InsideOI
Volume 5: Issue 4
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:
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®
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 meet our newest physicians and the referring physician liaisons, learn more about OrthoIndy’s partnerships and its newest facility located in Greenwood.
ON THE COVER OrthoIndy and IOH open its newest facility in Greenwood. Join us for our open house on Oct. 30th.
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. We appreciate your feedback. Thank you for choosing OrthoIndy and IOH for all of your orthopaedic needs. Sincerely,
See page 3 for more details. Kasey Prickel Editor Public Relations Manager
Injuries don’t have to be so bad...
Greenwood location now open!
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3 5 9
New Facility in Greenwood
OI and IOH open its newest facility in Greenwood
Ask the Doc
Dr. Marsh discusses foot injuries
Rave Review
Patient raves about Dr. Rougraff
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Work Comp Doc
Dr. Ludwig discusses elbow injuries
Learn more about OrthoIndy chat with us at: (800) 223-3381 or (317) 802-2000 or visit us on:
[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 Representatives John Orr jorr@orthoindy.com (317) 802-2131 Sarah Shackle sshackle@orthoindy.com (317) 802-2061 Contributing Writers Kasey Prickel Kaleigh Rougraff Dr. Robert Marsh Dr. Brian Ludwig Editor Kasey Prickel Graphic Design Kim Connett Marketing Director Jennifer Fox OrthoIndy
email us at suggestions@orthoindy.com
4th Quarter 2010
8450 Northwest Boulevard Indianapolis, IN 46278
Indiana Orthopaedic Hospital (IOH) 8400 Northwest Boulevard Indianapolis, IN 46278
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Facility in Greenwood Now Accepting Patients On October 25th, OrthoIndy and IOH will open its newest facility, located at 1260 Innovation Parkway, Greenwood, Indiana. Spanning over 75,000 square feet, the facility has both an OrthoIndy clinic and an IOH surgery center, as well as a Walk-In clinic with extended hours. The OrthoIndy South clinic is covered by 21 OrthoIndy physicians and has 42 exam rooms. Services provided by OrthoIndy include: bone tumor and soft tissue oncology, foot and ankle, general and pediatric orthopaedics, hand, hip, knee, physiatry, shoulder, spine, sports medicine and total joint replacement.
bone, joint, spine and muscle care conditions. IOH South will open October 25th offering convenient physical therapy and imaging (MRI) services. In Spring 2011, for those needing surgery, the facility will also feature an outpatient surgery center with four operating rooms, and specialize in procedures that require admission for less than 23 hours. Outpatient surgery centers provide cost-effective services and a convenient environment that is less stressful than what many hospitals can offer.
You’re Invited Join us at our community open house on October 30th. The new facility will also feature the OrthoIndy South Bring the entire family to tour the facility, win prizes Walk-In Clinic, which provides immediate access to and have fun! See invitation on the back cover.
(Top Left to Bottom): OrthoIndy South Clinic Lobby, OrthoIndy South Surgery Center check in, OrthoIndy South Facility Exterior 3
Inside OI
New OrthoIndy Docs OrthoIndy continues to strive to provide better access to care for all it’s patients. OrthoIndy and IOH have added three new physicians, Drs. Gregory Dikos, Brian Ludwig and Robert Marsh to the practice. Call today to schedule an appointment or call your referring physician liaisons Kelly Keirns, Amy Klesk or Adron Scott at (877) OI-CARE1. For worker’s compensation, please contact John Orr at (317) 802-2401 or Sarah Shackle at (317) 802-2061.
