Breaking News for alumni and friends of the University of Nebraska Medical Center Department of Orthopaedic Surgery

Dr. Haider receives Award of Merit, Fellowship status Hani Haider, Ph.D., was granted the Award of Merit and honorary title of “Fellow” by the American Society of Testing and Materials (ASTM International) during the biannual meeting in Toronto. Dr. Haider, professor in the Department of Orthopaedic Surgery and Rehabilitation, and director of the Biomechanics and Advanced Surgical Dr. McGarry named to Neff Chair Technologies Laboratory was recognized for his “outstanding leadership and Sean McGarry, M.D., has been for eight months so that people in high productivity in fostering the named the inaugural holder the region would have a specialist development and promulgation of of the James R. Neff, M.D., at UNMC who could treat their surgical implant standards for medical Musculoskeletal Oncology Chair. musculoskeletal oncology problems. and surgical materials and devices.” Dr. McGarry, associate professor, The James R. Neff, M.D., Chair of The award was presented by Thomas orthopaedic surgery and rehabilitation, Musculoskeletal Oncology Fund was Marsh, chairman of the ASTM board, joined the UNMC faculty in 2005. He established through the University and is the highest award granted by grew up in central Iowa, attending of Nebraska Foundation. This the society for distinguished service Creighton University for college and permanent endowment was funded and outstanding contribution in ASTM medical school and then the University for the purpose of advancing research, International committee activities. of Colorado for his orthopaedic education and clinical work in the area Marsh praised Dr. Haider for his help residency. of musculoskeletal oncology at UNMC. in making “our world work better by It is stipulated that the recipient of this contributing directly to the safety, He earned both clinical and research chair be a full-time faculty member in quality, and reliability of products fellowships in orthopaedic oncology the orthopaedic department, have a worldwide.” from the University of Florida. During focus on the field of musculoskeletal 2005, while completing his research In accepting the award, Dr. Haider oncology and be widely recognized as fellowship and serving as an instructor confirmed his pride “for Nebraska an expert clinician and/or researcher. at the University of Florida, Dr. and UNMC to have its contributions McGarry was called into service at Since 2005, Dr. McGarry has internationally recognized for something UNMC following the death of Dr. Neff. so significant as the preclinical testing He traveled to Omaha each month see ONCOLOGY pg. 4 and safety of patients with artificial replacements.”

Breaking News | Fall 2017 Message from the chair A season of growth This year has seen much development as we settle into our new space at the Lauritzen Outpatient Center and Fritch Surgery Center and we are already noticing the positive effects this facility is having on our department. This summer, we welcomed three new faculty members to our department. Dr. Matthew Tao will be a valuable addition to our sports medicine program, bringing experience in arthroscopic surgery. You may remember Dr. Daniel Firestone and Dr. Scott Vincent, who both completed their residencies with our program. We are excited to have them join our department. Dr. Firestone will specialize in hand, wrist and upper extremity surgery and Dr. Vincent ‘s expertise is adult spine surgery. Learn more about our new faculty on page 4. In June, we held our resident graduation ceremony here in the Lauritzen Outpatient Center. Graduation is always an exciting time for the department to come together and celebrate achievements, while learning from one another and dynamic guest speakers. All four of our 10-year alumni were able to join us for the events. It’s a great testament to the strength of our residency program to see our graduates making a tremendous impact in the field of orthopaedic surgery while continuing to be involved in our department. We also welcomed five first-year residents in July and look forward to their growth in the department over the coming years. Learn more about our new residents on pages 8 and 9. Breaking News Fall 2017 In April, we hosted the 2017 Rothman-Ranawat Fellows, who spent several days on campus learning from our surgeons and sharing their research with Breaking News is published our department. We were pleased to be a part of this program’s dynamic three times a year for alumni and educational and research opportunities for the second year. friends of the UNMC Department of Orthopaedic Surgery. As you’ll see in this newsletter, several of our faculty have been recognized this year for outstanding achievements. The department has Chair: had a productive summer, with faculty members giving more than 20 Kevin L. Garvin, M.D. presentations at international, national, regional and local events, publishing a number of peer-reviewed journal articles and actively serving on numerous Administrator: boards and committees. David Staiert, MBA As always, I hope you enjoy this edition of Breaking News. We are grateful Communications: for your continued support of the Department of Orthopaedic Surgery! Dayne Urbanovsky

For questions or comments, Sincerely, email [email protected] or call 402.559.5609

Department of Orthopaedic Surgery 985640 Nebraska Medical Center Omaha, NE 68198-5640 Kevin L. Garvin, M.D. Professor and Chair Find us online! www.unmc.edu/orthosurgery L. Thomas Hood, M.D., Professorship

Breaking News | 2 Dr. Espostio receives pediatric orthopaedic honor Paul Esposito, M.D., The Section’s executive committee cited Dr. Esposito was honored with the as, “a dedicated leader and strong advocate for most of American Academy his career in the field of pediatric orthopaedics—within of Pediatrics Section the AAP and beyond”. The committee commended Dr. on Orthopaedics Esposito’s commitment to the betterment of children’s Distinguished Service musculoskeletal health, recognizing him as “one of the Award in September. giants in the world of pediatric orthopaedics”. The award was presented Dr. Esposito attended Hahnemann Medical College during the Section on followed by a surgical internship and residency at Orthopaedics 2017 National the United States Naval Regional Medical Center. He Conference & Exhibition in completed a fellowship at Children’s Hospital Medical Chicago and is the Section’s Center in Cincinnati, Ohio. highest honor. His passions include advancing the care of children with The Section on Orthopaedics was founded in 1976 to osteogenesis imperfecta and musculoskeletal effects of improve musculoskeletal health of children through pediatric obesity. mentorship, education, research, advocacy and service. Dr. Esposito has served as a member of the Section The Distinguished Service Award, established in on Orthopaedics Executive Committee and as a long- 1995, recognizes an individual in the field of pediatric standing member of the Council on Sports Medicine and orthopaedics who has contributed to the American Fitness of the Section on Uniformed Armed Services. He Academy of Pediatrics mission of excellence in research, has also served as head of the Pediatric Section of the teaching and patient care. U.S. and Joint Decade, and continues to serve as Ambassador of the International Bone and Joint Decade. Department hosts Hip Society Traveling Fellows The Hip Society’s 2017 periprosthetic hip infection; Christopher E. Pelt, M.D., Rothman-Ranawat Fellows paid acetabular and femoral revision; University of Utah, Salt Lake City,UT direct anterior approach for total Sujith Konan, MBBS, M.D., MRCS, a visit to UNMC April 12-15. hip ; and failed metal FRCS, University College London The Rothman-Ranawat Traveling on metal total hip arthroplasty and Hospitals NHS Foundation Trust, Fellowship is open to four young, trunnionosis. promising orthopaedic surgeons London, England, UK 2017 Fellows: from North America and throughout Takahito Yuasa, M.D., Ph.D., Carlos A. Higuera-Rueda, M.D., the world. Each fellow specializes Urayasu-city, Chiba, Japan in adult joint reconstruction and Cleveland Clinic, Cleveland, OH is selected through a rigorous application process. The fellowship offers each surgeon the unique opportunity to network with the top hip surgeons in the world, gain exposure to new techniques and thought processes and share research and academic concepts. This was the second year that UNMC was chosen as a host site, a mark of high distinction for the department. The fellows spent time learning from the department’s surgeons, touring our biomechanics laboratory and giving presentations about various topics, including From left: Beau Konigsberg, M.D., Takahito Yuasa, M.D., Carlos Higuera-Rueda, M.D., Christopher Pelt, M.D., Hani Haider, Ph.D., Kevin Garvin, M.D., Sujith Konan, M.D., and Curtis Hartman, M.D.

