“We are excited to be the first in Nebraska to contribute our data to the registry,”

- Dr. Kevin Garvin, ChairOrthopaedic Surgery

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

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.”

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.”

Orthopaedic Surgery and Rehabilitation

Breaking News for alumni and friends of the University of Nebraska Medical Center Department of Orthopaedic Surgery and Rehabilitation

BREAKING NEWS | SUMMER 2014

Enterprise, Orthopaedics join American Joint Replacement Registry

TRACKING IMPLANT PERFORMANCE TRENDS HELPS IDENTIFY PROBLEMS FASTER, ENHANCES PATIENT SAFETY

Dr. Kevin Garvin, ChairmanHip & Knee Replacement

Dr. Beau KonigsbergHip & Knee Replacement

Dr. Curtis HartmanHip & Knee Replacement

see AJRR pg 3

Message from the chair

BREAKING NEWS | 2

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

For additional printed copies, please contact: Dana Meyerdmeyer@unmc.edu402-559-4380

UNMC Department of Orthopaedic Surgery981080 Nebraska Medical Center Omaha, NE 68198-1080www.unmc.edu/orthosurgery

This publication is available online.

Kevin L. Garvin, M.D.L. Thomas Hood, M.D., ProfessorshipProfessor and ChairOrthopaedic Surgery and Rehabilitation

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 (mjohnson@nufoundation.org). Thank you for your support.

SAVE THE DATE! • OPERATION WALK USA 2014 • DECEMBER 2-7, 2014

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.

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!

Stepping it up: working harder and smarter.

BREAKING NEWS | SUMMER 2014

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.

Best Children’s Hospital in Orthopedics 2014-15

“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.

AJRR (continued from pg 1)

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 In addition to these rankings, U.S. News & World Report ranked The Nebraska Medical Center as the top hospital in the state.

U.S. News & World Report again ranks Med Center one of America’s Best Hospitals and the top hospital in Nebraska

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 specializesin 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).

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.

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 SOCKETFRAGILITY FRACTURES

BREAKING NEWS | 4

New faculty: Dr. Justin C. Siebler joins orthopaedic faculty

JUSTIN C. SIEBLER, M.D.

DR. JUSTIN SIEBLER HOLDS CLINIC AT THE DURHAM OUTPATIENT CENTER (4400 EMILE STREET, LEVEL 2). FOR APPOINTMENTS OR REFERRALS CALL: 402-559-8000.

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.

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 TRAUMA-RELATED ACCIDENTS THAN STROKE. HOWEVER, RESEARCH SHOWS THAT TREATMENT AT A LEVEL 1 TRAUMA CENTER REDUCES THE RISK OF DEATH BY 25%.

BREAKING NEWS | SUMMER 2014

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. Monty Mathews, M.D. Rusty McKune, ATCOrthopaedic Surgery/Sports Medicine Family Medicine/Sports Medicine Sports Medicine Program Coordinator

When: Wednesday mornings from 9 a.m. to noon Where: Oakview Medical Building

UNMC Physicians Family Medicine and Orthopaedics Clinic2727 S. 144th Street, Suite 140Omaha, NE

To make an appointment at our new Sports Medicine Clinic at the Oakview Medical Building, call 402-552-3522.

NEW Sports Medicine Clinic at Oakview Medical Building

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:

“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.”

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 CornettDr. Mark DietrichDr. Miguel DaccarettDr. Paul Esposito Dr. Kevin GarvinDr. M. Layne JensonDr. Curtis Hartman

Dr. Beau KonigsbergDr. Sean McGarryDr. Matthew MorminoDr. Lori ReedDr. Matthew TeusinkDr. Justin SieblerDr. Philipp Streubel

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.

BREAKING NEWS | 6

Faculty recognized by Castle Connolly as Top 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.

Five orthopaedic faculty voted America’s Best Doctors

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 distribu-tion of women versus men in the field of orthopaedic surgery,” said Dr. Reed. “If we can reach women at a young age, and

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.

