IN MOTION NEWS FROM MEDSTAR ORTHOPAEDIC INSTITUTE

Winter 2020 A Life Changer for Detective

Inside this issue... COUPLE UNDERGOES SAME CHEF IS PAIN-FREE AFTER A RETURN TO NORMALCY AFTER ROTATOR CUFF SURGERY DOUBLE HIP REPLACEMENT WRIST HEALS CORRECTLY IN MOTION NEWS FROM MEDSTAR ORTHOPAEDIC INSTITUTE

IN MOTION, published twice yearly, shares the latest news from MedStar Orthopaedic Institute with CONTENTS our community. The Institute is made up of dozens of specialists from Visit us at MedStarOrthopaedicInstitute.org MedStar Georgetown University Hospital, features news & information MedStar Montgomery Medical Center, MedStar Southern Maryland Hospital Center, MedStar St. Mary’s Hospital, and 4 8 MedStar Washington Hospital Center. NECK & SPINE ASK A DOC Detective has Two Orthopaedic Surgeons Answer Commonly Asked Questions life-changing Sam Wiesel, MD cervical disc Chair replacement MedStar Orthopaedic Institute surgery 9 INNOVATION Kenneth A. Samet, FACHE Custom Implants Broaden Shoulder Replacement Options President and CEO MedStar Health Karen Alcorn 6 16 NEW PHYSICIANS Vice President, Marketing SHOULDER Meet MedStar Orthopaedic Institute’s Newest Physicians MedStar Health Our new MedStar Orthopaedic Institute website offers you a full range Couple with chronic and Lisa Arrington of information about almost anything related to your musculoskeletal acute injuries Regional Director, Marketing system, from explanations of conditions and new procedures, to undergo same 17 rotator cuff MEET THE TEAM MedStar Health helping you find the right doctor at the preferred location to treat you. surgery MedStar Orthopaedic Institute Physicians Norma Babington • Our design is patient-oriented, easy to navigate, and includes Managing Editor educational videos and resources to help you learn more about Tammi Bricker the musculoskeletal system—the bones, muscles, ligaments, and 20 Design & Art Direction tendons—of the body. 10 LOCATIONS ADVENTURE You’re Never Far From • Easy navigation helps you connect with the right physician for your Brother surgeons MedStar Orthopaedic Institute condition/treatment at the most convenient location. hike 180 miles over Whitney, • Our physician profiles, some with links to videos and podcasts, allow Muir, and Russell you to learn about each of our highly trained specialists online, so you mountains can find the one who meets your needs. • Patient stories bring to life first-person accounts of the MedStar Orthopaedic Institute experience. • For your convenience, we provide options for making appointments. 12 HIPS • And it’s accessible from all your devices! Chef is pain-free after double hip Get convenient and coordinated care when you need it. replacement surgery MedStarOrthopaedicInstitute.org

14 WRIST A return to normalcy after surgery to correct improperly healed wrist

2 IN MOTION MedStar Orthopaedic Institute | Winter 2020 MedStarOrthopaedicInstitute.org 855-788-6464 IN MOTION 3 SPINE & NECK “In cervical disc arthroplasty, instead of fusing vertebrae together, we replace the disc with Cervical Disc an implant that mimics normal disc motion. It basically functions as a joint that allows normal Replacement: range of motion and reduces stress on the discs above and below. The most amazing part about this technique, other than sparing your range of A Life Changer motion, is the short recovery period.” for Detective —OLIVER­ O. TANNOUS, MD

or Detective Michael Pavero, weakness, numbness, and “I came across Dr. Oliver Tannous,” he says. “He had fabulous A month after first meeting with Dr. Tannous, Detective Pavero pain in his neck and shoulders can be show stoppers. reviews from patients and did disc replacement surgery.” made up his mind and had the surgery. Dr. Tannous had fAssigned to the ATF Arson Task Force for Washington, Detective Pavero made an appointment with Dr. Tannous at warned Detective Pavero that fusion could still be a possibility. D.C., he is a 20-year veteran of the D.C. Metropolitan Police MedStar Orthopedic Institute at MedStar Washington Hospital “He told me he was planning to do the replacement, ‘but if I get Department, and his physical readiness is required for his Center. “Dr. Tannous told me disc replacement surgery WAS an in there and your anatomy is not what it looks like on film, I’ll have own safety, his colleagues’, and the citizens he protects. option, and I’d be a good candidate for it,” he says. to do a fusion.’”

