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Fall 2011 inSIGHTS publication - UF Orthopaedics and ...

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nsights<br />

<strong>UF</strong> <strong>Orthopaedics</strong> <strong>and</strong> Sports Medicine Institute<br />

<strong>Fall</strong> <strong>2011</strong><br />

inside<br />

3Alumni<br />

Profile<br />

4<br />

Celebrating<br />

50 years<br />

6<br />

Anspach/Enneking<br />

Professorship


2<br />

A messAge From our ChAirmAn<br />

SCArBOrOUgH<br />

It is with great enthusiasm that I take over as chair of the Department of Orthopedic <strong>and</strong> Rehabilitation at the<br />

University of Florida. Over the past fifty years, this department has been led by outst<strong>and</strong>ing leaders <strong>and</strong> has<br />

produced excellent physicians, scientists, products <strong>and</strong> discoveries. I am humbled, honored <strong>and</strong> thrilled with the<br />

opportunity to continue this legacy. The future outlook for the department is exciting because of the foundation<br />

that has been laid down by many different leaders in the department. Dr. Peter Indelicato retired yesterday. Dr. Pete<br />

did his last arthroscopy in a Sh<strong>and</strong>s OR with Ms. Gladys Ellis h<strong>and</strong>ing him instruments <strong>and</strong> singing her praises. It’s<br />

a long way from the ureteroscopes they started with nearly forty years <strong>and</strong> four operating suites ago. Dr. Indelicato<br />

left his mark on our program, dozens of our residents have completed sports medicine fellowships after being<br />

inspired by him. Thanks Pete.<br />

Clinically the department continues to provide excellent primary <strong>and</strong> tertiary orthopedic care to patients but we<br />

have welcomed numerous new primary care musculoskeletal providers <strong>and</strong> Orthopedic surgeons. Their profiles are<br />

featured in this edition of iNSIGHTS. We graduated our first trauma fellow <strong>and</strong> our second shoulder reconstruction<br />

fellow. The vision is to grow the department clinically. This is in the tradition of Dr. Bill Petty who significantly<br />

exp<strong>and</strong>ed the scope of our clinical practice <strong>and</strong> established the foundation for excellence in clinical care <strong>and</strong><br />

research. The department recently started an after hours orthopedic clinic, ORTHOcare, providing immediate care<br />

for musculoskeletal problems with ease of access to care. This patient centered easy access clinic provides a great<br />

service to the community <strong>and</strong> turns out to be educational as well. The departmental strategic plan is to continue to<br />

exp<strong>and</strong> our cadre of primary care musculoskeletal physicians <strong>and</strong> orthopedic surgeons.<br />

Educationally the department is thriving. With the foundation laid by Dr. V<strong>and</strong>erGriend <strong>and</strong> Dr. Jim Atchison we<br />

anticipate continuing to produce the finest orthopedic surgeons, <strong>and</strong> PM&R physicians. Educating that very special<br />

rare breed of orthopaedic surgeon, “the physician scientist” is in the very capable h<strong>and</strong>s of Drs. Gibbs, Ghivizzani<br />

<strong>and</strong> Decker who have stimulated our residents <strong>and</strong> medical students with their exciting work.<br />

The research emanating from the department is resulting in significant discoveries. This success again can be<br />

attributed to the foundation laid by Drs. Enneking, Gearen <strong>and</strong> Wright as they sheparded the resources of the<br />

department <strong>and</strong> made investing in discovery their highest priority. These discoveries have been multi-dimensional<br />

<strong>and</strong> have included the biological research of Drs. Ghivizzani <strong>and</strong> Gibbs, the biomechanical research of Drs. Kevin<br />

<strong>and</strong> Heather Vincent, Conrad <strong>and</strong> MacMillan <strong>and</strong> clinical research of Drs. Wright, Moser, Farmer, Decker, Vlasak,<br />

Gibbs, MacMillan, Horodyski <strong>and</strong> others. One measure of research success is NIH funding level. This department<br />

is currently ranked 19th in the USA in NIH funding by orthopedic departments <strong>and</strong> is on track to become a top 10<br />

program within a few years.<br />

The research division is prospering <strong>and</strong> we plan to exp<strong>and</strong> this division further by hiring two new Ph.D. scientists<br />

with expertise in molecular orthopaedics <strong>and</strong> human dynamics.<br />