Dr. Robert Marsh Locations: OrthoIndy South Specialties: Foot & Ankle, Sports Medicine, General Orthopaedics Schedule an Appointment: (317) 884-5171
Dr. Brian Ludwig Location: OrthoIndy South Specialties: Sports Medicine, Shoulder, General Orthopaedics Schedule an Appointment: (317) 884-5172
4th Quarter 2010
Dr. Gregory Dikos Location: OrthoIndy Downtown Specialties: Trauma Schedule an Appointment: (317) 917-4370
Doc Talk
this quarter’s Physician:
Robert Marsh, DO
Foot Injuries The foot is one of the most resilient portions of the human body that endures a tremendous amount of stress during working conditions and our daily lives. For example, during normal gait each foot experiences 110 percent of our body weight, and increases to 240 percent during running activities. This is an amazing statistic, because our feet commonly are experiencing four times our body weight several times a day. Additionally, the foot has 38 bones that function as a unit to support the remaining skeleton. The majority of injuries seen in the work force are commonly the same experienced in our routine daily activities. Injuries to the feet are typically the result of repetitive stress to the foot on a daily basis, unfortunately, these injuries can be quite disabling to the worker. A majority of the injuries seen can be treated in a similar way. The first step is to correctly diagnose the problem, then prescribe the appropriate treatment whether it be orthotics, physical therapy, life-style changes, patient education or finally surgery. The goal is to return the worker to their prior level of activity and to prevent the problem from reoccurring. As a fellowship trained foot and ankle orthopaedic surgeon, I feel treatment of any condition first starts with patient education. When the patient understands the problem and the plan of treatment, they can begin to incorporate the changes necessary to recover from their injury, not just at work, but at home. The goal of this article is to educate readers on the most common conditions of the foot and early preventive measures.
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Plantar Fasciitis Plantar fasciitis is a very common foot disorder. It is estimated that one in ten people will develop this condition. Essentially, the plantar fascia is a broad band on the bottom of the foot that keeps the arch formed. This is important because this provides the dynamic shock support our body requires during walking, running and climbing. Plantar fasciitis is inflammation of this sheath as in attaches to the calcaneus (heel bone). Several conditions are associated with this, such as obesity, smoking, a tight heel cord and foot alignment. Additionally, poor shoe wear and standing on hard surfaces during the work force may contribute to the development of plantar fasciitis. The patient typically presents with a gradual onset of pain, worse in the morning, which may or may not improve throughout the day. The pain is described as sharp and is very localized to inside the foot that is reproducible to the touch.
Early treatment involves heel pads, possible shoe wear modification, night splints, weight loss and an aggressive stretching routine. In severe cases an initial period of immobilization in a walking boot is required for six weeks. Typically, with early aggressive treatment improvement will be seen in six to eight weeks. Unfortunately, this does not always resolve and surgical management is required. This involves an outpatient procedure which addresses one of the most common pathology and has been shown to be very effective in recent literature. The patient is allowed to return to work in a boot three days postoperatively for sedentary work, and three months for manual labor.
tion must be performed. There are several surgical options available to the patient, some consist of soft tissue reconstruction procedures which typically take three months to recover, and others require additional bony realignment and tendon repair which may take four to five months to fully recover.
Fractures Fractures are commonly associated with work related injuries for several reasons. Often times due to the repetitive nature of some positions, stress fractures develop. Despite the indolent appearance and presentation, this pattern of fracture can be quite disabling. The key to managing stress fractures is prompt diagnosis and identifying the etiology. A thorough history and physical exam may identify factors at work Ankle Sprains which can be modified to prevent relapses, or a foot Ankle sprains are another common injury. The major- malalignment may be identified. Often times, small ity occur as a result of a twisting injury in which the modifications can be made with an orthotic to adjust foot rolls inward resulting in stretching of the lateral the deformity which will prevent future reoccurrences. (outside) ligaments of the ankle. Initially, the patient presents with swelling, bruising, weakness, pain with With all acute and chronic injuries the key to manageambulation and pain which limits range of motion. The ment starts with prevention to identify potential areas majority of ankle sprains can be expected to treated which may be prone to injury. Performing a thorough conservatively with RICE therapy (Rest, Ice, Compres- physical exam to correctly diagnose the pathology, and sion, Elevation) during the acute phase. Once the pain finally, initiating the appropriimproves, physical therapy can be prescribed, as well ate course of action to return the as bracing to return the patient to their previous level patient to the pre-injury level in in an effective manner, typically four to eight weeks a safe and judicious manor. depending on the severity of the injury. Occasionally, these injuries can become repetitive or chronic and fail conservative management. This can be very disabling not only because of pain, but also the patient loses their confidence in their ankle to perform at an optional level. When this occurs, a thorough evalua-
Robert Marsh, DO Orthopaedic Surgeon Foot & Ankle
Dr. Marsh received his bachelor’s degree in athletic training from Purdue University in 2000. In 2004, he received his medical degree from Des Moines University. After medical school, Dr. Marsh completed his residency in orthopaedic surgery at Michigan State University - Ingham Regional Medical Center and in 2010, worked closely with the MSU Sports Medicine
Program. He completed the Grand Rapids Foot and Ankle Fellowship under Drs. Bohay and Anderson. During his fellowship, Dr. Marsh received in-depth training in total ankle replacement and foot and ankle disorders. Dr. Marsh is accepting patients at OrthoIndy South. To schedule an appointment with Dr. Marsh, please call (317) 884-5171.