So when Detective Pavero woke one morning with upper “In cervical disc arthroplasty,” explains Dr. Tannous, “instead of Detective Pavero was in luck. “When I woke up,” the detective left arm pain, he assumed it was a temporary pulled fusing vertebrae together, we replace the disc with an implant recalls, “the first thing I did was feel for a collar, which would muscle, wrapped it in an Ace™ bandage and went that mimics normal disc motion. It basically functions as a joint have meant I’d had fusion. For a minute I wondered if I’d even about his day. But two days later, his fingers were tingling. that allows normal range of motion and reduces stress on the had surgery. But I had no pain, so I knew he was able to do the Detective Pavero, 47, was a little concerned it might discs above and below. The most amazing part about this replacement.” be something serious. Doctors at a local Emergency technique, other than sparing your range of motion, is the short Department diagnosed a pinched nerve and prescribed recovery period.” And the recovery was equally successful. Not only was he pain medication. immediately without pain and could move his neck freely, he While it sounded like a great solution to the detective, “I didn’t says, “I had a day of coughing, a day of eating soup, a day of The pinched nerve did not go away. For the next several immediately jump on board,” he says. “I wanted to try a little eating soft stuff, and by day four I had a pork chop!” months Detective Pavero ping-ponged between his primary longer with physical therapy and other things I was doing.” care physician, an orthopaedist, and a neurosurgeon, along Six weeks after surgery, Detective Pavero was cleared to return with treatments of physical therapy, steroid shots, and pain Dr. Tannous agreed. He prefers to try more conservative methods to work. Since returning, he’s had to take tests on the firing range medication. Not being 100 percent, he was either on sick first. “In fact,” he says, “if you’re experiencing neck and arm pain and in defensive tactics training. He passed with no problem. leave or desk duty at work. due to disc herniation or cervical spinal stenosis, you may not “If I’d had fusion,” he says, “it would have been six months rather need surgery at all. About 75 percent of our patients get better than six weeks before I could return to work—if I could return to An MRI found a herniated cervical disc and bone spurs, and using physical therapy, anti-inflammatory medications, or steroid work at all.” a spine surgeon told him he had two choices: live with it, or injections. It’s only after we’ve exhausted those options that we have a procedure called anterior cervical discectomy and talk about surgery.” Ever grateful to Dr. Tannous, he says, “There are a few people, fusion, or ACDF. The procedure relieves pain and numbness or events, that change your life. Meeting Dr. Tannous was one by removing the problem disc and replacing it with a piece For Detective Pavero, “some days would be ok, then I’d turn my of those for me. It was as though I was on a road, my car broke of bone, a metal plate and screws. Over time the vertebrae head the wrong way, and pain would shoot up my arm. I wasn’t down, and I had to get off. Then Dr. Tannous came along and fuses and stabilizes that part of the cervical spine. While happy. I was either on desk work or at home just moping around. put me back on the road so I could drive again.” the surgery relieves pain, the patient loses some range of I couldn’t mow the lawn or do much of anything physical.” motion. And there is a long recovery.

Had Detective Pavero been retired, or in another profession, he says he may have opted for fusion. “But a physician on the police force told me that it was highly likely I would be forced to take early retirement,” he says, “because I’d have REPLACEMENT FUSION limited mobility and wouldn’t be able to perform at 100 Pros Pros percent. I knew I couldn’t survive on 15 to 20 percent • Recovery: Patients can move their necks immediately after • Has well-documented history of success over a 50-year period of my salary.” surgery and return to work within a few days, depending on • Eliminates pain, numbness, and weakness over time their jobs. For patients like Detective Pavero, it's 4 to 6 weeks One of the doctors he had seen mentioned cervical disc before returning to work. Cons replacement (arthroplasty), but said he wasn’t a candidate. • Full range of motion immediately • Must wear brace or collar for six to 12 weeks, fusion complete Yet the mere possibility of another option sent Detective • No brace or collar at 6 to 9 months Pavero to the internet looking for a second opinion. • Immediately eliminates pain, numbness, and weakness • Bone graft, usually from cadaver or pelvis Cons • Reduced range of motion Detective Michael Pavero is back investigating fires after • Because replacement surgery is only about 15 years old, • Discs above and below fused disc may degenerate faster cervical disc replacement surgery eliminated weakness, the long-term effectiveness is unknown. due to increased stress. numbness, and pain in his neck and shoulders, which could have cost him his job.

4 IN MOTION MedStar Orthopaedic Institute | Winter 2020 MedStarOrthopaedicInstitute.org 855-788-6464 IN MOTION 5 SHOULDER to SHOULDER Couple with Chronic and Acute Injuries Undergoes Same Rotator Cuff Surgery