Our goals are to advance the department from GREAT to the BEST. It will be a lot of work but the desire is there<br />

in everyone who walks through the door. Thanks to the leaders who came before me, to our grateful patients <strong>and</strong><br />

friends of the department, we have the foundation to make this happen.<br />

Go Gators!<br />

Mark Scarborough, M.D., Chairman<br />

Department of <strong>Orthopaedics</strong> <strong>and</strong> Rehabilitation<br />

Chairman<br />

Mark Scarborough, M.D.<br />

director<br />

Ambulatory Care<br />

Kevin Vincent, M.D., Ph.D.<br />

director<br />

research Administration<br />

MaryBeth Horodyski, Ed. D.<br />

director<br />

Administration<br />

Les Jebson M.H.A., F.A.C.H.E.


the YeAr AheAd<br />

PAUL DELL, M.D.<br />

DIVISIOn CHIEF<br />

HAnD & UPPEr<br />

ExtrEMIty<br />

What better way to start the alumni<br />

news than to acknowledge our<br />

four graduating Residents.<br />

Jim Rice is doing a spine fellowship at<br />

West Virginia University. Sean Griffin<br />

is doing a trauma fellowship in Carolinas<br />

Medical Center. John McCormick is<br />

doing a spine fellowship at the University<br />

of Virginia, <strong>and</strong> Dave Ryan is doing<br />

a sports fellowship at the Orthopaedic<br />

Research Virginia program. Kudos to<br />

these four great residents.<br />

We would like to re-start an annual dues. We historically had<br />

collected dues in the past which were used for resident educational<br />

purposes. The utilization of the dues have been <strong>and</strong> would be<br />

specifically for resident education as well as purchases such as<br />

individual lead aprons. Further funds would be used for books<br />

<strong>and</strong> travel through an internal grant system. We would like to set<br />

the dues at $200 annually. Checks can be made out to:<br />

Alumni proFile<br />

Dr. robert Cooper<br />

We met with Dr. Cooper in his office as he was preparing for<br />

board re-certification. It will be his third time.<br />

WHy DID yOU AttEnD tO tHE UnIVErSIty OF<br />

FLOrIDA? Well my mother, father <strong>and</strong> brother all attended <strong>UF</strong>.<br />

I started at another school but then became a part of the Junior<br />

Honors Medical Program. As a result when I graduated with my<br />

four-year degree, I had also completed one year of medical school.<br />

WHAt IntErEStED yOU In tHE FIELD OF<br />

OrtHOPAEDICS? I had an interest in ortho due to some<br />

personal experiences as a child, treated by Dr. Croft also a <strong>UF</strong><br />

Ortho alumni but it was crystallized during a summer high school<br />

scholarship program. I got the opportunity to be in the operating<br />

room for a hip <strong>and</strong> knee replacement. I knew then I wanted to<br />

become an orthopaedic surgeon.<br />

WHAt MEMOrIES DO yOU HAVE OF yOUr rESIDEnCy<br />

PrOgrAM At <strong>UF</strong> OrtHOPAEDIC AnD SPOrtS MEDICInE<br />

InStItUtE? Lots of good memories. It was a unique experience<br />

that was stressful at times. The professors <strong>and</strong> attendings set<br />

high expectations which forced you to be prepared to meet those<br />

expectations - all to treat patients correctly. This would be a<br />

tremendous help to me as a physician <strong>and</strong> surgeon. There were<br />

many fun times as well <strong>and</strong> always new things to learn.<br />

uF institute insights<br />

Orthopaedic Residency Education Fund <strong>and</strong> can be sent to:<br />

Department of <strong>Orthopaedics</strong> <strong>and</strong> Rehabilitation<br />

Attention: Paul C. Dell, MD<br />

PO BOX 112727<br />

Gainesville, FL 32611-2727<br />

An end-of-the-year reminder will go out. I would hope that you<br />

would consider ongoing support of the program in this aspect.<br />

Please mark the upcoming dates on your calendar:<br />

November 5, <strong>2011</strong>: The tailgate party.<br />

February 10, 2012: The Alumni Soirée in San Francisco<br />

during the Academy<br />

I would hope that we would be able to continue Alumni contact<br />

through this column. Please send any information that you would<br />

like to share.<br />

WHO DO yOU rEMEMBEr tHE<br />

MOSt? I am reluctant to mention<br />

anyone because I will surely leave<br />

someone out but definitely Drs.<br />

Enneking, Springfield, V<strong>and</strong>er<br />

Griend, Gearen, Petty, PC Dell,<br />

<strong>and</strong> Indelicato come to mind.<br />

The other residents, <strong>and</strong> many<br />

others, contributed so much to my<br />

education in many different ways.<br />

Dr. rOBErt COOPEr,<br />

CLASS ’90<br />

yOU HAVE DECIDED tO LEAVE tHE <strong>UF</strong> DEPArtMEnt<br />

OF OrtHOPAEDIC AnD SPOrtS MEDICInE In yOUr<br />

EStAtE PLAnS, WHAt MADE yOU DECIDE tO DO tHAt?<br />

I attended the 50th Anniversary dinner <strong>and</strong> saw Dr. Enneking<br />