OrthoIndy’s Referring Physician
s n o s i a Li
OrthoIndy has three referring physician liaisons to help facilitate the relationship between OrthoIndy and its referring physicians and their patients. The state of Indiana is broken up into three territories, which are covered by Adron Scott, Kelly Keirns and Amy Klesk. OrthoIndy’s relationship with its referring physician community is important to our liaisons and their goal is to make the referral process as effecient as possible so that your patients receive the best care.
needs. He also is a firm believer that the key element of success as a referring physician liaison is building relationships. Adron graduated from Pike Central High School, a small high school three hours south of Indianapolis. In 2003, he graduated from Indiana University in Bloomington. After college, he worked at Pulte Homes for five years selling houses. Adron lives with his wife Nicole in Fishers. He enjoys playing basketball, videogames and considers himself a movie buff. For referring physicians in the West territory, please contact Adron Scott. (317) 802-2074 ascott@orthoindy.com Adron Scott
Adron Scott Adron Scott is the newest member of the referring physician liaisons for OrthoIndy, covering the West territory. Adron understands that pleasing the customer is the most important part of customer service and he works hard to satisfy all of his customer’s
Kelly Keirns Kelly Keirns is the referring physician representative for the North/East territory. Her primary responsibility is to make sure that the referral process is easy for the medical community. Kelly has four years of experience in the medical sales field and understands how important it is to build relationships with physicians so that the patient receives easy access to quality care. Inside OI
Kelly is a graduate of Noblesville High School. In 2004, she graduated from Indiana University in Bloomington. After college she spent two years working for Linn Care in the medical sales department. Kelly lives with her husband Joel and one-year-old son, Colton. Although Kelly enjoys many of her extracurricular activities, she prefers spending all of her extra time enjoying the company of her friends and family. For referring physicians in the North/East territory, please contact Kelly Keirns. (317) 268-3197 kkeirns@orthoindy.com
Amy Klesk Amy Klesk is the referring physician liaison for the South/East territory. In addition to her territory, Amy strives to uncover opportunities for business development. She works closely with referring physicians to educate the community on OrthoIndy’s physicians and services.
Kelly Keirns
She grew up on the west side of Indianapolis and graduated from Ben Davis High School. In 1995, Amy graduated from Indiana University in Bloomington. After college she spent ten years selling pharmaceutical products before she found her way to OrthoIndy. Her previous job helped her establish relationships with physicians that she continues to work with today. She has been with OrthoIndy for just over a year and thoroughly enjoys the company of her team. Amy resides on the south side of Indianapolis with her husband, Dave and their two daughters Olivia (six) and Chloe (three). She enjoys working out and spending quality time with her family. For referring physicians in the South/East territory, please contact Amy Klesk. (317) 884-5228 aklesk@orthoindy.com
4th Quarter 2010
Amy Klesk
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Rave Review . . .
OrthoIndy provides such great care, our patients can’t help but rave about it.