Breaking News | 3 Three surgeons join orthopaedics faculty

The department is excited to announce the addition of Daniel Firestone, M.D., Matthew Tao, M.D., and Scott Vincent, M.D., to our full-time faculty this summer.

Daniel E. Firestone, M.D. Scott A. Vincent, M.D.

Hand, Wrist and Upper Adult Spine Surgery Extremity Surgery Dr. Vincent attended medical Dr. Firestone attended medical school and completed school at the University of Iowa orthopaedic surgery residency Carver College of Medicine at the University of Nebraska followed by orthopaedic surgery Medical Center. He then residency at Creighton University/ completed a spine surgery University of Nebraska Health fellowship at the University of Wisconsin School of Medicine Foundation. and Public Health. He completed a hand and upper extremity surgery Dr. Vincent specializes in spine trauma, spinal cord fellowship at Indiana Hand to Shoulder Center. His expertise injuries, tumors of the spinal column and degenerative include complex wrist fractures and local/wide awake hand conditions of the cervical, thoracic and lumbar spine. surgery. He also specializes in hand and wrist surgery His special interests include less invasive surgical implant design. treatment options for spinal pathology.

Matthew A. Tao, M.D. Sports Medicine and Arthroscopic Surgery Dr. Tao attended medical school at Northwestern University in Chicago. He completed orthopaedic surgery residency at Duke University and a sports medicine and fellowship at Hospital for Special Surgery in New York City. He specializes in athletic knee issues, including ACL tears, multi-ligament knee injuries, complex defects, malalignment and meniscal tears. He also specializes in arthroscopic surgery, including shoulder instability, rotator cuff pathology and biceps disease. His special interests include biologic therapy and pharmaceutical therapy to minimize inflammation and promote healing.

ONCOLOGY (continued from pg. 1 become an expert in the field of regional, national and international as a team, including oncologists, musculoskeletal oncology. He platforms. pathologists, radiologists and has written 20 journal articles and clinicians from Nebraska Medicine. He co-chairs the Sarcoma and five book chapters dealing with Finally, Dr. McGarry is a superb Melanoma Tumor Board with Nicole orthopaedic oncology, produced clinician, widely known for his focus Shonka, M.D. This board meets 10 online education materials and on limb salvage. twice a month to discuss and presented more than 20 talks on plan treatment for difficult cases

Breaking News | 4 From left: Matthew Mormino, M.D., Kevin Garvin, M.D., Paul Johnson, M.D., Andrew Kirkpatrick, M.D., Alexis Ohanian, Eric Bonness, M.D., Courtney Grimsrud, M.D., and James Stannard, M.D. Resident Class of 2017 graduates The department’s 2017 graduation ceremony was held June 9-10 at the Lauritzen Outpatient Center Auditorium. The event included final oral presentations from the graduating residents, an update from our alumni class of 2007 and talks from several distinguished guest speakers. This year’s visiting professor was James P. Stannard, M.D., Hansjörg Wyss Distinguished Chair in Orthopaedic Surgery at the University of Missouri School of Medicine and medical director of the Missouri Orthopaedic Institute. Entrepreneur and author Mr. Alexis Ohanian presented the sixth annual Harold and Marian Andersen Lectureship for Orthopaedic Surgery.

Congratulations to the 2017 graduates:

Eric K. Bonness, M.D. Paul R. Johnson, M.D. Shoulder and Elbow Surgery Fellowship Spine Surgery Fellowship Boston Shoulder Institute, Boston, MA University of Pittsburgh, Pittsburgh, PA Courtney M. Grimsrud, M.D. Andrew J. Kirkpatrick, M.D. Foot and Ankle Surgery Fellowship Fellowship University of Washington, Seattle, WA University of Massachusetts, Worcester, MA

Breaking News | 5 2017 Graduation Award Winners FRANK P. STONE, M.D. AWARD FOR ACADEMIC EXCELLENCE: ERIC K. BONNESS, M.D JOHN F. CONNOLLY, MD., AWARD FOR OUTSTANDING RESEARCH: PAUL R. JOHNSON, M.D. AWARD FOR OUTSTANDING JUNIOR RESIDENT: EMMETT GANNON, M.D. OUTSTANDING INSTRUCTOR AWARD: MIGUEL S. DACCARETT, M.D.