receive a Chair in his honor. It was a great event <strong>and</strong> saw many<br />

old friends who I haven’t seen in such a long time. I realized how<br />

lucky I was <strong>and</strong> how much they contributed to my education <strong>and</strong><br />

ultimate success that I thought what better place is there to leave<br />

my estate.<br />

WHAt DO yOU DO WHEn yOU ArE nOt In SUrgEry<br />

Or HELPIng PAtIEntS? My wife, Suzanne <strong>and</strong> I are<br />

triathletes. We compete locally <strong>and</strong> nationally. I have been in<br />

dozens of triatholons <strong>and</strong> one Iron Man competition. I started<br />

competing when I was in the residency program with fellow<br />

resident Peter Buckley. I also work on my vintage cars. I have a<br />

1953 Jaguar XK120 <strong>and</strong> a 1940 Ford Pickup Truck.<br />

Dr. Robert Cooper, Class of 1990, is a partner in the Atlantic<br />

Orthopaedic Group in Melbourne, Florida.<br />

3


4<br />

50 YeArs CelebrAtion


eduCAtion updAte<br />

uF orthopAediC residents – ClAss oF 2016<br />

FelloWs<br />

BEnJAMIn D. yOUng<br />

OnCOLOgy FELLOW<br />

2006, MD<br />

Creighton University<br />

Omaha, NE<br />

2002, BS<br />

Kansas State University<br />

Electrical Engineering<br />

Spanish Major<br />

JUStIn DEEn<br />

Florida State University<br />

College of Medicine<br />

rAnDy LUO<br />

Baylor College of<br />

Medicine<br />

MICHAEL D. rIggEnBACH<br />

HAnD FELLOW<br />

2002 - 2006, MD<br />

Wright State University<br />

1997 - 2001, BS – Exercise Science<br />

University of Dayton<br />

SAng V. LE<br />

HAnD FELLOW<br />

2003 - 2006, MD<br />

University of Illinois College of Medicine<br />

2006 - <strong>2011</strong><br />

Loma Linda University Medical Center<br />

Post Doctoral Training / <strong>Orthopaedics</strong> Surgery<br />

2001 - 2002, MS - Physiological Science<br />

UCLA<br />

1996 - 2001, BS – Cybernetics & Moelcular<br />

Cell Development biology<br />

UCLA<br />

nICK nEWSUM<br />

University of Toledo<br />

College of Medicine<br />

DAVID SOLLACCIO<br />

University of Miami<br />

Leonard M. Miller<br />

School of Medicine<br />

QUAng “WAynE” t. ngUyEn<br />

PM&r CLInICAL PDA<br />

2003 - 2007, MD<br />

University of South Florida<br />

2000 - 2002, BS – Molecular <strong>and</strong><br />

Microbiology<br />

University of Central Florida<br />

1998 - 2000, Associate Arts<br />

Valencia Community College, Orl<strong>and</strong>o<br />

ALAn SCOtt HAMILtOn<br />

PM& r CLInICAL PDA<br />

2003 - 2007, MD<br />

University of Texas Health Science Center<br />

School of Medicine<br />

2007 - 2008, Internship<br />

University of Texas – Houston Internal<br />

Medicine<br />

2001 - 2003, Pre-Medicine<br />

University of Texas – San Antonio<br />

1990 - 1993 , Chiropractic Medicine, BS<br />

Anatomy Parker College 0f Chiropractic,<br />

Dallas TX<br />

1988 - 1990, Pre-Chiropractic Studies<br />

Santa Fe Community College<br />

1985 - 1987, AA Liberal Arts<br />

Lake City Community College<br />

uF institute insights<br />

MAttHEW L. KLIMA<br />

trAUMA CLInICAL PDA<br />

2002 - 2006, Doctor of Osteopathic Medicine<br />

Midwestern University<br />

2006 - <strong>2011</strong>, Residency<br />

Riverside County Regional Medical Center<br />

Moreno Valley, CA<br />

gOnzALO SAMItIEr<br />

SHOULDEr CLInICAL PDA<br />

1992 - 1998, MD<br />

Universidad Complutense Madrid<br />

<strong>2011</strong>, Ph.D<br />

Universidad Autonoma Madrid<br />

1992 - 1998, Masters<br />

Autonoma University Madrid<br />

5


6<br />

FACes oF philAnthropY<br />

surgeon gives $1.1 million to help Fund<br />

enneking-AnspACh ChAir<br />

sCArborough nAmed As First to hold the ChAir<br />

By Melanie Stawicki AZam<br />

Orthopaedic surgeon <strong>and</strong> entrepreneur William E.<br />

