Inside

The Newsletter of the Orthopaedic Trauma Association
Spring 2015
Inside
(p. 1)
President’s Message
From the Editor
(p. 2)
Program Committe
Annual Meeting
(p. 3)
Guest Nation-Germany
Trauma Video Library
Fellowship Committee
(p. 4)
Membership Committee
Nominating Committee
Public Relations
Committee
(p. 5)
Research Committee
Disaste-r Committee
(p. 6)
Health Policy
Committee
(p. 8-10)
Specialty Day Highlights
(p. 7)
EBQVS Committee
Education Committee
(p. 11)
2015-2016 Leadership
Fellows Program
Report from NOLC
(p. 12)
AAOS Research
Capitol Hill Days
JOT Online Forum
Recognition for Global
Health Commitment
(p. 13)
Apply for Participation
Leadership Fellows
Program
OrthoGuidelines App
USBJI Call for
Applications
Dr. Jaques Interview
(p. 14)
Online Education
Message from the President
Theodore Miclau, III, MD
“Read the Road. And You Won’t Need as Many New Parts.”
May, Motorcycle Safety Awareness Month, has come and gone
faster than a Harley on an open highway. It would have been understandable to have missed this (according to Wikipedia we should be
aware of 20 different events in May, ranging from Scandinavian-American Heritage to National Guide Dog Month), but the actual month was just an occasion
to launch an ongoing message. For the members of the Orthopaedic Trauma Association, the campaign’s words emphasize the benefits of vehicular safety and our desire to
diminish the devastating global consequences of motorcycle and road traffic accidents
(JOT: Why a Decade of Road Traffic Safety). For the OTA, this shared campaign with
the American Academy of Orthopaedic Surgeons (Motorcycle Safety) also has another
ongoing meaning—it represents the OTA’s ability to affect even more impactful change
through partnerships with other like-minded organizations. Today, due to the OTA’s
growth and an improved ability for electronic communication to connect the world, the
organization has more opportunities than ever to deliver on its mission. Read another
way, this campaign’s same words are foretelling of the compelling reason for the OTA to
focus on magnifying its effectiveness and reach through directed collaborations.
This past year, the OTA has built on previous partnerships with the AAOS, BOS
societies, and other organizations to enact an unprecedented number of activities and
programs (2014 OTA Annual Report). This spring newsletter has more examples of the
remarkable volunteer- and staff-driven activities of the organization. I am thankful to
my fellow members for their dedication to the OTA (including those outgoing Board of
continued on page
2
Message From the Editor
Hassan R. Mir, MD, MBA, FACS
Welcome to the late spring 2015 edition of Fracture Lines. This
edition of the OTA Newsletter is packed with several committee reports,
announcements, and calls to action for our membership including one
from Bob Probe for the new video library. Additional articles highlight
several recent developments with Health Policy and Advocacy, and a message from
our new OTA President Ted Miclau discusses partnering with other national and
international organizations.
The next edition of the OTA Newsletter will be released prior to the 31st Annual
Meeting to be held this fall in San Diego, CA. Please send any comments, suggestions,
and photos to [email protected].
From the President, continued from pg. 1
Theodore Miclau, III, MD
Directors Members—Robert Probe as Past-President,
Thomas Higgins as Annual Program Chair, and
Douglas Lundy as Member-At-Large and Committee Chairs—Michael Suk for Health Policy, William
DeLong for International, William Ricci for Education,
and Clifford Jones for Membership), and grateful to
the individual, group, and industry donors for generously providing resources to fund our mission-driven
activities (also acknowledged in the Annual Report
and the OTA website).
In 2015, the OTA leadership will cultivate existing
and develop new relationships. This summer’s annual
strategic retreat will address the potential expansion
of electronically-delivered educational and research
materials, so that the OTA can better communicate with
its members and global partners. Additionally, the OTA
Board and International Committee will continue to
develop national and international collaborations,
including with those past and current “guest nation”
partners. Germany will be the guest nation at this
year’s Annual Meeting in San Diego, and the OTA is
working with the Deutsche Gesellschaft für Unfallchirurgie (DGU) and Deutsche Gesellschaft für Orthopädie
und Unfallchirurgie (DGOU) to promote the event.
Christian Krettek, Professor and Chairman of the
Trauma Department at the Hannover School of Medicine and long-time OTA member, will be this year’s
Border Lecturer. Reciprocally, the OTA is co-sponsoring
symposia at the Deutscher Kongress für Orthopädie
und Unfallchirurgie (DKOU) Annual Meeting in Berlin,
which will be held subsequent to the OTA Annual
Meeting. Similarly, several OTA representatives will
travel to Jaipur, India to attend the 60th Annual Conference of the Indian Orthopaedic Association and promote India as the OTA Guest Nation in 2016.
This year, I look forward to working with the
Board as it continues to “read the road” and foster research and educational programs and capabilities that
impact musculoskeletal injury care in North America
and throughout the world. Through directed collaborations, the OTA can contribute to and benefit from
programs that our partners are already doing efficiently and effectively, thereby avoiding the need for
“as many new parts.” The opportunities for the OTA
to make a difference have never been greater, and it
is gratifying to be on this ride.
2
Program Committee
Robert V. O’Toole, MD
On behalf of the OTA Program Committee and
President Ted Miclau, MD, I am pleased to invite you
to the 31st Annual Meeting of the Orthopaedic Trauma
Association (OTA) to be held in San Diego, CA,
October 7-10, 2015.
