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Ankle Replacement

Profile

Education

1987 B.A. Biochemistry Dartmouth College
1989 Joint M.D. Medicine Dartmouth College
1991 Joint M.D. Medicine Brown University

Postdoctoral Training

07/91-06/92 Internship General Surgery
(Kirby Bland, MD)
Brown University
07/92-06/96 Residency Orthopaedic Surgery
(Michael G. Ehrlich, MD)
Brown University
07/96-06/97 Fellowship Orthopaedic Trauma
(Peter G. Trafton, MD)
Brown University
05/97-06/97 Mini-Fellowship Foot/Ankle Arthrosc/Sports
(Carol Frey, MD)
UCLA (Harbor), USC
08/97-07/98 Fellowship Adult Reconstruction
(Thomas Sculco, MD)
Cornell University
08/98-07/99 Fellowship Foot/Ankle/Amputation
(Sigvard T. Hansen, Jr., MD)
University of Washington
09/05-10/05 AOFAS Fellowship U.S. Traveling Fellow Rizzoli Institute, Italy Galeazzi Institute, Italy

Faculty Academic Appointments

08/99-06/03 Assistant Professor Orthopaedics Warren Alpert Medical School of Brown University
07/03-02/09 Associate Professor Orthopaedics Warren Alpert Medical School of Brown University
03/09-12/13 Professor Orthopaedics Warren Alpert Medical School of Brown University
03/12-12/13 Professor Orthopaedics New York College of Podiatric Medicine
01/14-present Visiting Professor Orthopaedics Harvard Medical School

Appointments at Hospital/Affiliated Institutions

Past

08/99-12/13 Active Attending Staff Orthopaedics Rhode Island Hospital
08/99-12/13 Active Attending Staff Orthopaedics Miriam Hospital
07/02-12/13 Consultant Attending Staff Orthopaedics Providence Veterans Affairs Medical Center

Current

01/14-present Chief, Foot and Ankle Service Orthopaedics Massachusetts General Hospital
01/14-present Chief, Foot and Ankle Service Orthopaedics Newton Wellesley Hospital

Other Professional Positions

1996-1997 Consultant Team Physician Providence Bruins, Boston Bruins AHL Affiliate
1999-2013 Consultant Team Physician Brown University Athletics
1999-2013 Surgeon-in-Charge, Foot/Ankle Free Clinics Lifespan Hospital Network
1999-2013 Foot/Ankle Faculty Advisor, Trauma Fellows Warren Alpert Medical School of Brown University
2000-2006 Surgical Advisory Board Kinetikos Medical, Inc.
2000-2013 Examiner Rhode Island Medical Advisory Board
2000-2007 Consultant Team Physician Rhode Island Sting Rays, New England Revs MLS Affiliate
2002-2003 Surgical Advisory Board Johnson and Johnson/Depuy
2004-2005 Foot Ankle Task Force Advisory Board Member AO/ASIF Synthes, Davos, Switzerland
2004-present Consultant Team Physician U.S. Ski Team
2006-2010 Rhode Island State Organizer, Homeless Shelter Foot/Ankle Care Hearts to Soles Foundation
2006-2012 Chair, Surgical Advisory Board Biomimetic Therapeutics, Inc.
2008-present Chair, Surgical Advisory Board Extremity Medical, Inc.
2011-2012 Advisory Board FootandAnkleFixation.com
2012-2013 Surgical Advisory Board Arthrex, Inc.
2012-present Advisory Panel RIH Orthopaedic Foundation
2012-present Surgical Advisory Board Wright Medical Technology, Inc.
2013-present Surgical Advisory Board BESPA, USA
2014 Invited Board Examiner American Board of Orthopaedic Surgery (ABOS) Part II Board Examiner

Major Administrative Leadership Positions

Regional

1988 AMA-MSS Alternate Delegate for State of New Hampshire Geisel School of Medicine at Dartmouth
1999 Founder Division of Foot and Ankle, Department of Orthopaedic Surgery

Warren Alpert Medical School of Brown University

2003-2013 Chief Division of Foot and Ankle, Department of Orthopaedic Surgery

Warren Alpert Medical School of Brown University

2005-2013 Founder and Director Foot and Ankle Fellowship, Department of Orthopaedic Surgery

Warren Alpert Medical School of Brown University

2008-2013 Program Director Residency Program

Warren Alpert Medical School of Brown University (Rhode Island Hospital, Miriam Hospital, Newport Hospital, Woman and Infants Hospital, Providence VA Medical Center)

