/Inside_OI_Volume_5_Issue_3 by Bennett Dilly

InsideOI Feature Story:

IOH first in Indiana to purchase Anti-Gravity Treadmill Doc Talk:

Dr. Woo discusses the OrthoIndy Walk-In Clinics

Work Comp:

Prescription meds available at OrthoIndy

Expanding Our Care

Three Physicians Now Seeing Patients in Brazil

Volume 5: Issue 3

2010

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Q u a rt e r ly P u b l i c at i o n

Editor’s Note: Everyone in the OrthoIndy and Indiana Orthopaedic Hospital (IOH ) community is dedicated to providing the highest quality care for patients and their families. We will continue to offer our services to those who matter most in our practice: the patients. ®

In this issue you will have the opportunity to learn more about new technology at IOH, OrthoIndy Walk-In Clinics and patient experiences. As a member of our team, please let us know if you have any suggestions on how we can improve our relationship by contacting us at suggestions@orthoindy.com or by contacting one of our staff directly (please see staff contact information on the next page). We appreciate your feedback. Thank you for choosing OrthoIndy and IOH for all of your orthopaedic needs. Sincerely,

ON THE COVER IOH Outpatient Therapy Northwest recently purchased an anti-gravity treadmill. Read more on page 7.

Kasey Prickel Editor Public Relations Manager

Injuries are not always so bad...

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Doc Talk

3 7 10

Dr. Woo discusses the Walk-In Clinics and fractures

Anti Gravity Treadmill

OrthoIndy first in Indiana to purchase anti-gravity treadmill

Rave Review

Patient raves about Dr. Lehman

Work Comp Update

Prescription meds now available at OrthoIndy

Learn more about OrthoIndy chat with us at:

[Inside OI Staff] Referring Physician Representatives North/East Territories Kelly Keirns kkeirns@orthoindy.com (317) 268-3197

South Territory Amy Klesk aklesk@orthoindy.com (317) 884-5228 West Territory Adron Scott ascott@orthoindy.com (317) 802-2074 Work Comp Representative John Orr jorr@orthoindy.com (317) 802-2131 Contributing Writers John Orr Kasey Prickel Kaleigh Rougraff Dr. Thomas Woo Editor Kasey Prickel Graphic Design Kim Connett Marketing Director Jennifer Fox

(800) 223-3381 or (317) 802-2000 or visit us on:

email us at suggestions@orthoindy.com

3rd Quarter 2010

OrthoIndy

8450 Northwest Boulevard Indianapolis, IN 46278

Indiana Orthopaedic Hospital (IOH) 8400 Northwest Boulevard Indianapolis, IN 46278

Doc Talk

this quarter’s Physician:

Thomas woo, md

Walk in - We’ll fix it. OrthoIndy opened three Walk-In Clinics this year at our Northwest, West and South offices. This past June, the Southside office has extended its attempt to serve the community with walk-in clinic orthopaedic services on Mondays – Fridays, 8 am to 8 pm and Saturdays from 9 am to noon. As a general orthopaedic surgeon working in this clinic, I thought it would be helpful to provide an overview of how we hope to more effectively support our referring physicians and their patients in making use of such a clinic. In addition, I will provide a brief review of true orthopaedic emergencies that would be best served by a full-service hospital where trauma teams and major anesthetics are available around-the-clock. Most acute orthopaedic injuries and conditions are ones that involve a sense of urgency, but are not truly emergent. The pain experienced when one cannot move their arm, when they cannot walk well on their injured leg, when they cannot work or play their sport, is one that the patient wants fixed “right now”. These situations may not only be frustrating, but also at times frightening. In our Walk-In Clinic, we can evaluate not only acute injuries, but acute pain, including back pain. Athletic injuries, work injuries and conditions of overuse or repetitive motion can often be disabling, and can be addressed. This may include pain in the middle of limb (muscle strains) and around a joint (simple ligament sprains, bursitis, tendonitis and synovitis). Currently, many acute orthopaedic injuries 3

Inside OI

are seen in an emergency room for the initial evaluation. The patient is then referred to an orthopaedic consultant within a few days. Many times the injury does not require surgical intervention, and definitive casting, splinting, injections and/or therapy regimens are implemented in that second encounter for the problem. Our acute injury clinic would hope to remove the need for some of the emergency room visits by evaluating the specialty problem and defining the treatment plan within that initial patient visit.

and stabilization for any significant displacement in order to optimize joint function and minimize later onset of post-traumatic arthritis. Extra-articular fractures can often heal very well without surgery or reduction. Clavicle fractures can be 100 percent displaced and heal just as strongly as the bone was prior to injury without being set. In contrast, however, shaft fractures in a finger can be angulated or rotated in a way that finger movement is impaired making a small amount of displacement unacceptable.