Graduation presentations

FRIDAY, JUNE 9, 2017 FRIDAY, JUNE 9, 2017 (continued) SATURDAY, JUNE 10, 2017 SESSION I: CHIEF RESIDENT SESSION II: FACULTY SESSION I: CASE PRESENTATIONS PRESENTATIONS PRESENTATION—ARTHROPLASTY IN UPPER EXTREMITY TRAUMA “Management of Acute “An Immediate Weight-bearing Multiligamentous Knee Disruptions” Protocol for the Determination of “Elbow Arthroplasty for Distal Ankle Stability in Patients with Humerus Fractures” Matthew Moderator: James P. Stannard, M.D. Isolated Distal Fibular Fractures” Teusink, M.D. Panel Members: Robert Dugas, M.D., Eric Bonness, M.D. “Hemi Hamate Arthroplasty for David Clare, M.D., Matthew Tao, “Long-Term Outcomes and Proximal Interphalangeal Joint M.D., Ryan Arnold, M.D. Satisfaction of Rotationplasty Injuries” Joseph Morgan, M.D. Patients in the Treatment of Lower Extremity Sarcomas with Cost “Shoulder Arthroplasty for Proximal SESSION II: CASE PRESENTATIONS Analysis of Rotationplasty and Humerus Fractures” Philipp Streubel, Expandable Megaprosthesis” M.D. “Management of Periarticular Fractures of the Knee” Courtney Grimsrud, M.D. “The Role of Head of Bed Angle SESSION III: ALUMNI UPDATES Moderator: Matthew Mormino, M.D. in Cerebral Deoxygenation Events Panel members: James P. Stannard, During Upper Extremity Surgery” M.D., Miguel Daccarett, M.D., Justin Paul Johnson, M.D. SESSION IV: GUEST SPEAKER Siebler, M.D., Annie Knierim, M.D. “30-Day Readmissions and “The Promise of Internet” Andersen Postoperative Complications Lecturer: Mr. Alexis Ohanian Following Elective Primary Total SESSION III: STUMP THE Joint Arthroplasty in a Veteran’s PROFESSOR: Health Administration Population” SESSION V: VISITING PROFESSOR Cases presented by chief residents Andrew Kirkpatrick, M.D. “‘Stand in the Door’: Leadership and Life Lessons from the 82nd Airborne SESSION IV: VISITING PROFESSOR Division” James P. Stannard, M.D. “Biologic ” James P. Stannard, M.D.

Breaking News | 6 Resident Catching up with our alumni research forum This year, we were fortunate that all four of our 10-year alumni joined us for our resident graduation. These Paul A. orthopaedic surgeons have built their practices in Nebraska Anderson, and continue to make an impact on the community. The M.D. was this year’s guest department is grateful for such strong support from our speaker for prestigious network of alumni. the September 29th Resident 10-Year Alumni: Class of 2007 Research Forum. Beau Konigsberg, M.D Paul Anderson, M.D. Practice: University of Nebraska Medical Center/Nebraska Dr. Anderson is a board-certified Medicine, Omaha, NE orthopaedic spine surgeon with special interest in spine trauma, tumors, cervical Scott Swanson, M.D. spine and geriatric spinal diseases. He Practice: Nebraska Orthopaedic and Sports Medicine, is an internationally recognized expert in Lincoln, NE the field of orthopaedic spinal surgery David Buck, M.D. and currently holds academic positions as professor of and Practice: GIKK Ortho Specialists, Omaha, NE adjunct professor in neurological surgery Kimberly Turman, M.D. and biomedical engineering at the University of Wisconsin. Practice: GIKK Ortho Specialists, Omaha, NE He has served as president of the Cervical Spine Research Society and president of the Lumbar Spine Research Society and has held various positions in a number of spinal and orthopaedic societies. He has served as a member and chairman of the AAOS Biomedical Engineering Committee, co-chair of American Society for Testing and Materials 04.25 and clinical chair of American Society for Testing and Materials F04. Dr. Anderson earned his undergraduate and master’s degrees in chemical engineering from the University of Michigan. He completed medical school and orthopaedic residency at Wayne State University and a clinical spine fellowship with Dr. Henry H. Bohlman at Case Western Reserve University. Dr. Anderson chairs the “Own the Bone” Steering Committee of the American Orthopaedic Association. His research specialties include disc regeneration, From left: Beau Konigsberg, M.D., Scott Swanson, M.D., David Buck, M.D., and Kimberly spinal instrumentation and development Turman, M.D. of an artificial cervical disc. Look for more information about the Resident Research Forum in our upcoming winter edition of Breaking News.

Breaking News | 7 From left: Gordon Roedel, M.D., David Brown, M.D., Zachary Bailey, M.D., Matt Tingle, M.D., and Jace Heiden, M.D. Welcome Resident Class of 2022 Since beginning its residency program nearly five decades ago, the Department of Orthopaedic Surgery has trained some of the best and brightest surgeons in the field. This summer, five residents joined our department, growing the program to a record number of 23 residents.

David Brown, M.D. Jace Heiden, M.D. Hometown: Friendswood, TX Hometown: Bertrand, NE Medical School: University of Medical School: University of Texas Medical Branch Nebraska Medical Center What inspired your interest What inspired your interest in in orthopaedic surgery: orthopaedic surgery: Overcoming Anatomy, physiology, and my own medical hardships biomechanics are areas that ignited my passion for medicine have always peaked my interest. and directed me toward Orthopaedics appeals to me orthopaedic surgery, which offers because it allows me to apply my knowledge with a the opportunity to take a hands-on approach toward hands-on approach that directly impacts the lives of restoring function and quality of life. my patients. Three things people don’t know about you: Three things people don’t know about you: • My grandfather passed down the family coin • I am married to my beautiful wife, Kristina, and collection, and I recently finished acquiring every we have three young girls that keep us on our toes. penny minted since 1909. • I enjoy fishing, hunting, camping, golf, • I grew up on a farm north of a town of 700 people snowboarding, and just about anything else that where I proudly grew the undisputed best sweet corn gets me outdoors. on the planet. • I learned how to drive a stick shift by my old man • I am completely devoid of his talent to skate at throwing me a set of keys and telling me he would record speeds, but was inspired to follow in the see me at home. footsteps of my cousin Dr. Eric Heiden and pursue orthopaedic surgery.