By: Kaleigh Rougraff Richard Condi, a 56-year-old man from Evansville, Indiana, was diagnosed with cancer in January of 2009 and treated at another hospital. He underwent radiation therapy, chemotherapy and surgery to eliminate the disease. Unfortunately, the radiation treatments were too hard on Richard’s bones, and left him with an infected and nearly destroyed clavicle. His hospital in Evansville diagnosed him with osteomyelitis of the medial clavicle and sterno-clavicular septic arthrosis. “Osteomyelitis is a bone infection,” said Dr. Bruce Rougraff, orthopaedic surgeon specializing in bone oncology. “Septic arthrosis is when the infection goes into a joint. In this case his went into the Sterno-clavicular joint. He was at risk for the infection because he had a previous neck cancer that was treated with surgery (in Evansville) and radiation.”
local orthopaedic doctor,” said Richard’s wife, Donna. “But prayers were answered with that first trip to see Dr. Rougraff. He had turned the lights on and brought our family out of the darkness.” Dr. Rougraff planned to fix the bone as opposed to removing it completely, giving Richard full motion in his arm and shoulder. “The radiation caused loss of blood supply to the clavicle bone and he had a wide spread infection that invaded the clavicle also.” Dr. Rougraff explained. “I treated him by opening up the bone and removing the dead and infected central portion and gave him strong antibiotics.”
“The four hour car ride home quickly passed as my husband called everyone who had been praying for his recovery to give them the good news that he was not going to be crippled. The surgery at IOH went even better than we hoped,” said Donna. His surgery was a comIt seemed as if his chances at a normal life were slim plete success, and one short month later he was in physiwhen his physician in Evansville told him his options. cal therapy rehabilitating his shoulder. A month later he “The only option discussed by my local orthopaedic sur- was back at work and extremely pleased with his rapid geon was to remove my clavicle, for which there would recovery. Richard is currently almost completely rebe no replacement,” said Richard. “Thankfully habilitated, taking up new activities such as kick - my wife pushed for a referral and second boxing and continuing activities he enjoys like opinion, which is where Dr. Rougraff golfing. He is proud that he is even able to came in.” carry around his own equipment and keep up with Donna. “If it hadn’t been for my wife, I Taking his wife’s advice, he schedwouldn’t have made it through,” Richard said. uled a consultation with Dr. Rougraff at OrthoIndy. After a simple x-ray Richard was extremely pleased with and a ten minute consultation, Dr. Dr. Rougraff and the care he reRougraff scheduled surgery ceived at OrthoIndy. “There for the following week. just are not enough ways Dr. Rougraff’s plan reto say thank you!” he stored a sense of hope said. “If you prefer Grathat had been lost by cias, Merci or any other his previous consultaform, I cannot thank tion. “My husband’s OrthoIndy and Dr. future and hope that Rougraff sufficiently. things might someday He literally changed be ‘normal’ again were my life!” quite bleak after meeting with the 9
Inside OI
OrthoIndy Total Joint Specialists at
St.Vincent Indianapolis As part of its partnership with St. Vincent, OrthoIndy total joint specialists are now seeing patients at St. Vincent Indianapolis, located at 8402 North Harcourt Road, Ste. 125. The six OrthoIndy total joint specialists are fellowship trained and have over 120 years of experience combined. The specialists include, Drs.
Daniel Dro, David Fisher, Edward Hellman, Timothy Hupfer, Frank Kolisek and Dean Maar. To schedule an appointment with one of OrthoIndy’s total joint specialists at St. Vincent, please call (877) 956-8686. Please call ahead for specific hours.
Daniel W. Dro, MD
David A. Fisher, MD
Timothy A. Hupfer, MD
Frank R. Kolisek, MD
4th Quarter 2010
Edward J. Hellman, MD
Dean C. Maar, MD 10
Elbow Injuries in the Workplace By: Brian Ludwig, MD “Oh, I hurt my funny bone!” I am sure we all have heard that one before. Elbow injuries in the workplace are not an uncommon occurrence. Many of these injuries can cause both short and long-term disability and inability to work. Fortunately, the vast majority of these ailments can be treated conservatively and the patient can then return back to their previous workplace without any long-term problems. This article is intended to give a brief overview of some of the more common elbow problems that can come up in the work setting, including general diagnostic and treatment plans.
