2017–2018 Annual Review

2017–2018 Annual Review Contents Building a new legacy through collaboration �� 2 Eyes on the future ��4 A history of innovation �� 5 In the garden again ��8 Keeping up with the grandkids ��11 Back on your feet ��12 Reach for the Sky ��14

Subspecialties Foot and Ankle ��16 Hand and Upper Extremity ��18 Joint Replacement ��20 Pediatric Orthopedics ��22 Spine ��24 Sports Medicine ��26 Sumter Orthopedic Specialists ��28 Trauma and Fracture ��30

Ancillary Services Spine Center �� 32 Apex Athletic Performance ��34 Athletic Training ��38 Wellness �� 40 MedFit12 ��41 Rehabilitation ��42 Convenient Care ��43 Casting ��44 Imaging ��44 Residency Program ��46 Research ��48

Refer a patient ��51 Practice locations ��52 Building a new legacy through collaboration

Two years have passed since the of patients, as well as investigating creation of Palmetto Health‑USC new techniques that can improve Orthopedic Center and our 35 orthopedics. Our growing role surgeons and physicians continue to as a clinical site for resident and fulfill our vision of offering the full student education includes Palmetto spectrum of orthopedic care while Health/USC School of Medicine keeping quality and affordability orthopedic surgery residents and in mind. Each physician is an sports medicine fellows, physical orthopedic specialist in one of the therapy residents and athletic following areas: foot and ankle, joint training residents. replacement, orthopedic trauma, Palmetto Health‑USC pediatric orthopedics, spine and Orthopedic Center is committed interventional medicine, sports to impact orthopedic care medicine and upper extremity. through research, education and e are excited to share Palmetto Health‑USC Orthopedic Center’s year in This group is focused on continuously specialization. Each physician Wreview, which highlights our historical legacy in the community and our improving community outreach, is committed to leadership, journey to become leaders for delivering extraordinary patient care. This has research and education. They provide innovation and providing the been an outstanding year and we celebrate the continuing collaboration of complete care to a large number ultimate patient experience in four diverse orthopedic groups spanning more than nine locations, including of middle schools, high schools, orthopedics. Bradley Presnal, MD, physicians, physical therapists, occupational therapists, athletic trainers and universities and colleges, and other and Christopher Mazoué, MD, our entire experienced medical staff. athletic groups through the sports co‑leaders of orthopedics, invite you As the leading orthopedic multispecialty group in the Midlands, we seized our medicine athletic trainer program. to learn more about the expertise unique opportunity to impact community health care in wide‑reaching ways More than 50 research projects our practice has to offer in this this year, guided by the extensive knowledge and hard work of our providers. concurrently are underway to collect comprehensive annual review. Our passion and dedication enable us to offer our region the highest level of clinical data on surgical outcomes care and quality service. Devoted to excellence, we have unified academic training, adult and pediatric care, subspecialty expertise and orthopedic therapy for musculoskeletal injuries and disease. We invite you to share our excitement through the following comprehensive look into the many achievements of our past year and the opportunities that lie ahead for advancing orthopedic care.

Sincerely,

Christopher G. Mazoué, MD Bradley P. Presnal, MD Associate Professor and Chair Senior Medical Director Palmetto Health‑USC Orthopedic Center Palmetto Health‑USC Orthopedic Center

2 3 Eyes on the future A history of innovation

Palmetto Health‑USC Medical Group and the Moore Clinic Austin Moore In addition to our health system The addition of providers and blend legacies of excellence in orthopedic patient care. hip prosthesis growth, the orthopedic service support staff, coupled with line continues the same trend. facility expansion and equipment We welcomed three new enhancement, ensures that we will he 2016 creation of the During the next 80 years, the surgeries, but surgeons, James McFadden, MD, continue to provide quick access to TPalmetto Health‑USC clinic’s physicians would continue he said Moore an orthopedic hand and upper affordable, high quality orthopedic Medical Group established a hub the excellence established by its treated them extremity surgeon, Kevin Murr, MD, care to the population we are so of orthopedic expertise that is founder as they helped patients “the same an orthopedic trauma surgeon and fortunate to serve. unmatched in the region. The regain their mobility, and the as everyone.” Kristen Nathe, MD, an orthopedic Health care is undergoing rapid rich histories of the two groups, Moore Clinic eventually added other Chillag said that pediatric surgeon. We are also transformation. From payment along with the USC School of subspecialties, beginning with a before Moore’s work the expanding our interventional pain models and regulatory changes Medicine, have built a foundation for hand surgeon. hip fracture was widely management services through to incorporating the latest patient‑centered care, innovation, Kim J. Chillag, MD, the senior considered the “unsolved the hiring of two anesthesia pain information technology and medical education and research that offers member of the Palmetto Health‑USC fracture.” Dr. Moore's specialists in 2018. We announced a advancements, attaining high the best possible services for a Orthopedic Group, joined the innovations were enhanced change of leadership as Orthopedic standards of excellence in orthopedic growing patient population. Moore Clinic as a junior partner in even more when his junior Chair, John J. Walsh, MD, decided to medicine will continue to require 1985 and has specialized in hip and partner, Emmet Lunceford, MD, transition out of his leadership role to It’s a journey that dates to 1928 Matt Frick, MS, OTR/L adaptability and persistence. when Austin T. Moore, MD, began his knee replacement for 30 years. successfully expanded Moore’s System Director of Orthopedic Services devote more time to clinical care and While we aim at a target that pioneering approach to orthopedics prosthesis to a total hip prosthesis Palmetto Health‑USC Orthopedic Center our own Christopher G. Mazoué, MD, “Everybody in my era and in the without the use of cement and was selected to serve as the is in constant motion, our and opened the first orthopedic clinic time period before my era knew eyes must remain fixed on the in the region. The Moore Orthopaedic designed the first successful bone n 2017, the trend of significant academic chair of the Department Dr. Moore’s legacy because every one Palmetto Health‑USC Medical Group Clinic occupied a small converted ingrowth total hip system. growth and change in health care of Orthopedics. We broke ground of us [orthopedic surgeons] had put I Vision: To be known for clinical office on Gervais Street in downtown delivery continued not only locally, on a 31,000 square foot sports in one of his hip implants,” Chillag The growth at the Moore Clinic excellence and remembered for Columbia, and orthopedic history but throughout the state of South medicine and rehabilitation facility said. “He was in all the textbooks. He eventually was paralleled with compassionate care. As we count was made in 1940 when Dr. Moore Carolina. Palmetto Health and in Lexington, South Carolina lectured all over the world.” formal orthopedic education our blessings and briefly reflect used a hip prosthesis he designed locally with the opening of the first Greenville Health System created and anticipate this new facility Chillag noted that celebrities and TV on the positive things that have to perform the first hip replacement orthopedic residency program at a partnership that allows them to opening in late 2018. This facility personalities commonly traveled to occurred this past year, we look with surgery in the world. Columbia Hospital in 1944. While the operate as a single non‑profit health will be the first of its kind in South Columbia for Moore to perform their anticipation to the great things that care company. This new organization Carolina and includes a fully lie ahead. will serve approximately 1.2 million equipped biomechanics laboratory, patients per year and employ more Hydroworx® pre‑/post‑workout than 28,000 team members. And submersion pools, top‑of‑the‑line it will have the scale, scope and sports performance equipment, resources required to address the a turf field for sports training and critical health issues of the people more than 15,000 square feet of it serves. specialized physical and occupational therapy treatment space.

Austin T. Moore, MD Emmet Lunceford, MD Edward Kimbrough III, MD 4 5 Left: First location of the Moore Clinic

Above: Surgical instruments and equipment, including the Moore hip prosthesis

Moore Clinic provided the foundation resulting partnership between the John J. Walsh IV, MD, who joined the in the greater Midlands region. This The collective resources that Such excellence will remain the for that program, Chillag said as Midlands’ only teaching hospital USC School of Medicine faculty in year marks the first expansion of the make up today’s Palmetto orthopedic group’s collective goal residencies improved and became and USC School of Medicine gave 1999 and served as department chair program, which has been approved Health‑USC Orthopedic Center going forward. more structured, they needed to be the residency program the benefit and clinical professor of orthopedics to increase its residency class size have created a unique blend of “I want our group to be known for with a university faculty. And about of full time, academic faculty, and through the end of 2017, said when from two to three new residents academic and clinical medicine. The excellence in orthopedics,” Chillag the time Chillag arrived in Columbia, the orthopedic residency received he arrived the school had about five accepted per year. partnership of the Moore Clinic and said. “To constantly improve and be Palmetto Health‑USC Medical Group, USC School of Medicine started its full accreditation in 1984 from the surgeons. Currently the combined “It gives us tremendous resources to better than anybody else at patient along with three hospital‑based orthopedic residency program. Accreditation Council for Graduate group employs 40 surgical and have faculty in all areas of medicine care is what excellence means, and Medical Education (ACGME). non‑operative physicians. orthopedic traumatologists, has In 1972, the hospital moved to back up the faculty we have in that’s what we strive for.” ■ brought orthopedics in Columbia its current site and was renamed As Palmetto Health Richland grew “The residents have a lot more access orthopedics, so we’ll be able to utilize back to its roots. Richland Memorial Hospital, as an academic medical center, to surgeons and technical expertise,” the medical school faculty for the later Palmetto Health Richland. Chillag said it became apparent there Walsh said. “We are all committed parts of the orthopedic practice that “I think the message is that we have USC School of Medicine accepted were two big orthopedic groups to educating the next generation need input from other specialties,” a large number of physicians who its first class of students in practicing in the same hospital that of doctors.” Chillag explained. “Working with the are providing excellent care to the residents is the impetus for all of us community,” Walsh said. 1977, and four years later, probably should be one group to Since its inception, the Palmetto to be on our toes.” Edward Kimbrough III, MD, left provide subspecialty care in every Health/USC School of Medicine the Moore Clinic and founded area of orthopedics “in a way neither orthopedic residency program has the USC School of Medicine could independently.” trained 85 surgeons, many practicing Department of Orthopaedics. The