t’s a tale of two rotator cuffs: one worn Despite excruciating pain, she wouldn’t let down by a lifetime of activity, the other her husband take her to the Emergency itorn during a split-second fall. Yet the Department. outcomes for Bruce and Anna Marie “I thought—hoped—that maybe it was Kesterson were remarkably similar, thanks only a bad sprain,” says Mrs. Kesterson. to the expertise of MedStar Orthopaedic “I wanted to tough it out and see if it Institute Surgeon Daniel M. Hampton, MD. would get better in a few days.” Mr. Kesterson, an avid golfer, led the way It didn’t. in 2014. After years of babying an old rotator cuff tear with cortisone injections After suffering for weeks, she finally and rehabilitation, his pain had gone from followed her husband’s footsteps to see nagging to acute. The retired military man Dr. Hampton. Because of the extent of her sought out the best shoulder specialist injury, Mrs. Kesterson needed surgery as near his Woodbridge, Va., home, and soon as possible. In fact, Dr. Hampton and his associates found exactly what he needed in “Unlike Bruce, whose problem had come perform the vast majority of their rotator Dr. Hampton, chief of Orthopaedics about slowly over years of wear and tear, cuff repairs as outpatient surgeries at and chairman of the Surgical Anna Marie needed a more aggressive MedStar hospitals and surgery centers Department at MedStar Southern approach,” says Dr. Hampton. “It’s the across the region. Maryland Hospital Center. difference between a chronic and an All sites also provide follow-up services That January, Mr. Kesterson had a rotator acute injury to the rotator cuff. With the and physical therapy. The goal is to keep cuff repair with Dr. Hampton, followed by first, we can afford to take our time and try patients away from heavy duty anesthesia, more physical therapy. out all other available options first, before moving to surgery. But with trauma, we prolonged bed rest in either the hospital “It was one of the best moves I ever often need to be more aggressive and or home, and get them up and moving made,” Mr. Kesterson says today. “After perform surgery sooner rather than later.” as quickly as possible. surgery and physical therapy, I was back Several months after her surgery, on the links. Five months after surgery, I That’s the standard, conservative Mrs. Kesterson continues physical played in a golf tournament and received approach throughout MedStar therapy and home exercises to improve 'The Hawk' trophy for the longest drive.” Orthopaedic Institute, where treatment is tailor-made to each individual patient’s the range of motion in her damaged A few years later, Mrs. Kesterson—who needs, and surgery is viewed as a shoulder. While her progress hasn’t been helped her husband recover from his last resort. Fortunately, the program’s quite as fast as her husband’s, she remains ordeal—was about to face her own up- specialists have multiple advanced a stalwart fan of Dr. Hampton. close-and-personal experience with treatments at their fingertips, including “We both had textbook surgeries and Dr. Hampton. In February 2019, she had a medication, rehabilitation, and minimally outcomes, despite different reasons freak fall, landing awkwardly and twisting invasive, out-patient arthroscopic surgery. for our injuries,” says Mrs. Kesterson. her arm behind her. Instead of breaking “Dr. Hampton is a star!” her impact, she ended up ripping her rotator cuff in three places.

“ It’s the difference between a chronic and an acute injury to the rotator cuff. With the first, we can afford to take our time and try out all other available options first, before moving to surgery. But with trauma, we often need to be more aggressive Anna Marie and Bruce Kesterson on the links at Forest Greens Golf Club in Triangle, Va. and perform surgery sooner rather than later.”

—DANIEL­ M. HAMPTON, MD 66 IN IN MOTION MOTION MedStarMedStar Orthopaedic Orthopaedic Institute Institute | | Winter Winter 2020 2020 INNOVATION sk a Doc “Because the implant construction is based on Replacement surgery is becoming a more attractive option patient-specific imaging data, the match is nearly perfect.” as technology improves. Here are two questions that patients —BRENT­ WIESEL, MD often ask their orthopaedic surgeons.

AHOW OLD IS TOO OLD FOR A HIP OR KNEE REPLACEMENT? New Hope for Severe Shoulder Arthritis

ip and knee replacements are elective surgeries meant to improve function and quality of life. Most often, it’s older people who seek joint replacements, because they’ve hdeveloped pain and arthritis from decades of wear and tear on those joints. When considering a replacement, we look at your medical history, current condition, and the risks of the operation. For instance, some patients in their 80s and even 90s may be healthier than patients in their 50s or 60s. However, we know that medical complications after joint replacement are higher in patients older than 85 years. Ultimately, there is no set age limit. We carefully consider your age, medical status, and severity of your symptoms to determine if the procedure’s benefits outweigh the risks. person’s reach should exceed his or her grasp, as the old saying goes. But for those with In the end, the decision for surgery rests with you and your family. In all cases, we carefully shoulder arthritis, reaching for anything—especially if it’s on a shelf or other elevated location— plan the surgery along with you, your family, primary care physicians, specialists, and J. Ryan Macdonell, MD becomes increasingly painful and frustrating as the years go by. therapists to ensure a smooth, uncomplicated recovery and a return to your active lifestyle. MedStar Montgomery Medical Center a In cases where medication and other arthritis therapies no longer provide sufficient relief, surgical interventions such as total shoulder replacements have proven highly successful in alleviating pain and restoring shoulder mobility. Relatively routine in scope, the procedure replaces the joint’s worn ball and socket elements with a metal ball atop the upper arm bone, or humerus, and a plastic socket on the surface of the shoulder blade, or scapula. For patients with rotator cuff damage, a procedure called a reverse shoulder replacement achieves the same result. WHAT CAN I DO ABOUT MY ANKLE? Until recently, however, not all patients have been able to take advantage of shoulder replacement surgery. “In extreme cases of shoulder arthritis, one or both bones have eroded to the point where they can’t MY ARTHRITIS IS MAKING ME MISERABLE! support a shoulder replacement,” explains Brent Wiesel, MD, chief of the shoulder service at MedStar Orthopaedic Institute. “The same condition can also occur in cases where a previous shoulder nkle arthritis is frequently associated with trauma, usually from a previous fracture replacement has failed.” or a sports injury (ankle sprain). Over time, the ankle joint deteriorates and becomes stiff. This can result in walking with a limp or turned-out foot that puts stress on the Expanded Possibilities for Patients Previously Not Eligible aleg and back. Physical therapy and braces can help short term, but as arthritis progresses, Those obstacles can now be overcome using a Zimmer Comprehensive® Vault Reconstruction System, those treatments become less effective. or VRS. Recently approved by the U.S. Food and Drug Administration following extensive trials, the VRS Historically, the only surgical solution to relieve pain was ankle fusion, resulting in locking combines CT imaging and advanced 3D reconstruction techniques to create a custom implant that up the joint, decreased range of motion, and stress to adjacent joints. Recent advances (Top) Severely wraps around the patient’s remaining bone. The resulting base provides a more suitable surface in ankle replacement are offering new and improved options with similar pain relief and eroded shoulder joint. to support the new reverse shoulder replacement. (Bottom) X-ray after increased joint mobility. Newer versions of ankle replacements are lasting 10 to 15 years, a reverse shoulder “Because the implant construction is based on patient-specific imaging data, the match is nearly almost doubling what previous generations offered. The surgery takes about an hour and replacement with a perfect,” says Dr. Wiesel, who began performing reverse shoulder replacements using VRS for select may be performed as an outpatient surgery. The patient can often begin weight-bearing custom made socket cases while the technology was undergoing FDA trials. Paul S. Cooper, MD activities in as little as two weeks, and fully recover in two to four months. component allowing MedStar Georgetown University Hospital for restoration of the “We were the first hospital in metropolitan Washington to use them,” he adds. “It’s been quite worn-away bone. interesting to see how refinements have made this system even better.” Dr. Wiesel notes that a reverse shoulder replacement using VRS takes about the same amount of time as a conventional procedure and the recovery time is the same—about three to four months—when­ combined with a series of prescribed progressive stretching and strengthening exercises that can be performed at home. “VRS allows us to treat a significant population that could not get help before,” he says. “The reduction in pain and improvement in overall use is remarkable.”

