Orthopaedics News

Beyond the playing field, Past experience as a UT football player prepares Matthew Murray, M.D., to help injured athletes get back on the field.
Past experience as a UT football player prepares Matthew Murray, M.D., to help injured athletes get back on the field.
Matthew Murray’s tear of his anterior cruciate ligament or ACL at age 16 was the start of his medical career.
 
“I didn’t even know what an ACL was, but I was fascinated by the anatomy,” said Dr. Murray, an orthopaedic surgeon with UT Medicine San Antonio, the clinical practice of the School of Medicine at The University of Texas Health Science Center at San Antonio.

Click here to read the full article on the UTHSCSA Stories web page.

Teri Hill, C-TAGME, assumed the role of President, National Board for Certification, Training Administrators of Graduate Medical Education (TAGME).

Teri Hill, C-TAGME, assumed the role of President, National Board for Certification, Training Administrators of Graduate Medical Education (TAGME). 

On August 5, 2014, Theresa (Teri) M. Hill, C-TAGME, assumed the role of President, National Board for Certification, Training Administrators of Graduate Medical Education (TAGME). Through certification TAGME establishes national educational standards, acknowledges management expertise and recognizes the competences of administrators of training programs and sponsoring institutions. Currently, this organization offers certification to 28 specialties and subspecialties, and two GME professionals groups (allopathic and osteopathic). In 2005, Teri started as a member of the TAGME Orthopaedic Surgery Taskforce that developed certification tools for coordinators of Orthopaedic Surgery Programs and became one of the first orthopaedic surgery program coordinators to become TAGME certified. In September 2009, while working in the Graduate Medical Education (GME) Office, she was asked to chair the ACGME Professionals in Central GME Offices taskforce. She led a team of 11 coordinators and administrators across the nation in developing the tools for this group. In 2012, she became TAGME certified with special qualifications in ACGME Professionals in Central GME Offices. She continued in her role as ACGME GME Professionals Specialty Review Board Chair (formerly a task force) until she was nominated and elected as Vice President of TAGME in August 2013. As more specialties and subspecialties seek TAGME certification and the ACGME expands to international programs, she will lead TAGME as the organization begins to explore certification changes and the possibilities of certification for non-ACGME accredited programs such as Dental and Podiatry.

Dr. John Toohey, M.D. one of four medical faculty members achieving medical quality certifcation

Dr. John Toohey, M.D.

SAN ANTONIO (June 24, 2014) — Four physicians of UT Medicine San Antonio have earned the designation of Certified in Medical Quality (CMQ) from the American Board of Medical Quality and the American College of Medical Quality.

 

Dr. Toohey, associate professor of orthopaedics, is assistant dean of graduate medical education and associate residency program director for orthopaedic surgery in the School of Medicine.

Click here to see the full article on the HSCNews web site

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Drs. Somerson and Rowley awarded at Surgery Resident Paper Competition

Congratulations to the 2014 winners of the Resident Paper Competition at the 40th Annual Meeting of the J. Bradley Aust Surgical Society!

Dr. Jeremy Somerson, M.D.Dr. David Rowley, M.D.

Basic Science - 2nd place – Jeremy Somerson, MD (Orthoapedic Surgery Resident)

Lack of Diversity in Orthopaedic Trials Conducted in the United States 

Clinical -  3rd Place: David Rowley (Orthopaedic Surgery Resident)

Electromagnetic Navigation Reduces Surgical Time and Radiation Exposure for Proximal Interlocking in Retrograde Femoral Nailing 

 

Click here to view the announcement on the J. Bradley Aust Surgical Society web page

Teri Hill, C-TAGME interviewed by HCPro's Residency Program Alert

Teri Hill, Resident Program ManagerTeri Hill, Manager of Academic Programs for the Orthopaedics Department was interviewed by Residency Program Alert, a newsletter for Residency program managers.

So what does earning those extra letters (C-TAGME) do for a coordinator? At most institutions, TAGME certification doesn’t guarantee a higher salary, Sauve says. (Only 1% of our 2014 salary survey respondents cited a change in credentials, including obtaining TAGME certification, as the reason they received a pay increase last year.) However, the certification may hold indirect benefits for co-ordinators.  Teri Hill, C-TAGME, believes the knowledge she’s gained through obtaining her certification has helped her to obtain positions with increased responsibility over the years, which has ultimately led to salary increases.
Hill, who is currently the vice president of TAGME and the manager of academic programs in the Department of Orthopaedics at the University of Texas Health Science Center, San Antonio, says obtaining TAGME certification has helped her to navigate career changes. She’s jumped from managing a residency program to working in the GME office. Currently, she is managing both residency as well as fellowship programs.  Hill and Sauve say more departments and institutions are recognizing the importance of the coordinator’s role and are supporting professional development for coordinators. Becoming TAGME-certified gives coordinators an opportunity to demonstrate their expertise.  “They’re more supportive of coordinators getting certification,and then they can say they have experts in the department,” Sauve says. “I know my program director really enjoys that.”
 

The article can be found at the HCPro website:  (This will open a new browser window.)