Lateral Epicondylitis (Tennis Elbow)
One of the more common injuries to involve the elbow is lateral epicondylitis, or tennis elbow. This can be due to a repetitive overuse phenomenon or from a onetime traumatic incident. The pain from lateral epicondylitis is centered about the lateral side of the elbow. Most commonly it is painful just distal to the lateral epicondyle over the extensor compartment of the forearm. The patient will have problems with any type of activities that are done with wrist and finger extension. Diagnosis is usually made clinically, based on both the patient’s history and physical examination. Radiographs are almost always indicated, with any elbow ailment, to rule out an underlying osseous abnormality including: loose bodies, osteoarthritic changes or 11
fracture. In some cases an MRI scan may be indicated to evaluate more fully the soft tissue about the lateral side of the elbow. Treatment generally starts conservatively with physical therapy (PT)/occupational therapy (OT) focused on the area of pain. Additionally, activity modification can help to alleviate some of the disability caused by the tennis elbow. This generally will help significantly over time. If the pain is recalcitrant to PT, then a trial of injections can be done. There has been some research into injection with corticosteroids, botox and more recently platelet-rich plasma (PRP). Over 90 percent of patients can be treated with a combination of the above plans and obtain relief, thus avoiding the need for surgical intervention. It should be noted that this type of treatment can take several weeks to months. If the patient fails conservative management, surgical intervention may be necessary. Typically the patient will be limited in duties at work from six weeks to possibly three months after surgery. Surgery, however, does have a very high success rate.
Medial Epicondylitis (Golfer’s Elbow)
On the other side of the elbow, a similar affliction can be found, although less commonly, called medial epicondylitis, or golfer’s elbow. The pathophysiology Inside OI
of golfer’s elbow is very similar to tennis elbow, but it affects the flexor/pronator tendons as they insert on the medial epicondyle on the inside part of the elbow. The patient will typically have pain with wrist flexion, as opposed to wrist extension as seen with tennis elbow. Treatment for medial epicondylitis follows a similar algorithm as that outlined for lateral epidcondylitis. Typically this can be treated without surgery, but recalcitrant cases may need surgical intervention. This would be very uncommon. Return to work would be based on the patient’s response to therapy but would typically be along the lines of 2 to 12 weeks after surgery depending on the amount of physical activity in the patient’s job.
Cubital Tunnel Syndrome
Cubital tunnel syndrome is a compression neuropathy of the ulnar nerve at the elbow. This entity can cause numbness and tingling in the ulnar (small finger side) aspect of the forearm and in the ring and small fingers. Over time this can also cause wasting of the small muscles of the hand resulting in loss of function of the hand. Causes of cubital tunnel syndrome can be from intrinsic or extrinsic sources. Extrinsic etiologies are usually due to compression of the nerve from poor ergonomics (such as resting the arm on a window sill while driving). Intrinsic causes can be due to prolonged sitting with the elbow flexed greater than 90 degrees, masses within the cubital tunnel or an anomalous muscle within the cubital tunnel. Diagnosis is typically clinical, but often an EMG will often be ordered to confirm the diagnosis.
Treatment of cubital tunnel syndrome is initially conservative with modification of activity and possibly the use of pads to prevent hyperflexion of the elbow. If this treatment plan is unsuccessful, surgery typically involves decompression and possible transposition of the nerve. Limited work is usually possible in 1 to 2 weeks with return to full duty at 6 to 12 weeks.
Prevention
As with any type of work related injury it is always imperative that ergonomics are considered. The use of proper ergonomics can help to both treat, but more importantly, prevent these on the job injuries. Some common ergonomic suggestions to help prevent elbow injuries include: • Relieve pressure off the inside aspect of the elbow, to prevent cubital tunnel syndrome • Do not rest your elbows on a desk when typing • Have the elbow in 90 degrees of flexion when using a computer • Avoid long stretches of activity without a break • Avoid repetitive tasks if possible As with any work related injury, the ability of the employee and the employer to be flexible with dealing with these injuries is penultimate. Often with activity modification, the injuries can be treated, and also prevented, which keeps the patient on the job and out of the physician’s office.
