Department of Orthopaedic Surgery 2009-2010 Annual Report

DEPARTMENT OFORTHOPAEDIC SURGERY2009-2010 ANNUAL REPORT

THE ART AND SCIENCE OFSOLVING COMPLEX CASES

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

CONTENTS

A Message from the Surgeon-in-Chief 2

Orthopaedic Surgery Services

Adult Reconstruction andJoint Replacement Division 7

Hip Service 8Knee Service 9Surgical Arthritis Service 10

Foot and Ankle Service 11Hand and Upper Extremity Service 12Limb Lengthening and Complex Reconstruction Service 13Metabolic Bone Disease/Musculoskeletal Oncology Service 14Orthopaedic Trauma Service 15Pediatric Orthopaedic Service 16Scoliosis Service 17Spine Service 18Sports Medicine and Shoulder Service 19

Department of Biomechanics 21

Professional Staff 22

Affiliations 23

Endowed Chairs, Professorships, and Fellowships 23

2009-2010 Notable Achievements 24

2009-2010 Selected Publications 29

Department of Orthopaedic Surgery 2009-2010 Graduating Residents and Fellows 40

9 months

ON ENT TSCO

A 60-year-old woman sustained multiple

injuries, including a comminuted pilon

fracture, in a motor vehicle accident.

The fracture was repaired at an outside

hospital, but it became infected with

MRSA. She presented to HSS with

advanced destruction of the ankle and

distal tibia. The total bone loss was 12 cm

(bone defect 6 cm + leg shortening 6 cm).

This was a limb salvage undertaking.

The challenges included eradication of

infection, reconstruction of the ankle, and

bone lengthening within a reasonable

amount of treatment time.

A three-stage surgical plan was

organized. First, we would eradicate the

infection and fuse the ankle. Second, we

would lengthen the tibia using a new

hybrid technique that has significantly

shortened the time needed in external

fixation. Third, we would insert an

intramedullary rod and remove the

external fixator.

A debridement of all infection, dead

bone, and hardware was done. The tibial

bone and talus bone were prepared for

eventual contact and fusion. Gradual

shortening was used to achieve contact

between the tibia and talus. As shown in

images below, the massive leg shortening

is apparent. Intravenous antibiotics

(vancomycin) were used for six weeks

to eradicate the MRSA infection.

SURGICAL PLANNING STAGE 1

Debridement and Ankle Fusion

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

THE PROBLEM

Relevant PublicationsRozbruch SR, Pugsley JS, Fragomen AT, Ilizarov S.Repair of tibial nonunions and bone defects with theTaylor Spatial Frame. Journal of OrthopaedicTrauma 2008; 22(2): 88-95.

Tellisi N, Fragomen AT, Ilizarov S, Rozbruch SR.Limb salvage reconstruction of the ankle with fusion and simultaneous tibial lengthening using the Ilizarov/Taylor Spatial Frame. HSS Journal: The Musculoskeletal Journal of Hospital for SpecialSurgery 2008; 4:32-42.

Rozbruch SR, Kleinman D, Fragomen AT, Ilizarov S.Limb lengthening and then insertion of an intramedullary nail: A case-matched comparison.Clinical Orthopaedics and Related Research 2008;466:2923-2932.

Rozbruch SR, Segal K, Ilizarov S, Fragomen AT,Ilizarov G. Does the Taylor Spatial Frame accuratelycorrect tibial deformities? Clinical Orthopaedics andRelated Research 2010; 468:1352-61.

STAGE 2

Lengthening with LATN

STAGE 3

Rod Insertion

THE OUTCOME

Six weeks later, after the infection was

treated, we returned to the operating room

for the tibial lengthening. The TSF was

applied in a unique fashion to enable a

staged intramedullary rod insertion. We

developed lengthening and then nailing

(LATN) to minimize the time needed in

external fixation. Pins were placed so the

path of the rod would not be blocked or

contaminated. The osteotomy of the tibia

was performed and a gradual 10 cm

lengthening was accomplished over the

next four months.

Six months after the start of our treatment,

the ankle fusion was healed and the optimal

leg length was achieved. However, the newly

lengthened bone still needed time to

consolidate. We returned to the operating

room to insert the intramedullary rod using

the LATN technique and removed the

external fixator. The rod did not make

contact with the external fixation pins or

the previously infected ankle area. The total

time in the external fixator was six months.

At nine months, equal leg length was

achieved and the patient was walking

without any assistance.

10 cm

10 cm

mc010

a a obe ev u i in na ca oe e sR Pt tR l P lb i i

A A O O2 3TATA E TATA E THE UT MES G S G O CO

As you will read in the Department of Orthopaedic Surgery’s 2009-2010 Annual Report, Hospital for

Special Surgery is a hospital of choice for the management of complex and atypical orthopaedic cases.

Each of our 12 subspecialty services provides expertise in highly complicated issues that involve bone

healing, soft tissue deficiency, bony deformity, and joint reconstruction. Collaboration with multiple disciplines

frequently makes the difference in successful outcomes for patients with limb-threatening injuries.

A MESSAGE FROM THE SURGEON-IN-CHIEFThomas P. Sculco, MD

In 2009-2010, the Department of

Orthopaedic Surgery made significant

strides in several areas encompassing

clinical care, resident and fellow education,

and research at the basic, translational, and

clinical levels. Each of these components

of our mission is integrated, affording us

important opportunities to make advances

in the field.

We are deeply honored to be recognized

as the No. 1 hospital in orthopaedic

surgery in the nation in the U.S. News & World Report 2010 “America’s Best

Hospitals” issue. This accomplishment

reflects a true commitment to excellence

by our orthopaedic surgeons, rheumatol-

ogists, physiatrists, radiologists, anesthe-

siologists, neurologists, nurses, and all

those who work hard at HSS to further

the research and education that translate

into outstanding patient care.

We also continue our strong and

productive relationships with NewYork-

Presbyterian Hospital and Weill Cornell

Medical College in patient care, research,

and medical education.

Patient Care Initiatives

In addition to national recognition,

Hospital for Special Surgery was cited by

Consumer Reports last year as the besthospital for patient satisfaction in New YorkCity among the 43 hospitals evaluated.

In 2009, over 24,000 surgeries were

performed at Hospital for Special Surgery

– an increase of nearly 6.5 percent over

2008. Patients made nearly 215,000 visits

to our surgeons in the Department’s

12 subspecialty services and continue to

seek out our care in ever-growing numbers.

This growth is a continuing trend that

began over a decade ago. In just the

past three years, inpatient volume has

increased by almost 30 percent at HSS. To

keep pace with this demand, the Hospital

embarked on an expansion plan to create

more operating and patient rooms, as

well as facilitate access to ancillary

services. In 2009, the Hospital entered

the final phase of its expansion and

renovation project that will add three

floors to the main building. The new

51,048-square-foot space will include

additional beds and four new inpatient

operating rooms, scheduled to come on

line in 2011 and 2012. The new ninth floor

will serve as home for an enlarged hospital

pharmacy and the pediatric rehabilitation

department. Our new Children’s Pavilion

is scheduled to open in 2012.

In 2009, our surgeons performed more

than 3,800 hip replacement surgeries,

including revision and hip resurfacing

procedures, the highest volume for hip

surgeries of any hospital in the world. The

Hospital also has one of the largest volumes

of hip arthroscopies in the country. In our

ongoing efforts to enhance the care we

provide to patients with hip disorders, the

Center for Hip Pain and Preservation was

established. The Center is among the first

of its kind to bring together the medical

expertise of clinicians and researchers

in the fields of orthopaedics, radiology,

physiatry, physical therapy, and

bioengineering to provide comprehensive

diagnosis and treatment of hip disorders.

The Center’s hip specialists focus on slow-

ing or reversing the progression of degen-

erative hip disease to delay or eliminate

the need for more extensive surgeries.

The multidisciplinary Spine Care Institute

was also formally launched in 2009. A

collaborative team of experts from surgery,

neurology, physiatry, rehabilitation, pain

management, anesthesia, radiology, and

integrative complementary medicine

provide comprehensive patient care and

pursue research into new areas of

diagnosis and treatment. HSS currently

has 29 active clinical trials underway

evaluating innovative approaches for

spine conditions. Our goal is to limit pain

and disability as much as possible for

patients who do not require surgery, and

to make spinal procedures as safe and

efficacious as possible for those who do

need surgery.

At the core of all our patient care

endeavors is a Hospital-wide quality and

safety improvement program. In the

Department of Orthopaedic Surgery, a

critical component of our quality program

is infection prevention and control. HSS

has one of the lowest, if not the lowest,

infection rates for orthopaedics in the

world. In 2009, a report on infection rates

from the New York State Department of

Health singled out the Hospital as the

only one of 171 in the state with a

statistically lower rate of surgical site

infection (0.1 percent) for hip replacement

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

or revision surgery compared to the state-

documented average (1.2 percent).

Reducing pulmonary embolus and deep

vein thrombosis is also a major focus of the

Department. Through the efforts of the

Hospital’s physicians and quality improve-

ment team, the rates for these known

complications of orthopaedic surgery

continued a marked decline in 2009.

To strengthen our quality and safety

programs, HSS established a Quality

Research Center, which is applying research

methodologies to healthcare quality issues.

Through this new initiative, any research

throughout the Hospital that impacts quality

and safety will be integrated under one

umbrella to provide evidence-based data

and develop best practices that will benefit

patients.

Educational Endeavors

In 2009, the Department of Orthopaedic

Surgery welcomed eight new residents from

Brown, Case Western Reserve, Columbia

University, Georgetown, Harvard, New York

University, Vanderbilt, and Weill Cornell. In

addition, 36 fellows joined us for subspe-

cialty orthopaedic training. We are pleased

to report that the orthopaedic residency

program and spine fellowship program

were reaccredited by ACGME and that the

Hospital’s first-time accreditation application

for its musculoskeletal radiology fellowship

program was approved. This year, the

pediatric sports medicine fellowship and

pathology fellowship programs will apply

for first-time accreditation.

HSS is at the forefront in the education and

training of orthopaedic residents. In 2009,

we took further steps to ensure quality and

excellence in the experience of our residents

and fellows, with particular focus on

reviewing rotation schedules to ensure a

proper balance of clinical, surgical, and

academic education.

We have one of the few orthopaedic

residency programs in the country that

dedicates the first hour of the morning as

protected time for resident education.

Finding a balance between teaching and

time in the operating room and maintaining

resident work hour requirements is a

challenge facing all orthopaedic residency

programs today. Recognizing that these

issues are universal, HSS convened a national

forum of program directors from highly

regarded orthopaedic residency programs

to discuss common challenges in 2008. The

recommendations that emerged from this

productive meeting were published in the

January 2010 issue of the Journal of Bone

and Joint Surgery.

We remain committed to maintaining the

resident research program and, in 2009,

three resident research studies received

external funding, with an Academic

Research Coordinator being hired to provide

support to the trainees.

We continued to develop common criteria,

curriculum standards, and practices that

can be applied across the Hospital’s 16

fellowship programs. In 2009, we created

two chief fellow positions to provide a

centralized source of communication for

the Hospital’s approximately 70 fellows and

help ensure that important information, such

as quality assurance issues, is disseminated

in a timely and efficient manner.

In 2009, the Psychomotor Skills Education

Lab was reclassified as the Bioskills

Education Laboratory to create a broader

� 7,447 Adult Reconstruction and Joint Replacement

� 2,106 Foot and Ankle

� 2,058 Hand and Upper Extremity

� 647 Limb Lengthening andComplex Reconstruction

� 88 Metabolic Bone Disease/Musculoskeletal Oncology

� 488 Orthopaedic Trauma

� 280 Pediatric Orthopaedics *

� 544 Scoliosis

� 2,037 Spine

� 8,084 Sports Medicine and Shouder* Excludes pediatric scoliosis surgeries,which are

included under Scoliosis Service

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

Total Patient Visits: 213,084Total Surgical Volume: 23,779

3

Department of Orthopaedic Surgery2009 Patient Care Volume

2009 Surgical Volume by Service

visibility of its features and resources.

Since 2003, the Lab has been an invaluable

addition to orthopaedic surgery resident

and fellow training and an integral part of

our GME curriculum. The Lab provides an

opportunity for residents and fellows to

develop and hone their surgical skills,

expand their understanding of anatomy,

become familiar with both existing and

cutting-edge technology under development,

and enables the Hospital’s physicians to

become acclimated to FDA-approved

technology before applying the technology

or techniques in the operating room.

To address ACGME core competencies, we

also inaugurated a collaborative program

to augment the education of residents in

the core competencies of professionalism

and interpersonal communication skills.

The initiative involves presentations by a

team of two to three PGY-3 residents on a

topic of their choice to a public audience –

a group of seniors who attend programs

sponsored by the Greenberg Academy on

Successful Aging.

The HSS Journal: The Musculoskeletal

Journal of Hospital for Special Surgery,

launched in 2005, reached a new milestone

in 2009 with its acceptance into PubMed

indexing. In 2009, we developed a new

biannual professional publication, Grand

Rounds from HSS – Management of

Complex Cases, which profiles highly

complicated cases with follow-up data and

a clinical treatment discussion. The first

issue, distributed in January 2010, focused

on simultaneous reconstruction of bone

and soft-tissue defect, salvage of bilateral

extensor mechanism failures after total

knee replacement, treatment of massive

pelvic discontinuity with a custom tri-

flange acetabular component, and severe

early onset kyphoscoliosis.

In 2009, through the International Learning

and Training Center, we continued to

explore educational opportunities for

international physicians. To this end, we

hosted three international conferences:

a two-day educational program on New

Advances in Hip and Knee Reconstructive

Surgery for 125 orthopaedic surgeons from

Spain; a program on Current Concepts in

Sports Medicine for 16 orthopaedic surgeons

from Greece; and the inaugural annual

scientific CME-accredited meeting of the

International Society of Hip Arthroscopy

for 250 leading surgeons from 30 countries

around the world. Nearly 400 physicians,

students, and allied health professionals

from 49 countries, including Italy, Spain,

Greece, Turkey, India, Germany, Japan,

China and Brazil, as well as Albania,

Belarus, Egypt, and Vietnam, visited HSS

for various training opportunities.

Orthopaedic surgeons from the Hospital

traveled to Kolkata, India, to hold the

eighth winter meeting of Advances and

Techniques in Joint Replacement Surgery

for 400 orthopaedic surgeons.

The International Society of Orthopaedic

Centers (ISOC), founded in 2006, is

comprised of senior physicians representing

the world’s leading orthopaedic centers.

ISOC serves as a vehicle for facilitating the

exchange of ideas and best practices and

collaborating on patient care, education,

and research-based programs to effect

improvement in orthopaedic care on an

international scale. Founding members

include centers from Chile, China,

Peggy Crow, MD, NamedHSS Physician-in-Chief

In April 2010, Mary K. (Peggy) Crow,MD, stepped into the role of Hospitalfor Special Surgery’s new Physician-in-Chief and Chair of the Division ofRheumatology, succeeding StephenA. Paget, MD, who served admirablyin this position for the past 15 years.

An internationally renowned scientist,Dr. Crow brings a wealth of experienceand expertise in autoimmune disordersto the role and an association withHSS spanning more than 30 years.Dr. Crow’s relationship with SpecialSurgery and its academic affiliatesbegan in 1978, when she receivedher MD degree from Cornell UniversityMedical College. She subsequentlycompleted her internship and residency at New York Hospital-Cornell Medical Center, followed by a fellowship in rheumatology and immunology research at HSS and TheRockefeller University.

Dr. Crow, a tenured Professor ofMedicine at Weill Cornell MedicalCollege, has served as AssociateChief, Division of Rheumatology, andDirector of Rheumatology Researchsince 2001. She is a past President ofthe American College of Rheumatology,and for the last two years, Dr. Crowserved as President of the prestigiousHenry Kunkel Society.

We are fortunate to have someone of the caliber of Dr. Crow as our newPhysician-in-Chief. A distinguishedand respected scientist, Dr. Crowprovides a model for bench-to-bedsideresearch that will lead to great improvements in patient care.

444

a - - eysi i i in nc ays ePH Ph i i i hi fSS C, , agg o de ey wrgg maoe eDPP MD N dC

5

Germany, Italy, Mexico, Switzerland, the

United Kingdom, and the United States.

Joining the group in 2009 were centers from

Belgium, The Netherlands, and Sweden, as

well as the Mayo Clinic. ISOC hosted its third

meeting for 13 institutions from 10 countries

at the Istituto Ortopedico Rizzoli in Bologna,

Italy, this past spring. Hospital CEOs from

around the world joined the three-day

conference to share insights into the

opportunities and challenges of running the

world’s leading orthopaedic programs. The

next meeting is scheduled for 2011 in Chile.

Research Pursuits

As an integral component of the Depart-

ment, research is being pursued at the

basic, translational, and clinical levels in

each of our orthopaedic subspecialties.

Taking advantage of the extraordinary

volume of orthopaedic surgeries

performed at HSS, a number of registries

have been established. In 2009, the

Hospital provided the Research Division

with $1 million of seed funding to establish

and continue to develop these patient

registries in several priority areas, including

an ACL registry, a hip pain and preservation

registry, and a total joint arthroplasty

registry. The funding also served to aid

in the development of a common organiza-

tional structure for the management of all

patient registries under the direction of

Timothy Wright, PhD, Senior Scientist and

Director of Biomechanics. Dr. Wright is

working with clinicians, research staff, and

administration to develop guidelines and

policies for data ownership and sharing;

coordination of data collection and analysis

with appropriate quality control; and over-

sight of registry activities by a steering

committee that

also manages

the important information that emerges

from the registries, including manuscripts

published in scientific and clinical journals.

The Hospital’s researchers were awarded

more than $2.8 million in funding through

the federal stimulus package, including

two Challenge Grants and seven additional

proposals. The Challenge Grants are

supporting a study on the role of MRI in

visualizing the repair and function of the

meniscus as well as research to identify

risk factors for early revision arthroplasty.

Additional grants awarded are supporting

investigations on FT-IR microscopy of

mineral structure in osteoporosis and

a randomized control trial on partial

meniscectomy in osteoarthritis.

In support of the Hospital’s commitment

to comparative effectiveness research, we

welcomed Art Sedrakyan, MD, PhD, to the

Research Division. Dr. Sedrakyan will

further our efforts in patient-oriented

comparative effectiveness. In a joint

appointment with the Department of

Public Health at Weill Cornell Medical

College and NewYork-Presbyterian Hospital,

Dr. Sedrakyan will design studies and

perform patient-oriented comparative

effectiveness research at HSS, focusing on

orthopaedics.

We were also pleased to welcome two noted

senior scientists: Alessandra Pernis, MD,

who brings special expertise in acquired

immunity and in experimental and genetic

models of rheumatoid arthritis and lupus,

and F. Patrick Ross, PhD, an international

leader in bone cell and molecular biology

research.

HSS Team Travels to Haiti

A group of HSS orthopaedictrauma surgeons, anesthesiologists,and nurses were one of the first orthopaedic teams to arrive inHaiti just a few days after the catastrophic earthquake. They performed over 120 surgeries infour days before returning home.Led by David L. Helfet, MD, Director of the OrthopaedicTrauma Service at HSS, and working with physicians fromNewYork-Presbyterian Hospital,the team performed surgeries atL’Hôpital de la Communauté Haïtienne, a few miles from theearthquake’s epicenter. Air transportwas provided by global medicaldevice company Synthes, and surgical supplies were donated bySynthes, HSS, and NewYork-Presbyterian.

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a a aoe ev i iTrma a aoTe e s t tH l HTe Tr i iSS

Learning to ‘Doctor’

As Medical Directorof the Adult Ambulatory CareCenter, AlejandroLeali, MD, over-sees a large volume of patientsreferred to theCenter from thetri-state area, manywith complex conditions and

multiple comorbidities. At the Center,patients are evaluated, diagnosed, and treated surgically as well as non-surgically. Benefitting from exposure tothis diverse patient caseload are eightPGY-1 residents who rotate throughthe various clinics, including hip, knee,spine, and shoulder, for six weeks at atime, giving them a first brush with

orthopaedic surgery. “The educationalyield of these patients is tremendous,”says Dr. Leali, who serves as the PGY-1Faculty Mentor. “Residents see cases thatthey would not see in a community privatepractice on a regular basis, but whichwe see in the HSS clinics all the time.”