Thanks to the efforts of the program committee
and OTA staff, we anticipate that this year’s meeting
will provide an outstanding look into the treatment of
musculoskeletal traumatic injuries. This year’s
scientific program is drawn from a record number
of abstract submissions and represents a look at the
highest quality and cutting edge of current clinical
research that is likely to influence the care of our
patients in the future. The meeting will include
scientific presentations of original research, as well as
15 symposia on a broad array of topics, 8 small group
case discussions, and hands-on labs in order to provide
learning opportunities that we hope will be appealing
to all musculoskeletal health care professionals.
The Annual Meeting will cover a diverse spectrum of
topics and present the opportunity for participants to
attend a wide range of concomitant sessions. In addition to Annual Meeting education, there are also five
pre-meeting events Wednesday and Thursday morning, industry led symposia and our highly successful
PA and NP trauma course runs concurrent to the Annual Meeting. It is our goal to provide the highest
quality, most interesting, and clinically relevant material related to musculoskeletal trauma and to have it
presented by a world-class faculty of experts. We truly
believe that anyone involved in the field will benefit
from this year’s OTA Annual Meeting. Please consider
joining us in San Diego!
Housing Link
Annual Meeting Preliminary Program coming soon!
Look for emails and watch the website for updates.
Program Committee, continued
World-Class Trauma Video Library
Guest Nation - Germany
The OTA is aggressively
pursuing the development of
a world-class comprehensive
trauma video library, which
will be both easily accessible
and free to OTA members.
As we approach this project,
the OTA Board of Directors
is seeking a group of authors
who are academically
motivated, surgically skilled, intellectually capable
and technologically savvy.
We are seeking videos of surgical procedures
that range in length from five to fifteen minutes. More
detailed submission guidelines are available on the
OTA website. Submissions will be subject to peerreview by the project’s editorial board and handled
similar to a written manuscript to assure the highest
level of quality and practice standards. As additional
incentive to authors, the top videos received by
July 1st will be presented in San Diego at this year’s
Annual Meeting and meet criteria for a peer-reviewed
video presentation. Complimenting this will be the
opportunity to have qualifying video hosted on the
JOT website with the written abstract being treated as
a peer-reviewed publication. The first step is to submit a video by July 1st for
the OTA Annual Meeting video library. We hope you
will consider helping the OTA in its pursuit of 21st
century technical education.
Please do not hesitate to contact the OTA
Business Office, [email protected] / 847-430-5136,
with any questions.
Robert V. O’Toole, MD
Robert Probe, MD
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Is is a great honor to welcome
members of the Deutsche
Gesellschaft für Unfallchirurgie and
Deutsche Gesellschaft für Orthopädie
und Unfallchirurgie to the 31st Annual Meeting.
Watch the OTA website and Preliminary
Program for specific topics and more information.
The OTA would like to invite trauma surgeons,
residents and other medical professionals from OTA’s
Guest Nation to apply for International Membership.
The $50 application fee would be waived, as would
the 2016 dues. There are 4 international categories and
the descriptions can be found online.
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Fracture Course
WEDNESDAY - FRIDAY
October 7 - 9, 2015
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QUESTIONS? Contact the KdƵƐŝŶĞƐƐKĸĐĞ
at 847-698-1631 or [email protected]
ZĞŐŝƐƚĞƌdKzĂƚwww.ota.org
Fellowship Committee
Mark A. Lee, MD
Fellowship Match & Resources
Fellowship Match Calendar
SFMatch Registration opened June 2, 2015 (For the
match in 2016 with the fellowship training in 2017/18)
Please contact: SFMatch website / 415-447-0350 or the
OTA business office at: 847/698-1631.
3
Membership Committee
Public Relations Committee
The OTA Membership Committee, Peter Cole
(chair), Cliff Jones, Kyle Jeray, Hans-Christoph
Pape and George Russell reviewed 117 applications
submitted for the May 1 deadline. The accepted
applicants will be notified in mid-June; and their
membership will begin. The OTA Research
Committee will be reviewing four Research
applications received and the applicants will be
notified once decisions are made. The Membership Committee looks forward to
future committee contributions of the new 2015 appointment of Ex-Officio PA Member: Dennis Gregory. All new 2015 OTA members and those interested
in joining are welcome to attend the 4th Annual OTA
New Members Luncheon in San Diego, California on
Friday, October 9, 2015. Enjoy dining while hearing
about the many OTA benefits from former OTA Presidential guest speakers. Eligible sponsors will be present to sponsor November 1 Membership applicants.
71 of the 77 current year trauma fellows are OTA
members or have recently applied for OTA membership. Taking advantage of the many educational
opportunities, professional development, research opportunities and member collaboration is an excellent
way to continue one’s future journey in orthopaedic
Motorcycle Safety PSA
Peter A. Cole, MD
Jeffrey M. Smith, MD
continued on page
11
READ THE ROAD.
AND YOU WON’T NEED AS MANY NEW PARTS.
MOTORCYCLE CRASHES DON’T ALWAYS INVOLVE ANOTHER
VEHICLE. SLICK SURFACES AND ROAD DEBRIS CAN LEAD TO
BROKEN BIKES, AND BROKEN BONES. RIDE AT A SPEED THAT
GIVES YOU TIME TO REACT. CHECK OUR WEBSITE BELOW
FOR MORE CYCLE SAFETY TIPS.
3881_AAOS_PSA_MotorcycleSafety_Postcard_8x6.indd 1
Ross K. Leighton, MD
4
12/2/14 12:07 PM
ALWAYS MAINTAIN A HIGH INDEX OF SUSPICION!