Other situations may require surgical intervention. However, they currently can still involve Remodeling of a bone in an initial emergency children is what one mom room evaluation, an described to me as “reinitial orthopaedic shaping.” This occurs as evaluation in the ofa long bone heals, and can fice a few days later take a mildly angulated as a second visit and or displaced fracture and then the actual procemake it appear “normal” dure later that same on a later x-ray as the - Thomas Woo, MD week in a third patient child grows. In a foreencounter. Once arm, for instance, remodagain, the Walk-In Clinic can often eliminate that inieling can occur in a radius and ulna fracture where tial ER visit with the initial Walk-In Clinic evaluation similar malalignment in an adult could require reducprompting immediate surgical scheduling. tion and plating.

“In our Walk-In Clinic, we can evaluate not only acute injuries, but acute pain, including back pain.”

Fractures, in particular, can often be alarming to patients provoking the perception of an emergent situation. Parents want their children “fixed” right away. However, proximal humerus fractures are an example of bone injury that can do well in a sling type of arrangement without reduction. Earlier this decade, California governor Arnold Schwarzenegger fractured his femur skiing in Idaho. He spent the holiday at his home in Idaho prior to returning home to California to have the femur definitively fixed with an intramedullary rod the following week. Fractures Seen at the Walk-In Clinic Avulsion fractures are small bone injuries that occur where ligaments attach near a joint. They, indeed, are true bone injuries and can cause pain like any other fracture. However, these usually do not need surgery and are often treated in a similar manner to very severe ligament sprains. Intra-articular fractures involve uneven rolling surfaces at a joint. They often need surgical reduction 3rd Quarter 2010

Non-weight bearing for a lower extremity injury is essential while coming to our walk-in clinic, when the diagnosis is still not clear and pain is intolerable. This can be helpful in keeping swelling and pain on an improving course, as well as limit the risk of turning non-displaced injury into a displaced and operative one (as in an ankle fracture). Splints, casts, plates and screws, rods and external fixators all hold alignment of fractured bones while the actual bone and soft tissue heals. Discussion of options for care with the associated risks and benefits can come immediately at the Walk-In Clinic from our orthopaedic subspecialists. Situations Best Suited for Emergency Rooms Open fractures/Compound fractures – are those where an open wound overlies a fractured bone. The risk of deep infection, including in the bone, exists and increases the risk of the bone not healing (non-union). Significant open bone injuries usually require major 4

anesthetics, hospital admission, IV antibiotics and sometimes repeated surgical debridement procedures. Small lacerations on fingers and toes can sometimes be addressed with local anesthesia in a clinic setting. Vascular injuries with bone injury – can require vascular surgeons as a multi-disciplinary team, especially for a major arterial wound. Compartment syndrome – involves pressure in a defined space in an extremity that can cause irreversible damage to arteries, nerves, and muscles. Once again, major anesthesia is usually required to decompress and debride that limb. Major joint dislocation – Fingers and toes can often be treated in a clinic setting. However, large joints often need major anesthetics for pain control and muscle relaxation in order to reestablish joint alignment. Progressive nerve injury – Digital nerve injury can usually be addressed secondarily after a wound is cleansed and loosely closed. Nerve grafting

Thomas Woo, M.D. General Orthopaedic Surgery

Dr. Thomas Woo, a native of Ann Arbor, Michigan, received his medical degree from Case Western Reserve University in Cleveland, Ohio. He completed his residency at Loyola University in Chicago and has been in practice in central Indiana for over a decade. Areas of interest include primary hip and knee replacements, arthroscopy, carpal tunnel surgery, hand and foot surgery and general fracture care. He treats both athletic injuries and work-related conditions.

Dr. Woo has taught orthopaedic residents of the University of Michigan. He was previously appointed Clinical Assistant Professor of the Lafayette Medical Education Division of the Indiana Uni-

versity School of Medicine. He has been elected President of the Indiana Orthopaedic Society for 2009-2010. Dr. Woo also holds a master’s degree in Mechanical Engineering from Stanford University with industrial experience at IBM and the VA Rehabilitative Engineering Research and Development Center in Palo Alto, California. To schedule an appointment with Dr. Woo, please call (317) 884-5162.

can often be done at a later setting. Many nerve injuries can be neuropraxias where the nerves are bruised and can recover over time. However, if loss of nerve function is progressing, then more immediate attention is indicated.