Anspach Jr., M.D., recently gave more than $1.1<br />

million to the <strong>UF</strong> College of Medicine to help fund<br />

the William F. Enneking, William E. Anspach, <strong>and</strong><br />

Orthopaedic Alumni endowed chair.<br />

Anspach Jr., who completed his orthopaedic residency at <strong>UF</strong> in<br />

1969, holds multiple patents for medical devices <strong>and</strong> founded two<br />

successful medical device companies. He received the university’s<br />

Distinguished Achievement Award in 2005.<br />

The chair is named in honor of the two great physicians who impacted<br />

his life the most, Anspach Jr. said. They include his late father,<br />

William E. Anspach, M.D., who was a radiologist in Chicago<br />

<strong>and</strong> associate professor at Northwestern University, <strong>and</strong> William F.<br />

Enneking, M.D., the world-renowned <strong>UF</strong> orthopaedics physician<br />

<strong>and</strong> scientist who was Anspach Jr.’s mentor during his orthopaedics<br />

residency at <strong>UF</strong>.<br />

“My father <strong>and</strong> Dr. Enneking were physician’s physicians,” he<br />

said, adding that they genuinely cared about each patient <strong>and</strong> adhered<br />

to the highest st<strong>and</strong>ard of ethics.<br />

Mark T. Scarborough, M.D., has been named the first holder of<br />

the William F. Enneking, William E. Anspach, <strong>and</strong> Orthopaedic<br />

Alumni endowed chair. Chairman of <strong>UF</strong>’s department of orthopaedics<br />

<strong>and</strong> rehabilitation, he is an orthopaedic oncologist who has<br />

been a faculty member for 20 years. His clinical focus has been on<br />

complex limb salvage in the treatment of conditions such as bone<br />

cancer.<br />

“Personally, it’s an honor to be in that chair because Dr. Enneking<br />

has been my mentor forever,” said Scarborough. “And it’s an honor<br />

to have the respect of Dr. Anspach.”<br />

A Gainesville native, Scarborough earned his medical degree at<br />

<strong>UF</strong> in 1985, then completed his residency in orthopaedic surgery<br />

at the University of Texas Medical Branch, <strong>and</strong> a fellowship in<br />

orthopaedic oncology at Massachusetts General Hospital <strong>and</strong> Boston<br />

Children’s Hospital. He returned to <strong>UF</strong> in 1991 to work in the<br />

department of orthopaedics <strong>and</strong> has held several leadership positions<br />

over the years. He was named the Eugene Jewitt professor of<br />

orthopaedic surgery in 2004.<br />

Dr. WILLIAM F. EnnEKIng<br />

For the department, which celebrated its 50th anniversary in 2010,<br />

Anspach’s gift will help further its goal of becoming one of the top<br />

10 NIH-funded orthopaedics programs in the U.S, Scarborough<br />

said. The department currently ranks 19th.<br />

Anspach Jr. would like the chair to carry on the legacy of his father<br />

<strong>and</strong> mentor, who were true leaders in their fields.<br />

William E. Anspach was one of the first radiologists in Chicago,<br />

serving several hospitals, trained many residents <strong>and</strong> specialized


in pediatric radiology. The younger Anspach described his father<br />

as “quiet with a great sense of humor” <strong>and</strong> a doctor who took the<br />

time to listen to his patients.<br />

Enneking was William E. Anspach Jr.’s role model <strong>and</strong> the reason<br />

why he said he switched his orthopaedics residency location<br />

midstream from the Mayo Clinic to <strong>UF</strong>. He went beyond just<br />

rote memorization, teaching students how diseases worked <strong>and</strong><br />

the body responded, so they could use their own logic to treat a<br />

patient.<br />

“Dr. Enneking was a truly great <strong>and</strong> inspiring teacher,” Anspach<br />