Residents learn history-taking, physical examination, the basics of orthopaedicpathology, and decision-making. “Rightout of medical school, they start workingwith patients as independent doctors –they learn the verb ‘doctoring,’” says Dr.Leali. “Working under direct supervisionin the Ambulatory Care Center, they willstart making decisions and they willkeep those patients under their care forthe duration of their rotation.”

The diverse range of cases and patientcharacteristics seen are valuable forresidents at any level, according to Dr. Leali. “We review the images, the

pathology, and we discuss the treatmentoptions. Residents start doing injectionsand everything else that is required.They begin to get a sense of what it isto treat patients. This is something theywill see throughout their career; hope-fully they will absorb the good aspectsof every single experience during theirtime with us.

“It’s been quite rewarding in that you seethem coming in on day one of a six-weekrotation for hip and knee with very littleworking knowledge,” adds Dr. Leali. “Atthe end of the rotation, they are able totake the history, examine the patient, review the imaging studies, create a differential diagnosis, and create a plan.In six weeks, they get really good. Theystart to feel like they can do this – they’reresponsible for the care of anotherhuman being, which is what doctoringis all about.”

6

Osteoarthritis is a principal area of study

by Hospital researchers with 19 of Special

Surgery’s 53 NIH-funded research studies

dedicated to OA, and the focus of 12 of the

Hospital’s 26 NIH-funded Principal

Investigators. Our Osteoarthritis Research

Initiative continues to develop with the

goal of establishing an integrated basic,

translational, and clinical research program

that focuses on each stage of the disease:

• Identification of risk factors and

susceptibility prior to clinical symptoms

• Prevention or reduction of

inflammation at the onset of disease

• Medical interventions to slow

progression of OA

• Surgical solutions when OA has

damaged joint tissue, compromising

mobility

The OA Initiative funded a peer-review

grant program for innovative and

collaborative pilot projects in OA research.

Following rigorous review by an External

Advisory Committee composed of three

distinguished scientists from Wake Forest

University School of Medicine, New

England Baptist Hospital, and Duke

University Medical Center, proposals were

funded for three pilot projects: a study on

the contribution of protein ectodomain

shedding and of cell surface metallopro-

teases (ADAMS) to osteoarthritis; the

effect of ACL injury and reconstruction

on contact mechanics of the tibiofemoral

joint; and post-traumatic osteoarthritis in

young and aged joints.

The Arthroplasty Registry – a component

of the Center for Education and Research

on Therapeutics – continues to record and

track detailed information on the thousands

of joint replacement surgeries that our

orthopaedic surgeons perform each year.

Funded by a multi-year grant from the

Agency for Healthcare Research and

Quality, CERT is a collaborative effort

with Weill Cornell Medical College to

address questions regarding clinical out-

come measurements, including pain and

activity level, variations, and economic

impacts of total joint surgeries.

The Art and Science of Solving

Complex Cases

With some 24,000 surgeries performed

annually, our surgeons care for virtually

every type of orthopaedic disorder or

condition. The path taken in treating a

complex case is not always clearly

delineated. In the 2009-2010 Annual Report of the Department of OrthopaedicSurgery, we feature a number of

challenging cases seen by our surgeons

that required innovative thinking and

unique approaches to treatment, and

highlight the expertise that enables us to

manage some of the most difficult cases

faced in each of our subspecialties.

7

Douglas E. Padgett, MDChief, Hip Service

Steven B. Haas, MDChief, Knee Service

Mark P. Figgie, MDChief, Surgical Arthritis Service

Michael M. Alexiades, MD

Friedrich Boettner, MD

Mathias P. Bostrom, MD

Robert L. Buly, MD

Charles N. Cornell, MD

Alejandro González Della Valle, MD

David J. Mayman, MD

Bryan J. Nestor, MD

Michael L. Parks, MD

Paul M. Pellicci, MD

Amar S. Ranawat, MD

Chitranjan S. Ranawat, MD

Eduardo A. Salvati, MD

Thomas P. Sculco, MD

Edwin P. Su, MD

Geoffrey H. Westrich, MD

Philip D. Wilson, Jr., MD

(Emeritus)

Russell E. Windsor, MD

The Adult Reconstruction and Joint

Replacement Division is composed of the

Hip Service, the Knee Service, and the

Surgical Arthritis Service. Led by 20 full-

time surgeons, the Division performed

approximately 7,500 surgeries in 2009, an

increase of 9 percent over 2008.

The Division is actively involved in patient

care, education, and research, and has

established a committee structure that

supports the development of new initiatives

in these key areas.

Patient Care Initiatives

In 2009, the Adult Reconstruction and Joint

Replacement Division launched several

initiatives focused on patient care quality

and safety, including:

Clinical Pathways The Division implemented

the Unicondylar Knee Pathway and contin-

ued to develop a Total Hip Replacement

Rapid Recovery Pathway. These and other

pathways have helped improve patient out-

comes and reduce length of stay.

Patient Education In collaboration with the

Patient Education Department, the Division

has developed new patient education

materials for patients undergoing total hip

replacement and total knee replacement,

including printed books and online material,

with additional improvements to the

pre-operative education class. The patient

education books are now distributed in

physicians’ offices, providing patients with

standardized and comprehensive information

about their surgery much earlier in the

process.

Postoperative Pain Management The

Division has developed new guidelines for

managing pain to help ensure that patients

are discharged with adequate medication.

In addition, the Division is working with the

Department of Anesthesia to manage the

more routine pain issues that patients may

experience within two months after discharge.

Fellowship Program

The Adult Reconstructive Surgery Fellow-

ship Program at HSS has been training

future leaders in total joint replacement

surgery, while perfecting their surgical

skills, for more than 40 years. For the 2011-

2012 academic year, the Fellowship Program

will participate in the San Francisco Match

Program for the first time.

Research and Innovation

In January 2009, the Division held its second

annual Research Retreat, identifying six

key areas of research on which to focus:

partial knee replacement, perioperative

processes, bone restoration, registries/

outcomes, osteoarthritis, and osteolysis.

A new position of Senior Clinical Research

Coordinator has been created with respon-

sibilities for coordinating and managing

research for each of the Division’s services,

with a particular focus on projects assigned

to fellows.

Addressing Complex Cases

The Hip, Knee, and Surgical Arthritis

Services see patients with a combination of

congenital, post-traumatic, and acquired

deformities. Some have had previous

reconstructive operations that have failed

and, for others, it is their first surgery.

These very complex cases require an inter-

disciplinary approach, involving close

collaboration among the orthopaedic

surgeons, radiologists, and the Hospital’s

bioengineers. Using applied imaging tech-

niques, such as performance of virtual joint

reconstructions, the surgeons and bioengi-

neers can determine optimal position, sizing,

and other factors that drive the ultimate

design, building, and insertion of the implant

for the best possible patient outcome.

ADULT RECONSTRUCTIONAND JOINT REPLACEMENTDIVISION

� 6,859 Inpatient Surgeries� 588 Ambulatory SurgeriesTotal Surgical Volume: 7,447

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20092008200720062005

2009 Surgical Volume

Patient VisitsAdult Reconstruction and Joint Replacement Division

8

HIP SERVICE

The Hip Service often calls on the

Department of Biomechanics to help in

cases such as these that present with

atypical circumstances. For the past year

and a half, surgeons and bioengineers –

using computer-aided design to create

virtual blueprints of a patient’s anatomy –

have been able to build life-sized three-

dimensional plastic models with a rapid

prototype “model-maker” machine. The

3-D model enables the surgeon to

completely understand the patient’s unique

anatomy for purposes of implant design

and preoperative planning in complex

cases. In addition, software has been

created where the model can actually be

cut to simulate a surgical procedure.

The Hospital’s orthopaedic surgeons are

highly experienced in revision hip

replacement surgery, which presents its

own set of challenges. The implant may

have failed due to bone loss around the

prosthesis, or a revision may be necessary

due to infection, a dislocation, or instability.

The procedures are demanding from a

technical standpoint because bone needs to

be restored. To manage the bone defects,

our surgeons use either bone from a bone

bank or newer synthetic materials. They

are also exploring ways to compensate for

the defects through metal and plastic, and

have new bone grafting materials that

promote healing and enhance the fixation

of metal to the patient’s own bone.

Orthopaedic surgeons on the Hip Service

are also focused on common complications

of total hip arthroplasty, in particular,

thromboembolic disease. In a recent study,

our surgeons compared a new mobile

compression device with low-molecular-

weight heparin with regard to their safety

and effectiveness for the prevention of

venous thromboembolic disease. The

study showed that when compared with

the heparin, the use of the mobile

compression device for prophylaxis

against venous thromboembolic events

following total hip arthroplasty resulted

in a significant decrease in major bleeding

events.

� 2,920 Primary Total Hip Replacements

� 469 Hip Resurfacing Procedures

� 417 Revision Total Hip Replacements

2009 Total Hip Replacements A female patient who had been in an auto accident suffered damage to her hip joint. The

hip joint had been replaced twice and failed both times within months. The standard revision

systems were clearly not working, so a solution was sought with assistance from the

Department of Biomechanics. Before designing an implant system, the bioengineers built

analytical models, looked at how they were going to be loaded, and given the patient’s

anatomy, determined where the implant could be affixed appropriately. The case benefitted

from an engineering perspective combined with the insight of the orthopaedic surgeon who

provided the clinical viewpoint on what could and could not be done in terms of surgery.


9

KNEE SERVICE

� 3,520 Primary Total Knee Replacements

� 300 Revision Total Knee Replacements

* Includes knee replacement surgeries performedby the Sports Medicine and Shoulder Service

2009 Total Knee Replacements *

The Hospital’s orthopaedic surgeons

continually incorporate new and refined

technologies to improve the outcomes of

knee replacement surgeries. They are

focused on the creation of knee implants

that will function at higher levels, last

longer, and enable patients to recover faster.

HSS continues to move the field forward in

innovative design development for implants,

materials, and navigational technologies.

Most recently, the Hospital’s orthopaedic

surgeons have been evaluating the applica-

tion of “patient-matched instruments.” This

innovative approach begins with a preop-

erative MRI and X-ray of the patient’s knee,

which is used to create a computer model of

the patient’s bone and to perform a virtual

operation. With this technology, our surgeons

can predetermine alignment, implant sizes,

and other factors, enabling them to design

a surgical instrument specifically for that

patient. These instruments, which are

disposable, facilitate the surgery because

implant alignment marks are preset. The

surgery can be done in less time and

through smaller incisions, potentially

decreasing blood loss and recovery time.

While most problems can be anticipated in

knee replacement cases, familiarity with

and access to a variety of knee systems

can make a difference in complicated cases.

For example, if a surgeon needs a stem or

other component of a particular system

that is best suited for the case, it is

accessible immediately from the Hospital’s

comprehensive inventory of knee systems.

When infection is the cause of a revision

knee replacement, HSS orthopaedic

surgeons work closely with infectious

disease specialists at NewYork-Presbyterian

Hospital/Weill Cornell Medical Center to

cure the infection. Our surgeons then work

with the Hospital’s Department of

Biomechanics, as needed, to design a

custom knee implant if the infection has

caused extensive bone loss.

Our orthopaedic surgeons have a collective

body of experience with challenging

patients that proves vital when planning

for the potential complications of a com-

plex knee replacement or revision. These

cases also benefit from the Knee Service’s

Thursday morning conferences, which

provide an opportunity for the case to be

discussed among all the knee specialists.

At the same time, the conference is an

invaluable educational tool for the Hospital’s

fellows and residents.

Following a routine knee replacement at his local hospital, a patient developed a life-

threatening infection. Over the next two years, he endured several surgeries and multiple

admissions for antibiotic therapy. His implant was removed and replaced with a spacer device.

When the patient presented to HSS, he could not move his knee. The spacer was removed

and replaced with a larger spacer containing antibiotics. A second surgery to put in a

custom implant – a high-technology, rotating hinge knee – was performed four months later.


10

SURGICAL ARTHRITISSERVICE

� Implemented the UnicondylarKnee Pathway and a Total HipReplacement Rapid RecoveryPathway

� Enhanced patient education fortotal hip replacement and totalknee replacement patientsthrough books, online material,and educational classes

� Launched the Center for HipPain and Preservation to providejoint-preserving treatment optionsto young, active adult patients

� Developed new guidelines fordischarge pain prescriptions tohelp ensure that patients receiveadequate medication

� Initiated an “Industry DialogueSeries” in order to provide aforum to meet and build relationships with device company research teams and exchange ideas about new technologies and opportunitiesfor collaboration

The Surgical Arthritis Service brings

together the disciplines of orthopaedic

surgery and rheumatology to address all

of the very complex problems patients

with severe rheumatoid arthritis and other

inflammatory conditions confront in terms

of medications, rehabilitation, and surgery,

through a single service.

Surgery for patients with inflammatory

arthritis involves a particularly complex

set of considerations that arise from both

the illness itself and the medications used

to treat it – making the collaborative

approach that is provided through the

Surgical Arthritis Service invaluable.

Multiple joint involvement, complex

deformities in the joint, and poor bone

quality are all factors that make surgery

for patients with inflammatory and autoim-

mune diseases particularly challenging.

Lowered immunity due to drug therapy

heightens concern for postoperative infec-

tion and delayed wound healing. The

Service’s surgeons and rheumatologists

work together to determine the best way

to manage the medications and associated

risks and benefits.

When multiple joints are involved,

necessitating a series of surgeries, our

orthopaedic surgeons determine the optimal

order of these operations. For example,

if the patient is having problems in the

shoulder, elbow, hand, and wrist, the

surgeon may operate on the wrist before

the hand, since surgery on the wrist may

affect the length of bones and tendons,

which in turn will affect the function of the

fingers. After the hand and wrist have been

treated, the surgeon usually addresses the

elbow, since a pain-free, stable elbow is

critical to performing most activities of

daily living. A similar rationale is used for

problems of the leg, usually treating the

ankle and foot first, then the hip, and finally

the knee. In cases where deformities caused

by the disease dictate the need for a

custom-made prosthesis, engineers in the

Hospital’s Department of Biomechanics

become part of the team.

Most recently, the Surgical Arthritis Service

was awarded an RO1 grant to review

failures of elbow replacements, further

investigate kinematics, and apply finite

element analysis to ultimately develop a

better implant design for the elbow. The

Service is also spearheading a multicenter

study on joint replacement surgery issues

in patients with juvenile inflammatory

arthritis with the goal of improving

implant designs for this population.

A swollen thumb was the first sign of the patient’s rheumatoid arthritis – diagnosed at age 25. Within a year, nearly every joint in her body was inflamed and painful – her hands,right elbow, and feet the most affected. Structural damage in both the right elbow and footjoints caused constant pain and made it difficult for her to function as a graphic designer. Sheunderwent a fusion on her foot, followed less than a year later by elbow replacement surgery.


2009-2010 HighlightsAdult Reconstruction and Joint Replacement Division

� 711 Inpatient Surgeries� 1,395 Ambulatory SurgeriesTotal Surgical Volume: 2,106Total Patient Visits: 19,580

2009 Patient Care Volume

2009-2010 Highlights

11

Jonathan T. Deland, MDChief

Walther H. O. Bohne, MD

Andrew J. Elliott, MD

Scott J. Ellis, MD

John G. Kennedy, MD

David S. Levine, MD

Martin J. O’Malley, MD

Matthew M. Roberts, MD

FOOT AND ANKLE SERVICE

� Gaining a reputation globally. This summer, five traveling fellowsspent a week with the Service from around the world as far asAustralia.

� Largest such Service in the country, with 18,000 patients seen and over 2,000 surgical procedures performed in 2009

� Continue to lead the pioneering of new treatments for conditions of the foot and ankle to restore tendon and joints giving patientsthe highest possible function

� Implemented a new ambulatorypostoperative pain protocol

� Continued a clinical outcomes registry with research data nowavailable on more than 22,000 foot and ankle patients

Surgeons on the Service are actively

performing total ankle replacements using

the most up-to-date models. A recent total

ankle replacement patient commented:

“You have given me a new lease on life,

and now I will be able to perform tasks and

do things that I have not been able to do in

a very long time [20 years].” Total ankle

replacements are now more clearly an

advance for foot and ankle patients. New

implants have been developed and are

showing good results. A new model is being

developed by a member of the Service at

HSS with rollout of its use due next year.

The Service is also looking at novel methods

of addressing focal cartilage defects in the

ankle joint. Traditional micropicking

techniques have been augmented with the

use of mesenchymal stem cells from bone

marrow aspirate. In addition, platelet-rich

plasma (PRP) is being used in conjunction

with mesenchymal stem cells to enhance the

biological effect and produce a better quality

infill of these defects. With the collaboration

of the Department of Radiology and

Imaging utilizing T2 MRI mapping, we are

able to quantify the amount of new cartilage

as well as determine the quality of this

infill material. We hope that by using these

biological adjuncts that the process of

“self regeneration,” albeit on a very small

scale, can be seen. This is pioneering work

that has implications not only on small

defects, but also potentially for larger

surface defects seen in the arthritic joint.

Another notable project has been a

prospective randomized controlled study

in the treatment of Achilles tendon

degeneration (tendinopathy). This study

will be used to determine efficacy of

physical therapy of this condition versus

gastrocnemius lengthening. With such

controlled studies the best treatment for

conditions such as this can be proven.

Further prospective studies are being

conducted using PRP injections for

Achilles tendonitis and plantar fasciitis

with promising results so far. One group

of patients with Achilles tendonitis was

presented at the national foot and ankle

meeting.

Reconstruction of deformity from

ligament failure at the ankle (deltoid

ligament) and foot (spring ligament)

associated with posterior tibial tendon

insufficiency have been pioneered at HSS.

Interim term follow-up presented this year

at the foot and ankle meeting has shown

good correction maintained over eight years

and very good potential from this novel

procedure to save joints and function.

Foot and Ankle Service surgeons are at the forefront of developing and applying innovative

techniques and approaches for the most challenging of foot and ankle disorders – from

nonoperative conditions to the most complex trauma and deformities in children and adults.


12

HAND AND UPPER EXTREMITY SERVICE

Scott W. Wolfe, MDChief

Edward A. Athanasian, MD

Michelle G. Carlson, MD

Aaron Daluiski, MD

Robert N. Hotchkiss, MD

Lana Kang, MD

Andrew J. Weiland, MD

� 184 Inpatient Surgeries � 1,874 Ambulatory SurgeriesTotal Surgical Volume: 2,058Total Patient Visits: 20,199


2009-2010 Highlights Treating complex nerve injuries is one of

many areas of expertise provided by the

Hand Service’s orthopaedic surgeons, who

address conditions affecting every aspect of

the upper extremity. Their subspecialties

include traumatic injuries, degenerative

diseases, congenital hand disorders,

vascular diseases, nerve injuries, tumors of

the upper limb, and complex elbow fractures.

Their surgical skills extend from recon-

struction of nerve injuries, arthroscopic

repair of complex ligament tears and wrist

and forearm fractures, to microsurgical

repair of blood vessels, contracture releases

of elbows, and revisions and reconstruction

of complicated elbow fractures.

These surgeons have performed a pelvic bone

graft and realignment to save the little

finger of a five-year-old facing amputation;

reconnected the vessels, nerves, and tendons

of a 30-year-old with near wrist amputation,

medevacked by air from Washington, D.C.;

and restored hand function to a 15-year-old

who had lived 10 years without it due to

transverse myelitis.

For difficult cases involving the elbow or

forearm pathology, the Service collaborates

with the Department of Biomechanics to

create three-dimensional reconstructions and

devise models prior to complex surgeries.

