrated Spine Research Program dedicated to the advancement of spine research at Hospital for Special Surgery > Developing methods to enlist a patient’s own tissues to produce growth factors to improve fusion > Participating in the NIH-funded Spine Patient Outcome Research Tool (SPORT) study, a multicenter randomized clinical trial of surgical and non-surgical approaches to the treatment of spine disease > Pursuing basic science research in orthobiologics to improve bone healing in fusion procedures

The Spine Service provides expertise in the full range of cervical, thoracic, and lumbar spine disorders, including degenerative conditions, spinal deformities, infections, tumors, and metabolic diseases.

Association based on two-year outcome studies of patients who had surgery, compared to those treated only with nonsurgical methods, showed significantly better improvement in their pain, function, and satisfaction.

A major initiative in 2008 was the further development of the Spine Care Institute, a multidisciplinary center of clinical excellence, research, and education in operative and non-operative spine care.

Other prospective randomized clinical trials have included non-fusion technologies, specifically in lumbar and cervical total disc replacement. This has resulted in the development of specific registries of patients who have undergone these procedures. In addition, the Spine Service is designing a clinical outcomes instrument to better assess patient disability secondary to spinal disease.

Progress continued on the formation of the Integrated Spine Research Program in which both the Spine Service and Scoliosis Service will collaborate on clinical trials and together build a clinician-scientist program dedicated to advancing spine research. The program seeks to improve understanding of the basic biological processes associated with spinal disorders and their associated pain syndromes, and to explore new methods and technologies for treatment. These include the use of an artificial disc and nucleus, and regenerative medicine techniques to reverse the process of disc degeneration. The Spine Service participates in a number of prospective randomized clinical trials, the most significant of which has been the NIH-funded Spine Patient Outcome Research Tool (SPORT) study, a multicenter randomized clinical trial of surgical and non-surgical approaches to the treatment of disc herniation, stenosis, and degenerative spondylolisthesis. Reports published in The New England Journal of Medicine and the Journal of the American Medical

Our physicians are also pursuing methods to enlist a patient’s own tissues to produce growth factors—either through platelet-enriched plasma or concentrated stem cells taken from bone marrow—to improve fusion. In collaboration with the Hospital’s Department of Biomechanics, the Spine Service has continued with research in orthobiologics specifically related to bone healing in animal fusion models. Our clinician-scientists have studied bone morphogenetic proteins, demineralized bone matrices, and betatricalcium phosphates. The Spine Service has also been involved with the Department of Biomechanics in a program for retrieval analysis of total disc replacement arthroplasties that have been explanted. Research in gene expression is also underway to understand the degenerative cascade that could lead to new methods of intervention.

SPORTS MEDICINE AND SHOULDER SERVICE

The Sports Medicine and Shoulder Service—one of the largest sports medicine programs in the country— provides a multispecialty, interdisciplinary approach to the care of school-aged, recreational, college, and professional athletes. In 2008, the members of the Service had approximately 60,000 patient visits and performed more than 7,600 surgical procedures. With this volume of cases, we have been able to acquire a tremendous amount of information on the outcomes of surgeries for sportsrelated injuries, which is being used to improve techniques. This effort is being further advanced with the recent establishment by the Service of patient registries in anterior cruciate ligament (ACL) surgeries, cartilage injuries, and shoulder instability and rotator cuff injuries. During the last 15 years, members of the Sports Medicine and Shoulder Service have spent much time and effort on improving ACL reconstructions— particularly with regard to reproducing the normal functioning of the knee. In a subset of patients where the traditional approach did not result in a repaired knee that was as stable as a normal knee, our surgeons devised a solution that involves approaching the femur from the front of the knee, allowing the surgeon to control the positioning of the graft. Clinical and biomechanics studies are now ongoing to determine optimal femoral tunnel placement.

David W. Altchek, MD

The application of computer-assisted navigation to ACL reconstruction is also under investigation. Models of the ACL have been created to help understand kinematics in the normal and injured knee, in the ACL injured knee, and after various types of ACL reconstruction. The Service is also testing ACL reconstructions to determine which type of procedure best reproduces the intact normal knee, and ways to precisely determine the angle of the new graft. Our surgeons are also collaborating with the American Orthopaedic Society for Sports Medicine to better understand factors that affect outcomes after revision ACL reconstruction. In patients, particularly women, with patellar instability and multiple knee cap dislocations, our orthopaedic surgeons are now performing medial patella femoral ligament reconstruction, which has revolutionized care for these patients. To help address overuse syndromes, our clinicians have begun using platelet-rich plasma therapy—injecting the patient’s own platelet cells, which contain growth factors, into the tendon injury to rekindle a healing response. Research is an extremely productive component of the Sports Medicine and Shoulder Service. In 2008, the Service

Scott A. Rodeo, MD

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 Brian C. Halpern, MD Osric S. King, MD Jordan D. Metzl, MD Peter J. Moley, MD Rock G. Positano, DPM, MSc, MPH Hollis G. Potter, MD Jennifer L. Solomon, MD

SPORTS MEDICINE AND SHOULDER SERVICE 2004 - 2008 Total Surgical Volume

Inpatient Surgeries Ambulatory Surgeries

2008-2009 > Developing new ACL reconstruction techniques, including approaching the femur from the front of the knee to allow better control of the positioning of the graft > Applying computer-assisted navigation to improve ACL reconstruction, better understand knee kinematics, and to determine best procedure for reproducing the intact normal knee > Performing medial patella femoral ligament reconstruction for patients with patella instability, resulting in much quicker recoveries than traditional open surgeries > Using platelet-rich plasma therapy to help heal tendon injuries > Investigating the influence of trauma on the articular cartilage in the knee, with particular interest in factors that lead to development of osteoarthritis > Studying the basic biology of meniscus transplantation healing and working with novel synthetic materials for meniscus replacement > Conducting investigations to uncover the cellular and molecular processes involved in ligament healing and to determine how to stimulate ACL repair or regeneration at the cellular level > Investigating the role that stem cells may play in regenerating rotator cuff muscles > Developed first bimodular total shoulder system available in the United States

reorganized its research effort to focus and pursue in-depth studies in knee ligament stability, shoulder stability, rotator cuff tendon healing, and articular cartilage repair. Its activities span the spectrum from biological studies and biomechanical perspectives to translational and clinical research. In the area of basic science research, the Service has an active collaboration with the Hospitalâ&#x20AC;&#x2122;s Laboratory for Soft Tissue Research, where scientists are looking at the influence of trauma on the articular cartilage in the knee, with particular interest in factors that lead to the development of osteoarthritis. A number of basic science studies are underway looking at the biology of meniscus transplantation healing and working with novel synthetic materials for meniscus replacement. With the support of a $1.4 million, fouryear, National Institutes of Health (NIH) RO1 grant, researchers are also investigating cellular and molecular processes, including growth factors such as bone morphogenic protein, in ligament healing with particular attention to the affect of mechanical load on biology. An additional $1.1 million, three-year NIH RO1 grant, now nearing completion, has focused on investigations to determine how to stimulate ACL repair or regeneration at the cellular level. These projects seek to optimize ligament healing or accelerate repopulation of the ACL graft

with normal cells, permitting refinement of current ACL reconstruction techniques to promote recovery and determine a scientific basis for the design of postoperative rehabilitation. In addition, members of the Sports Medicine and Shoulder Service, in collaboration with the Department of Biomechanics, are investigating knee ligament mechanics and shoulder mechanics with a state-ofthe-art robotic system. In conjunction with the Hospitalâ&#x20AC;&#x2122;s Leon Root, MD, Motion Analysis Laboratory, Service members are examining muscle function in patients with rotator cuff disease. Service members are also looking at how to facilitate recovery from rotator cuff repair at a basic science level, investigating the role that stem cells may play in regenerating rotator cuff muscles. The first phase of the stem cell study, which was conducted with colleagues at Colorado State University, has seen very promising results in experimental models. The goal is to bring that research into the patient population with a future expectation of injecting the damaged muscles with a patientâ&#x20AC;&#x2122;s own stem cells to facilitate the healing process. Our orthopaedic surgeons have been involved in a number of innovative improvements for shoulder replacement, and have developed the first bimodular total shoulder system available in the United States.

DEPARTMENT OF BIOMECHANICS Masters and PhD Graduates Cornell-HSS Program

The Department of sit Biomechanics Lorem ipsum dolor amet, conrecently marked the anniversary sectetuer adipiscing 30th elit, sed diam non-of its relationship with Cornell University. ummy nibh euismod tincidunt ut For the past 30 years, the Cornell-Hospital laoreet dolore magna aliquam erat vofor Special Surgery Biolutpat. Ut wisi enimProgram ad miniminveniam. mechanical Engineering has brought Aquis nostrud exerci tation ullamcorsurgeons andlobortis engineers toex ea per suscipit nisltogether ut aliquip develop joint replacement systems and commodo consequat. address mechanical problems of the Duis autem vel eum iriure dolor in henskeleton. These collaborative efforts have drerit in vulputate velit esse molestie resulted in many of the solutions to consequat, vel illum dolore eu feugiat reconstructing joints used today. nulla facilisis at vero eros et accumsan The collaboration continues to be praeet iusto odio dignissim qui blandit exceptionally recent sent luptatumproductive, zzril delenitwith augue duis emphasis in a number of important areas, dolore te feugait nulla facilisi. Lorem including thesit development of new adipbioipsum dolor amet, consectetuer materials for use in joint reconstruction iscing elit, sed diam nonummy nibh euand tissue engineering; thedolore use of magna robotic ismod tincidunt ut laoreet technology combined with computer aliquam erreet do. models to understand the biomechanics Ut wisi enim ad minim veniam, quis of the shoulder, knee, and ankle joints; nostrud exerci tation ul lamcorper susand pioneering work in the role of cipit lobortis nisl ut aliquip ex ea commechanical adaptation of bone in osteomodo consequat. Duis autem vel eum porosis and implant fixation. These iriure dolor in hendrerit in vulputate efforts are focused on explaining factors olestie consequat, vel illum dolore eu beyond the materials and the design of feugiat nulla facilisis at vero eros et acjoint components, such as how joint cumsan et iusto odio dignissim. replacements interact with surrounding To blandit softqui tissues andpraesent how theluptatum presence zzril of the delenit augue duis dolore te feugait implant causes changes to the surroundnulla facilisi. ing bone. TheNam longliber rangetempor goal iscum the soluta nobis eleifend option congue nihil development of joint replacements for imperdiet quod placindividualsdoming in theirid40s andmazim 50s, who lead very active lives and do not want to modify their activities after joint replacement.

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Timothy M. Wright, PhD, Director Donald Bartel, PhD, Senior Scientist Marjolein van der Meulen, PhD, Associate Scientist Suzanne Maher, PhD, Assistant Scientist Joseph Lipman, MS, Director of Device Development

2008-2009 > Completed development of a new total knee replacement that reduces bone removal and improves function > Renewed the Hospitalâ&#x20AC;&#x2122;s NIHsponsored Training Program, allowing graduate students and post-doctoral fellows to pursue training in musculoskeletal research > Continued development of novel biomaterials for cartilage repair and meniscal replacement > Introduced laser scanning for use in development of new implant designs and in assessing damage in retrieved joint replacement implants > Continued the integration of computer models with laboratory experiments to address important biomechanical problems in knee, ankle, and shoulder joints

PROFESSIONAL STAFF AND AFFILIATIONS 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 LIMB LENGTHENING AND D EFORMITY S ERVICE

S. Robert Rozbruch, MD Chief Austin T. Fragomen, MD 2008-2009 Fellows Kashif Ashfaq, MBBS Raheel Shafi, 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 2008-2009 Fellows Yossef Blum, MD Mark Dolan, MD Matthew Hepinstall, MD Aleksandr Khaimov, DO Aamer Malik, MD Theodore Manson, MD, MS Daniel Markowicz, MD James Ryan, MD David Schroder, MD 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 2008-2009 Fellows Irvin Oh, MD Kenneth Park, MD Adam Wagshul, 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 2008-2009 Fellows David Gay, MD A. Ylenia Giuffrida, MD Jonathan Lam, MD, PhD M ETABOLIC BONE D ISEASE / M USCULOSKELETAL ONCOLOGY S ERVICE

Joseph M. Lane, MD Chief Richard S. Bockman, MD, PhD Martin Nydick, MD Linda A. Russell, MD Robert Schneider, MD David A. Zackson, MD 2008-2009 Fellow Aasis Unnanuntana, MD ORTHOPAEDIC TRAUMA S ERVICE

David L. Helfet, MD Chief Joseph M. Lane, MD Dean G. Lorich, MD John P. Lyden, MD 2008-2009 Fellows Timothy Achor, MD Jaimo Ahn, MD, PhD Mark Prasarn, 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 2008-2009 Fellow Gilbert Chan, MD SCOLIOSIS S ERVICE