Forty young women from local high schools will be selected to take part in the all-day program. They will perform surgical simulations to correct scoliosis deformity, fix a broken leg, and repair knee ligaments. Throughout the day, they will learn from prominent women surgeons, engineers and business women in the field 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 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.

The program quickly expanded from 15 students at one site in 2009 to 950 students annually at 24 sites nationwide in 2013. At its current rate of expansion, the organization expects to have reached 50 sites by 2020.

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.

Women constitute only 12% of the academic faculty

in orthopaedics and 7% of practicing orthopaedists.

-- American Academy of Orthopaedic Surgeons

BREAKING NEWS | SUMMER 2014

The Perry Initiative: Non-profit organization inspires young women to pursue careers in orthopaedics and engineeringTHE PERRY INITIATIVE COMES TO OMAHA FOR THE FIRST TIME, HOSTED BY UNMC ORTHOPAEDIC SURGERY DEPARTMENT

LORI REED, M.D.

FRIDAY, JUNE 27, 2014

SESSION I RESIDENT PRESENTATIONS “Mid-term Results of Percutaneous Osteotomies and Fassier-Duval Nailing in Children with Osteogenesis Imperfecta” Khalid Azzam, M.D.

“Contribution of Arginine Deiminase to Virulence in an in vivo Murine Biofilm Model” Kevin Lindgren, M.D.

“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 REGENERATIONCase Presentations Residents: Todd Gaddie, M.D.; Paul Hong, M.D.

“Developmental Trajectory-based Tissue Engineering of Cartilage” Andrew Dudley, Ph.D.

“Physiochemical Mechanisms of Cartilage Growth and Morphogenesis” Sarah Romereim, B.S., graduate student

SESSION IV GUEST SPEAKERS“Hip Preservation in the Adolescent and Young Adult” Daniel Sucato, M.D., M.S.

FRIDAY, JUNE 27, 2014 (continued)

SESSION IV GUEST SPEAKERSAndersen Lectureship: “International Experience as President of the International Federation of Newspaper Publishers” Mr. Harold Andersen

SATURDAY, JUNE 28, 2014

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.

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.

SESSION III VISITING PROFESSOR “Management of Complex Spinal Deformity” Daniel Sucato, M.D., M.S.

BREAKING NEWS | 8

CONGRATULATIONS TO THE 2014 GRADUATES

Class of 2014 honored during annual graduation celebrationThe 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:

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

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.

BREAKING NEWS | SUMMER 2014

10-YEAR ALUMNI: CLASS OF 2004Richard Davis, M.D.Fellowship: sports medicine, Lake Tahoe Sports Medicine, Lake Tahoe, CACurrent practice: Riverside Orthopaedic Clinic, Fruitland, IDFamily: wife, Emily; five children

Stephen Hansen, M.D.Fellowship: Indiana Spine Group; Indianapolis, INCurrent practice: Idaho Sports and Spine, Pocatello, IDFamily: wife, Tami; four children

Brian Hasley, M.D.Fellowship: pediatric orthopaedics; Texas Scottish Rite Hospital for Children, Dallas, TXCurrent practice: Children’s Hospital & Medical Center and Department of Orthopaedic Surgery and Rehabilitation, UNMC, Omaha, NEFamily: wife: Katie; two children

Lori Reed, M.D.Fellowship: foot and ankle/lower extremity trauma; Florida Orthopaedic Institute, Tampa, FLCurrent practice: Department of OrthopaedicSurgery and Rehabilitation, UNMC, Omaha, NE

20-YEAR ALUMNI: CLASS OF 1994Scott Beck, M.D.Fellowship: pediatric orthopaedics; Children’s Hospital, San Diego, CACurrent practice: Children’s Orthopaedic and Scoliosis Surgery Associates, LLP, St. Petersburg, FLFamily: wife, Kaylyn; three children

James Hill, M.D.Fellowship: shoulder and upper extremity; California Pacific Medical Center, San Francisco, CACurrent practice: Illinois Bone and Joint Institute, LLC, Arlington Heights, IL

Scott McMullen, M.D.Fellowship: foot and ankle; Mayo Clinic, Scottsdale, AZCurrent practice: GIKK Ortho Specialists, Omaha, NEFamily: wife, Melissa; three children

