41 minute read

Faculty

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.

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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

James O. Sanders, MD Frank C. Wilson Chair of Orthopaedics Pediatric Orthopaedics Joseph Hart, Phd, ATC Norfleet Raney Vice Chair of Research

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 Robert F. Ostrum, MD Vice Chair of Hospital Operations Director, Simulation Lab Orthopaedic Traumatology Professor of Orthopaedic Surgery

Adult Reconstruction

Daniel Bracey, MD, PhD Assistant Professor of Orthopaedic Surgery Christopher W. Olcott, MD Division Chief, Adult Reconstruction 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

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

Foot and Ankle

Trapper Lalli, MD Division Chief Assistant Professor of Orthopaedic Surgery Joshua N. Tennant, MD Associate Professor of Orthopaedic Surgery

Hand & Microsurgery

Reid W. Draeger, MD Associate Professor of Orthopaedic Surgery J. Megan Patterson, MD Vice Chair of Diversity, Equity and Inclusion Division Chief, Hand & Microsurgery Associate Professor of Orthopaedic Surgery

Non-Operative Sports and Musculoskeletal Medicine

David J. Berkoff, MD Vice Chair of Clinical Operations Director, SMI Division Chief, Non-Operative Sports and Musculoskeletal Medicine Professor of Orthopaedics Joshua N. Berkowitz, MD Assistant Professor of Orthopaedic Surgery, Internal Medicine and Pediatrics Michael K. Seifert, MD Assistant Professor of Orthopaedic Surgery Gregory Summerville, MD Assistant Professor of Orthopaedic Surgery

Pediatric Orthopaedics

Stuart L. Mitchell, MD Assistant Professor of Orthopaedic Surgery Vinay K. Narotam, MD Assistant Professor of Orthopaedics James O. Sanders, MD Frank C. Wilson Chair of Orthopaedics Pediatric Orthopaedics Joseph D. Stone, MD Assistant Professor of Orthopaedic Surgery Anna D. Vergun, MD Division Chief Associate Professor of Orthopaedic Surgery

Orthopaedic Oncology

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

Sports Medicine Surgery

R. Alexander Creighton, MD Division Chief Yeargan Family Distinguished Professor of Orthopaedic Surgery Professor of Orthopaedics Ganesh V. Kamath, MD, MBA Max Novich Associate Professor of Orthopaedic Surgery Jeffrey T. Spang, MD Associate Professor of Orthopaedic Surgery

Trauma

Andrew T. Chen, MD, MPH Assistant Professor of Orthopaedic Surgery Judith Siegel, MD Division Chief Assistant Professor of Orthopaedic Surgery Robert F. Ostrum, MD Vice Chair of Hospital Operations Director, Simulation Lab Orthopaedic Traumatology Professor of Orthopaedic Surgery

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:

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.

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

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.

Jonelle Campbell

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) Scott Giberson 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 “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.“

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.”

Residency Coordinator Karen Gilliam Retires 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

Vice Chair Letter

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.

Dahners Research Award Enters Third Year

As 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 carry 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.

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Grant Awards

PI Co-PI Sponsor Primary Department Project Title

Matthew Fisher Jeffrey Spang North Carolina State University (NCSU) Biomedical Engineering Using 3D Nonwovens Fabrication to Engineer Region-Specific Extracellular Matrix Structure and Bioactivity of the Knee Meniscus $9,612

Joseph Hart (pending) 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)

James Sanders Joseph Stone, Stuart Mitchell, Anna Vergun Shriners Hospital for Children

Joseph Hart

Joseph Hart University of Wisconsin at Madison National Football League Virginia Polytechnic Institute and State University (Virginia Tech) NIH-NIAMS Biomedical Engineering

Sex- and Age-dependent ACL Function in the Growing Knee Join Orthopaedics Correlation of Collagen X Biomarker with Peak Height Velocity and Radiographic Measures in patients with Idiopathic Scoliosis Orthopaedics Hamstring Injury (HAMIR) Index: A framework for injury mitigation strategies through innovative imaging, biomechanics, and data analytics Orthopaedics Clinically Assessed Risk Factors for a Second ACL Injury Using an Innovative Wearable Sensor

Trapper Lalli

Stuart Mitchell James Sanders, Joseph Stone University of Missouri Orthopaedics Clinical Outcomes after use of Nitinol Continuous Compression Implants for Talonavicular Fusion: A Prospective Multicenter Study

Ann Robert H. Lurie Children’s Hospital of Chicago Orthopaedics IMPACCT: Infrastructure for Musculoskeletal Pediatric Acute Care Clinical Trials

Jessica Thaxton Robert Esther National Institutes of Health (NIH)

Jessica Thaxton Robert Esther National Institutes of Health (NIH)

Brian Pietrosimone Jeffrey Spang Mid Atlantic Athletic Trainers Association (MAATA) Lineberger Comprehensive Cancer Center

Lineberger Comprehensive Cancer Center

Exercise and Sport Science 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

Matthew Fisher Jeffrey Spang North Carolina State University (NCSU) Biomedical Engineering Using 3D Nonwovens Fabrication to Engineer Region-Specific Extracellular Matrix Structure and Bioactivity of the Knee Meniscus

Matthew Fisher Jeffrey Spang North Carolina State University (NCSU) Biomedical Engineering Engineering Multi-scale Structure of the Knee Meniscus using Advanced 3D Nonwovens Fabrication

David Berkoff Daniel Bracey, Michael Seifert Massachusetts General Hospital Orthopaedics EN20-01: 24-Week Study To Evaluate the Safety and Efficacy of CNTX-6970 in Subjects with Moderate to Severe Knee Osteo Arthritis Pain

Joseph Hart (pending) Barron Associates, Inc. Orthopaedics Knee-Biofeedback Rehabilitation Interface for Game-based Home Therapy (KneeBRIGHT) Phase IIB

Award Amount

$87,712

$28,318

$43,147

$58,953

$1,154,029

$38,912

$31,550

$349,947

$355,706

$3,000

$9,709

$5,509

$173,253

$500,662

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

Grizelle NorfleetR. Beverley Raney, MD Professorship

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

H. Robert Brashear, MD Distinguished Professorship

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

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

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