Oheneba Boachie-Adjei, MD Chief John S. Blanco, MD Matthew E. Cunningham, MD, PhD Daniel W. Green, MD, FACS Cathleen L. Raggio, MD Bernard A. Rawlins, MD Roger F. Widmann, MD 2008-2009 Fellows Marco Ferrone, MD Alexander Hughes, MD Antony Kallur, MBBS Satyajit Marawar, MBBS Amit Sharma, MBBS Hiroyuki Yoshihara, MB 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 Joseph M. Lane, MD Patrick F. O’Leary, MD Andrew A. Sama, MD Harvinder S. Sandhu, MD 2008-2009 Fellows Marco Ferrone, MD Alexander Hughes, MD Antony Kallur, MBBS Satyajit Marawar, MBBS Amit Sharma, MBBS Hiroyuki Yoshihara, MB 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 Brian C. Halpern, 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 2008-2009 Fellows Olufemi Ayeni, MD Asheesh Bedi, MD Patrick Birmingham, MD Edwin Cadet, MD Christopher Dodson, MD Mark Drakos, MD Volker Musahl, MD Catherine Robertson, MD D EPARTMENT OF B IOMECHANICS

Timothy M. Wright, PhD Director Donald Bartel, PhD Josepth Lipman, MS Suzanne Maher, PhD Marjolein van der Meulen, PhD 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

ENDOWED CHAIRS, PROFESSORSHIPS, AND FELLOWSHIPS AFFILIATIONS The affiliations of Hospital for Special Surgery enable orthopaedic surgery residents and fellows to benefit from a broad range of research and training opportunities. MEMORIAL SLOAN-KETTERING CANCER CENTER

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

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

Endowed chairs, professorships, and fellowships enable Hospital for Special Surgery to recognize the generosity of our donors, support the work of seasoned physicians and scientists, help develop the careers of new faculty, 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

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

NAMED FELLOWSHIPS

Finn and Barbara Caspersen Fellowship for Spine Research Kai Zhang, MD

David B. Levine Endowed Clinical Research Chair Oheneba Boachie-Adjei, MD

Charles L. Christian Research Fellowship Lisa Mandl, MD

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

Ira W. DeCamp Fellowship in Musculoskeletal Genetics Mary Goldring, PhD

Leon Root Chair in Pediatric Orthopaedics Leon Root, MD

Leo Farbman Fellowship for Pediatric Musculoskeletal Research Michelle Patterson, MS, OTR/L

Joseph P. Routh Professorship in Rheumatic Disease Stephen A. Paget, MD

WESTCHESTER MEDICAL CENTER

Russell F. Warren Research Chair

Korein-Wilson Professorship in Orthopaedic Surgery Thomas P. Sculco, MD

ST. LUKE’S-ROOSEVELT HOSPITAL CENTER

Orthopaedic Surgery Sabrina M. Strickland, MD Chief

Starr Chair in Tissue Engineering Research

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

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

JAMES J. PETERS VETERANS ADMINISTRATION M EDICAL CENTER - B RONX, NY

Richard S. Laskin, MD, Chair in Musculoskeletal Education

Robert and Helen Appel Fellowship in Biomedical Engineering Natalie Galley, MASc, and Russell Main, PhD

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

Orthopaedic Surgery William G. Hamilton, MD Senior Attending Orthopaedic Surgeon

E NDOWED CHAIRS

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 Chair in Pediatric Genetic Research Steven R. Goldring, MD Starr Chair in Mineralized Tissue Research Adele L. Boskey, PhD

Mary Rodgers and Henry Guettel Fellowship in Biomedical Mechanics Jordan Fondots 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 E NDOWED FELLOWSHIPS

Stavros S. Niarchos—Thomas P. Sculco, MD International Orthopaedic Fellowship Immunology and Inflammation Fellowship

Helen Frankenthaler Fellowship in Restorative Mobility Andrew D. Pearle, MD Ken and Jill Iscol Fellowship in Orthopaedic Research Padhraig O’Loughlin, MD Irving and Sally Lipstock Fellowship in Orthopaedic Surgery James Ryan, MD Ludwig Fellowship for Women’s Sports Medicine Research Halley Smith, BA William T. Morris Fellowship in Pediatric Rheumatology Theresa Lu, MD, PhD

2008-2009 NOTABLE ACHIEVEMENTS The orthopaedic surgeons at Hospital for Special Surgery are regularly cited for their professional achievements and outstanding contributions to orthopaedic 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 David W. Altchek, MD Medical Director, Nets Basketball Lawrence Bonassar, PhD Elected Fellow, American Institute for Medical and Biomedical Engineering

Osric S. King, MD Chief Medical Officer, State of New York Athletic Commission

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

Suzanne Maher, PhD Representative of the Orthopaedic Research Society, Biomedical Engineering Committee, American Academy of Orthopaedic Surgeons

Struan H. Coleman, MD, PhD Head Team Physician, New York Mets

Michael J. Maynard, MD Medical Director, Department of Athletics, Marist College

Edward V. Craig, MD 2009 Wholeness of Life Award, Hospital for Special Surgery Masters in Public Health, Columbia University

Stephen J. O’Brien, MD, MBA Orthopaedic Consultant, St. John’s University Athletic Department

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 Joshua S. Dines, MD Assisant Team Physician, U.S. Davis Cup Tennis Team Assistant Team Physician, Long Island Ducks Minor League Baseball Team Joseph H. Feinberg, MD Head Team Physician, St. Peter’s College Consultant, Office of Professional Medical Conduct, New York State Department of Health Daniel W. Green, MD, FACS Top Five Orthopedic Articles of the Year, American Academy of Pediatrics – Orthopedic Section Finalist, Russell Hibbs Award, 2008 Scoliosis Research Society Meeting Jo A. Hannafin, MD, PhD 2009 Women’s Leadership Forum Award, Orthopaedic Research Society Murray Danforth MD Oration, Department of Orthopaedic Surgery, Brown University Head Team Physician, New York Liberty Team Physician U.S. Rowing David L. Helfet, MD 2008 Thomas E. Sinton Humanitarian Award, Tower of Hope

Bryan T. Kelly, MD Associate Team Physician, New York Giants Associate Team Physician, New York Red Bulls Consulting Team Physician, Nets Basketball Award of Excellence in Orthopaedic Surgery Research, American Academy of Orthopaedic Surgeons Nancy Kane Bischoff Mentoring Award, Hospital for Special Surgery

Andrew D. Pearle, MD Associate Team Physician, New York Mets Bernard A. Rawlins, MD 2008 Nancy Kane Bischoff Award for Outstanding Mentorship, Hospital for Special Surgery Scott A. Rodeo, MD Associate Team Physician, New York Giants Chair, USA Swimming Sports Medicine Committee Team Physician, United States Olympic Team, Beijing 2008 Top Five Orthopedic Articles of the Year, American Academy of Pediatrics – Orthopedic Section Harvinder S. Sandhu, MD 2008 Daniel R. Benson, MD Visiting Professorship and Lecture, University of California, Davis 2008 Keynote Lecture, Annual Meeting, Shriners Hospital for Crippled Children Beth E. Shubin Stein, MD Team Physician, U.S. Federation Cup Tennis Team Marjolein van der Meulen, PhD Elected Fellow, American Institute for Medical and Biomedical Engineering Russell F. Warren, MD Head Team Physician, New York Giants Inducted into the American Society for Sports Medicine Hall of Fame Inducted into the Columbia University Athletics Hall of Fame Andrew J. Weiland, MD Andrew J. Weiland Medal for Innovation in Hand Surgery – Honored with an endowment for research by the American Society for Surgery of the Hand 2008 Emanuel Kaplan Award for Best Anatomic Paper, American Society for Surgery of the Hand

Thomas L. Wickiewicz, MD Team Orthopaedic Surgeon, St. Peter’s College Roger F. Widmann, MD Top Five Orthopedic Articles of the Year, American Academy of Pediatrics – Orthopedic Section Nomination, Best Scientific Paper, Podium Presentation, 2009 European Paediatric Orthopaedic Society Meeting 2008 Philip D. Wilson, Jr., MD Teaching Award, Hospital for Special Surgery Riley J. Williams, III, MD Head Team Physician, Iona College Department of Athletics Orthopaedic Consultant, National Football League Head Team Physician, Nets Basketball Team Physician and Medical Director, New York Red Bulls Scott W. Wolfe, MD Second Prize for Research, New York Society for Surgery of the Hand, May 2009 Meeting, “Augmentation of Zone II Flexor Tendon Repair Using GDF5 in a Rabbit Model” Second Prize for Research, New York Society for Surgery of the Hand, May 2009 Meeting, “Wrist Kinematics During Functional Activities: Mapping the Dart Thrower’s Arc” Timothy M. Wright, PhD Special Review Committee, Core Centers for Musculoskeletal Diseases, National Institute for Arthritis and Musculoskeletal and Skin Diseases

LEADERSHIP POSITIONS AND APPOINTMENTS Donald L. Bartel, PhD Research Committee, Hip Society Oheneba Boachie-Adjei, MD President, Scoliosis Research Society and The Hibbs Society Trustee, Orthopaedic Research and Education Foundation Founder and President, F.O.C.O.S. International Committee, American Academy of Orthopaedic Surgeons Board of Specialty Societies, Representative to American Academy of Orthopaedic Surgeons Annual Meeting

Frank P. Cammisa, Jr., MD Medical Advisory Board, The Alan T. Brown Foundation to Cure Paralysis Publications Committee and 2009 Annual Meeting Program Committee, International Society of the Advancement of Spine Surgery Frank A. Cordasco, MD, MS Education Committee, American Orthopaedic Society for Sports Medicine Medical Advisory Board, Children of China Pediatrics Foundation Board of Directors, Cunningham Dance Foundation Charles N. Cornell, MD Women’s Health Initiative Advisory Board, American Academy of Orthopaedic Surgeons Liaison, American Academy of Orthopaedic Surgeons Council on Education Edward V. Craig, MD, MPH Judiciary Committee, American Academy of Orthopaedic Surgeons Program Committee, American Shoulder and Elbow Surgeons Matthew E. Cunningham, MD, PhD Basic Science Evaluation Subcommittee, American Academy of Orthopaedic Surgeons Jonathan T. Deland, MD Research Committee, Foot and Ankle Society David M. Dines, MD President and Past President, American Shoulder and Elbow Surgeons Planning and Development Committee, American Shoulder and Elbow Surgeons Education Committee, American Orthopaedic Association James C. Farmer, MD Program Committee, Cervical Spine Research Society Stephen Fealy, MD Technology Committee, Arthroscopy Association of North America

Richard S. Bockman, MD, PhD Professional Practice Committee, American Society for Bone and Mineral Research

Joseph H. Feinberg, MD Symposium Committee and Special Interest Group, American Academy of Neuromuscular and Electrodiagnostic Medicine Fellow, American Academy of Neuromuscular and Electrodiagnostic Medicine Board of Trustees and Volunteer Member, F.O.C.O.S.

