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Breaking News Summer 2014

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Breaking News Summer 2014
Orthopaedic Surgery and Rehabilitation
Breaking News
for alumni and friends of the University of Nebraska Medical Center
Department of Orthopaedic Surgery and Rehabilitation
Enterprise, Orthopaedics join American Joint Replacement Registry
TRACKING IMPLANT PERFORMANCE TRENDS HELPS IDENTIFY PROBLEMS FASTER,
ENHANCES PATIENT SAFETY
More than seven million people in the
United States are living with an artificial
hip or knee, according to a report given
at the annual meeting of the American
Academy of Orthopaedic Surgeons (AAOS)
this year.
“Americans are living longer, more active
lifestyles and seek out ways to continue
to do so when faced with joint problems
that a hip or knee implant can solve,” said
Curtis Hartman, M.D., associate professor
of orthopaedic surgery and rehabilitation
in the UNMC College of Medicine.
In order to ensure the best clinical
outcomes for patients, national implant
registries have sprung up around the
world to track surgical techniques, which
implants work and which ones don’t, Dr.
Hartman said.
UNMC and its hospital partner, The
Nebraska Medical Center, are in the
process of joining the American Joint
Replacement Registry (AJRR) with the goal
of tracking how well patients and implants
are functioning.
There are new implants coming onto the
market all the time, Dr. Hartman said. The
advantage of a registry is knowing as soon
as possible which product performs the
best or has the highest failure rates.
“They all sound good and have promising
preliminary data or the FDA wouldn’t
“We are excited to be the first
in Nebraska to contribute
our data to the registry,”
Dr. Kevin Garvin, Chairman
Hip & Knee Replacement
- Dr. Kevin Garvin, Chair
Orthopaedic Surgery
approve them, but sometimes the best
ideas don’t always work,” he said. “This
really will help orthopaedic surgeons and
patients understand which implant is best
for them on an individual basis.”
Dr. Curtis Hartman
Hip & Knee Replacement
The most common causes for implant
failure are loosening, infections, dislocation
and implant associated failure.
“In one case of a metal-on-metal hip
implant, it took several years before a
trend emerged that led surgeons to cease
using that particular type of implant,” Dr.
Hartman said. “If we had a registry we
would have seen this happen sooner and
responded much more quickly.”
see AJRR pg 3
Dr. Beau Konigsberg
Hip & Knee Replacement
BREAKING NEWS | SUMMER 2014
Message from the chair
Stepping it up: working harder and smarter.
One of the primary goals of our department has always been to not only be a leader in orthopaedic
care, but an innovator in the future of orthopaedics as a whole, including all facets of our mission:
patient care, education and research. Every day, faculty, residents and staff work as a team to make this
a reality. A great example of this is the information we gather about patient clinical and surgical care.
We are continuously looking for new ways to utilize that information, making it work harder and smarter
for us, our patients, and our peers.
Recently, the department joined the American Joint Replacement Registry (AJRR) - another opportunity
for us to use information we are already gathering and join forces with other orthopaedic surgeons
around the nation to create a bigger picture of trends emerging in joint replacement surgery. The goal of
the AJRR is to track how well patients and implants are functioning on a wide-spread, national level. This
will allow orthopaedic surgeons around the country to become aware of emerging trends earlier, and
respond more quickly at a patient care level. We are excited to be the first department in Nebraska to
contribute data to the registry.
Also on the clinical front, the Medical Center’s decision to begin providing 24/7 trauma coverage for
Omaha and the surrounding areas brought more exciting changes to our department. On August 1, Dr.
Justin Siebler, orthopaedic traumatology surgeon, joined our team. Many of you may be familiar with Dr.
Siebler, as he is an alum of our residency program. You can read Dr. Siebler’s full biography on page 4.
BREAKING NEWS | SUMMER 2014
Breaking News is published three times
a year for alumni and friends of the
UNMC Department of Orthopaedic
Surgery and Rehabilitation.
Chair:
Kevin L. Garvin, M.D.
Administrator:
David Staiert
Newsletter:
Dana Meyer
Dr. Philipp Streubel, hand and upper extremity surgeon, also joined our team on August 1. We introduced
Dr. Streubel in our Spring 2014 issue of Breaking News, but for those who missed it, here’s a quick recap
of Dr. Streubel’s educational history. Medical degree/residency: M.D., Pontificia Universidad Javeriana
(1996-2002); orthopaedic residency, Universidad del Rosario in his hometown of Bogotá, Columbia
(2004-2008). Fellowships: Orthopaedic Trauma, Vanderbilt Medical Center, Nashville, TN (2010-2011);
Shoulder and Elbow Surgery, Mayo Clinic, Rochester, MN (2011-2012); Hand, Elbow and Microsurgery,
Rush Medical Center, Chicago, IL (2013-2014).
Please help us welcome Drs. Streubel and Siebler, as well as the new interns who joined our orthopaedic
residency program on July 1, the Class of 2019: Drs. Erik Bowman, Todd Gilbert, Tyler Larson and Ryan
Miller. You can learn more about each of them on page 11.
To all who were able to join us for the graduation ceremonies in June, I’d like to thank you for taking the
time to do so. Having alumni and peers participate in both the academic and recreational activities at
graduation makes the event a more dynamic and memorable experience for our graduates. I would like
to encourage continued participation at graduation, as well as other events throughout the year such
as our Annual Alumni Reception during the AAOS and Resident Research Forum in November. Alumni
participation is an important facet of our resident education program and we appreciate all you do to
help support the department in providing an exceptional educational experience for our residents!
For additional printed copies,
please contact: Dana Meyer
[email protected]
402-559-4380
Kevin L. Garvin, M.D.
L. Thomas Hood, M.D., Professorship
Professor and Chair
Orthopaedic Surgery and Rehabilitation
UNMC Department of
Orthopaedic Surgery
981080 Nebraska Medical Center
Omaha, NE 68198-1080
www.unmc.edu/orthosurgery
SAVE THE DATE! • OPERATION WALK USA 2014 • DECEMBER 2-7, 2014
This publication is available online.
How you can help: You can contribute to Operation Walk USA by making
a donation using the enclosed remittance envelope, or by contacting Meg
Johnson at the University of Nebraska Foundation via phone (402-502-4107)
or e-mail ([email protected]).
Thank you for your support.
BREAKING NEWS | 2
Best Children’s Hospital in Orthopedics 2014-15
Our pediatric clinical partner, Children’s Hospital & Medical Center, gained recognition
by U.S. News and World Report as a Best Children’s Hospital in Orthopedics for 2014-15.
Children’s is ranked #29 of 50 in Orthopedics based on quality, range of services available,
volume, availability of subspecialists, and other clinical support in a pediatric setting.
CONGRATULATIONS TO OUR COLLEAGUES AND FULL-TIME FACULTY: PAUL ESPOSITO, M.D.;
BRIAN HASLEY, M.D.; SUSAN SCHERL, M.D.; AND M. LAYNE JENSON, M.D., AS WELL AS TO
THEIR ENTIRE TEAM.
U.S. News & World Report ranked Children’s in four specialties in the new 2014-15 Best
Children’s Hospitals rankings, including #29 in Orthopedics; #41 in Pulmonology; #42 in
Gastroenterology and GI Surgery; and #48 in Cardiology and Heart Surgery.
The Best Children’s Hospitals rankings highlight U.S. News’s top 50 U.S. pediatric facilities
in cancer, cardiology & heart surgery, diabetes & endocrinology, gastroenterology & GI
surgery, neonatology, nephrology, neurology & neurosurgery, orthopedics, pulmonology and
urology.
U.S. News & World Report again ranks
Med Center one of America’s Best Hospitals
and the top hospital in Nebraska
U.S. News & World Report surveyed nearly 5,000 hospitals nationwide
to come up with this year’s list of Best Hospitals. For 2014-15, U.S.
News evaluated hospitals in 16 adult specialties and ranked the top
50 in most of the specialties. Just 3 percent of the hospitals analyzed
for Best Hospitals earned national ranking in even one specialty.
The Nebraska Medical Center is ranked 36th nationally for its cancer
care, 29th for gastroenterology and GI surgery, 29th in nephrology,
31st in neurology and neurosurgery, 41st in pulmonology and 25th
in urology. This is the best performance for the hospital in terms of
national recognition in these rankings.
The Nebraska Medical Center was also high performing in six other
specialties (in alphabetical order) including:
•Cardiology and heart surgery
•Diabetes and endocrinology
•Ear, nose and throat
•Geriatrics
•Gynecology
•Orthopaedics
AJRR (continued from pg 1)
“The AJRR, AAOS and the specialty societies
have worked diligently to allow efficient and
confidential data collection. Information on
nearly 20,000 patients has been collected
from approximately 100 hospitals,” said Dr.
Kevin Garvin, chair of orthopaedic surgery
and a hip and knee replacement surgeon in
the department.
