The Kelly Society Orthopaedic Journal Table of Contents Letter from the Chair 1 Letter from the Residency Program Director 2 2020 Kelly Visiting Professor Bio 3 Kelly Day Agenda 4 The Graduating Class of 2020 6 PGY – 5 Manuscripts 7-101 Adam Boissonneault, MD 7-21 Zachary Grabel, MD 22-40 Gregory Kurkis, MD 41-77 Dale Segal, MD 78-85 David Shau, MD 86-101 PGY – 3 Manuscripts 102-187 William Godfrey, MD 102-124 Matthew Lunati, MD 125-147 Jeremy Pflederer, MD 148-167 Huai Ming Phen, MD 168-187 Meet the Class of 2025 188-191 Orthopaedic Surgery and Research Faculty 192 P a g e | 1 LETTER FROM THE CHAIR _____________________ We have a long tradition of outstanding leaders of our profession who have taken time from their personal and professional schedules to serve as the Kelly Day Visiting Professor. Christopher Bono, MD clearly ranks as a leader in Orthopaedics today, and I am particularly grateful to Dr. Bono for being with us and enriching our educational program. We are especially grateful for his participation in our virtual format due to the COVID-19 pandemic and the need for social distancing. I next want to acknowledge all of our faculty, residents, students, researchers, and staff. Each of you help contribute to “giving patients back their lives,” a privilege that not every medical specialty can claim with the same vigor. We can all be proud of how the Department has continued to grow and excel in both patient care and quality of patient, and family experience. We are excited to expand to six fellowship-trained trauma surgeons at Grady, and a number of other key faculty additions at a variety of our locations. The MSK service line Scott D. Boden, MD remains a critically important component of Emory Healthcare, with approximately 1 out of every 3.5 new patients to Emory entering through Professor and Chair Orthopaedics, and planning for new facilities for the clinical and research Orthopaedic Surgery enterprise continues. The blend of clinical efficiency, academic opportunities, and diverse patient care environments have resulted in the Emory Orthopaedic Residency and Fellowship training programs becoming increasingly among the most sought after in the country. We’re excited to expand our fellowship offerings to include Upper Extremity, Trauma, and Pediatrics. We continue to undergo a major expansion of our basic/translational and clinical research team. Our Vice-Chair for Research, Hicham Drissi, PhD and our Director of Clinical Research, Michael Gottschalk, MD are leading those efforts with outstanding early success and momentum. Our new Sports Performance and Research Center (SPARC) will open in January 2021 at the Falcons Flowery Branch, and focus on sports injury prevention and recovery. The 15,000 sq.ft. research laboratory and surgical skills training lab in the new MSK Institute will be a game changer for our program when it opens in September 2021. Support and contributions from our alumni are increasingly needed to enhance resident education and research, which are an integral component of these Departmental achievements. Thank you for your continued support. With sincere appreciation for each of your efforts that contribute to Team MSK, Scott Scott D. Boden, M.D. P a g e | 2 LETTER FROM THE RESIDENCY PROGRAM DIRECTOR _______________________________ For over 40 years, “Kelly Days” have represented the culmination of the academic year for the Orthopaedic Surgery Residency Program at Emory. The event provides us with a time to recognize the research efforts of our residents and serves as a venue by which we can discuss innovative approaches to patient care, quality improvement and knowledge gaps within our field. These are difficult times indeed! The 2019 Corona Virus Pandemic has created chaos in almost every sector of modern life. It is our responsibility to continue to distance ourselves to minimize viral spread. As such, this is the first time in history that Kelly Day will be converted to a virtual format. It is truly an honor to host Dr. Chris Bono as the 2020 Kelly Visiting Professor. Chris will also hold the distinction of being the first “Virtual Kelly Visiting Professor.” Dr. Bono’s numerous accomplishments, involving both the clinical care and research of diseases of the spine, are a testament to his energy, Tom Bradbury, MD intellect, interpersonal skills, and character. We are fortunate to briefly pause from the “daily grind” to spend time with him discussing our research initiatives Associate Professor and ways to improve the care we provide. Dr. Bono, thank you! Program Director Orthopaedic Surgery As importantly, Kelly Day gives us the opportunity to recognize the accomplishments of the Residency Class of 2020. Over the past 5 years, David, Adam, Dale, Greg, Nick and Zach have endured