UNC Orthopaedics 2021-22 Annual Report

ANNUAL REPORT

Dear Friend of the Department,

In the 3 years since I had the privilege of serving as chair, the department has made a number of changes, some of the most important being creating a strategic plan as our roadmap, recruited 10 new faculty members, successfully pivoting to virtual residency and fellowship interviews during COVID resulting in strong recruits, expanding into Wake County, and implemented a new leadership structure for the department. The department ranked as a high performing program by UNSWR for the first time, and the pediatric orthopaedic program ranked 23 in the nation, its highest level ever. This annual report is another step along our way, showing our team’s fantastic work. It has been a busy 3 years, and I am thrilled to work alongside this high-quality group of physicians, advanced practice providers, and staff with the united goal of becoming the country’s best public musculoskeletal program. Considering the strong competition, this is a lofty goal, but we have great people to accomplish it.

Our strategic plan focuses on four major areas – excellent clinical operations putting patients first, supporting and developing our own people, creating a top tier education program, and developing a solid research infrastructure. We are working hard in each of these areas and making steady progress.

In the education realm, we brought in an outside consultant to develop our education methods using best practices in adult learning. As Vice Chair of Academic Affairs, an alum of this program and co-director of the AAOS Orthopaedic Educators’ Course, Dr. Esther is uniquely qualified to lead as Program Director. Under his leadership we have revamped the curriculum, instituted state of the art teaching methods, markedly expanded the simulation lab experience, set aside uninterrupted time for education, created group quality improvement initiatives, and brought in visiting Grand Rounds speakers emphasizing broad perspectives and diverse voices in orthopaedics.

In 2021, we assembled a strong search committee to identify the Norfleet-Raney Professor and Vice Chair of Research. After a nationwide search, we were fortunate to have Dr. Joe Hart join our faculty in February 2022. Joe’s groundbreaking work on MRI imaging and injury recovery are a boon to the University. He has hit the ground running in his first six months with us, quadrupling the number of research assistants, and implementing collaborative studies with colleagues in Exercise and Sports Science, Biomedical Engineering, Radiology, and the Thurston Arthritis Center. Research is now becoming a solid core of the department with much more to come.

A key for our department’s future success is creating distinctive programs capitalizing on the expertise of our great faculty and great collaborators throughout UNC. Our first major foray is the UNC Sports Medicine Institute. We collaborated with UNC leaders in developing the vision and plan, with Dr. Berkoff leading on the orthopaedics side, and we owe a debt of gratitude to him. In collaboration with the School of Business, leaders in Exercise and Sports Science, Athletics, Nutrition, Family Medicine and Physical Therapy, the Institute is moving ahead. Later this month, the UNC Sports Medicine Institute will host its first Annual Conference on Improving Knee Injury Outcomes.You can read more about the creation of this institute in the next pages.

I am very excited about the direction this department is going in, and I think you will be too. In the next year, we are looking forward to continuing to build on the groundwork we’ve laid to become the nation’s best public musculoskeletal program.

Go Heels!

James O. Sanders, MD

Frank C. Wilson Distinguished Chair of Orthopaedics University of North Carolina at Chapel Hill

Mission and Vision

Vision

Our vision is to become the nation’s best public musculoskeletal care program.

Mission

We will achieve this vision by providing the highest quality clinical care, developing innovative and effective education and research programs, and having a firm commitment to our people.

Our Strategic Framework and Values

Clinical Care and Operations

• We are committed to outstanding and equitable care for every patient • We work hard to make it easy for our patients and all who help care for them • We are responsible stewards of healthcare resources

Our People

• We treat each other with respect

• We embody high-functioning, patient-focused teams where all individuals flourish

• We embrace diversity, equity, and inclusion

Teaching

• We educate using the best methods and materials for each individual • We inspire lifelong learning and teaching • We model the highest professional standards as we mentor future generations

Research

• We foster curiosity, innovation, and continual improvement

• We conduct high-quality research that improves lives

• We will create an exceptional research infrastructure to drive significant advances

Awards and Rankings

2022 News World

Reports

UNC Orthopaedics ranked 23rd in pediatric orthopaedics, and high performing in orthopaedics

James Sanders, MD Robert Ostrum, MD Robert Esther, MD Alex Creighton, MD

Alexander Creighton, MD

Andrew Chen, MD

Christopher Olcott, MD

Daniel Bracey, MD David Berkoff, MD Donald Bynum, MD Ganesh Kamath, MD Jacqueline Myers, F-NP Joseph Stone, MD Moe Lim, MD

Carolina Cares

Top Doctors in America

UNC Sports Medicine Institute

The UNC Sports Medicine Institute (SMI) is a multidisciplinary research and clinical project with an aim to keep active people active. We intend to improve on how we deliver care to our community and beyond and continue to focus on a tight collaboration between clinicians and researchers. The SMI is data-driven, collaborative, and patient-focused.

Since its inception in 2019, the SMI has steadily grown. The formation of an Operations and Leadership team as well as a Core Advisory Board with representation from multiple School of Medicine departments as well as Exercise and Sports Science, School of Public Health and others has provided an infrastructure for success. The SMI’s first half-time hire, Carla Hill, PT, runs our day-to-day operations and helps maintain focus on expansion.

Since its inception as a virtual institute, the SMI has successfully raised $150,000 and continues to pursue opportunities for further growth and development. Clinically, we have incorporated SMI documentation into our discharge paperwork, created improved patient materials and further developed partnerships with other UNC groups. We have focused on program building within the SMI and hope to have an even larger clinical impact this upcoming year. On the research front, we now have more than 12 funded studies that fall under the SMI purview and a growing research team to support their ongoing success.

Lastly, we are hosting the first annual SMI conference with speakers from all over the country coming to share their knowledge and join us for this inaugural meeting. This is a CME course which will cover rehabilitation, prevention, surgical and non-surgical interventions all related to the knee. It stacks up to be a great meeting that attendees of all backgrounds can benefit from.

David J. Berkoff, MD Vice Chair of Clinical Operations Director, SMI

SMI Collaborates to Keep Active People Active

At the UNC Sports Medicine Institute (SMI), a dedicated, inter-disciplinary team of medical providers and clinical researchers uses stateof-the-art tools, technology and novel techniques to help community and University members preserve and return to active lifestyles.

Launched in February 2020, the SMI was conceptualized by individuals within UNC Orthopaedics, UNC Exercise and Sport Science and other University sports science leaders as an entity that would close a gap by optimizing collaborative care and inter-disciplinary research. Through enhanced clinician-researcher collaborations, the SMI provides

innovative, comprehensive care pathways that focus on prevention, performance, and recovery from a broad patient-centered approach.

Federal, foundation, and industry-funded clinical trials developed and led by the SMI’s clinical research scientists and medical providers offer patients treated at the SMI with an opportunity to participate in studies that may enhance their outcomes and benefit the treatment of future patients. The fruits of innovative clinical trials in turn enable clinicians to help patients return to active lifestyles and reduce potential longterm disability via cutting-edge patient care.

Letter From the Director

SMI Co-Directors David Berkoff, MD (Vice Chair of Clinical Operations and Division Chief of the NonOperative Sports and Musculoskeletal Medicine) and Brian Pietrosimone, PhD (Director - UNC EXSS MOTION Science Institute) and their respective UNC Department Chairs (James Sanders, MD –UNC Orthopaedics / Darin Padua, PhD – UNC EXSS), as well as faculty from other departments within UNC’s School of Medicine (SOM) and Gillings School of Public Health, were instrumental to the SMI’s inter-disciplinary development.

Dr. Berkoff noted: “No sports injury is treated by a single discipline. The SMI’s mission is to enable UNC Health providers to apply novel investigative approaches to individualized clinical care in order to help patients accelerate their recovery and return to active lives. We focus on keeping active patients active as our primary clinical mission, whether we’re working with youth, weekend warriors or professional athletes. Sports medicine doesn’t stop at treatment. Our clinical and research teams invest themselves in helping patients understand the treatment, rehabilitation, and prevention tenets of holistic injury recovery that lead to better outcomes.”

Dr. Pietrosimone stated: “The patient population treated by our sports medicine disciplines drives the SMI’s investigative work and comprises the core of the Institute’s clinical trial enrollment. It’s exciting to watch individuals treated and rehabilitated for athletic injuries witness how participating in [SMI-sponsored] trials helps uphold clinical research that leads to innovative sports medicine practice at UNC Health.”

The SMI leadership team meets regularly to discuss and develop ideas and initiatives. Both University and regional partners who join the core team members are critical to enhancing the SMI’s evidence-driven, wide-reaching clinical science activities. Collaborators include UNC’s Athletic Department; UNC Gillings School of Global Public Health; UNC Medical Center Rehabilitation Services therapists; UNC Thurston Arthritis Research Center; UNC Injury Prevention Research Center; the UNC/NCSU Joint Department of Biomedical Engineering; and North Carolina State University’s College of Veterinary Medicine.

Across wide-ranging clinical trials, the SMI tracks and analyzes injury outcomes and indicators among research participants. In 2022, clinical investigations included: tracking post-operative outcomes via repeated measures; motion analysis and movement retraining; exploring medication application; novel interventions to optimize post-operative outcomes; injury prevention program implementation; identifying biomarkers correlated with medical conditions; and investigation of post-injury tissue quality. Additional SMI initiatives include integrating nutritional information into patient care, developing patient resources, and expanding clinical research opportunities.

SMI Post-Doctoral Research Associate Caroline Lisee, PhD, ATC, noted: “Being part of a unique, collaborative clinical-research community has prepared me for an exciting career. Both mission and mentoring at the SMI builds confidence that my own clinical studies will produce meaningful findings that enable

sports medicine practitioners to offer injured patients the best in treatment, rehabilitative and preventive care.”

SMI Assistant Director Carla Hill, PT, DPT, OCS, is a vital leader, organizer and promoter of the Institute’s mission and development. Hill highlights SMI activities on social media, leads event planning, participates in research project implementation, and assists in growing its network of collaborators to achieve goals. She joins fellow leadership team members who are driven to improve patient care through integrating clinical research and connecting patients to providers and resources that best meet their needs.

Hill stated: “In less than a year with the SMI, I’ve witnessed how collaboration among related disciplines can foster new ideas for treatment and research that enhance our patients’ return to active lives after injury.”

On September 30th, the first UNC Sports Medicine Institute Annual Conference will be held at UNC’s Friday Conference Center. Keynote presentations

will be given by sports medicine leaders from around the country and feature a kick-off talk from Former Hall of Fame Coach Roy Williams. The day-long conference will feature panel discussions dedicated to surgery, nonoperative management, rehabilitation and recovery, and teamwork in sports medicine.

In its third year, the SMI will focus on the growth of their clinical and research enterprise.