The Hand Service also provides expertise

on bone and soft tissue sarcomas of the

hand, forearm, and elbow with a goal to

accomplish both resecting the tumor and

preventing recurrence and metastasis, and

then reconstructing the anatomy.

A robust research program has enabled our

surgeons to make major contributions to the

treatment of conditions of the basal joint,

distal radius, carpal tunnel, neoplasia,

cerebral palsy, brachial plexus, and elbow.

The Service has successfully completed

three randomized trials of pharmacologic

agents for distal radial fracture healing

and Dupuytren’s disease. One such agent,

Xiaflex® (collagenase clostridium

histolyticum), received approval in

February 2010 by the U.S. Food and Drug

Administration as the first alternative to

surgery ever available to treat Dupuytren’s.

While working on his farm, a male in his early forties was struck by a dead branch that fell

80 feet, fracturing his skull, arm, neck, and back, and severely injuring his brachial plexus. Local

doctors painted a bleak picture that had the patient contemplating amputation. The patient

sought help through the Hand Service at HSS, and as it was already five months past the date

of the accident, surgery needed to occur immediately. Only a small window of time exists in

brachial plexus injuries before dense scarring develops, preventing nerves from regenerating

and connecting with paralyzed muscles in order to restore muscle function. The patient under-

went extensive microsurgery with intraoperative neurophysiological monitoring to repair and

reconnect the nerves, muscles, and blood vessels. His arm was saved, enabling him to return

to work as a tree farmer and furniture maker.

� Piloted an exchange fellowship rotationwith Bellevue Hospital for a month-longmicrosurgical and replantation trainingexperience

� Received an NIH grant to advanceresearch to improve the performanceof elbow joint replacement

� Coordinated patient registries for thebasal joint, distal radius, carpal tunnel,neoplasia, pediatrics, brachial plexus,elbow, and compression syndrome ofthe ulna nerve

� Initiated successful non-surgical treatment for Dupuytren’s contracturewith enzymatic injection

� Continued research on all aspects ofelbow reconstruction and challengesto elbow replacement, PIP joint replacement arthroplasty, biologicaugmentation of flexor tendon repair,non-invasive motion analysis of theupper extremity, and on the molecularevents of fracture healing

� Planning a peripheral nerve center


13

LIMB LENGTHENING AND COMPLEX RECONSTRUCTION SERVICE

S. Robert Rozbruch, MDChief

Austin T. Fragomen, MD

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



S. Robert Rozbruch, MDChief

With considerable experience in complicated

trauma, infections, and bone loss, the Limb

Lengthening and Complex Reconstruction

Service is frequently referred cases that

require novel, creative techniques devised

by the Service’s orthopaedic surgeons.

In the case of the young man from

Venezuela, a staged surgical approach was

used which began with cleaning out the

infected wound. In a second operation,

surgeons removed 2.5 inches (6 cm) of

necrotic bone and the original plate and

screws. They then devised a method of

coating an intramedullary rod with

tobramycin antibiotic mixed with cement.

This resulted in eradication of the infection

and stabilization of the limb. Next, the

patient returned for the limb-lengthening

phase. Since the site of the shortened bone

was not fully healed, the challenge was to

lengthen the bone and at the same time

maintain stability of the healing site. The

surgeons cut the bone in a fresh, healthy

area and inserted a new custom-made rod

that both stabilized the nonunion site and

allowed bone lengthening over the rod.

After two and a half months, the bone was

lengthened 6 cm back to its original length.

In a final operation, the rod was locked,

and surgeons retrieved stem cells from his

bone marrow and added them to the newly

grown bone, then removed the external

fixator. A year later the patient had full

weight-bearing, full hip motion, and the

lengthening and nonunion sites were

completely healed.

Another extraordinary case involved a

preteen who presented with an unusual

condition involving his growth plate that

over time would result in an astronomical

loss of limb length on his right side. Over

six years, three lengthening procedures

were performed to maintain his legs at

equal length. A total of 21 cm of new

bone was added. Today, the teenager has

completely normal functioning with no

indication that anything had ever been

amiss.

The Service continues to innovate and

refine their procedures and review their

outcomes. Projects include the comparison

of lengthening-over-nail versus the

internal lengthening nail for femur

lengthening, and traditional lengthening

versus lengthening and plating.

� Collaborating with the Departmentof Radiology and Imaging and the Pediatric Service to launch a specialized deformity planning program via the PACS system

� Embarking on a prospective randomized clinical trial to evaluatethe effect of platelet-rich plasma on bone healing during limb lengthening and a comparativestudy of two systems for autologousbone marrow harvesting

� Pursuing two prospective gaitstudies evaluating the effect ofproximal tibial deformity correctionin adults and children

� Collaborating with the Leon Root,MD Motion Analysis Lab and theFoot and Ankle Service on gaitanalysis study of patients with complex ankle trauma treated withcomplex fusions versus below-the-knee amputations and a secondstudy evaluating the accuracy ofbow leg deformity corrections

A 28-year-old man sustained a high-energy injury to his left femur in an automobile accident

in Venezuela. Surgeons attempted to repair the fracture by inserting a large plate and screws.

Several days later, the site became grossly infected. There were two significant complicating

factors: The infection was caused by a very resistant type of pseudomonas bacteria, and

the metal plates and screws had to be removed to treat the infection. The patient’s physicians

referred him to the Hospital’s Limb Lengthening and Complex Reconstruction Service.

14

METABOLIC BONE DISEASE/MUSCULOSKELETAL ONCOLOGY SERVICE

Joseph M. Lane, MDChief

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

The Metabolic Bone Disease/Musculoskeletal

Oncology Service brings together basic

scientists, clinical diagnosticians, and

medical disciplines focused on the prevention

and treatment of osteoporosis, Paget’s disease,

and related bone disorders. The Service pro-

vides advanced clinical care in the inpatient

setting, the Metabolic Bone Disease Clinic,

and through the Osteoporosis Prevention

Center, one of only 14 centers nationwide to

be accredited by the International Society of

Clinical Densitometry.

As a member of a task force of the American

Association of Bone and Mineral Research,

the Service has been seeking to define a new

complication of bisphosphonates related to

subtrochanteric and femoral shaft fractures.

These fractures are occurring in relatively

young, active women who have been taking

bisphosphonates for more than five years.

While bisphosphonates are helpful in

preventing hip and spine fractures, our

findings indicate that a drug holiday allows

the bone to remodel itself and to repair

microdamage. Our physicians are also

working aggressively to understand the

pathophysiology of these fractures through

biopsy. Patients on prolonged bisphosphonate

therapy present with largely old bone that is

brittle and unable to repair its microdamage.

In addition, the Service has been leading

the way to change the diagnostic protocol

within the orthopaedic community when

patients present with side pain and a history

of bisphosphonate use. We recommend

including an X-ray of the leg and if a stress

fracture is present, X-ray the other leg as

well because 20 percent of these patients

will also have a stress fracture on the

opposite side.

The Service is achieving excellent results with

nonunion and delayed union by injecting a

patient’s bone marrow into the side of the

nonunion with the addition of a growth factor.

In 2009, the Service joined the PROMOTE

(Promoting Medication for Osteoporosis

with Education) Study, a collaboration

between NewYork-Presbyterian/Weill

Cornell and Teachers College-Columbia

University. Drawing from medicine,

behavioral sciences, and educational theories,

a tailored telephone intervention has been

developed to promote post-fracture osteo-

porosis medication adherence. The purpose

is to obtain pilot data for a larger randomized

controlled trial that will evaluate the

effectiveness of tailored telephone education

(compared to usual care) for increasing

rates of post-fracture adherence to oral

bisphosphonates.

A patient with multiple fractures developed uncontrollable osteomalacia, a softening of the bone due to defective bone mineralization. Laboratory testing confirmed oncogenic osteomalacia and that a tumor in his leg was producing a specific factor leading to this condition. Surgeons removed the tumor and reconstituted his bone to normal.

� Continued to grow the Seymour CohnMetabolic Bone Registry to identifymethods to prevent and repair fragilityfractures

� Conducting an NIH-funded study of bone quality, especially in sub-trochanteric fractures associated withprolonged bisphosphonate treatment

� Pursuing a randomized controlled studycomparing unipedicular and bipedicu-lar balloon kyphoplasty; a study on theeffect of bisphosphonates on biochemi-cal bone markers in patients with teri-paratide treatment; and evaluating theprevalence of Vitamin D deficiencyamong orthopaedic patients at HSS

� 80 Inpatient Surgeries - Hospital for Special Surgery

� 167 Inpatient Surgeries - NewYork-Presbyterian Hospital/Weill Cornell Medical Center

8 Ambulatory Surgeries - Hospital for Special Surgery

Total Surgical Volume: 255*Total Patient Visits: 9,862DEXA Scans: 3,410Nurse Consultations–

Osteoporosis Prevention Center: 752*Surgeries are performed by Hospital for Special Surgery’s orthopaedicsurgeons at both HSS and NewYork-Presbyterian/Weill Cornell.




15

David L. Helfet, MDChief

David E. Asprinio, MD

Andrew Grose, MD

Joseph M. Lane, MD

Dean G. Lorich, MD

John P. Lyden, MD

HAND AND UPPER EXTREMITY SERVICEORTHOPAEDIC TRAUMASERVICE

Orthopaedic trauma is unique with respect

to mechanism of injury and future sequelae,

often involving complicated polytrauma,

isolated but periarticular orthopaedic

trauma, and multisystem injuries. The

Orthopaedic Trauma Service has accrued

a large volume of complicated or unusual

cases, providing the Service’s three

orthopaedic trauma fellows with remarkable

experience in the management of single

and multisystem orthopaedic trauma

and in the sequelae of trauma, including

nonunions, malunions, and deformity.

The following cases illustrate the range of

challenges faced by members of the Service:

• A 27-year-old male in a high-speed car

accident suffered a right-sided transverse

posterior wall-type acetabular fracture

with an intraarticular fragment in the

acetabular fossa. ORIF was performed

using a Kocher-Langenbeck surgical

approach; an arthrotomy was also

performed for access and debridement

of the intraarticular fragment. The

acetabular fracture was then reduced

and fixed using two plates and multiple

screws, including interfragmentary lag

screws. A supplemental demineralized

bone matrix graft was used for

stabilization of the joint surface.

• A 23-year-old female professional

basketball player experiencing chronic

shin pain associated with activity level

was diagnosed with a tibial stress

fracture of the anterior tibial cortex.

ORIF was performed using an anterior

tension-band plating technique. The

stress fracture was carefully debrided

using an osteotome and demineralized

bone matrix graft placed at the stress

fracture site and a 2.7 mm plate was

contoured and screws placed in tension.

• A 63-year-old female with osteoporosis

slipped on wet pavement, incurring a

displaced right-sided anterior column

posterior hemitransverse-type acetabular

fracture with associated disruption of the

quadrilateral plate. ORIF was performed

using an ilioinguinal approach with

placement of two pelvic reconstruction

plates and multiple screws including

interfragmentary lag screws.

A 40-year-old male fell some 10 feet from a ladder, suffering a right-sided distal tibial pilon

fracture with diaphyseal extension and associated transverse fibula fracture with significant

swelling at the fracture site. He was placed in a spanning external fixator, and open reduction

and internal fixation (ORIF) was performed one week later upon improvement in soft tissue

status. Through an anterolateral surgical approach, the distal tibial fractures were reduced and

stabilized using a locking plate laterally, a scalloped plate medially. The fibula fracture was

repaired using a one-third tubular plate. Fixation included multiple cortical and unicortical

screws and interfragmentary lag screws. At 19 months following surgery, distal tibia and

fibula fractures were healed and he returned to his pre-injury work and recreational activities.

� Studying long-term results of fracture types, including patternsof ligamentous injuries and the related bony injuries with anklefractures

� Performing a detailed evaluationand quantitative assessment ofthe vasculature that contributes to the blood supply around joints, utilizing a novel MRI-based technique developed by our research team

� A recent study on the ankle jointidentified a new vascular branchto the medial talar neck that hasnot been previously described inthe literature. The finding of thisnew branch may have broader implications in surgical approaches around the talus.

� 388 Inpatient Surgeries - Hospital for Special Surgery

� 1,558 Inpatient Surgeries - NewYork-Presbyterian Hospital/Weill Cornell Medical Center

� 100 Ambulatory Surgeries - Hospital for Special Surgery

� 110 Ambulatory Surgeries -NewYork-Presbyterian Hospital/Weill Cornell Medical Center

Total Surgical Volume: 2,156*Total Patient Visits: 7,225*** Trauma surgeries are performed by Hospital for Special

Surgery’s orthopaedic surgeons at both HSS and NewYork-Presbyterian/Weill Cornell.

** Patients are seen at both HSS and NewYork-Presbyterian/Weill Cornell




n 630 Inpatient Surgeries –Hospital for Special Surgery

n 150 Inpatient Surgeries –NewYork-Presbyterian Hospital/Weill Cornell Medical Center andNew York Hospital Queens

n 1,690 Ambulatory Surgeries –Hospital for Special Surgery

n 3 Ambulatory Surgeries –NewYork-Presbyterian Hospital/Weill Cornell Medical Center

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

HSS orthopaedic services

PEDIATRICORTHOPAEDIC SERVICE

Roger F. Widmann, MDChief

John S. Blanco, MDShevaun M. Doyle, MDDaniel W. Green, MDCathleen L. Raggio, MDLeon Root, MDDavid M. Scher, MDErnest L. Sink, MD(as of February 1, 2011)



< Began the first phase of construction of the Children’s Pavilion

< Participated for the first time in the San Francisco Match program for theHSS Pediatric Orthopaedic Fellowship

< Hosted “Surgical Advances in Pediatric Orthopaedics” for AnnualAlumni Meeting, and two CME courses:Operative Management of PediatricFractures and Pediatric Orthopaedics for the Primary Care Provider

< Published Family Guide to PediatricOrthopedic Surgery as well as a seriesof patient education guides on PediatricScoliosis Surgery, Pediatric ExternalFixators, and Varus Rotational Osteotomy

The Pediatric Orthopaedic Service atHospital for Special Surgery has earneda national reputation as a destinationhospital for complex pediatric conditionsand disorders, including spinal deformity,limb length discrepancy and reconstruction,hip dysplasia and torticollis, foot deformity,cerebral palsy, and fracture management.

One of the major differences between adultsand children is the concern and influenceof the growth plate in terms of potential forremodeling or for creating deformity. Thisis dependent upon whether there is an in-jury to the growth plate or how the growthplate is managed surgically. The PediatricOrthopaedic Service addresses some growthplate injuries through resection of the physealbar that allows for ongoing normal growth.In the absence of a functioning growthplate either through infection or trauma,surgical procedures to restore growth areperformed via limb lengthening.

The Service’s orthopaedic surgeons haveachieved great success in patients with earlyonset scoliosis, and indeed, in cases of extreme deformity of more than 90 degrees.HSS surgeons have significant expertise withthe vertical expandable prosthetic titaniumrib (VEPTR) that allows for growth of the

spine, minimizes spinal deformity, and allows for normal lung development. TheVEPTR procedure consists of attaching“cradles” to the upper rib cage which arethen connected to elongating rods that caneither be attached to other ribs, the spine,or occasionally even the top of the pelvis.These elongating rods are then lengthenedevery six months to mimic the normalgrowth of the spine. During this treatment,the spine is not fused in order to allow forcontinued spine growth while the VEPTRdevice allows for control of the scoliosis.

Pediatric foot disorders resulting from neuromuscular diseases, particularly cerebralpalsy, is a focused subspecialty of the Pediatric Orthopaedic Service. Ourpediatric orthopaedic surgeons haveapplied advanced surgical techniques andimplants to the reconstruction of pediatricfoot deformities.

HSS provides care for one of the largestpopulations of osteogenesis imperfecta (OI)in the region. Our surgeons are using newrodding technology – some as small asthree millimeters for the femur and humerus.These specially designed implants do notaffect the growth plate, and in many cases,the rods expand as the children grow.

A 17-year-old male survived being struck by a car going 70 mph, but among the worstof his multiple traumatic injuries was a shattered tibia in his left leg. He had lost about12 centimeters of bone and doctors in the local ER discussed amputating his leg. Thefamily came to Hospital for Special Surgery where they learned of a technically demandingprocedure called bone transport – the bone at the top of the teenager’s tibia would beshifted to the bottom to promote bone growth in the gap between the two ends of the tibia.


16

17

Oheneba Boachie-Adjei, MDChief

John S. Blanco, MD

Matthew E. Cunningham, MD, PhD

Daniel W. Green, MD, FACS

Bernard A. Rawlins, MD

Roger F. Widmann, MD

SCOLIOSIS SERVICE

� Instituted the John H. Cobb Scoliosis Fellowship Program toprovide comprehensive spine education and training, both operative and nonoperative, in the management of all deformitiesand pathologies of the cervico-thoraco-lumbosacral spine in pediatric and adult patients

� Upgraded the Scoliosis Registryand database in SCTR 3 to provide ongoing prospective andretrospective clinical reviews ofsurgically treated patients

� Conducting numerous researchprojects, including genetic mapping studies for adolescentidiopathic scoliosis and a multi-center retrospective evaluation of complications following adultspinal surgery working towards a risk scoring system for adultspinal deformity

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



The Scoliosis Service has a long history of

achieving excellent results with patients

with complex spinal deformities. Critical

to their success is a multidisciplinary

approach and outstanding perioperative

management – both of which were key in

the case described above. The careful pre-

operative evaluation and the support of

subspecialty services, including pulmonary,

neurology, internal medicine, and anesthe-

sia specialists, helped to achieve a success-

ful outcome. The patient’s surgeries took

place in two parts separated by two months.

In the first daylong procedure, an entire

section of her spine was removed through

the chest cavity. In the second procedure,

surgeons reconstructed her entire spine.

Today she is married, working, and enjoys

a normal life.

The Scoliosis Service continues to advance

techniques for the treatment of complex

spinal deformities. Recently, the Service

has been using segmental instrumentation

performed posteriorally for resection of

the bone or removal of sections of the

spine. The approach is achieving similar

corrections to those realized with

combined anterior and posterior spinal

fusion and is showing decreased inpatient

hospitalization days and reductions in

complications such as blood clots,

infections, pain, and wound healing. Our

surgeons are also using minimally invasive

procedures performed through the back –

especially at the end of a long reconstruc-

tion – to stabilize the front of the spine.

Other surgical techniques under investiga-

tion include fusing the front of the spine

through minimal incisions made either in

the side of the patient or at the level of the

tailbone to stabilize the front of the spine,

long fusions to the lower lumbar spine and

the sacrum for adult deformity, and dual

rod instrumentation with limited fusion

for treatment of progressive early onset

scoliosis. The Service is also participating

in an NIH-sponsored prospective brace

study (non-randomized and randomized)

to assess the efficacy of brace treatment

in level 1 and level 2 combined, and a

prospective study of operative versus

nonoperative adult spine deformity.

Diagnosed with severe scoliosis at the age of three, a patient from Bangladesh had for years

coped with the physical and emotional consequences of her deformity. As an adult, her

significant spinal curvature brought on major restrictive lung disease. Her respiratory condition

continued to deteriorate as her curvature progressed. Though a poor surgical candidate, she

would most certainly die in a few years if nothing was done to correct the curvature. She came

to the Hospital’s Scoliosis Service where surgeons outlined a plan for treatment, as well as the

risks involved. The patient’s restrictive lung disease and her spinal deformity were so severe

that the risk of paralysis with surgery was almost 50 percent. She decided to proceed.