Orthpaedic Residents attended the Chief Resident Immersion Training in Geriatrics

Dr. Gupreet Sing, M.D.Dr. Danilo Volpini, M.D.

Drs. Gupreet Singh, M.D. (left) and Danilo Volpini, M.D. (right) attended the Chief Residents Immersion Training (CRIT) in the Care of Older Adults May 23-25, 2014.  They  will be working on a Quality Improvement project as a part of this training.  Dr. Singh was awarded an iPad at the event.

 

 

 

Aims of CRIT:

  • To foster collaboration among disciplines in the management of complex older patients
  • To incorporate geriatrics principles into teaching and administrative roles as Chief Residents
  • To develop leadership/teaching skills around the care of complex older patients.
  • To enhance leadership/teaching skills required in the Chief Resident role.
  • To develop an achievable project related to education or patient care in Geriatrics, to be implemented during the Chief Residency year.

The retreat program included an unfolding interactive case divided into three modules, following a geriatric patient from presentation in clinic to the emergency department to hospital discharge.
Each module included evidence-based mini-lectures on topics in Geriatrics, small group interactive exercises, and seminars designed to enhance teaching and leadership skills.
Each Chief Resident also attended two consultation sessions to develop an action plan for a project.

Dr. Kaye Wilkins, M.D. honored by Paediatric Orthopaedic Society of India

Dr. Kaye Wilkins, M.D. honored by Pediatric Orthopaedic Society of India.

 

Click here to see the article from the POSINews Newsletter web page  (This will open a new browser window.)

Dr. Fajardo & colleagues at Harvard publish review article in JBMR
Dr. Roberto Fajardo

Dr. Fajardo and colleagues at Harvard Medical School published a review article in the Journal of Bone and Mineral Research highlighting the need to develop new mouse/rat models of type 2 diabetes (T2D) for studies of diabetic skeletal fragility. Slowly, biomedical researchers have begun to understand that T2D also leads to increased fracture risk in adults. This is an important area for new research because over 20 million adults in the United States have T2D. This issue is particularly relevant for San Antonio and its Hispanic population since the prevalence of T2D is high. 

This review, the first of its kind, critically reviews the literature and indicates that while animal models replicate many of the skeletal effects of T2D in humans, none do so adequately at this time. Moreover, the work highlights many knowledge gaps about the underlying causes of fractures in human T2D.

The article can be found at the JBMR website:  (This will open a new browser window.)

The article has been selected as an Editor’s Choice publication for the month of May.

Dr. Amanda Marshall, M.D. selected as Award of Excellence winner in Rising Start Category

Award of Excellence — Rising Star Dr. Amanda Marshall Assistant professor, total joint arthoplasty University of Texas Health Science Center at San Antonio Marshall also is an Award of Excellence winner in the Rising Star category. She is the Texas lead for Women Orthopaedist Global Outreach, an international organization that empowers, educates and engages women in developing countries around the world.

Click here to see the article on the BizJournal web page  (This will open a new browser window.)

Dr. John Toohey, M.D. gives 2 talks at Group on Resident Affairs Leadership Development Course

Dr. John Toohey, M.D. spoke at the GRA Leadership Development Course in Phoenix, AZ on May 3-4, 2014.

Dr. Toohey, Dr. Jennifer Peel, Dr. Lois Bready, Dr. Phil Luber, and Dr. Yolanda Gomez

Pictured are Dr. Toohey, Dr. Jennifer Peel, Dr. Lois Bready, Dr. Phil Luber, and Dr. Yolanda Gomez.

 

 

Dr. Jeremy Somerson, MD selected as 2014-2015 Administrative Chief Resident

Dr. Jeremy Somerson, M.D.

On behalf of the Dr. Robert Quinn, John Toohey, and the residency program, we are pleased to announce the Administrative Chief Resident for academic year 2014-2015 – Jeremy Somerson, MD.   Congratulations to Dr. Somerson on his appointment as the Administrative Chief Resident in the Department of Orthopaedics.  We look forward to working with him in the upcoming year.

Teri Hill, C-TAGME

Manager, Academic Programs

Department of Orthopaedics

Orthopaedic Residents participated in Passport 2014

 Passport 2014 Cover Page 

 Orthopaedic Residents participated in Passport 2014 , where students, residents and fellows via posters show a journey through Research, Quality Improvement and Patient Safety.

Jason Thompson, Richard Edeen, John Toohey; A Critical Improvement in Synovial Fluid Analyses Utilizing the PDSA Cycle, a Quality Improvement Model (Quality Improvement/Patient Safety, MD Student)

David Cordell, Florence Wall, Karla Hudon, John Toohey: Better Use of Current Technologies to Improve the Process of Initial Assessment of Intubated Trauma Patients: A Project in Quality Impromvement. (Quality Improvement/Patient Safety, Resident)

Chad Kennedy, Ravi Karia, Dawn Belscamper: Reduced Ortho-Trauma Clinic Average Visit Length (Quality Improvement/Patient Safety, Resident)

Todd Pitts, John Toohey, Gregg Bean, Mary Lou Few, Claudia Thames: Optimizing Our Academic Medical Practice's Orthopaedic/Radiology Workflow: A Resident's Involvement in Clinical Quality Improvement (Quality Improvement/Patient Safety, Resident)

Texas Orthopaedic Association 2014 Annual Meeting Held in San Antonio April 12-14, 2014

 

2014 TOA Syllabus Cover

 

TOA President and UT Heath Science Center doctor, Patrick Palmer, M.D. welcomed visitors from across Texas to the Alamo City at the Westin Riverwalk April 10-12, 2014.  The program committee included Dr. Patrick Palmer, M.D. as President and Dr. Matthew C. Morrrey, M.D. as a CME Co-Chair.