While the U.S. is behind other registries
(Scandinavia, New Zealand, Australia and
the United Kingdom), it is likely that it does
not diminish the registry’s importance,
commented Dr. Garvin. In time, all hospitals
will be joining the registry either as mandated
or as an incentive to improve outcomes.
“We are excited to be the first in Nebraska to
contribute our data to the registry,” said Dr.
Garvin.
In addition to these rankings, U.S. News & World Report ranked The
Nebraska Medical Center as the top hospital in the state.
BREAKING NEWS | SUMMER 2014
New faculty: Dr. Justin C. Siebler joins orthopaedic faculty
With the Medical Center’s move to
24/7 trauma coverage and Dr. Siebler’s
experience providing trauma care
locally, the timing of his transition to our
department is ideal.
JUSTIN C. SIEBLER, M.D.
We are excited to announce that Justin
C. Siebler, M.D., joined the department’s
full-time faculty as an assistant professor
August 1 of this year. A board-certified
orthopaedic surgeon, Dr. Siebler specializes
in orthopaedic traumatology.
Dr. Siebler grew up in Lincoln, Nebraska.
He received his medical degree at the
University Nebraska Medical Center
(2000-2004), and attended orthopaedic
residency at the Creighton University/
University of Nebraska Health Foundation
Orthopaedic Surgery Residency Program
(2004-2009), both in Omaha, Nebraska.
Following residency, he completed an
orthopaedic traumatology fellowship at the
Florida Orthopaedic Institute in Tampa,
Florida (2009-2010).
Prior to joining the department, Dr. Siebler
was an assistant clinical professor at
Creighton University (2010-present).
Dr. Siebler is a fellow of the American
Academy of Orthopaedic Surgeons and
the American Board of Orthopaedic
Surgery, and a member of the Orthopaedic
Trauma Association and the Mid-America
Orthopaedic Association. He is also
a member of the AO Trauma North
America Musculoskeletal Trauma Faculty
(2012-present).
Dr. Siebler and his wife, Erin, have three
children. His interests and hobbies revolve
around being outdoors with his family.
CLINICAL EXPERTISE & RESEARCH INTERESTS:
ORTHOPAEDIC FRACTURES, INJURY, AND TRAUMA
CONDITIONS AND SURGICAL SPECIALTIES:
FRACTURES IN AND AROUND JOINTS (PERIARTICULAR
FRACTURES)
FRACTURES OF THE PELVIS AND HIP SOCKET
FRAGILITY FRACTURES
TRAUMATIC INJURY IS THE NUMBER ONE
KILLER OF NEBRASKANS UNDER THE AGE
OF 44, AND A LEADING CAUSE OF DEATH
IN OLDER CITIZENS. IN DOUGLAS COUNTY
ALONE, MORE PEOPLE DIE FROM TRAUMARELATED ACCIDENTS THAN STROKE.
HOWEVER, RESEARCH SHOWS THAT
TREATMENT AT A LEVEL 1 TRAUMA CENTER
REDUCES THE RISK OF DEATH BY 25%.
MEDICAL CENTER MOVES TO
24/7 TRAUMA COVERAGE
On August 1 The Nebraska
Medical Center began providing
dedicated trauma coverage
to Omaha and surrounding
communities.
The addition of a new trauma
surgeon to the department
followed on the heels of the
March 12 announcement from
the Medical Center of this new
and exciting change.
Moving to a full-time trauma
program allows the Medical
Center to seek Level 1 recognition
with the American College
of Surgeons – the national
accrediting body that is the gold
standard for trauma centers in
the U.S.
“We are fortunate to have Dr.
Siebler on our team,” said Dr.
Matthew Mormino, professor of
orthopaedics and an orthopaedic
traumatology and lower extremity
surgeon in the department. “The
fact that he has previous experience
practicing trauma care locally is a
huge benefit.”
“Dr. Siebler is a vital addition to
the department and played an
integral role in our transition to
24/7 trauma coverage,” said Dr.
Mormino.
DR. JUSTIN SIEBLER HOLDS CLINIC AT THE DURHAM OUTPATIENT CENTER (4400 EMILE STREET, LEVEL 2).
FOR APPOINTMENTS OR REFERRALS CALL: 402-559-8000.
BREAKING NEWS | 4
NEW Sports Medicine Clinic at Oakview Medical Building
We are pleased to introduce a new Sports Medicine Clinic in West Omaha, offering access in one location to a comprehensive team of
physicians and health care professionals trained in Sports Medicine.
Mark Dietrich, M.D.
Orthopaedic Surgery/Sports Medicine
Monty Mathews, M.D.
Family Medicine/Sports Medicine
Rusty McKune, ATC
Sports Medicine Program Coordinator
When: Wednesday mornings from 9 a.m. to noon
Where: Oakview Medical Building
UNMC Physicians Family Medicine and Orthopaedics Clinic
2727 S. 144th Street, Suite 140
Omaha, NE
To make an appointment at our new Sports Medicine Clinic at the Oakview Medical Building, call 402-552-3522.
Sports Medicine Program
Athletes of any age, gender, skill level or activity can sustain injury ranging
from sprained ankles to a more serious injury, such as a concussion.
In addition to the new Sports Medicine Clinic now being held on Wednesday
mornings, our comprehensive Sports Medicine Program is always available to
patients on an appointment basis.
Because no two sports-related injuries are alike, The Nebraska Medical Center’s
Sports Medicine Program brings together physicians and professionals from a wide
range of specialties and subspecialties, collaborating to develop a customized
treatment and rehabilitation program for each patient.
Fourteen of the department’s orthopaedic surgeons participate on the sports
medicine team:
TO MAKE AN APPOINTMENT WITH ONE OF THE
SPECIALISTS IN OUR COMPREHENSIVE SPORTS
MEDICINE PROGRAM, CALL: 800-922-0000
To see a full list of physicians & specialties, visit
NebraskaMed.com/sports-medicine.
Dr. Chris Cornett
Dr. Mark Dietrich
Dr. Miguel Daccarett
Dr. Paul Esposito
Dr. Kevin Garvin
Dr. M. Layne Jenson
Dr. Curtis Hartman
Dr. Beau Konigsberg
Dr. Sean McGarry
Dr. Matthew Mormino
Dr. Lori Reed
Dr. Matthew Teusink
Dr. Justin Siebler
Dr. Philipp Streubel
“Two principles of our program are access and expertise,” said Program Coordinator
Rusty McKune, ATC. “If you are an athlete, being seen in two weeks is not acceptable.
Ideally, we would like the appointment to occur within 48 hours of that initial call.”
BREAKING NEWS | SUMMER 2014
Faculty recognized by Castle Connolly as Top Doctors
Two UNMC orthopaedic full-time faculty have once again been recognized on this year's list of Castle Connolly’s Top Doctors.
Congratulations to Dr. Kevin Garvin for being named one of America’s Top
Doctors 2014, an honor he has received annually since 2007. The America’s Top
Doctors distinction represents the top 1% of specialties and subspecialties in the
nation.
Congratulations to Dr. Matthew Mormino for being named a Top Regional Doctor
2014, an honor he has received annually since 2011. The Top Regional Doctors
distinction represents the top 10-15% of physicians in the region.
Five orthopaedic faculty voted America’s Best Doctors
Congratulations to the following full-time orthopaedic faculty on being named Best Doctors in America 2014:
DR. PAUL ESPOSITO (1998-2014)
DR. KEVIN GARVIN (1996-2014)
DR. BRIAN HASLEY (2007-2014)
DR. MATTHEW MORMINO (2005-2014)
DR. SUSAN SCHERL (2003-2005; 2007-2014)
The Best Doctors in America distinction represents the top 3-5% of specialists in the country, including a database of
over 45,000 doctors in more than 40 specialties.
Best Doctors in America was founded in 1989 by two physicians affiliated with Harvard Medical School and is today a
leading resource to those seeking medical advice and information.
BREAKING NEWS | 6
The Perry Initiative: Non-profit organization inspires young women to
pursue careers in orthopaedics and engineering
THE PERRY INITIATIVE COMES TO OMAHA FOR THE FIRST TIME, HOSTED BY UNMC ORTHOPAEDIC SURGERY DEPARTMENT
engage them by showing how exciting
orthopaedic surgery can be, we will have a
much better chance of bridging that gap.”
The outreach program will include
laboratory-based workshops designed
to introduce students to surgical and
engineering skills, and feature mentoring
by prominent local female surgeons
and biomedical engineers in the field of
orthopaedics.
LORI REED, M.D.
The Perry Initiative is a non-profit
organization that inspires young women
to pursue careers in orthopaedics and
engineering through day-long outreach
programs for high school students.
The organization, which holds over thirty
outreach programs nationwide, will be
holding its first outreach program in
Omaha on November 15th, hosted by
the UNMC Department of Orthopaedic
Surgery and Rehabilitation.