Breaking News | 8 Gordon Matt Tingle, Zachary Bailey, Roedel, M.D. M.D. M.D. Hometown: Hometown: Lee’s Hometown: Loyal, WI Summit, MO Cincinnati, OH Medical Medical Medical School: School: School: University University of University of Nebraska Wisconsin of Kansas Medical Center School of School of Medicine and Medicine Public Health What inspired your interest in What inspired your interested in orthopaedic surgery: With several What inspired your interest in orthopedic surgery: As a kid I would orthopaedic surgery: Growing up family members and friends I enjoyed working with my hands who have suffered orthopaedic spend many summers with my Grandfather in his woodwork shop to help my dad build and fix things injuries, I’ve been able to witness around the house. Throughout most the significant loss to quality using tools and crafting objects and furniture. He also was a paraplegic of my childhood I wanted to be an of life that patients experience architect. However, after injuring my from bone and joint pathology. In after a work-related accident and I witnessed firsthand how much not knee in high school and shadowing turn, I’ve seen how the care of an orthopaedic surgeon in college orthopaedic surgeons has been being able to use his legs affected him on a daily basis. After medical I became aware of the parallels able to restore these individuals to between the two careers. Ultimately, the activities that give their lives school I fell in love with being in the OR and really enjoyed anatomy. The the hands-on nature of orthopaedics joy and purpose. It’s a tremendous and immediate gratification associated privilege to create meaningful ability to be hands on, make tangi- ble benefits in patients’ functionality with improving one’s quality of life relationships with patients while appealed to me. using my hands as a tool to create and getting to use the same tools I such a positive impact on their grew up with just solidified that this Three things people don’t know about lives. was the specialty for me. you:

Three things people don’t know Three Things People don’t know • I have been married for 3 years and From left: Gordon Roedel, M.D., David Brown, M.D., Zachary Bailey, M.D., Matt Tingle, M.D., and Jace Heiden, M.D. about you: about me: my wife just recently finished her PhD at UNMC in the Research • I enjoy brewing small-batch beer • I have never been outside of the Graduate Program. She will be starting in my spare time. continental United States. a postdoctoral position in November. • I’m a semi-professional • I’m a former bartender and did • I have a 2 year old son named Zayne competitive eater. some DJ’ing in undergrad. and a son named Kaden who was born • I grew up on the dairy farms • I played Lacrosse at KU. in August. around my hometown as the son • I worked on The Dr. Oz Show for a of a veterinarian, who insists that month during my 4th year of medical real doctors treat more than one species. school. Visiting speakers expand resident education Visiting speakers offer new and innovative ideas in surgical techniques, research topics and patient care. It is an integral part of the resident educational experience and is made possible with the help of annual contributions to our Development Fund. The following speakers May 17 June 9 presented from Adam Reinhardt, M.D., Clinical Service Mr. Alexis Ohanian, “The Promise of April 2017 - July 2017: Chief, Rheumatology, Children’s Internet” Hospital & Medical Center, “JIA and James P. Stannard, M.D., Hansjörg May 12 Pediatric Rheumatology” Wyss Distinguished Chair in Matthew Teusink, M.D., assistant Orthopaedic Surgery, University professor, with UNMC radiology May 24 of Missouri School of Medicine, faculty Kimberly Apker, M.D., Kody Moffatt, M.D., Associate Professor “‘Stand in the Door’: Leadership and associate professor; Melissa of Pediatrics, Creighton University Life Lessons from the 82nd Airborne Manzer, M.D., assistant professor; School of Medicine and Division” Timothy Moore, M.D., professor; Adjunct Associate Professor of Craig Walker, M.D., professor; Pediatrics and Orthopedic Surgery and June 10 and Anna Zajicek, M.D., assistant Rehabilitation, UNMC, “Overuse Injuries James P. Stannard, M.D., “Biologic professor, “Shoulder MRI and in Children” Joint Replacement” Correlations”

Breaking News | 9 Publications, presentations & honors

Department faculty and residents present many lectures, seminars, and courses at local, regional, national and international meetings. They also serve in leadership positions and offices for local, state, national and international organizations. The following are our faculty and staff’s presentations and publications, awards and achievements, offices held, and other professional activities fromApril - July 2017.

Publications (peer-reviewed): of the Association of Bone and Joint Scherl, S: Moderator: Trauma Surgeons, Austin, TX, April 6, 2017. Panel. 2017 Combined EPOS/ Wei X., Li F., Zhao G., Chhonker Y., POSNA (EPOSNA) Annual Meeting, Averill C., Galdamez J., Purdue P., 35th Annual Meeting of the Mid- Barcelona, Spain, May 6, 2017. Wang X., Fehringer E., Garvin K., America Orthopaedic Association, Goldring S., Alnouti Y., Wang D. (2017). Amelia Island, FL, April 19-23, 2017: Garvin, K: Faculty member, Pharmacokinetic and Biodistribution Contemporary Approaches to Adult • Grimsrud, C., Killen, C., Wang, Studies of HPMA Copolymer Hip and Knee Reconstruction, Saxony H., McGarry, S.: Long-Term Conjugates in an Aseptic Implant Hospital, Fishers, IN, May 12, 2017. Outcomes and Satisfaction Loosening Mouse Model. Mol Pharm. of Rotationplasty Patients Garvin, K: Minimum 10 Year Multi- Dietrich, M., Larson, C. Advances in the Treatment of Lower Center Evaluation Of Total Hip in Arthroscopy: Improving Diagnosis Extremity Sarcomas with Cost Arthroplasty With Highly Cross- and Treatment of Hip Pathologies. Analysis of Rotationplasty and Linked Polyethylene Liners And Large (2017). Minnesota Physician. Expandable Megaprosthesis. Diameter Femoral Heads. Co-authors: Bragdon, C., Barr, C., Skovgaard- Cox, J., Cushman-Vokoun, A., • Mormino, M., Bonness, E., Nielson, C., Berry, D., Della Valle, C., McGarry, S., Kozel, J. (2017). Two Siebler, J., Reed, L: A Fracture Garvin, K., Johanson, E., Clohisy, C.:, Cases of Mazabraud Syndrome and Boot Stress Model for the EFORT Congress 18th annual meeting, Identification of a Gnas R201 Mutation Determination of Ankle Stability Vienna, Austria, May 31-June 2, 2017. by Next-Generation Sequencing. in Patients with Isolated Virchows Archiv, 470(5):589-593. Distal Fibular Fractures. Streubel, P: Instructor, 7th Meeting of the Mexican Society of Shoulder Zajicek, A, Bridge, J, Akers, J, • Mormino, M., Crist, B., and Elbow Surgeons, Puerto McGarry, S, Walker, C. (2017). Siebler, J., Swiontkowski, Vallarta, Mexico, May-June, 2017. Dedifferentiated Liposarcoma of the M: Ask the Expert and Open Lower Extremity with Low-Grade Case Discussions - Trauma. Presentations (Local and Regional): Dedifferentiation and Low-Grade • Siebler, J., Hartman C.: Garvin, K: Prosthetic Joint Infection: Osteosarcomatous Component. Wera G. Periprosthetic Femur Where are we in 2017? Visiting Skeletal Radiology, 46(2):265-71. Fracture Treatment Options professor, Medical University of South Scherl S., (2017). Re: Imaging and and Controversies. Carolina, Charleston, SC, April 4, 2017. reporting considerations for suspected • Siebler, J., Nielsen, P., Grossman, Cornett, C: Spine Surgery and physical abuse (non-accidental injury) L., Reed, L., Mormino, M: Is it Educational Planning. Cambridge Public in infants and young children. Part 1: Safe to Prep the External Fixator Schools, Cambridge, NE, April 2017. Initial considerations and appendicular in situ During Second Stage skeleton. Clin Radiol, 72 : 421. 2017 Teusink, M: Top 10 of Shoulder Pilon Surgical Treatment? and Elbow. Lecture for M2 medical Chen S., Ge L., Mueller A., Carlson M., • Teusink, M., Johnson, P., Braith, students, April 11, 2017. Teusink, M., Shuler F., Xie J. Twisting A., Lyden, E.: Higher Head of electrospun nanofiber fine strips Mormino, M: Intro to Orthopaedics. Bed Angle Increases Risk of into functional sutures for sustained and Orthopaedic Trauma. Cerebral Deoxygenation Events co-delivery of gentamicin and silver. Lectures to UNMC M2 medical for Upper Extremity Surgery (2017). Nanomedicine: nanotechnology, students, April 11, 2017. in the Beach Chair Position. biology, and medicine (English), Vol. Scherl, S: Growth and Development. 13 (4): p. 1435-1445. 1549-9634 Esposito, P: Protrusio Acetabulae Spring 2017 Pediatric Orthopaedic and Reconstruction of Monteggia Presentations (National Conference, Children’s Hospital & Dislocations in Osteogenesis and International): Medical, Omaha, NE, April 12, 2017. Imperfecta (Session II: Surgical Garvin, K: Would a Metallic Tibial Treatment in OI). 17th Annual Jenson, ML: Growth Spondylolysis/ Component Wear Excessively in a Osteogenesis Imperfecta Foundation Spondylolisthesis/Diskitis. Spring 2017 ? Co-authors: Scientific Meeting: Novel Targets and Pediatric Orthopaedic Conference, Haider, H., Walker, P., Weisenburger, J., New Therapeutic Strategies in Treating Children’s Hospital & Medical Bosco, J., Garvin, K., annual meeting OI, Chicago, IL, April 21, 2007. Center, Omaha, NE, April 19, 2017.