Jr. said. “Plus, he really cared about us—he didn’t just treat us like<br />

hired help.”<br />

A world-renowned physician <strong>and</strong> scientist specializing in<br />

musculoskeletal pathology <strong>and</strong> tumor surgery, Enneking joined<br />

the <strong>UF</strong> COM faculty in 1960. He became chairman of <strong>UF</strong>’s<br />

orthopaedic surgery department, boosting its size <strong>and</strong> prestige<br />

during his long tenure.<br />

Now a distinguished service professor<br />

emeritus of orthopaedic<br />

surgery at <strong>UF</strong>, he became an international<br />

leader in his field, developing<br />

pioneering treatments for<br />

bone <strong>and</strong> muscle diseases, including<br />

limb-saving procedures for<br />

patients with for bone cancers.<br />

“<br />

“Of course, I was completely surprised<br />

<strong>and</strong> obviously pleased,”<br />

said Enneking, when asked about<br />

the gift in his honor. “I’ve know Dr. Anspach (Jr.) for a long time<br />

<strong>and</strong> I’m a great admirer of him.”<br />

The Enneking Endowment was created by orthopaedic resident<br />

alumni <strong>and</strong> colleagues in 2005, to honor Enneking’s retirement<br />

<strong>and</strong> establish an endowed chair in his honor. Anspach’s gift of<br />

$1.127 million, plus more than $300,000 contributed by other donors,<br />

established the endowed position, which will fund research<br />

<strong>and</strong> salary support for the orthopaedics department in perpetuity.<br />

Dr. WILLIAM E. AnSPACH Jr., Dr. gHIVIzzAnI, AnD<br />

Dr. WILLIAM F. EnnEKIng<br />

uF institute insights<br />

This is not the first time that Anspach Jr. has donated to <strong>UF</strong> in his<br />

mentor’s name. Anspach Jr. also provided funds for the <strong>UF</strong>’s Enneking-<br />

Anspach Study Center, which is dedicated to the study of<br />

muculoskeletal pathology <strong>and</strong> disease in honor of Enneking.<br />

Anspach Jr. wishes his father, who died in 1964, could have seen<br />

him succeed as a doctor <strong>and</strong> manufacturer. Growing up in Chicago,<br />

the younger Anspach was more interested in building street rods<br />

<strong>and</strong> engines than studying.<br />

Dr. EnnEking was a truly grEat<br />

anD inspiring tEachEr. plus, hE<br />

rEally carED about us—hE DiDn’t<br />

just trEat us likE hirED hElp.<br />

”<br />

— William E. anspach Jr.<br />

“I was suspended four times<br />

from three high schools in my<br />

first two years for insubordination<br />

<strong>and</strong> goofing off,” he said.<br />

“My mind saw only carburetors<br />

<strong>and</strong> girls.”<br />

He initially mowed lawns as a<br />

teenager to support his interests<br />

but then formed a house painting<br />

business that, for a while,<br />

outearned his father.<br />

“William, you have way too much money,” his mother said.<br />

He bought his first car, a 1934 Ford, for $10 when he was in the<br />

seventh grade. He fixed it up <strong>and</strong> eventually was old enough to<br />

actually drive it.<br />

In the 70’s, Anspach would drive his home modified Formula C<br />

racer to two national championships.<br />

He attended Stanford University for medical school, ( <strong>UF</strong> turned<br />

him down ) completed an internship at Philadelphia General<br />

7


Dr. WILLIAM E. AnSPACH Jr. AnD HIS WIFE, KEnnA<br />

Hospital <strong>and</strong> began his orthopaedics residency at the Mayo Clinic.<br />

Nine months after starting his residency, he was drafted into the<br />

U.S. Air Force. It was during the Vietnam War, but he was not sent<br />

overseas. Instead he was stationed for two years at Strategic Air<br />

Comm<strong>and</strong> Headquarters in Omaha, Nebraska.<br />

He didn’t want to return to his Mayo residency <strong>and</strong> luckily was<br />

accepted into <strong>UF</strong>’s orthopaedic residency program.<br />

“I was so lucky that Dr. Enneking took me,” Anspach said. “And I<br />

was scared to death of him—he doesn’t suffer fools lightly.”<br />

During his three years at <strong>UF</strong>, Anspach said he was thrilled to be<br />

able to spend one year doing research, which involved studying<br />

ways to accelerate bone healing.<br />

After residency, Anspach went into private practice in West Palm<br />

Beach <strong>and</strong> continued to do research, focusing on the prevention of<br />