6 7 “My surgery gave me a new lease on life! I’ve been able to resume all of my activities, including leaf blowing, weed eating, lawn mowing and painting around the house. In the garden again Before the surgery, I had a lot of pain and Hip replacement surgery gets Robert Roberts back discomfort and for almost two years, I walked to his active life. with a limp. Not anymore, I'm now enjoying life and I have no pain.” ‑ Robert Roberts obert Roberts’ pain levels took a Roberts enrolled in a presurgical Rdramatic turn for the better one program that had been Friday morning last August. recommended by the practice for patients and their “coaches.” In For nearly two years, the retired his case, his wife, Celia, filled that high school teacher and National role. In the weeks leading up to Guardsman had endured an the surgery, Roberts focused on increasing level of hip discomfort various strengthening and endurance during everyday activities. “Before exercises as well as daily activities then, I had not had any problems such as going up and down stairs. whatsoever,” Roberts said in regard The couple also received educational to his mobility. “I just let [the hip materials related to the surgery pain] hang around for a while.” as Roberts secured the necessary But the discomfort grew more medical clearances. difficult for the 73‑year‑old to Roberts’ desire for the surgery ignore, and even after a few rounds was reinforced last June when his of physical therapy and a trip to a family went on a cruise and his pain chiropractor, Roberts could not find had become nearly intolerable. “I the relief he sought. During a trip to just found myself lying in bed,” he his family physician, it was confirmed said. “I was looking forward to the what he already knew. “She told me surgery then.” it was time,” Roberts said. he wasn’t supposed to do,” said Above: Chillag performed the surgery in Last March, Roberts was Celia, who sent Chillag pictures of Roberts enjoys August at Palmetto Health Baptist, referred to Kim J. Chillag, MD, her husband blowing leaves and spending and when he saw Roberts in physical of Palmetto Health‑USC completing light yard work. time outside. therapy the next day, he had Orthopedic Center where X‑rays encouraging news. For Roberts, the healing journey Right: showed advanced osteoarthritis continues as he enjoys a 40‑minute Thanks to his in the joint and that he needed his “He said ‘you look like you’re doing walk most days and continues surgery, Roberts right hip replaced. pretty good. You want to go home?’” to perform routine chores works in his yard Roberts said. “And he released me Roberts found himself in good in moderation. without pain. that morning. I wasn’t trying to show hands with Dr. Chillag, who received off or anything. I just felt good.” He encourages others experiencing his medical degree from the West similar discomfort to take the Virginia University School of Roberts said within two weeks after necessary steps. “I would tell them Medicine in Morgantown, completed the surgery, he was comfortable without hesitation, do not put it off. fellowships in sports medicine at walking inside his home and has Go ahead and get it done, because the Oklahoma Center for Athletes since been able to maneuver without your quality of life changes,” he said. in Oklahoma City and in total his walker. “If you have a hip problem, you call joint replacement at Joint Implant His wife said she’s seen a gradual Dr. Chillag.” ■ Surgeons, Inc., in Columbus, Ohio. return to the man who had always “He was able to show [on the X‑rays] been active. “He did everything what was missing in there,” Roberts he was supposed to do (following said. “He said, ‘I can fix that.’” surgery), and he didn’t do anything

8 9 Keeping up with the grandkids

Increased mobility grants Khalil more opportunities to play.

Spine surgery offers Katherine Khalil the chance to create new memories.

life filled with yard work, farm Initially, Khalil received an injection, Khalil spent four days at Achores and daily activity slowly but that brought little relief. Palmetto Health Richland and said had taken its toll on Katherine Khalil’s After being approached about her recovery was relatively quick. mobility through the years. And by pursuing a surgeon, she chose Two weeks after returning home, she the time her grandchildren came William T. Felmly, MD, who had could tell a significant difference. along, everyday movement was treated her 20 years earlier for a After four weeks, she discontinued accompanied by near constant pain. broken ankle and who she continued her pain medication and has not to see through the years. required it since. Today, the 66‑year‑old Blythewood resident is a walking testament Dr. Felmly’s specialties include “The pain is just gone,” said Khalil, to the benefits of back surgery cervical spine surgery, lumbar spine who continues stretching exercises to after undergoing a procedure surgery, adult scoliosis surgery, help with her flexibility. that included four spinal fusions revision cervical surgery, revision “I’m still working on those stretching and two disc replacements at lumbar surgery and evaluation issues,” she said. “That’s why physical Palmetto Health‑USC Spine Center. and treatment of sciatica. Khalil therapy is so good.” said X‑rays revealed that her spinal “I had just been tolerating it,” column had eroded in three places, Kahlil’s new‑found optimism was Khalil recalls of the discomfort that which was aggravating her nerves reinforced during a recent trip to often made it difficult to walk and each time she moved. the St. Patrick’s Day festival in North prevented her from being on her feet Myrtle Beach when she spent several for long periods. “The holidays were “I asked [Dr. Felmly,] ‘can you fix it?’ hours walking with no discomfort. the worst because you are cooking He said, ‘I can.’” And her results have been enough and cleaning and decorating.” Khalil said she did not know what to to convince her husband, Albert With growing demands, including expect following the surgery, which to schedule a similar surgery with grandmother duties, those pains only was performed last November, but Dr. Felmly this summer. persisted, and Khalil found herself said she’d heard very good things “It’s made all the difference in the at a crossroads with the pain now from others who had undergone world,” Khalil said. “I can enjoy life accompanied by weight gain and similar procedures. again. It’s just like a new body.” ■ increased blood pressure.

10 11 Khalil enjoys the park with her grandsons Back on your feet Palmetto Health‑USC Orthopedic Center gains national attention with its contributions to a new bunion surgery procedure.

n innovative approach to while fusing the unstable joint with Atreating bunions is continuing titanium plates and no part of the to gain traction across the country bone is removed. using a procedure codeveloped Dr. Smith was part of the by a Palmetto Health‑USC development team from the onset Orthopedic Center surgeon. after he was approached by Treace W. Bret Smith, DO, an orthopedic Medical Concepts founder John foot and ankle specialist, was Treace. He asked Dr. Smith to work among five collaborating surgeons with physicians from Iowa, Colorado, across the country to develop a Illinois and West Virginia to develop new procedure called Lapiplasty® an innovative approach to the 130 that addresses the root cause of described procedures for bunions. the bunion and offers improved “We did dozens and dozens aesthetics and function to patients of developmental labs,” Smith undergoing bunion correction. More explained. “Before Lapiplasty, it than 3,500 patients nationwide was a two‑dimensional solution to a have received the procedure three‑dimensional problem. We were commissioned by Treace Medical kind of going against the stream. Concepts, Inc., since the Lapiplasty But it paid off.” For his part, Smith procedure was launched in 2015. has seen several benefits to the “It really is a shift from where we new approach. were to where we are now in the The outpatient Lapiplasty procedure treatment of bunions,” said Smith, takes about 45 minutes compared who has completed more than to the hour to 90 minutes required 200 such procedures and trained for traditional surgery. Smith nearly 100 other physicians to said patients typically are able to perform them. bear weight on the foot wearing Dr. Bret Smith, an orthopedic foot and ankle surgeon,advises While a bunion resembles a bump a post‑operative shoe or boot, patients on overall foot health. Palmetto Health-USC Smith said it has been very foot and ankle partners Dr. Putnam on the side of the foot, it's a complex sometimes within a couple of Orthopedic Center’s involvement gratifying to see the procedure and Dr. Jackson, are on the cutting deformity caused when a bone in the days or typically within two weeks in Lapiplasty has not been limited gain traction across the country. edge of medical advances.” This middle of the foot is misaligned in following surgery. The recovery time to Dr. Smith. Ryan Putnam, MD, “I’ve been able to go around the technological advance is having a three dimensions. Traditional surgery is significantly shorter compared has been certified as a national world to talk about this,” he said. significant impact on the quality is a two‑dimensional approach that to the six to eight weeks required Lapiplasty instructor and has trained “It’s been a very interesting journey. of life for so many throughout the addresses the issues by shaving a with traditional surgery. And Smith 100 other orthopedic surgeons. A lot of it is educating patients,” Midlands and across the United portion of the bone and shifting said he’s seen a significant drop in J. Benjamin Jackson III, MD, performs he said. “More importantly,” he States. It also is allowing our patients the top portion over to reduce the the recurrence rate, averaging less the procedure regularly and has added, “It’s encouraging to see to receive world‑class care right here bump. The Lapiplasty procedure than 10 percent, as compared to a seen a significant improvement in his how the Palmetto Health‑USC at home. ■ positions the entire bone into 50-70 percent recurrence rate with patients’ outcomes and recovery. Orthopedic Center, including my normal three‑dimensional alignment traditional procedures.