Mathias P. Bostrom, MD Board Member and Past President, International Society for Fracture Repair Board of Directors, Fellowship Committee, Hip Society Member-at-Large, Board of Directors, Orthopaedic Research Society Musculoskeletal Tissue Engineering Study Section, National Institutes of Health

Federico P. Girardi, MD International Medical Graduate Committee, Medical Society of the State of New York Patient Based Outcomes Committee and Global Outreach Committee, Scoliosis Research Society Publication Committee, Spine Arthroplasty Society, The International Society for the Advancement of Spine Surgery

Robert L. Buly, MD Board Member, Maurice Muller Foundation of North America Founding Member and Secretary, International Society for Hip Arthroscopy Lisa R. Callahan, MD Board of Directors, American Medical Society for Sports Medicine Advisory Board Member, American Ballet Advisory Board Member, Center for Women’s Healthcare, Weill Cornell Medical College 25

2008-2009 NOTABLE ACHIEVEMENTS Leadership Positions and Appointments (continued)

Daniel W. Green, MD, FACS Vice President and Board Member, New York County Medical Society Board of Councilors, American Academy of Orthopaedic Surgeons Evaluation Committee, American Academy of Orthopaedic Surgeons Board Member, New York State Society of Orthopaedic Surgeons Advocacy Committee, Pediatric Orthopaedic Society of North America Representative to the American College of Surgeons for the Pediatric Orthopaedic Society of North America Advocacy and Patient Education Committee, Scoliosis Research Society Brian C. Halpern, MD President, Founding Member, and Past President, American Medical Society for Sports Medicine Jo A. Hannafin, MD, PhD FISA (Federation Internationale Societe D’Aviron) Medical Commission American Orthopaedic Society for Sports Medicine Secretary, Board of Trustees Chair, Committee on Enduring Education Council of Delegates Orthopaedic Research and Education Foundation Board of Trustees and Vice Chair of Development Nominating Committee and Education Committee Orthopaedic Research Society Subspecialty Chair, Program Committee – Shoulder Nominating Committee Skeletal Biology Structure and Regeneration Study Section, National Institutes of Health Ruth Jackson Orthopaedic Society – Research Committee David L. Helfet, MD Nominating Committee, American Academy of Orthopaedic Surgeons Trustee, AO Foundation Chair, Documentation and Publishing, AO Foundation Technical Commission, AO Foundation Lana Kang, MD Diversity Committee, American Society for Surgery of the Hand Young Members Committee, Medical Society of the State of New York New York State Delegate, American Medical Association– Young Physicians Section 2009 Annual Assembly Meeting (June and November 2009) Anne M. Kelly, MD Membership 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, AO-ASIF Intramedullary Nail Working Group and Osteoporosis Task Force, AO-ASIF Robert G. Marx, MD, MSc, FRCSC Co-Chair, Scientific Advisory Committee, International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine

Douglas E. Padgett, MD Adult Reconstruction – Hip Program Subcommittee, American Academy of Orthopaedic Surgeons Committee on Education, American Association of Hip and Knee Surgeons Michael L. Parks, MD Board of Directors, At-Large Member, American Academy of Orthopaedic Surgeons Secretary, New York State Society of Orthopaedic Surgeons Andrew D. Pearle, MD Co-Chair, Advanced Imaging and Computer-Assisted Surgery of the Knee and Hip Research Symposium, National Institutes of Health and 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, Children’s Health Fund Hollis G. Potter, MD Research Committee, American Orthopaedic Society for Sports Medicine Program Committee, International Society for Magnetic Resonance in Medicine Consultant, Orthopaedic and Rehabilitation Devices Panel, Medical Devices Advisory Committee and Center for Devices and Radiological Health, Food and Drug Administration, Department of Health and Human Services Consultant, Cellular, Tissue and Gene Therapies Advisory Committee, Food and Drug Administration Skeletal Biology Development and Disease Study Section, National Institutes of Health Musculoskeletal Disease Research Core Centers Study Section, National Institutes of Health and National Institute of Arthritis and Musculoskeletal and Skin Disorders Cathleen L. Raggio, MD Board of Directors and Chair, Media Relations, Orthopaedic Research Society Amar S. Ranawat, MD Membership Committee, Eastern Orthopaedic Association Chitranjan S. Ranawat, MD President Elect, Hip Society President, Eastern Orthopaedic Education Foundation Founding President, The Knee Society Chair, Ranawat Orthopaedic Research Foundation Past President, New York Academy of Medicine Past President, New York Society for Surgery of the Hand Past President, American Association of Hip and Knee Surgeons Past President, Eastern Orthopaedic Association Chair, Annual ROC Advances and Techniques in Joint Replacement Surgery Bernard A. Rawlins, MD Founding Member, J. Robert Gladden Society Program Committee, Cervical Spine Research Society, North American Spine Society Matthew M. Roberts, MD Post-Graduate Education and Training Committee, American Orthopaedic Foot and Ankle Society

Scott A. Rodeo, MD Chair, Research Committee, American Orthopaedic Society for Sports Medicine Council of Delegates, American Orthopaedic Society for Sports Medicine Chair, Professional Liaison Committee, Orthopaedic Research Society Special Emphasis Panel on Musculoskeletal Tissue Engineering, National Institutes of Health

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

S. Robert Rozbruch, MD Executive Board Member and Treasurer, Limb Lengthening and Reconstruction Society

Timothy M. Wright, PhD Scientific Advisory Board, InMotion Institute Medical Devices Working Group, FDA Osteoarthritis Research Society International Initiative for Clinical Trial Development Education Committee and Program Committee, Knee Society

Harvinder S. Sandhu, MD Disclosure Taskforce Committee, North American Spine Society

EDITORIAL APPOINTMENTS

Thomas P. Sculco, MD Executive Director and Founder, International Society of Orthopaedic Centers Research Board, Instituto Ortopedico Rizzoli Governing Board, Salzburg Medical Seminars International Board of Governors, Arthritis Foundation – New York City Chapter Board of Trustees, Carnegie Hall 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 Interim Associate Dean, Research and Graduate Studies, College of Engineering, Cornell University Russell F. Warren, MD Founding Member, American Shoulder and Elbow Society Past President, American Orthopaedic Society for Sports Medicine Past President, American Shoulder and Elbow Surgeons Past President, Herodicus Society Andrew J. Weiland, MD President, International Bone Research Association Nominating Committee, American Society for Surgery of the Hand Nominating Committee, American Orthopaedic Association Geoffrey H. Westrich, MD Board Member and Member-at-Large, Eastern Orthopaedic Association 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 Riley J. Williams, III, MD Board Member, J. Robert Gladden Society Board Member, American Academy of Orthopaedic Surgeons Joint Subcommittee, Annual Meeting Program, American Shoulder and Elbow Surgeons/American Academy of Orthopaedic Surgeons Research Committee and Education Committee, American Orthopaedic Society for Sports Medicine Technology Committee, American Shoulder and Elbow Society

Donald L. Bartel, PhD Reviewer: The Journal of Bone & Joint Surgery; Clinical Orthopaedics and Related Research John S. Blanco, MD Reviewer: Journal of Pediatric Orthopaedics; Clinical Orthopaedics and Related Research Oheneba Boachie-Adjei, MD Board of Associate Editors, Spine Mathias P. Bostrom, MD Editorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Robert L. Buly, MD Advisory Board, Journal of Orthopaedics and Traumatology Lisa R. Callahan, MD Editorial Advisor: Journal of Women’s Health; Women’s Health Advisor; Food and Fitness Advisor Frank A. Cordasco, MD Editorial Reviewer: Journal of Shoulder and Elbow Surgery; Arthroscopy: The Journal of Arthroscopic and Related Surgery; The American Journal of Sports Medicine; Clinical Orthopaedics and Related Research; Journal of Orthopaedic Research Michelle G. Carlson, MD Reviewer, Journal of Hand Surgery Charles N. Cornell, MD Editor-in-Chief, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Edward V. Craig, MD, MPH Board of Trustees, Journal of Shoulder and Elbow Surgery Editor: Techniques in Shoulder and Elbow Surgery Reviewer: Journal of Bone and Joint Surgery; Journal of Shoulder and Elbow Surgery Matthew E. Cunningham, MD, PhD Reviewer: Clinical Orthopaedics and Related Research; HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Aaron Daluiski, MD Editorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Jonathan T. Deland, MD Associate Editor, Foot and Ankle International Journal

2008-2009 NOTABLE ACHIEVEMENTS Editorial Appointments (continued)

David M. Dines, MD Board of Trustees and Treasurer, Journal of Shoulder and Elbow Surgery Joshua S. Dines, MD Associate Editor, BMC Musculoskeletal Disorders Journal Scott J. Ellis, MD Reviewer, Clinical Orthopaedics and Related Research James C. Farmer, MD Editorial Board, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Stephen Fealy, MD Reviewer, American Journal of Sports Medicine 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 Federico P. Girardi, MD Reviewer: Spine; European Spine Journal; Clinical Orthopaedics and Related Research 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 David L. Helfet, MD Associate Editor, American Journal of Orthopaedics Department Editor, American Journal of Orthopaedics Second Editorial Committee, Chinese Journal of Orthopaedic Trauma Reviewer: Journal of Bone and Joint Surgery; Journal of Orthopaedic Trauma Robert N. Hotchkiss, MD Co-Editor, Green’s Operative Hand Surgery, 6th Edition 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 Joseph Lipman, MS Reviewer, Journal of Orthopaedic Research Dean G. Lorich, MD Editorial Board: Techniques in Knee Surgery; Journal of Trauma; Current Orthopaedic Practices Reviewer, Clinical Orthopaedics and Related Research Suzanne Maher, PhD Reviewer, Journal of Orthopaedic Research Robert G. Marx, MD, MSc, FRCSC Senior Associate Editor, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 28

Douglas E. Padgett, MD Editor, Journal of Arthroplasty Consultant Reviewer: Journal of Bone and Joint Surgery, Clinical Orthopaedics and Related Research, Journal of Orthopaedic Research Hollis G. Potter, MD Associate Editor: Imaging; Sports Health Editorial Board, Cartilage, Journal of the International Cartilage Repair Society Chitranjan S. Ranawat, MD Editorial Advisory Board, Journal of Arthroplasty S. Robert Rozbruch, MD Editorial Board, Journal of Orthopaedic Trauma 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 Thomas P. Sculco, MD Deputy Editor: American Journal of Orthopaedics Editorial Board: HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery Edwin P. Su, MD Deputy Editor, American Journal of Orthopedics Marjolein van der Meulen, PhD Deputy Editor, Journal of Orthopaedic Research 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 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 for Pediatric Orthopaedics; Clinical Orthopaedics and Related Research; Journal of Children’s Orthopaedics Scott W. Wolfe, MD Editor-in-Chief, Green’s Operative Hand Surgery, 6th Edition Associate Editor, Journal of Hand Surgery Reviewer, The Journal of Bone & Joint Surgery Timothy M. Wright, PhD Co-Editor, Journal of Orthopaedic Research; 2007 AAOS/NIH Workshop on Osteolysis and Implant Wear: Biological, Biomedical Engineering, and Surgical Principles, Supplement, Journal of the American Academy of Orthopaedic Surgeons, July 2008 Deputy Editor, HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery

2008 – 2009 SELECTED PUBLICATIONS Hospital for Special Surgery orthopaedic surgeons are prolific authors with scientific and clinical articles routinely published in peer-reviewed journals. 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.

Bostrom MP, O’Keefe R. Implant Wear Symposium 2007 Biologic Work Group. What experimental approaches (eg. in vivo, in vitro, tissue retrieval) are effective in investigating the biologic effects of particles? Journal of the American Academy of Orthopaedic Surgeons 2008.

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.

Bozic KJ, Rubash HE, Sculco TP, Berry DJ. An analysis of Medicare payment policy for total joint arthroplasty. The Journal of Arthroplasty 2008.

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.

Bruzzone M, Ranawat AS, Castoldi F, Dettoni F, Rossi P, Rossi R. The risk of direct peroneal nerve injury using the Ranawat “insideout” lateral release technique in valgus total knee arthroplasty. The Journal of Arthroplasty 2008.

Tellisi N, Fragomen AT, Kleinman D, O'Malley MJ, Rozbruch SR. Joint preservation of the osteoarthritic ankle using distraction arthroplasty. Foot & Ankle International 2009.

Cipriano CA, Issack PS, Beksac BP, González Della Valle A, Sculco TP, Salvati EA. Metallosis after metal-on-polyethylene total hip arthroplasty. American Journal of Orthopedics 2008.

ADULT RECONSTRUCTION AND JOINT REPLACEMENT DIVISION HIP SERVICE—KNEE SERVICE—SURGICAL ARTHRITIS SERVICE

Cohn RM, González Della Valle A, Peterson M, Cornell CN. Similar wear in total hip arthoplasties with metallic or zirconia femoral heads. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008.

ADULT LIMB LENGTHENING AND DEFORMITY SERVICE

Ajmal M, Ranawat AS, Ranawat CS. A new cemented femoral stem: A prospective study of the Stryker Accolade C with 2- to 5-year follow-up. The Journal of Arthroplasty 2008. 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 2008. Anderson JA, Baldini A, Sculco TP. Patellofemoral function after total knee arthroplasty: a comparison of 2 posterior-stabilized designs. Journal of Knee Surgery 2008. Bauer TW, Shanbhag AS. Implant Wear Symposium 2007 Biologic Work Group. Are there biological markers of wear? Journal of the American Academy of Orthopaedic Surgeons 2008. Bek D, Beksac BP, González Della Valle A, Sculco TP, Salvati EA. Aspirin decreases the prevalence and severity of heterotopic ossification after one-stage bilateral total hip arthroplasty for osteoarthrosis. The Journal of Arthroplasty 2008. Beksac BP, González Della Valle A, Salvati EA. Acute sciatic nerve palsy as a delayed complication of low-molecular-weight heparin prophylaxis after total hip arthroplasty. American Journal of Orthopaedics 2009. Beksac BP, Salas AP, González Della Valle A, Salvati EA. Wear is reduced in THA performed with highly cross-linked polyethylene. Clinical Orthopaedics and Related Research 2008. Boettner F, Sculco PK, Altneu E, Capar B, Sculco TP. Efficiency of autologous blood donation in combination with a cell saver in bilateral total knee arthroplasty. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2009.