Dr. Pietrosimone noted: “One of our biggest aims is to grow study enrollment within the SMI. Patients, clinicians, and researchers working together will lead to high level discoveries that will in turn improve future clinical care.”

Dr. Berkoff concluded: “Our achievements continue to grow thanks to the enthusiastic contributions of our clinical and research partners. The SMI will grow fueled by the enthusiasm and contributions of this entire collaborative team. We endeavor to provide care in a different way and impact research on a new level.”

UNC Adds EOS Scanner at ACC Location

This year, UNC added an EOS low-dose radiation scanner at the Ambulatory Care Center in Chapel Hill. This new system is safer for children and teenagers as it reduces radiation exposure at a rate one-third of conventional x-ray. For patients needing frequent imaging for conditions like scoliosis, limb-lengthening deficiency, and hip dysplasia this machine can make a significant difference. UNC is one of only a hand full of hospitals in the state offering this diagnostic option for pediatric orthopaedic patients.

“EOS, which uses slot scanning technology, is a powerful tool to both decrease radiation for many spine and extremity studies, also provides tools for 3D rendering which is very helpful in surgical and non-surgical planning. We are also planning to use it to improve our research and understanding of spinal deformity.”

- Dr James Sanders

Key Statistics

Clinical Sites

UNC Orthopaedic Clinic at Weaver Crossing 1181 Weaver Dairy Road Chapel Hill, NC 27514

UNC Orthopaedic Clinic at Carolina Pointe II 6011 Farrington Road Chapel Hill, NC 27517

UNC Orthopaedic Clinic at the Ambulatory Care Center (ACC) 102 Mason Farm Road 2nd Floor Chapel Hill, NC 27514

UNC Imaging and Spine Center 1350 Raleigh Road Chapel Hill, NC 27517

UNC Specialty Clinic at Pittsboro 75 Freedom Parkway Pittsboro, NC 27312

UNC Orthopaedics at Panther Creek 6715 McCrimmon Parkway Suite 205A Cary, NC 27519

UNC Children’s Specialty Clinic of Raleigh 2801 Blue Ridge Road Raleigh, NC 27607

New Faculty Profiles

Daniel Bracey, MD, PhD joined the department in September 2020 as a Clinical Assistant Professor of Adult Reconstruction.

Dr. Bracey received a BA in Economics from the University of Virginia before pursuing a Certificate of Graduate Study in Cell & Molecular Biology from Villanova University. He graduated with his MD from Wake Forest University, where he also completed his PhD in Molecular Medicine and Translational Science. He went on to complete his residency at Wake Forest, and Adult Reconstruction Fellowship at Colorado Joint Replacement. Dr. Bracey’s research interests include joint replacement outcomes, bone graft materials, origins of osteoarthritis, and periprosthetic joint infections.

Joseph Hart, PhD, ATC joined the department in February 2022 as the NorfleetRaney Vice Chair of Research. Dr. Hart received his BS in Sports Medicine from Marietta College. He went on to receive a Master of Science in Physical Education; Emphasis on Athletic Training from West Virginia University. He received his PhD from the University of Virginia in Kinesology. Prior to moving to UNC, Dr. Hart was the Director of Clinical Research at the University of Virginia Department of Orthopaedic Surgery, as well as a Professor of Kinesology since 2014. His vast research interests include ACL injuries, chronic ankle instability, image-based skeletal muscle analytics modeling, and home based physical therapy.

Trapper Lalli, MD joined the department in July 2020 as a Clinical Assistant Professor of Foot and Ankle. Dr. Lalli received a BS in Biology from West Virginia University, where he also graduated with his MD. He completed his residency in orthopaedic surgery at West Virginia School of Medicine, and Foot and Ankle Fellowship at UPMC. He practiced for four years as an Assistant Professor of Orthopaedic Surgery at University of Texas Southwestern Medical Center in Frisco, TX before moving to Chapel Hill. Dr. Lalli’s research interests include foot and ankle trauma, biomaterials, hallux valgus, and diabetic foot disease.

Stuart Mitchell, MD joined the department in October 2021 as a Clinical Assistant Professor of Pediatric Orthopaedics. Dr. Mitchell graduated with a BS in Engineering Science and Biological Sciences from Vanderbilt University in 2010. He received his MD from Johns Hopkins University. He completed his residency, including a year as an NIH T32 Research Fellow, at Johns Hopkins University and went on to complete a Pediatric Orthopaedic Surgery Clinical Fellowship at Children’s Hospital of Philadelphia. Dr. Mitchell’s research interests include patient reported outcomes, adolescent idiopathic scoliosis, and pediatric fracture management.

Michael Seifert, MD joined the department in April 2020 as a Clinical Assistant Professor of Orthopaedics. Dr. Mitchell graduated with a BS in Computer Science Engineering from University of Florida. He received his MD from University of South Florida Morsani College of Medicine and went on to complete a residency in Internal Medicine at Virginia Commonwealth University Health System. He completed a Primary Care Sports Medicine Fellowship at Maine Medical Center in Portland, ME. He spent three years as an Assistant Professor of Sports and Internal Medicine at UCF College of Medicine in Orlando, FL. He has research interests in biologics and joint injections.

Judith (Jodi) Siegel, MD joined the department in December 2020 as a Clinical Assistant Professor of Orthopaedic Traumatology. Dr. Siegel graduated with a BS in Sports Medicine from Marietta College and went on to get a Master of Science in Physiology of Exercise from Ohio University. She received her MD from Temple University, completed a residency in orthopaedic surgery at Boston University before completing an Orthopaedic Trauma Fellowship at Hennepin County Medical Center in Minneapolis, MN. Dr. Siegel was an Assistant Professor of Orthopaedics at University of Massachusetts for 12 years before making the move to UNC. Her research interests include medical education and fracture management.

Gregory Summerville, MD joined the department in February 2022 as a Clinical Assistant Professor of Orthopaedics. Dr. Summerville graduated from UNC with a BS in Public Health before receiving his MD from Wake Forest University. He completed a residency in Internal Medicine from University of California, San Francisco and a fellowship in Pediatric Sports Medicine from Children’s Hospital of Philadelphia. Dr. Summerville practiced for five years as a Sports Medicine senior physician with The Permanente Medical Group in San Francisco before returning to Chapel Hill. He has research interests in concussion management and patient reported outcomes.

Douglas Weinberg, MD joined the department in September 2020 as a Clinical Assistant Professor of Orthopaedic Spine Surgery. Dr. Weinberg graduated with a BA in Chemistry from Cornell University, after which he received his MD from Tulane University. He went on to complete his orthopaedic residency at Case Western Reserve University and an Orthopaedic Spine Surgery Fellowship at Emory University. Dr. Weinberg’s research interests include adult spinal deformities and spinal trauma.

Pediatric Limb Differences Program Grows Globally

For infants born with limb deficiencies or deformities, early intervention can be important for optimal development. However, many families learn of the congenital anomaly at birth and need time to process their own emotions regarding the limb loss/difference. For many families, this grieving process can take up to a year, which can delay making important treatment decisions that affect development. Early detection and counseling, even as early as the 2nd trimester when the anomaly is first discovered, can allow the family enough time to prepare for the decisions ahead. This is the message that UNC Pediatric Orthopaedics Division Chief and Associate Professor Anna Vergun, MD, promotes with each family she sees whose developing child needs limb correction, reconstruction, or rehabilitation.

Pediatric orthopaedists can outline with parents the corrective surgical and/or prosthetic options that will enable their child to have a better life. The critical action step for families is to bring their infant to see our team as soon as possible. To this end, Dr.Vergun is collaborating with Dr. Weili Lin in the Department of Radiology to investigate the use of fetal MRI to better understand the anatomy of the musculoskeletal system as early as the 2nd trimester. Dr.Vergun explains that “fetal ultrasound is an important screening tool, but fetal MRI can give much better detail if an anomaly is detected on ultrasound.

It can also help unravel how the neonatal brain and limbs develop together.” The sooner we understand the anatomy of how the limb is different, the sooner we can work together to find a treatment plan that makes sense for that child and family. Also, understanding how the brain responds to a missing or partial limb could lead to innovative therapies.

To determine surgical and/or prosthetic approaches with the most promising outcomes, Dr.Vergun’s team relies on the assistance of a well-coordinated, multi-disciplinary team of UNC School of Medicine (SOM) specialists. This network is comprised of orthopaedists, pediatricians, radiologists, neurologists, prosthetists, orthotists, physiatrists (Physical Medicine & Rehabilitation) and care coordinators. Under Dr.Vergun’s leadership, this SOM team’s work to centralize family outreach and surgical planning protocols has moved it a step closer to opening the UNC Center for Pediatric Limb Differences by August 2022.

Dr.Vergun noted: “If the specialists across the hospital that UNC Pediatric Orthopaedics partners with continue investing their expertise and energies, we will pull off opening the doors to a center that reaches so many.” According to the North Carolina Birth Defects Monitoring Program, about one in 250 infants are born

Photographs courtesy of PCRF

with a limb anomaly. Some may be simple differences that require minimal or no treatment. Others may be severe and require as many as 5-10 major corrective surgeries during childhood to reconstruct the limb. Other limb differences may be best treated with a prosthesis, an artificial limb, and some will need one or two surgeries to allow the prosthesis to fit better. The wide spectrum of limb anomalies and treatment options can be confusing, which is why these families are best treated at centers with a team of providers with subspecialty expertise.

In her early career at Shriner’s Hospital (2010 – 2014), Dr.Vergun found a mentor in Dr. Hugh Watts, considered by many to be a pioneer in pediatric orthopaedics. The renowned orthopaedist guided her through mastering their shared subspecialty and influenced her path in global health service. In partnership with the Palestine Children’s Relief Fund (PCRF), Dr. Watts was growing a network of volunteer orthopaedists to train surgeons from Palestine and across the globe on the fundamentals of correcting musculoskeletal problems in children. After visiting Ramallah in May 2012, Dr.Vergun dedicated herself to the Pediatric Orthopedic Education and Training (POET) Program with PCRF to train local surgeons and provide ongoing mentoring in the West Bank. Over a decade, Dr.Vergun’s leadership and expertise in building pediatric orthopaedic local capacity in an area of the world long affected by gaps in publicly accessible subspecialty care.

As the POET in Ramallah Program Director, Dr. Vergun initially led a comprehensive hands-on / didactics program developed to train residents and practicing surgeons alike in treating common and complex pediatric orthopaedic cases (e.g., clubfeet, congenital hip dislocation, hand surgery). At the Palestine Medical Center Department of Orthopedic Surgery, those in training additionally benefit from daily didactic sessions, visiting specialists, medical equipment instruction, lectures, and workshops.