Breaking News | 10 Jenson, ML: Case Conference. Spring Haider, H.; O’Leary, E.: of Nebraska Medical Center, 2017 Pediatric Orthopaedic Conference, AngioTeacher Interactive Educational Omaha, NE, USA 2015-2020 Children’s Hospital & Medical Software, UNMC Cardiology. • Elected International Center, Omaha, NE, May 31, 2017. May 23, 2014-completion, Ambassador of the Bone Haider (CI), O’Leary (CI). Scherl, SA: Book Chapters 9 and Joint Decade (BJD), (Management of Children with Hartman, C.: The Utility of Oral Oct. 2014-Nov. 2017 Developmental Disabilities) and 19 Antibiotic Therapy Following Haider, H: ASTM International (Coxa Vara), Tachdjian’s Pediatric 2-Stage Revision Arthroplasty Award of Merit from Committee Orthopaedics 5th Edition (2013). for Infected Prosthetic Hips and F04, ASTM, West Conshohocken, Spring 2017 Pediatric Orthopaedic Knees, Rush University. September PA, United States, May 2017 Conference, Children’s Hospital & 2013-present. Hartman, C (PI). Medical Center, Jun 14, 2017. McGarry, S: James R. Neff, Scherl, S.: Registry for Orthopaedic M.D., Musculoskeletal Oncology Mormino, M: Orthopaedic Trauma in Children (ROTC); Chair, UNMC Department Trauma lecture to rotating medical Funding Agency: Carolinas of Orthopaedic Surgery and students on UNMC Orthopaedic Healthcare System; 2015 - 2017 Rehabilitation, April 2017 – present Surgery, July 18, 2017. Teusink, M: “Long Term Outcome Mormino, M.: 2017 America’s Current Grants: Follow-up of Glenoid Anchor Peg Top Doctors Castle Connolly Component Fixation Utilizing Rush, E., Esposito, P.: Brittle Autologous Bone Graft in Total Shoulder Streubel, P: Promoted from Bone Consortium of the Rare Arthroplasty” 2016 – completion. assistant professor to associate Disease Clinical Research Network. professor, July 2017 Sponsored by Baylor College of Xie, J.; Teusink, M.: Combining Medicine. 2015-completion. Rush, Biomimetic 3D Nanofiber Scaffolds Memberships and Offices Held: E. (Co-PI), Esposito, P. (Co-PI). with AdiposeStem Cells for Rotator Cuff Injury Repair, Orthopaedic Garvin, K.: Rush, E., Esposito, P.: Brittle Bone Research and Education Foundation. Disorders Consortium. Sponsored The Hip Society: 2016-2019. Xie, J (PI), Teusink, M (CI). by Osteogenesis Imperfecta • President, March Foundation. 2015-completion. Rush, Community Service/Volunteer: 2017-March 2018 E. (Co-PI), Esposito, P. (Co-PI). Garvin, K.: Board member, Omaha • Membership Pellegrini, V.; Garvin, K.: Comparative Sports Commission, 2007-present Committee, September Effectiveness of Pulmonary Embolism Daccarett, M.: Volunteer event 2015-September 2017 Prevention after Hip and Knee physician, College World Series, Replacement: Balancing Safety The Knee Society: June 2017 and Efficacy, Medical University of • Membership Committee, South Carolina/PCORI. 2016-2020. Honors/Awards: Sept. 2015-present Pellegrini, V (PI); Garvin, K (CI). Garvin, K.: • Research Committee, Alexander, D.; Ianno, N.; Garvin, K.: April 2012-present Preventing Biofilm Growth on Metal • America’s Top Doctors, by alloys used for Medical Implants Castle Connolly Medical Delegate-at-Large, American and Devices by Femtosecond Laser Ltd., 2007-present Orthopaedic Association, Surface Processing Techniques, • Best Doctors in 2017-present Nebraska Research Initiative (NRI). America,1996-present Board of Specialty Societies, July 2015-June 2017, Alexander, D Cornett, C.: American Academy of Orthopaedic (PI), Ianno, N (CI), Garvin, K (CI). Surgeons, March 2016-present Haider, H: Arthrex - Pin-on-Disk • Promoted from assistant professor to associate professor, July 2017 Board of Trustees, University UHMWPE Wear Comparison of South Dakota Foundation, Between Titanium vs Cobalt- • Distinguished Alumni Award, 2006-present Chrome Orthopaedic Metal Cambridge Public Schools, Alloys, May 2017-completion Cambridge, NE, April 2017 Editorial Board Member, Techniques in Knee Surgery, 2002-present Haider, H: Arthrex - In-Vitro Esposito, P: Study on the Initial Fixation and UNMC: • Barbara & Ronald W. Schaefer Micromotion of an Uncemented TKR • Strategic Investment Baseplate, May 2017-completion Endowed Chair, Pediatric Orthopaedic Surgery, University Group, 2015-present