Brian Ludwig, MD Orthopaedic Surgeon
Dr. Ludwig received his bachelor’s degree in Chemical Engineering from Iowa State University of Science and Technology with a minor in Biology in 2000. He then matriculated to the University of Iowa Carver College of Medicine, where he graduated as a member of the Alpha Omega Alpha honor society in 2004. After medical school, Dr. Ludwig completed his orthopaedic surgery residency training at the University of Wisconsin Hospital and Clinics. He served as the administrative chief resident during his last year of residency. In 2010, he completed the prestigious American Sports Medicine Institute Orthopaedic Sports Medicine Fellowship under the direction of Dr. James Andrews, Dr. William Clancy, Dr. E. Lyle Cain and Dr. Jeffrey Dugas.
To schedule an appointment at OrthoIndy South with Dr. Ludwig, please call (317) 884-5172. 4th Quarter 2010
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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 “to advance the scientific body of knowledge associated with musculoskeletal disorders, for the scientific and public communities, through research and education.”
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 Composite 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.
Follow-up
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.
Follow-up
Vicki Snodgrass CCRC
vsnodgrass@ orthoindy. com
Regeneration Technologies, Inc. Registry of Biocleanse Meniscus Transplants
Dr. J. Farr
Meniscal Transplantation Candidates Visit www.clincialtrials.gov for inclusion and exclusion criteria
Follow-up
Vicki Snodgrass CCRC
vsnodgrass@ orthoindy. com
Vicki Snodgrass CCRC or Charles Jaggard
vsnodgrass@ orthoindy. com or CJaggard@ orthoindy. com
Open
Vicki Snodgrass CCRC
vsnodgrass@ orthoindy. com
Collection of Specimens from Joint Replace- Drs. J. Farr, ment Surgery for In-Vitro Osteoarthritis Kolisek, and Research Monesmith
Total Knee Replacement Candidates
Biomet Biologics “ A Feasibility Study to Determine the Up-regulation of Anti-inflammatory Cytokines in Whole Blood from Patients with Osteoarthritis Physician
Jack Farr, MD
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.
After 15 patients enrolled
Dana Musapatika
(317) 9174117
Musculoskeletal Injuries Associated with Moped and Motorized Scooter Accidents
Dr. Jelen
A study of the factors involved in moped and motorized scooter accidents and the treatment methods utilized.
After 15 patients enrolled
Dana Musapatika
(317) 9174117
Fixation using Alternative Implants for the Treatment of Hip Fractures (FAITH)
Dr. Baele
A trial comparing sliding hip screws and cancellous screws on revision surgery rates and quality of life in the treatment of femoral neck fractures.
After 15 patients enrolled
Dana Musapatika
(317) 9174117
MRI in Postoperative Assessment of Pelvic Fractures
Drs. Kaehr, Maar, Buckwalter
To determine if non-contrast MRI, using currently available and new imaging sequences, is able to demonstrate bone healing as effectively as CT (computed tomography, CT), the current imaging standard.
After 15 patients enrolled
Dana Musapatika
(317) 9174117
A Prospective Randomized Trial to Assess Fixation Strategies for Sever Open Tibia Fractures: Modern Ring External Fixators or Internal Fixation with Intramedullary Nails (FIXIT)
Dr. Crichlow
To compare modern ring external fixation versus internal fixation for fracture stabilization of severe open tibia fractures.
After 15 patients enrolled
Dana Musapatika
(317) 9174117
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Inside OI
Study Title
Participating Physicians
Brief Description Criteria
Enrollment Contact Deadline or Person Enrollment Goal
Contact
Qualitative Investigation into the Impact of Hip and Tibia Fractures on Patients
Dr. Weber
To investigate the effects of Hip and Tibia fractures patient outcomes on the lives of patients.
After 15 patients enrolled
Dana Musapatika
(317) 9174117
5 – Year Prospective,Post-Market Pilot Study of Biolox Delta 36 mm and Larger Femoral Heads with Trident X3 Polyethylene Inserts
Dr. Kolisek
A single center study evaluating patients with Biolox delta femoral head with an X3 polyethylene insert hip implants for wear rate, clinical results, radiographic stability and quality of life.