This one-day, hands-on science program for
young women will take place in the Sorrell
Center on the UNMC Campus and is free
to student participants.
Dr. Lori Reed, foot and ankle surgeon
and associate professor of orthopaedic
surgery, is helping to organize the event.
As an orthopaedic surgeon at an academic
health care facility, she feels her duty
to educate extends beyond orthopaedic
residents and medical students.
“There is currently a very uneven distribution of women versus men in the field of
orthopaedic surgery,” said Dr. Reed. “If
we can reach women at a young age, and
The Perry Initiative was founded
in 2009 by Dr. Jenni Buckley (a
mechanical engineer) and Dr. Lisa
Lattanza (an orthopaedic surgeon),
and was named in honor of Dr.
Jacquelin Perry, who was one of the
first ten women orthopaedic surgeons
in the country and a mentor to
countless women and men in the field
throughout her career.
Forty young
women from
local high
Women constitute only 12% of the academic faculty
schools will
in orthopaedics and 7% of practicing orthopaedists.
be selected
to take part
-- American Academy of Orthopaedic Surgeons
in the all-day
program. They
will perform
The program quickly expanded from
surgical simulations to correct scoliosis
15 students at one site in 2009 to
deformity, fix a broken leg, and repair knee
950 students annually at 24 sites
ligaments. Throughout the day, they will
nationwide in 2013. At its current rate
learn from prominent women surgeons,
of expansion, the organization expects
engineers and business women in the field
to have reached 50 sites by 2020.
of orthopaedics.
Dr. Susan Scherl, pediatric orthopaedic
surgeon and professor of orthopaedic
surgery, will also be participating, along
with fellow local orthopaedic surgeons Drs.
Kathleen Grier and Kimberly Turman. Drs.
Grier and Turman practice at GIKK Ortho
Specialists and are alumni of the Nebraska
Orthopaedic Surgery Residency Program.
“To be able to provide the type of real life
experiences that might hopefully motivate
a young woman in our community to
choose a career in orthopaedics or
engineering is a powerful tool,” said Reed.
“The Perry Initiative provides us with a
unique opportunity to reach out to these
young women at no cost to the students or
the facility.”
The program is free for students
and is supported through corporate
sponsorship. Applications will be
accepted until October 16, 2014, at
http://perryinitiative.org/programs/
student-online-application.
More information on The Perry
Initiative can be found at www.
perryinitiative.org.
BREAKING NEWS | SUMMER 2014
Class of 2014 honored during annual graduation celebration
The department’s 2014 graduation presentations were held June 27-28 at the Michael F. Sorrell Center for Health Science Education.
Featured guests included visiting professor Dr. Daniel Sucato of the University of Texas Southwestern Medical Center at Dallas, as well as
Mr. Harold Andersen, president, chief executive and publisher of the Omaha World-Herald from 1966–1989. Mr. Andersen was the 3rd Annual
Andersen Lecturer. The schedule of events was as follows:
FRIDAY, JUNE 27, 2014
FRIDAY, JUNE 27, 2014 (continued)
SESSION I RESIDENT PRESENTATIONS
“Mid-term Results of Percutaneous Osteotomies and Fassier-Duval
Nailing in Children with Osteogenesis Imperfecta” Khalid Azzam,
M.D.
SESSION IV GUEST SPEAKERS
Andersen Lectureship: “International Experience as President of
the International Federation of Newspaper Publishers” Mr. Harold
Andersen
“Contribution of Arginine Deiminase to Virulence in an in vivo
Murine Biofilm Model” Kevin Lindgren, M.D.
SATURDAY, JUNE 28, 2014
“Is There a Correlation Between the Severity of Preoperative
Electromyography and 3-month Postoperative Leg Pain Scores in
Patients that Have Undergone a Single Level Decompression and
Transforaminal Lumbar Interbody Fusion?” David Minges, M.D.
SESSION II ALUMNI UPDATES
Brian Hasley, M.D.
SESSION III CARTILAGE REGENERATION
Case Presentations
Residents: Todd Gaddie, M.D.; Paul Hong, M.D.
CASE-BASED DISCUSSIONS OF THE YOUNG PATIENT WITH HIP
AND SPINE DEFORMITIES
SESSION I CHALLENGES FOR PEDIATRIC AND ADOLESCENT
SPINE DISEASE
Moderator: Brian Hasley, M.D.
Panel members: Daniel Sucato, M.D., M.S.; Chris Cornett, M.D.;
M. Layne Jenson, M.D.
“Developmental Trajectory-based Tissue Engineering of Cartilage”
Andrew Dudley, Ph.D.
SESSION I ADOLESCENT AND YOUNG ADULT HIP PATHOLOGY
Moderator: Daniel Sucato, M.D., M.S.
Panel members: Mark Dietrich, M.D.; Kevin Garvin, M.D.; Curtis
Hartman, M.D.; Charles Burt, M.D.
“Physiochemical Mechanisms of Cartilage Growth and
Morphogenesis” Sarah Romereim, B.S., graduate student
SESSION III VISITING PROFESSOR
“Management of Complex Spinal Deformity” Daniel Sucato, M.D., M.S.
SESSION IV GUEST SPEAKERS
“Hip Preservation in the Adolescent and Young Adult” Daniel
Sucato, M.D., M.S.
CONGRATULATIONS TO THE 2014 GRADUATES
KEVIN LINDGREN, M.D.
ADULT RECONSTRUCTION FELLOWSHIP
UNIVERSITY OF UTAH, SALT LAKE CITY, UT
KHALID AZZAM, M.D.
ADULT RECONSTRUCTION FELLOWSHIP
RUSH UNIVERSITY, CHICAGO, IL
DAVID MINGES, M.D.
SPINE FELLOWSHIP
UNIVERSITY OF PITTSBURGH, PITTSBURGH, PA
BREAKING NEWS | 8
Left to right: Pediatric orthopaedic surgeons, Dr. Brian Hasley (associate professor), Dr. Walter Huurman (professor emeritus), visiting professor Dr. Daniel Sucato
(professor of Orthopaedic Surgery at the University of Texas Southwestern Medical Center at Dallas), Dr. Glen Ginsburg (volunteer associate professor), Dr. Susan
Scherl (professor), Dr. M. Layne Jenson (assistant professor) and Dr. Paul Esposito (professor) during the 2014 Nebraska Orthopaedic Residency Graduation
Ceremonies.
2014 ORTHOPAEDIC GRADUATION AWARDS
FRANK P. STONE, M.D., AWARD FOR ACADEMIC EXCELLENCE: KEVIN E. LINDGREN, M.D.
JOHN F. CONNOLLY, M.D., AWARD FOR OUTSTANDING RESEARCH: KHALID A. AZZAM, M.D.
AWARD FOR OUTSTANDING JUNIOR RESIDENT: COURTNEY M. GRIMSRUD, M.D.
AWARD FOR FACULTY EXCELLENCE IN TEACHING: CURTIS W. HARTMAN, M.D.
WHERE ARE THEY NOW: 10- AND 20-YEAR ALUMNI UPDATES
10-YEAR ALUMNI: CLASS OF 2004
Richard Davis, M.D.
Fellowship: sports medicine, Lake Tahoe Sports
Medicine, Lake Tahoe, CA
Current practice: Riverside Orthopaedic Clinic,
Fruitland, ID
Family: wife, Emily; five children
Lori Reed, M.D.
Fellowship: foot and ankle/lower extremity
trauma; Florida Orthopaedic Institute, Tampa, FL
Current practice: Department of Orthopaedic
Surgery and Rehabilitation, UNMC, Omaha, NE
20-YEAR ALUMNI: CLASS OF 1994
Scott McMullen, M.D.
Fellowship: foot and ankle; Mayo Clinic,
Scottsdale, AZ
Current practice: GIKK Ortho Specialists,
Omaha, NE
Family: wife, Melissa; three children
Stephen Hansen, M.D.
Fellowship: Indiana Spine Group; Indianapolis, IN
Current practice: Idaho Sports and Spine,
Pocatello, ID
Family: wife, Tami; four children
Scott Beck, M.D.
Fellowship: pediatric orthopaedics; Children’s
Hospital, San Diego, CA
Current practice: Children’s Orthopaedic and
Scoliosis Surgery Associates, LLP, St. Petersburg, FL
Family: wife, Kaylyn; three children
Robert Tait, M.D.
Fellowship: adult reconstruction; Brigham and
Women’s Hospital an affiliate of Harvard Medical
School, Boston, MA
Current practice: Orthopaedic Institute of
Henderson, Henderson, NV
Family: wife Kimberly; four children
Brian Hasley, M.D.
Fellowship: pediatric orthopaedics; Texas
Scottish Rite Hospital for Children, Dallas, TX
Current practice: Children’s Hospital & Medical
Center and Department of Orthopaedic Surgery
and Rehabilitation, UNMC, Omaha, NE
Family: wife: Katie; two children
James Hill, M.D.