Colwell C, Froimson M, Trousdale R, Buehler R, Ritter R, Padgett DE. Thrombosis prevention in total hip arthroplasty: a novel compression device versus low-molecular-weight heparin. The Journal of Bone & Joint Surgery 2008. 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 2008. Crow JB, Gelfand B, Su EP. Use of joint mobilization in a patient with severely restricted hip motion following bilateral hip resurfacing arthroplasty. Physical Therapy 2008. De Haan R, Campbell PA, Su EP, De Smet KA. Revision of metal-onmetal resurfacing arthroplasty of the hip: the influence of malpositioning of the components. The Journal of Bone & Joint Surgery 2008. Delos D, Yang X, Riccardi BF, Myers ER, Bostrom MP, Camacho NP. The effects of RANKL inhibition on fracture healing and bone strength in a mouse model of osteogenesis imperfecta. Journal of Orthopaedic Research 2008. Dogan B, Beksac BP, González Della Valle A, Sculco TP, Salvati EA. Aspirin decreases the prevalence and severity of heterotopic ossification after one-stage bilateral total hip arthroplasty for osteo-arthrosis. The Journal of Arthoplasty 2009. Furman BD, Lipman J, Kligman M, Wright TM, Haas SB. Tibial post wear in posterior-stabilized knee replacements is designdependent. Clinical Orthopaedics and Related Research 2008. Gardner MJ, Ricciardi BF, Wright TM, Bostrom MP, van der Meulen MC. Pause insertions during cyclic in vivo loading affect bone healing. Clinical Orthopaedics and Related Research 2008.

2008 – 2009 SELECTED PUBLICATIONS Adult Reconstruction and Joint Replacement Division (continued)

González Della Valle A, Comba F, Ellis RA, Peterson MG, Salvati EA. The agreement and repeatability of computer-based wear measurement of total hip arthoplasties. The Journal of Arthroplasty 2008. González Della Valle A, Comba F, Taveras N, Salvati EA. The utility and precision of analogue and digital preoperative planning for total hip arthroplasty. International Orthopedics 2008. 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 2008. Götze C, Rosenbaum D, Hoedemaker J, Boettner F, Steens W. Is there a need of custom-made prostheses for total hip arthroplasty? Gait analysis, clinical and radiographic analysis of customized femoral components. Archives of Orthopaedic and Trauma Surgery 2008. Greenfield EM, Bechtold J. Implant Wear Symposium 2007 Biologic Work Group. What other biologic and mechanical factors might contribute to osteolysis? Journal of the American Academy of Orthopaedic Surgeons 2008. Gulotta LV, Baldini A, Foote K, Lyman S, Nestor BJ. Femoral revision with an extensively hydroxyapatite-coated femoral component. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Haas SB, Barrack RL, Westrich GH, Lachiewicz PF. Venous thromboembolic disease after total hip and knee arthroplasty. The Journal of Bone & Joint Surgery 2008. Haas SB, Barrack RL, Westrich GH. Venous thromboembolic disease after total hip and knee arthroplasty. Instructional Course Lectures 2009. Hepinstall M, Ranawat AS, Ranawat CS. What can patients actually do one year after a high performance total knee replacement? The Journal of Arthroplasty 2008. Issack PS, Beksac BP, Helfet DL, Buly RL, Sculco TP. Reconstruction of the failed acetabular component using cemented shells and impaction grafting in revision hip arthroplasty. American Journal of Orthopaedics 2008. Issack PS, Figgie MP, Helfet DL. Treatment of acetabular nonunion and posttraumatic arthritis with bone grafting and total hip arthroplasty. American Journal of Orthopaedics 2009. Issack PS, Kreshak J, Klinger CE, Toro JB, Buly RL, Helfet DL. Sciatic nerve release following fracture or reconstructive surgery of the acetabulum. Surgical technique. The Journal of Bone & Joint Surgery [Am] 2008. 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. Jacobs JJ, Campbell PA, T Konttinen Y. Implant Wear Symposium 2007 Biologic Work Group. How has the biologic reaction to wear particles changed with newer bearing surfaces? Journal of the American Academy of Orthopaedic Surgeons 2008.

Jarrett C, Ranawat AS, Bruzzone M, Rodriguez JA, Ranawat CS. The squeaking hip: an under-reported phenomenon of ceramic-onceramic total hip arthroplasty. The Journal of Bone & Joint Surgery 2008. Khan SN, Solaris J, Ramsey KE, Yang X, Bostrom MP, Stephan D, Daluiski A. Identification of novel gene expression in healing fracture callus tissue by DNA microarray. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Kim HJ, Kahn B, Figgie MP. Total joint replacement in childhood arthritis. Current Rheumatology Reports 2008. Kim HJ, Walcott-Sapp S, Leggett K, Bass A, Adler RS, Pavlov H, Westrich GH. The use of spiral computed tomography scans for the detection of pulmonary embolism. The Journal of Arthroplasty 2008. Kirkland A, Garrison JC, Singleton SB, Rodrigo J, Boettner F, Stuckey S. Surgical and therapeutic management of a complete proximal hamstring avulsion after failed conservative approach. Journal of Orthopaedic and Sports Physical Therapy 2008. Koulouvaris P, Stafylas K, Sculco TP, Xenakis T. Distal femoral shortening in total hip arthroplasty for complex primary hip reconstruction. A new surgical technique. The Journal of Arthroplasty 2008. Liu SS, González Della Valle A, Besculides MC, Garber LK, Memtsoudis SG. Trends in mortality, complications, and demographics for primary hip arthroplasty in the United States. International Orthopaedics 2008. MacDessi SJ, Brophy RH, Bullough PG, Windsor RE, Sculco TP. Subchondral fracture following arthroscopic knee surgery. A series of eight cases. The Journal of Bone & Joint Surgery 2008. MacDessi SJ, Rich DS, Buly RL, Walcott-Sapp S, Westrich GH. Early femoral component loosening of constrained condylar primary total knee arthoplasties inserted without stems. Journal of Orthopaedics 2008. Maheshwari AV, Blum YC, Shekhar L, Ranawat AS, Ranawat CS. Multimodal pain management after total hip and knee arthroplasty at the Ranawat Orthopaedic Center. Clinical Orthopaedics and Related Research 2009. Maheshwari AV, Ranawat AS, Ranawat CS. The use of hydroxyapatite on press-fit tapered femoral stems. Orthopedics 2008. Maheshwari AV, Tsailas PG, Ranawat AS, Ranawat CS. How to address the patella in revision total knee arthroplasty. The Knee 2009. Mayman DJ, Plaskos C, Kendoff D, Wernecke G, Pearle AD, Laskin R. Ligament tension in the ACL-deficient knee: assessment of medial and lateral gaps. Clinical Orthopaedics and Related Research 2009. Memtsoudis SG, Besculides MC, Garber LK, Reid S, González Della Valle A. Trends in bilateral total knee arthroplasty surgery. Clinical Orthopaedics and Related Research 2008. Memtsoudis SG, González Della Valle A, Besculides MC, Esposito M, MacKenzie R, Koulouvaris P, Salvati EA. The impact of pre- and postoperative risk factors on perioperative mortality after lower extremity arthroplasty: a population based study of 6,901,324 patients. The Journal of Arthroplasty 2008.

Memtsoudis SG, González Della Valle A, Besculides MC, Garber LK, Sculco TP. In-hospital complications and mortality of unilateral, bilateral, and revision TKA: based on an estimate of 4,159,661 discharges. Clinical Orthopaedics and Related Research 2008. Memtsoudis SG, González Della Valle A, Besculides MC, Garber LK, Koulouvaris P, Liu SS. Demographics, outcomes and risk factors for adverse events associated with primary and revision hip arthoplasties in the United States. International Orthopaedics (in press). Memtsoudis SG, González Della Valle A, Besculides MC, Garber LK, Laskin RS. Trends in demographics, comorbidity profiles, in-hospital complications and mortality associated with primary knee arthroplasty. 3,830,420 hospital discharges in the Unites States between 1990 and 2004. The Journal of Arthroplasty 2008. Memtsoudis SG, Liu SS, Besculides MC, Gaber LK, González Della Valle A. Risk factors for pulmonary embolism after hip and knee arthroplasty: A population based study. International Orthopaedics 2008. Miller A, Su EP, Bostrom MP, Nestor BJ, Padgett DE. Incidence of ceramic liner malseating in trident acetabular shell. Clinical Orthopaedics and Related Research 2009. Nho SJ, Ala OL, Dodson CC, Figgie MP, Wright TM, Craig EV, Warren RF. Comparison of conforming and nonconforming retrieved glenoid components. Journal of Shoulder and Elbow Surgery 2008. 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. Peterson MG, Cioppa-Mosca J, Finerty E, Graziano S, King S, Sculco TP. Effectiveness of best practice implementation in reducing hip arthroplasty length of stay. The Journal of Arthroplasty 2008. Peterson MG, Cioppa-Mosca J, Finerty EA, Graziano S, King S, Sculco TP. Letter to the editor. The Journal of Arthroplasty 2008. Rajadhyaksha AD, Brotea C, Cheung Y, Kuhn C, Ramakrishnan R, Zelicof SB. Five-year comparative study of highly cross-linked (crossfire) and traditional polyethylene. Journal of Arthroplasty 2009. Rajadhyaksha AD, Mehta H, Zelicof SB. Use of tibialis anterior tendon as distal landmark for extramedullary tibial alignment in total knee arthroplasty: an anatomical study. American Journal of Orthopaedics 2009. Ranawat AS, Zelken J, Helfet D, Buly RL. Total hip arthroplasty following fracture of the acetabulum. The Journal of Arthroplasty 2008. Robertson WJ, Mattern CJ, Hur J, Su EP, Pellicci PM. Failure mechanisms and closed reduction of a constrained tripolar acetabular liner. The Journal of Arthroplasty 2009. Rodriguez J, González Della Valle A, McCook N. Squeaking in total hip replacement: a cause for concern. Orthopaedics 2008. Rodriguez JA, Fada R, Murphy SB, Rasquinha VJ, Ranawat CS. Twoyear to five-year follow-up of femoral defects in femoral revision treated with the link MP modular stem. The Journal of Arthroplasty 2008.

Saleh KJ, Bear B, Bostrom MP, Wright TM, Sculco TP. Initial stability of press-fit acetabular components: an in vitro biomechanical study. American Journal of Orthopedics 2008. Sanchez Marquez JM, Del Sel N, Leali A, González Della Valle A. Case reports: tantalum debris dispersion during revision of a tibial component for total knee arthroplasty. Case report. Clinical Orthopaedics and Related Research 2009. Schwarz EM. Implant Wear Symposium 2007 Biologic Work Group. What potential biologic treatments are available for osteolysis? Journal of the American Academy of Orthopaedic Surgeons 2008. Sculco TP, Brand RA. Tribute to Richard S. Laskin, MD, 1940-2008. Clinical Orthopaedics and Related Research 2008. Sculco TP, Callaghan J, Galante J. Clinical issues summary on behalf of the Implant Wear Symposium 2007 Clinical Work Group. Journal of the American Academy of Orthopaedic Surgeons 2008. 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 2008. Sculco, TP. Mentors can help hospitals implement IOM best practices. Modern Physician On Line 2008. Shah S, Kelly N, Padgett DE, Wright TM. Retrieval analysis of failed constrained acetabular components. The Journal of Arthroplasty 2008. Sharma V, Maheshwari AV, Tsailas PG, Ranawat AS, Ranawat CS. The results of knee manipulation for stiffness after total knee arthroplasty with or without an intra-articular steroid injection. Indian Journal of Orthopaedics 2008. Sharma V, Ranawat AS, Ranawat CS. Revision THA for ceramic head fracture. The Journal of Arthroplasty 2008. Sharma V, Tsailas PG, Maheshwari AV, Ranawat AS, Ranawat CS. Does patellar eversion in total knee arthroplasty cause patella baja? Clinical Orthopaedics and Related Research 2008. Sharrock NE, González Della Valle A, Go G, Lyman S, Salvati EA. Potent anticoagulants are associated with a higher all-cause mortality rate after hip and knee arthroplasty. Clinical Orthopaedics and Related Research 2008. Sharrock NE, González Della Valle A, Go G, Salvati EA. Potent anticoagulants increase all-cause mortality and symptomatic pulmonary embolism after total joint arthroplasty. Reply to a letter to the editor. Clinical Orthopaedics and Related Research 2008. Sherman SL, Cunneená KP, Walcott-Sapp S, Brause B, Westrich GH. Custom total femur spacer and second-stage total femur arthroplasty as a novel approach to infection and periprosthetic fracture. The Journal of Arthroplasty 2008. Stulberg BN, González Della Valle A. What are the guidelines for the surgical and nonsurgical treatment of periprosthetic osteolysis? Journal of the American Academy of Orthopaedic Surgeons 2008. Su EP, Sheehan M, Su SL. Comparison of bone removed during total hip arthroplasty with a resurfacing or conventional femoral component: a cadaveric study. The Journal of Arthroplasty 2008. 31

2008 – 2009 SELECTED PUBLICATIONS Adult Reconstruction and Joint Replacement Division (continued)

Toulson C, Walcott-Sapp S, Hur J, Salvati E, Bostrom MP, Brause B, Westrich GH. Treatment of infected total hip arthroplasty with a 2stage reimplantation protocol update on our institution’s experience from 1989 to 2003. The Journal of Arthroplasty 2008. Tuan RS, Lee FY, T Konttinen Y, Wilkinson JM, Smith RL. Implant Wear Symposium 2007 Biologic Work Group. What are the local and systemic biologic reactions and mediators to wear debris, and what host factors determine or modulate the biologic response to wear particles? Journal of the American Academy of Orthopaedic Surgeons 2008. Villanueva M, Rios-Luna A, Pereiro De Lamo J, Fahandez-Saddi H, Bostrom MP. A review of the treatment of pelvic discontinuity. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Walter WL, Waters TS, Gillies M, Donohoo S, Kurtz SM, Ranawat AS, Hozack WJ, Tuke MA. Squeaking hips. The Journal of Bone & Joint Surgery 2008. Watson D, Bostrom MP, Salvati EA, Walcott-Sapp, S, Westrich GH. Primary total hip arthroplasty for displaced femoral neck fracture. Orthopedics 2008. Zhang H, Ricciardi BF, Yang X, Shi Y, Camacho NP, Bostrom MP. Polymethylmethacrylate particles stimulate bone resorption of mature osteoclasts in vitro. Acta Orthopaedica 2008.