Breaking News | 11 PUBLICATIONS (continued from pg. 11)

• Dissertation Committee, • Journal of Orthopaedic Research, Committee, 2008-present Ph.D. Student, College of October 2015-present • Focused Peer Review Pharmacy, 2014-present • Clinical Orthopaedics and Related Committee, 2004-present Nebraska Medicine: Research, 2015-present • Physician’s Health • Clinical Chairs Advisory Daccarett, M: Committee, 2004-present Board, July 2016-present Trauma Program Committee Member, Manuscript Reviewer, Journal • Perioperative Executive American Academy of Orthopaedic of Pediatric Orthopaedics, BMJ Committee, Jan. 2015-present Surgeons, March 2017-2019 Case Reports, 2015-present • Ambulatory Executive Member, Public Relations Haider, H: Committee, 2014-present Committee, Orthopaedic Trauma Journal of Engineering in Medicine: Association, March 2016-2019 • Surgical Services Executive • Reviews Editor, IMechE Part Committee, 2014-present Reviewer, European Journal H, March 2012-present of Orthopaedic Surgery and Consultant Reviewer: Traumatology, 2015-present • Editorial Board Member, • British Bone and Joint IMechE Part H, 2009-present Review Panel Member, Journal, Nov. 2014-present Orthopedics, 2013-present • Reviewer, 2007-present • The Knee, March 2012-present Trauma Committee Member, International Society of Technology • European Journal of UNMC, 2008-present in Arthroplasty (ISTA): Epidemiology, 1995-present Dietrich, M: • Director, Scientific Review • Clinical Orthopaedics and Related and Information Technology, UNMC: Research, 1991-present Sept. 2011-present • Member, Physicians Leadership • Journal of Bone and Joint • Board of Directors, 2005-present Academy, 2015-present Surgery, 1990-present Editorial Board member and • Member, Surgical Services Cornett, C: reviewer, Advances in Orthopedics Operation Committee, , June 2010-present Board Member, Journal of 2015-present Orthopaedics and Physical Reviewer of abstracts, Orthopaedic Sideline Physician for area high Therapy, 2017 Research Society, Aug. 2009-present school teams, 2013-present Member, Continuing Medical Education International Standards Esposito, P: Committee, UNMC, 2016-present Organization (ISO): Department Deputy for Orthopaedics, Medical Advisory Council, • Fundraising chairman, 2016-present One Chart, 2013-present Osteogenesis Imperfecta Nebraska Medicine: Foundation, July 2011-present • Elected Deputy Chair of the US Delegation, 2015-present • Medical Director, Spine Board of Directors, Advisory Program, 2017 Board, Children’s Hospital & • Coordinator/Liaison Officer, Medical Center, 2010-present Working Group 2 (Implant Wear), • One Chart Operational ISO TC150 US Tag, 2013-present Owner, Dec. 2015-present Medical Staff Committees, Children’s Hospital & Medical Center: • Provider Advisory Group for Patient • United States Delegation to Committee SC 150 (Medical Experience, Nov. 2015-present • Clinical Service Chief, Orthopaedic Devices), 2002-present • Medical Director of Physical Surgery, 2009-present American Society of Testing and and Occupational Therapy, • Information Technology Oversight Materials (ASTM) International: The Nebraska Medical Committee, 2009-present Center and Bellevue Medical • Technical (Expert) contact, • Allied Health Committee, Center, 2013-present Friction of Hips Standard Writing 2008-present • Physician Advisory Team Committee, Working Group/ Committee, 2013-present • Credentials Committee, Item WK 28778, 2011-present 2008-present Consultant Reviewer: • Co-Chair, Knee Wear Testing • Quality and Patient Safety Standards Committee, • Pain Medicine, 2016-present

Breaking News | 12 2002-present • Focused Peer Review Sept. 2015-present Committee, 2008-present • Chair, Section Chief, Orthopaedics, Testing Standards Jenson, M.L.: Nebraska-Western Iowa VA Medical Committee, 2000-present Center, Jan. 2009-present Active Member, Pediatric Reviewer: Orthopaedic Society of North Consultant Reviewer: America (POSNA), 2017 • Clinical Orthopaedics and Related • Journal of Arthroplasty, Research, July 2010-present Fellow, American Academy of 2017-present Orthopaedic Surgeons (AAOS), 2017 • Journal of Orthopaedic • Techniques in Orthopaedics, Research, 2007-present Children’s Hospital and June 2015-present Medical Center: Hartman, C: • Orthopaedics, Sept. 2013–present • Surgical Services Interdisciplinary Member, Adult Reconstruction • Journal of the American Geriatrics Committee, Jan. 2014-Present Hip Program Committee, Society, Sept. 2010-present AAOS, 2016-present • Program Developer, New Sports McGarry, S: Medicine Program, 2013-Present Board of Directors, Metro UNMC: Omaha Medical Society Konigsberg, B: Foundation, Jan. 2015-present • Sarcoma and Melanoma Tumor Member, Adult Reconstruction Board Planning Committee UNMC: Hip Program Committee, Member, 2017-present AAOS. June 2015-present • Faculty Senate, July 2016-present • Department of Orthopaedics UNMC: • Dissertation Committee, Residency Program Clinical Kelsey Yamada, Ph.D. Student, • Assistant Dean of Admissions, Competency Committee, Department of Pathology/ College of Medicine, Member, July 2013-present Microbiology, 2016-present July 2017-present • Faculty Senate, June 2013-present • UNMC Graduate Faculty, • Faculty Senate, Jan. 2014-present • Continuing Education May 2013-present • Graduate Medical Faculty, Committee, Oct. 2012-present • Dissertation Committee, Raheleh 2013-present • Tissue Bank Review Committee, Miralami, Ph.D. Student, MSIA • Dissertation Thesis Committee, Member, 2006-present Program, UNMC College of Krishna Sarma, Ph.D. student, Medicine, 2012-present • Department of Orthopaedics Department of Genetics, Resident Selection Committee, • M3 Course Instructor Cell Biology and Anatomy, Member, 2006-present September 2009-present Dec. 2013-present Musculoskeletal Transplant Nebraska Orthopaedic Hospital: • Admissions Committee, College Foundation (MTF): of Medicine, May 2011–present • Utilization Review • Executive Committee, Committee, 2013-present • Course Director, UNMC Jan.2015-present Orthopaedic Surgery Grand • Finance Committee, 2012-present Rounds, Oct. 2010-present • Membership/Nominations Hasley, B: Committee Member, • Instructor, 2nd Year Medical Feb. 2012 – present Children’s Hospital & Medical Center: Students, Aug. 2009-present • Member, Medical Board of • Chair, Department of Nebraska Medicine Trustees, April 2006-present Surgery, 2016-present • Medical Director, Lauritzen Member, Children’s Hospital of Omaha Medical Staff Committees, Children’s Outpatient Center and Oakview Bylaws Committee, Jan. 2008-present Hospital & Medical Center: Medical Building Orthopaedic Clinics, August 2016-present National Comprehensive • Chair, Surgical Services Cancer Network (NCCN): Interdisciplinary Committee, • Ambulatory Rooming Project, 2016-present Nov. 2015-present • Soft Tissue Sarcoma Panel, July 2007-present • Medical Executive • Perioperative Quality, Safety & Committee, 2016-present Patient Experience Committee, • Bone Cancer Panel,