Robert Tait, M.D.Fellowship: adult reconstruction; Brigham and Women’s Hospital an affiliate of Harvard Medical School, Boston, MACurrent practice: Orthopaedic Institute of Henderson, Henderson, NV Family: wife Kimberly; four children

Theodore Yee, M.D.Fellowship: adult reconstruction; Hennepin County Medical Center, Minneapolis, MNCurrent practice: Kaiser Hospitals, Napa and Solano counties, Northern California, CAFamily: wife, Mary; two children

2014 ORTHOPAEDIC GRADUATION AWARDS

WHERE ARE THEY NOW: 10- AND 20-YEAR ALUMNI UPDATES

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.

BREAKING NEWS |10

Visiting speakers expand resident education

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”

31 Dr. Paul Paulman, Assistant Dean for Clinical Skills and Quality, UNMC “Role of Simulation in Medical Education and Surgical Training”

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. Nicholas Bruggeman, Nebraska Orthopaedic Associates, LLP, Omaha, NE “CMC Arthroplasty”

21 Dr. Todd Milbrandt, University of Kentucky Health Center-Orthopaedics, Lexington, KY “Translational Research in Pediatric Orthopaedics”

MAY 2014 16 Dr. James Devney, Spine & Musculoskeletal Medicine, Omaha, NE “Non-surgical Treatment Modalities for Musculoskeletal Pain (injections, nerve blocks, etc.)”

JUNE 201416 ASEAN Traveling Fellows Presentations

Dr. Chia-Liang Ang: “Minimally Invasive Compared with Open Lumbar Laminotomy: No Functional Benefits at 60 or 24 Months after Surgery”

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. Azura Mansor: “Primary Bone Lymphoma: A Case Series Study”

18 Dr. Peter Smith, Chicago Shriner’s Hospital and Rush Medical College, Chicago, IL “Clubfoot”

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”

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.

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 | SUMMER 2014

ERIK C. BOWMAN, M.D.Hometown: Memphis, TN

Education: •Medical School: University of Tennessee Health Science Center •Undergraduate: University of Tennessee

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.

Meet our new residents: Class of 2019

TODD M. GILBERT, M.D.Hometown: Ogden, UT

Education: •Medical School: Virginia Commonwealth University School of Medicine•Undergraduate: Weber State University

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

Education:•Medical School: University of North Dakota•Undergraduate: University of Minnesota Duluth

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.

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.

RYAN E. MILLER, M.D.Hometown: Fullerton, CA

Education: •Medical School: Creighton University•Undergraduate: University of California, Irvine

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 am married with a one-year-old son.2. I love to barbecue.3. I can ride a unicycle.

BREAKING NEWS | 12

Publications, presentations and honors

Department faculty members present many lectures, seminars, and courses at both local and regional, as well as national and inter-national 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.

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.

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 Irradiation-induced 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: 117-134, March 2014.

Esposito, P.; Caskey, P.; Heaton, L.; and Otsuka, N.: Childhood Obesity Case Statement. Orthopaedic Nursing, 33(1): 8-13, February 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.

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.

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 AmericaHasley, B.: 2007-2014Mormino, M.: 2005-2014Scherl, S.: 2003-2005; 2007-2014Esposito, P.:1998-2014Garvin, 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.

Translator, Journal of Arthroplasty, 2008–present.

Review Panel Member, Orthopedics, 2013- present.

Dietrich, M.:American Orthopaedic Society for Sports Medicine Council of Delegates, August 1, 2012–July 31, 2015.

Sideline Physician for area high school teams, 2012-present.

Surgical Services Executive Committee Member, The Nebraska Medical Center, Omaha, NE, 2011-present.

Esposito, P.:Board of Directors, Physician Director, Children’s Specialty Physicians, February 2012-2015.

Osteogenesis Imperfecta Foundation•Medical Advisory Council, July 2011-2014•Scientific Meeting Committee, 2010-present

One World Health Center•Executive Committee, March 2013-March 2014•Board of Directors, March 2008-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, 2008- 2014 *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.