Dr.Vergun noted: “Instead of focusing on the volume of cases treated during a mission, our team of surgeons and educators developed a curriculum around the fundamentals of musculoskeletal growth and function and taught surgical techniques that could be mastered quickly and have a high impact. Over time, the local and visiting surgeons built both friendship and trust. Intimately understanding each other’s skill sets allowed us to begin addressing increasingly complex orthopedic problems. “

Drawing from the POET program’s success, the PCRF has asked Dr.Vergun to develop a similarly focused surgical training/education program in Gaza. After visiting Gaza first in 2018, Dr.Vergun realized that the needs were quite different. One area Dr.Vergun felt could make a huge impact was the treatment of pediatric limb deficiencies/differences and child amputees. Since the inception of PCRF’s Children’s Gaza Amputee Project in 2019, she has visited twice to onboard specialists who can grow this initiative from the ground up in serving child amputees in Gaza who have suffered psychologically from physical trauma. In 2019, the industry hosted its first summer camp that provides a safe environment for child amputees to receive comprehensive counseling and normalize their lives in the presence of peers.

In domestic and global commitments, Dr.Vergun makes her biggest strides when working with multiple stakeholders toward a common goal. As the 20202022 (Immediate Past) President of the Association of Children’s Prosthetic-Orthotic Clinics (ACPOC), her ongoing contributions help direct the organization’s aims in networking cross-disciplinary teams of specialists involved in the care of children, adolescents, and young adults with various musculoskeletal differences.

She concluded: “Pediatric orthopaedists must think outside of our expertise to achieve optimized outcomes in corrective, restorative, and rehabilitative surgery. The answer lies in fostering collaboration among highly talented specialists who help shepherd decisionmaking in surgical approaches. My division at UNC Orthopaedics is humbled by the cross-disciplinary knowledge that informs case planning and enables us to drastically improve a child’s quality of life.”

Diversifying Orthopaedics

Growing up, UNC Associate Professor of Orthopaedics J. Megan Patterson, MD, was privileged in a way many of her female peers in surgery were not. In a dual surgeon household, her parents set the example for four children that surgery careers with long hospital shifts could be successfully balanced with shared child-raising responsibilities at home. One of the greatest aims now for the Department’s Division Chief of Hand & Microsurgery is to increase awareness among female medical students that a career in surgery and a rewarding family life is attainable.

Dr. Patterson noted: “I’m blessed my upbringing showed me how women surgeons can have equal success in family and child-raising. I want to show this example to other women who are considering orthopaedics or just getting started in their training.”

During the 2019–2020 application cycle, the most recent year for which American Medical Association (AMA) data* are publicly available, 53.5% of applicants to MD-granting medical schools and 53.7% of matriculating medical school students were women. By sharp contrast, only 6-8% of graduating medical students pursuing orthopaedics were women.

Dr. Patterson leads UNC Orthopaedics’ internal dialogue on the perspectives of and challenges faced by aspiring female orthopaedists pursuing this

maledominated field, as the Department’s Vice Chair of Diversity, Equity and Inclusion. While not all women are interested in having children, balancing a career in orthopaedic surgery with child rearing is uniquely challenging to female medical students, trainees, and faculty. Female medical students planning to have a first child during their residency years are outwardly hesitant to go into surgery disciplines. Others plan to hold off on child-bearing as they enter a surgery residency. For those who give birth during residency, male-dominated surgery disciplines like orthopaedics often do not understand the needs of women raising infants who have returned to the workplace, such as ensuring these mothers have a designated, private lactation area for breast milk pumping.

Dr. Patterson stated: “We need better awareness across the field of orthopaedics that we will miss out on attracting top female medical students if we don’t accommodate those who are both career-minded and interested in having children.”

Dr. Patterson and other female Diversity, Equity, and Inclusion (DEI) Liaisons have mentored female medical students at UNC SOM on specialties such as orthopaedics and other surgical disciplines they may be hesitant to pursue.

As a competitive, top-tier public institution, UNC excels in recruiting and retaining female faculty. Within UNC SOM, however, many disciplines face challenges in creating environments that uphold equality and inclusivity for medical students and faculty who do not have the look or backgrounds of the majority. Dr. Patterson’s passion for closing the gender gap extends to improving overall diversity. She has become the Department’s ideal DEI leader for addressing shortfalls in under-represented minorities (URMs) in orthopaedics and medicine. As UNC Orthopaedics’ DEI committee Chair, Dr. Patterson leads discussion amongst committee members on ways of making the workplace more inclusive.

“I’m proud that our Department’s residency program is training eight women in the current academic year. I have such a great job, and it blows my mind orthopaedics doesn’t recruit more of my own,” Patterson said.

Leadership

Frank C.

of Orthopaedics Pediatric Orthopaedics

Robert J. Esther, MD

Vice Chair of Academic Affairs Residency Program Director H. Robert Brashear Term Professor of Orthopaedic Surgery Division Chief, Oncology Professor of Orthopaedic Surgery

Adult Reconstruction

Robert F. Ostrum, MD

Vice Chair of Hospital Operations Director, Simulation Lab Orthopaedic Traumatology Professor of Orthopaedic Surgery

David J. Berkoff, MD

Vice Chair of Clinical Operations Director, SMI Division Chief, Non-Operative Sports and Musculoskeletal Medicine Professor of Orthopaedics

Christopher W. Olcott, MD Division Chief, Adult Reconstruction Professor of Orthopaedic Surgery

J. Megan Patterson, MD

Vice Chair of Diversity, Equity and Inclusion Division Chief, Hand & Microsurgery Associate Professor of Orthopaedic Surgery

Adult Spine

Moe R. Lim, MD

Associate Chief Medical Officer, Surgical Services, UNC Medical Center Division Chief Professor of Orthopaedic Surgery

Douglas S. Weinberg, MD Assistant Professor of Orthopaedic Surgery

Daniel Bracey, MD, PhD Assistant Professor of Orthopaedic Surgery

Joseph Hart, Phd, ATC Norfleet Raney Vice Chair of Research

James O. Sanders, MD

Wilson Chair

Foot and

Ankle

Hand & Microsurgery

Non-Operative Sports and Musculoskeletal Medicine

J. Megan Patterson, MD

Vice Chair of Diversity, Equity and Inclusion

Division Chief, Hand & Microsurgery

Associate Professor of Orthopaedic Surgery

Vice Chair of Clinical Operations Director, SMI Division Chief, Non-Operative Sports and Musculoskeletal Medicine Professor of Orthopaedics

Assistant Professor of Orthopaedic Surgery, Internal Medicine and Pediatrics

Pediatric Orthopaedics

Joshua N. Berkowitz, MD

Trapper Lalli, MD Division Chief Assistant Professor of Orthopaedic Surgery

Joshua N. Tennant, MD Associate Professor of Orthopaedic Surgery

Reid W. Draeger, MD Associate Professor of Orthopaedic Surgery

Michael K. Seifert, MD Assistant Professor of Orthopaedic Surgery

Gregory Summerville, MD Assistant Professor of Orthopaedic Surgery

Stuart L. Mitchell, MD Assistant Professor of Orthopaedic Surgery

Vinay K. Narotam, MD Assistant Professor of Orthopaedics

Joseph D. Stone, MD Assistant Professor of Orthopaedic Surgery

David J. Berkoff, MD

James O. Sanders, MD Frank C. Wilson Chair of Orthopaedics Pediatric Orthopaedics

Orthopaedic Oncology

Division

Vice Chair of Academic Affairs

Residency Program Director

H. Robert Brashear Term Professor of Orthopaedic Surgery

Division Chief, Oncology Professor of Orthopaedic Surgery

Sports Medicine Surgery

R.

Division Chief

Yeargan Family Distinguished Professor of Orthopaedic Surgery Professor of Orthopaedics

Trauma

Max Novich Associate Professor of Orthopaedic Surgery

Vice Chair of Hospital Operations Director, Simulation Lab Orthopaedic Traumatology Professor of Orthopaedic Surgery

Anna D. Vergun, MD

Chief Associate Professor of Orthopaedic Surgery

Jeffrey T. Spang, MD Associate Professor of Orthopaedic Surgery

Alexander Creighton, MD

Ganesh V. Kamath, MD, MBA

Andrew T. Chen, MD, MPH Assistant Professor of Orthopaedic Surgery

Judith Siegel, MD Division Chief Assistant Professor of Orthopaedic Surgery

Robert F. Ostrum, MD

Robert J. Esther, MD

Education

Program Director Letter

The department remains known for its commitment to teaching. We have a strong reputation as a program that fosters a collegial, productive work environment. The residency program continues to have strong interest from outstanding students from across the country. As we did in the previous year, the 2021-22 application season was entirely virtual. We received more than 1200 applications and conducted three virtual interview days. As expected based on the strength of their applications, this year’s group of interns is off to a very strong start to the academic year.

The department continues to expand its use of the skills lab. Simulation and technical training outside the operating room are increasingly important to resident education. We are very grateful to Dr. Ostrum for his leadership in expanding our simulation curriculum. We have expanded the simulation curriculum and types of training sessions over the past few years; this part of the training program will remain an area of emphasis and growth.

The department remains actively involved in the School of Medicine. In addition to third- and fourth-year clinical rotations, the first-year Musculoskeletal Course remains an important part of the department’s educational mission. This commitment to education also includes post-residency training. There are two very successful fellowship programs (sports and pediatrics) in the department.

Our educational activities are closely tied to the department’s other missions. The strong and ever-growing clinical and research activities in the department provide a wonderful array of surgical and scholarly opportunities for our trainees.

Robert J. Esther, MD Vice Chair of Academic Affairs Residency Program Director

Incoming Orthopaedic Residents –Class

of 2027

UNC Orthopaedics welcomed its newest class of residents as five PGY1s began their intern year of training in June 2022. On Day 1, the Department’s interns hit the deck running, attending resident boot camp in their first week to acquire fundamental skills in orthopaedic surgery, and immersing themselves in accelerated learning in newfound roles as physicians in training. The Class of 2027 completed their undergraduate education at institutions both small and large. Three UNC School of Medicine graduates are joined by two classmates who studied medicine at other top-tier academic medical centers.

Residents

Anthony Paterno, MD

Undergraduate: Penn State University State College

Graduate: Duke University Medical School: University of North Carolina at Chapel Hill School of Medicine

Jackson Perry, MD

Undergraduate: Furman University Graduate: University of North Carolina

Kenan-Flagler Business School

Medical School: University of North Carolina at Chapel Hill School of Medicine

Abigail Smith, MD

Undergraduate: UNC Wilmington Medical School: Marshall University Joan C Edwards School of Medicine

Reyanne Strong, MD

Undergraduate: University of North Carolina Chapel Hill School of Medicine

Medical School: University of North Carolina at Chapel Hill School of Medicine

Daniel Whittingslow, MD, PhD

Undergraduate: Georgia Institute of Technology

Graduate: Georgia Institute of Technology Medical School: Emory University School of Medicine

51st Annual R. Beverly Raney Professorship and Resident Graduation Celebrated in June

On Friday, June 3rd 2022, the Department honored the achievements of its five departing residents over five intensive years of Orthopaedic Surgery training at its annual graduation banquet. At the University’s Carolina Inn, residents, fellows and faculty gathered to celebrate the end of the academic year and to award resident and teaching faculty honors in research, education and leadership.