18

SPINE SERVICE

Frank P. Cammisa, Jr., MDChief

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

� Launched the Spine Care Institute, amultidisciplinary center for operativeand nonoperative spine care dedicatedto advancing new treatments throughresearch and education

� Developed a patient registry for pre-and postoperative neurologic function

� Continuing to participate in the development of clinical pathways tohelp optimize clinical care and lengthof stay for spine operative procedures

� Pursuing prospective randomizedcontrolled trials in non-fusion technologies in lumbar and cervicaltotal disc replacement arthroplasty

� Collaborating with the BiomechanicsDepartment on a global registry of retrieved total disc replacements tounderstand wear and failure mechanisms of all the early designsof total disc replacement

� Developing a new Scoliosis/DeformityFellowship through both the Spineand Scoliosis Services

� 1,869 Inpatient Surgeries� 168 Ambulatory SurgeriesTotal Surgical Volume: 2,037Total Patient Visits: 10,540



Patients with complex spine deformities,

post-trauma, and infection are routinely

referred to the Spine Service, which provides

expertise in the full range of cervical,

thoracic, and lumbar spine disorders,

including degenerative conditions, tumors,

and metabolic diseases. The Service’s

surgeons are highly skilled in decompressing,

stabilizing, reconstructing, and reducing

deformities utilizing the latest surgical

approaches and technologies. Our goal in

caring for every patient, and particularly

those with complex deformities and

conditions, is to determine the right

diagnosis, select the appropriate surgical

approach limited only to what needs to be

done, and decrease the morbidity of the

procedure in terms of complications. The

optimal outcome is a well-balanced spine

without deformity so that the patient can

return to a functional lifestyle.

Some of the most challenging cases

include those patients who present with

pseudarthrosis following a previously

attempted fusion elsewhere, and older

patients with osteoporosis. These patients

require a focused and individualized

treatment plan that draws on the skills of

multiple disciplines found in the Spine

Service’s Spine Care Institute, launched in

2009. This multidisciplinary and compre-

hensive center for both operative and non-

operative spine care provides excellent

clinical care with protocols supported by

evidence-based medicine. Emphasizing

research and education, the Spine Care

Institute aims to advance the diagnosis and

treatment of all types of spinal disorders.

Research is an important component of

the Spine Service, which has been involved

in a number of prospective randomized

clinical trials, including the NIH-funded

Spine Patient Outcome Research Trial

(SPORT). Our surgeons are using data

from SPORT to further examine the

relationship of the dural tears and

infection, as well as narcotic use and its

effects on surgical outcomes. The Service

continues to pursue basic science research

in orthobiologics, specifically bone healing

in animal fusion models, and has developed

a new rabbit model to evaluate anti-

adhesion barriers in anterior spine surgery.

A 64-year-old man underwent spinal surgery and developed an infection that led to an extremedeformity causing him to tip forward and to one side. The patient came to the Spine Serviceat HSS for revision surgery that required three very complex and challenging procedures inone day in order to realign his spine. In the first operation, surgeons entered through the patient’s abdomen to address the lower two levels of discs. Next they entered his side to reachseveral more levels from the front. In the final procedure, surgeons opened up his back to revise the decompression, perform a fusion, and insert the instrumentation. Today the patientis standing and walking straight and doing very well.


19

David W. Altchek, MDScott A. Rodeo, MDCo-Chiefs

Sports Medicine and Shoulder Surgeons

Answorth A. Allen, MD

Struan H. Coleman, MD, PhD

Frank A. Cordasco, MD, MS

Edward V. Craig, MD, MPH

David M. Dines, MD

Joshua S. Dines, MD

Stephen Fealy, MD

Jo A. Hannafin, MD, PhD

Anne M. Kelly, MD

Bryan T. Kelly, MD

John D. MacGillivray, MD

Robert G. Marx, MD, MSc, FRCSC

Michael J. Maynard, MD

Stephen J. O’Brien, MD, MBA

Andrew D. Pearle, MD

Anil S. Ranawat, MD

Howard A. Rose, MD

Beth E. Shubin Stein, MD

Sabrina M. Strickland, MD

Russell F. Warren, MD

Thomas L. Wickiewicz, MD

Riley J. Williams, III, MD

Sports Medicine Affiliated Staff

Lisa R. Callahan, MD

Joseph H. Feinberg, MD

Marci Anne Goolsby, MD

Brian C. Halpern, MD

James J. Kinderknecht, MD

Osric S. King, MD

Jordan D. Metzl, MD

Peter J. Moley, MD

Rock G. Positano, DPM, MSc, MPH

Hollis G. Potter, MD

Jennifer L. Solomon, MD

SPORTS MEDICINE ANDSHOULDER SERVICE

In 2009, the Sports Medicine and Shoulder

Service performed over 8,000 surgical

procedures and had more than 75,000

patient visits. The Service also provides

medical coverage to numerous local high

school, collegiate, and professional teams

and organizations, which include the New

York Knicks, New York Mets, New York

Giants, Nets Basketball, New York Liberty,

New York Red Bulls, Brooklyn Cyclones,

U.S. National Rowing Team, U.S.A.

Swimming National Team, National Retired

Basketball Players Association, Major

League Baseball Players Alumni, St. John’s

University, St. Peter’s College, CUNY

Athletic Conference, Iona College Athletes,

the Association of Tennis Professionals,

Federation Cup Tennis Athletes, and the

Wendy Hilliard Rhythmic Gymnastics

Foundation.

In addition, under the leadership of the

orthopaedic and physical therapy staff,

HSS supports the Public School Athletic

League (PSAL). Sports Medicine fellows

and residents served as the team physicians

again this past year for three local area

high school football teams. A clinic at HSS

has been established to provide care to

players on all junior varsity and varsity

football teams in the League, and our com-

mitment to the PSAL continues to expand.

Advances in Clinical Care

The Sports Medicine and Shoulder Service

is focused on identifying methods for

improving the outcomes of surgical

procedures. For example, our surgeons

have made important modifications to elbow

ulnar collateral ligament reconstruction,

including the development of the “docking”

technique – first applied in the late 1990s –

which involves “docking” the ends of the

grafts to the bone, rather than leaving

them free as in the original Tommy John

procedure. Their more current modification

involves the use of a three-strand graft in

some cases. Both the docking and modified

docking techniques achieve good to excellent

results in the majority of cases with a low

complication rate.

With a better understanding of the

limitations of traditional ACL reconstruction,

Service members have developed a

On the Sports Medicine and Shoulder Service, some 40 orthopaedic surgeons, primary care

physicians, imaging specialists, and rehabilitation professionals work closely together to

provide care for injured athletes at every level, including professional players on major

league teams, collegiate athletes, those for whom sports is a hobby, and children and

teenagers who may be participating in a sport for the first time. Patients that present to the

Sports Medicine and Shoulder Service often include those who have had a prior surgery,

those with deformity resulting from a previous injury, and those with nerve injuries or

conditions that require the collaboration of multiple specialists.

Scott A. Rodeo, MDCo-Chief

David W. Altchek, MDCo-Chief

(continued on page 20)

20

SPORTS MEDICINE ANDSHOULDER SERVICE

reconstruction approach that replicates the

anatomy of the natural ACL. Members of

the Service are also collaborating with the

American Orthopaedic Society for Sports

Medicine to better understand factors that

influence outcomes after revision ACL

reconstruction – a much more technically

demanding procedure.

Service members are also pursuing

improvements in sports rehabilitation,

working with physical therapy colleagues to

further their understanding and treatment

of both operative and nonoperative injuries

in athletes and to determine a scientific basis

for the design of postoperative rehabilitation.

The Service worked this past year to

complete postoperative guidelines for ACL

reconstruction and rotator cuff repair

among other conditions. These guidelines

can travel with patients to wherever they

choose to complete their rehabilitation.

Emphasis on Education

With one of the largest sports medicine

services in the country, HSS is a tremendous

training and education resource for residents

and fellows. The Service has seven accred-

ited sports medicine fellowship positions,

an international fellow, and offers a two-

year fellowship position with a dedicated

research year. All members of the Service

play an active role in the education program.

In 2009, we established a Primary Care

Sports Medicine Fellowship and are pleased

that James Kinderknecht, MD, has joined

the Service to assume a leadership role

and to complete the development of the

curriculum, with the goal of welcoming our

first primary care fellow in the fall of 2011.

Research Priorities

Research is a major component of the

Service’s mission with a commitment to a

strong, organized group effort to answer

questions through basic and clinical projects.

Our general research effort addresses soft

tissue reconstruction of joints and its

clinical application to the active individual.

The Service is focused on the following areas:

knee ligament stability, shoulder stability,

rotator cuff tendon healing, and articular

cartilage repair. In 2009, we completed

several prospective projects on rotator cuff

repair, arthroscopic shoulder instability

surgery, and knee ligament mechanics.

The Service is also establishing and

further developing computerized registries

of all patients undergoing surgery for ACL

reconstruction, rotator cuff repair, shoulder

stabilization surgery, and articular cartilage

repair. The Service has made great progress

in organizing its ACL registry, which will

formally launch in the fall of 2010.

Several members of the Service continue to

direct basic science research, with major

projects supported by the National Institutes

of Health to investigate ligament healing,

ligament fibroblast physiology, cartilage

repair, meniscus transplantation, and

rotator cuff tendon healing, including

studies on stem cells and how they may

help regenerate rotator cuff muscle. The

Service has an active collaboration with

the Laboratory for Soft Tissue Research,

and there are ongoing studies of knee and

shoulder mechanics with the Department

of Biomechanics. The Service is also

investigating knee ligament mechanics

using a state-of-the-art robotic system and

a human gait simulator for cadaveric

specimens and has developed a similar

testing system for shoulder mechanics.

In conjunction with the Leon Root, MD

Motion Analysis Laboratory, Service

members are examining muscle function

in patients with rotator cuff disease.

� Expanded outreach to New York Cityschools through the Public SchoolAthletic League to provide care forathletes during games and on-site atthe Hospital in a clinic establishedspecifically for this population

� Worked with Rehabilitation staff to develop consensus guidelines for rehabilitation following ACL recon-struction, rotator cuff repair, acromio-plasty, and shoulder stabilization

� Initiated a relationship with New YorkRoad Runners, manager of the NewYork City Marathon, to provide educational programs and support

� Instituted a state-of-the-art robotictesting system to rigorously evaluateknee joint mechanics

� Continued focused research programattention to the areas of knee ligamentstability, shoulder stability, rotator cufftendon healing, and articular cartilagerepair

� Completed a study on arthroscopictreatment of femoro-acetabular impingement, showing that arthroscopyallows a large percentage of athletesto return to a high level of competitionand is a good alternative to open surgery in the appropriate patient

� 1,661 Inpatient Surgeries� 6,423 Ambulatory SurgeriesTotal Surgical Volume: 8,084Total Patient Visits: 75,504



(continued from page 19)

21

Timothy M. Wright, PhDDirector

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

DEPARTMENT OF BIOMECHANICS

� Relocated the Department’s design and research laboratories to newly designed space to facilitate research collaborations

� Received an NIH grant to advance research to improve the perform-ance of elbow joint replacement

� Received an NIH grant to definethe relationship between the material and structural propertiesof novel materials used to replace soft tissues and the subsequent joint contact mechanics under daily activities

� Submitted patent applications forseveral technologies, includingconstrained condylar knee replacements and elbow replacements

� Awarded funding from the American Orthopaedic Foot andAnkle Society to investigate the effects of cartilage defects andmethods for cartilage repair ofthe ankle joint

Orthopaedic Implants Retrieved


Since the mid 1970s, the Department of

Biomechanics has been working side-by-side

with the Department of Orthopaedic Surgery

to address complex cases for which standard

medical devices or traditional approaches

would not suffice. As reconstructive surgery

has matured over the years, the role of

engineers has remained key – developing,

testing, and refining new implants for joint

replacement, fracture fixation, and spinal

reconstruction, and designing custom

solutions to improve patient outcomes.

This collaboration among surgeons and

engineers fosters innovative ideas that not

only benefit the most challenging cases, but

also provides insight for applying custom

solutions to other cases, thus furthering the

development of implants for more routine

problems as well. Discussions focus on every

anatomical and clinical aspect of the case –

from surgical approach, to quality of bone,

to functional goals – all aimed at designing

an implant best suited for the patient. The

process may include the creation of solid

models of a patient’s anatomy using 3-D

CT or MRI images. For custom designs,

such prototypes can be refined by the

engineer and the surgeon before being sent

to an orthopaedic device company that

manufactures the implant based on our

specifications.

The Department continues to pursue research

on how implants perform, how they handle

loads, and how they should be designed to

achieve functional and biomechanical goals.

Our engineers have also begun working

with surgeons to improve revision systems

for total joint replacements that have failed.

Tackling complex cases combined with what

we have learned from our vast retrieval

system and our patient registries is

providing information on how current

revision systems are performing and how to

improve them. Another area of focus is the

development of novel materials that can

be used in less invasive procedures to

reconstruct damaged joints. By applying the

same biomechanical principles that have

been used for conventional joint replacements,

engineers and surgeons are exploring a

range of solutions for reconstructing less

damaged joints in younger patients.

A patient with extensive bone loss due to a major trauma of the elbow was not a candidate

for a joint replacement but needed to have a functional elbow. The orthopaedic surgeon

described the patient’s anatomy, as well as the intended surgical approach and which soft

tissues and muscles could be saved, to the engineers in the Hospital’s Department of

Biomechanics. This provided the engineers with an idea of the level of function and stability

the patient could achieve through surgery. They then set about designing an implant intended

to rebuild the destroyed half of the patient’s joint. Using 3-D imaging of the patient’s elbow,

the engineers built a rapid prototype based on the normal anatomy of the patient’s other elbow,

which was then refined through collaboration with the surgeon to reach the final design.

0 200 400 600 800

2009

2008

2007

2006

2005

2004

2003

2002

2001

2000

Timothy M. Wright, PhDDirectortooooottttttttocccccccreDii ooooirre rrrrrDDirD ei

ootoooototooooooo yyyyyyy ggg t,t DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDhhhhhhhhhhhhhhhhhhhhhPPrriri hhhhWWW. W. WWMMMMMMMMimimothothhhhTTTi ooooooo iigg PP DDDDDDDDDDDDD

22

PROFESSIONAL STAFF

Surgeon-in-Chief andMedical DirectorThomas P. Sculco, MD

Clinical DirectorCharles N. Cornell, MD

Academic DirectorMathias P. Bostrom, MD

Orthopaedic Research DirectorJo A. Hannafin, MD, PhD

Faculty Development DirectorScott W. Wolfe, MD

ADULT RECONSTRUCTION AND

JOINT REPLACEMENT DIVISION




Michael M. Alexiades, MD Friedrich Boettner, MDMathias P. Bostrom, MDRobert L. Buly, MDCharles N. Cornell, MDAlejandro González

Della Valle, MDDavid J. Mayman, MDBryan J. Nestor, MDMichael L. Parks, MDPaul M. Pellicci, MD Amar S. Ranawat, MDChitranjan S. Ranawat, MDEduardo A. Salvati, MD Thomas P. Sculco, MDEdwin P. Su, MDGeoffrey H. Westrich, MDPhilip D. Wilson, Jr., MD

(Emeritus)Russell E. Windsor, MD

2009-2010 FellowsYossef Blum, MDCraig H. Dushey, MDProuskeh B. Ebrahimpour, MDJordan N. Greenbaum, MD,

MBAStephen Kim, MDJonathan H. Lee, MDJacob B. Manuel, MDMichael A. Robinson, MDSebastian Rodriguez-

Elizalde, MD, FRSC(C)



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

2009-2010 FellowsStephanie P. Adam, DOLucas J. Bader, MDJ. Turner Vosseller, MD

HAND AND UPPER EXTREMITY

SERVICE


Edward A. Athanasian, MDMichelle G. Carlson, MDAaron Daluiski, MDRobert N. Hotchkiss, MDLana Kang, MDAndrew J. Weiland, MD

2009-2010 FellowsWilliam S. Green, MDKristin K. Warner, MDKimberly C. Young, MD

LIMB LENGTHENING AND

COMPLEX RECONSTRUCTION

SERVICE

S. Robert Rozbruch, MD Chief

Austin T. Fragomen, MD

2009-2010 FellowsRhyor Harbacheuski, MD, MSShahab Mahboubian, DO, MPH

METABOLIC BONE DISEASE/MUSCULOSKELETAL

ONCOLOGY SERVICE


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

2009-2010 FellowsKashif Ashfaq, MBBSAasis Unnanuntana, MD

ORTHOPAEDIC TRAUMA

SERVICE


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

2009-2010 FellowsDaniel B. Chan, MDDevon M. Jeffcoat, MDNeil R. MacIntyre, III, MD

PEDIATRIC ORTHOPAEDIC

SERVICE


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

2009-2010 FellowVladimir Goldman, MD

SCOLIOSIS SERVICE


John S. Blanco, MDMatthew E. Cunningham,

MD, PhDDaniel W. Green, MD, FACSBernard A. Rawlins, MDRoger F. Widmann, MD

2009-2010 FellowsRahul D. Chaudhari, MBBSIlya Kupershtein, MDManish Lambat, MBBS, MS,

DNBPeter G. Passias, MDRavi J. Patel, MDHiroyuki Yoshihara, MB, PhD

SPINE SERVICE


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

2009-2010 FellowsRahul D. Chaudhari, MBBS

Ilya Kupershtein, MDManish Lambat, MBBS, MS,

DNBPeter G. Passias, MDRavi J. Patel, MDHiroyuki Yoshihara, MD, PhD

SPORTS MEDICINE

AND SHOULDER SERVICE

David W. Altchek, MDScott A. Rodeo, MDCo-Chiefs

Answorth A. Allen, MDStruan H. Coleman, MD, PhDFrank A. Cordasco, MD, MSEdward V. Craig, MD, MPHDavid M. Dines, MDJoshua S. Dines, MDStephen Fealy, MDJo A. Hannafin, MD, PhDAnne M. Kelly, MDBryan T. Kelly, MDJohn D. MacGillivray, MDRobert G. Marx, MD,

MSc, FRCSCMichael J. Maynard, MDStephen J. O’Brien, MD, MBAAndrew D. Pearle, MDAnil S. Ranawat, MDHoward A. Rose, MDBeth E. Shubin Stein, MDSabrina M. Strickland, MDRussell F. Warren, MDThomas L. Wickiewicz, MDRiley J. Williams, III, MD

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

MPHHollis G. Potter, MDJennifer L. Solomon, MD

2009-2010 FellowsAndrea L. Bowers, MDSaadiq F. El-Amin, MD, PhD,

MMSLawrence V. Gulotta, MDCraig S. Mauro, MDFrank A. Petrigliano, MDMichael K. Shindle, MDJames E. Voos, MD

23

ADULT AMBULATORY

CARE CENTER

Alejandro Leali, MDMedical Director

DEPARTMENT OF

BIOMECHANICS

Timothy M. Wright, PhDDirector

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

RESEARCH DIVISION

Steven R. Goldring, MDChief Scientific Officer

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

Robert N. Hotchkiss, MDDirector of Clinical Research

MEMORIAL SLOAN-KETTERING

CANCER CENTER

Orthopaedic SurgeryJohn H. Healey, MD Chief

NEW YORK HOSPITAL QUEENS

Department of Orthopaedicsand RehabilitationJeffrey E. Rosen, MDChair

NEWYORK-PRESBYTERIAN

HOSPITAL/WEILL CORNELL

MEDICAL CENTER

Combined OrthopaedicTrauma ServiceDavid L. Helfet, MDDirector

Dean G. Lorich, MDDirector, Orthopaedic TraumaService, NewYork-PresbyterianHospital/Weill Cornell MedicalCenter

NEW YORK UNIVERSITY

SCHOOL OF MEDICINE

Plastic SurgeryDavid T.W. Chiu, MD

Program Director, Hand Surgery Fellowship

ST. LUKE’S-ROOSEVELT

HOSPITAL CENTER

Orthopaedic SurgeryWilliam G. Hamilton, MDSenior Attending Orthopaedic Surgeon

JAMES J. PETERS VETERANS

ADMINISTRATION MEDICAL

CENTER - BRONX, NYOrthopaedic SurgerySabrina M. Strickland, MDChief

WESTCHESTER MEDICAL

CENTER

Orthopaedic SurgeryDavid E. Asprinio, MD Chair and Program Director

NAMED CHAIRS AND

PROFESSORSHIPS

Franchellie M. Cadwell ChairSergio Schwartzman, MD

Collette Kean Research Chair Jane E. Salmon, MD

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

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

Korein-Wilson Professorshipin Orthopaedic SurgeryThomas P. Sculco, MD

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

C. Ronald MacKenzie MDChair in Ethics and MedicinesupportingWayne Shelton, PhD

Stephen A. Paget, MD Chairin RheumatologyStephen A. Paget, MD

Leon Root, MD Chair in Pediatric OrthopaedicsLeon Root, MD

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

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

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

St. Giles Research Chair Steven R. Goldring, MD

Starr Chair in Mineralized Tissue ResearchAdele L. Boskey, PhD

ENDOWED CHAIRS

Joel and Anne Bick EnhrenkranzChair in Spine Research

Richard S. Laskin, MD Chairin Musculoskeletal Education

Starr Chair in Tissue Engineering Research

Russell F. Warren, MD Research Chair

NAMED FELLOWSHIPS

Robert and Helen Appel Fellowship in Biomedical EngineeringNatalie Galley, MASc, andRussell Main, PhD

Finn and Barbara CaspersenFellowship for Spine ResearchKai Zhang, MD

Charles L. Christian Research FellowshipLisa Mandl, MD

Ira W. DeCamp Fellowship inMusculoskeletal GeneticsMary Goldring, PhD

Leo Farbman Fellowship forPediatric Musculoskeletal ResearchMichelle Patterson, MS,

OTR/L

Helen Frankenthaler Fellow-ship in Restorative MobilityAndrew D. Pearle, MD

Ken and Jill Iscol Fellowshipin Orthopaedic ResearchEduardo Suero, MD

Irving and Sally Lipstock Fel-lowship in Orthopaedic SurgeryFrank Petrigliano, MD

Ludwig Fellowship for Women’sSports Medicine ResearchHalley Smith, BA

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

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

Mary Rodgers and HenryGuettel Fellowship in Biomedical MechanicsStephanie Tow

Robert and Gillian Steel Fellowship in Musculoskeletal ResearchInez Rogatsky, PhD

Nancy Dickerson WhiteheadResearch FellowshipPhilipp Mayer-Kuckuk, PhD

Fellowship in ArthroplastyEdward Purdue, PhD

Immunology and Inflammation FellowshipVictor Guaiquil, PhD

ENDOWED CHAIRS, PROFESSORSHIPS, AND FELLOWSHIPS

Endowed chairs, professorships, and fellowships recognize the generosity of our donors and sustain excellence in

musculoskeletal care, research, and medical education.