2012-2013 Founder and Director Joe DiMaggio Regional Sports Foot and Ankle Center

Warren Alpert Medical School of Brown University

Committee Service

Regional

2000-2010 Admissions Committee

2000-2010

2010-2013

Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University

Committee Member

Committee Chair

2002-2013 Graduate Medical Education Committee

2002-2013

Lifespan Hospitals, Warren Alpert Medical School of Brown University

Permanent Committee Member

2006 Tourniquet Committee

2006

Rhode Island Hospital

Committee Chair

2010-2013 Executive Committee

2010-2012

Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University

Founder and Chair

2011 Graduate Medical Education Subcommittee

2011

Department of General Surgery RRC/ACGME, Performance Citation Investigation, Lifespan Hospitals, Warren Alpert Medical School of Brown University

Ad Hoc Chair

2012-2013 Council of Clinical Chairs Reported to Dean of Medicine, Warren Alpert Medical School of Brown University, as a proxy representation for Orthopaedic Department Chair
2013 Clinical Competency Committee

2013

Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University

Founder and Chair

National

2011-present Consult Panel Member Testifying before FDA Panel on use of new orthobiologic alternatives to autogenous bone graft (rhPDGF-BB), as part of multiple PMA Hearings

Biomimetic Therapeutics, Inc.

2013-present Nominated to Managerial Board Foot & Ankle International

Professional Societies

1987-1997 American Medical Association
1991-2001 Sigma Xi Scientific Research Society
1997-present Association for the Study of Internal Fixation (AO/ASIF) North America

1997-present

2002

Association for the Study of Internal Fixation (AO/ASIF) Faculty Member

Moderator and Faculty, Advanced Association for the Study of Internal Fixation (AO/ASIF) Course

1998-present American Orthopaedic Foot and Ankle Society (AOFAS)

2003-2007

2005-2007

2005-2008

2005-2008

2006-2007

2007-2008

2009-2010

2012

Member, National Research Grants Committee

Board of Directors, Member-at-Large

Program Committee

Education Committee

Awards Committee Chair

Program Chairman, AOFAS Annual Summer (Toronto, CA) and Winter (San Diego, CA) Meetings

Nominating Committee

Selected U.S. Faculty, First Collaborative Multinational Educational Symposium

1999-present International Group of Foot and Ankle Trained Surgeons (AOFAST Group)
1999-present Rhode Island Orthopaedic Society
2000-present New England Orthopaedic Foot and Ankle Club (NEOFAC Group)
2005-present International Federation of Foot and Ankle Societies (IFFAS)

2008-2009

Scientific Committee
2006-present Orthopaedic Foot Club (invited membership comprised of maximum 40 leaders in foot and ankle across the U.S.)

2008 International Federation of Foot and Ankle Societies, Sao Paolo Brazil Scientific Committee
2010-present Società Italiana della Caviglia e del Piede (SICP), Honorary Inductee
2012-present Orthopaedic Trauma Association (OTA)
2012-present Arthroscopy Association of North America (AANA)
2012-present Twentieth Century Association (invited membership composed of 55 leaders in orthopaedic surgery across North America)
2013 Associate Master Instructor, AANA Foot/Ankle Arthroscopy Course, AAOS Orthopaedic Learning Center (OLC)

Grant Review Activities

2003-2007 AOFAS National Research and Grants Committee

Editorial Activities

Ad hoc Reviewer

Clinical Orthopaedics and Related Research

Journal of Bone and Joint Surgery (American)

Other Editorial Roles

2002-2006 Associate Editor Foot & Ankle International
2004 Guest Editor Foot and Ankle Clinics
2004-2012 Editorial Board Techniques in Foot and Ankle Surgery
2005-present Editorial Review Board Foot & Ankle International
2007-present International Editorial Board European Journal of Foot and Ankle Surgery
2009-present Editorial Staff www.FootEducation.com