12 13 Palmetto Health‑USC Orthopedic Center helped Alaina Coates recover from injury Reach for the Sky and achieve her dream of playing in the WNBA. he sideline has not been a and ankle subspecialist and USC said. “They brought me out of my Tfamiliar place for Alaina Coates. team physician, Coates was initially shell because I’m really kind of a As a standout basketball player for prescribed treatment in a hyperbaric shy person. They got me to enjoy Dutch Fork High School and the chamber. This treatment can promote working out. It was just such a great University of South Carolina, she has faster healing by supplying high friendly atmosphere. Everybody was been a leading lady on the way to concentrations of oxygen to a patient rooting for me to get back where I numerous basketball championships. in a pressurized room or chamber. was. I’m glad they were there. The majority [of the therapists, many Dating back to her high school Coates recalls the treatment as a whom she called by name] played career, this Irmo native was a major relaxing experience. “I had the TV on sports before, so they knew where part of the success that resulted so I either fell asleep or watched TV my mind was.” in two state championships for the entire time,” she said. Dutch Fork. When she signed with Despite the recurrent ankle sprains Coates said the treatment showed the University of South Carolina that temporarily took her off the some positive results and returned she had an immediate impact, court, Coates is now taking the to full activity, but she re‑sprained contributing to their run of four next steps as a team member of the same ankle during USC’s final consecutive Southeastern the Chicago Sky in the Women’s regular season game and received Conference titles and a National Basketball Association. She more hyperbaric treatments. “I National Collegiate Athletic credits her recovery in large part wanted to give it a chance because I Association (NCAA) to the care she received from the had already missed some games as National Championship physicians at Palmetto Health‑USC it was, and I didn’t want to miss any her senior year. Orthopedic Center. more,” she said. As the official After spending several weeks playing Following a third sprain in the 2017 team physicians for professionally in Sopron, Hungary, Southeastern Conference (SEC) the University of South earlier this year, Coates has returned Tournament, doctors recommended Carolina athletic programs, to the Chicago Sky, where she was Coates undergo ankle stabilization Palmetto Health‑USC the No. 2 pick in the 2017 WNBA surgery to address the recurrent Orthopedic Center physicians draft but had to sit out her inaugural sprains. She said Dr. Guy and are on the front line of care when season due to her recovery from Dr. Jackson were very compassionate athletes experience injuries. another surgery. However, today she in communicating the need for the said she’s back to full strength and Coates said she had only experienced surgery while explaining what the she has continued to increase her the occasional ankle tweak during process would involve. “I could tell playing time. her first three years of college. “But they really took my feelings into it wasn’t anything that I needed to account,” she said. “Everything is going good,” she said. come off the court and get some “I never feel any pain. It feels like it Following the surgery and a limited serious rehab for,” she recalled. did [before the injuries]. I had to miss period of immobilization, Coates a whole season, and I’m just glad the Those injuries became a little more enrolled in the Apex Athletic time is finally here for me to get back pronounced, however, late in her Performance rehabilitation program, out there and do what I’ve always senior season when she suffered where she said therapists were wanted to do.” the first of three significant sprains attentive to both her physical to her right ankle during a regular recovery and her peace of mind. Coates said she’s especially grateful season game. for the team physicians and for “I just started the healing process,” the role Palmetto Health‑USC “They kind of realized that the Coates said. “It was really good. They Orthopedic Center played in her swelling was pretty significant and concentrated on getting my ankle recovery. The sports medicine team that I needed to do something strength back before anything else led by Dr. Jeffery Guy guided her about it,” Coates said. and after a while we started working treatment from diagnosis to a full Under the care of Jeffrey Guy, MD, on my balance.” recovery. “It’s nice to know there USC Women Basketball’s head Coates said that as she continued are those kinds of people who are team physician who specializes in to heal she also gained new friends. there to help,” she said. “I will never orthopedic sports medicine and “I love the staff [at Apex],” she forget them.” ■ J. Benjamin Jackson III, MD, a foot

14Alaina Coates credits trainers at Apex Athletic Performance 15 with her recovery. Foot and Ankle

Areas of expertise he Palmetto Health‑USC Orthopedic Center foot and ankle • Achilles problems specialists are proud to have some of the most groundbreaking, T • Ankle pain patient‑centered and comprehensive treatment options available to their J. Benjamin Jackson III, MD Ryan M. Putnam, MD W. Bret Smith, DO, MS patients. Collaboration with each patient is the basis of our approach and • Arthritis continues throughout treatment. • Arthroscopy The decades of experience shared by our team ensure the needs, expectations and care of each patient will be met. The foot and ankle • Athletic injuries team takes pride in training physicians as well as teaching and speaking • Bunions around the world. We care for any surgical or non‑surgical condition of the foot and ankle. • Calluses We currently serve local high schools, colleges and professional • Claw toes athletic teams, as well as the general population. Our goal is to return • Deformity correction our patients to a healthy and active lifestyle through treatments that (Taylor Spatial Frame) decrease pain and increase function. • Diabetic foot ulcer Stephanie Altobello, APRN Randy Bell, PA Sarah Humphrey, PA • Flatfoot correction • Foot pain • Fracture care Top procedures • Hammertoes • Instability • Ligament reconstruction • Nerve decompression 93 Ankle and Heel Procedures 232 Fusions • Painful flat feet • Tendon transfers 181 Fracture Treatment • Total ankle replacement Surgeries 131 Bone Excisions “The pain became so bad that I could no longer take walks along the beach, but now I’m pain free and doing 91 Bunion Correction Surgeries the things I love again.” ‑ Dean Bonneville

16 At‑a‑glance Patient Visits: 14,910 | Surgeries: 1,340 | New Patient Visits: 3,036 17 Hand and Upper Extremity

Areas of expertise he hand and upper extremity team delivers expert clinical care to • Arthritis patients with disorders ranging from the fingers to the shoulder. T • Arthroscopic rotator cuff repair The Palmetto Health‑USC Orthopedic Center understands the intricacies David B. Fulton, MD Earl B. McFadden Jr., MD James L. McFadden, MD of the hand and upper extremity and works closely with certified hand • Carpal Tunnel Syndrome therapists to ensure both operative and nonoperative treatments are • Cubital Tunnel Syndrome successful. The team is diligent in providing optimal care through research, specialization and expansion of resources. • De Quervain's Tendonitis • Dupuytren’s Disease • Fracture care • Ganglion cysts • Golfer's elbow • Hand, wrist, elbow and shoulder surgery John J. Walsh IV, MD Jess Bartley, PA Greg Mangione, PA • Nerve decompressions such as carpal tunnel release • Rotator cuff tear Top procedures • Shoulder arthroscopy • Shoulder instability • Total shoulder replacement surgery • Tendon and arthritis reconstructive surgery • Tendonitis 440 Shoulder Procedures • Tennis elbow 685 Carpal Tunnel • Trigger finger Release Procedures “For years, I dealt with a sore and weak right shoulder due to

244 Fracture Treatment Surgeries the arthritis in the joint. After the surgery and rehab with an of the Hand and Wrist occupational therapist, I thoroughly enjoy being pain free and my shoulder has gotten much stronger!” 162 Trigger Finger Release Procedures ‑ Nancy Cobb

18 At‑a‑glance Patient Visits: 23,065 | Surgeries: 2,561 | New Patient Visits: 5,166 19 Joint Replacement

Areas of expertise he Palmetto Health‑USC Orthopedic Center is home to a joint • Hip and knee arthroscopy replacement team with decades of expertise, innovation and T • Revision of total hip leadership in joint replacement surgery. Our team is proud to have Kim J. Chillag, MD Jeffrey S. Hopkins, MD David E. Koon, MD presented at the local, state, national and international levels on various • Revision of total knee topics to continue developing the practice of total joint reconstruction. • Total hip replacement surgery Our physicians and the entire joint replacement care team provide exemplary care for our patients with comprehensive pre‑ and • Total knee replacement surgery postoperative support. Our process includes innovative patient‑centered preparation and detailed discharge plans that include individualized rehabilitation programs designed to help patients regain their mobility and quality of life. The Palmetto Health‑USC Orthopedic Center joint surgeons use numerous surgical approaches including unicompartmental, primary and revision knee replacement, primary and revision hip replacement and osteotomies. We strive for impeccable holistic care by ensuring performance accountability for postoperative outcomes. Andy T. McGown, MD Bradley P. Presnal, MD Frank R. Voss, MD

