Within Reach: Treating Limb Length Differences

RITE UP
Within Reach: Treating
Limb Length Differences
Six months ago, if you asked 13-year-old Jessica of Dallas whether
someday she would perfect her dancing or try out for track, she
would have told you it was impossible because of the difference
between the length of her right and left leg. But in the physical
therapy room at Texas Scottish Rite Hospital for Children (TSRHC),
Jessica knows that now her dreams are within reach.
“I have always loved to dance and play sports,” Jessica said. “But
because my legs were different lengths, I couldn’t do the things I
enjoy most.”
A healthy baby, at the age of 1, Jessica suffered a major infection
of her left leg, destroying the growth areas of the tibia, or shinbone,
and resulting in impaired knee motion, no ankle motion and a
significant discrepancy between the length of her left and right leg. In
search of a medical solution for their child, Jessica’s parents learned
about limb lengthening at TSRHC, a surgical procedure that would
“I have always loved to dance and play sports,” Jessica said.
“But because my legs were different lengths, I couldn’t do the
things I enjoy most.”
— TSRHC patient Jessica, age 13 of Dallas
correct Jessica’s limb difference by growing the shorter
bone. By the time she moved to Dallas, Jessica had 14
centimeters of difference between her left and right leg,
or five and one-half inches, and a total of almost eight
inches expected by the time she finished growing.
Limb Lengthening Treatment at TSRHC
Each year, TSRHC treats hundreds of patients like
Jessica with limb length discrepancies. A limb
length discrepancy, or limb length difference,
refers to a difference between the lengths of the
bones in the upper and/or lower legs or arms. Limb
lengthening treatment at TSRHC involves a surgical
procedure that lengthens bones, replaces missing
bone or corrects deformities in bone structure.
During limb lengthening surgery, a physician
carefully cuts the bone to be lengthened and attaches
an external metal frame, or fixator, to the child’s limb
Continued on page 6.
Drs. John Birch and Mikhail Samchukov, co-directors of the Center for Excellence
in Limb Lengthening and Reconstruction, with TSRHC patient Jessica, age 13 of
Dallas, in the physical therapy room at TSRHC. (Inset) TSRHC physical therapist
Brenda Caldwell helps Jessica complete her leg strengthening exercises.
Winter 2008
Board Officers:
Lyndon L. Olson, Jr.
Chairman of the Board
Jack Hightower
Chairman Emeritus
Sam E. Hilburn
Chairman Emeritus
Harold D. Carter
Vice Chairman
Lee Drain
Vice Chairman
M. Douglas Adkins
Vice President
Fred E. Allen
Vice President
Pat Beard
Vice President
Daniel H. Chapman
Vice President
Graham H. Childress
Vice President
Jerry C. Gilmore
Vice President and Assistant Secretary
Vester T. Hughes, Jr.
Vice President
James E. “Pete” Laney
Vice President
Ronald L. Skaggs
Vice President and Secretary
Guy F. Stovall, Jr.
Vice President and Assistant Treasurer
J. M. “Jimmy” Willson, Jr.
Vice President and Treasurer
Sovereign Grand Inspector
General in texas
M. Douglas Adkins
Staff Officers:
J. C. Montgomery, Jr.
President
Robert L. Walker
Executive Vice President and Administrator
John T. Schoonmaker
Senior Vice President and Chief Financial Officer
Stephanie Brigger
Vice President, Development
Lori L. Dalton
Vice President and General Counsel
Kristina Keever-Smith
Vice President and Chief Investment Officer
James D. Sturgis
Vice President and Senior Associate Administrator
Executive Medical Staff:
J. A. “Tony” Herring, M.D.
Chief of Staff
John G. Birch, M.D.
Assistant Chief of Staff
Charles E. Johnston, M.D.
Assistant Chief of Staff
B. Stephens Richards, M.D.
Assistant Chief of Staff
A Masonic Charity
Publication Credits
Contributors: Elayne Esterline, Hayley Hair
and Shelley Ryan. Photographers/Graphics:
Stuart Almond, Lee Baker, Roger Bell, Peter
Henry, Thomas Hyde, Shelley Kirby, Rick
Smith, Catrice Tkadlec and Sarah Tune.
Rite Up is a quarterly newsletter published
by Texas Scottish Rite Hospital for Children.
If you no longer wish to receive marketing
communications from the hospital, send a
written request or call:
HIPAA Privacy Officer
Texas Scottish Rite Hospital for Children
2222 Welborn Street, Dallas, TX 75219
(800) 421-1121
©2008, Texas Scottish Rite Hospital for Children
pa g e #
• Dr. Steve Richards, director of the
Center for Excellence in Clubfoot
Research, was recently elected
president of the Pediatric Orthopaedic
Society of North America (POSNA).
From the
He will assume his new role in
president
May 2008.
J. C. Montgomery, Jr. • Our chief of staff, Dr. Tony Herring,
edited and coauthored the fourth
hat makes TSRHC so special?
edition of the three volume set,
TSRHC attracts some of the most
Tachdjian’s Pediatric Orthopaedics:
talented people in the world, and we
From Texas Scottish Rite Hospital for
believe it’s because of the hospital’s
Children, which is used by pediatric
unique atmosphere in which everyone
orthopedic surgeons worldwide.
works on the same level, where there
Another way we strive to improve the
are no “honchos,” and everyone is on
lives of children is through advocating for
a first-name basis. This environment
child safety. In 2007, under the guidance
generates a team approach, and the
of Representative Vicki Truitt, the Texas
results are truly remarkable!