Honors and Prizes

1983 Valedictorian Saint Joseph Regional HS
1983 Ski Team Captain Saint Joseph Regional HS
1984 Early Acceptance Geisel School of Medicine at Dartmouth
1985 Richter Trust Research Award for Biochemistry Dartmouth College
1985 Varsity Lightweight Crew Team Dartmouth College
1987 Third Honor Group Dartmouth College
1989 Academic Class Rank Amongst Top Few Students Geisel School of Medicine at Dartmouth
1989 Chosen as DMS Candidate for Pinkney Scholarship Geisel School of Medicine at Dartmouth
1991 Highest Academic Honors (“Superior” – no AOA) Warren Alpert Medical School of Brown University
1991 Medical Student Research Award American Federation for Clinical Research
1999-present Orthopaedic Attending with either the highest or amongst top few highest average overall annual resident scores for teaching/mentorship in residency Warren Alpert Medical School of Brown University
2000 Goldner Award Finalist, Year’s Best Basic Research AOFAS Annual Meeting
2004 Excellence in Teaching Award Brown University Orthopaedic Residency Program
2005 U.S. Traveling Fellowship Award AOFAS
2006 Mann Award Finalist, Year’s Best Clinical Research AOFAS Annual Meeting
2008 Election to American Orthopaedic Association (AOA) AOA
2008 Recognition by AOFAS Board of Directors for contribution to resident influence in selecting foot and ankle as a career choice (published in Foot Ankle International) AOFAS
2012 Best Poster Award, ORS Orthopaedic Research Society
2012 Mann Award Semifinalist AOFAS Annual Meeting
2013 One of four recipients, “Best of AOFAS 2012 Meetings” AOFAS Year in Review Webinar

Report of Funded and Unfunded Projects

Past

2003-2005 Comparison of Corticosteroid and Ethanol Injection Therapy in the Treatment of Morton’s Neuroma

RIH Orthopaedic Foundation

Site PI ($3,000)

Single center, prospective, blinded study designed to evaluate any significant difference in clinical outcome between ethanol and cortisone injection for Morton’s neuroma.

2003-2006 Design Performance of FDA approved Total Ankle Replacement (Eclipse Total Ankle)

Kinetikos Medical, Inc

Site PI and Lead Designer (unknown sum)

Major goal of this multicenter study was to define appropriate indications, approaches, and design applications of a new third generation total ankle arthroplasty for clinical use.

2005-2007 In Vitro Evaluation of Simulated Lateral Process Fractures of the Talus and their Relationship to Stability of the Ankle and Subtalar Joint

RIH Orthopaedic Foundation (estimate $15,000)

Site PI (estimate $15,000)

Multi-phased study assessing the impact of ligament discontinuity to both the ankle and the subtalar joint following simulated fracture of the lateral talar process in a cadaveric model.

2006-2007 A Prospective, Randomized, Controlled, Multi-Center, Human Clinical Trial to Evaluate the Safety and Effectiveness of GEM OS1 Bone Graft Compared to Autologous Bone Graft as a Bone Regeneration Device

Biomimetic Therapeutics, Inc

PI and Lead Investigator ($288,927)

This was a Level I evidence feasibility trial designed as a pilot to compare the use of a new orthobiologic (platelet derived growth factor) to the historical gold standard (autogenous host bone) as a means of maximizing bony fusion rates while minimizing perioperative risk during foot and ankle arthrodesis surgery.

2007-2013 Biomechanical Evaluation of Mini-fragment, Small-fragment, and Locked Fibular Plating for Fibular Shaft Fractures

Orthopaedic Trauma Association & Federation of Orthopaedic Trauma

PI ($5,000; $20,000)

Biomechanical study assessing optimization of hardware fixation for fibular fracture patterns. Designed in response to several recent trend towards lower profile and locked hardware use during foot and ankle surgery, this study aimed to elucidate any potential biomechanical tradeoffs when attempting to decrease soft tissue problems by employing these newer fixation methods.

2007-2011 A Prospective, Randomized, Controlled, Multi-Center Pivotal Human Clinical Feasibility Trial to Evaluate the Safety and Clinical Utility of GEM OSI Compared to Autologous Bone Graft as a Bone Regeneration Device in Foot and Ankle Fusion

Biomimetic Therapeutics, Inc

PI and Lead Investigator ($25,000,000)

Level I FDA approved North American Feasibility Trial comparing Augment (rhPDGF-BB/β-TCP) to autologous bone graft during foot and ankle fusion, representing, to our knowledge, the largest scientific investigation ever performed in the field of foot and ankle surgery to date (37 sites across North America).

2008-2009 A Randomized, Double-Blind, Multi-Center, Saline Controlled, Prospective Study to Evaluate the Safety and Effectiveness of Carticept’s Agilus (Hyaluronic Acid) for The Treatment of Ankle Osteoarthritis

Carticept Medical Inc.

Site PI ($159,562)

A twenty-center prospective randomized clinical trial on the use of Agilus injection in management of ankle arthritis, this study was intended to follow recently accrued data supporting similar conservative management of knee arthritis as the first of its kind to prospectively evaluate the impact of viscosupplementation treatment for the ankle. Study was prematurely terminated after initial patient enrollment.