Patients requiring transport – Patients who are not ambulatory due to age, chronic medical conditions or requiring gurneys for the extent of their multiple injuries may often find clinics not functional for them for an immediate return home.

Multi-system injury – Clavicle fractures are an example where pulmonary injury can be initially less evident, as well as occult rib injury. Pneumothorax or bleeding in the pulmonary cavity can pose issues more serious than one for a clinic setting. Multiple trauma patients may present with neurosurgical or general surgical conditions that may take priority over the orthopaedic condition for care.

Acute injuries without an open wound, nerve or vascular injury can often be treated with rest, ice, compression and elevation (RICE) which has been a guideline that has been around since the time of Confucius. If you are not sure what to do with your patient, you can always call ahead or send them to our Walk-In Clinic. If you think they may need surgery, have them cut out the fast food stop along the way! Our goal is to have your patient back on the road to recovery as smoothly as possible.

The OrthoIndy Walk-In Clinics The OrthoIndy Walk-In Clinics will accept the following injuries: • • • • • • • • •

Acute Pain Injury from an Accident Muscle Sprains/Strains Closed Fractures Tendonitis/Bursitis Finger/Toe Dislocations Back Pain Lacerations Work related Injury (if employer authorized)

Residents seeking care for the following injuries should call ahead to the clinic to determine if the injury needs treatment in an emergency room: • Chronic Problems (problems lasting longer than two weeks) • Patient with previously scheduled appointment for same injury • Open Fractures • Patients on gurneys or requiring transport due to inability to walk • Major joint dislocations (requiring anesthesia) • Burns

OrthoIndy Walk-In Clinic - Northwest Location: 8450 Northwest Blvd. Indianapolis, IN Hours: Monday through Friday from 8:30 am to 4:30 pm

(317) 802-2000. OrthoIndy Walk-In Clinic - South Location: 5255 E. Stop 11 Road, Suite 300, Indianapolis, IN Hours: Monday through Friday from 8 am to 8 pm and Saturday from 9 am to noon

(317) 884-5200. OrthoIndy Walk-In Clinic - West Location: 7950 Ortho Lane, Brownsburg, Indiana Hours: Monday through Friday from 8 am to 8 pm and Saturday from 9 am to noon

(317) 268-3600.

Anti-Gravity Machine Now Available at IOH

The IOH Outpatient Therapy – Northwest office recently acquired an Anti-Gravity Treadmill, offering a revolutionary approach to rehabilitation, providing the ability for patients to defy gravity and work towards regaining function like never before. IOH is the first and only facility to obtain the technologically advanced treadmill in Indiana. This treadmill is new to Indianapolis, but it is not new around the county. It is gaining popularity and is being used in over 200 facilities across the country 7

ranging from therapy clinics and healthcare facilities, to colleges and universities, as well as professional football/baseball/basketball teams. “They are using the treadmill because they are seeing improved results in athlete’s performance, but also the increased speed in the rehab process following surgery or injury,” said Jeff Sorg, Manager of the IOH Physical Therapy department. “The treadmill is gaining a lot of notoriety across the country and we are excited to bring that same level of excitement to our facility and to the Indianapolis area.” Inside OI

The AlterG® Anti-Gravity Treadmill, created by AlterG, Inc., gives patients the opportunity to exercise without pain, even while the patient is still recovering from surgery or an injury. The anti-gravity treadmill uses AlterG’s patented Differential Air Pressure (DAP) technology, developed at NASA. This technology applies a comfortable and uniform lifting force to the body, allowing the patient to run or walk normally, with full range of motion, making it feel like you are running 50 pounds lighter. The AlterG Anti-Gravity Treadmill gives patients the opportunity to experience rehab or training without pain. The unique unweighting technology reduces the impact of walking or running, while the body goes through the normal healing process. “The AlterG will greatly enhance rehabilitation for our patients,” said Sorg. “In addition to the early weight-bearing for our post-operative patients, it will allow many of our patients an earlier and pain-free return to running and walking. Many of our patients deal with needing assistive devices for walking, and also limping. The treadmill will allow them to improve their technique to reduce the compensations that develop leading to limping, and to do so without pain.” The importance of the treadmill lies in its ability to improve IOH’s current rehab program, as well as developing a program for runners. “I believe that we have a lot of local patients, and a community of runners who will greatly benefit from us offering the AlterG treadmill,” said Sorg. “The treadmill can be used by runners to run pain-free, or to increase train-