At the daylong Annual R. Beverly Raney Visiting Professorship and Orthopaedic Conference preceding the graduation banquet, UNC Orthopaedics’ five senior residents each presented a faculty-mentored investigative project. Every year, graduating residents present a culminating scholarly project at this forum that demonstrates his/her competence in leading research that advances orthopaedic science. At the banquet Friday night, Ryan Barnes was named the 2022 Resident Research Award recipient for his Raney Lecture presentation. Each year, this award is given to the senior resident who has demonstrated excellence in presentation and in development of his/her investigative project.

Like many UNC School of Medicine departments, UNC Orthopaedics honors a clinical faculty member for excellence in teaching at each annual graduation banquet. This year, 5th-year residents chose UNC Hand & Microsurgery Division Chief and Associate Professor Dr. Megan Patterson as the Frank C. Wilson Award recipient for her exceptional contributions to their learning over five years of residency training.

UNC Orthopaedics also recognizes exceptional leadership among its departing seniors. At each graduation banquet, the William C. Patton Teaching Award is given to the Chief Resident who made the greatest contributions to the education of fellow residents and medical students during his/her Chief Resident rotation. In 2022, all UNC Orthopaedics residents selected fifth-year resident Dr. Josh Shapiro as the recipient of the 2022 Patton Award.

“We are very happy to welcome five outstanding physicians into our residency program. Last year, we saw a record number of applications (more than 1200). As you would expect from such a competitive process, our five interns are excellent and we look forward to their contributions to the Department over the upcoming years.”

Five UNC Orthopaedics residency graduates transition to fellowship now, entering competitive subspecialty programs across the US:

Dr. Sanders noted: Our senior residents have each matched into top fellowships after completing their residencies during one of the most challenging periods in recent times. They are well educated, astute, and talented group who make us proud to be Tar Heel Orthopaedists!

Department hosts Medical Student URM Scholarships

In 2022, UNC Department of Orthopaedics is pleased to host two medical student scholars selected by UNC programs that address and close gaps in racial and gender disparities in many medical specialties. In fall 2022, the Department will host its first University of North Carolina Department of Orthopaedics Scholarship for Under-Represented Minority Medical Students scholar – University of Wisconsin fourthyear medical student (M4) Jonelle Campbell. In summer 2022, UNC Orthopaedics hosts its first Mauricio Castillo, MD Diversity and Inclusion Scholars Program scholar –rising second-year (M2) UNC School of Medicine medical student Scott Giberson. Both programs extend

to under-represented minority (URM) student scholars educational, research, and mentorship opportunities in a specialty of interest for residency training and future practice.

The Orthopaedics Scholarship for Under-Represented Minority Medical Students was developed to provide M4 student scholars a four-week enrichment experience within UNC Orthopaedics to explore the field guided by faculty, fellow and resident mentors. Both UNC and visiting M4s are eligible, and a $1,500 scholarship stipend is provided to offset expenses.

Over four weeks (October to November) in fall 2022, visiting M4 Jonelle Campbell will return to

Colleen Balkam Anderson Orthopaedic Research Institute – Alexandria,VA (Adult Reconstruction)

Josh Shapiro Anderson Orthopaedic Research Institute – Alexandria,VA (Adult Reconstruction)

Chinmay Paranjape Rady Children’s Hospital –University of CA, San Diego (Pediatric Orthopaedics)

Ryan Barnes Ohio State Department of Orthopaedics – Columbus, OH (Sports Medicine)

Karly Lorbeer University of Pittsburgh Medical Center – Pittsburgh, PA (Hand Surgery)

At the banquet, UNC Orthopaedics Chair and Frank C. Wilson Distinguished Professor of Orthopaedic Surgery Dr. James Sanders presented departing residents their graduation certificates and acknowledged their future plans and the support of their families and spouses during their residency training.

the Department to continue her learning in OR and didactic environments that proved greatly enriching during her first exposure to UNC Orthopaedics during a M3 clinical elective.

Jonelle noted: “I had the good fortune of visiting UNC Orthopaedics as a thirdyear medical student, when I was determining the specialty I wanted to pursue prior applying to residency programs in my senior year. The most rewarding experience of my third year was rotating with UNC’s Orthopaedic Surgery service. The Department has a sense of community, and I felt welcomed and supported by all the orthopedic surgeons with whom I interacted.

Entering my last year of medical school, I’m focused on Orthopedic Surgery programs that are characterized by mentorship, a push for diversity, research, and a close-knit group of residents who work together as a team. UNC Orthopaedics embodies all of these qualities.”

In its second year, the Castillo Scholars Program has grown to 14 UNC School of Medicine (SOM) specialties that are host to an equivalent number of rising M2 student scholars. Over eight summer weeks, host departments provide immersive opportunities for scholars to experience patient care, research, didactics and other areas that define the specialty. Each Castillo scholar receives a $5000 stipend to offset program expenses tied to program participation.

In early June 2022, rising UNC M2 Scott Giberson and fellow Castillo Scholars Program scholars began their eight-week program exploring enrichment and mentoring activities in their specialties of focus. From faculty to residents, UNC Orthopaedics welcomed back to the Department the enthusiastic UNC SOM medical student who during his first year had sought out opportunities in the Department of Orthopaedics

for exposure to learning more about the specialty he most wanted to pursue.

“The Department made it incredibly easy to pick up where I left off as an [M1]. During my first year of medical school, the encouragement of UNC Orthopaedics faculty and residents to explore the field at a deeper level solidified my interest in orthopaedic surgery. It’s nice to pick up where I left off with excellent mentors who are invested in my education and push me toward opportunities to pursue this field.

It’s no secret that many fields in medicine, including orthopaedic surgery, are lagging in terms of diversity. The Castillo Scholars Program separated itself from other summer scholarships I was exploring because the program addresses diversity in a meaningful way. Beyond its URM perspective, this program offers blended clinical and research opportunities in a way that most other programs don’t. If I want to spend my summer in the clinic, the OR, or working with data, I have the opportunity to work in all of those areas every week during my program.

UNC Orthopaedics Diversity Liaison Dr. Megan Patterson is an advocate of scholarship programs designated for URM medical students who face the challenge of gaps in diversity both in medicine, and within the specialties they want to pursue. She noted:

“We recognize that improving diversity in orthopaedics requires active mentorship and sponsorship of minority medical students. As we move into a new academic year, the department is excited to participate in programs both at the departmental level -- University of North Carolina Department of Orthopaedics Scholarship for Under-Represented Minority Medical Students -- as well as in partnership with UNC School of Medicine -- Mauricio Castillo, MD Diversity and Inclusion Scholars Program -- which support minority medical students interested in orthopaedics.“

Jonelle Campbell

Scott Giberson

Interns Experience Bootcamp in Surgical Skills Lab

Late June each year, the Department’s PGY1s begin residency with a great interest in their chosen field of orthopaedics. However, they are armed with only the limited knowledge that they received in medical school. Stepping into this newfound role as physicians in training, first-year residents lack critical orthopaedic surgery skills to perform direct patient care on Day 1. UNC Orthopaedics joins specialties across UNC School of Medicine (SOM) that facilitate a specialty-intensive “boot camp” when a new class of interns arrives in late June to begin their training.

Welcoming its 2022-2023 PGY1s in June, UNC Orthopaedics facilitated a two-day boot camp for the Department’s five interns. At UNC’s state-ofthe-art 700-square-foot Orthopaedic Skills Lab in the UNC SOM Houpt Building. This year’s interns trained for eight hours each day in fundamental skills, techniques, and best practices. The wide range of skills interns acquire at boot camp is critical for learning and performing direct patient care in general and orthopaedic surgery. Primary skills taught at the 2022 UNC Orthopaedics boot camp included: sterile techniques, instrument identification, knot tying, suturing, traction, external fixation, compartment syndrome identification, arthroscopy, casting/splinting, ultrasound, introduction to ORIF (open reduction and internal fixation) hip fracture simulation, radiology safety, and a wellness presentation.

At boot camp, UNC Orthopaedics interns hone their skills and prepare for the OR and clinical procedures by availing themselves of all the Orthopaedic Skills Lab has to offer, including simulation training (SIM Labs). The

Orthopaedic Skills Lab houses a simulator with exercises developed by the University of Iowa that score interns at boot camp following their demonstration of a range of skills, including hip pinning in adults, placement of sacroiliac screws, and using a model to perform pinning of pediatric supracondylar humerus fractures. Compartment syndrome simulation additionally shows new trainees how to correctly measure pressures in the four compartments of the lower leg. Industry support enables boot camp facilitators to additionally teach interns dry arthroscopy using simulation models.

As PGY1s progress in their training, small group interactions with clinical faculty mentors help accelerate each intern’s mastery of newly introduced orthopaedic surgery skills at two SIM Labs per month. The Orthopaedic Skills Lab hosts Sawbone (composite bone model) and cadaver labs specific to spine, hip, knee and forearm. They are also introduced to arthroscopy with SIM Lab models as they advance to wet arthroscopy with cadavers.

UNC Orthopaedics Skills Lab Director and Professor of Orthopaedic Surgery Robert Ostrum, MD, develops curriculum for and oversees the Department’s yearly new resident boot camp.

Dr. Ostrum noted: “The old paradigm of ‘see one, do one, teach one’ has been replaced by simulation prior to performing operative procedures. Studies have shown an increased proficiency in residents using simulation. In addition to the performance of exercises, considerable time at SIM Lab sessions is invested in indications, possible complications, and pearls, as well as pitfalls. Residents and interns uniformly rate their SIM Lab experiences as excellent. We continue to improve our residents over five years of training and watch them progress as they become competent and confident orthopaedic surgeons.”

after 23 Years with UNC Orthopaedics

“Karen has been an integral part of the residency program for the past 2 decades. An entire generation of UNC ortho residents is grateful for her intelligence, warmth, and tireless commitment. It is actually impossible to overstate the impact she has had on the program, faculty, and residents. She is also widely respected within the UNC graduate medical education community. She has set the standard for program coordinators. We are all better for having had the opportunity to know Karen and to work with her.”

- Robert J. Esther, MD, Residency Program Director, UNC Ortho Alum Class of 2004

Residency Coordinator Karen Gilliam Retires

The research program at UNC Orthopaedics has considerably expanded over the past 6 months with renewed enthusiasm from faculty, fellows and residents.

