UT Southwestern Orthopaedic Journal 2019-2020 from the Editor Table of Contents
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Department of Orthopaedic Surgery UT Southwestern Orthopaedic Journal 2019-2020 From the Editor Table of Contents It is with great pleasure that I present the fourth annual edition of the UT Southwestern Orthopaedic Journal. This journal stays true to its original vision of providing program updates, highlighting faculty Message from the Chairman 2 and resident academic achievements, summarizing research, and displaying the camaraderie within the program. I would like to thank all the people who made this journal possible. Julie Mitchell and our Orthopaedic Surgery Program Overview/Teaching Sites 3 editing team, your tireless dedication to this journal is evident throughout its pages. Additionally, thank you to all the faculty and residents who have helped fill this journal by contributing their research and New Zealand Rotation 5 academic achievements. Orthopaedic Surgery Faculty 7 The 2019-2020 academic year was an incredibly exciting and busy time for UT Southwestern. Our department continued to grow stronger with the addition of new faculty members across multiple spe- Texas Scottish Rite Faculty 9 cialties. Additionally, we welcomed an excellent class of six new interns. Our scholarly output continued to flourish, as evidenced by our more than 125 publications featured in this journal. Furthermore, our Faculty with Secondary Appointments 11 faculty and residents had the privilege to share our research at podium and poster presentations around the world. Finally, we have now successfully sent 11 residents to train in Auckland, New Zealand. Orthopaedic Surgery Chief Residents/Family Photos 13 It’s hard to believe how quickly these five years have flown by for my class. It seems like just yesterday Incoming Interns 15 the six of us were walking into the hospital for our first day of work. We owe an incredible debt of grati- tude to all of our faculty for their tireless dedication to our education. We want to thank those staff at Holders of Endowed Chairs 18 UT Southwestern, Parkland, Texas Scottish Rite, and Auckland/Starship Hospital for their patience, guidance, and instruction along our orthopaedic journey. The six of us are honored to join the distin- Visiting Professor – Dr. Ezaki 19 guished alumni of UT Southwestern, and we are proud to carry on their legacy. W.B. Carrell Visiting Professor 20 I would like to thank my wife, Anna, for her unwavering support these last five years. You have been an incredible mother to our new son, Michael Aurelio, and the two of you are my world. Lastly, I would like Charles F. Gregory Memorial Lectureship 21 to thank my mother and father for their commitment to my education and the wisdom and guidance they have provided over the years. I am forever grateful. Gregory Visiting Professor 22 Please enjoy the 2019-2020 UT Southwestern Orthopaedic Journal. We look forward to continuing this Regents’ Outstanding Teaching Award – Dr. Herring 23 journal’s tradition of sharing program updates, highlights, and research for years to come. In Remembrance – Dr. Gottschalk 24 Simulation Center 25 Orthopaedic Surgery Events 27 Michael Del Core, M.D. Resident Awards 29 Faculty Awards 30 Abstracts 31 Orthopaedic Surgery Presentations Around the World 107 Presentations 109 Message from the Chairman The Department of Orthopaedic Surgery is pleased to publish the fourth edition of the UT Southwestern Orthopaedic Journal. This issue would not have been possible without the hard work of Dr. Michael Del Core (Editor) and Julie Mitchell (Coordinator to the Chair). It would be an understatement to say that this has been a challenging year. COVID-19 has become a household word and wreaked havoc on health care systems around the globe. We are blessed with truly outstanding leadership at UT Southwestern, and, despite the enormous financial impact of COVID-19, the Medical Center has a great foundation on which to begin the process of healing and recovery. In the midst of this crisis, some silver linings arose. All of us benefited from virtual meetings and education, making us rethink the traditional model of meetings and conferences. On a personal note, I truly enjoyed walking my dogs and drinking coffee while listening to meetings. Heightened faculty and resident engagement was evident during these conferences. Prior to COVID-19, most orthopaedic surgeons were not practicing telemedicine. Yet somehow even seasoned citizens like myself were able to navigate EPIC and perform a virtual visit. Telemedicine, in some form, is here to stay and will likely expand in the future. During this past academic year, members of our orthopaedic family experienced tremendous personal loss. Dr. Frank Gottschalk, longtime faculty member, passed away on November 29, 2019. Frank was thoroughly enjoying retirement, and his passing was far too early. Frank’s South African accent made everything sound so much more sophisticated when he spoke at conference. I will miss seeing him at the coffee pot on Wednesday