Legislature passed House Bill 1045
• Our very own Dr. Carol Wise, director designating April as Child Safety Month
of Molecular Genetics, was chosen
in Texas. We now have the opportunity
as a finalist for The Dallas Morning
to really help thousands of children by
News “Texan of the Year” award,
supporting a program that emphasizes
as well as the YWCA Centennial
accident prevention and child safety.
Award, for her leadership role in
This April, we hope that every parent,
the hospital’s 10-year research study
grandparent and friend of a child will
that identified the first gene linked
do something positive to protect
to scoliosis.
children’s arms, hands, heads or
even lives.
• As part of the Sarah M. and Charles E.
Seay/Martha and Pat Beard Center
Sincerely,
for Excellence in Spine Research,
led by Dr. Daniel Sucato, in 2006,
TSRHC introduced the TSRH®
SILO™ 5.5 Spinal System, a modified
version of the TSRH® Spinal System,
J. C. Montgomery, Jr.
which is used around the world for
President
spinal deformity.
W
April is Child Safety
Month in Texas
Mark your calendars!
On April 12, 2008, the
Rotary Club of Dallas and
TSRHC will host the seventh annual
Rotary Club of Dallas Bike Rodeo and Child
Safety Day in Jas. F. Chambers, Jr. Youth
Fitness Park at the hospital. We encourage
organizations across Texas to do something
in the month of April to educate families
about the importance of child safety.
In proud partnership with Texas Office for
Prevention of Developmental Disabilities (TOPDD)
pa g e 2
Bike Safety Tips
Parents can make a big difference
in protecting children with three
easy tips.
1.Watch your children ride, and
encourage them to follow
all the safety rules.
2.Be a good role model by
following the same
traffic laws you
expect your child
to obey.
3.Make a pledge with
your children that
they will always
wear a properly
fitted helmet
when riding.
Bike Rodeo
participant
Edith, age 11
Visit www.tsrhc.org to learn more child safety tips.
AAOS Recognizes TSRHC Patients for Their Artistic Talent
As part of the American Academy of Orthopaedic Surgeons (AAOS) 75th anniversary celebration,
the Academy sponsored an art exhibition, featuring artwork created by orthopedic surgeons and
patients. TSRHC’s chief of staff, Dr. Tony Herring, and eight TSRHC patients were selected to have
their artwork included in the exhibit. Their work will be displayed in the AAOS An Exhibition
of Orthopaedics in Art publication, in a traveling exhibit and at the 2008 annual meeting in San
Francisco in March. TSRHC is proud of these young artists for their artistic achievements. ❒
Rayleigh, age 9
of Crandall
Alana, age 14 of Austin
Mariana, age 11 of El Paso
Desmond, age 20 of Dallas
Daniel, age 15
of Dallas
Thomas, age 4 of New Braunfels
Angela, age 13 of Columbia, South Carolina
Emma, age 15 of Friendswood
Staying at the Forefront of Orthopedics
Center for Excellence in Clubfoot Research
In December, French
physician Dr. Alain Dimeglio,
who in the 1970s began
using physical therapy as
an alternative to surgery in
treating clubfoot, visited
TSRHC to collaborate with
the hospital’s researchers
and physicians about ways to
continue to improve the care
of children with clubfeet. ❒
Dr. Paula Kelly, visiting orthopedic
surgeon from Dublin, Ireland, Drs.
Steve Richards and Alain Dimeglio
In August, Jacqueline Hecht,
Ph.D., pediatrics and medical
genetics at The University of
Texas Health Science Center at
Houston Medical School, visited
the hospital and presented about
genetic research in clubfeet. The
hospital will be collaborating
with her on new genetic studies
in the near future. ❒
L to R: Dr. Steve Richards, director of the Center for Excellence in
Clubfoot Research; Jacqueline Hecht, Ph.D., and Carol Wise, Ph.D., director
of Molecular Genetics at TSRHC
Sarah M. and Charles E. Seay/Martha and Pat Beard
Center for Excellence in Spine Research
The hospital’s fourth
annual Fall Spine Symposium
took place in October at
TSRHC. The symposium
is part of the hospital’s
ongoing commitment to
innovative research efforts
and improving treatment
for children with scoliosis.
Funding for the symposium
is provided by the T. Boone
Pickens Birthday Fund at
TSRHC. ❒
Dr. Oheneba Boachie-Adjei, chief of the
Scoliosis Service at the Hospital for
Special Surgery in New York City and
the 2007 visiting professor, with
Dr. Daniel Sucato, director of the Sarah
M. and Charles E. Seay/Martha and
Pat Beard Center for Excellence in
Spine Research
Brandon Carrell Visiting Professorship
On April 4 and 5, the hospital will host the 30th annual
Brandon Carrell Visiting Professorship. This year, TSRHC’s
current and former orthopedic fellows will serve as
visiting professors. The course provides current fellows an
opportunity to discuss research projects with the hospital’s
physicians and researchers, as well as other visiting
orthopedic physicians. ❒
maketo
[email protected].
online donation.
SendVisit
yourwww.tsrhc.org
special hospitaltostory
p ap ga eg e# 3
TSRHC’s renovated operating room
R
ecently, we surgeons and our great
team of nurses, anesthesiologists,
spinal cord monitoring experts,
radiology technicians and others began
performing surgical procedures in
operating room four. What’s so special
about that? A lot, it turns out.
TSRHC has been equipped with four
operating rooms since we moved into
the “new building,” a mere 30 years ago.
We have always been able to perform
major surgeries in three of TSRHC’s
surgical rooms, but room four, although
large by 1978 standards, was tiny by
today’s standards and ill-equipped to
handle the larger, more sophisticated
surgical equipment of today.