Top procedures

James Coffey, PA Karin Duffy, PA Betsy Maharaj, PA 470 Total Hip Arthroplasty 100 Total Hip Revision

916 Total Knee Arthroplasty 133 Total Knee Revision

20 At‑a‑glance Patient Visits: 24,128 | Surgeries: 2,129 21 Pediatric Orthopedics

Areas of expertise he Palmetto Health‑USC Orthopedic Center is home to the only • Children’s fractures specialized pediatric orthopedic team in the Midlands. The group has T • Early onset scoliosis four fellowship‑trained surgeons who bring various backgrounds and Michael P. Horan, MD, MS Christopher R. Hydorn, MD Mark D. Locke, MD diverse experiences to the team. • Hand and foot deformity The pediatric physicians share their knowledge throughout the year with • Limb lengthening, external fixation various community partners by focusing on seat belt safety, car seat safety and helmet rules. • Pediatric orthopedic trauma The subspecialty staff supporting the physicians is compassionate • Scoliosis casting/growing rods and determined to provide the most stress‑free environment for our • Special clinics for club feet and adolescent patients. In addition to their home practice, when schedules Spina Bifida allow, the physicians also travel around the globe to places where their expertise is needed because the team truly finds joy in helping young • Spinal deformity patients find orthopedic healing. • Young adult hip disorders

Kristen Nathe, MD Jenny Cooper, PA Kelly Kage, PA

Top procedures

498 Fracture/Dislocation Treatment Surgeries

Valerie Shah, PA 40 Spine Surgeries

95 Hand Surgeries 82 Foot Surgeries

22 At‑a‑glance Patient Visits: 23,365 | Surgeries: 957 | New Patient Visits: 5,208 23 Spine

Areas of expertise he Palmetto Health‑USC Orthopedic Center spine and interventional • Adult scoliosis surgery TMedicine team has proudly served the Midlands for more than • Cervical spine surgery 50 years. The team has achieved local, regional and national recognition • Disc degeneration John Clavet, MD P. Douglas deHoll, MD William T. Felmly, MD for its contributions to education and leadership within the field. • Disc herniation Patients are offered a wide range of treatments within the complex area • Electrodiagnostic testing of spinal care. The team seeks to improve the care of patients by utilizing • Electromyography the most recent advances in spinal care. Each physician, with the help of the entire care team, ensures the highest quality treatment to provide • Epidural injections patients comfortable and comprehensive spine care. • Hip and knee osteoarthritis • Interventional spine procedures • Lower back pain • Lumbar spine surgery • Microdiscectomy • Minimally invasive spine surgery • Musculoskeletal ultrasound Gregory Grabowski, MD Kamran Z. Koranloo, MD Pranitha R. Nallu, MD • Myelopathy • Neck pain • Nerve conduction studies Top procedures • Occipital nerve blocks • Osteoporosis • Peripheral nerve disorders • Physical medicine and rehabilitation

153 Conventional Discectomies • Prolotherapy 291 Cervical Spine Fusions • Sciatica • Slipped vertebrae Michael W. Peelle, MD, MHA David A. Scott, MD James Viapiano, MD 1,094 Electromyogram (EMG) tests • Spinal deformities • Spinal stenosis • Spondylolisthesis 257 Laminectomies 6,357 Epidural Steroid Injections • Trigger point, bursa and hip injections

370 Lumbar/Thoracic Spine Fusions

Douglas N. Dow, PA Joan Hornick, PA Farrah Schildknecht, NP

24 At‑a‑glance Patient Visits: 33,419 | Surgeries: 1,071 | New Patient Visits: 6,691 25 Sports Medicine

Areas of expertise he sports medicine team provides innovative care for the most • Arthroscopic anterior cruciate Tactive patients in South Carolina. A comprehensive group of ligament (ACL) reconstruction providers allows the team to serve the patient at each interval in the • Arthroscopic rotator cuff Guillaume D. Dumont, MD Jeffrey A. Guy, MD S. Wendell Holmes Jr., MD medical continuum. repair/reconstruction Our Palmetto Health‑USC Orthopedic Center sports medicine team • Arthroscopic shoulder provides comprehensive care for the University of South Carolina stabilization procedures athletics programs, in addition to more than 60 other schools and organizations in the state. • Elbow arthroscopy and ligament repair/reconstruction Superb medical care begins at the community level where providers can serve their patients in the athletic environment. Because of this belief, • Elbow ulnar collateral ligament the Palmetto Health‑USC Orthopedic Center implements the largest and (UCL) reconstruction most accommodating athletic training program in the state. (Tommy John surgery) The sports medicine team prides itself on providing patients with the • Hip arthroscopy for latest and most efficient technology to ensure a timely recovery. femoroacetabular impingement Christopher G. Mazoué, MD Frank K. Noojin III, MD Mickey F. Plymale, MD • Hip cartilage repair/reconstruction • Hip labral repair/reconstruction • Hyaluronic acid injections Top procedures • Knee cartilage repair/reconstruction • Knee meniscus repair/transplantation

705 Shoulder Procedures • Osteotomies for lower extremity malalignment

• Partial and total knee replacement Matthew R. Pollack, MD Adam Baier, PA Ryan Berlinrut, PA • Platelet‑rich plasma (PRP) injections • Shoulder replacement • Sports concussions • Stem cell injections 171 Hip Procedures 1,180 Knee Procedures (includes Meniscectomy, Articular Cartilage Procedures and ACL Reconstruction)

Chay Malvasio, PA Jessica Newell, NP

26 At‑a‑glance Patient Visits: 51,647 | Surgeries: 3,279 | New Patient Visits: 9,790 27 Sumter Orthopedic Specialists

Areas of expertise almetto Health‑USC Orthopedic Center in Sumter is the largest local • Anterior cruciate ligament Porthopedic clinic serving the Sumter region. Our physicians have a (ACL) reconstruction combined 41 years of experience and are all board‑certified surgeons • Arthroscopy Danny H. Ford, MD Kurt T. Stroebel, MD Ryan C. Zitzke, MD with fellowships in sports medicine and trauma. • Carpal tunnel syndrome As a group, the team provides more than 100 elective procedures a month, including total knee and hip replacements, knee and shoulder • Cubital tunnel syndrome scopes, carpal tunnel and de Quervain’s release, ACL reconstruction, • De Quervain’s syndrome AC joint reconstruction and open and closed fracture procedures to patients in our community. Our goal is to continue offering high‑quality • Fracture care orthopedic care in the Sumter market that not only improves patient • Ganglion cysts recovery but also returns our patients to the things they enjoy most. • Hip replacement • Knee replacement • Meniscus tears Warren Pyles, PA • Quadriceps/patella tendon tears • Rotator cuff tear • Shoulder instability • Tennis elbow • Trigger finger

28 At‑a‑glance Patient Visits: 14,166 | Surgeries: 1,203 | New Patient Visits: 2,374 29 Trauma and Fracture

Areas of expertise he trauma and fracture team of Palmetto Health‑USC Medical Group • Bone health provides the full spectrum of orthopedic trauma care for patients. T • Complex periarticular fractures Our surgeons guide care of their patients from the time of injury Thomas M. Jones, MD Kevin A. Murr, MD Michael C. Tucker, MD through recovery. • Fracture care Each of our surgeons is fellowship‑trained in orthopedic trauma and they • Nonunion repair use this expertise in decision‑making and management of some of the most complex injuries in orthopedics. Our physicians serve as mentors • Pelvis and acetabular fractures to the Palmetto Health/USC School of Medicine orthopedic surgery • Post‑fracture deformity correction residents through education and research, ensuring future generations of orthopedic surgeons can provide expert level care to their patients. Our physicians teach at the regional and national levels, sharing their experiences with new and innovative surgical techniques that have the potential to improve patient outcomes. Our goal for all of our patients is to return them to their pre‑injury level of function and restore their quality of life. Brittany Buchanan, NP Michael Richards, PA Patrick Todd, NP

Top procedures

162 Hand and Upper Extremity Fracture Treatment Surgeries

54 Pelvic Fracture 337 Hip Fracture Treatment Surgeries Treatment Surgeries (includes femur)

72 Knee Fracture Treatment Surgeries 97 Tibia/Fibula Fracture Treatment Surgeries 130 Foot Fracture Treatment Surgeries

30 At‑a‑glance Patient Visits: 1,695 | Surgeries: 901 31 “I lived with back pain for 10 years and that’s now but a distant memory. My only regret is that I did not have the surgery sooner.” ‑ Ray Canady Jr.

