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University of Washington Department of Orthopaedics and Sports Medicine Discoveries 2012 University of Washington Department of Orthopaedics and Sports Medicine UNIVERSITY OF WASHINGTON Department of Orthopaedics and Sports Medicine 2012 Research Report Department of Orthopaedics and Sports Medicine University of Washington Seattle, WA 98195 Editor-in-ChiEf: Jens R. Chapman, M.D. Managing Editor: Fred Westerberg Front Cover Illustration: Pottery by Jack Routt, Photographer: Conrad Lilleness. The cover features a ceramic basin by Jack Routt. In Latin, the word for basin is sometimes translated as pelvis. Pelvic surgery is one of the orthopaedic specialities of Jack’s father, Milton L. Routt, Jr., M.D., Professor. Jack Routt (above) is a junior at King’s High School in Seattle, WA who enjoys creating ceramic art. Contents 1 Foreword 4 In Memoriam: Paul J. Benca, M.D. July 24, 1958 - June 27, 2011 6 David R. Eyre, Ph.D.: Steindler Award 7 Peter Simonian, M.D., 2012 Grateful Alumnus 8 Robert M. Berry, M.D., 2012 Distinguished Alumnus 9 New Faculty 10 Department of Orthopaedics and Sports Medicine Faculty 14 Visiting Lecturers 16 A Very Successful Year in Orthopaedics Salvage of Failed Custom Total Ankle 20 Michael E. Brage, M.D. Replacement: A Case Report Temporary External Fixation in Calcaneal 22 John Munz, M.D., Patricia A. Kramer, Ph.D., Fractures and Stephen K. Benirschke, M.D. Enhancing Pedicle Screw Fixation in the 23 Harsha Malempati, M.D., Bopha Chrea B.S., Lumbar Spine Utilizing Allograft Bone Plug Jeffrey Campbell M.S., Sonja Khan B.S., Interference Fixation: A Biomechanical Study Randal P. Ching, Ph.D., and Michael J. Lee, M.D. Antegrade Femoral Nailing in the Setting of 25 Julius A. Bishop, M.D., Acetabular Fracture Requiring William W. Cross, III, M.D., a Kocher-Langenbeck Approach James C. Krieg, M.D., and Milton L. Routt, Jr., M.D. Simple Techniques Can Prevent Inadvertent 28 F. Parke Oldenburg, M.D., Iliosacral Screw Intrusion James C. Krieg, M.D., and Milton L. Routt, Jr., M.D. Operative Treatment of Extra-Articular 30 Winston J. Warme, M.D. Medial Clavicle Fractures and Matthew Jenkins, M.D. Traumatic Dural Tears: What Do We Know 33 Myles Luszczyk, D.O., and Are They a Problem? Gregory Blaisdell, M.D., Brett Wiater, M.D., Carlo Bellabarba, M.D., Jens R. Chapman, M.D., Julie Agel, M.A., and Richard J. Bransford, M.D. Risk Factors for Readmission of Orthopaedic 36 Elizabeth A. Dailey, M.D., Amy Cizik, M.P.H., Surgical Patients Jesse Kasten, M.A., Jens R. Chapman, M.D., and Michael J. Lee, M.D. Role of the Tumor Suppressor Prolyl 38 Russell J. Fernandes, Ph.D., 3-Hydroxlyase 2 in the Post-Translational Mary Ann Weis, B.S., Geoffrey R. Traeger, Modification of Collagen: Clues from Alex W. Farnand, and David R. Eyre, Ph.D. Research on an Osteosarcoma Cell-Line Utility of Flexion, Extension, AP and Open 41 Walter F. Krengel, M.D., Sid Baucom, M.D., Mouth Views in Assessment of Down and Sam Browd, M.D., Ph.D. Syndrome Patients Do Bone Cells Recognize Rest Intervals? 43 Ronald Y. Kwon, Ph.D., Leah E. Worton, Ph.D., Sundar Srinivasan, Ph.D., and Ted S. Gross, Ph.D. Bone Loss Following Peripheral Nerve Injury 45 Steven D. Bain, Ph.D., in Mice is Rapid and Profound Brandon J. Ausk, M.S., and Ted S. Gross, Ph.D. A Fragment-Specific Approach to Type IID 47 Daphne M. Beingessner, M.D., Monteggia Elbow Fracture-Dislocations Sean E. Nork, M.D., Julie Agel, M.A., and Darius Viskontas, M.D. Impact at Foot Strike in Women Distance 50 Peter R. Cavanagh, Ph.D. Runners and Molly D. Glauberman, M.S. Technique Paper: Pediatric Scaphoid Waist 52 Adam Bakker, M.D. Nonunion, a Novel Technique and Douglas P. Hanel, M.D. Foot and Ankle Observations: 53 Sigvard T. Hansen, Jr., M.D. Elevation Ischemia and Commercial Continuous Cold Pac: A “Frostbite Prescription” Minimally Invasive Total Knee Arthroplasty 56 Brian K. Daines, M.D., Offers Similar Clinical Results to Traditional Daniel L. Stamper, PA-C, TKA at Intermediate Term Douglas C. Schaad, Ph.D, and Seth S. Leopold, M.D. Injuries in Seattle Area Female Club 59 John W. O’Kane, M.D., Marni R. Levy, Gymnasts Kristin E. Pietila, M.S., Dennis J. Caine, Ph.D., and Melissa A. Schiff, M.D., M.P.H. Jump Biomechanical Properties and Injuries 61 Allan F. Tencer, Ph.D., John W. O’Kane, M.D., in Female Youth Soccer Players Nayak Polissar, Ph.D., Lori Sabado, P.T., B.S., Marni Levy, Christopher Mack, M.S., and Melissa A. Schiff, M.D., M.P.H. Open Reduction and Intramedullary 63 David P. Barei, M.D., Stabilization of Subtrochanteric Daphne M. Beingessner, M.D., Femur Fractures and Sean E. Nork, M.D. A Quantitative Analysis of the Congruity of 66 Nathan Coleman, M.D., Jerry I. Huang, M.D., Hemi-hamate Arthroplasty and Peter R. Cavanagh, Ph.D., D.Sc. Patient Reported Outcome Measures in 69 Amy M. Cizik, M.P.H. Clinical Research: Making the Subjective and Darin Davidson, M.D., M.H.Sc. Objective