18-month period
Charles Jaggard
CJaggard@ orthoindy. com
10 - Year Retrospective/Prospective Radiographic Analysis of Secur-Fit Hip Stem
Dr. Kolisek
A single center study comparing radiographic remodeling of the Secur-Fit stem to the Omnifit HA stem through 10 years and evaluating the group for quality of life and clinical results.
Charles Jaggard
CJaggard@ orthoindy. com
Osteocel® Plus in Anterior Lumbar Fusion (ALIF): Evaluation fo Radiographic and Patient Outcomes
Drs. Schwartz, Riina, Trammell, Dietz, Huler
One or two level lumbar fusion using Osteocel® Plus as a bone graft substitute.
July 2010
Kim Fitzpatrick
spineresearch@ orthoindy. com
A Prospective, Randomized, Controlled Pivotal Clinical Investigation of DIAM™ Spinal Stabilization System in Patients with Lumbar Degenerative Disc Disease
Drs. Riina, Schwartz, Trammell, Dietz
Mild to moderate degenerative disc disease from L1-L5. Randomized study into either DIAM (surgical) or conservative care group.
Open
Kim Fitzpatrick
spineresearch@ orthoindy. com
Linkage analysis and gene mapping of familial spinal disorders (scoliosis, Scheuermann’s kyphosis, spondylolisthesis, lumbar disc disease, osteoporosis).
Drs. Schwartz, Riina, Trammell, Dietz, Huler, Coscia
DNA (saliva) testing of patients with scoliosis.
N/A
Kathy Flint
spineresearch@ orthoindy. com
Epidemiology, Process, and Outcomes of Spine Trauma
Drs. Schwartz, Riina, Dietz, Coscia, Huler, Trammell
Any spinal cord trauma patients
N/A
Kathy Flint
spineresearch@ orthoindy. com
Surgical Treatment for Acute Spinal Cord Injury Study
Drs. Schwartz, Riina, Dietz, Coscia, Huler, Trammell
Any spinal cord trauma patients
N/A
Kathy Flint
spineresearch@ orthoindy. com
Management of Type II Odontoid Fractures
Drs. Schwartz, Riina, Dietz, Coscia, Huler, Trammell
Cervical spine trauma patients
N/A
Kathy Flint
spineresearch@ orthoindy. com
Incidence of Dysphagia after Anterior Cervical Fusion Procedure with Various Types of Anterior Cervical Plates: A Short and Long Term Follow-up Study
Drs. Joesph Riina, Michael Coscia, John Dietz, Robert Huler, Gabriel Jackson, David Schwartz, Terry Trammell
Any patient (>18 years of age) who will undergo anterior or posterior cervical plating/fixation
N/A
Kathy Flint
spineresearch@ orthoindy. com
Magnetic Resonance Imaging and the Posterior Ligamentous Complex
Drs. Riina, Dr. Schwartz, Dietz, Huler
Spine trauma patients
N/A
Kathy Flint
spineresearch@ orthoindy. com
A prospective, comparative, ramdomized, double blind, multi-center study of the Uniglide Mobile Bearing Unicondylor Kne System vs. Uniglide Fixed Bearing Unicondylar Knee System
Dr Fisher
Patients 40-75 years of age who have osteoarthritis with the need for a Unicondylar knee replacement. Those patients who fulfill the inclusion criteria and do not meet any of the exclusion criteria will be evaluated. Patients being able to provide a written personal signature on the consent/authorization form for enrollment in the study.
Open
Mary Burgess
(317) 8022853
4th Quarter 2010
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®
8450 Northwest Blvd. Indianapolis, IN 46278
Community Open House Fun for the whole family! Saturday, October 30th • 12 - 3 pm
1260 Innovation Pkwy • Greenwood, IN 46143
65
Arlington Rd.
Southport Rd.
Stop 11 Rd.
Innovation Pkwy Main St.
Graham Rd.
County Line Rd.
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