Dr. Jason Gray has been nominated to attend the American Orthopaedic Association Resident Leadership Forum, June 21-22, 2016, in Seattle, Washington by Dr. Robert H. Quinn, MD, Chair of Orthopaedics at the UT Health Science Center .
Dr. Jason Gray has been nominated to attend the American Orthopaedic Association Resident Leadership Forum, June 21-22, 2016, in Seattle, Washington by Dr. Robert H. Quinn, MD, Chair of Orthopaedics at the UT Health Science Center .
UT Health Science Center San Antonio Orthopaedic Doctors were listed in the San Antonio Magazine's list of Best Doctors published for September 2015. These Orthopaedic surgeons were amongst the 417 top physicians in the San Antonio area, as chosen by their peers,excerpted from the Best Doctors in America® 2015-2016 database.
Congratulations to Peter McClain – the new Vice Chair to the GME Program Coordinators (PC) Subcommittee for 2015-2016. Following his year as the Vice Chair, he will take over as the chair of the committee for another year. He will also serve on the Resident Supervision Subcommittee and Professional Staff Development Subcommittees of the Graduate Medical Education Committee (GMEC).
Several Orthopaedic faculty and residents presented posters with study data at the PassPort 2015 Poster Presentation Day for Medical Students,Residents and Fellows.
Dr. Rajiv Rajani, MD: Denosumab Therapy for Giant Cell Tumor of Bone Pulmonary Metastasis (Research)
Dr. Jeremy Somerson, MD, Dr, Katie Bartush, MD, Dr. Boris Zelle, MD: Loss to Follow-up in Orthopaedic Literature (Research)
Dr. Christinia Brady, MD, Dr. Anil Dutta, MD: Implenenting a Program to Decrease Surgical Site Infections in Total Jiont Arthroplasty (Quality Improvement / Patient Safety)
Dr. Christopher Larkins, MD: 2nd Metatarsal Head to Scaphoid Transfer (Research)
Dr. Marion Swall, MD: The Impact of Surgeion Gender on Patient Selection of their Orthopaedic Surgeon (Research)
Dr. Danilo Volpini, MD, Dr.Gurpreet Singh, MD, Dr. Jason Gray,MD , Dr. Animesh Agarwal, MD: Improving Follow up and Aftercare of Osteoporotic Patients after Sustaining a Fragility Fracture (Quality Improvement / Patient Safety)
Orthopaedic Dr. Fransisco, MD, along with Dr. Markey, MD and Dr. O'Brien, MD were recognized for excellence by patient at Audie Murphy VA Hospital. A patient noted their professionlism regarding a surgical procedure on his "right knee repair" in a letter to the VA Hospital.
The tournament had 19 teams play for a total of 76 golfers. Participants came from the Orthopaedics, Oral & Maxillofacial Surgery, and Anesthesia departments as well as medical students, dental students, and reps from a variety of companies.
The event had 16 sponsors, 7 of which purchased hole sponsorships.
The winning team was led by Dr. Garrett Starling, one of our anesthesiologists here at UTHSCSA.
The final amount that we were able to donate to our partner charity, Healing the Children, was $7088.00.
On the original expenses/profits sheet that I presented to you when we met last fall, the biggest profit I had projected for our event was in the four thousands, so I am extremely proud of the amount we were able to raise this year.
Dr. John Toohey, M.D. has been recognized for his role in healthcare delivery improvement, and his contribution to patient safety at the University of Texas Health Science Center at San Antonio and the UT System.
Fellows will be inducted on October 15th during the Recognition Dinner at the UT System Shared Visions: Improving Systems to Improve Lives Conference in San Antonio. Please see the UT System Shared Visions Conference website for details on the dinner program time and location.
The UT System Fellowship in Clinical Safety and Effectiveness recognizes excellence in healthcare delivery improvement and patient safety. This three year, renewable appointment includes a modest service commitment. Please see the UT System CS&E Fellowship Charter document for details of the program. In addition, Fellows will assume responsibility for the academic portion of the CS&E Alumni Conference each year. This may involve judging abstracts, participating in professorial rounds, and/or participating in the selection of future CS&E Fellows.
Orthopaedic Drs. Brady and Tavakoli were recognized for excellence by patient at Audie Murphy VA Hospital. A patient noted their professionlism and great service in a letter to the VA Hospital.
Also of note, Dr. Brady successfully completed Clinical Safety and Effectiveness training, Cohort 15 in January 2015.
Matthew Morrey, M.D., orthopaedic surgeon specializing in hip and knee replacement with UT Medicine San Antonio, is one of four physicians selected from around the world for the prestigious 2014 John N. Insall Travelling Fellowship by The Knee Society.
Dr. Morrey is one of two orthopaedic surgeons from the United States chosen for this honor. The other American doctor is from Thomas Jefferson University in Philadelphia. Doctors from Japan and England round out this year’s four fellows.
The 2014 fellows will travel throughout the month of October to internationally recognized joint replacement and knee surgery centers. During the four-week course, each fellow will work on a related project and will use his or her findings to create a report to present at selected international meetings and to be published in journals.
Dr. Morrey, who is an assistant professor of medicine at the UT Health Science Center San Antonio, received his medical degree from the UT Health Science Center at Houston. He completed an orthopaedic surgery residency at the Mayo Clinic with an emphasis on primary and revision adult reconstruction.
The Knee Society, based in Rosemont, Ill., promotes outstanding care to patients with knee disorders through innovative research and education. The John N. Insall Travelling Fellowship is named in honor of Dr. Insall, whose legendary contributions to knee surgery were based on an academic pursuit of excellence in research and patient care. His research encompassed biomechanics, surgical techniques and vigilant post-operative patient evaluations.
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.
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.
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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
Teri Hill, Manager of Academic Programs for the Orthopaedics Department was interviewed by Residency Program Alert, a newsletter for Residency program managers.
The article can be found at the HCPro website: (This will open a new browser window.)
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:
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 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 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.
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. spoke at the GRA Leadership Development Course in Phoenix, AZ on May 3-4, 2014.
Pictured are Dr. Toohey, Dr. Jennifer Peel, Dr. Lois Bready, Dr. Phil Luber, and Dr. Yolanda Gomez.
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 , 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)
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.
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. Zelle, M.D.
Dr. Jeremy Somerson
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.
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
Throughout 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. 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.
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!
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.
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.
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.
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.)
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. was the mentor on the project.
Click here to read more online. (This will open a new browser window.)
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.)
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, 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.
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 Women Orthopaedist Global Outreach (WOGO) golf tournament.
From left to right: Dr. Jason Gray, Dr. Evan Tavakoli, Dr. David Rowley, Dr. Nicholas Gerken
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:
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
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.
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
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.
*Also a Best Doctor in Hand Surgery
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.
Click here to watch the interview on the Univision web page. This will open a new browser window.
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
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.
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.
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.
Dr, Kaye Wilkins receives 2013 Outstanding Teacher Award: The University of Texas Health Science Center at San Antonio Department of Family and Community Medicine
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..
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.
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
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 a few questions about his decision to become an Orthopaedic surgeon, and a few other interesting questions.
See his answers here.
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.
Congratulations to our 2013 Aust Society Meeting Resident Paper Competition Winners: (pictured left to right)
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'
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: email@example.com)
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.
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.
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.
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.
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.