Fellowship: shoulder and upper extremity;
California Pacific Medical Center, San Francisco,
CA
Current practice: Illinois Bone and Joint Institute,
LLC, Arlington Heights, IL
Theodore Yee, M.D.
Fellowship: adult reconstruction; Hennepin
County Medical Center, Minneapolis, MN
Current practice: Kaiser Hospitals, Napa and
Solano counties, Northern California, CA
Family: wife, Mary; two children
BREAKING NEWS | SUMMER 2014
Visiting speakers expand resident education
Providing a well-rounded educational experience for our residents means bringing in visiting speakers who can share their expertise on a variety of topics.
Annual contributions to the department’s Development Fund allow us to continue to bring guest speakers who offer new and innovative ideas in surgical
techniques, research topics and patient care.
LISTED BELOW ARE THE VISITING SPEAKERS WHO PRESENTED IN THE DEPARTMENT OF ORTHOPAEDIC SURGERY FROM MARCH TO JUNE 2014.
MAY 2014
16 Dr. James Devney, Spine & Musculoskeletal Medicine, Omaha, NE
“Non-surgical Treatment Modalities for Musculoskeletal Pain (injections, nerve
blocks, etc.)”
MARCH 2014
3 Dr. Kim Apker, Department of Radiology, UNMC
“MRI of the Knee”
24 Dr. Fred Durden, Plastic & Reconstructive Surgery, UNMC
“Soft Tissue Coverage in Hand Trauma”
JUNE 2014
16 ASEAN Traveling Fellows Presentations
31 Dr. Paul Paulman, Assistant Dean for Clinical Skills and Quality, UNMC
“Role of Simulation in Medical Education
and Surgical Training”
Dr. Chia-Liang Ang: “Minimally Invasive Compared with Open Lumbar Laminotomy:
No Functional Benefits at 60 or 24 Months after Surgery”
APRIL 2014
3 Dr. Adam Reinhardt, Rheumatology, Children’s Hospital & Medical Center, Omaha, NE
“JIA”
4 Dr. Julie Fedderson, Quality/Outcomes
Officer Clinical Enterprise
“ICD-10”
14
Dr. Hein Latt Win: “Chinese Experience
with Metal-on-metal Hip Resurfacing”
Dr. Istan Irmansyah Irsan: “The Effect
of CaC12 Added Platelet Rich Plasma to
the Healing Time, Tensile Strength and
Adhesion Degree of the Ruptured
Tendinopathic Achilles Tendon In Vivo”
Dr. Nicholas Bruggeman, Nebraska Orthopaedic Associates, LLP, Omaha, NE
“CMC Arthroplasty”
Dr. Azura Mansor: “Primary Bone Lymphoma: A Case Series Study”
18
21 Dr. Todd Milbrandt, University of Kentucky Health Center-Orthopaedics, Lexington, KY
“Translational Research in Pediatric Orthopaedics”
JUNE 2014 (Continued)
27-28 GRADUATION CEREMONIES
Andrew Dudley, Ph.D., Genetics, Cell Biology and Anatomy, UNMC
“Developmental Trajectory-based Tissue Engineering of Cartilage”
Sarah Romereim, B.S., Graduate Student, Genetics, Cell Biology and Anatomy, UNMC
“Physiochemical Mechanisms of Cartilage
Growth and Morphogenesis”
Daniel Sucato, M.D., M.S., Professor, Department of Orthopaedic Surgery,
University of Texas Southwestern Medical
Center at Dallas
“Hip Preservation in the Adolescent and You”
“Management of Complex Spinal Deformity”
Mr. Harold Andersen, president, chief executive and publisher of the Omaha World-Herald from 1966–1989
“International Experience as President of
the International Federation of Newspaper Publishers”
Dr. Peter Smith, Chicago Shriner’s Hospital and Rush Medical College, Chicago, IL
“Clubfoot”
SAVE THE DATE!
2014 RESIDENT RESEARCH FORUM TO BE HELD FRIDAY, NOVEMBER 21
The guest speaker for this year’s resident research forum will be J. Tracy Watson, M.D., Professor of Orthopaedic Surgery and Chief of the
Orthopedic Trauma Service at St. Louis University School of Medicine in St. Louis, MO.
To request more information contact Susan Siebler at 402-559-4251.
BREAKING NEWS |10
Meet our new residents: Class of 2019
ERIK C. BOWMAN, M.D.
Hometown: Memphis, TN
TODD M. GILBERT, M.D.
Hometown: Ogden, UT
Education:
•Medical School: University of
Tennessee Health Science Center
•Undergraduate: University of
Tennessee
Education:
•Medical School: Virginia
Commonwealth University
School of Medicine
•Undergraduate: Weber State
University
What inspired your interest in
orthopaedic surgery?
I grew up in blue-collar family full of
carpenters and mechanics in which
I often would help my grandparents
or uncles build or repair things.
Orthopaedic surgery is like a being
a carpenter and mechanic of the
world’s most complex machine and
that fascinates me.
Three things people may not know about you:
1. I was an intramural sand volleyball champion in college.
2. I have jumped out of a perfectly good airplane several times.
3. I possibly may be the only person ever to dislocate their shoulder during a
knowledge bowl match.
What inspired your interest in
orthopaedic surgery?
A desire to help people and work
with my hands.
Three things people may not know about you:
1. I’ve been married for six years to my wonderful wife, Kayli, and we have
a beautiful one-year-old daughter named Stella.
2. I ran track and cross country in college.
3. I have a goal to climb the highest mountain on all seven continents.
TYLER J. LARSON, M.D.
Hometown: Rochester, MN
RYAN E. MILLER, M.D.
Hometown: Fullerton, CA
Education:
•Medical School: University of
North Dakota
•Undergraduate: University of
Minnesota Duluth
Education:
•Medical School: Creighton
University
•Undergraduate: University of
California, Irvine
What inspired your interest in
orthopaedic surgery?
I grew up rebuilding classic cars
with my dad and also started a
landscaping business in high school.
This gave me an appreciation for
hard work and working with my
hands, so ortho was a great fit.
What inspired your interest in
orthopaedic surgery?
My grandfather and his stories
about treating orthopaedic injuries
as a rural family medicine physician.
Three things people may not know about you:
1. I spent a semester in Venezuela during undergrad.
2. I owned my own landscaping business.
3. I have twin two-year-old girls and a new yellow lab puppy.
Three things people may not know about you:
1. I am married with a one-year-old son.
2. I love to barbecue.
3. I can ride a unicycle.
BREAKING NEWS | SUMMER 2014
Publications, presentations and honors
Department faculty members present many
lectures, seminars, and courses at both local
and regional, as well as national and international meetings. They also serve in leadership
positions and offices for local, state, national
and international organizations. Here are
some of our faculty and staff’s presentations
and publications, awards and achievements,
offices held, and other professional activities
from March - June 2014.
Esposito, P.; Caskey, P.; Heaton, L.; and
Otsuka, N.: Childhood Obesity Case
Statement. Orthopaedic Nursing, 33(1): 8-13,
February 2014.
PUBLICATIONS: (Peer-reviewed)
Konigsberg, B.; Hartman, C.; Hewlett, A.;
and Garvin, K.: Current and Future Trends in
the Diagnosis of Periprosthetic Hip Infection.
Orthop Clin N Am, 45(3): 287-293, online
June 27, 2014.
ONLINE EDUCATIONAL MATERIALS:
Clark, J.R. (moderator); Bozic, K.; Thornhill,
T. (presenting authors); Garvin, K.; Berry,
D.J. (commentators): TKA Critical Decision
Making: Socioeconomic and Clinical
Considerations, Journal of Bone and Joint
Surgery Webinar, June 10, 2014.
Scherl, S.: CORR Insights: What Factors
Influence Applicants’ Rankings of
Orthopaedic Surgery Residency Programs in
the National Resident Matching Program?
Clin Orthop Relat Res, e-pub, June 27, 2014.
Lesiak, A., and Esposito, P.: Case Report
and Literature Review: Progressive Valgus
Angulation of the Ankle Secondary to Loss
of Fibular Congruity Treated With Medial
Tibial Hemiepiphysiodesis and Fibular
Reconstruction. Am J Orthop, 43(6): 280-283,
June 2014.
Zhang, Y.; Aidhy, D.; Varga, T.; Moll, S.;
Edmondson, P.; Namavar, F.; Jin, K.;
Ostrouchov, C. N.; and Weber, W. J.: The
Effect of Electronic Energy Loss on Irradiationinduced Grain Growth in Nanocrystalline
Oxides. Physical Chemistry Chemical Physics,
16(17): 8051-8059, May 2014.