Dr. Charles A. Rockwood, Jr., M.D. shared his valuable experience discussing "What Is the Best Treatment for Fractures of Proximal Humerus in Older Patients?"

Dr. Fred G. Corley, M.D. shared insights along with others at a Symposium: Shoulder Overuse to Old Age"

Dr. Jeremy Somerson, M.D. presented a paper on the "Meniscal Allograp Interposition versus 'Ream and Run' hemiarthroplsty for glenohmeral arthritis in the young patient."

Dr. Kevin Crhsitensen, M.D. presented a paper on the "Evaluation and classfication of spontaneous shoulder sepsis."

Dr. Robert Girling, M.D. presented a paper on "Development, Implementation and Preliminary Study Results of Randomized Control Trial of an iPad Based Decision Aid for Shoulder Arthritis."

Our residents competed in the 12th Annual Resident Quiz Bowl.  Let's just say they did not finish in last place.

Sponsors for the meeting included the Texas Orthopaedic Foundation and the Texas Society of Sports Medicine.

 

Click here to view the TOA/TOF/TSSM 2014 Annual Meeting Syllabus

Orthopaedic doctors publish paper on Lack of Diversity in Orthopaedic Trials

Earlier this week, Dr. Boriz Zelle, M.D. was notified that a collaborative project (Jeremy S. Somerson, MD, Mohit Bhandari, MD, PhD, FRCS, Clayton T. Vaughan, MD, Christopher S. Smith, MSc, and Boris A. Zelle, MD) published a paper on the Lack of Diversity in Orthopaedic Trials Conducted in the United States.

Dr. Boris Zelle, M.D.

      Dr. Zelle, M.D.

Dr. Jeremy Somerson, M.D.

Dr. Jeremy Somerson

Click here to view the entire publication

Dr. Boris Zelle, M.D. invited to be Associate Editor of Journal of Orthopaedic Trauma

Dr. Boris Zelle, M.D.The Journal of Orthopaedic Trauma has invited Dr. Boris Zelle, M.D.  to participate in the editorial review process for the Journal of Orthopaedic Trauma as an Associate Editor. The Board of Associate Editors consists of individuals who review manuscripts within their areas of expertise and are appointed to a four-year term by the Editor.  Dr. Zelle has reviewed a number of papers for the Journal of Orthopaedic Trauma and has provided excellent critiques that have helped the Deputy Editors as well as the Editor in Chief to make final decisions for manuscript submissions.

Dr. Travis Murray, M.D. interacts with High School Students on National Doctors' Day 2014

To commemorate National Doctors’ Day, doctors from the School of Medicine of the UT Health Science Center San Antonio fanned out across the city and as far away as Laredo to tell schoolchildren their personal stories of how they were drawn to the profession and to talk about what it takes to become a doctor. Nearly 3,000 students heard from more than two-dozen Health Science Center doctors.  Dr. Travis Murray, M.D. took time from his busy schedule to visit San Antonio Christian High School.

Teacher Deborah Baker let Dr. Murray know in a follow-up email that "whether they were interested in pursuing a career in medicine or not, your presentation was effective on many levels. Some saw your ability to connect with people the best advertisement for pursuing a career in medicine (or just trusting in doctors).  Others found the history of orthopaedics fascinating. Others saw you as a role model for service as they pursue the medical profession. You really did make an impression. Even today, two days later, I overheard some students talking about your presentation!"

Dr. Kaye E. Wilkins, M.D. Honored for Lifetime Achievement in Global Education

Dr. Kaye E. Wilkins, M.D. Honored for Lifetime Achievement in Global Education

Dr. Kaye Wilkins honored at AAOS 2014Throughout his life, Kaye E. Wilkins, MD, has sought to improve the lives of patients by teaching physicians in more than 20 countries around the globe. The AAOS International Committee recognized his efforts to educate orthopaedic surgeons around the world by presenting him with a Lifetime Achievement Award in Global Education during the International President’s Breakfast and World Opinion Forum on Wednesday.

From left: William B. Stetson, MD; Kaye E. Wilkins, MD; and Joshua J. Jacobs, MD

The 2008 AAOS Humanitarian Award Winner was recognized for his efforts to educate orthopaedic surgeons in more than 20 countries, including Mexico, Peru, Haiti, and Iraq. William B. Stetson, MD, chair of the International Committee, presented the award, noting that Dr. Wilkins always aims “to leave skills, and not just scars,” whenever he is visits another country or clinic.