mornings. Dr. Rob Russell, a recent graduate of the residency program, passed away on April 12, 2020. Rob was truly a rising star in orthopaedic surgery, and he had a pro- found impact on all who knew him. It is fair to say that Rob set the bar for orthopaedic residents. People like Rob are few and far between, and his legacy will live on. Bette Rathjen, 21-year-old daughter of Carolyn and Dr. Karl Rathjen, died on May 1, 2020. At the time of Bette’s death she was completing her sophomore year at SMU. Carolyn and Karl have been so important to our orthopaedic family as bene- factors and friends, and our thoughts and prayers are with them. Yes, it has been a difficult and challenging year. This journal illustrates that, despite adversity, UT Southwestern Orthopaedic Surgery is moving “Onward and Upward.” Hope is eternal. Personally, I would like to thank the entire department for “stepping up” during the past year. Legacies are defined by how you handle adversity, and I am proud of everyone for their leadership. Sincerely, Dane K. Wukich, M.D. Professor and Chair, Department of Orthopaedic Surgery Holder of the Dr. Charles F. Gregory Distinguished Chair in Orthopaedic Surgery 1 2 Orthopaedic Surgery Program Parkland Memorial Hospital Over the course of five years, the Department of Orthopaedic Surgery at UT Southwestern affords Parkland Memorial Hospital Children’s Medical Center Dallas residents a comprehensive combination of patient care, research opportunities, and didactics. This (Parkland Health & Hospital System) (Children’s Health) experience extends over multiple hospitals and surgical centers throughout Dallas, many of which Parkland Memorial Hospital has gone through Children’s Health is a private, not-for-profit have received national recognition for their service to patients and to the field of orthopaedic surgery. many phases throughout its service to Dallas system that is one of the largest pediatric Orthopaedic surgery continues to be one of the most sought-after training programs for graduating County. It began as a wooden structure on Oak care providers in the United States. Children’s U.S. medical students. This year, more than 750 medical students applied to the UT Southwestern Lawn and Maple avenues in 1894. On August Medical Center is its flagship hospital. It was Department of Orthopaedic Surgery program, and 91 students formally interviewed on campus for 20, 2015, the $1.3 billion, 17-story, 862-bed also the first Level 1 pediatric trauma center in six first-year positions. Applications for fourth-year “subinternships” have also become more com- facility at 5200 Harry Hines Boulevard opened Dallas. More than 800,000 patients are seen petitive. According to Doximity’s ranking of residency programs by reputation, UT Southwestern’s its doors. It remains one of the busiest Level 1 at Children’s and affiliated locations through- Orthopaedic Surgery program is the top-ranked program in Texas. trauma centers in the United States, admitting out the Metroplex every year. Because of this more than 7,500 trauma patients each year, volume, residents at the PGY-1, -2, and -3 Every Wednesday morning, residents, faculty, ancillary staff, and medical students gather for Chief’s many of whom have orthopaedic injuries. levels become experts at surgical and non- Conference. In addition to lectures from orthopaedic faculty and other departments at UTSW, visiting The clinical volume and pathology at Parkland operative treatment of pediatric orthopaedic professors from other medical centers around the country offer a diverse, evidenced-based per- provide excellent education for residents. In trauma while rotating here. They are supported spective on modern orthopaedics. This is followed by presentations of select surgical cases that addition to the heavy trauma load they expe- by a dedicated team of pediatric orthopaedic reflect our complex patient population and broad spectrum of subspecialty coverage. In addition, a rience, junior and senior residents manage surgeons and other health care providers. bimonthly M&M conference offers insight into how to avoid and manage the myriad complications joint reconstruction, hand, spine, sports, and that one can encounter while practicing orthopaedic surgery. oncology cases. Dallas Veterans Affairs Medical Center Boundless efforts are put forth by faculty and residents alike to provide a year-round curriculum of (VA North Texas Health Care System) enriching experiences, including journal clubs, in-training exam reviews, anatomy labs, and surgical Texas Scottish Rite Hospital for Children The VA North Texas Health Care System is the skill labs. During their PGY-3 year, orthopaedic residents second-largest VA system in the nation. UT Southwestern Medical Center have the unique opportunity to spend time The Dallas VA Medical Center has proudly at the world-renowned Texas Scottish Rite cared for America’s veterans for more than half UTSW has one university hospital: William P. Clements Jr. University Hospital (CUH), a 12-floor, Hospital for Children (TSRH). Over a six-month a century.