Perez-Bergquist, A. G.; Zhang, Y.; Varga, T.;
Moll, S.; Namavar, F.; and Weber, W. J.:
Temperature-dependent Void Formation and
Growth at Ion-irradiated Nanocrystalline
CeO2-Si Interfaces. Nuclear Instruments and
Methods in Physics Research, Section B: Beam
Interactions with Materials and Atoms, 325:
66-72, April 15, 2014.
Schwartz, D.; Cottrell, B.; Teusink, M.; Clark,
R.; Downes, K.; Tannenbaum, R.; and Frankle,
M.: Factors That Predict Postoperative Motion
in Patients Treated with Reverse Shoulder
Arthroplasty. J Shoulder Elbow Surg, April 8,
2014.
Ren, K.; Dusad, A.; Zhang, Y.; Purdue, P.;
Fehringer, E.; Garvin, K.; Goldring, S.; and
Wang, D.: Early Diagnosis of Orthopedic
Implant Failure Using Macromolecular
Imaging Agents. Pharmaceutical Research:
1-9, March 2014.
Baykal, D.; Siskey, R.; Haider, H.; Saikko,
V.; Ahlroos, T.; and Kurtz, S.: Advances
in Tribological Testing of Artificial Joint
Biomaterials using Multidirectional Pin-on-disk
Testers. J Mech Behav Biomed Mater, 31: 117134, March 2014.
BOOK CHAPTERS AND REVIEWS:
Garvin, K., and Aberle, N.: Quadriceps
Snip. In Techniques in Revision Hip and Knee
Arthroplasty, Ch. 7: 40-44, Philadelphia, PA,
Elsevier, June 2014.
AWARDS AND ACHIEVEMENTS:
Hartman, C.: Outstanding Instructor Award,
Nebraska Orthopaedic Surgery Residency
Graduation, June 28, 2014.
Daccarett, M.: Faculty Diversity Award:
$50,000, University of Nebraska Academic
Affairs, Omaha, NE, July 2012-June 2014.
Mormino, M.: Castle Connolly Regional Top
Doctors, 2011-2014.
Garvin, K.: Castle Connolly America’s Top
Doctors, 2007-2014.
Best Doctors in America
Hasley, B.: 2007-2014
Mormino, M.: 2005-2014
Scherl, S.: 2003-2005; 2007-2014
Esposito, P.:1998-2014
Garvin, K.:1996-2014
MEMBERSHIPS AND OFFICES HELD:
Cornett, C:
Medical Director of Physical and Occupational
Therapy, The Nebraska Medical Center
and Bellevue Medical Center, Omaha, NE,
2014-present.
Physician Advisory Team Committee Member,
The Nebraska Medical Center, Omaha, NE,
2013-present.
Department Deputy for Orthopaedics,
OneChart, 2013-present.
Daccarett, M.:
Trauma Committee Member, UNMC,
Omaha, NE, 2008–present.
Sideline Physician for area high school teams,
2012-present.
Surgical Services Executive Committee
Member, The Nebraska Medical Center,
Omaha, NE, 2011-present.
Member, Board of Directors (2nd term),
Omaha Sports Commission, January
2011-December 2014.
Esposito, P.:
Board of Directors, Physician Director,
Children’s Specialty Physicians, February
2012-2015.
American Orthopaedic Association
•Member, Membership Committee, June
2010-June 2014
•Chair, Membership Committee, March
2014-March 2015
•Member, Executive Committee, March
2014-March 2015
Osteogenesis Imperfecta Foundation
•Medical Advisory Council, July 2011-2014
•Scientific Meeting Committee, 2010-present
UNMC Physicians
•Finance Committee, 2012-present
•Executive Board, 2000-present
One World Health Center
•Executive Committee, March 2013-March
2014
•Board of Directors, March 2008-present
Member, Board of Trustees, University of
South Dakota Foundation, 2006-present.
Chairman, Pediatric Specialty Group, U.S.
Bone and Joint Initiative, 2013-present.
Children’s Hospital & Medical Center
•Board of Directors, Advisory Board
2010-present
•Quality and Patient Safety Committee,
2008-present
•Medical Staff Committees
*Ethics Committee, Omaha, NE, Children’s
Hospital, 2010-present
*Clinical Service Chief, Orthopaedic
Surgery 2009-present
*Information Technology Oversight
Committee, 2009-present
*Allied Health Committee, 2008-present
*Bylaws Committee, 2008-present
*Credentials Committee, 2008-present
*Surgical Services Committee, 2008-present
*Focused Peer Review Committee, 20082014
*Quality Safety Leadership Team,
2006-present
*Physician’s Health Committee,
2004-present
*Surgical Information Technology
Committee, 2006-present
Metro Omaha Medical Society Foundation,
Member, Board of Directors, 2010-present.
Reviewer, Clinical Orthopedics and Clinical
Research, 2010-present.
Editorial Board Member, Techniques in Knee
Surgery, 2002-present.
Consultant Reviewer, European Journal of
Epidemiology, 1995-present.
Consultant Reviewer, Clinical Orthopaedics
and Related Research, 1991-present.
Consultant Reviewer, Journal of Bone and
Joint Surgery, 1990-present.
Haider, H.:
Reviews Editor, Journal of Engineering
in Medicine, IMechE Part H, March
2012-present.
International Society of Technology in
Arthroplasty (ISTA)
•Director, Scientific Review and Information
Technology, September 2011-present
•Member, Board of Directors, 2005-present
Biomedical Engineering Committee, The
American Academy of Orthopaedic Surgeons;
Member and Official Representative of the
Orthopaedic Research Society, February
2011-present.
Basic Science Education Committee
(BSEC), The Orthopaedic Research Society,
2011-present.
Reviewer, Journal of Clinical Orthopaedics
and Related Research (CORR), July
2010-present.
Consultant Reviewer, PEDIATRICS, 2005-present.
Translator, Journal of Arthroplasty, 2008–
present.
Garvin, K.:
The Hip Society
•Treasurer, March 2014-March 2015
•Chair, Education Committee, March 2013March 2014
Review Panel Member, Orthopedics, 2013present.
Chair, Research Committee, The Knee Society,
March 2012-March 2015.
Dietrich, M.:
American Orthopaedic Society for Sports
Medicine Council of Delegates, August 1,
2012–July 31, 2015.
Member, Adult Reconstruction Hip Program
Subcommittee, American Academy of
Orthopaedic Surgeons, February 2012-March
2016.
Appointed to the Editorial Board for the
Journal Advances in Orthopedics, June
2010-present.
Reviewer of abstracts (Re-appointment),
Orthopaedic Research Society, August
2009-present.
Chairman/Coordinator, Biotechnology
and Biomedical Engineering Committee,
Iraqi American Academic and Professional
Community Program, “Together for Iraq”
project, Iraqi Cultural Center, Washington,
D.C., 2009-present.
BREAKING NEWS | 12
Editorial Board Member, Journal of
Engineering in Medicine, IMechE Part H,
2009-present.
Reviewer, Journal of Orthopaedic Research,
2007-present.
Reviewer, Journal of Engineering in Medicine,
2007-present.
International Standards Organization (ISO)
•Coordinator/Liaison Officer, Working
Group 2 (Implant Wear), ISO TC150 US
Tag, International Standards Organization,
2013-present
•Member, United States Delegation to
Committee SC 150 (Medical Devices),
2002-present
American Society of Testing and Materials
•Co-Chair, Knee Wear Testing Standards
Committee, ASTM International, 2002-present
•Chair, Ankle Replacement Testing Standards
Committee, ASTM International, 2000-present
•Technical (Expert) contact, Friction of Hips
Standard Writing Committee, Working
Group/Item WK 28778, ASTM
International, 2011-present
Hartman, C.:
Member, Membership Committee, Metro
Omaha Medical Society, April 2012-present.
Orthopaedic Basic Science Subcommittee,
American Academy of Orthopaedic Surgeons,
February 2012-March 2016.
UNMC
•Member, UNMC Graduate Faculty, May
2013-present
•Member, Dissertation Committee, Tyler
Scherr, Ph.D. Student, Department of
Pathology and Microbiology, UNMC
College of Medicine, 2012-present
•Member, Dissertation Committee, Ke Ren,
Ph.D. Student, Department of Pharmaceutical Sciences, UNMC College of
Pharmacy, 2012-present
•Member, Surgical Services New Technology
and Products Committee, 2011-present
•Member, Website Development Committee,
2011-present
•M2 ICE Course Instructor, September
2009-present
•M3 Course Instructor September 2009present
Nebraska Orthopaedic Hospital
•Utilization Review Committee, 2013-present
•Finance Committee, 2012-present
Hasley, B.:
Medical Director of the Pediatric Orthopaedic
Clinics of the Children’s Specialty Physicians,
Children’s Hospital & Medical Center,
Omaha, NE, May 2013-present.