Our most notable area of growth has been our clinical research program. We have hired new clinical research coordinators and a post-doctoral research associate to support our department’s clinical research mission. Our 6-person team of talented individuals are the core of our new Clinical Trials Division that now exists to support research projects being conducted in our clinics and operating rooms. We have initiated several clinical trials in the past year led by UNC Orthopaedic faculty as principal investigators that aim to provide access for our patients to the newest and most innovative therapies available in orthopaedic care. Our faculty PIs are leading projects funded through the National Institutes of Health, the National Football League, the Department of Defense and several industry partners.

Through research collaborations, our department has reinforced and reinvigorated existing partnerships across the UNC-Chapel Hill community including the Department of Exercise and Sports Science, Joint Department (NCSU-UNC) of Biomedical Engineering, the Department of Radiology and the Biomedical Research Imaging Center and the Thurston Arthritis Research Center.

UNC Orthopaedics research is truly on the rise!

Joseph (“Joe”) M. Hart, PhD, ATC Norfleet Raney Vice Chair of Research

LEAP Study Takes Off

The UNC Orthopaedics Department is beginning its Lower-Extremity Assessment Protocol (LEAP) program this summer led by Principal Investigator, Joe Hart PhD, ATC. LEAP is a point-of-care research program that uses performance assessments to track patients’ recovery following ACL reconstruction. The goal of the program is to prevent reinjury and promote longterm health by characterizing muscle function and evaluating movement performance and patientreported outcomes.

The program measures endurance, balance, gait, and strength using traditional clinical tools as well as stateof-the-art research equipment, such as the HUMAC machine (pictured below). In addition to supporting research, information gathered will be provided to the patients and their healthcare teams to inform progression through recovery from surgery and other important healthcare decisions.

Vice Chair Letter

Dahners Research Award Enters Third Year

s the Laurence E. Dahners Research Grant enters its third year, the two UNC Orthopaedics faculty-resident teams concluding grantfunded projects in 2022 continue to grow a program aimed at funding investigative studies that uphold innovation in restorative, rehabilitative and preventive orthopaedic practice embodied by Dr. Dahners, a 25+-year UNC Orthopaedics faculty member and renowned researcher, educator and innovator of devices in fracture fixation and plate design.

Over his decades in academia, Dr. Laurence (“Laury”) Dahners received career-long support from industry, the University, orthopaedic foundations and specialty focused organizations funded his development of surgical approaches to fracture healing and ligament growth, contracture and healing. His development of novel orthopaedic devices and methods led to eight U.S. patents that advanced corrective tools such as surgical bone screw/plate systems, a long bone alignment tool and a first-of-kind device for setting fractures through bone fragment compression (distraction and reduction). Multiple fracture fixation and surgical bone screw/plate systems developed by Dr. Dahners are now integral to procedural practice used by several UNC Orthopaedics clinical divisions.

Two years after Dr. Dahners’ 2018 retirement, UNC Orthopaedics launched the Laurence E. Dahners Research Grant program. Twice annually, earmarked, recurring Dahners Grant funding supports faculty mentor/junior (resident) investigative teams seek to advance effectiveness of innovative procedures in orthopaedics that improve prevention, practice and patient outcomes. Each Dahners Research Grant funds up to $20K in support of clinical, basic science, and translational co-investigative pilot studies that

Acarry potential to be developed into larger-scale, funded investigations.

In the first 2021 Dahners Research Grant cycle (June 2021), faculty researchers Drs. Anna Vergun, Daniel Bracey, William de Araujo and 5th-year Orthopaedics resident Dr. Chinmay Paranjape received funding for a project entitled, “Costeffectiveness of intertrochanteric osteotomy versus total hip arthroplasty in children with severe slipped capital femoral epiphysis.”

In the second 2021 cycle (December 2021), Assistant Professor of Orthopaedic Surgery Dr. Andrew Chen and 3rd-year resident Dr. Nathan Koutlas were funded for a study entitled, “Surgical Debridement vs Serial Aspiration and Intra-Articular Antibiotic Therapy for Septic Joints: A Prospective Observational Study.”

Dr. Chen noted: “Dr. Koutlas and I were proud our proposal was funded for upholding the investigative spirit of Dr. Dahners in evaluating the efficacy of an innovative modality for the treatment of joint infections (septic arthritis). Our study originated from a novel idea of Dr. Dahners where select patients can potentially be treated without surgery and instead with a less invasive bedside procedure using serial aspirations and local antibiotics.”

UNC Orthopaedics’ Clinical Research Specialist Julie Titter, MS, ATC, manages clinical trials led by faculty researchers who routinely recruit patients for studies aimed at treating a range of musculoskeletal conditions via innovative orthopaedic devices and drugs.

Julie noted: “As UNC Orthopaedics enters its third year of awarding bi-annual Dahners Research Grants, the Department hopes this program will continue to foster pilot projects that begin as smallscale faculty-resident investigative proposals and carried the prospect of being developed into largerscale studies.”

Publications

Ahn J, Farahani F, Raspovic KM, Liu GT, Lalli TA, VanPelt MD, Nakonezny PA,Wukich DK. 2022. Are readmissions and repoeration rates for lower extremity necrotizing fasciitis different between patients with and without diabetes mellitus? J Foot Ankle Surg. 61(1):132138. Doi: 10.1053/j.jfas.2021.07.005

Anigian, K., Ahn, J.,Wallace, S. B., Manchanda, K., Liu, G.T., Raspovic, K. M.,Van Pelt, M.,Wukich, D. K., & Lalli,T. 2021. Comparison of short-term outcomes after total ankle replacement and ankle arthrodesis: an acs-nsqip database study. Foot and Ankle Specialist. 19386400211043363. Advance online publication. https://doi.org/10.1177/19386400211043363

Barnes RH, Golden ML, Borland D, Heckert R, Richardson M, Creighton RA, Spang JT, Kamath GV. Computational metrics can provide quantitative values to characterize arthroscopic field of view. Arthrosc Sports Med Rehabil. 2021 Dec 7;4(2):e403-e409. doi: 10.1016/j.asmr.2021.10.017. eCollection 2022 Apr. PMID: 35494292 Free PMC article.

Barnes RH, Harter D, Esther RJ, Kamath GV,Vergun AD. 2021. Recurrent hemarthrosis following restriction of benign bone tumors: A case report of two pediatric cases. Case Rep Orthop. 3;2021:5533636. Doi: 10.1155/2021/5533636. eCollection 2021.

Barnes RH, Paterno AV, Lin FC, Zhang J, Berkoff D, Creighton RA. Glenohumeral Hydrodistension for Postoperative Stiffness After Arthroscopic Primary Rotator Cuff Repair. Orthop J Sports Med. 2022 Jun 14;10(6):23259671221104505. doi: 10.1177/23259671221104505. PMID: 35722178; PMCID: PMC9201319.

Bjornsen E, Lisee C, Schwartz TA, Creighton R, Kamath G, Spang J, Blackburn T, Pietrosimone B. Improvement trajectories in patient reported outcomes differ between males and females following anterior cruciate ligament reconstruction. J Athl Train. 2022 Jul 5. doi: 10.4085/1062-6050-0093.22. Online ahead of print. PMID: 35788341.

Bjornsen E, Schwartz TA, Lisee C, Blackburn T, Lalush D, Nissman D, Spang J, Pietrosimone B. Loading during midstance of gait is associated with magnetic resonance imaging of cartilage composition following anterior cruciate ligament reconstruction. Cartilage. 2022 Jan-Mar;13(1):19476035211072220. doi: 10.1177/19476035211072220. PMID: 35098719.

Boling MC, Dupell M, Pfeiffer SJ,Wallace K, Lalush D, Spang JT, Nissman D, Pietrosimone B. In vivo compositional changes in the articular cartilage of the patellofemoral joint following anterior cruciate ligament reconstruction. Epub. 2022 Apr 13. DOI: 10.1002/ acr.24561. PMID: 33460530.

Bracey DN, Barry K, Khanuja HS, Hegde V. Postoperative urinary retention in modern rapid recovery total joint arthroplasty. J Am Acad Orthop Surg. 2022 Feb. doi: 10.5435/JAAOS-D-21-00963. Online ahead of print.

Bracey DN, Hegde V, Pollet AK, Johnson RM, Jennings JM, & Miner TM. Incidence and predictive risk factors of postoperative urinary retention after primary total knee arthroplasty.The Journal of arthroplasty. 2021 Jul;36(7S):S345-S350. doi: 10.1016/j.arth.2021.02.043. Epub 2021 Feb 20

Bracey DN, Hegde V, Shimmin AJ, Jennings JM, Pierrepont JW, & Dennis DA. Spinopelvic mobility affects accuracy of acetabular anteversion measurements on cross-table lateral radiographs.The bone & joint journal. 2021 Jul;103-B(7 Supple B):59-65. doi: 10.1302/0301-620X.103B7.BJJ-2020-2284.R1.

Bulstra AEJ, Crijns TJ, Janssen SJ, Buijze GA, Ring D, Jaarsma RL, Kerkhoffs GMMJ, Obdeijn MC, Doornberg JN, Draeger RW. Factors associated with surgeon recommendation for additional cast immobilization of a CT-verified nondisplaced scaphoid waist fracture. Science of Variation Group. Arch Orthop Trauma Surg. 2021 Nov;141(11):2011-2018. doi: 10.1007/s00402021-04062-0. Epub 2021 Jul 24.

Cannada LK, Nelson L,Tornetta P, Hymes R, Jones CB, Obremskey W, Carroll E, Mullis B,Tucker M,Teague D, Marcantonio A, Ostrum R, Core MD, Israel H. 2021. Operative vs. nonoperative treatment of isolated humeral shaft features: a prospective cohort study. J Surg Orthop Adv. Summer;30(2):67-72.PMID: 34181519

Carpenter D, Draeger RW. Common Clinical Conditions of the Elbow. In: Esther RJ, ed. Clinical Foundations of Musculoskeletal Medicine. 1st ed. New York, NY: Springer; 2021. p.343-356.

Chen X, Andreassen TE, Myers CA, Clary CW, Coombs D, DeWall RJ, Fritz B, Bracey DN, Hedge V, Rullkoetter PJ. Impact of periprosthetic femoral fracture fixation plating constructs on local stiffness, load transfer, and bone strains. J Mech Behav Biomed Mater. 2022 Jan;125:104960. doi: 10.1016/j.jmbbm.2021.104960.