postoperative wound infection. These studies led to his appointment<br />

as an instructional course lecturer for the American Academy<br />

of Orthopedic Surgery <strong>and</strong> the founding of Laminaire Corporation,<br />

a company which manufactured air filtration systems <strong>and</strong> negatively<br />

pressurized surgical suits.<br />

8<br />

His second company started by happenstance. Anspach needed a<br />

power tool to remove a broken total hip implant that cost about<br />

$10,000 <strong>and</strong> decided to create his own for $100 instead. It worked<br />

so well that other surgeons asked him to make one for them.<br />

When he was overwhelmed with requests, he started his own<br />

company, The Anspach Effort Inc., in 1977. This company<br />

eventually grew to be one of the largest manufacturers of<br />

neurosurgical <strong>and</strong> robotic power tools in the world. He sold the<br />

company to Synthes in 2010. Synthes is currently being acquired<br />

by Johnson & Johnson.<br />

His son, William E. Anspach, III, M.D., who is an orthopaedic surgeon<br />

in private practice in Stuart, started another company, TMJ<br />

Concepts. Located in California, the company makes custom temporom<strong>and</strong>ibular<br />

joints.<br />

Now retired, Anspach lives with his wife Kenna in North Carolina,<br />

outside of Asheville. He has three grown children with his late<br />

wife Judy.<br />

Dr. WILLIAM F. EnnEKIng<br />

AnSPACH DrILL


eseArCh FACultY updAte<br />

pAdrAiC levings, ph.d.<br />

Padraic Levings attended the University at Stony Brook where he<br />

majored in Biochemistry <strong>and</strong> graduated with honors in 1998. He<br />

received his doctoral training at the University of Florida under<br />

the mentorship of Jorg Bungert. The primary focus of his doctoral<br />

research was the study of gene regulation using the human<br />

beta-globin gene locus as a model system. During the course of<br />

his graduate studies he received extensive training in the use of<br />

techniques to study epigenetic gene regulation, transcription, stem<br />

cell biology, <strong>and</strong> development. Dr. Levings also received extensive<br />

experience in the use of animal models <strong>and</strong> the generation of<br />

transgenic animals.<br />

Following his Ph.D. work Dr. Levings began work as a Postdoctoral<br />

Research Assistant in the lab of Dr. C.Parker Gibbs investigating<br />

the molecular mechanisms driving tumorigenesis in<br />

ortho CAre ACCess CliniC<br />

As part of the <strong>Orthopaedics</strong> <strong>and</strong> Sports Medicine Institute’s<br />

ongoing commitment to provide high quality <strong>and</strong><br />

convenient patient care, ORTHOcare ACCESS CLINIC<br />

opened in May <strong>2011</strong> on the 2nd Floor of The Institute. “With the<br />

huge success of the health system’s Gator Advantage access initiative,<br />

we decided to take it one step further by opening up into<br />

the evenings <strong>and</strong> weekends” states Bryan Prine M.D., the Medical<br />

Director <strong>and</strong> ORTHOcare staff physician.<br />

The clinic is currently staffed by the following fellowship trained<br />

physicians:<br />

Kevin Vincent M.D. Ph.D.<br />

Nahum Beard M.D.<br />

Katerina Backus M.D.<br />

Bryan Prine M.D.<br />

Jay Clugston M.D.<br />

DJ Kennedy M.D.<br />

Kevin Farmer M.D.<br />

uF institute insights<br />

osteosarcoma. During this time he has exp<strong>and</strong>ed his expertise to<br />

include the generation <strong>and</strong> use of viral vectors for gene transfer,<br />

cancer cell biology, <strong>and</strong> the development of in an in vivo model<br />

to study tumorigenisis in osteosarcoma. He recently published a<br />

research paper in the journal Cancer Research, identifying tumorigenic<br />

sub-populations within osteosarcoma xenografts. In the past<br />

year he has exp<strong>and</strong>ed upon his previous data <strong>and</strong> has been able to<br />

elucidate the molecular basis for tumorigenesis in osteosarcoma as<br />

well potential mechanism for the induced reversion of this capability<br />

in vivo. As Research Assistant Professor in the Department of<br />

<strong>Orthopaedics</strong> <strong>and</strong> Rehabilitation he will continue his post-doctoral<br />

research towards the identification of targets for the development<br />

of novel, more effective treatments for osteosarcoma.<br />

The service<br />

is a combination<br />

of both<br />

pre-scheduled ORTHOcare After Hours<br />

appointments<br />

<strong>and</strong> walk in<br />

patients. The<br />

clinic has ORTHOcare been After Hours<br />

operating from 5:00 p.m. to 9:00 p.m. weekdays, <strong>and</strong> Saturdays<br />

from 9:00 a.m. to 1:00 p.m. Patients can be referred immediately<br />

or for more information patients <strong>and</strong> referring physicians can call<br />