Medical Staff Committee, Focused Peer
Review, Children’s Hospital & Medical Center,
2008-present.
Konigsberg, B.:
ONE-Team (TNMC/UNMC/UNMC-P)
•Member, Ambulatory Clinic Implementation
Workgroup, February 2014-present
•Member, Performance Improvement Steering
Committee, March 2014-June 2014
•Member, Physician Engagement Group, July
2013-June 2014
•Member, Future Care Delivery Committee,
July 2013-June 2014
•Member, Physician Compensation
Committee, July 2013-June 2014
UNMC College of Medicine
•Member, Faculty Senate, College of Medicine,
January 2014-present
•Member, Dissertation Thesis Committee,
Krishna Sarma, Ph.D. student, Department
of Genetics, Cell Biology and Anatomy,
December 2013- present
•Member, Medical Student Admissions
Committee, June 2011–December 2014
•Course Director, UNMC Orthopaedic
Surgery Grand Rounds, October 2010-present
•Instructor, M1, M2 ICE Course, August
2010-present
•Instructor, 2nd Year Medical Students,
August 2009-present
Consultant Reviewer, Orthopaedics,
September 2013–present.
Consultant, TRAK Surgical/UniMed, August
2013-June 2014.
Member, Membership Committee, Metro
Omaha Medical Society, April 2012-present.
Consultant Reviewer, Journal of the American
Geriatrics Society, September 2010-present.
Section Chief, Orthopaedics, VA Medical
Center, January 2009-present.
McGarry, S.:
UNMC
•Faculty Senate, June 2013-2017
•Continuing Education Committee, Member,
October 2012-present
•Tissue Bank Review Committee, Member,
2006-present
Musculoskeletal Transplant Foundation (MTF)
•Memberships/Nominations Committee
Member, February 2012-present
•Medical Board of Trustees, April
2006-present
Consultant Reviewer, Clinical Orthopaedics
and Related Research, March 2011-present.
Consultant Reviewer, Orthopaedics, February
2011-present.
Children’s Hospital of Omaha Bylaws
Committee, Member, January 2008-present.
National Comprehensive Cancer Network
(NCCN)
•Soft Tissue Sarcoma Panel, July 2007-present
•Bone Cancer Panel, May 2006-present
Editorial Board, Orthopaedics, January
2011-present.
Journal Reviewer, Journal of Shoulder and
Elbow Surgery, 2014-present.
Mormino, M:
Treasurer, Mid-America Orthopaedic
Association, 2014-2015.
Journal Reviewer, Orthopaedics,
2013-present.
Member, Education Committee, Orthopaedic
Trauma Association, 2012-2015.
CURRENT GRANTS:
Haider, H.: Structural Integrity and Overall
Survivability Testing of a Novel Hinged Total
Knee Replacement System by Biomet, Biomet,
Inc. March 6, 2014-December 31, 2014,
Principal Investigator.
AO North America
•Fellowship Advisory Board, 2011-present
•Faculty, 1997-present
Haider, H.: Work Order #1, TRAK Surgical,
Inc. March 6, 2014-June 6, 2014, Principal
Investigator.
Consultant Reviewer, Journal of Surgical
Education, 2010-present.
Haider, H.: An In-vitro Wear Durability Study
of the Stelkast Knee Systems, Comparing
Two Bearing Material Types under
Abrasive Conditions, Exponent. February
10, 2014-December 31, 2014, Principal
Investigator.
Consultant Reviewer, Journal of Orthopaedic
Trauma, February 2014-present.
Consultant Reviewer, Journal of the American
Academy of Orthopaedic Surgeons,1999present.
Reed, L.:
Member, Public Relations Committee,
Orthopaedic Trauma Association,
2009-present.
Haider, H.: A Knee Simulator Wear Study of
an Arthrex PS TKR Design Comparing Two
Bearing Materials, Arthrex, Inc. February
10, 2014-December 31, 2014, Principal
Investigator.
Scherl, S.:
American Orthopaedic Association
•Member, Traveling Fellowship Committee,
June 2012-present
•Chair, ASEAN Traveling Fellowship
Subcommittee, June 2011-present
Haider, H.: A Prolonged Simulator Wear
Study of Metallic-on-plastic Total Hip
Replacement Systems from Arthrex, Arthrex,
Inc. February 20, 2014-December 31, 2014,
Principal Investigator.
Pediatric Orthopaedic Society of North
America
•Program Committee, May 2013-present
•Advocacy Committee, May 2013-present
•Editorial Board, ‘Resident Review,’ June
2009-present
Children’s Hospital & Medical Center
•Member, Omaha Emergency Department
Interdisciplinary Committee, January
2013-present
•Member, Omaha Surgical Services
Interdisciplinary Committee, January
2012-present
•Member, Executive Committee,
2012-present
•Member, Omaha Education Committee,
January 2011-present
•Member, Omaha Transfusion Committee,
January 2010-Present
•Member, Omaha Trauma Performance
Improvement and Patient Safety
Committee, 2009-present
Teusink, M.:
Candidate Member, Mid-America
Orthopaedic Association, March 2014.
Member, Nebraska Orthopaedic Society,
January 2014.
Member, Ambulatory Center for Surgical
Innovation Planning Committee, University of
Nebraska Medical Center, 2014-present.
Haider, H.: A Prolonged Simulator Wear
Study of Metallic-on-plastic Total Hip
Replacement Systems under Abrasive
Conditions, Arthrex, Inc. February 10,
2014-December 31, 2014, Principal
Investigator.
Wang, D.; Garvin, K.; and Hartman, C.:
Early Detection and Intervention of
Orthopaedic Implant Loosening using
Polymer Theranostics, DHHS/NIH/NIAMS.
March 26, 2013 – February 28, 2017, Wang,
D (PI); Garvin, K (CI); Hartman, C (CI).
Wang, D., and Hartman, C.: Development
of macromolecular analgesics for
musculoskeletal pain, University of Nebraska
Foundation (Nebraska Research Initiative),
June 2012-2014, Wang, D (PI), Hartman, C
(co-PI).
Hasley, B.: CSSG Multi-Center Retrospective
and Observational Data Registry for Clinical
and Radiographic Outcomes of Spinal
Surgery Comparing Instrumentation and
Procedures (K2M CSSG Data Collection
Project Agreement), Clinical Trial. Principal
Investigator, May 25, 2011-May 25, 2014.
Hartman, C., and Konigsberg, B.: Smith
& Nephew: A Multicenter, Randomized,
Clinical Outcome of Visionaire Patient
Matched Technology vs Standard Surgical
Instrumentation in Total Knee Arthroplasty
BREAKING NEWS | SUMMER 2014
Publications (continued)
Clinical Trial Smith & Nephew. February 18,
2011-February 18, 2016, PI: Hartman, C (PI);
Konigsberg, K (CI), Clinical Trial.
Esposito, P.: Support for Research Assistant,
Awarded by James Roberts, December 2010present.
Esposito, P.: Tiny Bones Program, Wm.
Patrick Foundation, December 2010-present.
Haider, H.: Simplified Orthopedic Surgery,
A four-year federally funded study sponsored
by the United States Naval Health Research
Center. September 22, 2010-September 21,
2014, Principal Investigator.
PATENTS:
Haider, H.; and Barrera, A.: Method and
Apparatus for Computer Aided Surgery,
United States Patent #8560047, Issued
October 15, 2013, to Hani Haider, Ph.D., and
Osvaldo Andres Barrera, M.Sc., as inventors.
PRESENTATIONS, INTERNATIONAL AND
NATIONAL:
Garvin, K.: Visiting Professor: Orthopaedic
Surgery Residency Graduation. University of
Arkansas for Medical Sciences, Little Rock, AR,
June 20-21, 2014.
•Orthopaedic Research in Academics: Is there
a Formula for Success?
•What Advice Could an Alum Possibly
Provide?
Haider, H.: 15th EFORT Congress, London,
England, June 4, 2014.
•Femoral Component Coatings–A Solution
for Allergic Patients?
•(Moderator) Tribology of TKA Symposium.
Category: General Topics/Implants and
Biomaterials
Scherl, S.: American Academy of Pediatrics
Practical Pediatrics, Hilton Head Island, SC,
May 23-25, 2014.
•Orthopaedic Aspects of Child Abuse
•Common Lower Extremity Problems in
Children
•Musculoskeletal Disorders and Childhood
Obesity
•Pediatric Orthopaedic Jeopardy
Scherl, S.: 14th Annual AAOS/OTA
Orthopaedic Trauma Update, Orlando, CA,
May 3, 2014.
•Supracondylar Humerus Fractures: Can I Fix
These and Stay Out of Trouble?
•Pediatric Tibia Fractures
•Pediatric Case Presentation
Garvin, K.: Center for Hip and Knee Surgery
Symposium, Mooresville, IN, May 1-2, 2014.
