Adult Reconstruction and Joint Replacement Service Physicians in the Adult Reconstruction and Joint Replacement Service at HSS perform more joint replacement procedures than any other hospital in the country. Our surgeons use the latest technologies to help patients return to a pain-free, active lifestyle quickly. CHIEF Douglas E. Padgett, MD CHIEF, HIP SERVICE Mathias P. Bostrom, MD CHIEF, KNEE SERVICE Steven B. Haas, MD CHIEF, SURGICAL ARTHRITIS SERVICE Mark P. Figgie, MD
Clinical Highlights In 2015, with the help of generous donors, a new Complex Joint Reconstruction Center (CJRC) was established to serve as a single point of access to medical care for patients with complex joint disorders. Under the leadership of Thomas Sculco, MD, the CJRC has hired an assistant director of research and a clinical manager; developed a revision-specific education course; and created standardized order sets, as well as a postoperative note template. The CJRC is currently establishing a revision registry. The Adult Reconstruction and Joint Replacement (ARJR) Service participated in Medicare’s voluntary Bundled Payment for Care Improvement (BPCI) initiative and transitioned to the Comprehensive Care for Joint Replacement model, effective July 1, 2016. Through BPCI, there has been an increase in Medicare patients discharged to their homes and a decrease in skilled nursing facility length-of-stay. The latter is attributed to the creation of a “preferred” network of skilled nursing facilities that are committed to following HSS protocols. Alexander McLawhorn, MD, joined the ARJR Service as an Attending Surgeon. Dr. McLawhorn recently completed his
ARJR Fellowship at HSS. He is based primarily in Stamford, CT.
Research Initiatives The Service joined the American Joint Replacement Registry. Douglas Padgett, MD, was appointed as the American Academy of Orthopaedic Surgeons representative on the Board of Directors. Stephen Lyman, PhD, and ARJR co- investigators reduced the number of questions on the Hip disability and Osteoarthritis Outcome Score (HOOS) and the Knee injury and Osteoarthritis Outcome Score (KOOS) from 42 to 6 and 7, respectively. HOOS/KOOS- JR was accepted as a functional assessment by CMS. Both papers were published in Clinical Orthopaedics and Related Research. Michael Cross, MD, received a grant from The Price Family Foundation to conduct a multi-center study investigating the treatment of joint replacement infections in one stage instead of two. Currently, two-stage revisions — in which the infected prosthesis is removed and reinserted weeks later after a course of antibiotic treatment — are considered the gold standard in North America. A one-stage procedure, which involves removing the infected prosthesis and
FROM LEFT TO RIGHT: Douglas E. Padgett, MD; Mathias P. Bostrom, MD; Steven B. Haas, MD; Mark P. Figgie, MD; Michael M. Alexiades, MD; Friedrich Boettner, MD; Robert L. Buly, MD; Charles N. Cornell, MD; Michael B. Cross, MD; Alejandro Gonzalez Della Valle, MD; Allan E. Inglis, Jr., MD; Seth A. Jerabek, MD
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