FOOT AND ANKLE SERVICE 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 & Ankle International 2008. Ellis SJ, Hillstrom H, Chang R, Lipman J, Garrison G, Deland JT. The development of an intra-operative plantar pressure assessment device: a feasibility study. Foot & Ankle International 2009. Hodgkins CW, Kennedy JG, O’Loughlin PF. Tendon injuries in dance. Clinics in Sports Medicine 2008. Johnson A, Aibinder W, Deland JT. Clinical tip: partial plantar plate release for correction of crossover second toe. Foot & Ankle International 2008. Kennedy JG, Baxter DE. Nerve disorders in dancers. Clinics in Sports Medicine 2008. Kennedy JG, Collumbier JA. Bunions in dancers. Clinics in Sports Medicine 2008. Kennedy JG, Hodgkins CW. Foot and ankle injuries in dance. Preface. Clinics in Sports Medicine 2008. O’Loughlin PF, Kendoff D, Pearle AD, Kennedy JG. Arthroscopicassisted fluoroscopic navigation for retrograde drilling of a talar osteochondral lesion. Foot & Ankle International 2009. O’Loughlin PF, Sofka CM, Kennedy JG. Fracture of the medial tubercle of the posterior process of the talus: magnetic resonance imaging appearance with clinical follow-up. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2009.

Tellisi N, Elliott AJ. Gastrocnemius aponeurosis recession: a modified technique. Foot & Ankle International 2008. Tellisi N, Fragomen AT, Kleinman D, O'Malley MJ, Rozbruch SR. Joint preservation of the osteoarthritic ankle using distraction arthroplasty. Foot & Ankle International 2009. Tellisi N, Lobo M, O’Malley M, Kennedy JG, Elliott AJ, Deland JT. Functional outcome after surgical reconstruction of posterior tibial tendon insufficiency in patients under 50 years. Foot & Ankle International 2008. Voellmicke KV, Bansal M, O’Malley MJ. Failed first metatarsophalangeal arthroplasty salvaged by hamstring interposition arthroplasty: metallic debris from grommets. American Journal of Orthopaedics 2008.

HAND AND UPPER EXTREMITY SERVICE Carlson MG, Spincola LJ, McDermott E, Lewin J. Impact of video review on surgical procedure determination in patients with cerebral palsy. The Journal of Hand Surgery 2009. Carlson MG. The effect of altered hand skills on stereognosis. The Journal of Hand Surgery [Am] 2009. Duncan SF, Athanasian, EA, Healey JH. Radius neck-to-humerus trochlea transposition for elbow reconstruction after resection of the proximal ulna: report of 2 cases. The Journal of Hand Surgery 2008. Feinberg JH, Radecki J, Wolfe SW, Strauss HL, Mintz DN. Brachial plexopathy/nerve root avulsion in a football player: the role of electrodiagnostics. HSS Journal: The Musculoskeletal Journal of the Hospital for Special Surgery 2008. 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 2008. Henn RF III, Kang L, Tashjian RZ, Green A. Patients with workers’compensation claims have worse outcomes after rotator cuff repair. The Journal of Bone & Joint Surgery 2008. Johnson TS, Johnson DC, Shindle MK, Allen AA, Weiland AJ, Cavanaugh J, Noonan D, Lyman S. One- versus two-incision technique for distal biceps tendon repair. HSS Journal: The Musculoskeletal Journal of the Hospital for Special Surgery 2008. Kang L, Galvin AL, Brown TD, Fisher J, Jin ZM. Wear simulation of ultra-high molecular weight polyethylene hip implants by incorporating the effects of cross-shear and contact pressure. Proceedings of the Institution of Mechanical Engineers. Part H. Journal of Engineering in Medicine 2008. Kang L, Mermel LA, Trafton PG. What happens when autogenous bone drops out of the sterile field during orthopaedic trauma surgery? Journal of Orthopaedic Trauma 2008. Khan SN, Solaris J, Ramsey KE, Yang X, Bostrom MP, Stephan D, Daluiski A. Identification of novel gene expression in healing fracture callus tissue by DNA microarray. HSS Journal: The Musculoskeletal Journal of the Hospital for Special Surgery 2008.

Leventhal EL, Wolfe SW, Moore DC, Akelman E, Weiss AP, Crisco JJ. Interfragmentary motion in patients with scaphoid nonunion. The Journal of Hand Surgery 2008.

Gehrig LM, Collinge C, Kaufman J, Lane JM, O’Connor MI, Tosi LL. Osteoporosis: management and densitometry for orthopaedic surgeons. Instructional Course Lectures 2009.

Leventhal EL, Wolfe SW, Walsh EF, Crisco JJ. A computational approach to the “optimal” screw axis location and orientation in the scaphoid bone. The Journal of Hand Surgery [Am] 2009.

Gehrig LM, Lane JM, O'Connor MI. Osteoporosis: management and treatment strategies for orthopaedic surgeons. Instructional Course Lectures 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 2008.

Gourion-Arsiquaud S, West PA, Boskey AL. Fourier transforminfrared microspectroscopy and microscopic imaging. Methods in Molecular Biology 2008.

Nathan SS, Athanasian E, Boland PJ, Healey JH. Valgus ankle deformity after vascularized fibular reconstruction for oncologic disease. Annals of Surgical Oncology 2009. Prokopis PM, Weiland AJ. Volar dislocation of the fourth and fifth carpometacarpal joints: a case report and review of the literature. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Rainbow MJ, Crisco JJ, Moore DC, Wolfe SW. Gender differences in capitate kinematics are eliminated after accounting for variation in carpal size. Journal of Biomechanical Engineering 2008. Swanson AN, Wolfe SW, Khazzam M, Feinberg JH, Ehteshami J, Doty S. Comparison of neurotization versus nerve repair in an animal model of chronically denervated muscle. The Journal of Hand Surgery 2008.

METABOLIC BONE DISEASE/ MUSCULOSKELETAL ONCOLOGY SERVICE Boskey AL. Signaling in response to hypoxia and normoxia in the intervertebral disc. Arthritis and Rheumatism 2008. Boskey AL, Doty SB, Kudryashov V, Mayer-Kuckuk P, Roy R, Binderman I. Modulation of extracellular matrix protein phosphorylation alters mineralization in differentiating chick limb-bud mesenchymal cell micromass cultures. Bone 2008.

Issack PS, Helfet DL, Lane JM. Role of wnt signaling in bone remodeling and repair. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Lenart BA, Lorich DG, Lane JM. Atypical fractures of the femoral diaphysis in postmenopausal women taking alendronate. The New England Journal of Medicine 2008. 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 2008. Mochida Y, Parisuthiman D, Pornprasertsuk-Damrongsri S, Atsawasuwan P, Sricholpech M, Boskey AL, Yamauchi M. Decorin modulates collagen matrix assembly and mineralization. Matrix Biology 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. Papadopoulos EC, Edobor-Osula F, Gardner MJ, Shindle MK, Lane JM. Unipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: early results. Journal of Spinal Disorders 2008.

Boskey AL, Roy R. Cell culture systems for studies of bone and tooth mineralization. Chemical Reviews 2008.

Steele B, Serota A, Helfet DL, Peterson M, Lyman S, Lane JM. Vitamin D deficiency: a common occurrence in both high-and lowenergy fractures. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008.

Boskey AL, Spevak L, Weinstein, RS. Spectroscopic markers of bone quality in alendronate-treated postmenopausal women. Osteoporosis International 2008.

Verdelis K, Ling Y, Sreenath T, Haruyama N, MacDougall M, van der Meulen MC, Lukashova L, Spevak L, Kulkarni AB, Boskey AL. DSPP effects on in vivo bone mineralization. Bone 2008.

Brunner J, Armstrong D, Feldman BM, Schneider R , Benseler S. Childhood stroke as the presentation of Takayasu’s arteritis: diagnostic delay can cause catastrophic complications. The Journal of Rheumatology 2008.

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 2008.

Courtland HW, Nasser P, Goldstone AB, Spevak L, Boskey AL, Jepsen KJ. Fourier transform infrared imaging microspectroscopy and tissue-level mechanical testing reveal intraspecies variation in mouse bone mineral and matrix composition. Calcified Tissue International 2008. Courtland HW, Spevak M, Boskey AL, Jepsen KJ. Genetic variation in mouse femoral tissue-level mineral content underlies differences in whole bone mechanical properties. Cells, Tissues, Organs 2009.

Wernecke G, Namduri S, Dicarlo EF, Schneider R, Lane JM. Case report of spontaneous, nonspinal fractures in a multiple myeloma patient on long-term pamidronate and zoledronic acid. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Yamamoto T, Schneider R, Iwamoto Y, Bullough PG. Rapid destruction of the hip joint in osteoarthritis. Annals of the Rheumatic Diseases 2008.

Efthimiou P, Nasis O, Russell LA, Classic presentation of a rare disease: melorheostosis. The Journal of Rheumatology 2008. 33

2008 – 2009 SELECTED PUBLICATIONS ORTHOPAEDIC TRAUMA SERVICE Boraiah S, Ragsdale M, Achor T, Zelicof S, Asprinio DE. Open reduction internal fixation and primary total hip arthroplasty of selected acetabular fractures. Journal of Orthopaedic Trauma 2009. 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. Carroll EA, Lorich DG, Helfet DL. Surgical management of a periprosthetic fracture between a total elbow and total shoulder prostheses: a case report. Journal of Shoulder and Elbow Surgery 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. Gardner MJ, Boraiah S, Helfet DL, Lorich DG. Indirect medial reduction and strut support of proximal humerus fractures using an endosteal implant. Journal of Orthopaedic Trauma 2008. Grose AW, Gardner MJ, Sussmann PS, Helfet DL, Lorich DG. The surgical anatomy of the blood supply to the femoral head: description of the anastomosis between the medial femoral circumflex and inferior gluteal arteries at the hip. The Journal of Bone & Joint Surgery B 2008. Issack PS, Beksac BP, Helfet DL, Buly RL, Sculco TP. Reconstruction of the failed acetabular component using cemented shells and impaction grafting in revision hip arthroplasty. American Journal of Orthopaedics 2008. Issack PS, Figgie MP, Helfet DL. Treatment of acetabular nonunion and posttraumatic arthritis with bone grafting and total hip arthroplasty. American Journal of Orthopaedics 2009. Issack PS, Helfet DL. Sciatic nerve injury associated with acetabular fractures. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Issack PS, Helfet DL, Lane JM. Role of wnt signaling in bone remodeling and repair. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Issack PS, Kreshak J, Klinger CE, Toro JB, Buly RL, Helfet DL. Sciatic nerve release following fracture or reconstructive surgery of the acetabulum. Surgical technique. The Journal of Bone & Joint Surgery [Am] 2008. 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. Kepler CK, Nho SJ, Miller AN, Barie PS, Lyden JP. Orthopaedic injuries associated with fall from floor forty-seven. Journal of Orthopaedic Trauma 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 2008.