Consultant Reviewer, PEDIATRICS, 2005-present.

Garvin, K.: The Hip Society•Treasurer, March 2014-March 2015 •Chair, Education Committee, March 2013- March 2014 Chair, Research Committee, The Knee Society, March 2012-March 2015.

Member, Adult Reconstruction Hip Program Subcommittee, American Academy of Orthopaedic Surgeons, February 2012-March 2016.

Member, Board of Directors (2nd term), Omaha Sports Commission, January 2011-December 2014.

American Orthopaedic Association•Member, Membership Committee, June 2010-June 2014•Chair, Membership Committee, March 2014-March 2015•Member, Executive Committee, March 2014-March 2015

UNMC Physicians •Finance Committee, 2012-present •Executive Board, 2000-present

Member, Board of Trustees, University of South Dakota Foundation, 2006-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.

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 | SUMMER 2014

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 Pharma- ceutical 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 2009- present

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.

Mormino, M:Treasurer, Mid-America Orthopaedic Association, 2014-2015.

Consultant Reviewer, Journal of Orthopaedic Trauma, February 2014-present.

Member, Education Committee, Orthopaedic Trauma Association, 2012-2015.

AO North America•Fellowship Advisory Board, 2011-present•Faculty, 1997-present

Consultant Reviewer, Journal of Surgical Education, 2010-present.

Consultant Reviewer, Journal of the American Academy of Orthopaedic Surgeons,1999-present.

Reed, L.:Member, Public Relations Committee, Orthopaedic Trauma Association, 2009-present.

Scherl, S.: American Orthopaedic Association•Member, Traveling Fellowship Committee, June 2012-present•Chair, ASEAN Traveling Fellowship Subcommittee, June 2011-present

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.

Journal Reviewer, Journal of Shoulder and Elbow Surgery, 2014-present.

Journal Reviewer, Orthopaedics, 2013-present.

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.

Haider, H.: Work Order #1, TRAK Surgical, Inc. March 6, 2014-June 6, 2014, Principal Investigator.

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.

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.

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.

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 | 14

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 2010- present.

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 Fassier-Duval 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 Mid-America 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 Multi-station 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.

Publications (continued)

BREAKING NEWS | SUMMER 2014

LORI DAWSON, C.M.A.

10 YEARS OF SERVICE

UNMC PHYSICIANSMAY 2014

DAVID STAIERT, M.B.A.ADMINISTRATIVE DIRECTOR

25 YEARS OF SERVICE

UNMCNOVEMBER 2014

Empl

oyee

Aw

ards

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.

AUGUST 2014

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)

BREAKING NEWS | SUMMER 2014

981080 Nebraska Medical Center Omaha, NE 68198-1080

ADDRESS SERVICE REQUESTED

ORTHOPAEDIC SURGERY

Visit us online at www.unmc.edu/orthosurgery

IN THIS ISSUE

ENTERPRISE, ORTHOPAEDICS JOIN AMERICAN JOINT REPLACEMENT REGISTRY 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 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 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.

NonprofitOrganizationU.S. Postage

PAIDPermit No. 454

Omaha, NE

Breaking Newsfor alumni and friends of the University of Nebraska Medical Center Department of Orthopaedic Surgery and Rehabilitation

Help us GO GREEN! To receive Breaking News

electronically, simply e-mail dmeyer@unmc.edu.

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DEPARTMENT OF ORTHOPAEDIC SURGERY & REHABILITATION | CASE REPORT | SUMMER 2014

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

screws, compared to anatomic total shoulder arthroplasty, which requires adequate glenoid bone stock and fixation with cement.

Studies have shown promising short- and 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

Matthew Teusink, M.D., Assistant ProfessorShoulder and Elbow Surgery, Department of Orthopaedic Surgery and Rehabilitation Case Report

(continued on back)

Revision Shoulder Replacement Surgery with Reverse Shoulder Replacement and Bone Grafting

DEPARTMENT OF ORTHOPAEDIC SURGERY & REHABILITATION | CASE REPORTS | 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)

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)

Fig. D

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.

Fig. BFig. A

Fig. C

Fig. FFig. E