8 IN MOTION MedStar Orthopaedic Institute | Winter 2020 MedStarOrthopaedicInstitute.org 855-788-6464 IN MOTION 9 ADVENTURE

he brothers’ most recent adventure—an ambitious 18-day “We set up our itinerary to start with relatively low-mileage days backpacking trip on the John Muir Trail through the Sierra to help us get used to the conditions, with Dad setting the pace,” tNevada Mountains—was a true family affair, as they were Dan says, adding that scenery, not speed, was most important. joined by their 66-year-old father, Leon, an IT consultant and an “We wanted to see what was there.” active outdoors enthusiast himself. HIGH Even with their comfortable schedule, the Hamptons COUNTRY Having grown up in Southern California, the high covered more trail than expected on the first few Sierras are familiar territory for the Hampton days. So much so that they were able to take a day 2019 family. In 2016, father and sons did a five-day off after about a week to physically recharge for backpacking trip through the area. This time, the big climbs ahead. As for their 66-year-old however, they raised the stakes, as their 180- pace-setter, Dave says, “Dad always did great. Hiking It never really felt like we were going too slow, mile route would take them to the summits of Physicians’ Rx Mts. Whitney, Muir, and Russell, all three with especially on the uphill sections.” elevations above 14,000 feet. Over the next several days, those sections would “We had never done a trip of this magnitude rise higher and steeper, cresting passes as lofty before,” says Dan, a sports medicine specialist as 13,000 feet. Yet each new exertion was always who also chairs the Surgery and Orthopaedic Surgery rewarded with yet another spectacular view. for Adventure departments at MedStar Southern Maryland Hospital Center “The scale of the high Sierras is so grand,” Dave says, ”and so in Clinton, Md. much different from the eastern part of the country.” Even with their collective outdoors experience, the Hamptons Complementing the unspoiled beauty was an absence of knew a trip through one of the country’s most remote and glitches to spoil the backcountry experience. A family friend rugged regions would require extensive planning—two years’ joined the Hamptons for the latter part of the trip right on worth, in fact. That included studying maps to plan daily mileage schedule, as did the pack mules bearing their supplies. goals and camping sites, testing gear on short hiking trips near D.C., and selecting clothing for weather extremes that could “I was always waiting for the other shoe to drop,” Dan admits, range from high heat to snow flurries. “but logistically, the trip couldn’t have gone much better.”

“Weight is always a big deal for backpacking,” says Dave, an Still, as the hikers neared the end of their journey, a shared attending orthopaedic trauma surgeon at MedStar Washington sense of exhaustion began to compete with the exhilaration of Hospital Center, “so we try to bring only gear that we’ll really completing a fun, yet demanding trek. And after almost three need and get the most use out of.” weeks of eating camp food and sleeping in a tent, the end of the trail with its celebratory pizza and beer, plus other comforts of Because it would be impractical to carry food for all 18 days, civilization, couldn’t come soon enough. the Hamptons made arrangements with one of the Muir Trail’s many resupply services to deliver a cache of fresh provisions around their halfway point. “ Part of the enjoyment of these trips is