Epub 2021 Nov

Cone, SG, Barnes, RH, Howe, D, Fordham, LA, Fisher, MB, Spang, JT. Age- and sex-specific differences in ACL and ACL bundle size during adolescent growth. J Orthop Res. 2021; 1- 8. doi:10.1002/jor.25198

Cooke ME,Tornetta P 3rd, Firoozabadi R,Vallier H, Weinberg DS, Alton TB, Dillman MR,Westberg JR, Schmidt A, Bosse M, Leas DP, Archdeacon M, Kakazu R, Nzegwu I, OToole RV, Costales TG, Coale M, Mullis B, Usmani RH, Egol K, Kottmeier S, Sanders D, Jones C, Miller AN, Horwitz DS, Kempegowda H, Morshed S, Belaye T,Teague D. Open ankle fractures: what predicts infection? A multicenter Study. J Orthop Trauma. 2022 Jan 1;36(1):43-48. doi: 0.1097/ BOT.0000000000002293.

Creighton RA, Burrus MT,Werner BC, Gobezie R, Lederman E, Denard PJ. Short-term clinical and radiographic outcomes of a hybrid all-polyethylene glenoid based on preoperative glenoid morphology. J Shoulder Elbow Surg. 2022 Jun 21:S10582746(22)00520-1. doi: 10.1016/j.jse.2022.05.016. Online ahead of print. PMID: 35750156.

Davis-Wilson HC,Thoma LM, Johnston CD,Young E, Evans-Pickett A, Spang JT, Blackburn JT, Hackney AC, Pietrosimone B. Fewer daily steps are associated with greater Cartilage oligomeric matrix protein response to loading post-ACL reconstruction. J Orthop Res. 2022 Jan 20. doi: 10.1002/jor.25268. PMID: 35060165.

Elgart B, Pietrosimone LS, Lucero A, Stafford HC, Berkoff DJ. Identifying achilles tendon structure differences by ultrasound tissue characterization in asymptomatic individuals. Scand J Med Sci Sports. 2021 Oct;31(10):1914-1920. doi: 10.1111/sms.14003. Epub 2021 Jul 12. PMID: 34170573.

El-Haj M, Ding W, Sharma K, Novak C, Mackinnon SE, Patterson JMM. Median nerve compression in the forearm: a clinical diagnosis. Hand (N.Y.). 2021 Sep;16(5):586-591. doi: 10.1177/1558944719874137. Epub 2019 Sep.

Evans-Pickett A, Longobardi L, Spang JT, Creighton RA, Kamath G, Davis-Wilson HC, Loeser R, Blackburn JT, Pietrosimone B. Synovial fluid concentrations of matrix Metalloproteinase-3 and Interluekin-6 following anterior cruciate ligament injury associate with gait biomechanics 6 months following reconstruction. Osteoarthritis Cartilage. 2021 Jul;29(7):1006-1019. doi: 10.1016/j.joca.2021.03.014. Epub 2021 Mar 27. PMID: 33781899.

Gomez V, Cairns M,Weinhold P, Jeffs AD, Bortner B, Paterno AV, Dahners L, Draeger RW. 2-Octyl cyanoacrylate (dermabond®) inhibits bridging bone formation of articular fractures in a rat model. Cureus. 2021 Jul 30;13(7):e16758. doi: 10.7759/cureus.16758. eCollection 2021 Jul.

Guissé NF, Stone JD, Keil LG, Bastrom TP, Erickson MA,Yaszay B, Cahill PJ, Parent S, Gabos PG, Newton PO, Glotzbecker MP, Kelly MP, Pahys JM, Fletcher ND. 2021. Modified clavien-dindo-sink classification system for adolescent idiopathic scoliosis. Spine Deform. doi: 10.1007/s43390-021-00394-4. Online ahead of print.

Guzek R, Mitchell SL, Krakow A, Harshavardhana NS, Sarkissian EJ, Flynn JM. Morphometric Analysis of the Proximal Thoracic Pedicles in Lenke II & IV Adolescent Idiopathic Scoliosis: An Evaluation of the Feasibility for Safe Pedicle Screw Insertion. Spine Deform. 2021;9(6):1541-1548 doi: 10.1007/s43390-021-00377-5.

Hegde V, Bracey DN, Brady AC, Kleeman-Forsthuber LT, Dennis DA, & Jennings JM. A prophylactic tibial stem reduces rates of early aseptic loosening in patients with severe preoperative varus deformity in primary total knee arthroplasty.The Journal of arthroplasty. 2021 Jul;36(7):2319-2324. doi: 10.1016/j.arth.2021.01.049. Epub 2021 Jan 23.

Hegde V, Bracey DN, Johnson RM, Dennis DA, Jennings JM. Increased prevalence of depressive symptoms in patients undergoing revision for periprosthetic joint infection. Arthroplasty Today. 2021 Dec;13:69-75. doi: 10.1016/j.artd.2021.09.011. eCollection 2022 Feb.

Heidari KS, Lalli T. 2022. Case report: tibiotalocalcaneal arthrodesis utilizing a titanium mesh implant for limb salvage after failed charcot reconstruction. Foot Ankle Orthop. 7(1):2473011421S00231. Doi: 10.1177/2473011421S00231.

Hill BW, Cannada LK, Nelson L,Tornetta P, Hymes R, Jones CB, Obremskey W, Carroll E, Mullis B, Tucker M,Teague D, Marcantonio A, Ostrum R, Core MD, Israel H. 2021. Is there a critical radiographic angle that portends poor functional outcome scores in nonoperative treatment of isolated humeral shaft fractures? J Surg Orthop Adv. Summer;30(2):73-77. PMID: 34181520

Hill EJR, Patterson JMM,Yee A, Crock LW, Mackinnon SE..What is operative? Conceptualizing neuralgia: neuroma, compression neuropathy, painful hyperalgesia, and phantom nerve pain. Journal of Hand Surgery Global Online. 2022 Jan. 1-7. https://www.jhsgo.org/ article/S2589-5141(21)00134-1/fulltext#relatedArticles. doi:10.1016/j.jhsg.2021.11.004. Epub ahead of print.

Howe D, Cone SG, Piedrahita JA, Collins B, Fordham LA, Griffith EH, Spang JT, Fisher MB. Sex-specific biomechanics and morphology of the anterior cruciate ligament during skeletal growth in a porcine model. J Orthop Res. 2021 Nov 9. doi: 10.1002/jor.25207. Epub ahead of print. PMID: 34751996.

Howe D, Cone SG, Piedrahita JA, Spang JT, Fisher MB. Age and sex-specific joint biomechanics in response to partial and complete ACL injury in the porcine model. J Athl Train. 2021 Dec 29. doi: 10.4085/1062-6050-56521. PMID: 34964874.

Hurka-Richardson K, Platts-Mills TF, McLean SA, Weinberger M, Stearns SC, Bush M, Quackenbush E, Chari S, Aylward A, Kroenke K, Kerns RD,Weaver MA, Keefe FJ, Berkoff D, Meyer ML. Brief Educational Video plus Telecare to Enhance Recovery for Older Emergency Department Patients with Acute Musculoskeletal Pain: an update to the study protocol for a randomized controlled trial.Trials. 2022 May 12;23(1):400. doi: 10.1186/s13063-022-06310-z. PMID: 35550175; PMCID: PMC9096747.

Jewell E, Draeger RW. Common Clinical Conditions of the Hand and Wrist. In: Esther RJ, ed. Clinical Foundations of Musculoskeletal Medicine. 1st ed. New York, NY: Springer; 2021. p.357-376.

Johnson MA, Gohel S, Mitchell SL, Flynn JM, Baldwin KD. Entire-Spine Magnetic Resonance Imaging Findings and Costs in Children with Presumed Adolescent Idiopathic Scoliosis. J Pediatr Orthop. 2021 Nov-Dec 01;41(10):585-590.

Kallianos SA, Singh V, Henry DS, Berkoff DJ, Arendale CR,Weinhold PS. Interleukin-1 receptor antagonist inhibits arthrofibrosis in a post-traumatic knee immobilization model. Knee. 2021 Dec;33:210-215. doi: 10.1016/j.knee.2021.10.011. Epub 2021 Oct 26. PMID: 34715560.

Keil LG, Douglas SO, Lincoln FP, Kamath GV, Creighton RA, Nissman DB, Pietrosimone BG, Spang JT. Bone bruising severity after anterior cruciate ligament rupture predicts elevation of chemokine MCP-1 associated with osteoarthritis. J Exp Orthop. 2022 Apr 27;9(1):37.

DOI: 10.1186/s40634-022-00478-8. Epub 2022 Apr 27. PMID: 35476154.

Keil LG, Flannigan SA, Ostrum RF, Hahn JC. 2021. Administration of venous thromboembolism chemoprophylaxis within 12 hours of pelvic and acetabular surgery has no effect on estimated blood loss, perioperative change in hemoglobin, or need for transfusion. J Orthop Trauma. Aug 27. doi: 10.1097/ BOT.0000000000002255. Online ahead of print. PMID: 34483319

Keil LG, Himmelberg SM, Guissé NF, Nash AB, Fletcher ND, Stone JD. 2022 Complications following posterior spinal fusion for adolescent idiopathic scoliosis: a retrospective cohort study using the modified claviendindo-sink system. Spine Deform. Doi: 10.1007/s43390021-00468-3. Online ahead of print.

Keil LG, Mullis BH,Tornetta P III, Alley MC, Olszewski NP,Wheeler JA, von Kaeppler EP, Morshed S, Matar RN, Archdeacon MT, Smith TW, Miller AN, Horwitz DS, Baig MS,Telgheder ZL, Azer E, Manzano GW, Vallier HA, Barnett SA, Krause PC, Bornes TD, Ricci WM, Dunne PJ,Yarboro SR, Ment AJ, Marcantonio AJ, Alqudhaya RS, Leighton RK, Ostrum RF. 2022. Proximal tibia fracture dislocations: management and outcomes of a severe and under-recognized injury. Injury. 2022 Mar;53(3):1260-1267.doi:10:1016/injury. PMID: 34602250

Keil LG, Nash AB, Stürmer T, Golightly YM, Lin FC, Stone JD, Sanders JO, Louer CR. 2021.When is a growth-friendly strategy warranted? A matched comparison of growing rods versus primary posterior spinal fusion in juveniles with early-onset scoliosis. J Pediatr Orthop. Doi: 10.1097/BPO.0000000000001926. Online ahead of print.

Keil LG, Onuscheck DS, Pratson LF 2nd, Kamath GV, Creighton RA, Nissman DB, Pietrosimone BG, Spang JT. Bone bruising severity after anterior cruciate ligament rupture predicts elevation of chemokine MCP1 associated with osteoarthritis.

Keil LG, Sullivan MH, Daddo S, Stillwagon MR,Vergun AD. 2021. How much opioid do kids actually need? A prospective study of analgesic prescribing and post discharge opioid use among pediatric patients with operative fractures. J Pediatr Orthop. 41(10):e871-e876. Doi: 10.1097/BPO.0000000000001965.