Dr. Amanda Marshall, M.D. chosen as a finalist in the San Antonio Business Journal's Health Care Heroes 2014 contest

Dr. Amanda Marshall, M.D.Dr. Amanda Marshall, M.D. has been chosen as a finalist in the San Antonio Business Journal's Health Care Heroes 2014 contest. The committee selected Dr. Marshall as a finalist in the Contemporary Category of Rising Star.

Finalists in the Contemporary Categories will be listed in the special publication on April 11, 2014, and the one winner among those finalists — in each Contemporary Category — will not be announced until the live event on May 7, 2014. Winners in the Contemporary Categories will have their profiles published online after the live announcement.

The Rising Star Award is given to a health care professional of any kind under the age of 40 who is making great strides and turning heads in the field. Physician, nurse, researcher, emergency technician, trauma care, physical therapist, etc.

Physical Therapy Team provided support for the Alamo Run Fest Half Marathon

Physical Therapy Team provided support for the Alamo Run Fest Half Marathon.

Physical Therapists at Alamo Run Fest

From left to right:  Barry Morgan, Sherri Fossler , Stephen Cox

The PT team volunteered this weekend (March 2nd, 2014) for the Alamo Run Fest half marathon, 10K, and 5K.  Along with Dr. Navarro, they represented UTHSCSA as part of the medical volunteer team.  Congratulations to Chad Hodges, who actually ran in and completed the half marathon and huge thanks to the PT team for volunteering their time, energy, and expertise for this event!

Dr. Chris Larkins, M.D. demonstrates patient care achivement

 Dr. Chris Larkins, M.D.  The Orthopaedic Department at the UTHealth Science Center continues to demonstrate its commitment to quality patient care as evidenced by the achievements of Dr. Chris Larkins. Dr. Larkins is an orthopaedic surgery intern and who has already distinguished himself as a physician invested in the well-being of his patients. His essay, discussing efficient methods of communication among healthcare providers, was selected out of six essays submitted by his peers to the Orthopaedic department at the UTHealth Science Center. For his dedication to patient care he will be awarded $550 by the Orthopaedic department and his essay will be entered in the The Doctors Company Foundation Young Physicians Patient Safety Award competition for the opportunity to win $5,000 presented at the Association of American Medical College’s Integrating Quality meeting in Chicago on June 12-13, 2014.

Click here to view the entire publication

Orthopaedic oncologist brings complex spine surgery expertise

SAN ANTONIO (Jan. 14, 2014) — Before Zachary Child, M.D., arrived at the UT Health Science Center San Antonio last fall, a patient with a complex spinal tumor did not have local access to specialized surgical treatment.

Click here to read more.

Dr. Boris Zelle, M.D. listed as one of top CORR reviewers for 2013

Dr. Borris Zelle, M.D.

 

Dr. Boris Zelle, M.D. has been recognized by the CORR Board of Trustees as one of the top CORR reviewers for 2013. Reviewers on this list completed four or more reviews between September 2012 and August 2013, and had an average review score in the "excellent" range. This is a special group, which represents less than 3% of the reviewers in the pool. The combination of commitment and skill makes this a very important group, and their work is considered important both to orthopaedic research and to the CORR journal.

Click here to view the letter from the CORR Board of Trustees

 

Dr. Amanda Marshall helps Army veteran get his dearest wish.

Dr. Amanda Marshall, M.D.

 

Dr. Amanda Marshall granted the dearest wish of Army veteran Brad Davis: the chance to walk again without pain. Mr. Davis received knee replacement surgery free of charge through an organization called Operation Walk and Baptist Health System.

Click here to see the article on the KSAT web page  (This will open a new browser window.)

Orthopaedics Graduate published in Journal of Orthopaedic Trauma

Dr. Michael M. Hussey, M.D.UT Health Science Center Orthopaedics graduate Dr. Michael M. Hussey, M.D. was recently published in the Journal of Orthopaedic Trauma.

This study compared the neurovascular safety profiles for anterior and superior plating techniques in clavicular fractures. 

Dr. Anil Dutta, M.D.

 

Dr. Anil Dutta, M.D. was the mentor on the project.

 

 

Click here to read more online.  (This will open a new browser window.)

 

 

Dr. Fred Corley honored at Mississippi State as Alumni Fellow

Dr. Fred Corley, M.D.Each fall, several of Mississippi State University’s notable alumni are invited to return to campus and deemed Alumni Fellows. Established more than 20 years ago, the fellows program allows the university to recognize individuals who have distinguished themselves in their careers.

Through the years, this program has served as a means for enriching the MSU experience by exposing students to outstanding alumni who share extensive knowledge and real-world experience from their respective field. The MSU Alumni Association will welcome the 2013 class of Alumni Fellows on-campus Nov. 14-16. The group will be honored in conjunction with the MSU vs. Alabama football game.

Before the football game November 16th against Alabama, Dr. Fred Corley, was also recognized as the RJ Young Honorary Captain.

Click here to read more online.  (This will open a new browser window.)

 

Dr. Amanda Marshall highlighted in Baptist Health System video

Dr. Amanda Marshall, M.D.

 

At St. Luke's Baptist Hospital in San Antonio, orthopedic surgeons perform expert joint replacements. Dr. Amanda Marshall specializes in a minimally-invasive approach that avoids trauma to surrounding muscles and gets people back on their feet more quickly.