COMPARTMENT SYNDROME:
A Limb-Threatening Emergency
Who Gets It?
Extremity Fractures: Open or Closed
Direct Blow to Extremity
Crush Mechanism
Patients on Anticoagulation
Reperfusion Injuries
Tight Bandages/Dressings
Burns
Significant Swelling
Pain
Increasing Pain Medication Needs
Pain Out-of-Proportion to Injury
Pain with Movement of Fingers/Toes
Numbness/Tingling Nerves within
Compartments (Figure 1&2)
Motor Weakness
Cooler Temperature of Extremity
Beware of any Change in Exam
Common Associated Injuries
The 2015 Nominating Committee has been
chosen from a stellar group of OTA Member
nominees, Drs. Daniel Horwitz, Kyle Jeray,
David Sanders, Melvin Rosenwasser, and Tracy
Watson
along with chair, past President, Ross K.
Leighton, MD. Winners will be announced and the
committee will begin selecting recommendations for
individuals to serve as:
• 2nd President-Elect
• Member-at-Large (1 position)
• Membership Committee (2 positions)
All OTA members are invited and encouraged
to make suggestions for these 3 positions. Send your
nominations to Darlene Meyer or to [email protected] by
July 1, 2015.
The Nomination Committee will present their
recommendations at the 2015 OTA Fall Member
Business Meeting in San Diego, California.
orthoinfo.org
Compartment Syndrome Poster
Warning Signs/Symptoms
Nominating Committee
ota.org
VISIT ORTHOINFO.ORG/CYCLESAFETY
Tibia Shaft Fractures
Fractures about the Knee
Both Bone Forearm Fractures
Floating Knee/Elbow
Males < 30 Years Old with Forearm &
Tibia Fractures Most Common
Radial Nerve
Ulnar Nerve
Median Nerve
Figure 1 – Dorsal Forearm
Lateral Sural
Cutaenous Nerve
Superficial Peroneal
Nerve
What Should I Do?
Call your Orthopaedic Surgeon IMMEDIATELY–
Emergent Operative Intervention Required
Loosen Circumferential Dressing
Slight Elevation
Hydration
Avoid Hypotension
Supplemental Oxygen
Sural Nerve
Deep Peroneal
Nerve
Figure 2 – Anterior Leg
The Orthopaedic Trauma Association presents this information as an educational service to the medical community. While the information is
about health care issues and orthopaedic surgery, it is not medical advice. Individuals seeking specific orthopaedic advice or assistance for
conditions such as these should contact an orthopaedic trauma surgeon through the Find a Surgeon program at www.ota.org.
ota.org/education/compartment-syndrome
Use: The OTA poster on Compartment Syndrome is
designed for the Emergency Room setting. The poster
is to help alert the ED to the recognition of this limb
threatening injury. The classic signs and symptoms
are reviewed to help provide basic information on this
important diagnosis. Further references are provided
along with the key recommendation to Call your
Orthopaedic Surgeon!
Research Committee
registration for October 7-10, 2015 and an OTA
assigned research mentor, if requested.
The OTA Research Committee welcomed the
following new members effective with Specialty
Day 2015: Emil Schemitsch, Reza Firoozabadi,
and Michael Gardner, as we bid farewell and thank
the following members for their hard work and
dedication: Walter Virkus, Brian Mullis, and George
Russell.
The Research Committee met on March 19th,
and after deliberations resident grants were awarded
totaling $144,500. Eight grants were awarded from
among the 35 proposals received. Awarded grants
can be accessed via the OTA website: (Resident Grant
Recipients June 15, 2015 - May 31, 2016).
First OTA International Grant
NEW
Award Offering
2015 marks the inaugural offering of an International
Grant Award in the amount of $50,000, which carries
a directed topic: Augmented Fixation for Fragility
Fractures, will be funded over a 24-month period
beginning January 1, 2016. This grant was made
possible through the generous support of Dr. and
Mrs. Thomas A. Russell. Five pre-proposals were
received in response to the RFP and two applicants
were invited to submit full proposals after review
and grading by the International Grant Award
Work Group: Heather Vallier, MD, Chair; Michael
Archdeacon, MD; Cyril Mauffrey, MD, and Amir
Matityahu, MD.
Brett D. Crist, MD
Deadlines for the January – December 2016
Funding Cycle
OTA received 56 member full grant preproposals for review and grading by the Research
Committee. Thirty-one applicants were invited to
submit full proposals.

EW
Kathy Cramer Young Clinician
N
Memorial Scholarship Award
Through a generous donation from the Estate
of Kathy Cramer, MD, a new scholarship has been
established – the Kathy Cramer Young Clinician
Memorial Scholarship Award. The scholarship is in
memory and honor of Kathryn Cramer, a dedicated
and highly respected orthopaedic surgeon missed by
many OTA colleagues.