For example, in 1978 to take an
X-ray, we used a machine that hung
from the ceiling and took 10 minutes
to return a finished film. Today, we
use a portable machine that takes up
a large amount of floor space in order
to give us instant images. Needless to
say, this greatly speeds up our surgery
and is essential for complex surgery.
Furthermore, we use many other
machines and devices that monitor
spinal cord function during surgery,
recycle blood from the surgical field
and many other applications that
require larger operating rooms.
As a result, room four was enlarged
and reequipped so that it is now
a large, modern surgical room. In
addition, the other three operating
rooms were remodeled during the
Dr. Peter Carter Retires
After several decades as part of the TSRHC family, on January 1, Dr. Peter
Carter, pediatric orthopedic hand surgeon, retired from clinical practice.
Dr. Carter became involved with the hospital in 1979 and joined the team
at TSRHC as a full-time surgeon in 1998.
Throughout his distinguished career,
patients with challenging hand and
upper limb deficiencies have received
exceptional orthopedic hand care, as
well as expert advice and support from
Dr. Carter. The hospital is grateful for
his years of service and commitment to
our children and families. ❒
Drs. Marybeth Ezaki, director of the
Charles E. Seay, Jr. Hand Center, and Peter Carter,
TSRHC hand surgeon
TSRHC Welcomes Dr. Scott Oishi as a Full-time Physician
Please join us in welcoming Dr. Scott Oishi as TSRHC’s
newest full-time hand surgeon. He will join Dr. Marybeth
Ezaki, director of the Charles E. Seay, Jr. Hand Center,
and together they will continue to provide exceptional,
individualized care for TSRHC patients and their families.
Dr. Oishi has more than 10 years of hand surgery
experience. He completed a fellowship at TSRHC and
has been affiliated with the hospital since 1994. He
is assistant professor in the prestigious department
of Plastic Surgery and director of the Hand and
Dr. Scott Oishi, TSRHC
hand surgeon
Microsurgery Fellowship at UT Southwestern Medical
Center at Dallas. He has extensive experience with microsurgical procedures,
which will further enhance the treatment of patients at TSRHC. Dr. Oishi
brings a wealth of expertise and enthusiasm and will be a valuable addition
to the hospital’s exceptional hand team. ❒
pa g e 4
Dr. Herring
Reports
Tony Herring, M.D.
Chief of Staff
past year, allowing us to function at the
highest level of state-of-the-art. This was
accomplished through the goodwill of
Mr. and Mrs. John L. Hancock and many
friends of the hospital (see story on page
8), and we are very grateful for their
generosity. The last few months have
been the busiest surgical period in the
hospital’s history. The added flexibility
we have from our improved surgical
spaces has allowed complex procedures,
such as scoliosis surgery or the limb
lengthening procedures described in this
issue, as well as many others, to be done
efficiently and expertly.
TSRHC Develops Three Hand
Surgical Instrument Sets
TSRHC is happy to announce the
development of three surgical
instrument sets for hand surgeons.
Surgeons at the hospital’s Charles E.
Seay, Jr. Hand Center have treated
thousands of patients with hand and
upper limb disorders. Through decades
of experience, these surgeons have
learned which surgical instruments are
essential for pediatric hand surgeries. As a
result, the hand center recently collaborated with
a surgical instrument company to develop three
sets of optimal surgical instruments, meticulously
crafted and designed specifically for operations
required by children with hand differences. These
unique instrument sets are currently available to
hand surgeons and hospitals.
TSRHC was the first pediatric orthopedic
hospital in the United States to have full-time hand
surgeons on staff. The hospital’s Charles E. Seay, Jr.
Hand Center provides specialized care for children
with hand and upper limb deformities through
quality patient care, education and research. For
more information about the instrument sets or
the Charles E. Seay, Jr. Hand Center, please call
(214) 559-7842 or (800) 421-1121, ext. 7842. ❒
Visit www.tsrhc.org for more of the hospital’s medical updates.
Wellstone’s Dallas White Rock Marathon Presented by NexBank
Patient champions,
Aaron, age 17 of Fort
Worth, and Cody,
age 6 of Colleyville,
crossed the finish
line together after
completing one
mile of the race in
their running legs to
support the hospital.
On December 9, the 38th Wellstone’s Dallas White Rock Marathon (WDWRM)
presented by NexBank reached record-breaking attendance, despite the chilly
weather. But as the confetti flew and the shotgun signaled the start of the marathon,
the cold and rain were the last thing on the minds of the 14,030 runners, 2,250
volunteers and 125,000 spectators.
Top male full marathoner, James Koskei of Kenya, captured the title
in 2 hours, 15 minutes and 9 seconds, winning $10,000, as well as a $25,000
bonus for winning the Cooper Complete Gender Challenge. WFAA-TV
(Channel 8) broadcast a two-and-a-half hour live show, captivating
thousands of viewers.
As a new addition to this year’s race, the hospital was represented
by 13 patient champions, each with their own inspirational story.
These patient champions helped with fundraising through the
Activegiving.com Web site, raising more than $100,000 in
donations and helping the community to learn about
some of the children who directly benefit from this
great event.
Thank you to all who supported “The Rock.”
You truly helped to make this “a great race, in a
great city, for a great cause!” ❒
Clockwise from top: Chuck Dannis, WDWRM board chairman;
patient champions Aaron, age 17 of Fort Worth; Micah, age 3
of Forney; 2007 Junior Race Director Jac, age 12 of Frisco;
and Cody, age 6 of Colleyville; with Justin Meaders, WDWRM
wheelchair race director
J. Dodge Carter Honored with Dallas
Cowboys Community Quarterback Award
In November, the Dallas Cowboys announced J. Dodge
Carter, Treasure Street founder, as a finalist of the 2007
Dallas Cowboys Community Quarterback Award. The
Community Quarterback Award is a volunteer recognition
and grant program that acknowledges volunteers in the
North Texas area who demonstrate leadership, dedication
and a commitment to bettering our community. Dodge was
nominated for his continued guidance, volunteer work and
devotion to Treasure Street and TSRHC.