ing through additional weekly mileage or higher intensity and speed than they would normally run at. It can create a way for them to improve their performance, speed and endurance, while also minimizing the stress and strain on their lower extremities.” The world’s best athletes and sports teams consider the Anti-Gravity Treadmill an essential part of their athletic conditioning and rehabilitation programs. For athletes the machine helps strengthen and improve coordination of muscles and protects surrounding joints, promotes the full range of motion while minimizing stress and enables injured athletes to maximize their fitness retention as they recover. Professional and Olympic athletes and teams utilize the treadmill to reduce the frequency of injuries, build fitness, and train and recover more quickly. They also use it as a core art of their athletic conditioning and training programs to strengthen and improve muscle coordination while minimizing stress on their bodies. Some of these athletes and teams include: elite distance runners, Dathan Ritzenhein and Shannon Rowbury, top professional and Olympic athletes, like Oguchi Onyewu and dozens of pro teams worldwide, including the Los Angeles Lakers and Manchester United. Check out the AlterG Anti-Gravity Treadmill for yourself. We are currently offering a coupon on our Web site for a free ten-minute trial. Visit IndianaOrthopaedicHospital.com and click on the AlterG logo on the left side of the page to download your coupon. To see how the treadmill works, visit OrthoIndy.com/ videos.

The AlterG can be used in a variety of ways and provides a broad range of benefits, including: • Rehabilitation following injury or surgery of the lower extremity (hip, knee, ankle or foot) • Rehabilitation after total joint replacement • Gait training in neurologic patients • Strengthening and conditioning in older patients • Weight control and reduction • Sport specific conditioning programs • Aerobic conditioning 3rd Quarter 2010

Three OrthoIndy Physicians Now Practicing in Brazil Gary Portage

Auburn

Plymouth

Ti 65

Angola

Goshen

R oe can e p p

Warsaw

Fort Wayne

Rochester

Huntington

Logansport

Decatur

Wabash

Peru

Marion West Lafayette

Kokomo

Lafayette

Elwood

Frankfort 74

Noblesville

Crawfordsville

Carmel

Brazil

Franklin

Greensburg

W hi t e

Columbus

Ri ver

Vincennes

Seymour

Wab ash

Madison

Shoals

Washington

Jasper

Bloomington

Bedford

Princeton

Shelbyville

Martinsville

Monroe Lake

Linton

Anderson

Greenwood

Greencastle 70

Terre Haute

Muncie

Fishers Richmond Lawrence Greenfield

Indianapolis

Robert Falender, MD Orthopaedic Specialties: Hand, Wrist, Elbow Office Hours: Wednesdays, 1 to 5 pm To schedule an appointment, please call (317) 884-5167.

Ri ve r

Chris Bales, MD Orthopaedic Specialties: Knee, Shoulder, Sports Medicine Office Hours: Wednesdays, 8 am to 12 pm To schedule an appointment, please call (317) 268-3632.

Patoka Lake

New Albany

er Ri v

Jeffersonville

Evansville

io Oh

Chris Bales, MD 9

South Bend

Valparaiso

Drs. Robert Falender and Gabriel Justice will join Dr. Chris Bales at our OrthoIndy office at St. Vincent Clay, located at 1214 East National Avenue, Suite 110, Brazil, Indiana.

Gabriel Jackson, MD Orthopaedic Specialties: Spine Every-other Thursday, 8 am to 12 pm To schedule an appointment, please call (317) 802-2886.

La Porte

Elkhart

Michigan City

Three OrthoIndy physicians are now practicing in Brazil to provide bone, joint, spine and muscle care to residents on the Westside of Indianapolis.

Robert Falender, MD

Gabriel Jackson, MD Inside OI

Rave Review Glenn Sheeks, a 66-year-old man from Martinsville, has been living with Type 2 diabetes for at least 25 years. Both his mother and father died from the disease, which is the seventh leading cause of death listed on U.S. death certificates in 2006, according to the American Diabetes Association. Along with diabetes, Glenn also discovered that he has a case of drop foot in 1999. “A drop foot is a situation where the muscles that pull the ankle up are not functioning properly,” said Dr. Daniel Lehman, orthopaedic surgeon at OrthoIndy and IOH. “This leads to the foot hanging down as you walk and can cause the foot to drag with walking. The primary symptom is that people are not able to dorsiflex their foot which means that they cannot bring the foot up towards the leg.” As he was walking around his house, Glenn stubbed his foot and noticed that he had a small sore on the bottom of his toe. Rationally, his first instinct was that it was a minor injury and needed no immediate attention. The next morning he saw that the sore had almost doubled in size and looked and smelled as if it were infected.