Miller AN, Carroll EA, Parker RJ, Boraiah S, Helfet DL, Lorich DG. Direct visualization for syndesmotic stabilization of ankle fractures. Foot & Ankle International 2009. O’Loughlin PF, Morr S, Bogunovic L, Kim AD, Park B, Lane JM. Selection and development of preclinical models in fracture-healing research. The Journal of Bone & Joint Surgery [Am] 2008. Papadopoulos EC, Edobor-Osula F, Gardner MJ, Shindle, MK, Lane JM. Unipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: early results. Journal of Spinal Disorders & Techniques 2008. Ranawat AS, Zelken J, Helfet DL, Buly R. Total hip arthroplasty for posttraumatic arthritis after acetabular fracture. The Journal of Arthroplasty 2008. Steele B, Serota A, Helfet DL, Peterson M, Lyman S, Lane JM. Vitamin D deficiency: A common occurrence in both high- and lowenergy fractures. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Suk M, Norvell DC, Hanson B, Dettori JR, Helfet DL. Evidence-based orthopaedic surgery: what is evidence without the outcomes? Journal of the American Academy of Orthopaedic Surgery 2008. Vogiatzi MG, Macklin EA, Fung EB, Cheung AM, Vichinsky E, Olivieri N, Kirby M, Kwiatkowski JL, Cunningham M, 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 2008. Voos JE, Drakos MC, Lorich DG, Fealy S. Proximal tibia fracture after anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft: a case report. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Weil YA, Gardner MJ, Boraiah S, Helfet DL, Lorich DG. Anterior knee pain following the lateral parapatellar approach for tibial nailing. Archives of Orthopaedic and Trauma Surgery 2009. Wernecke G, Namduri S, Dicarlo EF, Schneider R, Lane JM. Case report of spontaneous, nonspinal fractures in a multiple myeloma patient on long-term pamidronate and zoledronic acid. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008.

PEDIATRIC ORTHOPAEDIC SERVICE Bogunovic L, Doyle SM, Vogiatzi MG. Measurement of bone density in the pediatric population. Current Opinion in Pediatrics 2009. Carter EM, Raggio CL. Genetic and orthopaedic aspects of collagen disorders. Current Opinion in Pediatrics 2009. Giampietro PF, Dunwoodie SL, Kusumi K, Pourquié O, Tassy O, Offiah AC, Cornier AS, Alman BA, Blank RD, Raggio CL, Glurich I, Turnpenny PD. Progress in the understanding of the genetic etiology of vertebral segmentation disorders in humans. Review. Annals of the New York Academy of Sciences 2009. Kim HJ, Blanco JS, Widmann RF. Update on the management of idiopathic scoliosis. Current Opinion in Pediatrics 2009.

Raggio CL, Giampietro PF, Dobrin S, Zhao C, Dorshorst D, Ghebranious N, Weber JL, Blank RD. A novel locus for adolescent idiopathic scoliosis on chromosome 12p. Journal of Orthopaedic Research 2009.

Pearson AM, Lurie JD, Blood EA, Frymoyer JW, Braeutigam H, An H, Girardi FP, Weinstein JN. Spine patient outcomes research trial radiographic predictors of clinical outcomes after operative or nonoperative treatment of degenerative spondylolisthesis. Spine 2008.

Uveges TE, Kozloff KM, Ty JM, Ledgard F, Raggio CL, Gronowicz G, Goldstein SA, Marini JC. Alendronate treatment of the brtl osteogenesis imperfecta mouse improves femoral geometry and load response before fracture but decreases predicted material properties and has detrimental effects on osteoblasts and bone formation. Journal of Bone Mineral Research 2009.

Todd AG, Cammisa FP, Girardi FP. Aseptic meningitis after microdiscectomy description of a case and review of the literature. The Spine Journal 2008.

SCOLIOSIS SERVICE Gholve PA, Voellmicke KV, Guven M, Potter HG, Rodeo SA, Widmann RF. Arthrofibrosis of the knee after tibial spine fracture in children: a report of two complicated cases. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Lonner BS, Auerbach JD, Boachie-Adjei O, Shah SA, Hosogane N, Newton PO. Treatment of thoracic scoliosis: are monoaxial thoracic pedicle screws the best form of fixation for correction? Spine 2009. Maher SA, Hidaka C, Cunningham ME, Rodeo SA. Whatâ&#x20AC;&#x2122;s new in orthopaedic research? The Journal of Bone & Joint Surgery 2008.

SPINE SERVICE De Moraes MH, Guarneri AA, Girardi FP, Rodrigues JB, Eger I, Tyler KM, Steindel M, Grisard EC. Different serological crossreactivity of trypanosoma rangeli forms in trypanosoma cruziinfected patients sera. Parasites & Vectors 2008. Khan SN, Mermer MJ, Myers E, Sandhu HS. The roles of funding source, clinical trial outcome and quality of reporting in orthopaedic surgery literature. American Journal of Orthopaedics 2008. Lawhorne TW III, Girardi FP, Mina CA, Pappou I, Cammisa FP. Treatment of degenerative spondylolisthesis potential impact of dynamic stabilization based on imaging analysis. European Spine Journal 2009. Memtsoudis SG, Jules-Elysse K, Girardi FP, Buschiazzo V, Maalouf D, Sama AA, Urban MK. Correlation between centrally versus peripherally transduced venous pressure in prone patients undergoing posterior spine surgery. Spine 2008. Meyers K, Tauber M, Sudin Y, Fleischer S, Arnin U, Girardi FP, Wright TM. Use of instrumented pedicle screws to evaluate load sharing in posterior dynamic stabilization systems. The Spine Journal 2008. Oâ&#x20AC;&#x2122;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. Papadopoulos EC, Cammisa FP, Girardi FP. Sacral fractures complicating thoracolumbar fusion to the sacrum. Spine 2008. Pappou IP, Cammisa FP, Papadopoulos EC, Frelinghuysen P, Girardi FP. Screening for nuclear replacement candidates in patients with lumbar degenerative disc disease. SAS Journal 2008.

Weinstein JN, Tosteson, Tor D, Lurie JD, Tosteson ANA, Blood EA, Hanscom B, Herkowitz H, Cammisa FP, Albert TJ, Boden SD, Hilibrand AS, Goldberg H, Berven S, An H. Surgical versus nonsurgical therapy for lumbar spinal stenosis. The New England Journal of Medicine 2008.

SPORTS MEDICINE AND SHOULDER SERVICE Ahmad CS, McCarthy M, Gomez JA, Shubin Stein BE. The moving patellar apprehension test for lateral patellar instability. The American Journal of Sports Medicine 2009. Ajmal M, Ranawat AS, Ranawat CS. A new cemented femoral stem: a prospective study of the Stryker accolade C with 2- to 5-year follow-up. The Journal of Arthroplasty 2008. Alpert JM, Kozanek M, Li G, Kelly BT, Asnis PD. Cross-sectional analysis of the iliopsoas tendon and its relationship to the acetabular labrum: an anatomic study. The American Journal of Sports Medicine 2009. Battaglia MJ II, Lenhoff MW, Ehteshami JR, Lyman S, Provencher MT, Wickiewicz TL, Warren RF. Medial collateral ligament injuries and subsequent load on the anterior cruciate ligament: a biomechanical evaluation in a cadaveric model. The American Journal of Sports Medicine 2009. Bedi A, Allen AA. Superior labral lesions anterior to posterior: evaluation and arthroscopic management. Clinics in Sports Medicine 2008. Bedi A, Chen N, Robertson W, Kelly BT. The management of labral tears and femoroacetabular impingement of the hip in the young, active patient. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2008. Bedi A, Kawamura S, Ying L, Rodeo SA. Differences in tendon graft healing between the intra-articular and extra-articular ends of a bone tunnel. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2009. Bigliani LU, Cofield RH, Flatow EL, Fukuda HA, Hawkins RJ, Matsen FA III, Morrison DS, Rockwood CA Jr, Warren RF. Charles Neer: on the giant of the shoulder. Journal of Shoulder and Elbow Surgery 2009. Brophy RH, Cottrell J, Rodeo SA, Wright TM, Warren RF, Maher SA. Implantation of a synthetic meniscal scaffold improves joint contact mechanics in a partial meniscectomy cadaver model. Journal of Biomedical Materials Research A 2009. Brophy RH, Lyman S, Chehab EL, Barnes RP, Rodeo SA, Warren RF. Predictive value of prior injury on career in professional American football is affected by player position. The American Journal of Sports Medicine 2009.

2008 – 2009 SELECTED PUBLICATIONS Sports Medicine and Shoulder Service (continued)

Brophy RH, Marx RG. The treatment of traumatic anterior instability of the shoulder: nonoperative and surgical treatment. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2009. Brophy RH, Pearle AD. Single-bundle anterior cruciate ligament reconstruction: a comparison of conventional, central, and horizontal single-bundle virtual graft positions. The American Journal of Sports Medicine 2009. Castellano V, Feinberg J, Michaels J. Fascioscapulohumeral dystrophy: case report and discussion. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Chiaia TA, Maschi RA, Stuhr RM, Rogers JR, Sheridan MA, Callahan LR, Hannafin JA. A musculoskeletal profile of elite female soccer players. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2009. Citak M, Kendoff D, O’Loughlin PF, Pearle AD. Heterotopic ossification post navigated high tibial osteotomy. Knee Surgery, Sports Traumatology, Arthroscopy 2009. Citak M, Kendoff D, Pearle AD, O’Loughlin PF, Krettek C, Hüfner T, Citak M. Navigated femoral anteversion measurements: general precision and registration options. Archives of Orthopaedic and Trauma 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 2008. Cottrell JM, Scholten P, Wanich T, Warren RF, Wright TM, Maher SA. A new technique to measure the dynamic contact pressures on the tibial plateau. Journal of Biomechanics 2008. Dagher E, Hays PL, Kawamura S, Godin J, Deng XH, Rodeo SA. Immobilization modulates macrophage accumulation in tendonbone healing. Clinical Orthopaedics and Related Research 2009. Dines JS, Elattrache NS. Horizontal mattress with a knotless anchor to better recreate the normal superior labrum anatomy. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2008. Dines JS, Frank JB, Akerman M, Yocum LA. Glenohumeral internal rotation deficits in baseball players with ulnar collateral ligament insufficiency. The American Journal of Sports Medicine 2009. Dines JS, Moynihan D, Uggen C, Dines DM. The DMD knot: a new locking, flip knot. Journal of Surgical Orthopaedic Advances 2008. Dines JS, Yocum LA, Frank JB, El Attrache NS, Gambardella RA, Jobe FW. Revision surgery for failed elbow medial collateral ligament reconstruction. The American Journal of Sports Medicine 2008. Dodson CC, Altchek DW. SLAP lesions: an update on recognition and treatment. Journal of Orthopedic and Sports Physical Therapy 2009. Dodson CC, Cordasco FA. Anterior glenohumeral joint dislocations. The Orthopedic Clinics of North America 2008.

Dodson CC, Nho SJ, Williams RJ III, Altchek DW. Elbow arthroscopy. Journal of the American Academy of Orthopaedic Surgeons 2008. Feeley BT, Gallo RA, Craig EV. Cuff tear arthropathy: current trends in diagnosis and surgical management. Journal of Shoulder and Elbow Surgery 2009. Feeley BT, Muller MS, Allen AA, Granchi CC, Pearle AD. Biomechanical comparison of medial collateral ligament reconstructions using computer-assisted navigation. The American Journal of Sports Medicine 2009. Feeley BT, Muller MS, Allen AA, Granchi CC, Pearle AD. Isometry of medial collateral ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy 2009. Feinberg JH, Radecki J, Wolfe SW, Strauss HL, Mintz DN. Brachial plexopathy/nerve root avulsion in a football player: the role of electrodiagnostics. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Frank JB, ElAttrache NS, Dines JS, Blackburn A, Crues J, Tibone JE. Repair site integrity after arthroscopic transosseous-equivalent suture-bridge rotator cuff repair. The American Journal of Sports Medicine 2008. Friend L, Kelly BT. Femoroacetabular impingement and labral tears in the adolescent hip: diagnosis and surgical advances. Current Opinion in Pediatrics 2009. Gamradt SC, Brophy RH, Barnes R, Warren RF, Byrd JW, Kelly BT. Nonoperative treatment for proximal avulsion of the rectus femoris in professional American football. The American Journal of Sports Medicine 2009. Gholve PA, Voellmicke KV, Guven M, Potter HG, Rodeo SA, Widmann RF. Arthrofibrosis of the knee after tibial spine fracture in children: a report of two complicated cases. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Goleski P, Warkentine B, Lo D, Gyuricza C, Kendoff D, Pearle AD. Reliability of navigated lower limb alignment in high tibial osteotomies. The American Journal of Sports Medicine 2008. Golish SR, Caldwell PE III, Miller M, Singanamala N, Ranawat AS, Treme G, Pearson SE, Costic R, Sekiya JK. Interference screw versus suture anchor fixation for subpectoral tenodesis of the proximal biceps tendon: a cadaveric study. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2008. Gray ML, Pearle AD. Advanced imaging and computer-assisted surgery of the knee and hip. Introduction. The Journal of Bone & Joint Surgery [Am] 2009. Gulotta LV, Rodeo SA. Growth factors for rotator cuff repair. Clinics in Sports Medicine 2009. Harner CD, Honkamp NJ, Ranawat AS. Anteromedial portal technique for creating the anterior cruciate ligament femoral tunnel. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2008. Harner CD, Ranawat AS, Niederle M, Roth AE, Stern PJ, Hurwitz SR, Levine WN, DeRosa GP, Hu SS. AOA symposium. Current state of fellowship hiring: is a universal match necessary? Is it possible? The Journal of Bone & Joint Surgery 2008.