Breaking News | 13 PUBLICATIONS (continued from pg. 13)

May 2006-present • Liaison between POSNA • Trauma Faculty, 2014-present Education Council and AAOS Consultant Reviewer: Consultant Reviewer Pediatric Program Committee, • Clinical Orthopaedics and Related Sept. 2016-present • Journal of Orthopaedic Research, March 2011-present Trauma, 2012-present • Board of Directors, 2015-2017 • Orthopaedics, Feb. 2011-present • Journal of Shoulder and Elbow • Program Committee, Surgery, 2012-present Mormino, M: May 2013-May 2017 Teusink, M: Mid-America Orthopaedic Association: • Advocacy Committee, May 2013-present • 2nd Vice President, 2017-2018 Emerging Leaders Program, American Orthopaedic Association, Siebler, J: AO North America: June 2015-present Member, Mid-America • Fellowship Advisory UNMC Orthopaedic Association, Program Board, 2011-present Committee, 2017-present • Director, M4 Curriculum • Faculty, 1997-present Development, 2016-present Trauma Program Committee, Nebraska Medicine AAOS, 2015-present • Chair, Residency Research Committee, 2016-present • Medical Director Perioperative UNMC: Services, 2008- present • Physicians Leadership • Musculoskeletal Phase Academy, 2015-present • Graduate Medical One Curriculum Design Education Committee Committee, 2016-present • Residency Selection Committee, 2014-present Consultant Reviewer: • Continuing Medical Education Committee, 2015-present Consultant Reviewer: • Journal of Orthopaedic Trauma, Feb. 2014-present • Career Launch Oversight • Journal of Shoulder and Elbow Committee, 2015-present Surgery, 2014-present • Journal of Surgical Education, 2010-present Nebraska Medicine: • Orthopaedics, 2013-present • Journal of the American Academy of • Patient Outcomes Wallace, M: Orthopaedic Surgeons, 1999-present Committee, 2015-present Member, Children’s Specialty Scherl, S: • Perioperative Surgical Physicians Operating Compliance Services Operations Committee, 2016-present Allied Health Representative, Committee, 2015-present AAOS Annual Meeting Program Emerging Leaders Program, American Committee, June 2016-present • Co-Leader, Clinical Effectiveness Orthopaedic Association, 2013-present Trauma Committee, 2015-2016 American Academy of Pediatrics liaison Children’s Hospital & Medical Center from the Section on Orthopaedics • Trauma Peer Review to the Committee on Child Abuse Committee, 2014-present • Credentials Committee, and Neglect, June 2016-June 2019 Jan. 2016-present • Trauma Performance Children’s Hospital & Medical Center: Improvement/Patient Safety • Medical/Surgical Interdisciplinary Committee, 2014-present Committee, Sept. 2015-present • Omaha Education Committee, January 2011-present Streubel, P: Residents Review Newsletter Publication Committee, Pediatric • Omaha Transfusion Committee, International Relations Committee, Orthopaedic Society of North January 2010-present American Society for Surgery America, 2015-present of the Hand, 2016-present • Omaha Trauma Performance Improvement and Patient Safety Research and Development Committee, 2009-present Committee, UNMC, 2016-present Pediatric Orthopaedic Society AO North America of North America: • Hand Faculty, 2015-present

Breaking News | 14 Orthopaedic News & Notes

How your support Service anniversaries helps us excel at Matthew Mormino, M.D., professor the Department of Dr. Mormino marked 20 years with the Department Orthopaedic Surgery of Orthopaedic Surgery this year. He specializes in our contributions have allowed orthopaedic trauma and lower extremity. He also serves Ythe department to develop a as the department’s residency program director. national reputation for educating outstanding surgeons, build a world-class research program where we are developing cutting- edge technology that is helping to shape the field of orthopaedic Kelsi Adams, RN surgery, and have enabled us to Kelsi was recognized in August for her five years offer the latest techniques and of service with Nebraska Medicine. She has most advanced diagnosis and worked in the ICU and inpatient orthopaedics treatment to our patients. and currently works with Dr. Streubel’s upper Please join us in supporting the extremity team. Department of Orthopaedic Surgery and Rehabilitation and help us continue to strengthen our ongoing mission to excel Stephanie Jensen, office associate in these areas. On behalf of Stephanie celebrated a service anniversary in September. our residents, faculty, staff and She has been with the University of Nebraska for 15 years patients who will benefit from and has worked at UNMC since 2013. She supports pediatric your contribution, THANK YOU orthopaedic surgeons, including Dr. Paul Esposito, Dr. Brian for your vital support! Hasley, Dr. M. Layne Jenson, Dr. Susan Scherl and Visit: NUfoundation.org/ Dr. Maegen Wallace. orthopaedic Continuing Education and Grand Rounds CME Accredited Grand Rounds are held in the Lauritzen Outpatient Center Auditorium on Mondays at 6:30 a.m. Continuing education seminars and Grand Rounds presentations by department faculty, current residents and guest speakers are open to any interested participants. To obtain an updated schedule or information on how to earn CME credits for these presentations, contact Geri Miller at (402) 559-2258 or [email protected]. Presentations given from April — July 2017:

April 2017 May 2017 June 2017

3 “Morbidity and Mortality” 1 “ACL Injuries in the Athlete” Mid-Year Reviews (chief residents) (Sayfe Jassim, M.D.) July 2017 10 “Inpatient Acute Pain 8 “Multi-ligamentous Knee 3 No Grand Rounds Management” (Jason Shiffermiller, Injuries” (Eric Samuelson, M.D.) M.D. and Thomas Nicholas, M.D.) 10 Anatomy Dissections 15 “Replantation in the Upper 17 “MAOA Presentations” Extremity” (Andrew Kirkpatrick, M.D) 17 Anatomy Dissections (various faculty) 22 “Distal Femur Fractures” 24 Anatomy Dissections 24 No Grand Rounds (Miguel Daccarett, M.D.) 31 Anatomy Dissections 29 “Distal Radius Fractures” (Ben Ogden, M.D.)

Breaking News | 15 Nonprofit Organization U.S. Postage PAID Permit No. 454 Omaha, NE Department of Orthopaedic Surgery 985640 Nebraska Medical Center Omaha, NE 68198-5640

www.unmc.edu/orthosurgery

In this issue Find us 1 Dr. McGarry named to Neff Chair online! Associate Professor Sean McGarry, M.D., has been named inaugural holder of the James R. Neff, M.D., Musculoskeletal Oncology Chair. Visit www.unmc.edu/orthosurgery to view or share this newsletter with friends and colleagues. 2 Dr. Esposito receives pediatric orthopaedic honor Professor Paul Esposito, M.D., was awarded the highest honor from the American Want to join our e-newsletter list? Academy of Pediatrics Section on Orthopaedics for his contribution to pediatric Email [email protected] orthopaedic research, teaching and patient care. to sign up!

4 Department welcomes three new faculty Daniel Firestone, M.D., Matthew Tao, M.D., and Scott Vincent, M.D. join department faculty this summer.

Breaking News | Summer 2015 Complex Spine Deformity Chris A. Cornett, M.D., Associate Professor Adult Spine Surgery, Department of Orthopaedic Surgery and Rehabilitation Case Report

Case Example: The patient is a pleasant 220 pounds. She was able to greater than 30 degrees and 72-year-old female. She has a walk, but was stooped forward greater than 30 degrees of significant history of a lumbar at almost a 45-degree angle as scoliosis to the left at the L1- fusion from L2-L5 done 10 years well as significantly translated in L2 segments. She also has prior. At that time, she was the coronal plane or when viewed significant degenerative disc having significant symptoms from the front. The patient had disease below her fusion at L5- from stenosis symptoms and no obvious neurologic deficits. S1. Additionally, her fusion from some curvature in her low back. L2-L5 appeared to be solid, She had a well-healed scar but her low back does have About a year prior to us on her back. It was noted she significant coronal deformity evaluating her, she felt had a significant prominence through that fusion (Figures something pop in her back and or kyphotic deformity near the 1-2). She had greater than 10 began having increasing back upper lumbar region at L1-L2 centimeters of positive sagittal and leg symptoms. Over the where the spinous process at balance on scoliosis films. last few years, she has also that region was quite prominent had increasing deformity in and palpable. her back, and she is leaning to the side and significantly The patient had hardware in stooped forward. Over time, place from L2-L5. The rod on her symptoms worsened to her left side had come out of the where she was using a walker superior screw and she also had for ambulation and was unable evidence of a bone stimulator to stand upright or tolerate any in place. She had significant significant walking or prolonged junctional breakdown above her standing. fusion with significant kyphosis

Her main complaints were low back pain, bilateral lower extremity pain when standing and walking, and increasing deformity, which really limited her quality of life. She also had complaints of weakness in her legs, functional weakness, and decreased sensation or numbness in her left leg.

She has a history of arthritis and hypertension. The patient is a non-smoker. She is retired and lives with her husband, who is still working part-time.

On exam, she is 5’5” tall, Figure 1: Lateral (side) view of Figure 2: Anterior-Posterior (frontal) although she states she used the spine with significant junc- view of the spine showing significant tional breakdown and kyphosis. coronal deformity through and above a to be almost 5’9”. She weighs prior fusion.

DEPARTMENT OF ORTHOPAEDIC SURGERY | CASE REPORT | FALL 2017 She underwent that procedure She is currently almost a year without difficulty and did well out from this surgery and is on her hospital stay. She was back to walking with a cane mobilized initially with a walker, intermittently. She is extremely subsequently transferring to happy with her new alignment a cane in the postoperative and really has no pain complaints. recovery period. She did an She is still working on building extensive amount of outpatient up her overall functional status therapy and overall made a very and endurance. We were able nice recovery. to restore good sagittal and coronal alignment (Figures 4-5).

Figure 3: CT myelogram showing patient’s prior fusion, hardware and stenosis. Based on our discussions with her, we felt she had significant junctional breakdown above her prior fusion and symptoms of back pain, leg pain and kyphoscoliosis. She also had arthritis below her fusion. We discussed getting new imaging, including an MRI and a CT to assess her fusion/hardware and neural compression (Figure 3).

Due to her worsening quality of life and failure of prior treatments of therapy and pain management, she was interested in surgical fixation if possible.

We discussed surgical treatment for her. Our plan was to remove her old hardware and take down the levels of her prior fusion so that we could straighten out her lower back and get a better overall balance for her. We would then reinstrument her bridging above and below from T8 to the pelvis.

We discussed removing her stimulator. We also discussed that she would likely need a three- column at the top of her old fusion at L2 and we would likely Figure 4: Lateral (side) view of the Figure 5: Anterior-Posterior (frontal) need to take down her fusion mass spine post surgery. view of the spine post surgery. or perform posterior at L3, L4 and L5.

DEPARTMENT OF ORTHOPAEDIC SURGERY | CASE REPORT | FALL 2017