Click here to watch the YouTube video  (This will open a new browser window.)

Dr. Kaye Wilkins honored for 40 years of service to UT Health Science Center

Dr. Kaye Wilkins, D.V.M., M.D. was honored Tuesday for 40 years of service to the UT Health Science Center by President William Henrich and Orthpaedics Chairman Dr. Robert Quinn, M.D. at a cermony Tuesday, October 15th in the Parman Auditorium Foyer.

Dr. Wilkins received award for 40 years of service.

Orthopaedic doctors Receive Core Competency Innovation Grant

The following received $10,000.00 in the form of an OMeGA Grant from the American Orthopedic Association: Drs. Toohey, Somerson, Girling, Srinivasan, Cromack, and Eric Waetjen. The purpose is to undertake the following project "Microsurgery training with loupes versus operating microscope for orthopaedic surgery residents".

Orthopaedic Residents win 4th place in WOGO golf tournament

Orthopaedic Residents win 4th place in Women Orthopaedist Global Outreach (WOGO) golf tournament.

WOGO golf tourney residents win 4th place

From left to right:  Dr. Jason Gray, Dr. Evan Tavakoli, Dr. David Rowley, Dr. Nicholas Gerken

Dr. Amanda Marshall honored at Appreciation Event

Six physicians were honored for excellence and for humanitarian work, and another physician leader was honored for his leadership during the March 22 Physician Appreciation Event held at the Witte Museum. 

Amanda Marshall, M.D., received the Humanitarian Award for her work with Women Orthopaedist Global Outreach (WOGO).
One physician from each Baptist hospital was selected to receive the W.B. Russ M.D. Award. They were:

  • Terrance Fried, M.D., Baptist Medical Center
  • Jeffrey Glass, M.D., Mission Trail Baptist Hospital
  • Morton Kahlenberg, M.D., North Central Baptist Hospital
  • Joycelyn Theard, M.D., Northeast Baptist Hospital
  • Patrick Allen Hartsell, M.D., St. Luke's Baptist Hospital

Vernon Theis, M.D., was given a special award in recognition of his leadership as President of the Medical Executive Board. His two-year term ends this September. 
Click here to see additional photos of the event

More Health Science Center Orthopaedic Doctors added to Best Doctors List

SAN ANTONIO (Aug. 23, 2013) — Eighty faculty physicians from UT Medicine San Antonio were honored in the August edition of San Antonio Magazine as 2013 Best Doctors in San Antonio. UT Medicine is the clinical practice of the School of Medicine at The University of Texas Health Science Center at San Antonio.  Six of these faculty members are from the Department of Orthopaedics.

 

“Patient-centric care is our practice’s focus, and we are proud to see so many of our UT Medicine physicians honored on this list, alongside distinguished community colleagues,” said Carlos A. Rosende, M.D., executive director of UT Medicine San Antonio and vice dean for clinical affairs in the School of Medicine. 

 

Read more

Dr. Travis Murray helps a courageous young boy from McAllen

Dr. Travis Murray

Dr. Travis Murray, MD helps a young boy in McAllen, who has inspired others by his courage and optimism.

Click here to read the entire article on the Valley Morning Star web page. This will open a new browser window or tab.

8 UT Orthopaedic doctors listed amongst Best Doctors

8 UT Orthopaedic doctors listed amongst Best Doctors
 
Gallup® has audited and certified Best Doctors, Inc.’s database of physicians, and its companion The Best Doctors in America® List, as using the highest industry standards survey methodology and processes.
Click here to read the full article.

Orthopaedic Surgery

  • Animesh Agarwal
    UT Medicine San Antonio
    7703 Floyd Curl Drive
    210-567-5747
  • Fred Goodwin Corley*
    UT Medicine San Antonio
    8300 Floyd Curl Drive, Ste. 3C
    210-450-9300
  • Jesse C. Delee
    Nix Medical Center
    414 Navarro St., Ste. 1128
    210-351-6500
  • Anil Dutta
    UT Medicine San Antonio
    8300 Floyd Curl Drive
    210-450-9300
  • Bernard F. Morrey
    UT Medicine San Antonio
    8300 Floyd Curl Drive
    210-450-9300
  • David Richard Schmidt
    Sports Medicine Associates of San Antonio
    21 Spurs Lane, Ste. 300
    210-699-8326
  • John S. Toohey
    UT Medicine San Antonio
    8300 Floyd Curl Drive
    210-450-9300
  • Michael A. Wirth
    UT Medicine San Antonio
    8300 Floyd Curl Drive
    210-450-9300
  • *Also a Best Doctor in Hand Surgery

Dr. Amanda Marshall receives OREF grant working to improve joint replacement success rates

Am I going to be able to walk again without help?”
As a specialist in adult reconstruction, Amanda D. Marshall, MD, hears this question nearly every day.
“Total knee and total hip arthroplasty are some of the most life-changing procedures in all of medicine,” said Dr. Marshall, assistant professor in the department of orthopaedics at the University of Texas at San Antonio and three-time Orthopaedic Research and Education Foundation (OREF) grant recipient. “Patients are ecstatic when their quality of life is so improved after joint replacement, and the fulfillment I get from that is unparalleled.”
Click here to read the full article.