The Hamptons also worked on preparing themselves physically, being off the grid for awhile...The scale with plenty of endurance training and core strengthening that of the high Sierras is so grand and so would be important for carrying camping essentials up and down rugged trails. Back in Southern California, Leon was much different from the eastern part of preparing himself, too, tackling several long hikes after being the country.” briefly sidelined by an ankle injury earlier in the year. —DAVE­ HAMPTON, MD As physicians, Dan and Dave had few qualms about handling any medical issues that might arise as they ventured further into “Even with the exertion, I don’t sleep well when out backpacking,” the backcountry, and beyond the reach of cell phone coverage. Dan says. “The first night back in a regular bed felt glorious!” Dan always brings along a portable satellite device to trade texts After a day of relaxing at their parents’ house, Dan and Dave with his family and signal for help in an emergency. (l to r) David, father Leon, and Dan Hampton trekked headed back to D.C. and their busy work schedules. Not 180 miles to the summits of Mts. Whitney, Muir, and “But no email,” he says with a laugh. “Part of the enjoyment of surprisingly, however, the brothers’ thoughts have already turned Russell in late summer. these trips is being off the grid for a little while.” to their next big adventure. One possibility is a rock-climbing trip up the face of Yosemite’s famed El Capitan, a 3,000-foot vertical It’s Go Time! climb that typically takes several days to complete. The adventure began on August 3, with some family camping at Until then, the brothers will have no shortage of Muir Trail Yosemite National Park. The intrepid hikers used those relaxing memories to savor. Brothers Dan Hampton, MD, and David Hampton, MD, have a lot in common. Both days to make last-minute preparations, acclimate themselves to the higher elevation, and help minimize the potential for altitude “It’s just fun going out to the backcountry,” Dave says, “and being are surgeons with MedStar Orthopaedic Institute, both graduated from Georgetown sickness. (Even the floor of Yosemite Valley is 10 times higher someplace that takes time and effort to get to.” University’s School of Medicine, and both share a lifelong love of the outdoors—hiking, than Washington, D.C.) rock climbing, and anything else that combines physical activity with beautiful scenery. Luck was on the Hamptons’ side when they hit the trail with perfect weather that would last the entire trip.

10 IN MOTION MedStar Orthopaedic Institute | Winter 2020 MedStarOrthopaedicInstitute.org 855-788-6464 IN MOTION 11 HIPS

“This is the outcome we want to see with every patient we treat. Our ultimate goal is to maximize function and improve the quality of their lives.” —J.­ RYAN MACDONELL, MD

New Hips for a Maestro of the Kitchen hef Antonio Lombardi leads his busy team in a carefully Protocol for Optimal Recovery choreographed ballet. Together, they produce the Chef Lombardi benefited from a rapid recovery protocol for authentic Roma dishes that patrons of his Olney, Md., joint replacement that relies on a diverse team of experts, says crestaurant have come to love. Dr. Macdonell. “Even before surgery, we want to ensure the optimal result by eliminating medical issues that might impede But when hip pain began to slow him down, he knew it was time recovery. That might mean weight loss or reducing blood to act. “I had X-rays that showed both hip joints were deteriorated pressure, for example. Patients also attend a pre-op class where by arthritis. Joint replacement was recommended,” says Chef nurses and physical therapists from the hospital’s joint unit Lombardi. “The first surgeon I saw told me I’d be out of work for describe what patients can expect.” months recovering. I knew I couldn’t take that much time away from my restaurant.” Physical therapy is part of the process, Dr. Macdonell says. “Some patients with muscle weakness will benefit from physical That’s when the chef met J. Ryan Macdonell, MD, an orthopaedic therapy before surgery. And just hours after surgery, patients will surgeon and expert in hip and knee replacement at MedStar be up and moving to reduce pain and the possibility of blood Montgomery Medical Center. He performs a procedure with a clots. After they leave the hospital, patients will likely have home much faster recovery time: direct anterior hip replacement. physical therapy for a week or two, and then continue with Saving Muscle for Faster Recovery outpatient therapy right here at the hospital.” “Direct anterior hip replacement is a muscle-sparing approach During his post-operative outpatient physical therapy, Chef that speeds recovery,” explains Dr. Macdonell. “In this procedure, Lombardi scored a perfect “two-fer.” While strengthening his I make a four-inch incision at the top of the thigh from the front of left hip, he was also preparing for surgery on the right. “I was the patient. Gaining access to the hip joint saves muscle, which rehabbing one hip and strengthening and stretching my translates into less pain and a much easier rehabilitation.” right leg and hip muscles, so I would do even better after my second surgery,” Chef Lombardi says. Just three months after Chef Lombardi, 57, required the surgery on both of his hips. In the first procedure, Dr. Macdonell replaced the chef’s right hip. April 2018, he had the first procedure on his left side. During the “I could tell right away that I was stronger this time," he says. surgery, he underwent general anesthesia and his deteriorating This is the outcome we want to see with every patient we treat,” hip was replaced with a metal, ceramic, and plastic joint implant Dr. Macdonell says. “Our ultimate goal is to maximize function that should last for decades. The procedure took less than 90 and improve the quality of their lives.” minutes. “I went into the hospital at 5:45 a.m. on a Monday, was back in my room by 11:45 a.m., and up on my feet walking soon For Chef Lombardi, living pain-free has been delicious. “My hips after that,” he says. “I went home the next day, had some home are great now. I was really happy with the whole process, from physical therapy, and went back to work on Thursday!” A to Z. Everyone at the hospital was an angel. I’d recommend the procedure to anyone.” Chef Antonio Lombardi is pain-free after double hip replacement surgery.

