N SteadmanSPORTS MEDICINE FOUNDATION VOLUME Hawkins 8 SPRING/SUMMER 2002 An International Center for Research and Education — Keeping People Active Patients in the News: Sports and Wellness: Bode Miller: “Healing Response” and the Stay Healthy on the Green with Simple Comeback Kid Exercises Editor’s Note: The following profile is based on an interview by By Jeff Carlson Dick Needham. Mr. Needham is a senior contributing editor of Ski Magazine . Editor’s Note: Mr. Carlson is a physical therapist for the Howard Head Sports Medicine Center in Call it coincidence, but it seems every time Vail, Colo. world-class athletes in need of a body repair visit Steadman-Hawkins—Bruce The time has come to dust off those Smith, Dan Marino, Joe Montana, Phil clubs and get yourself in shape for Mahre, Steve Mahre, John Elway, Picabo another summer of golf. Diehards, Street, Greg Norman—they return to the like myself, have probably been tak- playing field in better shape than when they ing advantage of the mild winter. were competing at even their highest level. I’ve played six times since mid- Witness Bode Miller. In 2000-2001, the January and have a net and a mat soon-to-be ski racing phenom had already set up in my living room to hit balls had one World Cup podium finish (giant every night. I know my priorities. slalom) and was primed for a big result at If you’re like most others, the the combined downhill/slalom event in St. dozens of days skiing and working Anton, Austria. He was fourth in the slalom out have you in great shape, but not going into the downhill, but 30 seconds into exactly golf shape. Golf is a very the downhill course Bode hooked an edge unnatural motion that requires an at 80 miles an hour, careened off the course, enormous amount of rotation and and crashed into a fence. Result: a com- torque of the lumbar spine (lower plete ACL tear of the left knee coupled with damage to the meniscus. Diagnosis: total (Continued on page 12) ACL reconstruction, with an extended rehab period that such a surgery would require. But something happened along the way. SteadmanNHawkins Dr. Steadman opted to use a revolutionary Research Update: new procedure that he had developed. During Bode’s meniscus repair, he per- Cell-Based Therapy for formed the “healing response.” This arthro- Cartilage Repair scopic procedure involves making three to Juan J. Rodrigo, M.D. 10 small “microfracture” holes in the bone PHOTO COURTESY OF JOHN KELLY. at the femoral origin of the injured ACL. The blood Editor’s Note: Dr. Rodrigo is Professor of Orthopaedic Surgery at the School of Medicine, University of clot from the bleeding bone captures the injured California (Davis), and a member of the end of the ACL and eventually reattaches the lig- IN THIS ISSUE SteadmanNHawkins Sports Medicine Foundation’s ament back to the bone. The “healing response” Scientific Advisory Committee. has many advantages, including a much shorter Cartilage tissue regimentation requires recovery period and less cost, and because it is Research Audit Gives Foundation High Grades the interaction of three basic biological less invasive, the chances for osteoarthritis to set elements: cells, growth and differentia- in later are greatly reduced. tion factors, and extracellular matrix Three weeks following his surgery, Bode was Foundation Research scaffolds. Therapeutic approaches for fully mobile and without need of a brace. Benefits Little Leaguers tissue-engineered repair of cartilage Encouraged, Dr. Steadman suggested waiting defects have attempted to mimic the another three weeks to determine whether natural process of bone repair by the “healing response” would take. When the Women at Greater Risk delivering a source of cells capable three weeks were up, the news was even more for Knee Osteoarthritis— of differentiating into chondroblasts encouraging. “My ACL,” says Bode, “was May Be Preventable (young cartilage cells), inductive growth and differentiation factors, or (Continued on page 14) International Cartilage (Continued on page 11) Symposium in Vail 2 SPRING/SUMMER 2002 Bequests and Buzz Words Ormed Joins Foundation as New Corporate Sponsor Planning the distribution of your assets to protect and provide Ormed, GmbH & Co. KG, a manufacturer and distributor of orthopaedic for your family is prudent and thoughtful. If you’re about to and sports medicine products based in Fribourg, Germany, has joined undertake those plans, we offer our “Bequests and Buzz the SteadmanNHawkins Sports Medicine Foundation as a corporate Words” quiz to determine just how informed you are. sponsor. Ormed, which will be represented at the second Vail Cartilage Match the definitions on the left with the phrases on the Symposium, will bring 15 physicians from Germany to attend the three- right, then check your answers at the end of the article. day meeting. We especially like No. 3 and hope you’ll want to make a dif- Founded in 1992, Ormed has a staff of 130 and operates three sub- ference in our future with a bequest to SteadmanNHawkins sidiaries and 