Integrative Care in Complex Pediatric 72 Klane K. White, M.D. Disorders: The Skeletal Health Program at Seattle Children’s Hospital Global Health 74 Jens R. Chapman, M.D. Global Orthopaedic Teaching and Training 75 Theodore A. Wagner, M.D. Opportunities Orthopaedic Care in an Area of Civil Unrest: 79 Richard J. Bransford, M.D. The Somaliland Experience A Taste of the AAOS in India: Orthopaedic 84 Robert P. Dunbar, M.D. Trauma Education in Four Cities in India SIGN Fracture Care International 86 Jens R. Chapman, M.D. Design of the SIGN Pediatric Femoral Nail 87 Lewis Zirkle, M.D. Service in Developing Communities Abroad: 90 Gregory A. Schmale, M.D. Leon and Managua, Nicaragua A New Beginning - Opportunity and Lessons 92 Thomas Green, M.D. Learned: Virginia Mason Ortho Team in Haiti The AO Philosophy: 94 Sean E. Nork, M.D. Setting Global Standards in Orthopaedics and Jens R. Chapman, M.D. “Motion is Life, Life is Motion” Making a World of Difference – Right Here 97 Carol A. Mowery, M.D. at Home: The Seattle Children’s Orthopaedic Outreach Perspective in the WWAMI Region 99 Harborview Orthopaedics 100 Children’s Orthopaedics 102 University of Washington Medical Center 104 Veterans 106 Graduating Residents 108 Incoming Residents 110 ACEs and Fellows 112 Research Grants 115 Department Publications 2011-2012 121 Residency Why Orthopaedic In Training Examination 123 Douglas P. Hanel, M.D. Scores Matter Understanding Admission to the 124 Carol C. Teitz, M.D. University of Washington School of Medicine 126 Orthopaedic Alumni Update 128 Fellowships 130 Alumni 132 Passages 134 Endowments Foreword UW Orthopaedics Helping Our Patients Leading Healthier Longer And Happier Lives! ear Friends and Supporters of well positioned to not only meet the have increased dramatically through UW Orthopaedics. Welcome to upcoming challenges, but actually epidemiologic, molecular genetic, Dthe 2012 issue of Orthopaedic contribute to improving the quality of biomechanical and ultrastructural Discoveries! It gives me great privilege medicine overall to the benefit of the research, completely novel therapies to address you for the first time as public through targeted breakthroughs for musculoskeletal ailments are formally appointed Chairman of our in research, clinical care and enhanced coming into tantalizingly close reach. Department. Given the distinguished educational programs. With its long history of successful predecessors in this position I view Advances in Orthopaedics and disruptions of the Orthopaedic status my appointment simultaneously as a musculoskeletal medicine in general quo, our Department can again make tremendous honor and as an obligation are increasingly being recognized as a real difference by applying our to take our Department into an even playing a central role in improving our expertise in all of the classic three greater future. As all of you are all general health and positively impacting domains of academia: clinical care, Dr. Chapman with the first Chairman of the Department D.K. Clawson. too aware, the anticipated profound our daily well-being. The profound research and education. Allow me changes in health care with emphasis benefits of regular exercise (combined to highlight some of these evolving on ‘value’ and ‘transparency’ combined with sensible nutrition) and activities opportunities in this introductory with the sustained recession of our on our general health continue to note while proudly presenting to you economy bring about many challenges, make news and underscores the some of the special publications and but also holds opportunities. I very importance of having functionally achievements of the past year. much believe that our Department healthy bones, joints, nerves and Special honors of Orthopaedics and Sports Medicine muscles. As our understanding of I would like to start with special together with UW Medicine is uniquely disorders affecting these structures recognition of some particularly 2012 OrthOpaedic research repOrt 1 impressive accomplishments that the Steindler 2012 award, from the scientific Orthopaedic literature. By occurred this past academic year. While Orthopaedic Research Society (ORS) assuming this position, Dr. Leopold it is hard to single out anyone first, I and Dr. Seth Leopold has been succeeds some of the premier names do believe that our residents deserve selected to serve as the new Editor- in Orthopaedic Surgery, such as Drs. top billing this year in recognition of in-Chief of Clinical Orthopaedics Richard Brand, De Palma and Marshall not only sustaining their outstanding and Related Research (CORR) by Urist. Interestingly, our erstwhile Chair, records over the last years, but the Association of Bone and Joint Dr D.K. Clawson, served as Associate actually eclipsing them: our program Surgeons. Both colleagues in their own Editor of CORR under Dr.
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