the rigor of training to be an orthopaedic surgeon. They have dedicated almost every waking hour to the pursuit of knowledge and surgical skill. They have sacrificed their own personal interest to attain the ability provide the best care for their own patients as they transition to the next phase of their careers. Over the past 3 months, they’ve risen to the challenge laid before them by the pandemic. They have defined what it means to be a team. In my mind, they embody our Residency Program’s ultimate objective … to produce the kind of doctor you would want to care for your own family. Please join me this in celebrating the achievements of this outstanding group! Tom Bradbury, M.D. P a g e | 3 2020 KELLY VISITING PROFESSOR Christopher M. Bono, M.D. Dr. Christopher M. Bono is an experienced adult spine surgeon with particular interest in the management of cervical and lumbar degenerative disorders. He is a national and international leader in spinal research and evidence-based medicine, enabling him to incorporate the latest treatment data into patient discussion for informed surgical decision-making. He is a board-certified, fellowship-trained adult spine surgeon in the Orthopaedic Spine Center at Massachusetts General Hospital. After obtaining his medical degree from the State University of New York Health Science Center at Brooklyn, he completed his orthopaedic residency at the University of Medicine and Dentistry of Christopher Bono, MD New Jersey Medical School (now called Rutgers New Jersey Executive Vice Chair Medical School). Dr. Bono completed a spine surgery fellowship at Orthopaedic Surgery Dept. the University of California, San Diego. Director, MGH/BWH Additionally, Dr. Bono specializes in cervical spinal stenosis, Orthopaedic Spine Surgery cervical myelopathy, cervical disc herniations, lumbar spinal stenosis, lumbar disc herniations, and lumbar spondylolisthesis. Fellowship Program Dr. Bono is Professor of Orthopaedic Surgery at Harvard Medical Professor School. He is past president of the North American Spine Society Orthopaedic Surgery (2015-2016) and continues to be quite active in a number of Harvard Medical School committees. He serves as the current Editor-in-Chief of The Spine Journal, which holds the highest impact factor among journals dedicated to spine. Dr. Bono is also a member of the American Academy of Orthopaedic Surgeons, Cervical Spine Research Society, and the International Society for the Study of the Lumbar Spine, holding or having held many leadership positions in these societies as well. P a g e | 4 2020 Kelly Day Virtual Agenda 8:00 AM Opening Remarks Scott Boden, MD Professor & Chair Department of Orthopaedic Surgery 8:10 AM Resident Research Presentations: Session I Adult Spinal Deformity Knowledge in Orthopaedic Spine Surgeons: Impact of Fellowship Training, Experience, and Practice Characteristics Zachary Grabel, MD – PGY 5 Red Flags for Low Back Pain Are Not Always Really Red: A Prospective Evaluation of the Clinical Utility of Commonly Used Screening Questions for Low Back Pain William Godfrey, MD – PGY 3 Anterior vs Posterior Revision Total Hip Arthroplasty: A Comparative Analysis of Complications Gregory Kurkis, MD – PGY 5 Pre-operative Depression is a Risk Factor for Complication and Increased Health Care Utilization Following Total Shoulder Arthroplasty Matthew Lunati, MD – PGY 3 Fusions Ending Above the Sagittal Stable Vertebrae in Adolescent Idiopathic Scoliosis: Does it Matter? Dale Segal, MD – PGY 5 Opioid Use Following Total Shoulder Arthroplasty: Who Requires Refills and for How Long? Jeremy Pflederer, MD – PGY 3 8:55 AM Discussion and Feedback: Dr. Bono and Emory faculty 9:10 AM Basic Science Presentation I: Application of a Repurposed FDA Approved Drug for Spinal Fusion Nick Willett, PhD 9:25 AM Resident Research Presentations: Session II Pre-operative Echocardiogram in Hip Fracture Patients: Are We Hindering Care? Adam Boissonneault, MBChB – PGY 5 Fully Threaded Sacroiliac Lag Screws Have Higher Load to Failure When P a g e | 5 Compared to Partially Threaded Screws: A Biomechanical Study Ming Phen, MBBS – PGY 3 Current Trends in Clinical Practice for the Direct Anterior Approach Total Hip Arthoplasty Nick Patel, MD – PGY 5 Simultaneous Carpal and Cubital Tunnel Release: Who Needs Both? William Runge, MD – PGY 3 Medicaid Payer Status is Associated with Increased 90-Day Morbidity and Resource Utilization Following Primary Shoulder Arthroplasty: A Propensity- Score-Matched Analysis David Shau, MD – PGY 5 The P-mJOA – A Patient-Derived, Self-Reported Outcome Instrument for Evaluating Cervical Myelopathy: Comparison with the mJOA Jeff Shi, MD – PGY 3 10:10 AM Discussion and Feedback: Dr. Bono and Emory faculty 10:25 AM Trending Topic Presentation: COVID-19 in