Under the banner of the Kathy Cramer Young
Clinician Memorial Scholarship Award, the following
received OTA sponsorships to attend 2015 programs:
2015 ORS/OREF/AAOS Young Investigators
Workshop OTA Sponsorships:
Meir Marmor, MD, San Francisco General Hospital
and Geoffrey Marecek, University of Southern
California, Los Angeles
2015 AAOS/OREF/ORS Clinician Scholars Career
Development Program OTA Sponsorships:
Mai Nguyen, MD, University of Iowa Hospital
and Clinics and Clay Spitler, MD, University of
Mississippi Medical Center
In addition to OTA sponsorship for these
programs, the Kathy Cramer award recipients also
receive a complimentary OTA annual meeting

Disaster Management & Preparedness
Christopher T. Born, MD
“As of May 1, the AAOS/SOMOS/OTA/POSNA
Disaster Response Course (DRC) has been given
seven times. Since its inception in 2011, 395 surgeons
have taken the course and 286 AAOS members have
now registered with the Academy/OTA Responder
Database. Scheduling of additional courses for 2016
and beyond is under discussion. If the AAOS or
OTA are called upon to assist in future disasters,
individuals in the database can be more readily
connected with on-the-ground disaster response
agencies. This was put to the test immediately
following the unfortunate April 25, 2015 earthquake
in Nepal. The AAOS staff immediately called up the
database and communicated with potential NGO
partners regarding possible manpower needs. 40
responses were received from surgeons who were
willing to volunteer services. In communicating with
a number of NGOs after the disaster (including SIGN
and the International Medical Corps), it became
clear that the need was primarily for monetary
donations and for supplies. Neither the OTA nor
the AAOS have the logistics capacity to mount their
own relief efforts. The database is to be used to
identify surgeons who have been educated or who
have experience working in an austere disaster or
humanitarian environment and who might be called
upon to assist. continued on page
6
5
Disaster Management & Preparedness, cont’d
Christopher T. Born, MD
The “Disaster Management Response Guidelines for Departments of Orthopaedic Surgery,”
authored by the Disaster Preparedness Committee,
has been submitted to JBJS Reviews for inclusion in an
upcoming JOT Disaster Supplement. ”Blast Injury for
Orthopaedic Surgeons” and ”Basics of Disaster
Response (Disaster Primer)” presentations are intended to be included in Version IV of the Residents Core
Curriculum for publication in 2016. Looking to the future, the Disaster Preparedness
Committee is developing PSA’s centered around
the theme of ”Disaster can strike at any time . . . are
you prepared?” The PSAs will emphasize home and
personal preparation basics. A series of 4 posters is
planned depicting various natural disasters.”
Health Policy Committee
Douglas W. Lundy, MD
Even casual attention to the news these days will
inform you that there is a lot going on in the world
of politics that affects orthopaedic trauma! The OTA
and the AAOS have been extremely busy influencing
Congress to craft legislation that will allow us to do
what we need to efficiently care for our patients.
On April 14, 2015, the Senate passed HR 2 “The
Medicare and Chip Reauthorization Act” which was
subsequently signed into law by President Obama
two days later. This law was the culmination of
years of labor by orthopaedic surgeons to repeal
the Sustainable Growth Rate and reform the flawed
Medicare payment formula. Although all are not
completely satisfied with this law, it moves our
profession significantly toward an improved system.
This legislation includes important provisions
that will:
• Reverse the harmful global payments policy
announced in the 2015 Physician Fee
Schedule Final Rule by the Centers for
Medicare and Medicaid Services;
• Streamline Medicare’s existing quality
programs
• Establish one value-based performance
program
• Alleviate much of the reporting burdens
faced by physicians
6
•
•
Give the AAOS & Subspecialty Societies
direct control of performance measures
development
Give individual physicians more control over
which measurements will be used to measure
the physician
• Allow that participation in a Registry automatically qualifies as Meaningful Use Level 3
• Expand the availability of Medicare data by
allowing qualified clinical data registries to
purchase claims data for purposes of quality
improvement and patient safety; and
• Clarify that the development of quality
guidelines in Medicare or through other laws
cannot be construed to establish a standard
or duty of care, protecting doctors from lawsuits based on federal quality measures.
Stay tuned as we follow this law and better
understand how it will affect the practice of orthopaedic
trauma surgery in the future.
Every year, the AAOS establishes the Unified
Advocacy Agenda (UAA) that directs the political
work of the Association on Capitol Hill. We invite
the membership of the OTA to review the Advocacy
Agenda and provide us feedback concerning this
effort. Please click here to view the UAA.
One of the most bothersome aspects of the
Affordable Care Act (ACA) was the formation of the
Independent Physician Advisory Board (IPAB). We
are strongly opposed to the IPAB since it gives a small
and relatively unaccountable group the power to massively affect the delivery of care and reimbursement
of physicians. The house of medicine consolidated
behind a single position statement addressed to Congress that was signed by over 500 medical organizations, including the Orthopaedic Trauma Association.
The premise of our argument is that since the
IPAB is required to realize significant savings in a
single year time period, they will be forced to cut
physician payments rather than effectively changing
the system to increase efficient delivery of healthcare.
Please read this letter by clicking this link.
The OTA Health Policy Committee is continuing
to advance the advocacy efforts of the Orthopaedic
Trauma Association through our own efforts and by
supporting the efforts of the AAOS. If you have any
questions or concerns regarding this, please contact
us.
EBQVS Committee
Education Committee
The OTA EBQVS Committee has been active:
1) Chad Coles and Mike Zlowodski have reviewed and revised the key references on the OTA
website for topic specific areas across Ortho Trauma. See Resources on the OTA Web site under:
• Trauma Evidence Based-Medicine Resource
List
The OTA Education Committee is happy to
report continued success of multiple educational
endeavors. The Residents Advanced Technique
Course, held in Houston, Texas in January 9-10, 2015
was Chaired by Matt Mormino with Co-chair Rafael
Neiman with 54 residents in attendance. Many
thanks to the Chairs as well as the faculty for making
this a highly successful course. As Matt steps down
as Course Chair, the 2016 course being held January
29-30, 2016 in Orlando will be Chaired by Rafael
Neiman with Co-chair, Phil Wolinsky.