Dr. Lehman confirmed in his first consultation with Glenn that Glenn’s toe infection was in fact down to the bone and that he also developed MRSA. Dr. Lehman explained to Glenn and his family that the best treatment option was to amputate his toe. “Treatment options for drop foot are fairly limited,” explained Dr. Lehman. “Amputation is actually not very common with a drop foot. In Mr. Sheek’s case, he has a neuropathy from his diabetes and this caused him to have decreased pain sensation. Because of the decrease in sensation, he developed an ulcer in his big toe secondary to dragging the toe. Three days from his initial appointment, Glenn was in the hospital ready for his operation. “It amazed me how clean and precise the hospital was and how well they took care of me,” he said.

“Dr. Lehman is likeable, straight forward and precise, he always shakes my hand and chit-chats. I liked his bedside manner.” - Glenn Sheeks

Glenn not only was astounded by the lack of pain that he experienced during and after the procedure but he was also very pleased with Dr. Lehman’s work. “Dr. Lehman is likeable, straight forward and precise,” he said. “He always shakes my hand and chit-chats. I liked his bedside manner.”

Today, Glenn is completely recovered and is back to work. “He has Glenn and wife Beverly returned to work full time, working overtime actually,” his daughter Kim said. Glenn is able to stay active, still keeping up with his job and his family. OverHis family immediately took him to the hospital in all he was very pleased with his experience at OrthoIndy. Martinsville to find out what had caused his small cut to He was impressed with the OrthoIndy team and our spread so quickly. The Martinsville hospital told Glenn “truly good doctors and great care.” that his toe was in fact infected, but the severity of his wound was worse than anticipated. The infection in If you have a patient in need of foot care, please call Glenn’s toe had spread down to the bone. His daughter (317) 802-2000 to schedule an appointment with one of Kim, who works for IOH, immediately transferred him to our foot/ankle specialists. OrthoIndy to see Dr. Lehman. 3rd Quarter 2010

Work Comp Update

Pharmacy dispensary program starting at OrthoIndy In an effort to provide additional services to the work comp industry, we have created a pharmacy dispensary program at OrthoIndy. OrthoIndy has selected Industrial Pharmacy Management (IPM) as its medication dispensing partner. IPM assists large physician groups throughout the country in establishing a first class medication dispensing program from the point-of-service. OrthoIndy’s goal is to provide FDA approved pre-packaged medication to its worker’s compensation, personal injury and eventually private patients before they leave the office, while following all Indiana State and Federal laws and regulations. OrthoIndy worker’s compensation patients will no longer need to drive to pharmacies and wait to receive their medications. We will be able to immediately fulfill the complete medication plan of the patient, including oral and topical medications, mail order services and refills. This supports convenience and compliance for your patients

Inside OI

ships with several Indiana insurance companies, nurse case managers, claims managers and adjusters. While we understand that several carriers and administrators already have agreements for this type of service, IPM representatives would like to talk with the “OrthoIndy will be able to imme- worker’s compensation claims adjusters about diately fulfill the complete medipricing and discount opcation plan of the patient, includ- tions.

by eliminating the barrier of the additional stop at an offsite pharmacy. OrthoIndy Northwest and South locations are the first clinics to initiate the pharmacy dispensing program.

IPM was hired to manage the dispensing program, which includes billing and collecting for these medications. This means that patients ing oral and topical medications, We hope this service will receive a separate patient bill from IPM for will benefit the patient, mail order services and refills.” the carriers, our practimedications dispensed at our facilities. Charges tioners and the staff by streamlining the medicafor these services will follow the Indiana State Fee Schedule. IPM has one tion process. If you have any questions or additional of the most efficient and friendly business office teams feedback about our new dispensing program, please in the nation that works directly with attorneys, insur- contact Shannon Humphrey, director of clinic services for OrthoIndy. Shannon can be reached at (317) 956ance carriers and third party review companies. IPM 1004 or shumphrey@orthoindy.com. has been operating in Indiana for over five years and has already established successful working relation-

Frequently asked questions: Tell me more about the billing of the program and potential discounts?

a. While we are following the Indiana State Fee Schedule for medications, we also would like to speak with you regarding your current rates and hopefully reach an agreement. We are currently connecting facilities with billing question to the Director of Business Services at IPM. Her name is Vonda Ray and she can be reached at (949) 777-3134 or vray@ipmrx.com

I already have an agreement in place with another pharmacy?

a. We understand that some companies currently have dispensary or pharmacy agreements in place. This program is not meant to take the place of any current programs that you have in place and we respect your decision regarding participation. This program is simply an extension of services that we would like to offer to your patients. It ensures timely filling of medication thereby increasing overall compliance by the patient and provides a potential cost savings to you. Please call us for details if you would like more information about the program.