AFFILIATIONS

The affiliations of Hospital for Special Surgery enable orthopaedic surgery residents and

fellows to benefit from a broad range of research and training opportunities.

24

2009-2010 NOTABLE ACHIEVEMENTS

AWARDS AND SPECIAL RECOGNITION

Answorth A. Allen, MDHead Team Orthopaedist, New York Knicks

Orthopaedic Consultant, West Indies Cricket Board of Control

Head Team Physician, St. John’s University

Consultant, Major League Baseball

David W. Altchek, MDMedical Director, New York Mets

Medical Director, Nets Basketball

Mathias P. Bostrom, MD2009 Philip D. Wilson, Jr., MD Teaching Award, Hospital for

Special Surgery

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

Frank P. Cammisa, Jr., MDSpinal Consultant, New York Giants

Spinal Consultant, National Hockey League Players’

Association

Struan H. Coleman, MD, PhDHead Team Physician, New York Mets

Jonathan T. Deland, MDAmerican Orthopaedic Foot and Ankle Society

2009 Research Award

2009 Service Excellence Award, Healthnetwork Foundation

David M. Dines, MDMedical Director, Association of Tennis Professionals –

ATP World Tour

Team Physician, U.S. Davis Cup Tennis Team

Head Orthopaedic Consultant, U.S. Open Tennis

Team Physician and Medical Director, Long Island Ducks

Minor League Baseball Team

Joshua S. Dines, MDTeam Physician, U.S. Davis Cup Tennis Team

Team Physician, Long Island Ducks Minor League

Baseball Team

Orthopaedic Consultant, Los Angeles Dodgers

Scott J. Ellis, MDYoung Investigators Workshop Award, United States

Bone and Joint Decade

Traveling Fellowship, American Orthopaedic Foot and

Ankle Society

Stephen Fealy, MDTeam Physician, Chaminade High School

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

Jo A. Hannafin, MD, PhDTeam Physician, U.S. Rowing

Team Physician, New York Liberty

Bryan T. Kelly, MDAssociate Team Physician, New York Giants

Assistant Team Physician, New York Red Bulls

Consulting Team Physician, Nets Basketball

John G. Kennedy, MD American Orthopaedic Foot and Ankle Society

2009 Research Award

Wounded Warrior Project Award for Outstanding Service

and Dedication to Wounded Soldiers

Osric S. King, MDSports Medicine Coordinator, City University of New York

Athletic Conference

Associate Medical Director, St. John’s University

David B. Levine, MDRecipient of the Lifetime Achievement Award,

Scoliosis Society

Suzanne Maher, PhDRepresentative of the Orthopaedic Research Society,

Biomedical Engineering Committee, American Academy

of Orthopaedic Surgeons

David J. Mayman, MD2009 First Annual Richard S. Laskin, MD Young Attending

Award for Demonstrating Exemplary Teaching Skills,

Hospital for Special Surgery

Michael J. Maynard, MDMedical Director, Department of Athletics, Marist College

Stephen J. O’Brien, MD, MBAChief Orthopaedic Consultant, Department of Athletics,

St. John’s University

Andrew D. Pearle, MDAssistant Team Physician, New York Mets

The orthopaedic surgeons at Hospital for Special Surgery are regularly cited for their professional achievements and

outstanding contributions to musculoskeletal medicine, research, and education. They manage the care of numerous major

professional sports teams and organizations, hold leadership positions and serve on committees for national and international

organizations and professional societies, and serve on editorial boards and as reviewers for numerous peer-reviewed journals.

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25

Anil S. Ranawat, MDAssistant Team Physician, New York Mets

Chitranjan S. Ranawat, MD2009 Lifetime Achievement Award, Asia Pacific

Arthroplasty Society

Scott A. Rodeo, MDAssociate Team Physician, New York Giants

Chair, USA Swimming Sports Medicine Committee

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

Marjolein van der Meulen, PhDSwanson Chair in Biomedical Engineering, College of

Engineering, Cornell University

Elected Fellow, American Society of Mechanical Engineers

Russell F. Warren, MDTeam Physician, New York Giants

Thomas L. Wickiewicz, MDOrthopaedic Consultant, Department of Athletics,

St. Peter’s College

Riley J. Williams, III, MDHead Team Physician, Department of Athletics, Iona College

Head Team Physician, Nets Basketball

Medical Director, New York Red Bulls

Orthopaedic Consultant, National Football League

Timothy M. Wright, PhD, and Douglas E. Padgett, MDAwarded one of the two top scientific posters, 19th Annual

Meeting, American Association of Hip and Knee Surgeons

for “A study of retrieved mobile bearing knee replacements”

LEADERSHIP POSITIONS AND APPOINTMENTS

Michael M. Alexiades, MDVice President, Alumni Board, Weill Cornell Medical College

Answorth A. Allen, MDMaster Instructor, Knee and Shoulder Surgery, Learning

Center, American Orthopaedic Society for Sports Medicine

Education Committee, American Shoulder and Elbow Society

Oheneba Boachie-Adjei, MDPresident, Scoliosis Research Society and The Hibbs Society

Richard S. Bockman, MD, PhDClinical Research Committee, Federation of American Societies

for Experimental Biology – Representative for

The American Society of Bone and Mineral Research

Mathias P. Bostrom, MDBoard Member and Past President,

International Society for Fracture Repair

Board of Directors and Fellowship Committee, Hip Society

Board of Directors – Member-at-Large,

Orthopaedic Research Society

Study Section, Musculoskeletal Tissue Engineering,

National Institutes of Health

Course Director, American Austrian Foundation

Robert L. Buly, MDBoard Member, Maurice Muller Foundation of North America

Secretary, International Society for Hip Arthroscopy

Lisa R. Callahan, MDAdvisory Board Member, American Ballet

Advisory Board Member, Center for Women’s Healthcare,

Weill Cornell Medical College

Frank P. Cammisa, Jr., MDMedical Advisory Board, The Alan T. Brown Foundation

to Cure Paralysis

Michele G. Carlson, MDMember, Kiros Hand Study Organization

Frank A. Cordasco, MD, MSBoard of Directors, Cunningham Dance Foundation

Medical Advisory Board,

Children of China Pediatrics Foundation

Edward V. Craig, MD, MPHBoard of Directors,

American Academy of Orthopaedic Surgeons

Chairman, Traveling Fellowship,

American Orthopaedic Association

Jonathan T. Deland, MDResearch Committee, Nike

Research Committee, Foot and Ankle Society

David M. Dines, MDPlanning and Development and Executive Committees,

American Shoulder and Elbow Surgeons

Education Committee, American Orthopaedic Association

Scott J. Ellis, MDAwards Committee, American Orthopaedic Foot

and Ankle Society

James C. Farmer, MDSpine Evaluation Subcommittee, American Academy of

Orthopaedic Surgeons

Medical Student and Fellow Education Committee, American

Academy of Orthopaedic Surgeons

Patient-Based Outcomes Committee and Global Outreach

Committee, Scoliosis Research Society

26

Leadership Positions and Appointments (continued)

Stephen Fealy, MDTechnology Committee,

Arthroscopy Association of North America

Federico P. Girardi, MDInternational Medical Graduate Committee, Medical Society of

the State of New York

Daniel W. Green, MD, FACSBoard Member, New York State Society of Orthopaedic Surgeons

Board Member and Treasurer, New York County Medical Society

Representative to the American Academy of Orthopaedic Surgeons

Representative to the American College of Surgeons for the

Pediatric Orthopaedic Society of North America

Advocacy Committee, Pediatric Orthopaedic Society of

North America

Evaluation Committee, American Academy of


Division of Socio-Medical Economics Committee on

Interspecialty, Medical Society of the State of New York

Advocacy and Patient Education Committees, Scoliosis

Research Society

Clinic Chief, Association of Children’s Prosthetic-Orthotic Clinics

Steven B. Haas, MDProgram Chair and New York Coordinator,

John N. Insall Traveling Fellows, Knee Society

Brian C. Halpern, MDFounding Member and Past President,

American Medical Society for Sports Medicine

President, Foundation of the American Medical Society

for Sports Medicine

Jo A. Hannafin, MD, PhDVice President, Board of Trustees, National Rowing Foundation

Board of Trustees and Secretary Elect; Chair, Committee on

Enduring Education; Education Council; and Study Section,

National Institutes of Health, Skeletal Biology Structure and

Regeneration Section, American Orthopaedic Society for

Sports Medicine

Grant Review Committee, Ruth Jackson Orthopaedic Society

Secretary, Herodicus Society

Vice Chair, Development Committee; Board of Trustees;

Educational Grants Board; and Nominating Committee,

Orthopaedic Research and Education Foundation

David L. Helfet, MDTrustee, AO Foundation

Chair, Clinical Investigation and Documentation, AO Foundation

Technical Commission, AO Foundation

Lana Kang, MDDiversity Committee, American Society for Surgery of the Hand

Young Members Committee,

Medical Society of the State of New York

Committee on Medical Economics and Managed Care Task Force,

New York County Medical Society

Hand Caucus, American Medical Association

Anne M. Kelly, MDMembership Committee, Arthroscopy Association of

North America

Secretary/Treasurer, Thomas B. Quigley Sports Medicine Society

Bryan T. Kelly, MDOLC Education Committee,

Arthroscopy Association of North America

Joseph M. Lane, MD Chair, MOAC Recertification Program, American Academy of


Study Section, National Institutes of Health and National

Institute of Arthritis and Musculoskeletal and Skin Disorders

Dean G. Lorich, MDTechnical Commission, Teaching Faculty, and

Osteoporosis Task Force, AO-ASIF

Suzanne Maher, PhDCo-Chair, Scientific Session, Annual Meeting, Orthopaedic

Research Society

Judge, PhD Student Paper, Summer Bioengineering Conference,

American Society of Mechanical Engineers

Douglas E. Padgett, MDAmerican Association of Hip and Knee Surgeons

Committee on Education

Board Member-at-Large

Program Committee, 2010-2012 Annual Meeting,


Michael L. Parks, MDVice President, New York State Society of Orthopaedic Surgeons

Board of Directors, Member-at-Large, American Academy of


Rock G. Positano, DPM, MSc, MPHBoard of Trustees, New York College of Podiatric Medicine

and Foot Clinics of New York

Board of Directors, Children’s Health Fund

Hollis G. Potter, MDResearch Committee, American Orthopaedic Society for

Sports Medicine

Program Committee, International Society for Magnetic

Resonance in Medicine

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27

Chitranjan S. Ranawat, MD President Elect, Hip Society

President, Eastern Orthopaedic Association

President, Eastern Orthopaedic Education Foundation

Chair, Ranawat Orthopaedic Research Foundation

Chair, Annual “ROC Advances and Techniques

in Joint Replacement Surgery”

Past President and Member, The Knee Society

Past President and Member, New York Society for

Surgery of the Hand

Past President and Member, American Association of

Hip and Knee Surgeons

Bernard A. Rawlins, MDFounding Member, J. Robert Gladden Society

Matthew M. Roberts, MDPost-Graduate Education and Training Committee,

American Orthopaedic Foot and Ankle Society

Scott A. Rodeo, MDChair, Research Committee and Council of Delegates,

American Orthopaedic Society for Sports Medicine

Chair, Professional Liaison Committee,

Orthopaedic Research Society

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

S. Robert Rozbruch, MDSecondary School Committee, Undergraduate Admissions,

University of Pennsylvania

Eduardo A. Salvati, MDPast President, American Hip Society

Past Secretary/Treasurer, International Hip Society

Thomas P. Sculco, MDExecutive Director and Founder, International Society of

Orthopaedic Centers

Board of Governors and Medical and Scientific Committee,

Arthritis Foundation – New York Chapter

Governing Board, Salzburg Medical Seminar International,

Austrian Orthopedic Association

Honorary Fellow, Foreign Policy Association

Member, Advisory Council on Biology and Medicine,

Brown University

Research Advisory Board, Istituto Rizzoli, Bologna

David M. Scher, MDVice President, Pediatric Orthopaedic Club of New York

History Committee, Pediatric Orthopaedic Society

of North America

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

American College of Sports Medicine

Edwin P. Su, MDAdult Reconstruction – Hip Program Subcommittee,


Marjolein van der Meulen, PhDStudy Section, Grant Applications, Skeletal Biology Structure

and Regeneration, National Institutes of Health

Russell F. Warren, MDFounding Member and Past President, American Shoulder

and Elbow Surgeons

Past President, American Orthopaedic Society for

Sports Medicine

Past President, Herodicus Society

Geoffrey H. Westrich, MDBoard Member and Member-at-Large, Program Committee,

and 2011 Program Chair, Eastern Orthopaedic Association

Thomas L.Wickiewicz, MDBoard of Trustees, Medical Publishing Group,

American Orthopaedic Society for Sports Medicine

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

North America

Riley J. Williams, III, MDResearch and Education Committees, American Orthopaedic

Society for Sports MedicineTechnology Committee, American Shoulder and

Elbow Surgeons

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

Scott W. Wolfe, MDWebsite Committee, Electronic Information Committee,

Clinical Trials and Outcomes Committee, and Joint ResearchCommittee, American Society of Surgery for the Hand

Timothy M. Wright, PhDEducation and Program Committees, The Knee Society

Review Committee, Grant Applications, Loan Repayment

Program, Challenge Grants and Grand Opportunities

Grants, National Institutes of Health

28

EDITORIAL APPOINTMENTS

John S. Blanco, MDReviewer, Journal of Pediatric Orthopaedics

Oheneba Boachie-Adjei, MDBoard of Associate Editors, Spine

Reviewer, Journal of Pediatric Orthopaedics

Mathias P. Bostrom, MDEditorial Board, HSS Journal: The Musculoskeletal Journal

of Hospital for Special Surgery

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

Advisor; Food and Fitness Advisor

Michelle G. Carlson, MDReviewer: Journal of Hand Surgery; Journal of Hand and

Microsurgery

Editorial Board, HSS Journal: The Musculoskeletal Journal


Charles N. Cornell, MDEditor-in-Chief, HSS Journal: The Musculoskeletal Journal


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

HSS Journal: The Musculoskeletal Journal of Hospital for

Special Surgery

Aaron Daluiski, MDEditorial Board, HSS Journal: The Musculoskeletal Journal


Jonathan T. Deland, MDEditor-in-Chief, Foot and Ankle Section, Orthopaedia

Associate Editor, Foot and Ankle International Journal

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

Elbow Surgery

Scott J. Ellis, MDReviewer: Clinical Orthopaedics and Related Research;

HSS Journal: The Musculoskeletal Journal of Hospital

for Special Surgery

Joseph H. Feinberg, MDEditorial Board, HSS Journal: The Musculoskeletal Journal


Austin T. Fragomen, MDReviewer, Clinical Orthopaedics and Related Research

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

Daniel W. Green, MD, FACSEditor, Orthopaedics Section, Current Opinion in

Orthopaedics

Reviewer, Spine

Consultant Reviewer: Journal of Pediatric Orthopaedics;

Clinical Orthopaedics and Related Research

Lana Kang, MDReviewer: Clinical Orthopaedics and Related Research;

Journal of Hand Surgery

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

Joseph M. Lane, MDEditorial Boards: Bone; Journal of Arthroplasty; Journal

of Orthopaedic Research; Spine; HSS Journal: The

Musculoskeletal Journal of Hospital for Special Surgery

Alejandro Leali, MDSenior Associate Editor, HSS Journal: The Musculoskeletal

Journal of Hospital for Special Surgery

David S. Levine, MDEditorial Board, HSS Journal: The Musculoskeletal Journal


Martin J. O’Malley, MDEditorial Advisory Committee, Physician Link

Robert G. Marx, MD, MSc, FRCSCSenior Associate Editor, HSS Journal: The Musculoskeletal


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

Amar S. Ranawat, MDEditorial Board, Journal of Arthroplasty

Reviewer: Clinical Orthopaedics and Related Research;


Special Surgery; Current Orthopaedic Practice

Chitranjan S. Ranawat, MDFounder and Editor, Orthopaedics E-Journal

S. Robert Rozbruch, MDEditorial Board, Journal of Orthopaedic Trauma

Reviewer, Clinical Orthopaedics and Related Research

Harvinder S. Sandhu, MDCo-Editor, Symposium Section, Journal of the Spine

Arthroplasty Society

David M. Scher, MDEditorial Board, HSS Journal: The Musculoskeletal


Consultant Reviewer: Journal of Pediatric Orthopaedics;

Clinical Orthopaedics and Related Research

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

2009-2010 SELECTED PUBLICATIONS

ADULT RECONSTRUCTION AND JOINT REPLACEMENT DIVISION

HIP SERVICE/KNEE SERVICE/SURGICAL ARTHRITIS SERVICE

Anderson JA, Sculco PK, Heitkemper S, Mayman DJ,

Bostrom MP, Sculco TP. An articulating spacer to treat

and mobilize patients with infected total knee arthroplasty.

The Journal of Arthroplasty 2009.

Bek D, Beksaç B, González Della Valle A, Sculco TP, Salvati

EA. Aspirin decreases the prevalence and severity of hetero-

topic ossification after 1-stage bilateral total hip arthroplasty

for osteoarthrosis. Journal of Arthroplasty 2009.

Beksaç B, Salas A, González Della Valle A, Salvati EA.

Wear is reduced in THA performed with highly cross-linked

polyethylene. Clinical Orthopaedics and Related Research 2009.

Boettner F, Altneu EI, Williams BA, Hepinstall M, Sculco TP.