“My quality of life has drastically improved and I am able to go to craft shows now and travel with my husband again.” – Linda Vandiver e are the only back pain disorders. Working with physical • Spinal cord stimulators Wspecialty center in the area therapists, we will coordinate your • Spinal oncological surgery dedicated to caring for every spine therapy program and provide • Ultrasound‑guided peripheral issue with a true multidisciplinary diagnostic support. We also can nerve blocks approach. Our advanced perform outpatient interventional fellowship‑trained neurosurgeons procedures such as epidural steroid Conditions treated and orthopedic surgeons can injections, facet injections and medial • Cervical arthritis provide outpatient and minimally branch blocks. • Cervical radiculopathy invasive surgeries, fusion procedures, • Degenerative disc motion preserving spine surgery Treatment options • Facet arthropathy and complex revision procedures. • Artificial disc replacement • Fractures (cervical, thoracic, We have an outstanding reputation • Complex restorative spine surgery and lumbar) for minimally invasive spine surgery. • Computer‑assisted spine treatment • Herniated or bulging disc Using the latest technology, our • Epidural steroid injections • Kyphosis physicians have made spine surgery • Interventional spine surgery • Lower back pain safer and more effective, and we and procedures • Sciatica nerve pain are the region’s referral center for • Joint injections • Sciatica trigger point complex spine issues and spinal • Medicine and rehabilitation • Scoliosis cord tumors. • Microdiscectomy • Spinal stenosis Our interventional medicine • Minimally invasive spine surgery • Spondylolisthesis providers are experts in the • Nerve root blocks • Spondylolysis non‑surgical management of spinal • Radio frequency oblations

32 33 Apex supports athletes from a variety of sports.

ne of the biggest differences in athletes. By taking advantage of services include BMI, nutrition, Othe Apex model is the science these tools, our athletes learn how sub‑maximal exercise testing, oxygen behind the training. At Apex, and why their bodies move and can consumption (VO2 ) and sport PhD‑level functional movement safely enhance their performance. performance assessments, as well as specialists perform precise Clients are offered tailored programs education and training sessions on evaluations of the intricacies of that align with their personal goals. the fundamentals of body awareness human movement to teach athletes The Beginner‑Intermediate group and a movement‑based coaching how to apply the principles of focuses on educating individuals philosophy that each athlete will be biomechanics and physiology to on the foundations of training by exposed to during training. improve agility and build strength. helping athletes have confidence All services aim to give athletes a Athletes work with trained in themselves and their strength fully personalized and integrated professionals who study the body’s training and skill sets. Athletes program that allows them to efficiency in motion, and then looking to push themselves may join maximize performance and help prescribe corrective movement the Intermediate‑Advanced group them achieve their athletic goals. techniques to maximize energy that encourages individuals to test The team strives to help athletes output and optimize body their limits of physical change. of all ages develop the ability mechanics. At Apex, we use the same The team ensures a unique and to perform safely at the highest high-speed video analysis and other comprehensive experience through level to become stronger and technologies used by professional a range of programs. These healthier athletes.

34 35 Architect’s rendering of new Apex Athletic Performance facility New Rehabilitation/Apex Athletic Performance opening fall 2018!

he 31,000 square foot building athlete’s golf swing, pitching, batting or sport‑specific activities without as the only all‑inclusive center in plus a nutrition classroom available • Specialized rehabilitation Twill be a two‑story comprehensive and other sport‑specific movements. the high impact of full body weight the state to analyze biomechanics, for cooking demonstrations to • Sports performance facility offering orthopedic physical on joints that occurs on land. The This facility will have a Hydroworx® physiology and mental performance. educate the community on healthy • Motion analysis laboratory and occupational therapy, wellness use of the aquatic treadmill aids ® treadmill pool, which is a These services are often available eating habits. • Hydroworx pool with programs, including Med 12, in recovery by allowing a fuller Fit rehabilitation pool complete with only to collegiate programs and plunge pools nutrition services and sports range of motion at an earlier stage Key features: a movable floor for variable water professional team athletes, yet we • 40 x 25‑yard outdoor field with performance testing and training. during rehabilitation. This results in • Aquatic therapy for patients of depths, as well as hot and cold serve individuals and athletes at all observation deck This new facility will be the only regaining flexibility for faster healing all ages plunge pools. This Hydroworx® levels regardless of affiliation. • 50‑yard running lanes sports science lab in South Carolina and strengthening of injured tissue. • The region’s only motion analysis treadmill pool will be the largest Additional features at this new with the ability to test for anaerobic and sports science lab available in South Carolina for public The facility will house the only 3D rehabilitation facility include a large capacity (VO max) and evaluate • Indoor and outdoor sports 2 use and allow patients to correctly motion analysis center in the state outdoor turf field for injury recovery most sport related movements, performance facility simulate land‑based walking, running that is available to the public, as well and sports performance training, including the ability to analyze an • 31,000 square feet

36 37 Where you can find our athletic trainers:

Universities and Colleges

High schools Danielle Jones serves as Athletic Trainer for Chapin High School and Columbia City Ballet. Athletic Training

thletic trainers are health care roles in more than 60 secondary Additionally, Palmetto Health‑USC Aprofessionals who collaborate schools, universities and colleges Orthopedic Center offers a certified with physicians in prevention, as well as support roles within the athletic training residency program emergency care, clinical diagnosis, physician clinic system. In the last designed to help athletic trainers therapeutic intervention and academic year, our athletic trainers expand their knowledge and rehabilitation of injuries and illnesses. were responsible for approximately diagnosis skills in musculoskeletal Our athletic trainers provide an 20,000 student athletes within the evaluation. We are one of seven unparalleled service, not only for secondary school and collegiate programs in the country accredited athletes but also for individuals athletic settings. The members of the by the Commission on Accreditation included in physical medicine and athletic training team are in every of Athletic Training Education rehabilitation. divisional level within the South (CAATE). Our residents refine their Carolina High School League as well skills and further their awareness During the 2013–2014 calendar year, as many of the institutions within the in all aspects of sports medicine nearly 7.8 million student athletes South Carolina Independent School to be able to work in a variety participated in sports nationwide. Association. Additionally, services of clinical, surgical, research and In 2013, there were 1.24 million at the collegiate level are provided educational settings. emergency room visits resulting from to eight National Collegiate Athletic the 14 commonly played sports by Athletic trainers serve the Midlands Association (NCAA) Division I, students under the age of 19. These area through our educational Division II or National Association facts underscore the vital importance outreach and coverage of community of Intercollegiate Athletics (NAIA) of the role of athletic trainers and athletic events. Injury prevention, institutions within the Midlands their growing response to this need injury awareness and prompt care region of South Carolina. This within our communities. are promoted and emphasized involvement has enabled the to parents, coaches and athletes Our athletic trainers can be found athletic training service line at through our continuous involvement in secondary schools (middle and Palmetto Health to remain one of with county and state recreation Local clubs and organizations high schools), universities and the most prolific and productive departments and associations. colleges, physician offices and athletic training outreach systems in These interactions create a lasting hospitals within the Midlands region the Carolinas. impression and earn the trust of South Carolina. Specifically, of patients, families and sports these providers play vital care program leaders.