352-273-7929.<br />

ORTHOcare After Hours<br />

‘Word is spreading quickly, as we have seen consistent patient visit<br />

increases almost weekly since this exciting new service has been<br />

open to the community” said OSMI Administrator, Les Jebson.<br />

ORTHOcare<br />

After Hours<br />

ORTHOcare<br />

After Hours<br />

9


10<br />

reseArCh updAte<br />

level one orthopAediC trAumA serviCes<br />

On average, one in four persons in the United States has a<br />

musculoskeletal condition (1). The majority of musculoskeletal<br />

conditions documented are caused by traumatic<br />

events due to a sudden impact to the body from an external force<br />

(2). The most common traumatic events experienced by Americans<br />

include motor vehicle accidents, falls, knife <strong>and</strong> gunshot<br />

wounds, <strong>and</strong> accidents due to sport or recreational activities (3). In<br />

2010, 1,898 cases were treated within the Division of Orthopaedic<br />

Trauma at the University of Florida for orthopaedic injuries caused<br />

by traumatic events. Similarly in <strong>2011</strong>, 1,864 cases were treated.<br />

Attending surgeons Drs. Kalia Sadasivan <strong>and</strong> Richard Vlasak<br />

offer expert knowledge <strong>and</strong> training to both resident <strong>and</strong> fellow<br />

physicians to ensure successful administration of surgical procedures<br />

to treat traumatic orthopaedic injuries. They also recognize<br />

the importance of clinical research <strong>and</strong> have promoted this notion<br />

to their fellows <strong>and</strong> residents.<br />

Members of the Division of Orthopaedic Trauma have become actively<br />

involved in identifying, recruiting, <strong>and</strong> enrolling of patients<br />

into new <strong>and</strong> exciting clinical research studies. Some studies that<br />

have been or are currently being conducted include retrospective<br />

design studies that examine past patient medical record data to answer<br />

specific research questions. Earlier this year a retrospective<br />

design study had been conducted to examine the effect of minimally<br />

invasive surgical procedures on ankle fracture patients who<br />

were 55 years or older. Another study will evaluate obesity in patients<br />

with acetabular (hip ball <strong>and</strong> socket joint) fractures <strong>and</strong> its<br />

overall impact on healthcare costs. Yet another study will compare<br />

the effect of st<strong>and</strong>ard versus emergent methods of treating syndesmosis<br />

(fibrous joint) injuries.<br />

A sponsor-funded prospective research study is currently being<br />

conducted in the Division of Orthopaedic Trauma at the University<br />

of Florida <strong>and</strong> at seven additional sites in the United States <strong>and</strong><br />

Canada. This study compares radiation exposure levels in both patients<br />

<strong>and</strong> surgeons during the utilization of either of two surgical<br />

techniques to treat femoral shaft fractures. The results of this study<br />

will be of importance to surgeons as they are repeatedly exposed to<br />

radiation during their careers. Identification of a surgical technique<br />

that reduces or eliminates radiation exposure may contribute to<br />

surgeons’ future health status.<br />

The Division of Orthopaedic Trauma at the University of Florida<br />

plans to conduct more studies in the future months. Recently, Dr.<br />

Sadasivan collaborated with stakeholders at an inaugural meeting<br />

of the Florida Fracture Consortium held during the Annual Meeting<br />

of the Florida Orthopaedic Society. It was discussed that a research<br />

study proposal will be developed <strong>and</strong> the research will be<br />

implemented at multiple sites throughout Florida. If approved, this<br />

study will research a noninvasive method of identifying patients at<br />

risk for compartment syndromes. A pre-application has been submitted<br />

to receive grant funding for this project.<br />

References<br />

1) American Academy of Orthopaedic Surgeons. Orthopaedic fast<br />

facts. Retrieved August 19, <strong>2011</strong> from http://orthoinfo.aaos.org/<br />

topic.cfm?topic=A00130#A00130_R1_anchor<br />

2) West End Orthopedic Clinic. Orthopedic trauma defined. Retrieved<br />

August 19, <strong>2011</strong> from http://www.virginiah<strong>and</strong>.com/trauma.html<br />