Dr. Fajardo interviewed on local Spanish language news regarding vertebral fracture risks in adults with type 2 diabetes.

Dr. Fajardo interviewed on local Spanish language news regarding vertebral fracture risks in adults with type 2 diabetes.
 
Click here to watch the interview on the Univision web page. This will open a new browser window.

Orthopaedics Research team publishes survey on elbow heterotopic ossification or the abnormal growth of bone in soft tissues

Survey: trends in the prophylactic treatment and surgical management of heterotopic ossification of the elbow by U.S. academic orthopaedic surgeons

Jonathan A. Guevara a, Roberto J. Fajardob, Bernard F. Morrey,b,c, Travis C. Burnsd, and Anil Duttad

ABSTRACT

Background

Complications caused by heterotopic ossification are a common concern after orthopaedic surgery of the elbow. Little effort has been directed at establishing best practices of management of heterotopic ossification in the elbow, in stark contrast to that in the hip. A survey was distributed to all orthopaedic residency programs in the United States to understand current management of heterotopic ossification in the elbow.

Methods

A survey was designed to query prophylaxis and surgical excision of heterotopic ossification in the elbow. Respondents were asked about their use of radiation therapy, nonsteroidal antiinflammatory drugs in the prophylaxis of heterotopic ossification or both, as well as the preference for delaying surgical excision of heterotopic ossification after specific index events. Levels of consensus were determined by one-way binomial tests. Responses were categorized as no consensus (50% or less), weak consensus (51--67%), moderate consensus (68--75%), and strong consensus (>75%) level practices.

One third of the surveys were returned. A strong consensus (91%, P<0.001) indicated the use of prophylactic radiation therapy but there was no agreement on the appropriate dose. Indomethacin is the recommended nonsteroidal antiinflammatory drug (moderate consensus, 84%, P¼0.009) but with disagreement about the treatment duration. Finally, there is very little agreement concerning the time-delay for surgical excision for all index events.

Conclusions

The community of orthopaedic surgeons agrees on the prophylaxis and surgical management of heterotopic ossification in the elbow. However, there is less agreement about theappropriate dose, duration, and surgical delay. These uncertainties reflect the dearth of research about the managementpractices for heterotopic ossification in the elbow.

 

Click here to view the entire publication

Dr, Kaye Wilkins receives 2013 Outstanding Teacher Award: The University of Texas Health Science Center at San Antonio Department of Family and Community Medicine

Dr. Kaye Wilkins, DVM, MD

Dr, Kaye Wilkins receives 2013 Outstanding Teacher Award: The University of Texas Health Science Center at San Antonio Department of Family and Community Medicine

2013 Family & Community Medicine Outstanding Teacher Award

Dr. Kaye Wilkins awarded the N. Balachandran Professorship in Paediatric Orthopaedics by the National University of Singapore Department of Orthopaedic Surgery

The N Balachandran Visiting Professorship in Paediatric Orthopaedics was established in 2007 in memory of Prof. N Balachandran, one of the pioneers of Orthopaedics in Singapore. The aim of the Professorship is to build up Singapore’s expertise and capability in the area of Paediatric Orthopaedics. Internationally renowned paediatric orthopaedic surgeons are invited to spend some time with us to teach and do scientific exchange with the staff.
2012 N Balachandran Professor in Paediatric Orthopaedics - Kaye E Wilkins.
Kaye E Wilkins is Professor of Pediatric Orthopaedic Service at The University of Texas Health Science. He served as President of the Texas Orthopedic Association and the Pediatric Orthopedic Society of North America. His particular focus is in children's fractures. He served as a co-editor of the first three editions of Fractures in Children. He has served as a guest lecturer for many conferences on Children’s Fractures throughout the world. Currently he is involved in COUR (Children's Orthopedics in Underdeveloped Regions), an outreach program of POSNA..
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UT Health Science Center Orthopaedic Surgeon removes 12 year-old boy's bone tumor without amputation

Just six months ago, 12-year-old Joe Cedillo was in extreme pain and unable to sleep. At first, his mother thought her little league baseball pitcher just fell or caught the ball wrong, but when his condition didn't improve, she took her slugger to the doctor and got an answer she never expected. Thanks to an X-ray, doctors discovered he had a deadly tumor growing in his arm.
Click here to read more.

Dr. Rajiv Rajani discusses how obesity has has led to an increase in osteoarthritis, particularly in the knees and hips.

Bone Up On Knee and Joint Health
More than a million people undergo a hip or knee replacement surgery every year. What are the best, most effective ways for the 50-plus set to keep their knees and hips in good shape?
By Jeff Schnaufer
CTW Features
 
Here’s a little-known fact: For some people, with every pound they gain, it can feel like 5 to 7 extra pounds for their knees. So if you gain 10 pounds by the time you are 50, your knees may feel like they are lugging around at least 50 more pounds.
With the current obesity epidemic, some knees may feel like they’re lugging around 100 or more extra pounds.
What’s this have to do with knee replacement surgery, you may ask?
 