The Spring Residence Comprehensive Fracture
Course occurred April 15-18, 2015. The course was
Chaired by Gregory Della Rocca and Co-chair Brian
Mullis, with 123 residents attending. As Greg steps
down as Course Chair, the 2016 course being held
April 4-7, 2016 at the Westin Lombard in suburban
Chicago, will be Chaired by Brian Mullis with CoChair David Weiss.
Once again, the OTA Fellows Course took
place in Boston, Chaired by Paul Tornetta. Fifty-five
Fellows attended the course on April 24-25, 2015.
OKU Trauma 5 is underway. This will be
edited by Bob Ostrum and Bill Ricci. The section
editors and chapter editors have been identified, and
we are making good progress on OKU Trauma 5,
thanks to all who are helping with this endeavor.
The Core Curriculum update project is in
the final stages of Phase I. We thank Ken Koval for
serving as Project Director for Phase 1 and welcome
Cliff Jones and Lisa Cannada as Project Directors
for Phase 2 and Phase 3. The final phases of the
project will require many new and additional authors.
If you’re interested in preparing a PowerPoint
presentation for inclusion in the Core Curriculum,
please use this volunteer form, or contact the OTA at
[email protected].
Finally, I would like to thank Bill Ricci for his
very capable leadership of the Education Committee
and wish him well as he proceeds in the presidential
line, and know he will do an outstanding job as one of
our future leaders.
William T. Obremskey, MD
2) Jaimo Ahn and Claude Sagi have completed
the committee’s manuscript on Practice Patterns and
Recommendations for DVT prophylaxis and Orthopedic Trauma. The will be published soon in the Journal
of Orthopedic Trauma.
3) The committee participated with the AAOS
to develop the AAOS Hip Fracture Guidelines and
Consensus statements.
4) We have completed practice pattern surveys
on Compartment Syndrome and Hip Fractures and
will publish these results soon as well.
5) We are working on developing Performance
Measures (PMs) for use in our Qualified Clinical
Data Registry (QCDR) that can be used to satisfy
requirements for Value based care as required by the
ACA. PMs will be part of ACA requirements for physician level reporting in 2019 that was agreed upon
for the repeal of SGR with MIPS – Merit-based Incentive Payment System. Starting in 2019, the MIPS will
encompass MU-3 (Meaningful Use -3), VBM (value–
based medicine), and measurement of outcomes to
provide for financial incentives or assess financial
penalties. Like the alphabet soup or not we are here
and need to be part of the discussion.
We are developing PMs for:
1. Infection rate associated with bicondylar tibia plateau fractures
2. Infection rate associated with open 3B
tibia fractures
3. Time to antibiotics from arrive to an ED
for open fractures
4. Time to coverage of 3B open tibia fractures
Robert F. Ostrum, MD
7
Specialty Day Highlights – March 28, 2015
Thomas F. Higgins, MD,
2014 OTA Annual Program Chair
Robert V. O’Toole, MD,
2014 OTA Annual Program Co-Chair
Ross K. Leighton, MD,
2014 OTA President
OTA Bovill Award Presentation
(Most Outstanding Paper) & Best Resident Study
Continuous Popliteal Sciatic Nerve Block for
Ankle Fractures Reduces Postoperative Opioid
Requirements and Rebound Pain: A Prospective
Randomized Comparative Trial
David Ding, MD; Arthur Manoli III, BS; David Galos,
MD; Sudheer Jain, MD; Nirmal C. Tejwani, MD, FRCS;
NYU Langone Medical Center Hospital for Joint Diseases,
New York, New York, USA
Ross Leighton presents
David Ding with the
Bovill Award. His paper
also received the Memorial
Award for the best resident
paper from the 2014
Annual Meeting.
Best Poster Award
The Efficacy of a Single-Incision Versus
Two-Incision Four-Compartment Fasciotomy of the
Leg: A Cadaveric Model
Meredith Neal, LCDR MC USN; Andrew Henebry,
LT MC USN; Christiaan N. Mamczak, LCDR MC USN;
Robert Ruland, CAPT MC USN;
Department of Orthopaedic Surgery,
Naval Medical Center, Portsmouth, Virginia, USA
Best Basic Science Study
∆In Vivo Chemistry and Implantable
Biomaterial for Targeting Therapeutics
José M. Mejía Oneto, MD, PhD1;
Munish C. Gupta, MD1; Kent Leach, PhD1;
Mark A. Lee, MD1; Maksim Royzen, PhD2;
Dr. Mejía Oneto 1
University of California, Davis Medical
Center, Sacramento, California, USA;
2
University at Albany, State University of
New York, Albany, New York, USA
8
Best poster from the 2014 Annual Meeting.