38 39 “I started the Wellness program after I had a total hip replacement. Wellness helped with my recovery and gave me the confidence I needed regarding what kind of exercises were appropriate for me based on my age, lifestyle and physical abilities so I could continue improving my fitness. Now, I’m stronger and have much more energy than I did prior to starting Wellness!” MedFit12 ‑ Judy Cotchett Smith Our MedFit12 program is a MedFit12 was developed with a Expected clinical outcomes comprehensive medical wellness single premise: • Weight loss program designed to motivate Lifestyle mediated conditions can participants to lose weight, prevent • Reduced abdominal fat be prevented and reversed by and/or reverse morbidities including comprehensive lifestyle intervention. • Improved cardiopulmonary fitness diabetes and improve fitness, energy and whole body health. The MedFit12 protocol • Improved musculoskeletal strength, balance and mobility The program lasts three months 1. Physical assessment including: and includes nutrition counseling, • Improved blood pressure (systolic • Review of past medical history supervised exercise sessions and and diastolic) and family medical history behavior modification. MedFit12 • Measurement of biometrics • Improved lipid panel (reduced is evidence‑based and meets the including blood pressure, LDL, VLDL and triglycerides; Wellness recommendations of the American heart rate, oxygen saturation, increased HDL) College of Sports Medicine (ACSM), body mass index (BMI), body American Medical Association, the • Improved glucose levels and fat, waist circumference and A new approach to your health care Supervised exercise Medical nutrition consultation National Institute of Health and reduced hemoglobin A1C body composition Sometimes, the road to good health Working out can be intimidating. One of the most important steps on the American Physical Therapy • Submaximal cardiovascular • Documented reversed coronary begins with a little help. Where do you start? What is the road to overall wellness is proper Association. fitness test artery disease, type 2 diabetes and effective? What is safe? nutrition. Working alongside your At Palmetto Health‑USC Orthopedic The wellness program was initially sleep apnea health care providers, our registered 2. Lifestyle and nutrition assessment Center, we offer a comprehensive Our highly trained exercise developed to assist orthopedic dietitian nutritionist will meet with you and screening • Improved orthopedic issues medical wellness program that can physiologists can help. We provide a patients before surgery in reducing one‑on‑one to create a nutrition plan such as shoulder, back, hip and empower you to lose weight, reduce safe and effective supervised exercise risk factors like obesity and diabetes 3. Cardiovascular prescription [per and teach you how to manage chronic knee pathologies risk factors such as high blood program supporting: in order to reduce the risk of American College of Sports conditions such as: pressure, improve conditions such • Weight management post‑surgical complications and Medicine (ACSM) guidelines] • Improved energy and well‑being • Overweight/obesity as diabetes and improve your overall • Chronic illness risk intervention improve outcomes. • Cardiovascular disease 4. Corrective exercise prescription fitness, health and well‑being. • Pre‑ and post‑rehabilitation Seventy percent of all health • Elevated cholesterol The clinical application of [per American Physical Therapy • Improving fitness care expenses stem from Our programs include nutrition, • High blood pressure (hypertension) MedFit12 has expanded to Association guidelines] • Overall health and well‑being supervised exercise and more • Diabetes include all patients within the chronic conditions.* 5. Twice weekly supervised exercise comprehensive options that The first step is easy. Supervised • Arthritis Palmetto Health‑USC Medical Group For a high percentage of patients, combine nutrition and exercise exercise begins with a physical network with lifestyle‑mediated risk sessions [per ACSM guidelines] You’ll begin by completing a nutrition these chronic conditions may with behavior modification. Our assessment at our office to provide a factors including: with an exercise physiologist assessment with our registered be preventable: team includes registered dietitian baseline for our exercise physiologist • Overweight and obesity • Obesity – 90% preventable dietitian nutritionist to review your 6. Weekly nutrition consults, nutritionists, exercise physiologists, to design a personalized program • Pre‑diabetes and diabetes • Heart Disease – 80% preventable medical history and current dietary including behavior modification, physical therapists and experts and set SMART goals – Specific, • Cardiology (coronary artery • Stroke – 80% preventable and lifestyle habits. Together, you’ll recipes and menu planning with in biomechanics and functional Measurable, Attainable, Relevant and disease, hypertension, a registered dietitian nutritionist • Diabetes – 80% preventable identify areas of opportunity for • Cancer – 80% preventable anatomy. All of our programs are Time‑bound. hyperlipidemia, etc.) improving your diet and maximizing [per Academy of Nutrition and evidence‑based and include physician • Orthopedic issues improved After your physical assessment, you your health and energy. Follow‑up Dietetic guidelines] oversight. by weight loss (back, hip and can register for one of our supervised visits will help you stay on track with 7. Ending assessment, progress note knee pathologies) exercise packages to keep you the recommended changes to your and lifestyle prescription on track. eating and lifestyle habits.

* Gerard Anderson and Jane Horvath, Chronic Conditions: Making the Case for Ongoing Care (Baltimore: Johns Hopkins University, 2004).

40 41 Need photo

Shefali Patel, physical therapist, delivers individualized care to one of our physical therapy patients. Rehabilitation

he practice models of orthopedic In the past several years, we have the rehabilitation team to come Tsurgery and rehabilitation have created a rehabilitation team with up with new treatment plans for evolved similarly. Just as orthopedic physical therapists who specialize certain diagnoses and identify what surgeons have become more focused in pediatrics, adolescent, spine, treatment is most effective. We on certain joints or extremities, so total joint, general orthopedic also are working to identify more Kurt Judson, physician assistant, examines a have the physical and occupational and high‑performing athletic cost‑effective ways of evaluating our patient at Convenient Care. therapists who also treat those rehabilitation. This not only allows patients’ abilities. For example, rather patients. However, our practice us to attract great clinicians but also than relying exclusively on expensive model at Palmetto Health‑USC provides patients with a level of care isokinetic testing devices, we are Convenient Care Orthopedic Center has evolved a unmatched in the area. looking at reliable alternative ways to evaluate post‑operative knee patients little differently. Our occupational therapists provide for return to competitive sports. onvenient Care is an orthopedic Convenient Care are fractures, We treat urgent orthopedic What sets our group apart is our the same high level of care. With walk‑in clinic that offers access dislocations, strains, sprains and problems such as: ability to match therapists with three dedicated hand center As we continue to grow and develop, C to orthopedic specialty care during lacerations. • Fractures their individual strengths and locations, we provide patients with our commitment to outstanding the day, after normal business hours • Lacerations passions. While it is not unusual a place to help them get back to patient care and outcomes also will Convenient Care is a full service and on weekends. This service caters • Sprains for an occupational therapist to normal activity. Our board‑certified continue to grow. In the future, we walk‑in clinic offering on‑site X‑ray, to the working professional who • Sports medicine injuries specialize in hand and fine motor hand therapists are trained in plan to support rehabilitation for fluoroscopy services, casting and has sustained an injury or other • Strains rehabilitation, it is less common for complex, advanced rehabilitation patients before and after formal durable medical equipment fitting. orthopedic condition but may not physical therapists to concentrate methods including custom splint therapy, which will help reduce cost, be able to leave work and also to Our clinic is open Monday– We also offer care for chronic on specific joints. Until six to seven fabrication. Their entire caseload is improve outcomes and the overall athletes, children and adolescents Saturday, 8 a.m.–8 p.m., to meet conditions relating to: years ago, it was common for our made up of hand, wrist, elbow and patient experience. We look forward who sustain weekend injuries, the ever‑growing needs of the • Ankle physical therapists to treat patients shoulder patients. to offering additional wellness without requiring them to wait until community. • Elbow with a rotator cuff repair, low back services for patients preparing With this type of specialization, we Monday morning to be seen. 101 Business Park Blvd., 2nd Floor • Knee pain and an ACL reconstruction all for and recovering from total joint have a great opportunity to collect Columbia, SC 29223 • Shoulder in succession. Each patient needs replacement as well as aquatic No appointment is required and most data and document outcomes, as 803‑296‑9290 • Spine therapy and sports performance insurance plans are accepted without to be treated very differently: with well as publish our research findings training for athletes recovering from a referral. Common injuries seen at different skills, a different approach in notable medical journals. Our athletic injuries and motivated to and at a different pace. research team works closely with return to competition.

42 At‑a‑glance Patient Visits: 7,953 | New Patient Visits: 5,831 43 Technician D. Bernard Green (retired 2018) provides quality care to casting patients. Other Services

Casting and more Imaging procedures such as joint injections, epidural steroid injections, selective Orthopedic technicians work in each Patients of Palmetto Health‑USC nerve root blocks, radiofrequency clinic to provide services that ensure Orthopedic Center have access Above: ablations, arthrograms and in the patients have the equipment they to some of the most advanced X‑ray technologist, development of research. Morgan Chandler, need to recover from injury. imaging services available. Imaging examines a patient. is conveniently done on‑site to help The imaging technologists are These services include: with diagnosis and treatment. licensed and registered through the Right: • Adjustments of equipment American Registry of Radiologic Types of imaging offered include: Team member • Bracing Technologists and the South Hanna Moore • Casting • Digital radiography Carolina Radiation Quality Standards assists patients • Splinting • Extremity MRI Association. Further, the facilities with physical • Wound care • Fluoroscopic interventional that offer imaging services are therapy exercises. radiography Technicians also are available to registered through the South • Magnetic resonance imaging (MRI) educate patients on the proper Carolina Department of Health and • Ultrasound use and care of walkers, canes Environmental Control, the American and crutches. Physicians also utilize in‑office College of Radiology and the Joint fluoroscopic interventional Review Committee on Education in radiography and ultrasound Radiologic Technology. units to assist when performing