Hettrich CM, Crawford D, Rodeo SA. Cartilage repair: third-generation cell-based technologies—basic science, surgical techniques, clinical outcomes. Sports Medicine and Arthroscopy Review 2008. Heyworth BE, Dodson CC, Altchek DW. Arthroscopic repair of isolated subscapularis avulsion injuries in adolescent athletes. Clinical Journal of Sport Medicine 2008. Heyworth BE, Williams RJ III. Internal impingement of the shoulder. The American Journal of Sports Medicine 2008. Ilizaliturri VM Jr, Byrd JW, Sampson TG, Guanche CA, Philippon MJ, Kelly BT, Dienst M, Mardones R, Shonnard P, Larson CM. A geographic zone method to describe intra-articular pathology in hip arthroscopy: cadaveric study and preliminary report. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2008. Johnson TS, Johnson DC, Shindle MK, Allen AA, Weiland AJ, Cavanaugh J, Noonan D, Lyman S. One- versus two-incision technique for distal biceps tendon repair. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Kendoff D, Citak M, Voos J, Pearle AD. Surgical navigation in knee ligament reconstruction. Review. Clinics in Sports Medicine 2009. 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. Journal of Arthroplasty 2009. Kendoff D, Lo D, Goleski P, Warkentine B, O’Loughlin PF, Pearle AD. Open wedge tibial osteotomies influence on axial rotation and tibial slope. Knee Surgery, Sports Traumatology, Arthroscopy 2008. Kessler MW, Ackerman G, Dines JS, Grande D. Emerging technologies and fourth generation issues in cartilage repair. Sports Medicine and Arthroscopy Review 2008. Koulalis D, Di Benedetto P, Citak M, O’Loughlin P, Pearle AD, Kendoff DO. Comparative study of navigated versus freehand osteochondral graft transplantation of the knee. The American Journal of Sports Medicine 2009. Lane CG, Warren RF, Pearle AD. The pivot shift. Journal of the American Academy of Orthopaedic Surgeons 2008. Larson CM, Guanche CA, Kelly BT, Clohisy JC, Ranawat AS. Advanced techniques in hip arthroscopy. Instructional Course Lectures 2009. Levy BA, Dajani KA, Whelan DB, Stannard JP, Fanelli GC, Stuart MJ, Boyd JL, MacDonald PA, Marx RG. Decision making in the multiligament-injured knee: an evidence-based systematic review. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2009. Levy BA, Fanelli GC, Whelan DB, Stannard JP, MacDonald PA, Boyd JL, Marx RG, Stuart MJ; Knee Dislocation Study Group. Controversies in the treatment of knee dislocations and multiligament reconstruction. Journal of the American Academy of Orthopaedic Surgeons 2009. Lyman S, Dunn WR, Spock C, Bach PB, Mandl LA, Marx RG. Validity of same-side reoperation after total hip and knee arthroplasty using administrative databases. Journal of Knee Surgery 2009.

Maher SA, Hidaka C, Cunningham ME, Rodeo SA. What’s new in orthopaedic research. The Journal of Bone & Joint Surgery 2008. Maheshwari AV, Ranawat AS, Ranawat, CS. The use of hydroxyapatite on press-fit tapered femoral stems. Orthopedics 2008. Maheshwari AV, Tsailas PG, Ranawat AS, Ranawat CS. How to address the patella in revision total knee arthroplasty. The Knee 2008. Martin RL, Mohtadi NG, Safran MR, Leunig M, Martin HD, McCarthy J, Guanche CA, Kelly BT, Byrd JW, Clohisy JC, Philippon MJ, Sekiya JK. Differences in physician and patient ratings of items used to assess hip disorders. The American Journal of Sports Medicine 2009. Marx RG. Arthroscopic surgery for osteoarthritis of the knee? The New England Journal of Medicine 2008. Marx RG. New approaches to shoulder surgery: editorial comment. Clinical Orthopaedics & Related Research 2008. Marx RG. Computer-navigated and manual anterior cruciate ligament reconstructions were similar in function and stability outcomes. The Journal of Bone & Joint Surgery [Am] 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 2008. Marx RG, Karlsson J, Woo SL. Clinical decision making based on evidence. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2009. Marx RG, Koulouvaris P, Chu SK, Levy BA. Indications for surgery in clinical outcome studies of rotator cuff repair. Review. Clinical Orthopaedics and Related Research 2009. Marx RG, Ryu JH. Displacement of the posterior horn of the lateral meniscus into posterolateral compartment: an unusual injury pattern. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2009. Matava MJ, Muller MS, Clinton CM, Rodeo SA, Akhavan S, Parker RD. Complications of anterior cruciate ligament reconstruction. Instructional Course Lectures 2009. Mayman DJ, Plaskos C, Kendoff D, Wernecke G, Pearle AD, Laskin R. Ligament tension in the ACL-deficient knee: assessment of medial and lateral gaps. Clinical Orthopaedics and Related Research 2009. Metzl JD. Managing sports injuries in the pediatric office. Pediatric Review 2008. Mithoefer K, McAdams T, Williams RJ, Kreuz PC, Mandelbaum BR. Clinical efficacy of the microfracture technique for articular cartilage repair in the knee: an evidence-based systematic analysis. The American Journal of Sports Medicine 2009. Moffat KL, Wang IN, Rodeo SA, Lu HH. Orthopaedic interface tissue engineering for the biological fixation of soft tissue grafts. Clinics in Sports Medicine 2009. Nho SJ, Ala OL, Dodson CC, Figgie MP, Wright TM, Craig EV, Warren RF. Comparison of conforming and nonconforming retrieved glenoid components. Journal of Shoulder and Elbow Surgery 2008. 37

2008 – 2009 SELECTED PUBLICATIONS Sports Medicine and Shoulder Service (continued)

Nho SJ, Brown BS, Lyman S, Adler RS, Altchek DW, MacGillivray JD. Prospective analysis of arthroscopic rotator cuff repair: prognostic factors affecting clinical and ultrasound outcome. Journal of Shoulder and Elbow Surgery 2009. Nho SJ, Nam D, Ala OL, Craig EV, Warren RF, Wright TM. Observations on retrieved glenoid components from total shoulder arthroplasty. Journal of Shoulder and Elbow Surgery 2009. Nho SJ, Shindle MK, Adler RS, Warren RF, Altchek DW, MacGillivray JD. Prospective analysis of arthroscopic rotator cuff repair: subgroup analysis. Journal of Shoulder and Elbow Surgery 2009. Nho SJ, Yadav H, Shindle MK, MacGillivray JD. Rotator cuff degeneration: etiology and pathogenesis. The American Journal of Sports Medicine 2008. Packer JD, Rodeo SA. Meniscal allograft transplantation. Clinics in Sports Medicine 2009. Pearle AD. Directions for future research. The Journal of Bone & Joint Surgery [Am] 2009. Pearle AD, Goleski P, Musahl V, Kendoff D. Reliability of image-free navigation to monitor lower-limb alignment. The Journal of Bone & Joint Surgery [Am] 2009. Pearle AD, Kendoff D, Musahl V, Warren RF. The pivot-shift phenomenon during computer-assisted anterior cruciate ligament reconstruction. The Journal of Bone & Joint Surgery [Am] 2009. Pearle AD, Kendoff D, Musahl V. Perspectives on computer-assisted orthopaedic surgery: movement toward quantitative orthopaedic surgery. The Journal of Bone & Joint Surgery [Am] 2009. Pearle AD, Kendoff D, Stueber V, Musahl V, Repicci JA. Perioperative management of unicompartmental knee arthroplasty using the MAKO robotic arm system (MAKOplasty). American Journal of Orthopaedics 2009. Pearle AD, O’Loughlin PF, Kendoff DO. Robot-assisted unicompartmental knee arthroplasty. The Journal of Arthroplasty 2008. Ranawat AS, McClincy M, Sekiya JK. Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip. A case report. The Journal of Bone & Joint Surgery [Am] 2009. Ranawat AS, Vidal AF, Chen CT, Zelken JA, Turner AS, Williams RJ III. Material properties of fresh cold-stored allografts for osteochondral defects at 1 year. Clinical Orthopaedics and Related Research 2008. Robertson WJ, Kelly BT. The safe zone for hip arthroscopy: a cadaveric assessment of central, peripheral, and lateral compartment portal placement. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2008. Robinson J, Stanford FC, Kendoff D, Stüber V, Pearle AD. Replication of the range of native anterior cruciate ligament fiber length change behavior achieved by different grafts: measurement using computer-assisted navigation. The American Journal of Sports Medicine 2009.

Roche M, O’Loughlin PF, Kendoff D, Musahl V, Pearle AD. Robotic arm-assisted unicompartmental knee arthroplasty: preoperative planning and surgical technique. American Journal of Orthopaedics 2009. Schechinger SJ, Levy BA, Dajani KA, Shah JP, Herrera DA, Marx RG. Achilles tendon allograft reconstruction of the fibular collateral ligament and posterolateral corner. Arthroscopy 2009. Seeherman HJ, Archambault JM, Rodeo SA, Turner AS, Zekas L, D’Augusta D, Li XJ, Smith E, Wozney JM. rhBMP-12 accelerates healing of rotator cuff repairs in a sheep model. The Journal of Bone & Joint Surgery 2008. Sharma V, Tsailas PG, Maheshwari AV, Ranawat AS, Ranawat CS. Does patellar eversion in total knee arthroplasty cause patella baja? Clinical Orthopaedics and Related Research 2008. Sherman SL, Lyman S, Koulouvaris P, Willis A, Marx RG. Risk factors for readmission and revision surgery following rotator cuff repair. Clinical Orthopaedics and Related Research 2008. Shindle MK, Voos JE, Nho SJ, Heyworth BE, Kelly BT. Arthroscopic management of labral tears in the hip. The Journal of Bone & Joint Surgery 2008. Smoljanovic T, Bojanic I, Hannafin JA, Hren D, Delimar D, Pecina M. Traumatic and overuse injuries among international elite junior rowers. The American Journal of Sports Medicine 2009. Sofka CM, Ciavarra GA, Hannafin JA, Cordasco FA, Potter HG. Magnetic resonance imaging of adhesive capsulitis: correlation with clinical staging. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Stanford FC, Kendoff D, Warren RF, Pearle AD. Native anterior cruciate ligament obliquity versus anterior cruciate ligament graft obliquity: an observational study using navigated measurements. The American Journal of Sports Medicine 2009. Stubbs AJ, Gray ML, Pearle AD. Section I: Setting the stage. The Journal of Bone & Joint Surgery [Am] 2009. Swanson AN, Wolfe SW, Khazzam M, Feinberg J, Ehteshami J, Doty S. Comparison of neurotization versus nerve repair in an animal model of chronically denervated muscle. The Journal of Hand Surgery 2008. Templeton KJ, Hame SL, Hannafin JA, Griffin LY, Tosi LL, Shields NN. Sports injuries in women: sex- and gender-based differences in etiology and prevention. Instructional Course Lectures 2008. Van de Velde SK, Pearle AD. Section VI: Malalignment and ligamentous injury. The Journal of Bone & Joint Surgery [Am] 2009. Voos JE, Drakos MC, Lorich DG, Fealy S. Proximal tibia fracture after anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft: a case report. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2008. Voos JE, Heyworth BE, Piasecki DP, Henn RF III, Macgillivray JD. Traumatic bilateral knee dislocations, unilateral hip dislocation, and contralateral humeral amputation: a case report. HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery 2009. Voos JE, Ranawat AS, Kelly BT. The peritrochanteric space of the hip. Instructional Course Lectures 2009.

Voos JE, Shindle MK, Pruett A, Asnis PD, Kelly BT. Endoscopic repair of gluteus medius tendon tears of the hip. The American Journal of Sports Medicine 2009.

Furman BD, Lipman J, Kligman M, Wright TM, Haas SB. Tibial post wear in posterior stabilized knee replacements is design dependent. Clinical Orthopaedics and Related Research 2008.

Walter WL, Waters TS, Gillies M, Donohoo S, Kurtz SM, Ranawat AS, Hozack WJ, Tuke MA. Squeaking hips. The Journal of Bone & Joint Surgery 2008.

Gardner MJ, Ricciardi BF, Wright TM, Bostrom MP, van der Meulen MC. Pause insertions during cyclic in vivo loading affect bone healing. Clinical Orthopaedics and Related Research 2008.