Specialty Day Highlights, continued
Papers You Should Know About
Does Ankle Aspiration for Acute Ankle Fractures
Result in Pain Relief? A Prospective Randomized
Double-Blinded Placebo-Controlled Trial
Timothy J. Ewald, MD, BS, MSc; Pamela K. Holte, CNP;
Joseph R. Cass, MD; William W. Cross III, MD;
S. Andrew Sems, MD;
Mayo Clinic, Rochester, Minnesota, USA
Continuous Popliteal Sciatic Nerve Block for
Ankle Fractures Reduces Postoperative Opioid
Requirements and Rebound Pain: A Prospective
Randomized Comparative Trial
David Ding, MD; Arthur Manoli III, BS; David Galos, MD;
Sudheer Jain, MD; Nirmal C. Tejwani, MD, FRCS;
NYU Langone Medical Center Hospital for Joint Diseases,
New York, New York, USA
∆Outcomes a Decade After Surgery for Unstable
Ankle Fracture: Functional Recovery Does Not
Decay with Time
Stephen Gould, MD, MPH1; Deirdre Regan, BA1;
Arthur Manoli III, BS1; Kenneth J. Koval, MD2;
Nirmal C. Tejwani, MD1; Kenneth A. Egol, MD1,3;
1
NYU Hospital for Joint Diseases,
New York, New York, USA;
2
Orlando Regional Medical Center, Orlando, Florida, USA;
3
Jamaica Medical Center, Jamaica, New York, USA
Development and Validation of a Geriatric Trauma
Triage Score
Sanjit R. Konda, MD1; Rachel Seymour, PhD2;
Arthur Manoli III, BS1; Madhav A. Karunakar, MD2;
Carolinas Trauma Network Research Group2;
1
NYU Hospital for Joint Diseases, New York, New York,
USA; 2Carolinas Medical Center, Charlotte, North
Carolina, USA
Determinants of Functional Outcome in Distal
Radius Fractures in High Functioning Elderly Patients
Jeremie Larouche, MD, FRCSC; Jeffrey Pike, MD;
Gerard P. Slobogean, MD, MPH, FRCSC;
Pierre Guy, MD; Henry M. Broekhuyse, MD;
Peter J. O’Brien, MD, FRCSC; Kelly A. Lefaivre, MD;
Division of Orthopaedic Trauma, Department of
Orthopaedic Surgery, University of British Columbia,
Vancouver, British Columbia, Canada
Can Thrombelastography Predict Venous
Thromboembolic Events in Patients with Severe
Extremity Trauma?
Prism S. Schneider, MD, PhD1; Bryan A. Cotton, MD2;
Matthew Galpin, RC1; Zayde Radwan, MD1;
John W. Munz, MD1; Timothy S. Achor, MD1;
Mark L. Prasarn, MD1; Joshua L. Gary, MD1;
1
Department of Orthopaedic Surgery, University of Texas
Health Science Center, Houston, Texas, USA;
2
Department of Surgery and the Center for Translational
Injury Research (CeTIR), University of Texas Health
Science Center, Houston, Texas, USA
Prediction of Pulmonary Embolism in Trauma
Patients: A Risk Assessment Model Based Upon
38,000 Patients
Sheena R. Black, MD1; Jeffrey T. Howard, MA2;
Paul C. Chin, MD, PhD1; Adam J. Starr, MD1;
1
Department of Orthopaedic Surgery, University of Texas
Southwestern Medical Center, Dallas, Texas, USA;
2
Department of Demography, University of Texas at San
Antonio, San Antonio, Texas, USA
Ross Leighton passes
the presidential gavel
to Ted Miclau at
the OTA Business
Meeting.
Role of Acute Negative-Pressure Wound Therapy
Over Primarily Closed Surgical Incisions in Hip,
Pelvis, and Acetabular Fracture Surgery:
A Prospective Randomized Trial
Brett D. Crist, MD, FACS; Michael S. Khazzam, MD;
Gregory J. Della Rocca, MD, PhD; Yvonne M. Murtha, MD;
James P. Stannard, MD;
University of Missouri, Columbia, Missouri, USA
9
Specialty Day Highlights, continued
Papers You Should Know About, continued
Efficacy of Postoperative Pain Control After
Distal Radius Fracture Fixation: A Prospective
Randomized Study
David Galos, MD; David P. Taormina, MS;
Alexander Crespo, BS; David Ding, MD;
Anthony Sapienza, MD; Sudheer Jain, MD;
Nirmal C. Tejwani, MD, FRCS;
NYU Langone Medical Center Hospital for Joint Diseases,
New York, New York, USA
Comparing Outcomes Between Hinged Knee
Bracing and No Bracing After Open Reduction and
Internal Fixation of Tibial Plateau Fractures
Aakash Chauhan, MD, MBA; Alan Slipak, BS;
Kathryn Peticca, BS; Gregory T. Altman, MD;
Daniel T. Altman, MD;
Allegheny General Hospital,
Pittsburgh, Pennsylvania, USA
Prediction of Tibial Nonunions at 3 Months After
Intramedullary Nailing
Justin Fowler, MD1; Andrew G. Dubina, BS1;
Renan C. Castillo, PhD2; Christina L. Boulton, MD1;
Jason W. Nascone, MD1; Marcus F. Sciadini, MD1;
Christopher T. LeBrun, MD; Robert V. O’Toole, MD1;
1
R Adams Cowley Shock Trauma Center, Department of
Orthopaedics, University of Maryland School of Medicine,
Baltimore, Maryland, USA;
2
Center for Injury Research & Policy, Johns Hopkins
Bloomberg School of Public Health,
Baltimore, Maryland, USA
Does Progressive Radiographic Healing Result in
Better Function? A Prospective Evaluation of PCS
and RUST Scoring in Tibial Shaft Fractures Treated
with IM Nailing
Paul Tornetta, III, MD1; David Sanders, MD2;
Emil Schemitsch, MD3; Yves LaFlamme, MD4;
Diane Heels-Ansdell, MSc5; Jason Busse, PhD5;
Mohit Bhandari, MD, MSc, PhD5;
1
Boston University Medical Center,
Boston, Massachusetts, USA;
2
Victoria Hospital, London, Ontario, Canada;
3
St. Michael’s Hospital, Toronto, Ontario, Canada;
4
University of Montreal, Montreal, Quebec, Canada;
5
McMaster University, Hamilton, Ontario, Canada
10
Ross Leighton thanks
Cliff Jones for his service
as Membership Committee
Chair.