Benefiting
Texas Scottish Rite Hospital for Children
A Texas Treasure
Inspired by the courage of his daughter and the care
she received at TSRHC, with the help of his family, Dodge
established Treasure Street in 1996, a fundraising event
benefiting the Tuberous Sclerosis Clinic at TSRHC. Raising
more than $4.3 million to date, the event is celebrated each
October, and in 2007, became the hospital’s premier event,
benefiting all children served by the hospital.
Dodge continues to serve as chairman of the Treasure
Street board, dedicating countless hours of service to
Treasure Street and the hospital. He truly epitomizes a
volunteer who exemplifies leadership and has made
a significant commitment of his time,
intellect and resources to improve
the quality of life for children. ❒
L to R: Roy Williams, Dallas Cowboys safety;
Ryan Ray, Dallas Cowboys cheerleader;
Akin Ayodele, Dallas Cowboys linebacker;
Sarah Gourley, Dallas Cowboys cheerleader;
Dee Carter, Treasure Street board member;
J. Dodge Carter, Treasure Street founder and
chairman of its board; their son, Mack; and
Terrell Owens, Dallas Cowboys wide receiver
Visit www.treasurestreet.com for information on the hospital’s premier event.
pa g e 5
Within Reach: Treating Limb Length
Differences Continued from page 1.
A New Approach
TSRHC doctors started researching
limb length discrepancies more than
with wires or pins. The frame allows
15 years ago. The surgical technique
for growth in the limb and serves as
used for limb lengthening was
a support while the developing limb
originally developed by Dr. Gavril A.
strengthens.
Ilizarov in Russia in the 1950s. TSRHC
By turning small screws every day,
physicians, Drs. Mikhail Samchukov,
the child’s bone
Marina Makarov and Alex Cherkashin,
is gradually
all trained under Dr. Ilizarov at the
pulled apart,
Ilizarov External Fixation Scientific
and new bone
Center in Kurgan, Russia, for more
grows to fill in
than 10 years prior to joining TSRHC.
the gap. One
“I performed the first Ilizarov
alternative
procedure
at TSRHC in 1988,”
treatment
Dr.
Birch
said.
“By the early 1990s,
method, which
Dr.
Mikhail
Samchukov
joined our
may be used
staff,
and
research
began
immediately
for more minor
with
his
arrival.”
Illustration of TSRHC’s
limb length
In 1993, by modifying Ilizarov’s
TRUE/LOK™ External
differences,
Fixation System
technique,
TSRHC’s research team
is to “slow”
developed
and
patented a new device
growth in the longer limb with
called
the
TRUE/LOK™
External
surgery. This treatment is performed
Fixation
System.
The
device
was
during a child’s growing years.
created
to
treat
deformities
and
bone
Limb length discrepancies can
traumas
and
to
lengthen
limbs
with
a
be present at birth or may develop
simpler
frame.
TRUE/LOK™
is
easier
during childhood. Certain birth
to assemble, easier to manage and
defects can result in one limb being
provides more stability than the
underdeveloped and shorter than
original Ilizarov frame.
the other. As in Jessica’s case, severe
“We have been very pleased
bone infections or traumatic injuries
with
the results of TSRHC’s
can also cause one limb to grow at a
TRUE/LOK™
device in limb
different rate than the other.
lengthening
and
deformity correction
“Minor discrepancies in lower
using
Ilizarov’s
techniques,”
Dr. Birch
extremity limb lengths, considered
said.
“The
device
is
simpler
for
the
one to one and one-half centimeters
surgeon
to
apply
and
easier
for
the
or less are actually extremely
patient
to
manipulate
after
surgery,
common,” said Dr. John Birch,
and the improvements allow better
assistant chief of staff and co-director
results from limb lengthening with
of the Center for Excellence in Limb
fewer complications.”
Lengthening and Reconstruction at
TRUE/LOK™ is one of the most
TSRHC. “However, adults and children
advanced
circular fixators in the
with more than two centimeters of
world
and
has been used to treat
difference between their legs may
patients
at
TSRHC and other facilities
have an increased risk of wear and
nationally
and
internationally.
tear on the back, hip and knee.”
In
2003,
the
hospital formalized
When a limb length difference is
the
Center
for
Excellence
in Limb
greater than one inch, surgery may be
Lengthening
and
Reconstruction
required. In some cases, bones can be
(CELLR), directed by Drs. Birch and
lengthened up to six inches.
Samchukov. Through the
work of the center, today
Thank you to the following friends for their
patients with a variety of
support of the Center for Excellence in Limb
limb length discrepancies
Lengthening and Reconstruction:
can be treated through
•The Bill and Helen Crowder Foundation
less complicated surgical
•Joe & Jessie Crump - Crippled Children’s Fund
procedures and with
•Charles, Sandy, Ashley, Whitney and Emily Parker
greater comfort during
•The Eddie and Kathryn Rhodes Living Trust
the lengthening process.
•Frank C. Rockabrand
What to Expect
Children who undergo limb correction
treatment at TSRHC typically wear
an external frame attached to the
affected limb.
“The frame is worn, on average,
three months per inch of lengthening,”
Dr. Birch said.
The hospital’s medical team adjusts
the pins four times daily, gradually
causing new bone and soft tissue,
such as muscle and skin, to grow.