Weil YA, Pearle AD, Palladas L, Liebergall M, Mosheiff R. Longterm functional outcome of penetrating sciatic nerve injury. Journal of Trauma 2008.

Huffard B, Oâ&#x20AC;&#x2122;Loughlin PF, Wright T, Deland J, Kennedy JG. Achilles tendon repair: Achillon system vs. Krackow suture: an anatomic in vitro biomechanical study. Clinical Biomechanics 2008.

Williams RJ III, Gamradt SC. Articular cartilage repair using a resorbable matrix scaffold. Instructional Course Lectures 2008.

Lenart BA, Neviaser AS, Lyman S, Chang CC, Edobor-Osula F, Steele B, van der Meulen MC, Lorich DG, Lane JM. Association of lowenergy femoral fractures with prolonged bisphosphonate use: a case control study. Osteoporosis International 2008.

Willis AA, Warren RF, Craig EV, Adler RS, Cordasco FA, Lyman S, Fealy S. Deep vein thrombosis after reconstructive shoulder arthroplasty: a prospective observational study. Journal of Shoulder and Elbow Surgery 2009. Wright RW, Preston E, Fleming BC, Amendola A, Andrish JT, Bergfeld JA, Dunn WR, Kaeding C, Kuhn JE, Marx RG, McCarty EC, Parker RC, Spindler KP, Wolcott M, Wolf BR, Williams GN. A systematic review of anterior cruciate ligament reconstruction rehabilitation: part I: continuous passive motion, early weight bearing, postoperative bracing, and home-based rehabilitation. Journal of Knee Surgery 2008. Yadav H, Nho S, Romeo A, MacGillivray JD. Rotator cuff tears: pathology and repair. Knee Surgery, Sports Traumatology, Arthroscopy 2009.

DEPARTMENT OF BIOMECHANICS Ballyns J, Gleghorn J, Niebrzydowski V, Rawlinson J, Potter H, Maher S, Wright T, Bonassar L. Image guided tissue engineering of anatomically shaped implants via MRI and micro-CT using injection molding. Tissue Engineering 2008. Brophy RH, Cottrell J, Rodeo SA, Wright TM, Warren RF, Maher SA. Implantation of a synthetic meniscal scaffold improves joint contact mechanics in a partial meniscectomy cadaver model. Journal of Biomedical Materials Research A 2009. Charlton DC, Peterson MG, Spiller K, Lowman A, Torzilli PA, Maher SA. Semi-degradable scaffold for articular cartilage replacement. Tissue Engineering Part A 2008. Cottrell JM, Scholten P, Wanich T, Warren RF, Wright TM, Maher SA. A new technique to measure the dynamic contact pressures on the tibial plateau. Journal of Biomechanics 2008. 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 A 2009. Fragomen AT, Meyers KN, Davis N, Shu H, Wright TM, Rozbruch SR. A biomechanical comparison of micromotion after ankle fusion using two fixation techniques: intramedullary nail or Ilizarov external fixator. Foot & Ankle International 2008. Fritton JC, Myers EM, Wright TM, van der Meulen MC. Bone mass is increased and cancellous architecture altered due to cyclic loading of the mouse tibia after orchidectomy. Journal of Bone and Mineral Research 2008.

Long JP, Santner TJ, Bartel DL. Hip resurfacing increases bone strains associated with short-term femoral neck fracture. Journal of Orthopaedic Research 2009. Maher SA, Hidaka C, Cunningham ME, Rodeo SA. What's new in orthopaedic research. The Journal of Bone & Joint Surgery [Am] 2008. Meyers K, Tauber M, Sudin Y, Fleischer S, Arnin U, Girardi FP, Wright TM. The use of instrumented pedicle screws to evaluate load distribution in posterior dynamic stabilization systems. The Spine Journal 2008. Nho SJ, Ala O, Dodson CC, Cottrell J, Figgie MP, Wright TM, Craig EV, Warren RF. Comparison of conforming and non-conforming retrieved glenoid Components. Journal of Shoulder and Elbow Surgery 2008. Nho SJ, Nam D, Ala OL, Craig EV, Warren RF, Wright TM. Observations on retrieved glenoid components from total shoulder arthroplasty. Journal of Shoulder and Elbow Surgery 2009. Ong KL, Santner TJ, Bartel DL. Robust design for acetabular cup stability accounting for patient and surgical variability. Journal of Biomechanical Engineering 2008. Phillips JA, Almeida EA, Hill EL, Aguirre JI, Rivera MF, Nachbandi I, Wronski TJ, van der Meulen MC, Globus RK. Role for beta1 integrins in cortical osteocytes during acute musculoskeletal disuse. Matrix Biology 2008. Rawlinson JJ, Closkey RF Jr, Davis N, Wright TM, Windsor R. The role of diaphyseal stems in conjunction with tibial augments in constrained condylar knees. Clinical Orthopaedics and Related Research 2008. Shannon FJ, Cottrell JM, Deng X-H, Crowder KN, Doty SB, Avaltroni MJ, Warren RF, Wright TM, Schwartz J. A novel surface treatment for porous metallic implants that improves the rate of bony ongrowth. Journal of Biomedical Materials Research A 2008. Verdelis K, Ling Y, Sreenath T, Haruyama N, MacDougall M, van der Meulen MC, Lukashova L, Spevak L, Kulkarni AB, Boskey AL. DSPP effects on in vivo bone mineralization. Bone 2008. Wright TM, Maher SA. Current and novel approaches to treating chondral lesions. The Journal of Bone & Joint Surgery [Am] 2009.

HOSPITAL FOR SPECIAL SURGERY 2008-2009 ORTHOPAEDIC SURGERY GRADUATING RESIDENTS

Front row, from left: Dr. Edward V. Craig, Dr. Thomas P. Sculco, and Dr. Mathias P. Bostrom; second row, from left: Dr. James E. Voos, Dr. R. Frank Henn, III, Dr. Benton E. Heyworth, and Dr. Lawrence V. Gulotta; back row, from left: Dr. Adrian J. Thomas, Dr. Michael K. Shindle, Dr. Christopher J. Mattern, and Dr. Joseph U. Barker

ACADEMIC LEADERSHIP Thomas P. Sculco, MD, Surgeon-in-Chief Mathias P. Bostrom, MD, Program Director, Orthopaedic Surgery Residency Program Edward V. Craig, MD, Assistant Program Director, Orthopaedic Surgery Residency Program 2008-2009 ORTHOPAEDIC SURGERY G RADUATING R ESIDENTS Joseph U. Barker, MD, Sports Medicine Fellowship, Rush University Medical Center Lawrence V. Gulotta, MD, Sports Medicine Fellowship, Hospital for Special Surgery R. Frank Henn, III, MD, Sports Medicine Fellowship, Massachusetts General Hospital Benton E. Heyworth, MD, Sports Medicine Fellowship, Massachusetts General Hospital (2009-2010) and Pediatric Orthopaedic Fellowship, Childrenâ&#x20AC;&#x2122;s Hospital Boston (2010-2011) Christopher J. Mattern, MD, Orthopaedic Surgery Medical Group, Westchester Michael K. Shindle, MD, Sports Medicine Fellowship, Hospital for Special Surgery Adrian J. Thomas, MD, Spine Fellowship, New England Baptist Hospital James E. Voos, MD, Sports Medicine Fellowship, Hospital for Special Surgery NANCY KANE B ISCHOFF M ENTOR AWARD Bryan T. Kelly, MD R ICHARD S. LASKIN YOUNG ATTENDING AWARD David J. Mayman, MD J EAN C. MCDANIEL AWARD FOR PROFESSIONALISM, ETHICS AND PEER LEADERSHIP Lawrence V. Gulotta, MD LEWIS CLARK WAGNER AWARD FOR EXCELLENCE IN ORTHOPAEDIC SURGERY R ESEARCH Lawrence V. Gulotta, MD Stem Cells Genetically Modified with the Development Gene MT1-MMP Improve Regeneration of the Tendon-to-Bone Insertion Site PHILIP D. WILSON, J R. TEACHING AWARD Mathias P. Bostrom, MD

HOSPITAL FOR SPECIAL SURGERY 2008-2009 ORTHOPAEDIC SURGERY GRADUATING FELLOWS

Adult Limb Lengthening and Deformity

Adult Reconstruction and Joint Replacement

Foot and Ankle

Hand and Upper Extremity

Metabolic Bone Disease/ Musculoskeletal Oncology

At Hospital for Special Surgery, insight provided by experienced and talented orthopaedic surgeons and scientists, and innovations in musculoskeletal medicine developed through their lead, have been the hallmarks of the Department of Orthopaedic Surgery throughout its rich and dynamic history. The Hospital’s bench-tobedside collaborations continue to generate discoveries, technologies, and techniques that enhance the care that can be provided to patients with orthopaedic injuries and disorders the world over. The ingenuity and skills of our surgeons and scientists are applied to every type of orthopaedic procedure—from arthroplasty to complex trauma surgery; evidenced in the research setting—from biological investigations to clinical trials and major studies of outcomes; and incorporated in our residency and fellowship programs—from training in a bioskills laboratory to providing protected time to pursue research. Orthopaedic Trauma

Pediatric Orthopaedics

Scoliosis

Spine

Sports Medicine and Shoulder

Biomechanics

2008-2009 ORTHOPAEDIC SURGERY G RADUATING FELLOWS ADULT LIMB LENGTHENING AND HAND AND U PPER EXTREMITY D EFORMITY S ERVICE S ERVICE Kashif Ashfaq, MBBS David Gay, MD Raheel Shafi, MD A. Ylenia Giuffrida, MD Jonathan Lam, MD, PhD ADULT R ECONSTRUCTION AND JOINT R EPLACEMENT D IVISION M ETABOLIC BONE D ISEASE / Yossef Blum, MD M USCULOSKELETAL ONCOLOGY S ERVICE Mark Dolan, MD Aasis Unnanuntana, MD Matthew Hepinstall, MD Aleksandr Khaimov, DO ORTHOPAEDIC TRAUMA S ERVICE Aamer Malik, MD Timothy Achor, MD Theodore Manson, MD, MS Jaimo Ahn, MD, PhD Daniel Markowicz, MD Mark Prasarn, MD James Ryan, MD David Schroder, MD PEDIATRIC ORTHOPAEDIC FOOT AND ANKLE S ERVICE S ERVICE Irvin Oh, MD Gilbert Chan, MD Kenneth Park, MD Adam Wagshul, MD

SCOLIOSIS/SPINE SERVICE Marco Ferrone, MD Alexander Hughes, MD Anthony Kallur, MBBS Satyajit Marawar, MBBS Amit Sharma, MBBS Hiroyiki Yoshihara, MB S PORTS M EDICINE AND S HOULDER S ERVICE Olufemi Ayeni, MD Asheesh Bedi, MD Patrick Birmingham, MD Edwin Cadet, MD Christopher Dodson, MD Mark Drakos, MD Volker Musahl, MD Catherine Robertson, MD

PHILIP D. WILSON, J R. AWARD FOR EXCELLENCE IN ORTHOPAEDIC SURGERY R ESEARCH Asheesh Bedi, MD The Effect of Mechanical Loading on Tendon-Bone Healing after ACL Reconstruction

HOSPITAL FOR SPECIAL SURGERY 535 EAST 70TH STREET NEW YORK, NY 10021 www.hss.edu

DEPARTMENT OF ORTHOPAEDIC SURGERY 2008-2009 ANNUAL REPORT

Hospital for Special Surgery is a member of the NewYorkPresbyterian Healthcare System and an affiliate of Weill Cornell Medical College.

CONTENTS A Message from the Surgeon-in-Chief

Orthopaedic Surgery Services

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Adult Limb Lengthening and Deformity Service Adult Reconstruction and Joint Replacement Division Hip Service

The 2008-2009 Annual Report of the Department of Orthopaedic Surgery is produced by the Education Division of Hospital for Special Surgery.

Knee Service Surgical Arthritis Service

Laura Robbins, DSW Vice President Education and Academic Affairs Designated Institutional Officer, GME

Foot and Ankle Service Hand and Upper Extremity Service Metabolic Bone Disease/ Musculoskeletal Oncology Service

Marcia Ennis Manager Publications and Communications Education Division

Orthopaedic Trauma Service Pediatric Orthopaedic Service

Linda Errante Managing Editor

Scoliosis Service

Ali Wilcox Art Director

Spine Service

Robert Essel Brad Hess Photography

Sports Medicine and Shoulder Service

INSIGHTS AND INNOVATIONS IN ORTHOPAEDIC SURGERY

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Department of Biomechanics

Professional Staff

Affiliations

Endowed Chairs, Professorships, and Fellowships

2008-2009 Notable Achievements

2008-2009 Selected Publications

Department of Orthopaedic Surgery 2008-2009 Graduating Residents and Fellows