Click here to read more on the Body and More website

Dr. Rajiv Rajani answers the question, I became an orthopaedic surgeon because...?

Dr. Rajiv Rajani answers a few questions about his decision to become an Orthopaedic surgeon, and a few other interesting questions.
See his answers here.

Dr. Krista Kilpadi co-authors study on the prevalence of diabetic vertebral fragility in Latinos.

Abstract Latinos are the fastest growing ethnic population in the United States and type 2 diabetes is a major health burden in this population, but little effort has been made to study the prevalence of diabetic vertebral fragility in Latinos. We performed a cross-sectional study to determine vertebral fracture prevalence in a hospital-based population of South Texas residents (N = 296). We defined fractures in X-rays as a[20 % reduction in vertebral body height. Numerous variables were recorded, including age, body mass index, indicators of diabetes management and others. 71 % of the sample (N = 296) was Latino. The prevalence of vertebral fracture was increased in diabetic subjects relative to non-diabetic subjects (diabetic 27.9 %, non-diabetic 13.8 %) and, regardless of sex and diabetics status, decreased in Latinos relative to non-Latinos (Latino 16.7 %, non-Latino 26.4 %). These data suggest that vertebral fractures may be a growing concern for diabetic Latinos as well as diabetics of any racial/ethnic background.
Click here to read the full article.

Dr. James Meadows wins 2nd place in Surgery Resident Paper Competition

Congratulations to our 2013 Aust Society Meeting Resident Paper Competition Winners: (pictured left to right)
Clinical: 
1st place – Salvador Sordo, MD, 'Holding Anticoagulation for Bedside Procedures in the ICU: Is it Necessary?'
2nd place – James Meadows, MD (Orthopaedic Surgery Resident), 'Associated Capitellum and Elbow Ligament Injuries in Isolated Type 1 Radial Head Fractures Based on Magnetic Resonance Imaging'
3rd place – Travis Holloway, MD, 'Association between the Th-17 Immune Response and Pulmonary Complications in a Trauma ICU Population'
 
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UT Health Science Center SA Podiatry Doctors Publish Article in Journal of the American Podiatric Medical Association

 

Impact of Diabetes and Comorbidities on Split-Thickness Skin Grafts for Foot Wounds

 

Corresponding author: Crystal L. Ramanujam, DPM, Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, MC 7776, San Antonio, TX 78229. (E-mail: ramanujam@uthscsa.edu)

Abstract Background: Split-thickness skin grafts can be used for foot wound closure in diabetic and nondiabetic patients. It is unknown whether this procedure is reliable for all diabetic patients, with or without comorbidities of diabetes, including cardiovascular disease, neuropathy, retinopathy, and nephropathy.

Methods: We retrospectively reviewed 203 patients who underwent this procedure to determine significant differences in healing time, postoperative infection, and need for revisional surgery and to create a predictive model to identify diabetic patients who are likely to have a successful outcome.

Results: Overall, compared with nondiabetic patients, diabetic patients experienced a significantly higher risk of delayed healing time and postoperative complication/infection and, hence, are more likely to require revisional surgery after undergoing the initial split-thickness skin graft procedure. These differences seemed to be related more to the presence of comorbidities than to diabetic status itself. Diabetic patients with preexisting comorbidities experienced a significantly increased risk of delayed healing time and postoperative infection and a higher need for revisional surgery compared with nondiabetic patients or diabetic patients without comorbidities. However, there were no significant differences in outcome between diabetic patients without comorbidities and nondiabetic patients.

Conclusions: For individuals with diabetes but without exclusionary comorbidities, split-thickness skin grafting may be considered an effective surgical alternative to other prolonged treatment options currently used in this patient population. (J Am Podiatr Med Assoc 103(3): 223–232, 2013)

Click here to read the full article online.

Gov. Perry Appoints Supak and Schmidt to Advisory Board of Athletic Trainers

Gov. Rick Perry has appointed Cathy Supak of Houston and reappointed David Schmidt of San Antonio to the Advisory Board of Athletic Trainers for terms to expire Jan. 31, 2019. The board is the licensing and regulatory authority for athletic trainers in Texas.

Supak is a board certified and licensed athletic trainer at Christus St. John Hospital Sports Medicine Center, and the primary athletic trainer for Clear Brook High School Athletics. She is a member of the National and Southwest Athletic Trainers' associations, a member and past president of the Greater Houston Athletic Trainers' Association and Texas State University Bobcat Athletic Trainers' Alumni Club, and a founding member and past board chair of the Texas State Athletic Trainers' Association. She is also a member and past executive board officer of the Clear Lake Aggie Moms Club and American Legion Auxiliary Unit 490, and founder and chair of the Clear Brook High School Wrapping for a Cure fundraiser benefitting the MD Anderson Foundation. Supak received a bachelor's degree from Texas State University.