The bone typically lengthens one
millimeter per day. After surgery,
most children remain in the hospital
for five to seven days, or longer, and
work regularly with TSRHC’s physical
therapists to help maintain strength
and mobility and ease the healing
process.
According to Dr. Birch, physical
therapy is absolutely crucial because
the exercises are essential to allow
maximum correction and to minimize
risk of complications, such as
permanent muscle weakness or
joint stiffness.
TSRHC patient Leticia, age 16 of Dallas,
and Jessica enjoy hitting tennis balls as
part of the therapy services offered
to patients at TSRHC.
p a g e 6 Visit www.tsrhc.org for more information about limb lengthening treatment at TSRHC.
“We use a variety of activities to
help the child remain motivated while
they are undergoing lengthening,” said
physical therapist Carol Chambers,
director of Therapy Services at
TSRHC. “It is important that we work
together but still have fun in order to
achieve the best possible outcome.”
Before leaving the hospital,
patients and their families receive
pin care supplies and instruction on
managing the frame successfully.
Once at home, the child, a parent or
other caretaker continues to turn
the screws, separating the bone and
helping the body produce new tissue
until the desired length of bone has
been generated. Patients visit TSRHC
on an outpatient basis every two
weeks to ensure that progress is
carefully monitored. When the new
bone is healed, the frame is removed,
and the patient may wear a cast or
walk with the help of crutches for
three to six weeks. Although there
are exceptions, within one year,
most children are able to resume
normal activities.
Looking Ahead
Although Jessica has not completed
her treatment, each day brings her
more hope of a life without the effects
of her limb length difference.
Limb Lengthening Through the Years
1940s – early 1950s: In the late 1940s near Kurgan, Russia,
Dr. Gavril A. Ilizarov was faced with treating many WWII veterans
with chronic limb injuries. He used an external fixator made
from thin wires and brackets available from industrial supplies
to correct fractures and other limb deformities. When one of his
patients turned the connecting struts the wrong way, separating
rather than compressing bone fragments, Dr. Ilizarov discovered
that new, soft bone had formed in the gap. This and further
research led him to develop his principles of limb lengthening.
Dr. Gavril A. Ilizarov and patient; photo source: http://gorskie.ru
1988: The first Ilizarov procedure at TSRHC
was performed by Dr. John Birch.
Dr. John Birch and TSRHC patient
1991 – 1993: In 1991,
L to R: Dr. Mikhail Samchukov,
David Ross, M.F.A., director
of Bioengineering and
Biomechanics, and
Dr. John Birch
TSRHC began researching
limb lengthening. In 1993, in
collaboration with TSRHC’s
biomedical engineer David Ross,
researchers at the hospital developed the
TRUE/LOK™ External Fixation System.
This apparatus is used to treat patients
at TSRHC and other clinics in the United
States and abroad.
Hong Lin,
M.S., creates
“blueprints”
using
computerized,
preoperative
planning.
Continued on page 9.
Ways to Give
Help support limb lengthening
research at TSRHC.
• Gifts designated to the Center
for Excellence in Limb Lengthening
and Reconstruction will assist our
research efforts to further improve
this innovative treatment.
1994 – 1998: The hospital
received five U.S. and
international patents on
the TRUE/LOK™ system.
Late 1990s: Researchers at TSRHC
developed LegPERFECT® software for
tibial and femoral deformity correction.
The LegPERFECT® Preoperative Planning
Program creates full-sized blueprints
used to build Ilizarov frames and make
necessary adjustments.
• Your gift of $1,500
would fund one
Ilizarov frame
for one child.
• A gift of $250
to $400 would
cover the cost
of pin care
supplies for a
TSRHC patient
patient undergoing Laurel, age 18
months of Dallas
limb lengthening
treatment.
2003 – present: In 2003, the hospital formed the Center
for Excellence in Limb Lengthening and Reconstruction
(CELLR), directed by Drs. John Birch and Mikhail
Samchukov. The hospital continues to develop
improved external fixation systems and bone
lengthening techniques.
Make a donation to TSRHC’s research efforts online at www.tsrhc.org/give.
L to R:
CELLR team
Drs. Alexander
Cherkashin
and Mikhail
Samchukov;
Meghan Wassell,
research
coordinator;
Drs. Marina
Makarov and
John Birch; and
Hong Lin, M.S.
pa g e 7
Spotlight on Giving:
Mr. and Mrs. John L. Hancock
“John and Kaki were devoted to
one another. They treasured their
family and friends, and they were
very proud and humble people.”
— John H. Dorie, nephew
John L. and Mary Kathryne “Kaki” Hancock of
Highland Park were partners in life and in giving. Throughout their 58-year marriage,
the couple remained dedicated to helping others. Native Texans, John and Kaki wanted
to leave a legacy that would make a difference in the lives of children throughout the
community, and they found the perfect fit at Texas Scottish Rite Hospital for Children.
Longtime supporters of the hospital, John and Kaki did not have children of their own
but had always been devoted to supporting children around the community. They decided
to establish a bequest for TSRHC in their will, in honor of Kaki’s father, Joseph Thomas
Wells, who was an avid supporter of the hospital and a Mason. The Hancock’s gift recently
funded part of an important hospital renovation project, the renovation and expansion of
TSRHC’s smallest operating room.
Every year, TSRHC treats thousands of children throughout the state with orthopedic
conditions that require specialized and often complicated orthopedic surgery. Of the
hospital’s four operating rooms built in the late 1970s, one was becoming more and
more inadequate in size, thus, limiting the type of surgeries that could be performed.