12 IN MOTION MedStar Orthopaedic Institute | Winter 2020 MedStarOrthopaedicInstitute.org 855-788-6464 IN MOTION 13 WRIST

“ The wrist can tolerate a certain amount of deformity, but Mr. Barr's deformity was such that I felt surgery was the only way to ultimately reduce his pain and improve his function.” WRIST —CURTIS­ HENN, MD REPAIR

FROMBouncing IMPROPERLY HEALEDBack WRIST FRACTURE

esmond Barr, 50, had just dropped his wife off at work "The wrist can tolerate a certain amount of deformity, but one day, when suddenly another vehicle struck his car. Mr. Barr's deformity was such that I felt surgery was the only dMr. Barr immediately felt severe pain in his right arm. way to ultimately reduce his pain and improve his function," He was transported by ambulance to a nearby Level I Trauma says Dr. Henn. Center because there was concern he had a head injury as well. Mr. Barr agreed and underwent outpatient surgery with Dr. Henn, X-rays at that hospital confirmed Mr. Barr had fractured his wrist. who used a saw and a chisel-like instrument to recreate the Doctors there aligned the displaced bone and ultimately elected fracture. He then put the bone in correct alignment and secured to treat him in a cast. it with two stainless steel plates and nine screws. The technically challenging surgery took about two-and-a-half hours. Mr. Barr followed up on his orthopaedic care, but his wrist remained in pain. “The doctor prescribed pain medication,” “My wrist is great now. I have no he recalls, “but I didn’t want that. I wanted my wrist to heal so I wouldn’t be in pain!” The doctor then referred him to hand numbness or weakness, and absolutely therapy to improve strength and range of motion. Mr. Barr chose MedStar Georgetown University Hospital for his rehabilitation no pain. I’m so glad I went to see and began seeing Occupational Therapist Deborah Furcolo, Dr. Henn.” OTR/L, CHT. —DESMOND­ BARR

“I still couldn’t write,” says Mr. Barr, who is right-handed. “And I After spending several days in a splint, Mr. Barr’s arm was placed couldn’t work at all, as I cook for a living. In my mind, I thought it in a cast, which he wore for six weeks. He then returned to see just needed more time.” Ms. Furcolo for additional hand therapy sessions.

But as the weeks passed, time and therapy did not ease the Mr. Barr’s wrist subsequently healed in the appropriate pain or improve his range of motion. At his wife’s insistence, alignment, and he has regained nearly normal range of motion. Mr. Barr sought a second opinion. Ms. Furcolo recommended His hand and wrist no longer bother him. “My wrist is great now,” Orthopaedic Hand Surgeon Curtis Henn, MD, at MedStar he says. “I have no numbness or weakness, and absolutely no Georgetown. pain. I’m so glad I went to see Dr. Henn, and I put him at the top of my list of doctors. Not only does he make sure you understand Mr. Barr saw Dr. Henn nearly three months after the accident. everything, he cares about your overall well-being.” Desmond Barr has New X-rays ordered by Dr. Henn showed his fracture had healed recovered nearly in an improper position. To remedy it, and since conservative full range of motion measures had failed, Dr. Henn recommended surgery. in his wrist after surgery to repair an improperly healed fracture.