44 45 Residency Program

almetto Health and University offers residents unique exposure to promoting more rapid progression Pof South Carolina School of high‑level athletes. of responsibilities. The presence of multiple faculty within each Medicine annually offer three fully Palmetto Health and Palmetto subspecialty allows for diversity of accredited five‑year orthopedic Health‑USC Orthopedic Center offer approach and opinion. surgery residency program positions a variety of training facilities and in Columbia, South Carolina. The environments that expose residents The orthopedic surgery residency residency program boasts technically to various treatment settings: program embraces five core values. superior medical expertise along with • A Level I trauma center They include producing well‑rounded a commitment to compassion and • Tertiary referral center physicians, providing a robust attention to detail. • Children’s Hospital surgical experience, facilitating Three applicants are accepted to • Hospital‑owned orthopedic life‑long learning, promoting the program each year from more surgical center professionalism and providing a than 650 applications received from • Physician‑owned orthopedic breadth of clinical settings and across the Southeast and around surgical center educational opportunities to prepare the world. Orthopedic rotations • Community hospital graduates, regardless of their include eight major subspecialties, (Palmetto Health career paths. each represented by no fewer Baptist Parkridge) Palmetto Health‑USC Orthopedic than two faculty members. The The orthopedic faculty has doubled Center accounts for upwards of rotations are based primarily in the past two years and the 135,000 outpatient visits and 7,000 at Palmetto Health Richland current faculty‑to‑resident ratio surgical procedures each year. and the Palmetto Health‑USC allows for nearly one‑on‑one Orthopedic Center clinical and operative experience “We always focus on training doctors to become who we Above: would want to take care of our Our core values Current orthopedic families,” explains Gregory surgery residents Grabowski, MD, residency program L to R top row: director, Palmetto Health‑USC Kevin Williams, MD Orthopedic Center. Logan Huff, MD Produce Provide a Michael Spitnale, MD Grabowski, who is an associate well-rounded robust surgical Matthew Pacana, MD professor of the University of physicians experience Cody Hightower, MD South Carolina School of Medicine, William Melton, MD Department of Orthopedic L to R front row: Surgery, notes the program’s high Daniel Ross, MD faculty‑to‑student ratio allows early Rebecca Senehi, MD and individualized clinical exposure Facilitate Promote Briana Stirling, MD within the various subspecialties. life-long learning professionalism Corey Hamilton, MD Thomas Ergen, MD “We have a small program, which Kyle Mobley, MD allows us to have a very cohesive Provide Adam Money, MD group,” Grabowski said. Additionally, a breadth of clinical settings he notes that having access to Right: and educational Chief residents (L to R): many of the primary physicians and opportunities Kevin Williams, MD faculty from the University of South William Melton, MD Carolina sports medicine program Kyle Mobley, MD

46 47 Research

Publications Gregory Grabowski, MD, Alexis Pilato, MD, Caroline Clark, PA, and J. Benjamin Jackson III, MD. “Human Immunodeficiency Virus in Orthopaedic Surgery.” Journal of the American Academy of Orthopaedic Surgeons. August 2017. Jay Patel PhD , Antonia McNeal OTR, CHT, Harvey Mathews DPT , Addie Middleton PhD , Lindsey Boan DPT , Madison Jacks DPT , Lindsey Riddick DPT , Jessica Shepherd DPT, Stacy Fritz PhD. “Intrarater and interrater reliability of a hand‑held dynamometric technique to quantify palmar thumb abduction strength in individuals with and without carpal tunnel syndrome.” Journal of Hand Therapy. August 2017. Alfredo Arrojas, MD, Alexandra Moreira, BS, J. Benjamin Jackson III, MD, and Gregory Grabowski, MD. “Trends in the Treatment of Single and Multi‑Level Cervical Stenosis: A Review of the American Board of Orthopaedic Surgery Database.” Journal of Bone and Joint Surgery. September 2017. Stephen A. Parada, MD, Josef K. Eichinger, MD, Guillaume D. Dumont, MD, Carrie A. Parada, BS, PE, Alyssa R. Greenhouse, BA, Matthew T. Provencher, MD, Laurence D. Higgins, MD, and Jon J.P. Warner, MD. “Accuracy and Reliability of a Simple Calculation for Measuring Glenoid Bone Loss on 3D Computed Tomography Scans.” Arthroscopy. October 2017. Kyle Mobley, MD and J. Benjamin Jackson III, MD. “A Prospective Analysis of Clinical Detection of Defective Wrapping by Dr. Benjamin Jackson presents research findings at the 2018 annual meeting of the Operating Staff.” American Journal of Infection Control. January 30, 2018. American Orthopaedic Foot & Ankle Society. J. Benjamin Jackson III, MD, Scott Vincent, MD, James Davies, MD, Kevin Phelps, MD, Chris Cornett, MD, Gregory Grabowski, MD, Brian Scannell, MD, Alan Stotts, MD, and Miranda Bice, MD. “A Prospective Multicenter Evaluation of the Adam Money, MD, Gregory Grabowski, MD, Alfredo Arrojas, MD, and Sean Sheppard. “A Retrospective Comparative Analysis Value of the On‑Call Orthopedic Resident.” Journal of Graduate Medical Education. February 2018. on the Effect of Transexamic Acid to Reduce Perioperative Blood Loss in Patients Undergoing Posterior Cervical Spine Kyle Mobley, MD and J. Benjamin Jackson III, MD. “A Prospective Analysis of Current Clinical Methods in Evaluating Sterile Surgery.” Orthopaedic Research and Education Foundation, Atlanta, GA, February 9, 2018. Integrity.” American Journal of Infection Control. February 2018. Kevin Williams, MD, J. Benjamin Jackson III, MD, Christian Askew, MS, and Jeffrey Guy, MD. “Supplemental Vitamin D for William Melton, MD, Gregory Grabowski, MD, J. Benjamin Jackson III, MD, and David Koon, MD. “Orthopedic Resident Prevention of Bone Stress Injuries in Collegiate Athletes.” Orthopaedic Research and Education Foundation, Atlanta, GA, Remediation: Frequency, Interventions and Outcomes.” Journal of Bone and Joint Surgery. Accepted February 2018. February 9, 2018. J. Benjamin Jackson III, MD, Kevin Williams, MD and Christopher Chu, MD. “Normal Ultrasonographic Parameters of the William Melton, MD, Gregory Grabowski, MD, J. Benjamin Jackson III, MD, and David Koon, MD. “Orthopedic Resident Posterior Tibial, Peroneal and Achilles Tendons.” Foot & Ankle Specialist. Accepted June 2018. Remediation: Frequency, Interventions and Outcomes.” Southern Orthopaedic Association, Palm Beach, FL, July 12, 2018. William Oros, MD, Kyle Mobley, MD, and John J Walsh IV, MD. “Floating Elbow.” Medscape Drugs & Diseases. July 2018. Tom Ergen, MD. “Impact of Femoroacetabular Impingement Bony Abnormalities on Severity of Labral Injury.” Southern Orthopaedic Association, Palm Beach, FL, July 13, 2018. Presentations Cody Hightower, MD, Kyle Mobley, MD and Thomas Jones, MD. “Supine Arthroscopy Tower Positioning for Proximal Humerus ORIF.” Southern Orthopaedic Association, Palm Beach, FL, July 13, 2018. Tom Ergen, MD, Guillaume Dumont, MD, Adam Money, MD, Matthew Pacana, MD, and Allen Barnes Jr. “Correlation of Adam Money, MD, Guillaume Dumont, MD, and Matthew Pacana, MD. “Acetabular Labral Tear Dimensions and Quantity of Radiographic Findings with Intraoperative Findings During Hip Arthroscopy for Femoroacetabular Impingement.” South Suture Anchors Used to Repair.” Southern Orthopaedic Association, Palm Beach, FL, July 13, 2018. Carolina Orthopaedic Association, Kiawah Island, SC, August 4, 2017. William Melton, MD, Kelan Drake‑Lavelle, BS, J. Benjamin Jackson III, MD, and John J. Walsh IV, MD. “Incidence, Prevalence, Andrew Swentik, MD, Guillaume Dumont, MD, J. Benjamin Jackson III, MD, William Melton, MD, and Alfredo Arrojas, MD. and Treatment Trends of Radial Tunnel Syndrome.” Southern Orthopaedic Association, Palm Beach, FL, July 14, 2018. “AIIS Morphologic Classification: Evaluation of the Accuracy of Plain Radiographs.” South Carolina Orthopaedic Association, Kiawah Island, SC, August 4, 2017. Adam Money, MD, Gregory Grabowski, MD, Alfredo Arrojas, MD, and Sean Sheppard. “A Retrospective Comparative Analysis on the Effect of Transexamic Acid to Reduce Perioperative Blood Loss in Patients Undergoing Posterior Cervical Spine Kevin Williams, MD. “Normal Sonographic Parameters of the Posterior Tibial, Peroneal, and Achilles Tendons.” South Carolina Surgery.” Southern Orthopaedic Association, Palm Beach, FL, July 14, 2018. Orthopaedic Association, Kiawah Island, SC, August 2017. Kevin Williams, MD, Grace Demarco, BS, and Michael Horan, MD. “Vitamin D Trends in the Pediatric Orthopaedic Population: Kevin Williams, MD, J. Benjamin Jackson III, MD, Christian Askew, MS, and Jeffrey Guy, MD. “Supplemental Vitamin D for A Survey.” Southern Orthopaedic Association, Palm Beach, FL, July 14, 2018. Prevention of Bone Stress Injuries in Collegiate Athletes.” South Carolina Orthopaedic Association, Kiawah Island, SC, August 2017. Kevin Williams, MD. “Normal Sonographic Parameters of the Posterior Tibial, Peroneal, and Achilles Tendons.” Southern Orthopaedic Association, Palm Beach, FL, July 2018. Andrew Swentik, MD, Guillaume Dumont, MD, J. Benjamin Jackson III, MD, William Melton, MD, and Alfredo Arrojas, MD. “AIIS Morphologic Classification: Evaluation of the Accuracy of Plain Radiographs.” Eastern Ortopaedic Association, Miami Beach, Cody Hightower, MD and Michael Tucker, MD. “Hip Fractures Due to Gunshot Wounds: How Bad Are They?” South Carolina FL, October 2017. Orthopaedic Association, Kiawah Island, SC, August 3, 2018. James Davies, MD, John J. Walsh IV, MD, and J. Benjamin Jackson III, MD. “Evaluating Tourniquet Efficacy Comparing Adam Money, MD, Gregory Grabowski, MD, Alfredo Arrojas, MD, and Sean Sheppard. “A Retrospective Comparative Analysis Contrasting Exsanguination Techniques for Extremities.” Orthopaedic Research and Education Foundation, Atlanta, GA, on the Effect of Transexamic Acid to Reduce Perioperative Blood Loss in Patients Undergoing Posterior Cervical Spine February 9, 2018. Surgery.” South Carolina Orthopaedic Association, Kiawah Island, SC, August 4, 2018.