Nonanemic patients do not benefit from autologous blood

donation before total hip replacement. HSS Journal: The

Musculoskeletal Journal for Hospital of Special Surgery 2009.

Bono JV, Sherman P, Windsor RE, Laskin RS, Sculco TP,

Figgie MP, Haas SB, Talmo CT. Intramedullary arthrodesis

after failed septic total knee. Techniques in Knee Surgery 2009.

Cooper HJ, Ranawat AS, Potter HG, Foo LF, Jawetz ST,

Ranawat CS. Magnetic resonance imaging in the diagnosis

and management of hip pain after total hip arthroplasty.


Cross M, Bostrom MP. Cement mantle retention: filling the

hole. Orthopedics 2009.

Cross M, Bostrom MP. Periprosthetic fractures of the femur.

Orthopedics 2009.

Ghelman B, Kepler CK, Lyman S, González Della Valle A. CT

outperforms radiography for determination of acetabular cup

version after total hip arthroplasty. Clinical Orthopaedics and

Related Research 2009.

González Della Valle A, Khakharia S, Glueck CJ, Taveras N,

Wang P, Fontaine RN, Salvati EA. VKORC1 variant genotypes

influence warfarin response in patients undergoing total joint

arthroplasty: a pilot study. Clinical Orthopaedics and Related

Research 2009.

González Del1a Valle A, Reynoso FJ, Ben Ari J, Salvati EA.

The multimodal approach for the prevention of thrombo-

embolic disease after total joint arthroplasty. Seminars in

Arthroplasty 2009.

Haas SB, Westrich GH (Guest Editors). DVT prophylaxis

alternatives. Seminars in Arthroplasty 2009.

Thomas P. Sculco, MDDeputy Editor, American Journal of Orthopedics

Editorial Board, Istituto Ortopedico Rizzoli

Editorial Board, HSS Journal: The Musculoskeletal


Russell F. Warren, MDEditorial Board, HSS Journal: The Musculoskeletal


Andrew J. Weiland, MDReviewer: The Journal of Bone & Joint Surgery; Journal of

Orthopaedic Trauma; Journal of the American

Society for Surgery of the Hand; Clinical Orthopaedics

and Related Research

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

Roger F. Widmann, MDConsultant Reviewer: Journal of Pediatric Orthopaedics;

Clinical Orthopaedics and Related Research; Journal of

Children’s Orthopaedics

Scott W. Wolfe, MDReviewer: The Journal of Bone & Joint Surgery; Journal of

Orthopaedic Research; Clinical Orthopaedics and

Related Research

Timothy M. Wright, PhDCo-Editor, Journal of Orthopaedic Research

Deputy Editor, HSS Journal: The Musculoskeletal


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30

Adult Reconstruction and Joint Replacement Division (continued)

Hamilton TW, Goodman SM, Figgie MP. SAS weekly rounds:

avascular necrosis. HSS Journal: The Musculoskeletal Journal

of Hospital for Special Surgery 2009.

Heyse TJ, Decking R, Davis J, Boettner F, Laskin RS.

Varus gonarthrosis predisposes to varus malalignment in

TKA. HSS Journal: The Musculoskeletal Journal of Hospital

for Special Surgery 2009.

Issack PS, Lauerman MH, Helfet DL, Sculco TP, Lane JM. Fat

embolism and respiratory distress associated with cemented

femoral arthroplasty. American Journal of Orthopaedics 2009.

Issack PS, Nousiainen M, Beksac B, Helfet DL, Sculco TP,

Buly RL. Acetabular component revision in total hip

arthroplasty. Part I: cementless shells. American Journal of

Orthopaedics 2009.



arthroplasty. Part II: management of major bone loss and

pelvic discontinuity. American Journal of Orthopaedics 2009.

James DE, Nestor BJ, Sculco TP, Ivashkiv LB, Ross FP,

Goldring SR, Purdue PE. The relative timing of exposure to

phagocytosable particulates and to osteoclastogenic cytokines

is critically important in the determination of myeloid cell fate.

The Journal of Immunology 2010.

Jarrett CA, Ranawat AS, Bruzzone M, Blum YC, Rodriguez JA,

Ranawat CS. The squeaking hip: a phenomenon of ceramic-

on-ceramic total hip arthroplasty. The Journal of Bone & Joint

Surgery 2009.

Kelly NH, Rajadhyaksha AD, Wright TM, Maher SA,

Westrich GH. High stress conditions do not increase wear of

thin highly crosslinked UHMWPE. Clinical Orthopaedics and


Kendoff DO, Moreau-Gaudry A, Plaskos C, Granchi C, Sculco TP,

Pearle AD. A navigated 8-in-1 femoral cutting guide for total knee

arthroplasty technical development and cadaveric evaluation.

Journal of Arthroplasty 2010.

Kim HJ, Walcott-Sapp S, Leggett K, Bass A, Adler RS, Pavlov H,

Westrich GH. Detection of pulmonary embolism in the post-

operative orthopedic patient using spiral CT scans.


Special Surgery 2009.

Koenig JH, Maheshwari AV, Ranawat AS, Ranawat CS.

Extra-articular deformity is always correctable intra-

articularly: in the affirmative. Orthopedics 2009.

Koulouvaris P, Sculco P, Finerty E, Sculco TP, Sharrock NE.

Relationship between perioperative urinary tract infection

and deep infection after joint arthroplasty. Clinical

Orthopaedics and Related Research 2009.

Lonner JH, Fehring TK, Hanssen AD, Pellegrini VD Jr,

Padgett DE, Wright TM, Potter HG. Revision total knee

arthroplasty: the preoperative evaluation. The Journal of

Bone & Joint Surgery 2009.

Malik A, Salas A, Ben Ari J, Ma Y, González Della Valle A.

Range of motion and function are similar in patients

undergoing TKA with posterior stabilized and high-flexion

inserts. International Orthopaedics 2009.

Mancuso CA, Jout J, Salvati EA, Sculco TP. Fulfillment of

patients’ expectations for total hip arthroplasty. The Journal

of Bone & Joint Surgery 2009.

Matsushita T, Cornell CN. Biomechanics of bone healing:

editorial comment. Clinical Orthopaedics and Related

Research 2009.

Memtsoudis SG, Besculides MC, Gaber L, Liu S, González

Della Valle A. Risk factors for pulmonary embolism after

hip and knee arthroplasty: a population-based study.

International Orthopaedics 2009.

Memtsoudis SG, Ma Y, González Della Valle A. Mazumdar M,

Gaber-Baylis LK, MacKenzie CR, Sculco TP. Perioperative

outcomes after unilateral and bilateral total knee arthroplasty.

Anesthesiology 2009.

Memtsoudis SG, Starcher B, González Della Valle A, Ma Y,

Jules-Elyssee K, Sculco TP. Urine desmosine as a marker of

lung injury in total knee arthroplasty patients. A pilot study.



Neviaser AS, Chang C, Lyman S, González Della Valle A,

Haas SB. High incidence of complications from enoxaparin

treatment after arthroplasty. Clinical Orthopaedics and


Padgett DE, Lewallen DG, Penenberg BL, Hanssen AD,

Garvin KL, Mahoney OM, Kinsey TL. Surgical technique for

revision total hip replacement. The Journal of Bone & Joint

Surgery 2009.

Philips BD, Liu SS, Wukovits B, Boettner F, Waldman S,

Liguori G, Goldberg S, Goldstein L, Melia J, Hare M, Jasphey L,

Tondel S. Creation of a novel recuperative pain medicine

service to optimize postoperative analgesia and enhance

patient satisfaction. HSS Journal: The Musculoskeletal Journal


2009-2010 SELECTED PUBLICATIONSB- AD00 0 09 BP O1009 0 02 2 E E ED PUB ICATI NL CT L ATS SCT CA O

31

Ranawat AS, Zelken J, Helfet DL, Buly RL. Total hip

arthroplasty for post-traumatic arthritis after acetabular

fracture. The Journal of Arthroplasty 2009.

Robbins L, Bostrom MP, Craig E, Sculco TP. Proposals for

change in orthopaedic education: recommendations from an

orthopaedic residency directors’ peer forum. The Journal of


Rodriguez JA, Fada R, Murphy SB, Rasquinha VJ, Ranawat

CS. Two-year to five-year follow-up of femoral defects in

femoral revision treated with the link MP modular stem.


Rodriguez JA, Goyal A, Thakur RR, Deshmukh AJ, Ranawat

AS, Ranawat CS. Preoperative planning and surgical

technique in the management of periprosthetic femoral

fractures using a tapered modular fluted prosthesis with

distal fixation. Operative Techniques in Orthopaedics 2009.

Sanchez Marquez JM, Del Sel N, Leali A, González Della Valle

A. Case reports: tantalum debris dispersion during revision

of a tibial component for TKA. Clinical Orthopaedics and


Sculco TP. Exercising the soft tissues may help avoid the

nodular formation of patellar clunk. Orthopaedics Today –

Current News in Musculoskeletal Health & Disease 2009.

Sculco TP. Case challenges in total hip arthroplasty. Seminars

in Arthroplasty 2009.

Sculco TP, Klinghoffer IP. Global musculoskeletal health:

inaugural meeting of the International Society of Orthopaedic

Centers. HSS Journal: The Musculoskeletal Journal of

Hospital for Special Surgery 2009.

Sculco TP, Rossi R. Posterior mini-incision approach of the

hip. Seminars in Arthroplasty 2009.

Shah SN, Kaye RJ, Kelly NH, Su ZEP, Padgett DE, Wright TM.

Retrieval analysis of failed constrained acetabular liners.


Sharma V, Ranawat AS, Rasquinha VJ, Weiskopf J,

Howard H, Ranawat CS. Revision total hip arthroplasty for

ceramic head fracture: a long-term follow-up. The Journal of

Arthroplasty 2010.

Sussmann PS, Simmen BR, Goldhahn J, ISOC participants,

Sculco TP. Challenges for large orthopaedic hospitals

world-wide – an ISOC position statement. HSS Journal: The

Musculoskeletal Journal of Hospital for Special Surgery 2009.

Toulson C, Walcott-Sapp S, Hur J, Salvati EA, Bostrom MP,

Brause B, Westrich GH. Treatment of infected total hip

arthroplasty with a 2-stage reimplantation protocol: update on

“our institution’s” experience from 1989 to 2003. The Journal

of Arthroplasty 2009.

van der Meulen MC, Yang X, Morgan TG, Bostrom MP.

The effects of loading on cancellous bone in the rabbit. Clinical


Vavken P, Castellani L, Sculco TP. Prophylaxis of heterotopic

ossification of the hip: systematic review and meta-analysis.

Clinical Orthopaedics and Related Research 2009.

Walcott-Sapp S, Bornstein L, Bostrom MP, Windsor RE,

Brause B, Westrich GH. Modern treatment of infected total

knee arthroplasty with a two-stage reimplantation protocol.


Westrich GH, Bornstein LJ. Prophylactic modalities:

pharmacologic and mechanical compression. Seminars in

Arthroplasty 2009.

Westrich GH, Schaefer S, Walcott-Sapp S, Lyman S.

Randomized prospective evaluation of adjuvant hyaluronic

acid therapy administered after knee arthroscopy. American

Journal of Orthopaedics 2009.

Willie BM, Yang X, Kelly NH, Merkow J, Gagne S, Ware R,

Wright TM, Bostrom MP. Osseointegration into a novel

titanium foam implant in the distal femur of a rabbit.

Journal of Biomedical Materials Research Part B: Applied

Biomaterials 2010.


Borens O, Kloen P, Richmond J, Roederer G, Levine DS, Helfet

DL. Minimally invasive treatment of pilon fractures with a

low profile plate: preliminary results in 17 cases. Archives of

Orthopaedic and Trauma Surgery 2009.

Brophy RH, Gamradt SG, Ellis SJ, Barnes RP, Rodeo SA,

Warren RF, Hillstrom H. The effect of turf toe on plantar

contact foot pressures in professional American football players.

Foot and Ankle International 2009.

Ellis SJ, Williams BR, Deyer T, Lehto S, Yu J, Pavlov H,

Moderazo A, Deland JT. Assessment of lateral hindfoot pain

in flatfoot deformity using weightbearing multiplanar

imaging. Foot & Ankle International 2009.

Ellis SJ, Yu JC, Johnson H, O’Malley MJ, Elliott A, Deland JT.

Plantar pressure measurements in patients with lateral

discomfort after lateral column lengthening. The Journal of


Ellis SJ, Yu JC, Williams BR, Lee C, Chiu YL, Deland JT.

New radiographic parameters assessing forefoot abduction

in the adult-acquired flatfoot deformity. Foot & Ankle

International 2009.

Ellis SJ, Yu JC, Williams BR, Lee C, Chiu YL, Deland JT. Stage IV

flatfoot deformity reconstruction of the deltoid ligament with

peroneus longus autograft. Foot & Ankle International 2009.

32

Foot and Ankle Service (continued)

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

tion in hallux valgus surgery. Foot & Ankle International 2009.

O’Loughlin PF, Heyworth BE, Kennedy JG. Current concepts

in the diagnosis and treatment of osteochondral lesions of the

ankle. The American Journal of Sports Medicine 2009.

O’Loughlin PF, Murawski CD, Egan C, Kennedy JG. Ankle

instability in sports. The Physician and Sports Medicine 2009.

Panchbhavi VK, Aronow MS, Digiovanni BF, Giza E,

Grimes JS, Harris TG, Roberts MM, Straus B. Foot and ankle

experience in orthopaedic residency. Foot & Ankle

International 2010.

Rao S, Ellis SJ, Deland JT, Hillstrom H. Nonmedicinal therapy

in the management of ankle arthritis. Current Opinion in

Rheumatology 2010.

Saltzman CL, Mann RA, Ahrens JE, Amendola A,

Anderson RB, Berlet GC, Brodsky JW, Chou LB, Clanton TO,

Deland JT, Deorio JK, Horton GA, Lee TH, Mann JA,

Nunley JA, Thordarson DB, Walling AK, Wapner KL,

Coughlin MJ. Prospective controlled trial of STAR total ankle

replacement versus ankle fusion: initial results. Foot & Ankle

International 2009.

Tellisi N, Deland, JT, Rozbruch SR. Gradual reduction of

chronic fracture dislocation of the ankle using Ilizarov/Taylor

Spatial Frame. Foot & Ankle International 2010. (Accepted for

publication)

Williams BR, Ellis SJ, Deland, JT. Spring ligament

reconstruction in posterior tibial tendon insufficiency.

Current Orthopaedic Practice 2010.

Williams BR, Garg R, Ellis SJ, Pavlov H, Deland JT. Lateral

discomfort after lateral column lengthening for posterior

tibial tendon insufficiency. Clinical Orthopaedics and Related

Research 2010.

Young KW, Deland JT, Lee KT, Lee YK. Medial approaches to

osteochondral lesion of the talus without medial malleolar

osteotomy. Knee Surgery, Sports Traumatology,

Arthroscopy 2010.


Abdeen A, Hoang BH, Athanasian EA, Morris CD, Boland PJ,

Healey JH. Allograft-prosthesis composite reconstruction of

the proximal part of the humerus. Functional outcome and

survivorship. The Journal of Bone & Joint Surgery 2009.

Carter TI, Pansy B, Wolff AL, Hillstrom HJ, Backus SI,

Lenhoff M, Wolfe SW. Accuracy and reliability of three

different techniques for manual goniometry for wrist motion:

a cadaveric study. The Journal of Hand Surgery 2009.

Farfalli GL, Boland PJ, Morris CD, Athanasian EA,

Healey JH. Early equivalence of uncemented press-fit and

compress femoral fixation. Clinical Orthopaedics and Related

Research 2009.

Giuffrida AY, Gyuricza C, Perino G, Weiland AJ. Foreign body

reaction to artelon spacer: case report. The Journal of Hand

Surgery 2009.

Gyuricza C, Umoh E, Wolfe SW. Multiple pulley rupture

following corticosteroid injection for trigger digit: case report.

The Journal of Hand Surgery 2009.

Healey JH, Abdeen A, Morris CD, Athanasian EA, Boland PJ.

Telescope allograft method to reconstitute the diaphysis in

limb salvage surgery. Clinical Orthopaedics and Related

Research 2009.

Hurst LC, Badalamente MA, Hentz VR, Hotchkiss RN, Kaplan

FT, Meals RA, Smith TM, Rodzvilla J; for the CORD I Study

Group. Injectable collagenase clostridium histolyticum for

Dupuytren’s contracture. The New England Journal of

Medicine 2009.

Kepler CK, Kummer JL, Lorich DG, Weiland AJ.

Radiocapitellar prosthetic arthroplasty for capitellar

nonunion. Journal of Shoulder and Elbow Surgery 2009.

Mandl LA, Hotchkiss RN, Adler RS, Lyman S, Daluiski A,

Wolfe SW, Katz, JN. Injectable hyaluronan for the treatment of

carpometacarpal osteoarthritis: open label pilot trial. Current

Medical Research and Opinion 2009.

Marx RG, Fives G, Chu SK, Daluiski A, Wolfe SW. Allograft

reconstruction for symptomatic chronic complete proximal

hamstring tendon avulsion. Knee Surgery, Sports

Traumatology, Arthroscopy 2009.

Pearce C, Feinberg J, Wolfe SW. Ulnar neuropathy at the wrist.



Puhaindran ME, Healey JH, Athanasian EA. Single ray

amputation for tumors of the hand. Clinical Orthopaedics

and Related Research 2009.

Tedore TR, YaDeau JT, Maalouf DB, Weiland AJ, Tong-Ngork

S, Wukovits B, Paroli L, Urban MK, Zayas VM, Wu A, Gordon

MA. Comparison of the transarterial axillary block and the

ultrasound-guided infraclavicular block for upper extremity

surgery: a prospective randomized trial. Regional Anesthesia

and Pain Medicine 2009.

Walsh E, Crisco JJ, Wolfe SW. Computer-assisted navigation

of volar percutaneous scaphoid placement. The Journal of

Hand Surgery 2009.


33

LIMB LENGTHENING AND

COMPLEX RECONSTRUCTION SERVICE

Gantsoudes G, Fragomen AT, Rozbruch SR. Intraoperative

measurement of mounting parameters for the Taylor Spatial

Frame. Journal of Orthopaedic Trauma 2010.

Kendoff DO, Fragomen AT, Pearle AD, Citak M, Rozbruch SR.

Computer navigation and fixator-assisted femoral osteotomy

for correction of malunion after periprosthetic femur fracture.


Khakharia S, Fragomen AT, Rozbruch SR. Limited

quadricepsplasty for contracture during femoral lengthening.


Rozbruch SR, Segal K, Ilizarov S, Fragomen AT, Ilizarov G.

Does the Taylor Spatial Frame accurately correct tibial

deformities? Clinical Orthopaedics and Related Research 2010.

Shafi R, Fragomen AT, Rozbruch SR. Ipsilateral fibular

transport using Ilizarov Taylor Spatial Frame for a limb

salvage reconstruction. A case report. HSS Journal: The


Tellisi N, Fragomen AT, Kleinman D, O’Malley MJ, Rozbruch

SR. Joint preservation of the osteoarthritic ankle using

distraction arthroplasty. Foot & Ankle International 2009.


Baughn LB, Di Liberto M, Niesvizky R, Cho HJ, Jayabalan D,

Lane J, Liu F, Chen-Kiang S. CDK2 phosphorylation of Smad2

disrupts TGF-beta transcriptional regulation in resistant

primary bone marrow myeloma cells. The Journal of

Immunology 2009.

Beamer B, Hettrich C, Lane JM. Vascular endothelial growth

factor: an essential component of angiogenesis and fracture

healing. HSS Journal: The Musculoskeletal Journal of


Bilezikian JP, Matsumoto T, Bellido T, Khosla S, Martin J,

Recker RR, Heaney R, Seeman E, Papapoulos S, Goldring SR.

Targeting bone remodeling for the treatment of osteoporosis:

summary of the proceedings of an ASBMR workshop.

Journal of Bone and Mineral Research 2009.