14 IN MOTION MedStar Orthopaedic Institute | Winter 2020 MedStarOrthopaedicInstitute.org 855-788-6464 IN MOTION 15 MedStar Orthopaedic Institute MEDSTAR ORTHOPAEDIC INSTITUTE PHYSICIANS Welcomes Our New Physicians MEET OUR TEAM NICHOLAS CASSCELLS, MD, Orthopaedic Dr. Casscells received his medical degree from Surgeon, specializing in foot and ankle surgery, Jefferson Medical College, Philadelphia, Pa. He sees patients at MedStar Georgetown University completed his residency in Orthopaedic Surgery FOOT AND ANKLE SURGERY HIP AND KNEE REPLACEMENT Hospital, Lafayette Centre, and Chevy Chase. at MedStar Georgetown University Hospital and a fellowship in Foot and Ankle Surgery at MedStar He says, “I like to place emphasis on treating the Union Memorial Hospital. whole patient and not just the foot and ankle. I believe it is important to listen to patients and In his free time, Dr. Casscells says he enjoys water their problems related to their feet and how it sports (skiing, wakeboarding, and sailing) as well affects their life. I provide options so we can as racquet sports, hiking, and watching college work together to develop a treatment plan basketball. “Mostly,” he says, “I enjoy spending tailored to each individual’s diagnosis, lifestyle, time with my family.” and activity goals.” Nick Casscells, MD Paul Cooper, MD Francis McGuigan, MD Brian Evans, MD William Lennen, MD J. Ryan Macdonell, MD MedStar Georgetown MedStar Georgetown MedStar Georgetown MedStar Georgetown MedStar St. Mary’s MedStar Montgomery University Hospital University Hospital University Hospital University Hospital Hospital Medical Center JOSEPH L. FERGUSON, MD, DPT, is an He received a doctorate in Physical Therapy from Additional Locations: Additional Locations: Additional Locations: Orthopaedic Spine Surgeon, with a special interest Drexel University, Philadelphia, Pa., and his medical Chevy Chase McLean Leisure World in degenerative spine disorders. Dr. Ferguson degree from Jefferson Medical College, Phila- Lafayette Centre sees patients at MedStar Georgetown University delphia, Pa. He was a research intern at Shriners Hospital and Chevy Chase. Hospital for Children, and completed his residency HAND AND ELBOW SURGERY at MedStar Georgetown University Hospital, and a Dr. Ferguson says, “I believe in patients taking fellowship in Orthopaedic Spine Surgery from Rush an active role in directing their care and recovery. University Medical Center, Chicago, Ill. I work with patients to find the treatment that will most effectively restore or preserve their maximum Outside of work, Dr. Ferguson says he likes “travel level of function. I had a previous career as a and athletics, but most time is spent with my physical therapist and believe that the body is family. I have two young daughters that take the often capable of healing itself with the proper majority of my free time!” guidance, with surgery being used as a last resort when conservative management has truly failed.” John Foley, MD Curtis Henn, MD Ryan Jander, MD Michael Kessler, MD MedStar Montgomery MedStar Georgetown MedStar Southern MedStar Georgetown Medical Center University Hospital Maryland Hospital Center University Hospital JOHN S. FOLEY, MD, Orthopaedic Hand Dr. Foley received his medical degree from Additional Locations: Additional Locations: Additional Locations: Surgeon, specializes in hand, wrist, and forearm New York Medical College, Valhalla, NY. He did Lafayette Centre Alexandria Chevy Chase surgery. He has special interest in arthritic and his orthopaedic surgery residency at SUNY Brandywine inflammatory conditions of the hand and wrist, and Downstate, Brooklyn, NY, and a hand surgery Lake Ridge in nerve compression disorders, including carpal fellowship at Mount Sinai Beth Israel, New York, NY. tunnel and cubital tunnel syndrome. He sees Outside of work, Dr. Foley says, “I enjoy skiing, SHOULDER AND ELBOW SURGERY ORTHOPAEDIC ONCOLOGY ORTHOPAEDIC TRAUMA patients at MedStar Montgomery Medical Center reading, travel, movies, and exploring our new in Olney, Md. neighborhood with my family.” Dr. Foley says his goal as a physician is to provide “individualized care that employs appropriate con- servative, therapeutic, and surgical interventions in a comprehensive, compassionate treatment plan.”

Brent Wiesel, MD Brock Adams, MD Robert Henshaw, MD Robert Golden, MD David Hampton, MD MedStar Georgetown MedStar Washington MedStar Washington MedStar Washington MedStar Washington University Hospital Hospital Center Hospital Center Hospital Center Hospital Center Additional Locations: Additional Locations: Additional Locations: Chevy Chase Mitchellville McLean McLean

16 IN MOTION MedStar Orthopaedic Institute | Winter 2020 MedStarOrthopaedicInstitute.org 855-788-6464 IN MOTION 17 MEDSTAR ORTHOPAEDIC INSTITUTE PHYSICIANS

SPINE SURGERY GENERAL ORTHOPAEDICS

Joseph Ferguson, MD S. Babak Kalantar, MD Fred Mo, MD Alan Schreiber, MD Oliver Tannous, MD James Tozzi, MD John Byrne, MD Dennis Carlini, MD Shaun Khosla, MD Bruce Knolmayer, MD Kevin McMahon, MD Edward Rabbitt, MD MedStar Georgetown MedStar Georgetown MedStar Georgetown MedStar Southern MedStar Washington MedStar Washington MedStar Southern MedStar Southern MedStar Southern MedStar Montgomery MedStar Montgomery MedStar Southern University Hospital University Hospital University Hospital Maryland Hospital Center Hospital Center Hospital Center Maryland Hospital Center Maryland Hospital Center Maryland Hospital Center Medical Center Medical Center Maryland Hospital Center Additional Locations: Additional Locations: Additional Locations: Additional Locations: Additional Locations: Additional Locations: Additional Locations: Additional Locations: Additional Locations: Chevy Chase Chevy Chase Chevy Chase Alexandria Mitchellville Alexandria Alexandria Lake Ridge Alexandria McLean McLean Brandywine Brandywine Brandywine Lorton Brandywine Lorton Lake Ridge Lorton Waldorf Waldorf Waldorf Waldorf