65 distribution centers throughout Germany. The compa- Sports Medicine Foundation. While charitable bequests certain- ny specializes in manufacturing and distributing passive motion ly can add meaning to your will and our future, it’s important to devices and other therapeutic systems, braces and splints. It has also think about what type of bequest to leave since a well-planned developed breakthrough surgical technology in cartilage repair. The bequest can create favorable tax consequences. rental service team organizes outpatient treatment, including instruc- For instance, naming the Foundation as beneficiary of your tions on care and therapeutic treatment following surgery. Ormed’s retirement plan allows you to make a difference, but in a tax- philosophy encompasses the development of innovative products, a wise way. Retirement plan assets can be exposed to multiple carefully trained staff and sales force, and a well-established rental layers of taxation, potentially depleting resources you hoped service throughout Germany. The company is a market leader in your family would have. If you leave tax-burdened assets to the Germany in the field of continuous passive motion devices. Foundation instead, these assets are taxed at lower rates. Frank Bömers, director of marketing, is pleased with the new Therefore, potentially more wealth can go to your family. sponsorship. “Our cooperation with the SteadmanNHawkins Sports Medicine Foundation marks a new era in our commitment to excellent medical products and services.” I 1. The review of a will before a court of law to ensure it is authentic. Foundation to Host Second International Cartilage Symposium A) Will 2. A legally enforceable The second International Cartilage declaration directing the dis- B) Probate Symposium, to be held Aug. 16-17 in Vail, posal of a decedent’s property. Colo., will feature a world-renowned, C) Charitable bequest international faculty of orthopaedic sur- 3. A lifetime opportunity to geons, each of whom has pioneered inno- make a difference beyond vative procedures for treating articular your lifetime. cartilage injuries. The symposium, hosted by the SteadmanNHawkins Sports Medicine Foundation and funded by Pfizer, Inc., will be co-chaired by Dr. J. Richard However you choose to include the Foundation in your Steadman, founder of the Foundation and plans, we would be grateful to hear from you. Having an idea of principal of the Vail-based Steadman- the testamentary support we may expect from our friends in Hawkins Clinic, and Dr. Martin Boublik, future years is of great importance to us and those we serve. principal of the Steadman-Hawkins We will also be able to welcome you into the Founder’s Legacy Clinic’s Denver office. Dr. Lars Peterson of Sweden Society—our way of recognizing your gift and vision for our The two-day meeting for practicing future. orthopaedic surgeons will include academic sessions and cadaver For more information on bequests, gifts of retirement plan laboratory demonstrations. The symposium is being funded in part assets, or gifts that provide lifetime income, such as charitable by an unresricted educational grant from Pharmacia Corporation and remainder trusts, please call John McMurtry at (970) 479-5781. Pfizer, Inc. Please know that all information is confidential and requests for Confirmed symposium faculty includes: information never represent an obligation. I • Dr. J. Richard Steadman, who will present a lecture/demonstration on microfracture, a surgical procedure he has developed that recruits Answers: 1=B, 2=A, 3=C stem cells from bone marrow to form new cartilage over areas in the joint where bare bone is exposed. SPRING/SUMMER 2002 3 • Dr. Lars Peterson of Sweden, who will demonstrate autologous chon- Donate On-Line drocyte transplantation, a two-stage procedure in which cartilage cells are collected from a patient’s knee, grown outside of the body in The SteadmanNHawkins Sports Medicine Foundation has a laboratory, and re-implanted into the knee joint surface defect. announced a web site enhancement that enables the Foundation • Dr. Laszlo Hangody of Hungary, who will discuss his experience to accept donations on-line. The Foundation’s mission of with mosaicplasty. In this procedure, pieces of cartilage and bone “Keeping People Active Through Research and Education” are removed from a non-weight-bearing area of the knee and trans- assures the advancement of techniques, technologies and treat- planted to a weight-bearing surface, to fill in where the cartilage has ments for individuals suffering from arthritis, degenerative joint worn away. disease and injury. The Foundation relies on the generous • Dr. Allan Gross of Toronto, who will present his experience with allo- support of its many donors to fulfill this mission. grafting of chondral defects. In this procedure, large segments of To make it as easy as possible for donors, the Foundation bone and cartilage are removed from a donor cadaver’s knee and recently added this service to its web site, www.shsmf.org.