Schmidt is an orthopaedic surgeon, and a founding partner and president of Sports Medicine Associates of San Antonio. He is the team physician for the San Antonio Spurs, Trinity University and The University of Texas at San Antonio, and an adjunct professor in orthopaedic surgery at The University of Texas Health Science Center at San Antonio. He previously served as physician for the U.S. Olympic Festival, World University Games in Japan, Atlanta Olympic Games, and NBA All-Star Game. He is a member of the American Orthopaedic Society for Sports Medicine, Texas Medical Association, Bexar County Medical Society and National Basketball Association Team Physician Society, and a fellow of the American Academy of Orthopaedic Surgeons. He is also past chairman of the Valero Alamo Bowl Board of Directors, and a founding member, past president and past chairman of the San Antonio Sports Foundation. Schmidt received a medical degree and completed his orthopaedic residency at The University of Texas Health Science Center at San Antonio. He is reappointed to the board.

These appointments are subject to Senate confirmation.

Road to recovery: Physical therapy builds strength, boosts confidence

For an athlete recuperating from an injury, an elder suffering from arthritis pain, or anyone needing physical therapy, UT Medicine San Antonio offers state-of-the-art out-patient physical therapy services as a key component of comprehensive patient care and recovery. The clinic treats a variety of conditions including sports-related injuries, general orthopaedic problems, neurological disorders, women’s health and geriatrics issues, and post-surgical cases.  Read more.

Rising to new heights: After surgery, Olympian takes gold

Raised in Van Vleck, Texas, Charles Austin was the youngest of 10 children. As a high school senior searching for the means to attend college, his friends convinced him to try high jumping. He cleared 6 feet on his first try and finished the year with a best of 6 feet 11 inches. Read more.

TEAMWORK: Sports medicine collaboration advances patient care, research, education

Some of San Antonio’s best orthopaedic physicians - who specialize in sports medicine surgery, patient care, rehabilitation and research - are joining forces under the new UT Medicine Sports Medicine Institute. Read more.

 

Patrick Palmer, MD of San Antonio Confirmed as TOA’s 2013-2014 President

Austin, TX (April 25, 2013) – Patrick Palmer, MD, a faculty member of the UT Health Science Center in San Antonio, was confirmed as the Texas Orthopaedic Association’s president at the organization’s annual meeting in Austin on April 20.  His term will conclude in April 2014 at TOA’s 2014 annual meeting in San Antonio.

“The many hours that Dr. Palmer has dedicated to TOA over the years have made a tremendous difference for orthopaedics in Texas,” David Mansfield, TOA’s outgoing president, said.  “Texas orthopaedic surgeons are pleased to have Dr. Palmer leading our specialty.”

In addition to serving as TOA’s president, Dr. Palmer also serves in a national leadership role as one of five Texas representatives on the American Academy of Orthopaedic Surgeon’s Board of Councilors (BOC).  The BOC represents the grassroots of the orthopaedic profession and serves as an advisory body to the AAOS Board of Directors and a resource to AAOS committees.  Its 90-plus members are elected by state and regional orthopaedic societies.    

Dr. Palmer is a native of San Antonio. He graduated from the University of Texas at Austin in 1969 with special honors and was commissioned as an Air Force officer through ROTC. Dr. Palmer graduated from the University of Texas Medical School at San Antonio in 1973. He completed his residency in Orthopaedic Surgery at the University of California Medical School at San Francisco in 1978.

After his orthopaedic residency, Dr. Palmer was assigned to the USAFE Hospital in Torrejon, Spain, for three years. He then completed a fellowship in pediatric orthopaedic surgery at the Alfred I. DuPont Institute in Wilmington, Delaware, and was appointed to the orthopaedic faculty of the University of Missouri at Kansas City from 1982-1985. Dr. Palmer returned to San Antonio in 1985 to the private practice of orthopaedic surgery and, after 27 years of private practice, joined the full-time orthopaedic faculty at UTHSCSA in July 2011. As a faculty member, Dr. Palmer is involved in medical student and resident physician education and mentoring. He is able to see private patients through UT Medicine and serves as a consultant for the Audie L. Murphy Veterans Administration Hospital.

Dr. Palmer has been a diplomate of the American Board of Orthopaedic Surgery since 1982. Active professional organizations include fellowship in the American College of Surgeons, American Academy of Orthopaedic Surgeons, Texas Orthopaedic Association, Western Orthopaedic Associate, Pediatric Orthopaedic Society of North America, Texas Medical Association, and Bexar County Medical Society. He has served in leadership positions for the Bexar County Medical Society, American Academy of Surgeons, and Texas Orthopaedic Association. Currently, he serves on the Board of Councilors for the American Academy of Orthopaedic Surgeons and is president-elect of the Texas Orthopaedic Association. His professional interests include general orthopaedic surgery, joint replacement, arthroscopic surgery, and pediatric orthopaedic surgery. He is also interested in orthopaedic socio-economic issues and has presented nationally and written articles on this topic.

In 2008, Dr. Palmer retired as a colonel from the US Air Force Reserves. He was awarded the Individual Mobilization Augmentee for the Air Force in 1989 and served in the Dessert Storm campaign.

Dr. Palmer is the ninth TOA president from San Antonio.  Founded in 1936, TOA’s 1,200 members make up one of the largest orthopaedic state societies in the nation.  In addition to producing scientific talks for its members, TOA serves as the public policy voice of orthopaedics in Texas.