•Highly Cross-linked Polyethylene
•Preventing Hospital Readmissions and
Limiting the Complications Associated with
THA
•Freehand Navigation in Total Knee
Arthroplasty
•Prosthetic Joint Infection
Esposito, P.: Mid-term Results of
Percutaneous Osteotomies and FassierDuval Nailing in Children with Osteogenesis
Imperfecta. 2014 Pediatric Orthopaedic
Society of North America Annual Meeting,
Hollywood, CA, April 30-May 3, 2014.
Ho, C.; Dammann, G.; Levy, J.; and
Podeszwa, D.: (Podium presentation) Tibial
Shaft Fractures in Adolescents: Analysis
of Cast Treatment Successes and Failures.
2014 Pediatric Orthopaedic Society of North
America Annual Meeting, Hollywood, CA,
April 30-May 3, 2014.
Mormino, M.: ICL 1: The Isolated Humerus:
Not All Belong in the Sarmiento. 2014 MidAmerica Orthopaedic Association Annual
Meeting, San Antonio, TX, April 23-27, 2014.
Hartman, C.; Hedgecock, J.; Konigsberg,
B.; Martell, J.; and Garvin, K.: (Presentation)
Wear Analysis of Three Different Bearing
Combinations in THA. 2014 Mid-America
Orthopaedic Association Annual Meeting,
San Antonio, TX, April 23-27, 2014.
Hartman, C.; Hewlett, A.; Antoniak, D.; Alter,
R.; Konigsberg, B.; Fey, P.; and Garvin, K.:
Sonication for the Enhanced Diagnosis of
Prosthetic Joint Infection. 2014 Mid-America
Orthopaedic Association Annual Meeting,
San Antonio, TX, April 23-27, 2014.
Hartman, C.; Kraus, E.; Konigsberg, B.;
and Garvin, K.: (Poster) An Analysis of
the Accuracy of Radiographic Reference
Markers for Digital Templating in Total Hip
Arthroplasty. 2014 Mid-America Orthopaedic
Association Annual Meeting, San Antonio, TX,
April 23-27, 2014.
Miller, R.; Hartman, C.; Konigsberg, B.;
and Garvin, K.: Are the Results of Two-Stage
Reimplantation of a Prosthetic Joint Durable
over the Patient’s Lifetime? 2014 Mid-America
Orthopaedic Association Annual Meeting,
San Antonio, TX, April 23-27, 2014.
Sykes, J.; Haider, H.; Sperling, J.; and
Throckmorton, T.: Wear Characteristics of
Vitamin E-Infused Polyethylene in a Reverse
Shoulder Arthroplasty. 2014 Mid-America
Orthopaedic Association Annual Meeting,
San Antonio, TX, April 23-27, 2014.
Scherl, S.: Module Leader: Pediatrics Module,
Orthopaedic Trauma Association Residents
Comprehensive Fracture Course 2.0,
Lombard, IL, April 16-19, 2014.
Esposito, E.: 14th Osteogenesis Imperfecta
Foundation Scientific Meeting: New
Treatments in Osteogenesis Imperfecta,
Chicago, IL, April 9-11, 2014.
•(Presenter) Upper Extremity Surgical
Treatment in Children with Osteogenesis
Imperfecta
•(Moderator) Session 5: Surgical Treatments
Axial Skeleton
Weisenburger, J.; Haider, H.; and Garvin,
K.: (Poster presentation) Friction Factors of
Various Metal-on-Plastic Hip Replacement
Designs with Intentionally Scratched Femoral
Heads Captured during Testing on a Multistation Hip Simulator. 2014 Orthopaedic
Research Society Annual Meeting, New
Orleans, LA, March 11-18, 2014.
Haider, H.: (Moderator) Session Number
035: Hip Arthroplasty. 2014 Orthopaedic
Research Society Annual Meeting, New
Orleans, LA, March 11-18, 2014.
Scherl, S.: 2014 American Academy of
Orthopaedic Surgeons Annual Meeting, New
Orleans, LA, March 11-15, 2014.
•ICL 153: Challenges in the Management
of Fractures in Adolescents: A Case Based
Approach (moderator)
•ICL 307: Problems and Procedures in
Pediatric Trauma: Case Based Learning
(presenter)
Cornett, C.: ICL 169: Pathophysiology of
Cervical Spondylotic Myelopathy (presenter).
2014 American Academy of Orthopaedic
Surgeons Annual Meeting, New Orleans, LA,
March 11-15, 2014.
Garvin, K.: 2014 American Academy of
Orthopaedic Surgeons Annual Meeting, New
Orleans, LA, March 11-15, 2014.
•Complex Cases, ICL 334: Complex Primary
Total Hip Arthroplasty: A Case-Based
Approach (presenter)
•(Presenter) Prevention and Management
of Infection and Wound Complications, ICL
441: Preventing Hospital Readmissions and
Limiting the Complications Associated with
Total Hip Arthroplasty (moderator)
•(Presenter) The Anteversion is not What I
Expected, AAOS Symposium: How Do I Get
Out of this Jam? Dealing with Intraoperative
and Early Postoperative Challenges in
Primary THA
•(Presenter) Optimizing Wound Management
to Prevent and Treat Infection, Symposium III,
Hip Society Specialty Day
•(Presenter) Extensile Posterior Approach for
All Revisions. AAOS Symposium: Hot Topics
and Controversies in Revision Total Hip
Arthroplasty
•(Presenter) Conventional Instruments: The
Gold Standard, Symposium IV, Knee Society
Specialty Day
•(Moderator) Hip Society Scientific Awards,
Hip Society Specialty Day
•(Moderator) Session title: “Adult Reconstruction
Hip III: Complications”
Hartman, C.; Hewlett, A.; Antoniak, D.;
Konigsberg, B.; and Garvin, K.: Podium
Presentation (Paper 489): Sonication for
the Enhanced Diagnosis of Prosthetic Joint
Infection. 2014 American Academy of
Orthopaedic Surgeons Annual Meeting, New
Orleans, LA, March 11-15, 2014.
Cabezas, A.; Gutierrez, S.; Teusink, M.;
Santoni, B.; Schwartz, D.; and Frankle, M.:
Poster Presentation: Quantification of Existing
Glenohumeral Relationships in Patients
Undergoing Reverse Shoulder Arthroplasty.
2014 American Academy of Orthopaedic
Surgeons Annual Meeting, New Orleans, LA,
March 11-15, 2014.
Schwartz, D.; Cottrell, B.; Teusink, M.;
Clark, R.; Downes, K.; and Frankle, M.:
Podium Presentation: Factors That Predict
Postoperative Motion in Patients Treated
with Reverse Shoulder Arthroplasty. 2014
American Academy of Orthopaedic Surgeons
Annual Meeting, New Orleans, LA, March
11-15, 2014.
Simon, P.; Virani, N.; Diaz, M.; Teusink,
M.; Santoni, B.; and Frankle, M.: Podium
Presentation: The Relationship Between the
Subchondral Bone Density Distribution and
Glenoid Depth: An In-Vivo Pilot Study of Male
Total Shoulder Arthroplasty Subjects. 2014
American Academy of Orthopaedic Surgeons
Annual Meeting, New Orleans, LA, March
11-15, 2014.
Teusink, M.; Cottrell, B.; Otto, R.; and Frankle,
M.: Poster presentation: What is the Effect of
Postoperative Scapula Fractures on Outcomes
Following Reverse Shoulder Arthroplasty?
2014 American Academy of Orthopaedic
Surgeons Annual Meeting, New Orleans, LA,
March 11-15, 2014.
Teusink, M.; Pappou, I.; and Schwartz, D.:
Podium Presentation: Results of Closed
Management of Acute Dislocation Following
Reverse Shoulder Arthroplasty. 2014
American Academy of Orthopaedic Surgeons
Annual Meeting, New Orleans, LA, March
11-15, 2014.
Throckmorton, T.; Sperling, J.; and Haider, H.:
Poster presentation: Wear Characteristics of
Vitamin E-infused Polyethylene in a Reverse
Shoulder Arthroplasty. American Academy of
Orthopaedic Surgeons Annual Meeting, New
Orleans, LA, March 11-15, 2014.
PRESENTATIONS, REGIONAL AND LOCAL:
Scherl, S.: Course Faculty: Illustrative
Case Studies in Pediatric Trauma. 8th
Annual Trauma Conference: Treatment and
Rehabilitation of the Pediatric Patient. Embassy
Suites, LaVista, NE, Sponsored by Children’s
Hospital & Medical Center & The Alexis Verzal
Children’s Rehabilitation Hospital at Madonna,
June 6, 2014.
Scherl, S.: Common Orthopaedic Injuries
and How to Best Manage Them in the Field
During Transport. Omaha Fire Department
Paramedics, Omaha, NE, May 8, 2014.