3) Scottsdale Healthcare. Orthopedic trauma <strong>and</strong> fracture<br />

care. Retrieved August 19, <strong>2011</strong> from http://www.shc.org/<br />

Medical+Services/Trauma+Center/Orthopedic+Trauma+%26+<br />

Fracture+Care/Orthopedic+Trauma+%26+Fracture+Care/


humAn perFormAnCe lAb<br />

Grant SucceSS:<br />

A research grant was awarded to Dr.<br />

Heather Vincent <strong>and</strong> colleagues Drs.<br />

Vlasak, Gearen <strong>and</strong> K. Vincent to study<br />

the effect of a two month low calorie<br />

diet on surgical outcomes <strong>and</strong> recovery<br />

of physical function after a total knee<br />

replacement. The Obesity Society<br />

selected this study among proposals from<br />

the U.S. as one of importance to the field<br />

of orthopedics <strong>and</strong> healthy living. The study is scheduled to start<br />

in <strong>2011</strong> <strong>and</strong> be completed in 2012.<br />

the Science of runninG:<br />

Dr. Kevin Vincent, Director of the<br />

<strong>UF</strong> Running Medicine Clinic, has<br />

teamed up with Dr. Bryan Conrad<br />

<strong>and</strong> Dr. H. Vincent to develop one<br />

of the nation’s top research programs<br />

on the science of running.<br />

The team is examining how different<br />

factors such as barefoot running,<br />

joint pain, carrying water bottles<br />

<strong>and</strong> changing running cadence alter<br />

the biomechanics <strong>and</strong> energy cost<br />

while exercising. Dr. Kevin Vincent<br />

is also the course director for the<br />

upcoming 4th Annual <strong>UF</strong> Running<br />

Medicine Conference, to be held in March 15-16th 2012. Presentations<br />

will include running for weight loss, biomechanical issues,<br />

medical treatment of running injuries <strong>and</strong> h<strong>and</strong>s on experiences for<br />

assessment of injury. The distinguished guest speaker will be Dr.<br />

Irene Davis, Director of the Spaulding Running Center at Harvard<br />

Medical School.<br />

ryAn LOCHtE<br />

uF institute insights<br />

uf SportS performance center (ufSpc):<br />

The <strong>UF</strong>SPC was recently featured in the ESPN series “Inside the<br />

Edge.” Olympic swimmer Ryan Lochte worked with the <strong>UF</strong>SPC<br />

faculty <strong>and</strong> staff <strong>and</strong> The Gatorade Institute scientists to perform<br />

exercise testing for this featured televised series in June of <strong>2011</strong>.<br />

11


uF orthopaEDics anD<br />

sports MEDicinE institutE<br />

3450 hull roaD<br />

gainEsvillE, Fl 32607<br />

neW FACultY<br />

HArI PArVAtAnEnI M.D.<br />

Adult Reconstruction<br />

Dr. Parvataneni has been appointed as a total joint<br />

replacement surgeon effective October 1, <strong>2011</strong>. His<br />

clinical specialties include joint reconstruction as<br />

well as primary, complex <strong>and</strong> revision hip <strong>and</strong> knee<br />

Dr. PArVAtAnEnI<br />

replacements.<br />

Dr. Parvataneni received his orthopaedic surgical residency training<br />

at Lenox Hill Hospital in New York. He completed two fellowships: a<br />

research fellowship at The Hospital for Special Surgery in New York <strong>and</strong><br />

a clinical fellowship in arthroplasty at Massachusetts General Hospital in<br />

Boston.<br />

Prior to his new role, Dr. Parvataneni worked at The Boston Medical<br />

Center <strong>and</strong> The University of Miami Hospital <strong>and</strong> Jackson Memorial<br />

Hospital both in Miami, FL. Dr. Parvataneni was Associate Professor,<br />

Associate Residency Program Director <strong>and</strong> Chief of the Division of<br />

Arthroplasty. He is a Diplomate of the American Board of Orthopaedic<br />

Surgery (ABOS), was awarded Teacher of the Year by the University of<br />

Miami Orthopaedic Residency Program in 2009 <strong>and</strong> in 2006, the Harry D.<br />

Fein award for Excellence, Professionalism <strong>and</strong> Compassion in Residency.<br />

Please be sure to visit our website to update<br />

alumni <strong>and</strong> friends contact information<br />

www.ortho.ufl.edu<br />

non-proFit<br />

organization<br />

u.s. postagE<br />

p a i D<br />

gainEsvillE, Fl<br />

pErMit no. 94

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