Ross Leighton thanks
Bob Probe for 6 years
of service to the OTA
Presidential Line.
2015-2016 Leadership Fellows Program
Lisa K. Cannada, MD
The Leadership Fellows Program (LFP) class of
2015–2016 is well represented with 3/10 Leadership
Fellows being trauma surgeons! The LFP was established in 2001 and is a 1 year program to identify
future leaders and involved them in AAOS activities.
Several LFP’s have gone on to leadership positions
within their respective societies, the AAOS, including
the BOD and past AAOS President, Fred Azar. Over
the years the OTA has been well represented and we
would like to congratulate the new LFP’s and their
mentors. The Leadership Development chair is an
OTA member: Mitchel B. Harris. For those interested
in applying, look for application information in June.
David Joseph, MD
Mentor: Andrew N. Pollak, MD
Hassan Riaz Mir, MD, MBA, FACS
Mentor: M. Bradford Henley, MD, MBA, FACS
Patrick M. Osborn, MD
Mentor: Kyle J. Jeray, MD
Report from the NOLC
Daniel J. Stinner, MD,
Member, Board of Specialties
The AAOS NOLC took place from April 29th to
May 2nd in Washington, DC. The meeting brought
together members of the BOS, BOC, those interested
in advocacy, and leaders in the AAOS. In the symposium titled “Political Advocacy and the Orthopaedic
Surgeon” Dr. Andrew Gurman, who is the Speaker for
the AMA House of Delegates said, “The best time to
develop a relationship is when you don’t have ‘asks.’”
While this was my first experience on Capitol Hill, I
felt that this was a successful visit for that reason. In
other words, all of our ‘asks’ made sense and were focused on providing continued high quality care to our
patients and nobody wants to argue against that. We
had three goals while on the Hill. First, we thanked
those who voted for the permanent repeal of the Sustainable Growth Rate (SGR) formula. The repeal set in
motion a five-year period of payment stability to allow
quality metrics to be developed. Second, we promoted
H.R. 921, the Sports Medicine Liability Bill, which is
geared towards protecting sports medicine professionals from civil and criminal malpractice liability when
they cross state lines to provide care for the teams
that they cover. Finally, we asked for the repeal of the
Independent Payment Advisory Board (IPAB), which
consists of 15 members appointed by the President.
Fewer than half of the members are allowed to be
health care providers and none are allowed to be actively practicing medicine. These “asks” seemed to be
unanimously well received on the Hill.
The days following the Hill visits consisted of
seven symposia that centered on current political issues relevant to all orthopaedic surgeons to include:
using big data to develop quality metrics, the future
of private practice, and leveraging relationships of
the AAOS with state and specialty societies for the
overall advancement of the profession. One issue
that was brought up repeatedly both on the Hill and
in the various symposia was the concern surrounding the rollout of ICD-10. Many are concerned that
when the switched gets turned on October 1st that
if there is anything short of a perfect smooth transition it will result in decreased reimbursements, and
possibly penalties. Dr. Teuscher challenged the PAC
leadership and participants of the meeting to make a
concerted effort focused at making the ICD-10 rollout
a smoother process for all of us and the wheels are being set in motion. Please contact the AAOS Office of
Government Relations if you would like to help.
Another highlight of the meeting were the
presentation of the Media Orthopaedic Reporting
Excellence (MORE) awards. Of the 10 awards given,
3 were given to reporters for highlighting great orthopaedic trauma care. The awards banquet ended
with a patient injured in a motor vehicle accident give
his inspirational story, describing how he went from
being non-ambulatory for months and over time has
returned to work and even completed a marathon. It
was truly a story of “Trauma and Triumph.”
Ultimately, the awards banquet echoed the same
message that was repeated throughout the meeting
and on the Hill, orthopaedic surgeon want to provide
quality care to our patients and our ‘asks’ on the Hill
help us do that.
Membership Committee, continued from page 4
Peter A. Cole, MD
trauma. Congratulations to all current trauma fellows
for your wise membership choice! Best of luck to you
in your future!
The next OTA Membership deadline is
November 1, 2015 and membership will begin in
January of 2016. The application will be available on
the OTA website in July.
11
AAOS Research Capitol Hill Days
Lisa K. Cannada, MD
AAOS research Capitol Hill Days is an annual
event in which Orthopaedic Surgeons and their patients serve as advocates to ask for continued support
for Orthopaedic Research due to the impact of musculoskeletal conditions. Orthopaedic surgeons from
multiple subspecialties and their patients attend this
event. The OTA was well represented with Michael
Archdeacon, Lisa Cannada and Heather Vallier and
their patients. This year’s event was March 3-5, 2015.
Unfortunately, Washington, DC was hit by a snowstorm, resulting in shutdown of the Senate and Congress on the day the event was scheduled. Undaunted
by this, the patients and their surgeons created a You
Tube video to send to their representatives. The event
was not a “snow out” after all! WE are grateful to the
OTA and the AAOS for their continued support of this
event.
OsteoSynthesis - The JOT Online Discussion Forum!
This new, public site is meant for the orthopaedic
community to connect and discuss peer-reviewed
articles and key issues affecting orthopaedic
traumatology. This virtual journal club and
discussion space surmounts the challenges of
time, distance, and limited participation
with traditional formats.
Please join our ongoing discussions with commentary.