Esposito, P.: Evaluation, Treatment and
Gentle Care of Children with Osteogenesis
Imperfecta and Other Brittle Bone Diseases.
Association of Perioperative Nurses, Lincoln,
NE, March 26, 2014.
BREAKING NEWS | 14
Continuing education and Grand Rounds
The following continuing education seminars and Grand Rounds presentations
by department faculty, current residents and guest speakers are open to any
interested participants. Please call the department at (402) 559-4533 to check on
possible updates to this schedule. Orthopaedic Grand Rounds are held Mondays
at 6:30 a.m. in Room 1005 of the Sorrell Center.
4
“Revision ACL Reconstruction” (Greg Dammann, M.D., HO V)
11
“Elbow Arthroscopy” (Todd Gaddie, M.D., HO V)
18
“Pilon Fractures” (Lori Reed, M.D.)
25
“TBD” (Brent Hood, M.D., HO V)
SEPTEMBER 2014
1
No Grand Rounds – Holiday
8
“TBD” (Mark Dietrich, M.D.)
15
“TBD” (Justin Siebler, M.D.)
22
“TBD” (Andrew Taiber, M.D., HO V)
29
“MRI of the Ankle” (Kimberly Apker, M.D., Department of Radiology,
UNMC)
OCTOBER 2014
6
“Morbidity and Mortality Summer Quarter”
13
“The Cavovarus Food” (Kaitlin Neary, M.D., HO IV)
20
No Grand Rounds
27
“Central Cord Syndrome” (Scott Vincent, M.D., HO IV)
Employee Awards
AUGUST 2014
LORI DAWSON, C.M.A.
10 YEARS OF SERVICE
UNMC PHYSICIANS
MAY 2014
DAVID STAIERT, M.B.A.
ADMINISTRATIVE DIRECTOR
25 YEARS OF SERVICE
UNMC
NOVEMBER 2014
BREAKING NEWS | SUMMER 2014
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IN THIS
ISSUE
Department of Orthopaedic Surgery and Rehabilitation
ENTERPRISE, ORTHOPAEDICS JOIN AMERICAN JOINT REPLACEMENT REGISTRY.....PAGE 1
Department is the first in Nebraska to contribute data to the registry, with the goal of
tracking implant performance trends more quickly, thus enhancing patient safety.
DR. JUSTIN SIEBLER, TRAUMA SURGEON, JOINS DEPARTMENT FACULTY...............PAGE 4
Dr. Justin Siebler is a vital addition to our trauma team and played an integral role in the
department’s recent transition to providing 24/7 trauma coverage.
THE PERRY INITATIVE COMES TO OMAHA FOR THE FIRST TIME NOVEMBER 15......PAGE 7
Dr. Lori Reed is organizing the Perry Initiative’s first outreach program to come to Omaha; a
non-profit that aims to inspire young women to pursue careers in orthopaedics and engineering.
BREAKING NEWS | SUMMER 2014
Revision Shoulder Replacement Surgery with Reverse Shoulder Replacement and Bone Grafting
Matthew Teusink, M.D., Assistant Professor
Shoulder and Elbow Surgery, Department of Orthopaedic Surgery and Rehabilitation
BACKGROUND
Shoulder arthritis is a disabling
condition in which the cartilage on
the end of the humerus (ball) and the
glenoid (socket) wears out. This leads
to pain and restricted range of motion
in patients who are affected.
Shoulder replacement surgery for
arthritis was first described by Dr.
Charles Neer in 1974.1 Dr. Neer
described surgical replacement of
the humeral head with a metallic
prosthesis inserted into the humerus.
Although patients had improved pain
and function following this procedure,
many patients continued to have
pain secondary to the progression
of arthritic changes on the glenoid
(socket).
As a result, total shoulder arthroplasty
was developed in order to diminish
pain from the glenoid. In addition
to replacing the humeral head, the
glenoid was also resurfaced with
a polyethylene implant, which was
typically fixed into the glenoid with
cement. As longer term studies
became available, it became apparent
that the major long-term problem
with total shoulder arthroplasty was
wear and loosening of the glenoid
component. As a result, many
surgeons reserved resurfacing of the
glenoid for older, less active patients.
Although many patients have excellent
long-term results with humeral head
replacement for shoulder osteoarthritis
without the risk of glenoid component
loosening, glenoid erosion and rotator
cuff failure continue to be long-term
failure mechanisms. In patients
with isolated glenoid erosion and
pain, revision to a total shoulder
replacement with glenoid resurfacing
may be possible.
A more difficult problem is when the
rotator cuff also tears. The function
of the rotator cuff is to center and
stabilize the humeral head in the
glenoid to allow the deltoid to
efficiently elevate the arm. When the
rotator cuff fails, the humeral head
escapes from the glenoid due to the
pull of the deltoid until it contacts
the acromion above. This typically
results in poor function and pain in the
shoulder.
Historically, treatment options for
revision shoulder replacement for
rotator cuff failure were limited. In
2004, the FDA approved reverse
shoulder replacement for the
treatment of shoulder arthritis and
rotator cuff tears.
Reverse shoulder replacement
“reverses” the normal ball and socket
relationship of the shoulder. A metal
baseplate with screws is secured to the
socket. A metal ball is then attached
to the metal baseplate, turning the
socket into a ball. The humeral head
is then replaced with a metal stem
that has a socket on it. This reversed
configuration provides a more
constrained design, which improves
stability of the shoulder joint, allowing
the deltoid muscle to work efficiently
and elevate the arm. It also has the
advantage in the revision setting of
improved fixation to the glenoid with
Case Report
screws, compared to anatomic total
shoulder arthroplasty, which requires
adequate glenoid bone stock and
fixation with cement.
Studies have shown promising shortand mid-term results utilizing reverse
shoulder replacement for revision of
shoulder arthroplasty. Frankle showed,
at a minimum two-year follow-up,
improvement in forward elevation from
50° to 130° and 91% satisfaction.2
The following case is an example
of a long-term failure of a shoulder
hemiarthroplasty, secondary to
rotator cuff failure with severe glenoid
wear, treated with reverse shoulder
arthroplasty with glenoid bone
grafting.
CASE EXAMPLE
The patient is a 74-year-old right hand
dominant gentleman who underwent
a right shoulder hemiarthroplasty
in 1989 at the Mayo Clinic for right
shoulder osteoarthritis. He did note
that given his young age at the time
(49 years old), a hemiarthroplasty
was chosen over a total shoulder
arthroplasty. He did very well for many
years and was able to finish his work
career without any pain or dysfunction
of his shoulder.
He slipped on the ice and fell on his
right shoulder eight months prior
to presentation to my clinic. Since
that time he had noted increasing
right shoulder pain and very limited
function. He had difficulty with
activities of daily living due to his
shoulder pain and dysfunction. His
(continued on back)
DEPARTMENT OF ORTHOPAEDIC SURGERY & REHABILITATION | CASE REPORT | SUMMER 2014
exam revealed no swelling. He had
severely restricted range of motion
with 30° of forward elevation, 20° of
abduction, 20° of external rotation at
the side, and internal rotation to his
greater trochanter.
Radiographs of his right shoulder
revealed a hemiarthroplasty in place
with no evidence of loosening. The
humeral head was articulating with
the acromion consistent with rotator
cuff failure and there was also
significant glenoid wear. (Figure A,B)
Fig. A
Fig. B
Fig. C
Fig. D
Fig. E
Fig. F
Given his pain and limited
function in the setting of his failed
hemiarthroplasty secondary to
rotator cuff failure, he was therefore
indicated for revision to a reverse
shoulder arthroplasty with glenoid
bone grafting. (Figure C)
He did well postoperatively and was
discharged home. He remained in
a sling immobilizer for six weeks
postoperatively during which time he
was allowed to do small pendulum
exercises with his right shoulder
and elbow, wrist and hand range of
motion at the side. At six weeks his
sling was discontinued and he was
instructed to begin using his right
shoulder for activities of daily living
with no lifting more than two to three
pounds. He was also instructed on a
home stretching program. No formal
physical therapy was prescribed.
He has continued to do well at three
and six months postoperatively. He
has no pain in his shoulder and is
very pleased with his functional
outcome. He has forward elevation
of 140°, abduction of 120°, external
rotation at the side of 40°, and
internal rotation to L5. He is able
to do all of his usual daily activities
with minimal discomfort or difficulty.
(Figure D,E,F)
References:
1. Neer CS II. Replacement arthroplasty for glenohumeral osteoarthritis. JBJS Am
1974;56(1):1-13.
2. Walker M, Willis MP, Brooks JP, Pupello D, Mulieri PJ, Frankle MA. The use of the
reverse shoulder arthroplasty for treatment of failed total shoulder arthroplasty.
JSES 2012 Apr;21(4):514-22.
DEPARTMENT OF ORTHOPAEDIC SURGERY & REHABILITATION | CASE REPORTS | SUMMER 2014
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