Bogunovic L, Doyle SM, Vogiatzi MG. Measurement of bone

density in the pediatric population. Current Opinion in

Pediatrics 2009.

Boskey AL, Frank A, Fujimoto Y, Spevak L, Verdelis K, Ellis B,

Troiano N, Philbrick W, Carpenter T. The PHEX transgene

corrects mineralization defects in 9-month-old hypophos-

phatemic mice. Calcified Tissue International 2009.

Boskey AL, Chiang P, Fermanis A, Brown J, Taleb H, David V,

Rowe PS. MEPE’s diverse effects on mineralization. Calcified

Tissue International 2009.

Boskey AL, Gelb BD, Pourmand E, Kudrashov V, Doty SB,

Spevak L, Schaffler MB. Ablation of cathepsin K activity in

the young mouse causes hypermineralization of long bone

and growth plates. Calcified Tissue International 2009.

Chen IP, Wang CJ, Strecker S, Koczon-Jaremko B, Boskey AL,

Reichenberger EJ. Introduction of a Phe377del mutation in

ANK creates a mouse model for craniometaphyseal dysplasia.


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


Donnelly E, Boskey AL, Baker SP, van der Meulen MC.

Effects of tissue age on bone tissue material composition and

nanomechanical properties in the rat cortex. Journal of

Biomedical Materials Research Part A 2009.

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

the pediatrician. Current Opinion in Pediatrics 2009.

Dugar A, Farley ML, Wang AL, Goldring MB, Goldring SR,

Swaim BH, Bierbaum BE, Burstein D, Gray ML. The effect of

paraformaldehyde fixation on the delayed gadolinium-

enhanced MRI of cartilage (dGEMRIC) measurement. Journal

of Orthopaedic Research 2009.

Farooki AM. Central obesity and increased risk of dementia

more than three decades later (author reply). Neurology 2009.

Feeley BT, Doty SB, Devcic Z, Warren RF, Lane JM. Deleterious

effects of intermittent recombinant parathyroid hormone

on cartilage formation in a rabbit microfracture model: a

preliminary study. HSS Journal: The Musculoskeletal Journal


Goldring SR. Needs and opportunities in the assessment

and treatment of osteoarthritis of the knee and hip:

the view of the rheumatologist. The Journal of Bone & Joint

Surgery 2009.

Goldring SR. Periarticular bone changes in rheumatoid

arthritis: pathophysiological implications and clinical utility.

Annals of the Rheumatic Diseases 2009.

Goldring SR. Role of bone in osteoarthritis pathogenesis.

Medical Clinics of North America 2009.

34

Metabolic Bone Disease/Musculoskeletal Oncology Service(continued)

Gordon JK, Magro C, Lu T, Schneider R, Chiu A, Furman RR,

Solomon G, Bass A, Erkan D. Overlap between systemic lupus

erythematosus and Kikuchi Fujimoto disease: a clinical

pathology conference held by the Department of Rheumatology

at Hospital for Special Surgery. HSS Journal: The


Gourion-Arsiquaud S, Allen MR, Burr DB, Vashishth D,

Tang SY, Boskey AL. Bisphosphonate treatment modifies

canine bone mineral and matrix properties and their hetero-

geneity. Bone 2009.

Gourion-Arsiquaud S, Burket JC, Havill LM, DiCarlo E, Doty

SB, Mendelsohn R, van der Meulen MC, Boskey AL. Spatial

variation in osteonal bone properties relative to tissue and

animal age. Journal of Bone and Mineral Research 2009.

Gourion-Arsiquaud S, Faibish D, Myers E, Spevak L,

Compston J, Hodsman A, Shane E, Recker RR, Boskey ER,

Boskey AL. Use of FTIR spectroscopic imaging to identify

parameters associated with fragility fracture. Journal of Bone

and Mineral Research 2009.

Gralow JR, Biermann JS, Farooki AM, Fornier MN, Gagel RF,

Kumar RN, Shapiro CL, Shields A, Smith MR, Srinivas S,

Van Poznak CH. NCCN Task Force report: bone health in

cancer care. Journal of the National Comprehensive Cancer

Network 2009.

Issack PS, Lauerman MH, Helfet DL, Sculco TP, Lane JM. Fat

embolism and respiratory distress associated with cemented

femoral arthroplasty. American Journal of Orthopaedics 2009.

Morr S, Chisena EC, Tomin E, Mangino M, Lane JM. Local

soft tissue compression enhances fracture healing in a rabbit

fibula. HSS Journal: The Musculoskeletal Journal of Hospital


Palestro CJ, Love C, Schneider R. The evolution of nuclear

medicine and the musculoskeletal system. Radiologic Clinics

of North America 2009.

Roy R, Boskey AL, Bonassar LJ. Processing of type I collagen

gels using nonenzymatic glycation. Journal of Biomedical

Materials Research Part A 2009.

Scanzello CR, Umoh E, Pessler F, Diaz-Torne C, Miles T,

Dicarlo E, Potter HG, Mandl L, Marx RG, Rodeo SA, Goldring

SR, Crow MK. Local cytokine profiles in knee osteoarthritis:

elevated synovial fluid interleukin-15 differentiates early from

end-stage disease. Osteoarthritis and Cartilage 2009.

Seidel K, Etzkorn M, Schneider R, Ader C, Baldus M.

Comparative analysis of NMR chemical shift predictions for

proteins in the solid phase. Solid State Nuclear Magnetic

Resonance 2009.

Unnanuntana A, Bonsignore L, Shirtliff ME, Greenfield E.

The effects of farnesol on staphylococcus aureus biofilms and

osteoblasts: an in vitro study. The Journal of Bone & Joint

Surgery 2009.

Unnanuntana A, Dimitroulias A, Bolognesi MP, Hwang KL,

Goodman SB, Marcus RE. Cementless femoral prostheses

cost more to implant than cemented femoral prostheses.


Unnanuntana A, Wagner D, Goodman SB. The accuracy of

preoperative templating in cementless total hip arthroplasty.


Vogiatzi MG, Macklin EA, Fung EB, Cheung AM, Vichinsky E,

Olivieri N, Kirby M, Kwiatkowski JL, Cunningham ME, Holm I,

Lane JM, Schneider R, Fleisher M, Grady RW, Peterson C,

Giardina PJ. Bone disease in thalassemia: a frequent and still

unresolved problem. Journal of Bone and Mineral Research 2009.

Weinstein RS, Wan C, Liu Q, Wang Y, Almeida M, O’Brien CA,

Thostenson J, Roberson PK, Boskey AL, Clemens TL,

Manolagas SC. Endogenous glucocorticoids decrease skeletal

angiogenesis, vascularity, hydration, and strength in 21-month-

old mice. Aging Cell 2009.

Yamamoto T, Schneider R, Iwamoto Y, Bullough PG.

Bilateral rapidly destructive arthrosis of the hip joint resulting

from subchondral fracture with superimposed secondary

osteonecrosis. Skeletal Radiology 2009.

Zhao Y, Urganus AL, Spevak L, Shrestha S, Doty SB,

Boskey AL, Pachman LM. Characterization of dystrophic

calcification induced in mice by cardiotoxin. Calcified Tissue

International 2009.

ORTHOPAEDIC TRAUMA SERVICE

Boraiah S, Barker, JU, Lorich DG. Efficacy of an aiming

device for the placement of distal interlocking screws in

trochanteric fixation nailing. Archives of Orthopaedic and

Trauma Surgery 2009.

Boraiah S, Paul O, Hammoud S, Gardner MJ, Helfet DL,

Lorich DG. Predictable healing of femoral neck fractures

treated with intraoperative compression and length-stable

implants. The Journal of Trauma 2009.

Boraiah S, Paul O, Hawkes D, Wickham M, Lorich DG.

Complications of recombinant human BMP-2 for treating

complex tibial plateau fractures: a preliminary report.


Boraiah S, Paul O, Parker RJ, Miller AN, Hentel KD, Lorich DG.

Osteochondral lesions of talus associated with ankle fractures.

Foot & Ankle International 2009.


35

Chan DB, Jeffcoat DM, Lorich DG, Helfet DL. Nonunions

around the knee joint. International Orthopaedics 2009.

Dines JS, Hettrich CM, Kelly BT, Savoie FH III, Lorich DG.

Arthroscopic removal of proximal humerus locking plates.

Knee Surgery, Sports Traumatology, Arthroscopy 2009.

Feeley BT, Doty SB, Devcic Z, Warren RF, Lane JM. Deleteri-

ous effects of intermittent recombinant parathyroid hormone

on cartilage formation in a rabbit microfracture model: a

preliminary study. HSS Journal: The Musculoskeletal Journal


Gehrig LM, Collinge C, Kaufman J, Lane JM, O’Connor MI,

Tosi LL. Osteoporosis: management and densitometry for

orthopaedic surgeons. Instructional Course Lectures 2009.

Gehrig LM, Lane JM, O’Connor MI. Osteoporosis: management

and treatment strategies for orthopaedic surgeons.

Instructional Course Lectures 2009.

Helfet DL, Hanson B. Evidence was sufficient yesterday,

added value is needed today. American Journal of

Orthopedics 2009.

Issack PS, Helfet DL. Sciatic nerve injury associated with

acetabular fractures. HSS Journal: The Musculoskeletal

Journal of Hospital for Special Surgery 2009.



arthroplasty. Part I: cementless shells. American Journal

of Orthopedics 2009.

Junyent M, Tucker KL, Smith CE, Lane JM, Mattei J, Lai CQ,

Parnell LD, Ordovas JM. The effects of ABCG5/G8 polymor-

phisms on HDL-cholesterol concentrations depend on ABCA1

genetic variants in the Boston Puerto Rican Health Study.

Nutritional, Metabolism & Cardiovascular Diseases 2009.

Kepler CK, Kummer JL, Lorich DG, Weiland AJ.

Radiocapitellar prosthetic arthroplasty for capitellar

nonunion. Journal of Shoulder and Elbow Surgery 2009.

Lane JM, Ismail AE, Chandross M, Lorenz CD, Grest GS.

Forces between functionalized silica nanoparticles in solution.

Physical Review E: Statistical, Nonlinear, and Soft Matter

Physics 2009.

Lenart BA, Neviaser AS, Lyman S, Chang CC, Edobor-Osula

F, Steele B, van der Meulen MC, Lorich DG, Lane JM.

Association of low-energy femoral fractures with prolonged

bisphosphonate use: a case control study. Osteoporosis

International 2009.

Lorenz CD, Lane JM, Chandross M, Stevens MJ, Grest GS.

Molecular dynamics simulations of water confined between

matched pairs of hydrophobic and hydrophilic self-assembled

monolayers. Langmuir 2009.

Miller AN, Carroll EA, Parker RJ, Helfet DL, Lorich DG.

Posterior malleolar stabilization of syndesmotic injuries is

equivalent to screw fixation. Clinical Orthopaedics and


Morr S, Chisena EC, Tomin E, Mangino M, Lane JM. Local

soft tissue compression enhances fracture healing in a rabbit

fibula. HSS Journal: The Musculoskeletal Journal of Hospital


Nieves JW, Bilezikian JP, Lane JM, Einhorn TA, Wang Y,

Steinbuch M, Cosman F. Fragility fractures of the hip and

femur: incidence and patient characteristics. Osteoporosis

International 2009.

O’Loughlin PF, Cunningham ME, Bukata SV, Tomin E,

Poynton AR, Doty SB, Sama AA, Lane JM. Parathyroid hormone

(1-34) augments spinal fusion, fusion mass volume, and fusion

mass quality in a rabbit spinal fusion model. Spine 2009.

Prasarn ML, Ahn J, Achor T, Matuszewski P, Lorich DG,

Helfet DL. Management of infected femoral nonunions with a

single-staged protocol utilizing internal fixation. Injury 2009.


arthroplasty for posttraumatic arthritis after acetabular


PEDIATRIC ORTHOPAEDIC SERVICE

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

the pediatrician. Current Opinion in Pediatrics 2009.

Goldman V, Green DW. Advances in growth plate modulation

for lower extremity malalignment (knock knees and bow

legs). Current Opinion in Pediatrics 2009.

Green DW, Mogekwu N, Scher DM, Handler S, Chalmers P,

Widmann RF. A modification of Klein’s Line to improve

sensitivity of the anterior-posterior radiograph in

slipped capital femoral epiphysis. Journal of Pediatric

Orthopaedics 2009.

Kocher MS, Sink EL, Blasier RD, Luhmann SJ, Mehlman CT,

Scher DM, Matheney T, Sanders JO, Watters WC III, Goldberg

MJ, Keith MW, Haralson RH III, Turkelson CM, Wies JL, Sluka

P, Hitchcock K. Treatment of pediatric diaphyseal femur

fractures. Journal of the American Academy of Orthopaedic

Surgeons 2009.

Raphael BS, Dines JS, Akerman M, Root L. Long-term

follow-up of total hip arthroplasty in patients with cerebral

palsy. Clinical Orthopaedics and Related Research 2009.

Root L. Surgical treatment for hip pain in the adult

cerebral palsy patient. Developmental Medicine & Child

Neurology 2009.

36

Pediatric Orthopaedic Service (continued)

Widmann RF, Amaral TD, Yildiz C, et al. Percutaneous

radiofrequency epiphysiodesis in a rabbit model: a pilot study.


SCOLIOSIS SERVICE

Bess S, Boachie-Adjei O, Burton D, Cunningham M, Shaffrey

C, Shelokov A, Hostin R, Schwab F, Wood K, Akbarnia B.

International Spine Study Group. Pain and disability determine

treatment modality for older patients with adult scoliosis,

while deformity guides treatment for younger patients.

Spine 2009.

Green DW, Mogekwu N, Scher DM, Handler S, Chalmers P,

Widmann RF. A modification of Klein’s Line to improve

sensitivity of the anterior-posterior radiograph in

slipped capital femoral epiphysis. Journal of Pediatric

Orthopaedics 2009.

Hidaka C, Maher S, Packer J, Gasinu S, Cunningham ME,

Rodeo SA. What’s new in orthopaedic research. The Journal


Kim HJ, Blanco JS, Widmann RF. Update on the management

of idiopathic scoliosis. Current Opinion in Pediatrics 2009.

O’Loughlin PF, Cunningham ME, Bukata SV, Tomin E,

Poynton AR, Doty SB, Sama AA, Lane JM. Parathyroid

hormone (1-34) augments spinal fusion, fusion mass volume,

and fusion mass quality in a rabbit spinal fusion model.

Spine 2009.

Quirno M, Kamerlink JR, Valdevit A, Kang M, Yaszay B,

Duncan N, Boachie-Adjei O, Lonner BS, Errico TJ. Biomechanical

analysis of a disc prosthesis distal to a scoliosis model.

Spine 2009.

Widmann RF, Amaral TD, Yildiz C, Yang X, Bostrom MP.

Percutaneous radiofrequency epiphysiodesis in a rabbit model:

a pilot study. Clinical Orthopaedics and Related Research 2010.

SPINE SERVICE

Diwan AD, Khan SN, Cammisa FP, Sandhu HS, Lane JM.

Nitric oxide modulates recombinant human bone

morphogenetic protein-2-induced corticocancellous autograft

incorporation: a study in rat intertransverse fusion.

European Spine Journal 2010.

Huang RC, Meredith DS, Taunk R. Transforaminal thoracic

interbody fusion (TTIF) for treatment of a chronic chance

surgery. HSS Journal: The Musculoskeletal Journal of


Koutsomboulis S, Hughes A, Girardi FP, Cammisa FP, Finerty

EA, Gausden E, Sama AA. Risk factors for postoperative

infection following posterior lumbar instrumented fusion.

The Journal of Bone & Joint Surgery 2010. (In press)

Marawar S, Girardi FP, Sama AA, Ma Y, Gaber-Baylis LK,

Besculides MC, Memtsoudis SG. National trends in anterior

cervical fusion procedures. Spine 2010.

Memtsoudis SG, Hughes A, Ma Y, Chiu YL, Gaber-Baylis LK,

Sama AA, Girardi FP. Perioperative outcomes after primary

anterior and posterior cervical spine fusion. Clinical


Papadopoulos EC, O’Leary PF, Pappou IP, Girardi FP.

Spontaneous posterior iliac crest regeneration enabling

second bone graft harvest: a case report. HSS Journal: The


SPORTS MEDICINE AND SHOULDER SERVICE

Attia E, Brown H, Henshaw R, George S, Hannafin JA. Pat-

terns of gene expression in a rabbit partial anterior cruciate

ligament transection model: the potential role of mechanical

forces. The American Journal of Sports Medicine 2009.

Ballyns JJ, Cohen D, Malone E, Maher SA, Potter HG, Wright

TM, Lipson H, Bonassar LJ. An optical method for evaluation

of geometric fidelity for anatomically shaped tissue engineered

constructs. Tissue Engineering Part C: Methods 2009.

Barker JU, Drakos MC, Maak TG, Warren RF, Williams RJ III,

Allen AA. Effect of graft selection on the incidence of postop-

erative infection in anterior cruciate ligament reconstruction.

The American Journal of Sports Medicine 2009.

Bedi A, Altchek DW. The “footprint” anterior cruciate

ligament technique: an anatomic approach to anterior cruciate

ligament reconstruction. Arthroscopy: The Journal of

Arthroscopic & Related Surgery 2009.

Bedi A, Fox AJ, Kovacevic D, Deng XH, Warren RF, Rodeo SA.

Doxycycline-mediated inhibition of matrix metalloproteinases

improves healing after rotator cuff repair. The American

Journal of Sports Medicine 2009.

Bedi A, Kovacevic D, Hettrich C, Gulotta LV, Ehteshami JR,

Warren RF, Rodeo SA. The effect of matrix metalloproteinase

inhibition on tendon-to-bone healing in a rotator cuff repair

model. Journal of Shoulder and Elbow Surgery 2009.

Besleaga D, Castellano V, Lutz C, Feinberg JH.

Musculocutaneous neuropathy: case report and discussion.



Black BR, Chong le R, Potter HG. Cartilage imaging in sports

medicine. Sports Medicine and Arthroscopy Review 2009.


37

Brockmeier SF, Voos JE, Williams RJ III, Altchek DW,

Cordasco FA, Allen AA; Hospital for Special Surgery Sports

Medicine and Shoulder Service. Outcomes after arthroscopic

repair of type-II SLAP lesions. The Journal of Bone & Joint

Surgery 2009.

Brophy RH, Levy B, Chu S, Dahm DL, Sperling JW, Marx RG.

Shoulder activity level varies by diagnosis. Knee Surgery,

Sports Traumatology, Arthroscopy 2009.

Brophy RH, Gamradt SC, Ellis SJ, Barnes RP, Rodeo SA,

Warren RF, Hillstrom H. Effect of turf toe on foot contact

pressures in professional American football players. Foot

& Ankle International 2009.

Brophy RH, Gill CS, Lyman S, Barnes RP, Rodeo SA, Warren

RF. Effect of anterior cruciate ligament reconstruction and

meniscectomy on length of career in National Football League

athletes; a case control study. The American Journal of Sports

Medicine 2009.

Brophy RH, Rodeo SA, Barnes RP, Powell JW, Warren RF.

Knee articular cartilage injuries in the National Football

League: epidemiology and treatment approach by team

physicians. Journal of Knee Surgery 2009.

Coleman S, Gallo R, Kompel J, Purnell G, Altman G. A low-

profile method of hybrid tibial fixation for soft tissue grafts in

anterior cruciate ligament reconstruction. Orthopedics 2009.

Cooper HJ, Ranawat AS, Potter HG, Foo LF, Jawetz ST,

Ranawat CS. Magnetic resonance imaging in the diagnosis

and management of hip pain after total hip arthroplasty.


Cordasco FA, Chen NC, Backus SI, Kelly BT, Williams RJ III,

Otis JC. Subacromial injection improves deltoid firing in

subjects with large rotator cuff tears. HSS Journal: The


Crawford DC, Heveran CM, Cannon WD, Foo LF, Potter HG.