Through the generous donation of the Hancock family, the fourth operating room was
recently renovated into a new, more spacious suite
that allows more room for state-of-the-art medical
Thank you to the following
equipment incorporating monitors, lights and endoscopic
donors who have also
equipment, as well as audiovisual equipment for teaching
contributed to the renovation
purposes. The suite increases capacity for the growing
of the hospital’s Surgical
number of complex orthopedic surgeries, including
Services:
spinal implant surgeries for scoliosis and other spinal
• Lee and Ramona Bass
deformities, performed at the hospital each year.
Foundation
TSRHC is grateful to the Hancock family for their
• Burlington Resources
incredible generosity. To recognize their contribution, a
Foundation
plaque engraved with their name hangs outside the doors
• Hawn Foundation, Inc.
of the operating room. Their gift makes a permanent
• William A. and Elizabeth B.
investment in the future of
Moncrief Foundation
the hospital and ensures that
• The Annie L. Stevens Fund
of The Dallas Foundation
TSRHC can continue to provide
exceptional orthopedic care for
• The Gil and Dody Weaver
Foundation
many years to come. ❒
Ways to Make a
Difference
You can help make a difference.
All gifts, no matter their size,
help the hospital to continue
its more than 85-year mission
of providing the highest quality
medical care to Texas children
at no cost to patient families.
A bequest is a wonderful
way to leave your legacy.
Through your will or trust, you
can plan now for a future gift
to TSRHC. A bequest can be
made in memory of yourself or
a loved one.
For more information on
ways to give, please contact
the Development department
at (214) 559-7650 or (800)
421-1121, ext. 7650, or visit
www.tsrhc.org/give. ❒
Trinity, age 14
months of
San Antonio
A Meaningful Way to Celebrate Your Happy Occasion
When Wendy and Garth James decided to tie the knot, they knew they didn’t need another
toaster oven to commemorate their special day. In lieu of traditional wedding gifts, the
couple decided to celebrate their wedding with a gift to the children of TSRHC.
Wendy and Garth have been friends of the hospital for more than five years. Garth is
Past Master of Victory Lodge No. 1351 and a 32º Scottish Rite Mason. He became involved
with TSRHC through Masonry. Wendy was introduced to the hospital and had an instant
connection when she learned about TSRHC’s scoliosis treatment. As a
Commemorate your
young girl in Michigan, she had spinal surgery and spent nine months
special occasion with
in a body cast.
a gift to the children
of TSRHC:
“I have seen the amazing work they continue to do with scoliosis
at the hospital,” said Wendy. “TSRHC and its spine center are a beacon
• Wedding
of hope for children.”
• Bridal shower
In August 2003, instead of setting up a gift registry, the couple asked
• Birthday
family and friends to make a donation to the hospital. Knowing the
• Bar/bat mitzvah
celebration of their wedding helped the hospital provide care to
• Anniversary
thousands of Texas children made their day even more special.
• Graduation
“The response was wonderful,” said Wendy. “No amount of crystal,
• Retirement celebration
place settings or small appliances can make the gift of giving come to
Wendy and
Garth James
life more than a donation to a wonderful charity.”
For more information about ways to give, please contact the Development
department at (214) 559-7650 or (800) 421-1121, ext. 7650, or visit www.tsrhc.org/give. ❒
pa g e 8
Visit www.tsrhc.org/give for more information about ways to give.
Davidson, has been a member of TSRHC’s
board of trustees since 2003.
T ru stee Profile
Dan F. Davidson
Growing up on the family’s West Texas
ranch, carved out of the untamed land of
Ozona, Texas, Dan F. Davidson learned
at a young age the value of hard work,
dedication and commitment. A fifth
generation rancher, Davidson devotes
his time to upholding the legacy
of his family and their love for the
land. With this same dedication and
perseverance, Davidson serves the
children of Texas as a member of the
board of trustees at Texas Scottish
Rite Hospital for Children (TSRHC).
He is an invaluable representative
of the hospital and supporter of
its mission to provide the highest
quality medical care at no charge
to patient families.
Davidson is a lifetime resident of
Ozona, where he works alongside
his family, helping manage the
family-owned Davidson Ranch. He
graduated from Texas A&M University
in 1978 with a degree in animal
science. In addition to working on
the family ranch, Davidson has held
leadership positions in various local
organizations. For more than 25 years,
he has served as a board member and
as president of the Crockett County
Water Improvement District. He also
serves as president of the Ozona
Barnhart Trap Company.
Throughout the years, Davidson has
also maintained an active role in his
community. In 1998, he and TSRHC
trustee Graham Childress and some of
their West Texas friends conceived the
idea of creating a clay shoot to benefit
the children of TSRHC. Together they
created the San Angelo Sporting Clay
Shoot, which provides support for and
builds awareness about the hospital
by reaching out to families in West
Texas whose children may benefit
from treatment.
“We are really thrilled with the
awareness the clay shoot has
created,” said Davidson. “And we’re
just getting started.”
This year, the San Angelo Sporting
Clay Shoot celebrated a decade of
helping to build lasting friendships
for the benefit of the young patients
of TSRHC.
Since 2003, Davidson has served
on TSRHC’s board as a trustee from
the San Antonio Masonic Valley.
His experience in the West Texas
community makes him an important
member of the Oil and Gas, Finance
and Investment and Rocker b Ranch
board committees.
Following in the footsteps of his
great-grandfather and grandfather,
Davidson has a long-standing
commitment to Masonry. He is a
32° KCCH, a Shriner, York Rite
and a member of the Royal Order
of Scotland. Davidson has been a
member of the Ozona Masonic Lodge
#747 since 1994, where he has served
as Worshipful Master and currently
serves as Eminent Secretary. He was
District Deputy Grand Master of the
Grand Lodge from 1997 to 1998. In
recognition of his exceptional service
and his reputation as a man of honor
and dedication to his fellow man,
Davidson received the Golden Trowel
Award in 2005.