To submit new topics and other suggestions,
please contact: [email protected]
Hassan R. Mir, MD, MBA, FACS
Editor | OsteoSynthesis - The JOT Online Discussion Forum
Roy W. Sanders, MD
Editor-in-Chief | Journal of Orthopaedic Trauma
Peter Trafton, MD FACS Recognized
For Commitment to Global Health
Patient’s visit the National Museum of Health and Medicine.
Lisa Cannada accompanied by her patients, Kyle Wells (patient)
and Kara Wells (spouse) and Charles “Skip” Shank.
12
[Washington, DC - April 7, 2015] Health
Volunteers Overseas (HVO) is pleased to announce
that Peter Trafton, MD, FACS is a recipient of the
tenth annual HVO Golden Apple Award. As part of its
World Health Day observances and in celebration
of World Health Worker Week, HVO recognizes
the extraordinary contributions of HVO members
and volunteers in support of HVO’s mission,
organization and/or project sites. Each HVO
supporter honored with this award has demonstrated
a strong commitment to HVO’s mission to improve
global health through the education, training, and
professional development of the health workforce in
resource-scarce countries.
Full Press Release
Apply Now to Take Part in the AAOS
Leadership Fellows Program
The AAOS Leadership Fellows Program (LFP)
offers an exciting opportunity to all AAOS fellows age
45 and younger as of Jan. 31, 2016. The LFP is a 1-year
program that starts at the AAOS Annual Meeting and
is designed to facilitate the development of future
AAOS leaders among younger members who have
previous volunteer or leadership experience. The
LFP combines didactic and experiential leadership
training with an ongoing mentoring program. Fellows
are matched with an established leader within the
AAOS fellowship who serves as a mentor throughout
the program. The program has the following goals:
• Introduce fellows to the AAOS Governance
structure
• Observe AAOS leadership at work
• Participate in interactive leadership
development programs
• Engage in opportunities for peer to peer
interactions and learning
• Experience service on an AAOS committee
Applications are now available online. This is a
year-long commitment with 6 mandatory meetings.
Please review the LFP schedule prior to completing
the application to ensure you will be able to attend
all meetings. The deadline for applications is July
31, 2015. Learn more and submit your application…
(member login required)
For more information, contact Kristen Erickson
at 847-384-4343, or via email at: [email protected]
OrthoGuidelines App
This new online App contains all AAOS Clinical
Practice Guidelines as well as links to CME courses
and/or webinars pertaining to Clinical Practice
Guidelines, guideline case studies, the AUC application, and the full text PDFs.
International Scholarship
OTA is graciously sponsoring the AAOS International
Scholars Program. Details
USBJI Call for Applications Young Investigators Initiative Grant
Mentoring and Career Development
Program
The United States Bone and Joint Initiative
(USBJI) and Bone and Joint Canada are dedicated to
raising public awareness and to increasing research of
musculoskeletal diseases. Research in the musculoskeletal diseases performed by young investigators is
not keeping pace with the increasing burden of these
diseases. In response, the Young Investigator Initiative
is a career development and grant mentoring program
provides early-career investigators an opportunity to
work with experienced researchers in our field to assist them in securing funding and other survival skills
required for pursuing an academic career.
More Information and Application Process
Interview with Dr. Eldine Jaques,
A Pediatric Orthopaedic Surgeon in Haiti
Nathan Thomas is a first year medical student at the Alpert Medical School of Brown University. The Foundation for Orthopaedic
Trauma (FOT) sponsored him to travel to Port-au-Prince in March,
2015 as an observer for the 3rd Haitian Annual Assembly for
Orthopaedic Trauma sponsor. His interest is in Health Policy and
Economics and will be an AAOS NTH Dimension scholar this
summer. Mr. Thomas interviewed Dr. Eldine Jaques, a pediatric
orthopaedic surgeon on the island. Her observations about the
medical response to the 2010 earthquake are particularly cogent.
At the Haitian
Annual Assembly
for Orthopedic
Trauma (HAAOT),
I had the opportunity to meet with
Dr. Eldine Jaques.
She has a commanding presence when
she speaks before an
audience. This year
she lectured to the
Dr. Eldine Jaques and Nathan Thomas, MS
60 Haitian resident
and 30 faculty attendees on arthrogryposis.
Not only is she one of only two pediatric orthopedists on the island, but she is the only female
13
continued on page
14
Interview with Dr. Eldine Jaques,
continued
orthopaedic attending on the island. A relatively recent fellowship graduate and a Port-au Prince native,
Dr. Jaques has already made a name for herself, both
in Haiti and abroad. Gender equity in Haitian orthopedics departments is unfortunately not far along (as
it is also not in other countries) and I wanted to find
out more. Dr Jaques and I sat down to discuss her life,
the earthquake, and the state of Haitian orthopedics.
Read the full transcript on the OTA website.
OTA Committee Member Vacancies
OTA Committee Member Vacancies
Interested in serving on an OTA committee? Select this
link to view open positions, committee descriptions,
charges and express interest. View Open Positions.
Interested? Complete this survey. BOS Washington Update – May 2015
BOS Washington Update – June 2, 2015
Upcoming Webinar Schedule
Fractures of the Distal Humerus: Fixation Pearls and Arthroplasty Options
Pilon Fracture’s: Strategies to Optimize Outcomes
A Patient’s Guide to Atypical (Bisphosphonate Related) Femur Fractures:
Who’s at Risk, How and When to Treat, and Recovery
Miss a webinar? View archived webinars for free on the OTA website.
14
Ken Egol
July 8
Dave Barei
September
Bill Ricci
November