48 49 Posters Allen Barnes Jr., J. Benjamin Jackson III, MD, and Gregory Grabowski. “The Epidemiology of Cervical Spine Injuries Refer a patient in 25 NCAA Sports from 2004‑2014 Academic Years.” South Carolina Orthopaedic Association, Kiawah Island, SC, August 4, 2017. he orthopedics department of Palmetto Health‑USC For more information on providers and locations, visit William Melton, MD, Gregory Grabowski, MD, J. Benjamin Jackson III, MD, and David Koon, MD. “Orthopaedic Resident Medical Group is growing in resources and providers. www.PHUSCOrthoCenter.org. To make a referral to one Remediation: Frequency, Interventions, and Outcomes.” South Carolina Orthopaedic Association, Kiawah Island, SC, T Every subspecialty and every physician work closely of the orthopedic physicians, please reference the contact August 4, 2017. together to ensure patients receive quality orthopedic information listed below: Allen Barnes Jr., J. Benjamin Jackson III, MD, and Gregory Grabowski. “The Epidemiology of Cervical Spine Injuries in care. The teams operate as one practice. 25 NCAA Sports from 2004‑2014 Academic Years.” Cervical Spine Research Society. Hollywood, FL, December 1, 2017. Kevin Williams, MD, Chris Askew, MS, Chris Mazoue, MD, Jeffrey Guy, MD, Toni Torres‑McGee, PhD, and J. Benjamin Jackson III, MD. “Vitamin D3 Supplementation and Stress Fracture Occurrence in High‑Risk Collegiate Athletes.” Call 803‑29ORTHO (803‑296‑7846) for: Pediatric Research in Sports Medicine Society, Plantation, FL, January 26, 2018. Foot and Ankle Pediatric Orthopedics Sports Medicine Candler Matthews, BS, Allen Barnes Jr., and J. Benjamin Jackson III, MD. “Epidemiology of Achilles Tendon Injuries in J. Benjamin Jackson III, MD Michael P. Horan, MD, MS Guillaume D. Dumont, MD 25 NCAA Sports from 2004‑2014.” American Academy of Orthopaedic Surgeons, New Orleans, LA, March 8, 2018 Ryan M. Putnam, MD Christopher R. Hydorn, MD Jeffrey A. Guy, MD James Davies, MD, John J. Walsh IV, MD, and J. Benjamin Jackson III, MD. “Evaluating Tourniquet Efficacy Comparing W. Bret Smith, DO, MS Mark D. Locke, MD S. Wendell Holmes Jr., MD Contrasting Exsanguination Techniques for the Upper Extremity.” Discover USC, Columbia, SC, April 20, 2018. Kristen M. Nathe, MD Christopher G. Mazoué, MD Hand and Upper Extremity Frank K. Noojin III, MD Grace Demarco, BS, and J. Benjamin Jackson III, MD. “Teriparatide Use in Anterior Diaphyseal Tibial Stress Fracture David B. Fulton, MD Spine Mickey F. Plymale, MD Healing: A Case Report.” Discover USC, Columbia, SC, April 20, 2018. Earl B. McFadden Jr., MD John Clavet, MD Matthew R. Pollack, MD Guillaume Dumont, MD, Matthew Pacana, MD, and Adam Money, MD. “Acetabular Labral Tear Dimensions and Quantity John J. Walsh IV, MD P. Douglas deHoll, MD of Suture Anchors Used to Repair.” Discover USC, Columbia, SC, April 20, 2018. William T. Felmly, MD Trauma and Fracture Care Joint Replacement Guillaume Dumont, MD, Tom Ergen, MD, Adam Money, MD, Matthew Pacana, MD, and Allen Barnes Jr. “Correlation Gregory Grabowski, MD Thomas M. Jones, MD of Radiographic Findings with Intraoperative Findings during Hip Arthroscopy for Femoroacetabular Impingement.” Kim J. Chillag, MD Kamran Z. Koranloo, MD Kevin A. Murr, MD Discover USC, Columbia, SC, April 20, 2018. Jeffrey S. Hopkins, MD Pranitha R. Nallu, MD Michael C. Tucker, MD David E. Koon Jr., MD Michael W. Peelle, MD, MHA Cody Hightower, MD, Kyle Mobley, MD and Thomas Jones, MD. “Supine Arthroscopy Tower Positioning for Proximal Andy T. McGown, MD David A. Scott, MD Humerus ORIF.” Discover USC, Columbia, SC, April 20, 2018. Bradley P. Presnal, MD James Viapiano, MD S. Wendell Holmes, MD, Logan Huff, MD and Allen Barnes Jr. “Postoperative Magnetic Resonance Imaging of Meniscal Frank R. Voss, MD Root Reconstruction.” Discover USC, Columbia, SC, April 20, 2018. Candler Matthews, BS, Allen Barnes Jr., and J. Benjamin Jackson III, MD. “The Epidemiology of Lower Leg/Achilles Call 803‑774‑7621 for: Injuries in High School Athletes from 2011–2012 to 2013–2014.” Discover USC, Columbia, SC, April 20, 2018. Sumter Orthopedic Specialists William Melton, MD, Kelan Drake‑Lavelle, BS, J. Benjamin Jackson III, MD, and John J. Walsh IV, MD. “Incidence, Danny H. Ford, MD Prevalence, and Treatment Trends of Radial Tunnel Syndrome.” Discover USC, Columbia, SC, April 20, 2018. Kurt T. Stroebel, MD William Melton, MD, Gregory Grabowski, MD, J. Benjamin Jackson III, MD, and David Koon, MD “Orthopedic Resident Ryan C. Zitzke, MD Remediation: Frequency, Interventions, and Outcomes.” Discover USC, Columbia, SC, April 20, 2018. Adam Money, MD, Gregory Grabowski, MD, Alfredo Arrojas, MD, and Sean Sheppard. “A Retrospective Comparative Analysis on the Effect of Transexamic Acid to Reduce Perioperative Blood Loss in Patients Undergoing Posterior Cervical Spine Surgery.” Discover USC, Columbia, SC, April 20, 2018.

Book Chapters Kristen Nathe, MD and Kevin Williams, MD. “Lateral Condyle Fractures; what’s new?” In Operative Techniques in Orthopaedic Surgery. William Melton, MD and J. Benjamin Jackson III, MD. “Concussion in the Young Athlete.” In Youth Sports in America: The Most Important Issues in Youth Sports Today. Edited by Skye G. Arthur‑Banning. ABC‑CLIO, 2018.

50 51 Midlands Practice locations

76 26 Irmo Forest Acres 1 4 5 100 Palmetto Health Pkwy., Suite 320 3600 Forest Dr., Suite 200

1 SESQUICENTENNIAL Columbia, SC 29212 Columbia, SC 29204 STATE PARK Physician offices Occupational therapy, rehab, wellness 20 LAKE MURRAY 176 803‑296‑7846 803‑296‑9207 277 300 Palmetto Health Pkwy., 2nd Floor Columbia, SC 29212 3 77 5 Northeast Columbia 4 Physician offices, adult and youth rehab 2,7 126 803‑296‑7846 378 101 Business Park Blvd., 2nd Floor Columbia, SC 29223 20 7 378 Physician offices, Convenient Care, rehab Lexington 803‑296‑7846 To Sumter To Columbia 2 76 378 401 102 Saluda Pointe Dr. 26 77 Lexington, SC 29072 Adult, youth and pediatric rehab 6 Sumter 803‑296‑7846 SESQUICENTENNIAL 100 N. Sumter St., Suite 200 STATE PARK Sumter, SC 29150 20 26 104 SaludaLAKE MURRAY Pointe Dr. 176 Lexington, SC 29072 Physician offices 803‑774‑7621 277 521 Physician offices, MRI, occupational therapy, outpatient surgery 803‑296‑7846 77 378 7126 20 378 Sumter 3 Downtown Columbia 903 Huger St. Columbia, SC 29201 To Sumter 2 Medical Park Rd., Suite 104 and Lower Level To Columbia 803‑296‑9202 378 Columbia, SC 29203 77 401 Physician offices 102 Saluda Pointe Dr. 803‑296‑7846 Lexington, SC 29072 6

14 Richland Medical Park Dr., Suite 200 803‑296‑7846 Columbia, SC 29203 26 Physician offices 803‑296‑7846 521