Davidson loves to travel but spends
most of his time at home in Ozona,
close to his brother, Cuatro, and
his mother, Joanne “Jo” Davidson.
His sister, Christy, resides in San
Angelo. Davidson’s leadership and
commitment to his community are
a true gift to the hospital and the
children it serves. ❒
Within Reach: Treating Limb Length
Differences Continued from page 6.
Drs. John Birch and Mikhail Samchukov examine
Jessica’s frame,
“I didn’t believe it could happen,”
Jessica said. “But when you see your
leg starting to grow, you realize it is
possible!”
Six months into her treatment and
two lengthening surgeries later, her
left leg is about six inches longer and
almost exactly the same length as her
right leg.
According to Dr. Birch, his goal for
Jessica is that she will be able to do
all of the physical activities she enjoys
without pain and without needing to
wear a brace or use crutches. And as
for the future of limb lengthening,
Dr. Birch also has bright goals.
“My goal for the future is to
make the entire lengthening process
easier for the patient,” Dr. Birch said.
“Through our research at CELLR,
we also hope to discover the causes of
limb discrepancies and fractures that
do not heal so that we can someday
develop nonsurgical methods to
prevent limb length discrepancies.”
With her iPod® in hand for
motivation, Jessica completed her last
physical therapy session of the day.
She is getting stronger each day, and
within a month, she will likely have
her frame removed and will get to
experience her “new” leg for the
first time.
“I would like to say to anyone
who is thinking about getting this
treatment, it’s worth it,” Jessica said.
“I also want to thank Dr. Birch and
all of those who have helped me. It’s
really nice to know that there is a
place where children can get treatment
that can change their lives.” ❒
Visit www.tsrhc.org for more information on Masonry.
pa g e 9
Hospital Happenings
2007 Dallas Cowboys Patient Visit
Since 1996, Dallas Cowboys players and
cheerleaders have made a special visit to
TSRHC patients during the holidays. On
December 10, Cowboys cheerleaders and
team members visited with patients, posed
for photos and signed autographs. Eleven
Cowboys, including star players Terrell
Owens, wide receiver, and Julius Jones,
starting running back, attended the visit,
as well as four Cowboys cheerleaders.
Many excited patients and their families
gathered to see “America’s Team.” Each
child received Cowboys gift items in a
“game sock” and autographs from the
players and cheerleaders.
The Delta Companies Toy Donation
Jennifer and David Elmore, employee of The Delta Companies
and parents of TSRHC patient Christian, age 7 of Frisco,
sponsored a Discovery Toy Drive for TSRHC each year since
2001. This year, David Elmore, Jeff Bowling, CEO of The Delta
Companies, and more than 20 of his coworkers visited the
hospital to donate $17,000 worth of toys to TSRHC patients.
The Delta Companies is a nationally recognized leader in the
health care staffing industry, matching physician and allied
providers with medical job opportunities nationwide.
Back rows: The Delta
Companies staff with
Stephanie Brigger,
TSRHC; Front row,
L to R: TSRHC patients
Josefina, age 9 of Grand
Prairie; Shania, age 5
of Post; and Christian,
age 7 of Frisco
Above: Dallas Cowboys player Terrell
Owens, wide receiver, with TSRHC patient
Ricardo, age 7 of Plano; Below, L to R:
Dallas Cowboys cheerleaders Meagan
Sharp and Ryan Ray; TSRHC patient
Kashmiere, age 10 of Dallas; and Dallas
Cowboys cheerleaders Sarah Gourley and
Melissa Rycroft
ExxonMobil Visit
This year, 50 ExxonMobil stations, including the station neighboring TSRHC at Maple
and Oak Lawn Avenues, hosted toy drives for the hospital. On December 19, ExxonMobil
representatives delivered the toys and presented a $5,000 gift to TSRHC.
L to R: Michael Miller, Jeff Grazetti, Chris Beckner, Brad Timbes, all ExxonMobil; hospital
friends Louvinia and Sarge Woodward; Chris Bronson, Kennedy Ohai and Larry Smith,
all ExxonMobil
pa g e 1 0
Visit the photo gallery at www.tsrhc.org to see more photos from hospital events.
Sewell Miniature HUMMER® Visit
McCoy Students PAVE the Way to Philanthropy
Fourth graders at McCoy Elementary are learning the
true meaning of philanthropy at a young age. McCoy
Elementary in Carrollton, is the first elementary school
to participate in the Philanthropy and Volunteerism in
Education (PAVE) program, an eight-week program that
introduces young people to volunteerism, philanthropy
and leadership opportunities within the nonprofit sector,
sponsored by Philanthropy Inc. As part of PAVE, McCoy
fourth graders held a donation drive, raising more than
$2,831 for TSRHC. On behalf of the children of TSRHC,
thank you to the students of McCoy Elementary for the
generous donation and support of the hospital.
McCoy Elementary fourth
graders, Front row: Maya,
Ally, Channah, Mindy,
Elayna and Lauren; Second
row: Jillian, Brian, Jack,
Amit, Shawn, Srihari and
Kara; Third row: Alejandro,
Will, Alex and Jaylon; Back
row: Voltaire, fourth grade
teacher Mrs. Lisa Runyon,
Josh, Aryan, Cal, Grant,
Jake and Fernando, with
Rebecca Hobson, TSRHC
(Not pictured, Tanvi)
Sewell Automotive Companies and
HUMMER® partnered to include TSRHC in
their Courageous Kids program by donating
two miniature HUMMERs to the hospital.