SPINE SURGERY SPORTS MEDICINE GENERAL ORTHOPAEDICS Continuing to Heal: MedStar Health Physical Therapy Our care continues with the MedStar Health Physical Therapy team of nationally recognized inpatient and outpatient ortho- Sam Wiesel, MD Evan Argintar, MD Emmanuel Atiemo, MD Vestinia Bridges, MD Wiemi Douoguih, MD Daniel Hampton, MD Jeffrey Sabloff, MD paedic rehabilitation specialists. MedStar Georgetown MedStar Washington MedStar St. Mary’s Hospital MedStar Southern MedStar Washington MedStar Southern MedStar Southern University Hospital Hospital Center Maryland Hospital Center Hospital Center Maryland Hospital Center Maryland Hospital Center Consistently ranked by U.S. News Additional Locations: Additional Locations: Additional Locations: Additional Locations: Brandywine Lafayette Centre Brandywine Alexandria & World Report as one of the Waldorf Lafayette Centre Brandywine Best Hospitals in the Washington, Lake Ridge Lorton Waldorf D.C., metropolitan area, our team of board-certified physicians, physiatrists, physical and SPORTS MEDICINE occupational therapists, and therapeutic recreational specialists focuses on restoring each patient's highest level of function. Visit MedStarNRH.org.

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LOGO ON COLORED SECONDARY LOGO David Johnson, MD Carter Mitchell, MD William Postma, MD Steven Svoboda, MD Melissa Yadao, MD BACKGROUNDS MedStar Washington MedStar Montgomery MedStar Georgetown MedStar Washington Alexandria Hospital Center Medical Center University Hospital Hospital Center Lafayette Centre Additional Locations: Additional Locations: Additional Locations: Lake Ridge Chevy Chase Chevy Chase Lafayette Centre Lorton McLean

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Westminster A. M edStar Georgetown University You’re never far from MedStarUnion Bridge orthopaedic care. Hospital Bel Air 83 3800 Reservoir Rd., NW Aberdeen We’re everywhere you are. Our convenient locations throughout the Cockeysville Walkersville 95 Washington, DC 20007 Reisterstown 1 Washington, D.C., region are easy to access. Working with our more than Joppatowne B. M edStar Washington Hospital Center 35 orthopaedic surgery specialists, many with fellowship training, isOwings a team Mills of Perry Hall Frederick 795 MedStar Good Samaritan 40 Eldersburg Hospital Towson 110 Irving St., NW White Marsh specially trained nurses, technicians, rehabilitation experts and other caregivers 695 Mt. Airy Nottingham Washington, DC 20010 11 Overlea Randallstown 83 who provide the specializedCumberland care you need when you need it. C. M edStar Montgomery Medical Center 70 MedStar Union Memorial Rossville Hospital EssexMedStar Franklin Square Medical Center 18109 Prince Philip Dr. For appointments, call 855-788-6464. VisitDamascus MedStarOrthopaedicInstitute.org.BALTIMORE Ellicott City Olney, MD 20832 695 Arbutus 895 Dundalk Edgemere Clarksburg 100 D. M edStar Southern Maryland Hospital Brooklyn Park K. MedStar Orthopaedic MedStar Montgomery Columbia Medical Center Elkridge 695 Center Germantown Institute—Lorton 32 7503 Surratts Rd. 9455 Lorton Market St. C Glen Burnie Gaithersburg Olney Clinton, MD 20735 Suite 200 LeesburgReston Cloverly Laurel Fort Meade E. MedStar St. Mary’s Hospital Lorton, VA 22079 Rockville Colesville 1 Severna Park 25500 Point Lookout Rd. LansdowneLandsdowne O 95 Odenton L. MedStar Orthopaedic 270 ◆ White Oak Wheaton Arnold Leonardtown, MD 20650 7 Potomac Institute—McLean Crofton Greenbelt 50 495 Silver Spring 97 Bethesda Chester F. M edStar Orthopaedic Institute— 6858 Old Dominion Dr. Reston Bowie 50 H MedStar Washington Alexandria Suite 200 ◆ Hospital Center L Hyattsville Kent McLean◆ Annapolis Island 6355 Walker Lane, Suite 501 McLean, VA 22101 MedStar Georgetown Palmer Park University Hospital A B Mitchellville Alexandria, VA 22310 ◆N M. MedStar Orthopaedic I Kettering Arlington ◆ WASHINGTON, D.C. 66 G. MedStar Orthopaedic Institute— Institute—Waldorf Shady SIde 395 Suitland Brandywine 11325 Pembrooke Square Fairfax Annandale F Alexandria ◆ Upper Deale 13950 Brandywine Rd., Suite 225 Suite 115 495 Marlboro Groveton Brandywine, MD 20613 Waldorf, MD 20603 Manassas K ◆ Clinton 4 J 95 MedStar Southern Maryland 2 D Hospital Center H. M edStar Orthopaedic Institute— N. MedStar Orthopaedic ◆ Mt. Vernon Fort Brandywine Chesapeake Beach Chevy Chase Institute—Mitchellville Washington G 5454 Wisconsin Ave., 11th Floor 12158 Central Ave. ◆ Waldorf◆M Chevy Chase, MD 20815 Mitchellville, MD 20721 Huntington

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Leonardtown California 20 IN MOTION MedStar Orthopaedic Institute | Winter 2020 Lexington Park