Krauss EM, Shankar V, Patterson JMM, Mackinnon SE. Medical malpractice in nerve injury of the upper extremity. Hand (N.Y.). 2021 Jul;16(4):425-431. doi:10.1177/1558944720906500. Epub 2020 Feb.

Lisee C, Davis-Wilson H, Evans-Pickett A, Horton WZ, Blackburn T, Franz JR,Thoma L, Spang JT, Pietrosimone, Brian. Linking gait biomechanics and daily steps post ACL-reconstruction. Med Sci Sports Exerc. 2022 Jan 21. doi: 10.1249/MSS.0000000000002860. Online ahead of print. PMID: 35072659.

Lisee C, Spang JT, Loeser R, Longobardi L, Lalush D, Nissman D, Schwartz T, Hu D, Pietrosimone B. Tibiofemoral articular cartilage composition differs based on serum biochemical profiles following anterior cruciate ligament reconstruction. Osteoarthritis Cartilage. 2021 Sep 16:S1063-4584(21)00905-5. doi:

10.1016/j.joca.2021.09.005. Epub ahead of print. PMID: 34536530.

Liu GT,Vanpelt MD, Manchanda K, Johnson MJ, Raspovic KM,Wukich DK, Lalli T. 2022. Arthroscopic findings in refractory symptomatic fourth and fifth tarsometatarsal joints. J Foot Ankle Surg. 2022.

Liu JW, Ahn J, Nakonezny PA, Lalli T,VanPelt MD, Raspovic KM,Wukich DK, Liu GT. 2021. Insulin dependence increases the risk of 30-day postoperative complications following ankle fracture surgery in patients with diabetes mellitus. J. Foot Ankle Surg. 60(5):917-922. doi:10.1053/j.jfas.2021.03.011.

Louer CR Jr, Scott-Wyard P, Hernandez R, Vergun AD. 2021. Principles of amputation surgery, prosthetics, and rehabilitation in children. J Am Acad Orthop Surg. 15;29(14):e702-e713. doi: 10.5435/ JAAOS-D-20-01283.

Margalit A, Mixa P, Day L, Marrache M, Mitchell S, Constantine A, Sabharwal S, Li PT, Loeb A, Naziri Q, Henn III F, Sponseller P, Laporte D.Top Three Learning Platforms for Orthopaedic In-Training Knowledge Produce Different Results. J Am Acad Orthop Surg Glob Res Aug 2021; 5(8):1-9.

MARS Group et al. Spang JT. Association between graft choice and 6-year outcomes of revision anterior cruciate ligament reconstruction in the MARS cohort. Am J Sports Med. 2021 Aug;49(10):2589-2598. doi: 10.1177/03635465211027170. Epub 2021 Jul 14. PMID: 34260326.

MARS Group et al. Spang JT, Creighton RA, Kamath GV. Returning to Activity After Anterior Cruciate Ligament Revision Surgery: An Analysis of the Multicenter Anterior Cruciate Ligament Revision Study (MARS) Cohort at 2 Years Postoperative. Am J Sports Med. 2022 Jun;50(7):1788-1797. doi: 10.1177/03635465221094621. PMID: 35648628.

MARS Group et al. Spang JT, Creighton RA, Kamath GV. Outcomes of revision anterior cruciate ligament reconstruction in soccer players : a cohort study. Bone Jt Open. 2021 Dec;2(12):1043-1048. doi: 10.1302/26331462.212.BJO-2021-0145.R1.PMID: 34905939.

McLaughlin KH, Mitchell SL, Archer KR, Master H, Morshed S, Gary JL, Jones CB, MacKenzie EJ, Reider L, and METRC. Effect of Severe Distal Tibia, Ankle, and Mid- to Hindfoot Trauma on Meeting Physical Activity Guidelines 18-months after Injury. Arch Phys Med Rehabil 2022;103(3):409-417.e2. Doi: 10.1016/j. apmr.2021.07.805.

Narayanan AS, Stoll KE, Pratson LF, Lin FC, Olcott CW, & Del Gaizo DJ. Musculoskeletal health literacy is associated with outcome and satisfaction of total knee arthroplasty. J arthroplasty. 2021 Jul;36(7S):S192–S197. doi: 10.1016/j.arth.2021.02.075. Epub 2021 Mar 6.

Obremsky WT,Tornetta P III, Luly J, Morshed S, O’Toole RV, Hsu JR, Mitchell SL, Mackenzie EJ, Frey KP, Bosse MJ, Scharfstein DP, and the METRC Consortium. Outcomes of Patients with Large versus Small Bone Defects in Open Tibia Fractures Treated with an Intramedullary Nail: A Descriptive Analysis of A multicenter Retrospective Study. J Orthop Trauma. 2021; doi: 10.1097/ BOT.0000000000002337. Online ahead of print.

Ostrum, RF, Jeray KJ. 2021.Introduction. J Orthop Trauma. Aug 1;35(Suppl 2):Si. doi: 10.1097/ BOT.0000000000002153.PMID: 34227585

Otto A, Baldino JB, Mehl J, Morikawa D, Divenere J, Denard PJ, Gobezie R, Lederman ES, Romeo AA, Creighton RA, Mazzocca AD. Clinical and Radiological Outcomes in Reverse Total Shoulder Arthroplasty by Inclination Angle With a Modular Prosthesis. Orthopedics. 2021 Jul-Aug;44(4):e527-e533. doi: 10.3928/01477447-20210618-12. Epub 2021 Jul 1. PMID: 34292823.

Padovano AG, Lalli T,Tennant JN, Martin KD, Santrock RD. 2022.The triplanar hallux abducto valgus classification system: is it valid? Foot Ankle Orthop. 7(1):2473011421S00384. Doi: 10.1177/2473011421S00384.

Pahlavan S, Hegde V, Bracey DN, Jennings JM, & Dennis DA. Bone cement hypersensitivity in patients with a painful total knee arthroplasty: A case series of revision using custom cementless implants. Arthroplasty today. 2021 Aug;11:20-24. doi: 10.1016/j. artd.2021.06.001. eCollection 2021 Oct.

Paranjape CS, Lalli T,Tennant JN. 2022. Are outcomes following crossed lag-screw modified lapidus technique for hallux abductovalgus comparable to plate-screw fixation technique? a study of costs, radiographic and patient reported outcomes. Foot Ankle Orthop. 7(1):2473011421S00387.

Patterson JM, Draeger RW, and Mackinnon SE. Carpal Tunnel Release: Open, Endoscopic, and Revision. In: Wiesel SW AND Albert T, editors. Operative Techniques in Orthopaedic Surgery, 3rd ed. Philadelphia (PA): Wolters Kluwer. 2021. p 3606-3616.

Patterson JM, Novak CB, and Mackinnon SE. Compressive Neuropathies. In:Wolfe SW, ed. Green’s Operative Hand Surgery, 8th ed. Philadelphia (PA): Elsevier, Inc; 2021. p 1085-1125.

Patterson JT, Ishii K,Tornetta P 3rd, Leighton RK,WT, Ostrum RF, Reid JS, Ruder JA, Saleh A, Schmidt AH, Teague DC,Tsismenakis A,Westberg JR, Morshed S. Smith-Petersen. 2021.Versus Watson-Jones approach does not affect quality of open reduction of femoral neck fracture. J Orthop Trauma. Oct 1;35(10):517522. doi:10.1097/BOT.0000000000002068.PMID: 34510125

Pfeiffer SJ, Spang JT, Nissman D, Lalush D, Wallace K, Harkey MS, Pietrosimone LS, Padua D, Blackburn T, Pietrosimone B. Association of jump-landing biomechanics with tibiofemoral articular cartilage composition 12 months after ACL reconstruction. Orthop J Sports Med. 2021 Jul 21;9(7):23259671211016424. doi: 10.1177/23259671211016424. PMID: 34368382; PMCID: PMC8299897.

Pickens AC, Paterno AV, Draeger RW. Design parameters of hand surgery screws: measurement discrepancies and clinical implications. J Hand Surg Glob Online. 2021 Aug;3(6):348-351. doi: 10.1016/j.jhsg.2021.06.010. eCollection 2021 Nov.

Pripotnev S, Bucelli RC, Patterson JMM,Yee A, Pet MA, Mackinnon S. Interpreting Electrodiagnostic Studies for the Management of Nerve Injury.The Journal of Hand Surgery. 2022. https://doi.org/10.1016/j. jhsa.2022.04.008. Epub ahead of print 2022 June.

RH Barnes, Golden ML, Borland D, Heckert R, Richardson M, Creighton RA, Spang JT, Kamath GV. Computational Metrics Can Provide Quantitative Values to Characterize Arthroscopic Field of View. Arthroscopy, Sports Medicine, and Rehabilitation. Dec 2021; doi. org/10.1016/j.asmr.2021.10.017. PMID: 35494292.

Rice OM, Phelps KD, Seymour R, Askam BM, Kempton LB, Chen A, Dart S, Hsu JR. Single-stage treatment of fracture-related infections. J Orthop Trauma. 2021 Aug 1;35(Suppl 2):S42-S43. doi: 10.1097/ BOT.0000000000002180. PMID: 34227607.

Schiedo R, Jacob J, Marin A, Fredette R,Thomas A, Siegel J, Swart, E.What is the rate of occult posterior malleolus fractures in nailed tibial shaft fractures?

Journal of Orthopaedic Trauma. 2022;10.1097/ BOT.0000000000002435

Song K, Pietrosimone B, Blackburn JT, Padua DA, Tennant JN,Wikstrom EA. 2022. Mechanical and sensorimotor outcomes associate with talar cartilage deformation following static loading in those with chronic ankle instability. J. Athl Train. Doi: 10.4085/1062-6050-0520.21. Online ahead of print.

Song K, Pietrosione B, Blackburn JT, Padua DA, Tennant JN,Wikstrom EA. 2022. Dorsiflexion and hop biomechanics associate with greater talar cartilage deformation in those with chronic ankle instability. Med Sci Sports Exerc. Doi: 10.1249/ MSS.0000000000002902. Online ahead of print.

Sullivan MH, Stillwagon MR, Nash AB, Jiang H, Lin FC, Chen AT, Louer CR. 2021. Complications with surgical treatment of pediatric supracondylar humerus fractures: does surgeon training matter? J Pediatr Orthop. 2022 Jan 1;42(1):e8-e14. doi: 10.1097/BPO.0000000000001969. PMID34545018

Tejwani NC, Ostrum R,Wolinsky PR, Adenikinju A, Radley JM, Copp JA, Kain MS,Tornetta. Do all fractures need surgery? P 3rd.Instr Course Lect. 2022;71:285-301. PMID: 35254789

Tougas CM, Barrera PM,Vergun AD, Herrera-Soto JA. 2022. Pelvis, Hip, and Femur Trauma. In: M Sinclair, ed. Orthopedic Knowledge Update Pediatrics. 6th Ed. Chicago (IL): AAOS. P 547 – 568.