The Courageous Kids program provides
child-sized, battery-operated HUMMER
vehicles to hospitals across the U.S.,
and this donation provides patients the
opportunity to enjoy the HUMMER
vehicles during their time at TSRHC.
Front row, L to R: TSRHC patient Richard,
age 7 of Dallas; Nick Vanderpool and Chris
Chick, both Sewell Automotive Companies;
and TSRHC patient Victoria, age 6 of
Garland; Back row, L to R: Rikki Ehlert,
Byron Nemic, Stephanie Sewell and Chip
Besio, all Sewell Automotive Companies
Cotton Bowl Visit
The University of Missouri Tigers and head coach Gary Pinkel visited patients at
TSRHC before taking on the University of Arkansas Razorbacks in the 72nd AT&T
Cotton Bowl Classic. The entire team and coaching staff made the trip to the
hospital. TSRHC patients received Dr Pepper gift bags filled with markers, the
official poster of the 72nd AT&T Cotton Bowl Classic and a Cotton Bowl T-shirt. The
players autographed T-shirts and TSRHC hats. Cadbury Schweppes and Sanford
generously donated items for the visit. The Tigers won with a 38-7 victory over
Arkansas in the Cotton Bowl on New Year’s Day.
L to R: Dr. Steve Richards, TSRHC; Missouri quarterback Chase Daniel;
TSRHC patient Jonathan, age 14 of Dallas; Missouri coach Gary Pinkel;
and J. C. Montgomery, Jr., TSRHC
Reliant Energy Compact With Texas
On October 30, Reliant Energy and TSRHC kicked off the Compact With Texas Holiday Art Contest to help TSRHC patients enjoy the
spirit of the holidays, learn about energy efficiency and submit a drawing for the chance to win a holiday art contest, courtesy of Reliant
Energy. Patients created holiday-themed artwork to submit for the contest and spent some time with representatives from the Texas
Rangers and the Dallas Stars Ice Girls. Contestants were asked to integrate at least one energy-saving compact fluorescent light in their
artwork to highlight energy efficiency. The winning artwork was displayed at the ICE! exhibit sponsored by Reliant Energy at the Gaylord
Texan Resort. The contest was organized around Reliant Energy’s Compact With Texas campaign, which urges Texans to switch from
standard incandescent bulbs to more energy-efficient
compact fluorescent lights. Reliant Energy was also
a sponsor at this year’s Wellstone’s Dallas White
Rock Marathon presented by NexBank.
L to R: Reliant Energy staff Chevalier
Mayes and Darryl Ewing; Katy, Dallas
Stars Ice Girls; Victor Diaz, Texas
Rangers; Bob Walker, TSRHC; Kate,
Dallas Stars Ice Girls; Monty Cook,
WBAP Radio; Baby “J,” rapper; and
Brian Walker, Reliant Energy
Visit the events calendar at www.tsrhc.org for information about upcoming events.
pa g e 1 1
27th Annual Amputee Ski Trip
On January 21, American
Airlines hosted a send-off party
celebrating the start of the
27th annual Amputee Ski Trip.
Fourteen teenage amputee
patients spent a week at the
National Sports Center for the
Disabled (NSCD), in Winter
Park, Colo. TSRHC chaperones,
patients and their families
gathered at the send-off party in
the American Airlines Admirals
Club at Dallas/Fort Worth
International Airport.
The annual ski trip is part of
the hospital’s continuing effort to
improve the lives of patients. The generous
support of American Airlines, AA.com, Smith Group
Asset Management and the Admirals Club made this
trip possible. TSRHC thanks American Airlines for
providing transportation for the patients, medical staff
and chaperones for this life-changing experience. ❒
Kids
Helping
Kids
Back row, L to R: TSRHC patients Sasha, age 16 of Plano; Skeeter, age 13
of Forney; Jesus, age 17 of Leon, Guanajuato; Trevor, age 17 of Brady;
Dutch, age 16 of Wichita Falls; Sarah, age 19 of Carrollton; Candace, age
14 of Garland; and Tamlynn, age 16 of Castroville; Front row, L to R: Eric,
age 14 of Little Elm; Jake, age 17 of Rowlett; Kiara, age 15 of Georgetown;
American Airlines Chief Pilot Rick Ash; TSRHC patients Michelle, age 14 of
Burleson; Hollin, age 15 of Texarkana; and Ashley, age 17 of Palestine
Good Shepherd School Visit
On December 17, more than 30 red-nosed
preschoolers of the Good Shepherd
Episcopal School in Dallas helped spread
holiday cheer by singing holiday carols for
patients. L to R: Good Shepherd preschoolers
Carter, Lorenzo, Matthias, Owen, Thomas, Meredith
and Sammy, with Stephanie Brigger, TSRHC, and
teacher Paige Bigham
A MASONIC CHARITY
Nonprofit
Organization
U.S. Postage
PAID
2222 Welborn Street
Dallas, Texas 75219-3993
(214) 559-5000
www.tsrhc.org
Are you receiving duplicate mailings or need to correct your name,
title or address? Please send corrections to
P.O. Box 199300, Dallas, Texas 75219-9842 or call (800) 421-1121.
Texas Scottish Rite Hospital for Children is one
of the nation’s leading pediatric centers for the
treatment of orthopedic conditions, certain related
neurological disorders and learning disorders,
such as dyslexia. Since its inception in 1921, Texas
Scottish Rite Hospital for Children has provided
medical care for more than 180,000 children. There
is no charge to patient families for treatment at the
hospital, and admission is open to Texas children
from birth to 18 years of age.
Permit No. 4215
Dallas, Texas