2010-2011

Three Dimensional Non-Invasive Kinematic Analysis of the Transverse Tarsal Joint and Determination of the Role of the Plantar Fascia on the Transverse Tarsal Locking Mechanism

American Orthopaedic Foot and Ankle Society

Site PI ($19,925)

Characterization of the 3D kinematics involving the midfoot articulations of the human foot, meant to improve our understanding of an historically poorly studied region of anatomy which is still frequently responsible for the symptomatology associated with pathologic flatfoot (low arch) and cavus (high arch) deformity.

2011-2013 Effect of Medial and Lateral Calcaneal Displacement Osteotomy on Tarsal Tunnel Volume and the Tarsal Canal.

RIH Orthopaedic Foundation (estimate $25,000)

Site PI (estimate $25,000)

Cadaveric study utilizing MRI assessment of the tarsal canal in both the pre- and post-osteotomy state to compare the impact of various degrees, angles, and directions of calcaneal osteotomy and associated tuber shift on adjacent tarsal tunnel anatomy. Ultimate goal to define (and thus avoid) the perioperative risk factors related to onset of acute tarsal tunnel syndrome following corrective hindfoot osteotomy.

Current

2011-present Multicenter Prospective Randomized Clinical Trial comparing Augment Injectable versus ABG in a hindfoot fusion model

Biomimetic Therapeutics, Inc.

PI and Lead Investigator ($25,000)

Follow-up Level I, controlled investigation after initial pivotal orthobiologic trial to assess the use of an injectable form of Augment bone graft using a similar foot and ankle fusion model. Powered and designed to determine if this less invasive approach can result in an equally effective healing response as compared to both a control as well as the former patient group populations.

2012-present Patient Outcomes of Standard 3.5 mm versus smaller 2.4mm Fixation for Supination External Rotation Fibula Fractures.

RIH Orthopaedic Foundation

Site PI ($15,000)

Multi-surgeon, prospective, ongoing investigation comparing the risk-benefit and outcomes of using smaller versus traditionally larger size hardware for intraoperative fixation of rotational ankle fractures. A follow-up clinical investigation emanating from the earlier biomechanical assessment that was performed in our lab.

2012-present Exploring an Advocacy for the Orthopaedic Resident

Lifespan Graduate Medical Education

Co-creator and Advisor ($10,000)

Helped initiate the first advocacy curriculum for the orthopaedic residents at both Rhode Island and Miriam Hospitals, incorporating local, regional, and national speakers. This endeavor also represents, to our knowledge, one of the first few such programs in existence nationwide amongst orthopaedic residency programs.

2013-present Effect of Supramalleolar and Calcaneal Osteotomy on Ankle Joint Contact Characteristics during Simulated Medial or Lateral Unicompartmental Arthritis

RIH Orthopaedic Foundation

Site PI ($50,000)

This study is the first to reproduce the in vivo anatomy of patients with incomplete (partial joint) arthritic involvement of the ankle and thereafter characterize changes in peri-articular contact pressure after performing either supramalleolar, inframalleolar (calcaneal), or concurrent ankle osteotomies intended to offload the joint by displacing the anticipated ground reaction forces away from areas of perceived symptomatology (arthritic change) and towards areas of healthy cartilage (less articular involvement). Given the current risks, implications, and recoveries associated with both of the end stage definitive salvage procedures known as ankle fusion and ankle replacement, offloading osteotomy of the ankle in a relatively new procedure that has been embraced as having potential as a theoretically interim management for patients with moderate to severe symptomatic arthritis who might neither prefer nor be ideal candidates for these more aggressive procedures and who are therefore looking for alternative forms of symptomatic relief when conservative measures fail.

2013-present Next Steps in Physicians Training in Geriatrics

Donald W. Reynolds Foundation

Co-investigator and Director of the Orthopaedic Collaboration, Dr. Richard Besdine (PI; $1,000,000)

I worked closely with study PI and Dean Emeritus of the medical school at Brown, Richard W. Besdine, MD, to dovetail patient care efforts and analyze hospital dashboard metrics between the Departments of Orthopaedic Surgery and Geriatric Medicine as a means of improving the care of geriatric patients who also require orthopaedic attention.