VanEenenaam DP Jr, Houlihan N, Heyer JH, Flynn JM, Mitchell SL.When Is an Isolated Olecranon Fracture Pathognomonic for Osteogenesis Imperfecta? J Pediatr Orthop. 2022; doi: 10.1097/BPO.0000000000002100. Online ahead of print.

Wallace B, Chhabra A, Narayanan A, O’Neill D, Xi Y,Van Pelt M,Wukich DK, Liu G, Sanders D, Lalli T. 2021. Low risk of wound complications with sinus tarsi approach for treatment of calcaneus fractures. J Foot Ankle Surg. 3:S1067-2516(21)00477-4. Doi: 10.1053/j. fas.2021.11.013. Online ahead of print.

Wang B, Manchanda K, Lalli T, Liu GT,VanPelt MD, Rospovic KM,Wukich DK, Johnson MJ. 2022. Identifying risk factors for nonunion of the modified lapidus procedure for the correction of hallux valgus. Foot Ankle Orthop. 7(1):2473011421s00495. Doi: 10.1177/2473011421S00495.

Weinberg DS, Eoh JH, Manz WJ, Fakunle OP, Dawes AM, Park ET, Rhee JM. Off-label usage of RHBMP in posterior cervical fusion is not associated with early increased complication rate and has similar clinical outcomes.Weinberg DS, Eoh JH, Manz WJ, Fakunle OP, Dawes AM, Park ET, Rhee JM. Spine J. 2022 Feb 15:S1529-9430(22)00050-X. doi: 10.1016/j. spinee.2022.02.005.

Wikstrom EA, Song K,Tennant JN, Pietrosimone B. 2022. Gait biomechanics and balance associate with talar and subtalar T1p relaxation times in those with chronic ankle instability. Med Sci Sports Exerc. 1;54(6):10131019. Doi:10.1249/MSS.0000000000002867.Epub 2022 Jan 25.

Furdock RJ, Sanders JO, Cooperman DR, Liu RW. Using Skeletal Maturity in Pediatric Orthopaedics: A Primer. J Pediatr Orthop. 2022 Mar 23. Online ahead of print. PMID: 35316260.

Furdock RJ, Huang LF, Sanders JO, Cooperman DR, Liu RW. Systematic Isolation of Key Parameters for Estimating Skeletal Maturity on Anteroposterior Wrist Radiographs. J Bone Joint Surg Am. 2022 Mar 16; 10 (6): 530-536. PMID: 35045055

Swany LM, Larson AN, Milbrandt TA, Sanders JO, Neal KM, Blakemore LC, Newton PO, Pahys JM, Cahill PJ, Alanay A. Inter- and intra-rater reliability and accuracy of Sanders Skeletal Maturity Staging System when used by surgeons performing vertebral body tethering. Spine Deform. 2022 Jan;10(1):97-106. doi: 10.1007/s43390021-00386-4. Epub 2021 Jul 22. PMID: 34292528.

Rubery PT, Lander ST, Mesfin A, Sanders JO, Thirukumaran CP. Mismatch Between Pelvic Incidence and Lumbar Lordosis is the Key Sagittal Plane Determinant of Patient Outcome at Minimum 40 Years After Instrumented Fusion for Adolescent Idiopathic Scoliosis. Spine (Phila Pa 1976). 2022 Mar 1; 47(5):E169176. PMID: 34798644.

Keil LG, Nash AB, Sturmer T, Golightly YM, Lin FC, Stone JD, Sanders JO, Louer CR.When Is a GrowthFriendly Strategy Warranted? A Matched Comparison of Growing Rods Versus Primary Posterior Spinal Fusion in Juveniles with Early-onset Scoliosis. J Pediatr Orthop. 2021 Nov-Dec 01; 41(10):e859-864. PMID: 34411054

Furdock RJ, Benedick AJ, Neslon G, Li D, Cooperman DR, Sanders JO, Liu RW. Systemic Isolation of Key Parameters for Estimating Skeletal Maturity on AP Hip Radiographs. J Pediatr Orthop. 2021 Sep 1; 41(8): 483489. PMID: 34267150

Birch JG, Makarov MR, Sanders JO, Podeszwa DA, Honcharuk EM, Esparza M,Tran EY, Jo CH, Rodgers JA. Lower-Extremity Segment-Length Prediction Accuracy of the Sanders Multiplier, Paley Multiplier and White-Menelaus Formula. J Bone Joint Surg Am. 2021 Sep 15(103(18): 1713-1717. PMID: 34166322.

Grant Awards

PI Co-PI Sponsor

Matthew Fisher Jeffrey Spang North Carolina State University (NCSU)

Joseph Hart (pending)

Primary Department Project Title

Biomedical Engineering

Using 3D Nonwovens Fabrication to Engineer Region-Specific Extracellular Matrix Structure and Bioactivity of the Knee Meniscus

VALD Orthopaedics Point-of-Care Musculoskeletal Evaluation to Advance Precision Medicine in Patients Recovering from ACL Reconstructions

Matthew Fisher Jeffrey Spang North Carolina State University (NCSU) Biomedical Engineering

James Sanders Joseph Stone, Stuart Mitchell, Anna Vergun

Shriners Hospital for Children Orthopaedics

Joseph Hart University of Wisconsin at Madison National Football League

Joseph Hart Virginia Polytechnic Institute and State University (Virginia Tech) NIH-NIAMS

Orthopaedics

Orthopaedics

Award Amount

$9,612

$87,712

Sex- and Age-dependent ACL Function in the Growing Knee Join $28,318

Correlation of Collagen X Biomarker with Peak Height Velocity and Radiographic Measures in patients with Idiopathic Scoliosis

Hamstring Injury (HAMIR) Index: A framework for injury mitigation strategies through innovative imaging, biomechanics, and data analytics

Clinically Assessed Risk Factors for a Second ACL Injury Using an Innovative Wearable Sensor

$43,147

$58,953

$1,154,029

Trapper Lalli University of Missouri Orthopaedics

Stuart Mitchell James Sanders, Joseph Stone Ann Robert H. Lurie Children’s Hospital of Chicago

Orthopaedics

Jessica Thaxton Robert Esther National Institutes of Health (NIH) Lineberger Comprehensive Cancer Center

Jessica Thaxton Robert Esther National Institutes of Health (NIH) Lineberger Comprehensive Cancer Center

Brian Pietrosimone Jeffrey Spang Mid Atlantic Athletic Trainers Association (MAATA)

Exercise and Sport Science

Matthew Fisher Jeffrey Spang North Carolina State University (NCSU) Biomedical Engineering

Matthew Fisher Jeffrey Spang North Carolina State University (NCSU)

Biomedical Engineering

David Berkoff Daniel Bracey, Michael Seifert Massachusetts General Hospital Orthopaedics

Joseph Hart (pending)

$2.85m in funded research

Barron Associates, Inc. Orthopaedics

Clinical Outcomes after use of Nitinol Continuous Compression Implants for Talonavicular Fusion: A Prospective Multicenter Study

IMPACCT: Infrastructure for Musculoskeletal Pediatric Acute Care Clinical Trials

Targeting Chronic ER Stress in T Cells to Improve Cancer Immunotherapy

Exploitation of ER Stress Indiced Immune Dysfunction to Improve Immunotherapy

Determining the Role of Physical Activity on Cartilage Health following ACL Reconstruction

Using 3D Nonwovens Fabrication to Engineer Region-Specific Extracellular Matrix Structure and Bioactivity of the Knee Meniscus

Engineering Multi-scale Structure of the Knee Meniscus using Advanced 3D Nonwovens Fabrication

EN20-01: 24-Week Study To Evaluate the Safety and Efficacy of CNTX-6970 in Subjects with Moderate to Severe Knee Osteo Arthritis Pain

Knee-Biofeedback Rehabilitation Interface for Game-based Home Therapy (KneeBRIGHT) Phase IIB

$38,912

$31,550

$349,947

$355,706

$3,000

$9,709

$5,509

$173,253

$500,662

Alumni

Laurence Dahners Endowed Professorship in Orthopaedic Surgery

Thanks to the generous benefaction of donors and alumni, the department was able to complete its initial fundraising for a new endowed professorship in honor of Laurence Dahners. MD These generous gifts will be used to support the academic work of future clinician-scientists in the spirit of innovation and discovery that Dr. Dahners embodied during his time at UNC. His contribution to science during his 35+ year career included hundreds of peer-reviewed papers and presentations, research funding from the NIH and the Orthopaedic Research and Education Fund (OREF) and multiple patents for surgical instruments and devices.

Current Endowed Professors

Frank C. Wilson, MD Distinguished Professorship in Orthopaedic Surgery

Holder: James O, Sanders, MD Pediatric Orthopaedic Surgeon and Department Chair H. Robert Brashear, MD Distinguished Professorship

Holder: Robert Esther, MD Orthopaedic Tumor Surgeon and Vice Chair of Education

Grizelle NorfleetR. Beverley Raney, MD Professorship

Holder: Joe Hart II, Ph.D. Professor of Orthopaedics and Kinesiology and Vice Chair of Research

Max M. Novich Distinguished Associate Professorship in Sports Medicine

Holder: Ganesh Kamath, MD Orthopaedics Sports Surgeon

The Yeargan Family Distinguished Professorship of Orthopaedics

Holder: Robert Creighton, MD Orthopaedic Sports Surgeon, and Division Chief

Giving Campaigns

The University of North Carolina is a public university and relies on the support of philanthropists to help support its mission to provide care to the people of North Carolina, advance the science of orthopaedics and teach the next generation of orthopaedics surgeons. Please consider a donation to one of our funds at www.med.unc.edu/ortho/gifts/.

Orthopaedic Annual Fund

Advancing the education of orthopaedic residents, these funds are used to support scholarship and educational resources. (See page 16)

Orthopaedic Research Fund

These funds are used to support a research infrastructure to advance the science of orthopaedic surgery. (See page 21)

Orthopaedic Surgical Skills Lab

These funds are used to support the operations and improvement of the surgical skills lab, used to teach orthopaedics residents the motor skills to perform surgery in a safe space. (See page 20)

Sports Medicine Institute

This fund is used to support the growth and development of the esports Medicine Institute to provide funds for the development of a research infrastructure, community-based education and to foster a network of collaboration. (See page 4)

Orthopaedic Patient and Family Fund

These funds are used to provide care to children whose do not have the financial means to afford critical prosthetics and orthotic devices to support their healing. (See page 10)