An autologous cartilage tissue implant NeoCart for treatment

of grade III chondral injury to the distal femur: prospective

clinical safety trial at 2 years. The American Journal of

Sports Medicine 2009.

Dines JS, Hettrich CM, Kelly BT, Savoie FH III, Lorich DG.

Arthroscopic removal of proximal humerus locking plates.


Dodson CC, Bedi A, Sahai A, Potter HG, Cordasco FA.

Complete rotator cuff tendon avulsion and glenohumeral joint

incarceration in a young patient: a case report. Journal of

Shoulder and Elbow Surgery 2009.

Dodson CC, Craig EV, Cordasco FA, Dines DM, Dines JS,

Dicarlo E, Brause BD, Warren RF. Propionibacterium acnes

infection after shoulder arthroplasty: a diagnostic challenge.

Journal of Shoulder and Elbow Surgery 2009.

Dodson CC, Kitay A, Verma NN, Alder RS, Nguyen J,

Cordasco FA, Altchek DW. The long-term outcome of

recurrent defects after rotator cuff repair. The American


Dodson CC, Shindle MK, Dines JS, Altchek DW. Arthroscopic

suture anchor repair for lateral patellar instability. Knee

Surgery, Sports Traumatology, Arthroscopy 2009.

Drakos MC, Rudzki JR, Allen AA, Potter HG, Altchek DW.

Internal impingement of the shoulder in the overhead athlete.

The Journal of Bone & Joint Surgery 2009.

Feeley BT, Doty SB, Devcic Z, Warren RF, Lane JM.

Deleterious effects of intermittent recombinant parathyroid

hormone on cartilage formation in a rabbit microfracture

model: a preliminary study. HSS Journal: The Musculoskeletal

Journal of Hospital for Special Surgery 2009.

Fetzer GB, Spindler KP, Amendola A, Andrish JT, Bergfeld

JA, Dunn WR, Flanigan DC, Jones M, Kaeding CC, Marx RG,

Matava MJ, McCarty EC, Parker RD, Wolcott M, Vidal A,

Wolf BR, Wright RW. Potential market for new meniscus

repair strategy: evaluation of the MOON cohort. Journal of

Knee Surgery 2009.

Good CR, Shindle MK, Griffith MH, Wanich T, Warren RF.

Effect of radiofrequency energy on glenohumeral fluid

temperature during shoulder arthroscopy. The Journal of


Gulotta LV, Kovacevic D, Ehteshami JR, Dagher E, Packer JD,

Rodeo SA. Application of bone marrow-derived mesenchymal

stem cells in a rotator cuff repair model. The American


Gulotta LV, Rudzki JR, Kovacevic, D, Chen CC, Milentijevic D,

Williams RJ III. Chondrocyte death and cartilage degradation

after autologous osteochondral transplantation surgery in a

rabbit model. The American Journal of Sports Medicine 2009.

Hidaka C, Maher S, Packer J, Gasinu S, Cunningham ME,

Rodeo SA. What’s new in orthopaedic research. The Journal


Kepler CK, Nho SJ, Ala OL, Craig EV, Wright TM, Warren RF.

Comparison of early and delayed failed total shoulder

arthroplasty. Acta Orthopaedica Belgica 2009.

38

Sports Medicine and Shoulder Service (continued)

Kim M, Foo L, Lyman S, Ryaby JT, Grande DA, Potter HG,

Pleshko N. Evaluation of early osteochondral defect repair in

a rabbit model utilizing fourier transform infrared imaging

spectroscopy (FT-IRIS), magnetic resonance imaging (MRI)

and quantitative T2 mapping. Tissue Engineering Part C:

Methods 2009.

King OS. Infectious disease and boxing. Clinics in Sports

Medicine 2009.

Koenig JH, Ranawat AS, Umans HR, Difelice GS. Meniscal

root tears: diagnosis and treatment. Arthroscopy: The Journal

of Arthroscopic & Related Surgery 2009.

Koff MF, Potter HG. Noncontrast MR techniques and imaging

of cartilage. Radiologic Clinics of North America 2009.

Koulalis D, O’Loughlin PF, Plaskos C, Kendoff D,

Pearle AD. Adjustable cutting blocks for computer-navigated

total knee arthroplasty: a cadaver study. The Journal of

Arthroplasty 2009.

Levy BA, Marx RG. Outcome after knee dislocation. Knee

Surgery, Sports Traumatology, Arthroscopy 2009.





Lyman S, Koulouvaris P, Sherman S, Do H, Mandl LA, Marx RG.

Epidemiology of anterior cruciate ligament reconstruction:

trends, readmissions, and subsequent knee surgery.

The Journal of Bone & Joint Surgery 2009.

Lyman S, Marx RG, Bach PB. Cost-effectiveness analysis

of an established, effective procedure. Archives of Internal

Medicine 2009.

Magnussen RA, Granan LP, Dunn WR, Amendola A, Andrish

JT, Brophy R, Carey JL, Flanigan D, Huston LJ, Jones M,

Kaeding CC, McCarty EC, Marx RG, Matava MJ, Parker RD,

Vidal A, Wolcott M, Wolf BR, Wright RW, Spindler KP,

Engebretsen L. Cross-cultural comparison of patients under-

going ACL reconstruction in the United States and Norway.


Mikulic P, Smoljanovic T, Bojanic I, Hannafin JA, Matkovic

BR. Relationship between 2000-m rowing ergometer perform-

ance times and World Rowing Championships rankings in

elite-standard rowers. Journal of Sports Sciences 2009.

Musahl V, Voos J, O’Loughlin PF, Stueber V, Kendoff D,

Pearle AD. Mechanized pivot shift test achieves greater

accuracy than manual pivot shift test. Knee Surgery, Sports

Traumatology, Arthroscopy 2009.

Nho SJ, Adler RS, Tomlinson DP, Allen AA, Cordasco FA,

Warren RF, Altchek DW, MacGillivray JD. Arthroscopic

rotator cuff repair: prospective evaluation with sequential

ultrasonography. The American Journal of Sports

Medicine 2009.

Nho SJ, Delos D, Yadav H, Pensak M, Romeo AA, Warren RF,

Macgillivray JD. Biomechanical and biologic augmentation for

the treatment of massive rotator cuff tears. The American


O’Loughlin PF, Kendoff D, Pearle AD, Kennedy JG.

Arthroscopic-assisted fluoroscopic navigation for retrograde

drilling of a talar osteochondral lesion. Foot & Ankle

International 2009.

Pearce C, Feinberg J, Wolfe SW. Ulnar neuropathy at the wrist.



Pellicci PM, Potter HG, Foo LF, Boettner F. MRI shows

biologic restoration of posterior soft tissue repairs after THA.


Potter HG, Black BR, Chong le R. New techniques in articular

cartilage imaging. Clinics in Sports Medicine 2009.

Potter HG, Chong le R. Magnetic resonance imaging assess-

ment of chondral lesions and repair. The Journal of Bone

& Joint Surgery 2009.

Radecki J, Feinberg JH, Zimmer ZR. T1 radiculopathy:

electrodiagnostic evaluation. HSS Journal: The Musculo-

skeletal Journal of Hospital for Special Surgery 2009.


arthroplasty for posttraumatic arthritis after acetabular


Ranawat AS, Koenig JH, Thomas AJ, Krna CD, Shapiro LA.

Aligning physician and hospital incentives: the approach at

Hospital for Special Surgery. Clinical Orthopaedics and


Ranawat AS, Nunley R, Bozic K. Executive summary: value-

based purchasing and technology assessment in orthopaedics.


Raphael BS, Dines JS, Akerman M, Root L. Long-term follow-

up of total hip arthroplasty in patients with cerebral palsy.


Richmond J, Hunter D, Irrgang J, Jones MH, Levy B, Marx RG,

Snyder-Mackler L, Watters WC III, Haralson RH III,

Turkelson CM, Wies JL, Boyer KM, Anderson S, St. Andre J,

Sluka P, McGowan R, American Academy of Orthopaedic

Surgeons. Treatment of osteoarthritis of the knee

(nonarthroplasty). Journal of the American Academy of

Orthopaedic Surgeons 2009.


39

Ryliskis S, Brophy RH, Kocius M, Marx RG. Shoulder

activity level in the preoperative assessment of patients

with rotator cuff tears. Knee Surgery, Sports Traumatology,

Arthroscopy 2009.

Shindle MK, Marx RG, Kelly BT, Bisson L, Burke CJ III.

Hockey injuries: a pediatric sport update. Current Opinion

in Pediatrics 2009.

Stubbs AJ, Potter HG. Section VII: Chondral lesions. The Journal


Toman CV, Dunn WR, Spindler KP, Amendola A, Andrish JT,

Bergfeld JA, Flanigan D, Jones MH, Kaeding CC, Marx RG,

Matava MJ, McCarty EC, Parker RD, Wolcott M, Vidal A,

Wolf BR, Huston LJ, Harrell FE Jr, Wright RW. Success of

meniscal repair at anterior cruciate ligament reconstruction.


Voos JE, Livermore RW, Feeley BT, Altchek DW, Williams RJ,

Warren RF, Cordasco FA, Allen AA. Prospective evaluation

of arthroscopic bankart repairs for anterior instability.


Wilson NA, Ranawat AS, Nunley R, Bozic KJ. Executive

summary: aligning stakeholder incentives in orthopaedics.


DEPARTMENT OF BIOMECHANICS

Ballyns JJ, Cohen D, Malone E, Maher SA, Potter HG, Wright

TM, Lipson H, Bonassar LJ. An optical method for evaluation

of geometric fidelity for anatomically shaped tissue engi-

neered constructs. Tissue Engineering Part C: Methods 2009.

Ellis SJ, Hillstrom H, Cheng R, Lipman J, Garrison G, Deland

JT. The development of an intraoperative plantar pressure

assessment device. Foot & Ankle International 2009.

Fraitzl CR, Moya LE, Castellani L, Wright TM, Buly RL.

Corrosion at the stem-sleeve interface of a modular titanium

alloy femoral component as a reason for impaired

disengagement. The Journal of Arthroplasty 2010.

Gao Y, Wineman AS, Waas AM. Time-dependent lateral

transmission of force in skeletal muscle. Proceedings of the

Royal Society 2009.

Gleghorn JP, Doty SB, Warren RF, Wright TM, Maher SA,

Bonassar LJ. Analysis of frictional behavior and changes in

morphology resulting from cartilage articulation with porous

polyurethane foams. Journal of Orthopaedic Research 2010.

Gourion-Arsiquad S, Burket JC, Havill LM, DiCarlo E, Doty

SB, Mendelsohn R, van der Meulen MC, Boskey AL. Spatial

variation in osteonal bone properties relative to tissue and

animal age. Journal of Bone and Mineral Research 2009.

Heyse TJ, Davis J, Haas SB, Chen DX, Wright TM, Laskin RS.

Retrieval analysis of femoral zirconium components in total

knee arthroplasty preliminary results. The Journal of

Arthroplasty 2010.

Kelly NH, Rajadhyaksha AD, Wright TM, Maher SA,

Westrich GH. High stress conditions do not increase wear of

thin highly crosslinked UHMWPE. Clinical Orthopaedics and


Kepler CK, Nho SJ, Bansal M, Ala OL, Craig EV, Wright TM,

Warren RF. Radiographic and histopathologic analysis of

osteolysis after total shoulder arthroplasty. Journal of

Shoulder and Elbow Surgery 2009.

Kiuru M, Solomon J, Ghali B, van der Meulen MC, Crystal RG,

Hidaka C. Transient overexpression of sonic hedgehog alters

the architecture and mechanical properties of trabecular bone.


Lenart BA, Neviaser AS, Lyman S, Chang CC, Edobor-Osula F,

Steele B, van der Meulen MC, Lorich DG, Lane JM. Association

of low-energy femoral fractures with prolonged bisphosphonate

use: a case control study. Osteoporosis International 2009.





Maher SA, Mauck RL, Rackwitz L, Tuan RS. A nanofibrous

cell-seeded hydrogel promotes integration in a cartilage gap

model. Journal of Tissue Engineering and Regenerative

Medicine 2010.

Shah SN, Kaye RJ, Kelly NH, Su EP, Padgett DE, Wright TM.

Retrieval analysis of failed constrained acetabular liners. The

Journal of Arthroplasty 2009.

Stasiak M, Imhauser C, Packer J, Bedi A, Brophy R, Kovacevic

D, Jackson K, Deng XH, Rodeo SA, Torzilli PA. A novel in

vivo joint loading system to investigate the effect of daily

mechanical load on a healing anterior cruciate ligament

reconstruction. Journal of Medical Devices 2010.

van der Meulen MC, Yang X, Morgan TG, Bostrom MP. The

effects of loading on cancellous bone in the rabbit. Clinical


Willie BM, Yang X, Kelly NH, Merkow J, Gagne S, Ware R,

Wright TM, Bostrom MP. Osseointegration into a novel

titanium foam implant in the distal femur of a rabbit.

Journal of Biomedical Materials Research Part B: Applied

Biomaterials 2010.

Willie BM, Yang X, Kelly NH, Han J, Nair T, Wright TM,

van der Meulen MC, Bostrom MP. An in vivo loading model to

examine cancellous bone osseointegration. Tissue Engineering

Part C: Methods 2010.

40

Front row, from left:

Dr. Edward V. Craig, Dr. Thomas

P. Sculco, Dr. Mathias P. Bostrom,

and Dr. Christopher K. Kepler

Center row, from left:

Dr. Cassie A. Gyuricza, Dr. Anna N. Miller,

and Dr. Andrew S. Neviaser

Top row, from left:

Dr. Ngozi I. Mogekwu, Dr. Daryl C.

Osbahr, Dr. Carolyn M. Hettrich,

Dr. Seth L. Sherman, and

Dr. Bradley S. Raphael

Photo Credit: Brad Hess

HOSPITAL FOR SPECIAL SURGERY2009–2010 ORTHOPAEDIC SURGERY GRADUATING RESIDENTS

ACADEMIC LEADERSHIP

Thomas P. Sculco, MD, Surgeon-in-Chief

Mathias P. Bostrom, MD, Program Director, Orthopaedic Surgery Residency Program

Edward V. Craig, MD, MPH, Associate Program Director, Orthopaedic Surgery Residency Program

Alejandro Leali, MD, PGY-1 Faculty Mentor

2009-2010 ORTHOPAEDIC SURGERY GRADUATING RESIDENTS

Cassie A. Gyuricza, MD, Hand and Upper Extremity Fellowship, Washington University, St. Louis, Barnes Jewish Hospital

Carolyn M. Hettrich, MD, MPH, Sports Medicine Fellowship, Vanderbilt University, Vanderbilt Orthopaedic Institute

Christopher K. Kepler, MD, MBA, Spine Fellowship, Rothman Institute, Thomas Jefferson Hospital

Anna N. Miller, MD, Trauma Fellowship, Harborview Medical Center, University of Washington

Ngozi I. Mogekwu, MD, Hand and Upper Extremity Fellowship, The Cleveland Clinic

Andrew S. Neviaser, MD, Shoulder and Upper Extremity Fellowship, Mt. Sinai Hospital

Daryl C. Osbahr, MD, Sports Medicine Fellowship, University of Alabama

Bradley S. Raphael, MD, Sports Medicine Fellowship, Kerlen Jobe Institute

Seth L. Sherman, MD, Sports Medicine Fellowship, Rush University Medical Center

NANCY KANE BISCHOFF MENTOR AWARD

Andrew J. Weiland, MD

SAMUEL DELGADO, CST AWARD FOR OUTSTANDING EDUCATOR AND MENTOR TO RESIDENTS IN THE OR Samuel Delgado, CST

RICHARD S. LASKIN, MD YOUNG ATTENDING AWARD

Alejandro Leali, MD

JEAN C. MCDANIEL AWARD FOR PROFESSIONALISM, ETHICS AND PEER LEADERSHIP

Anna N. Miller, MD

LEWIS CLARK WAGNER, MD AWARD FOR EXCELLENCE IN ORTHOPAEDIC SURGERY RESEARCH

Carolyn M. Hettrich, MD, MPHThe Effect of Mechanical Load on Tendon-to-Bone Healing

PHILIP D. WILSON, JR., MD TEACHING AWARD

Russell F. Warren, MD

– A A AD D D00 0 09 R R R R RPO O1009 0 02 2 R H PAPAEDI UR ERYRY RADUATIN RE IDENT AT TS S SO O C G G GA AR R RP PO OH PITA F R PE IA UR ERYRYTAL LS S SO O C G

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

Photo Credit: Brad Hess

HOSPITAL FOR SPECIAL SURGERY2009-2010 ORTHOPAEDIC SURGERY GRADUATING FELLOWS

PHILIP D. WILSON, MD AWARD FOR EXCELLENCE IN ORTHOPAEDIC SURGERY RESEARCH

Sebastian Rodriguez-Elizalde, MDUtilizing Computerized Virtual Surgery to Assess the Impact of Acetabular Rim Osteophytes on the Range of Motion in Total Hip Arthroplasty

ADULT RECONSTRUCTION AND

JOINT REPLACEMENT DIVISION

Craig H. Dushey, MDProuskeh B. Ebrahimpour, MDJordan N. Greenbaum, MD, MBAStephen Kim, MDJonathan H. Lee, MDJacob B. Manuel, MDMichael A. Robinson, MDSebastian Rodriguez-Elizalde, MD, FRCS(C)


Stephanie P. Adam, DOLucas J. Bader, MDJ. Turner Vosseller, MD


William S. Green, MDKristin K. Warner, MDKimberly C. Young, MD

LIMB LENGTHENING AND COMPLEX

RECONSTRUCTION SERVICE

Ryhor Harbacheuski, MD, MSShahab Mahboubian, DO, MPH


Kashif Ashfaq, MBBS

ORTHOPAEDIC TRAUMA SERVICE

Daniel B. Chan, MDDevon M. Jeffcoat, MDNeil R. MacIntyre, III, MD

PEDIATRIC ORTHOPAEDIC SERVICE

Vladimir Goldman, MD

SCOLIOSIS/SPINE SERVICE

Rahul D. Chaudhari, MBBSIlya Kupershtein, MDManish Lambat, MBBS, MS, DNBPeter G. Passias, MDRavi J. Patel, MDHiroyuki Yoshihara, MB, PhD

SPORTS MEDICINE AND

SHOULDER SERVICE

Andrea L. Bowers, MDSaadiq F. El-Amin, III, MD, PhDLawrence V. Gulotta, MDCraig S. Mauro, MDFrank A. Petrigliano, MDMichael K. Shindle, MDJames E. Voos, MD

HOSPITAL FOR SPECIAL SURGERY535 East 70th StreetNew York, NY 10021www.hss.edu

The 2009-2010 Annual Report of theDepartment of Orthopaedic Surgery isproduced by the Education Division ofHospital for Special Surgery.

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

Marcia EnnisDirectorEducation Publicationsand Communications

Linda ErranteManaging Editor

Ali WilcoxArt Director

Robert EsselPhotography

About Hospital for Special SurgeryFounded in 1863, Hospital for Special Surgery(HSS) is a world leader in orthopaedics,rheumatology, and rehabilitation. HSS isnationally ranked No. 1 in orthopaedics, No. 3in rheumatology, and No. 16 in neurology byU.S. News & World Report. HSS has alsoreceived Magnet Recognition for Excellence inNursing Service from the American NursesCredentialing Center and has one of the lowestinfection rates in the country. For the last threeyears HSS has received the HealthGrades JointReplacement Excellence Award. A member ofthe NewYork-Presbyterian Healthcare Systemand an affiliate of Weill Cornell Medical College,HSS provides orthopaedic and rheumatologicpatient care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center. All Hospital forSpecial Surgery medical staff are on the facultyof Weill Cornell Medical College. The Hospital’sresearch division is internationally recognized asa leader in the investigation of musculoskeletaland autoimmune diseases.

© 2010 Hospital for Special Surgery. All rights reserved.

Department of Orthopaedic Surgery 2009-2010 Annual Report

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