Can we utilize our pharmacy prescription cards at the dispensary?

a. We are working to establish a method so that those with a pharmacy prescription card can still have their meds filled by the OrthoIndy dispensary. Please email Vonda Ray at vray@ ipmrx.com for additional details.

What medications are available for dispensing?

a. OrthoIndy met with its physicians and determined the top medications that were routinely prescribed to its work comp patients. These medications were added to the formulary. However, as the program develops, there will likely be additions to the formulary of medications that we not captured in these initial discussions. Additionally, the program has the flexibility that it can overnight the meds to a patients doorstep if meds prescribed are not listed on the formulary.

My patient lives far away from an OrthoIndy office but would like to use the dispensary. What options does the patient have?

a. We can overnight the patient their medications direct to their doorstep using the Long Beach Prescription Pharmacy. This is a convenient alternative for patients that live quite a distance from OrthoIndy but are needing their refill on medications.

Who should I contact to discuss more about the program?

a. Please call Shannon Humphrey, director of clinic services at OrthoIndy at (317) 956-1004 or shumphrey@orthoindy.com b. Please call Vonda Ray, director of business services at IPM at (949) 777-3134 or vray@ipmrx.com for billing and contracting questions

Orthopaedic Research Foundation OI Seeks Patients for Research Studies

The Orthopaedic Research Foundation, Inc. (ORF) supports various research and educational interests of the physicians at OrthoIndy. Founded in 1986, its mission is â&#x20AC;&#x153;to advance the scientific body of knowledge associated with musculoskeletal disorders, for the scientific and public communities, through research and education.â&#x20AC;?

Study Title

Participating Physicians

Brief Description Criteria

Enrollment Contact Deadline or Person Enrollment Goal

Contact

A Multicenter, Randomized, Pivotal Study to Evaluate the Safety and Efficacy of the Cartilage Autograft Implantation System (CAIS) for the Surgical Treatment of Articular Cartilage Lesion of the Knee

Dr. J. Farr

Articular Cartilage Defects of the Knee Visit www.clinicaltrials.gov for inclusion and exclusion criteria.

Open

Vicki Snodgrass CCRC

vsnodgrass@ orthoindy. com

Evaluation of the Composit of Cancellous and Demineralized Bone Plug(CR PLUG) for Repair of Focal Cartilage Lesions of the Femoral Condyle

Dr. J. Farr

Articular Cartilage Defects of the Knee Visit www.clinicaltrials.gov for inclusion and exclusion criteria.

After 10 patients Vicki enrolled Snodgrass CCRC

vsnodgrass@ orthoindy. com

A Post Market Study of the ABS OrthoGlide Arthroplasty Device for OsteoArthritis of the Knee

Dr. J. Farr

Osteoarthritis of the knee

Vicki Snodgrass CCRC

vsnodgrass@ orthoindy. com

A Post Market Study of Articular Cartilage Defects of the Knee Treated with Denovo NT, Natural Tissue Graft

Dr. J. Farr

Articular Cartilage Defects of the Knee Visit www.clinicaltrials.gov for inclusion and exclusion criteria.

After 10 patients Vicki enrolled Snodgrass CCRC

vsnodgrass@ orthoindy. com

Rgeneration Technologies, Inc. Registry of Biocleanse Meniscus Transplants

Dr. J. Farr

Meniscal Transplantation Candidates Visit www.clincialtrials.gov for inclusion and exclusion criteria

After 10 patients Vicki enrolled Snodgrass CCRC

vsnodgrass@ orthoindy. com

Collection of Specimens from Joint Replacement Surgery for In-Vitro Osteoarthritis Research

Drs. J. Farr, Kolisek, and Monesmith

Total Knee Replacement Candidates

Trial to Evaluate Ultrasound in the Treatment of Tibial Fractures (TRUST)

Dr. Maar

Study of low-intensity pulsed ultrasound treatment vs. placebo treatment in IM nailed tibial fracture healing.