Report of Local Teaching

Teaching of Students in Courses

1999-2013 Rhode Island Division of American Physical Therapist Association (APTA) Lectureship Series (varying titles, ranging from Ankle Replacement, Ankle Fusion, Ankle Instability, Post-Traumatic Rehab, Journal Clubs)

Therapists, BMS Medical Students

Varied Locations on/off Lifespan campus

10 hours/year

1999-2013 So, You Want To Be A Doctor

RI High School students

Brown University Mentorship Program

25 hours/year

1999-2013 Doctoring Mentor Program

BMS 1/2 Medical Students

Warren Alpert School of Medicine at Brown Young Doctor Program

20 hours/year

1999-2013 Longitudinal in Orthopaedic Surgery

BMS 3/4 Medical Students

Warren Alpert School of Medicine at Brown Clinical Elective (office/OR)

90 hours/year

1999-2013 Orthopaedic Surgery Elective

BMS 3/4 Medical Students

Warren Alpert School of Medicine at Brown Clinical Science Lecture Series (medical school classes)

2 hours/year

2003-2013 Orthopaedic Rotating Clerkship

Mandatory rotation for all external
medical students from all other programs nationwide who come to visit Brown

Brown Orthopaedic Residency Program Clinical Foot/Ankle Elective

250 hours/year

2012-present Orthopaedic International Elective

Interested exchange students from foreign schools and universities

Orthopaedic Shadow International Elective

150 hours/year

Formal Teaching of Residents, Clinical Fellows and Research Fellows (post-docs)

1999-2013

Rhode Island Division of American Physical Therapist Association (APTA) Lectureship Series (varying titles, ranging from Ankle Replacement, Ankle Fusion, Ankle Instability, Post-Traumatic Rehab, Journal Clubs, etc)

BMS PGY4 Ortho Residents, PGY6 Foot/Ankle Fellows

Varied Locations on/off Lifespan campus

5 hours/year

1999-2013

Brown Orthopaedic Residency Program Core Curriculum Lectures in Foot/Ankle

All BMS Ortho Residents, PGY6 Fellows, and Affiliated DPMs

Rhode Island Hospital

15 hours/year

1999-2013

Brown Orthopaedic Residency Program Core Curriculum Anatomy: Foot/Ankle

All BMS Ortho Residents, PGY6 Fellows

CORO Building Anatomy Cadaver Dissection Lab

3 hours/year

1999-2013

Brown Orthopaedic Residency Program Foot/Ankle Service Indications Conference

BMS PGY4 Ortho Residents, PGY6 Foot/Ankle Fellows

Off Site offices (East Greenwich, Butler Campus, North Providence)

60 hours/year

1999-2013

Brown Orthopaedic Residency Program Foot/Ankle Service Journal Club

BMS PGY4 Ortho Residents, PGY6 Foot/Ankle Fellows

Off Site offices (East Greenwich, Butler Campus, North Providence)

30 hours/year

1999-2013

Brown Orthopaedic Residency Program Foot/Ankle Service Core Lecture Series

Foot/Ankle Fellows

Off Site Offices (East Greenwich, Butler Campus, North Providence)

60 hours/year

2000-2006

Brown Orthopaedic Residency Program Foot/Ankle & Diagnostic Imaging Services Combined Imaging Conference

Foot/Ankle Fellows

Rhode Island Hospital Radiology Suites, Lifespan

2 hours/year

2005-2013

Brown Orthopaedic Foot/Ankle Fellowship Program Research Requirement

BMS PGY4 Ortho Residents, PGY6 Foot/Ankle Fellows

CORO Building Anatomy, Arthroscopy, and Biomechanical Labs

100 hours/year

2012-2013

Brown Orthopaedic Residency Program, Advocacy Curriculum

All BMS Ortho Residents, PGY6 Fellows

Rhode Island Hospital, Lifespan

4 hours/year

Clinical Supervisory and Training Responsibilities

1999-2013

Clinic Surgeon-in-Charge, Ortho Foot/Ankle Free Clinic

Rhode Island Hospital

4 hours per session, 1x/month

1999-2013

Foot/Ankle Consultant

Providence VAMC

5 hours/year

1999-2013

PGY-6 Trauma Fellowship

Rhode Island Hospital

35 hours/year

1999-2013

Foot/Ankle Lecture Series Surgeon-in-Charge, Core Curriculum

Lifespan Hospitals

100 hours/year

1999-2013

Indications Conference

Rhode Island Hospital

60 hours/year

1999-2013

Anatomy Conference: Leg, Ankle, Foot Moderator

CORO Building

3 hours/year

1999-2013

Orthopaedic Department Quality Assurance Conference Oversight/Participant

Lifespan Hospitals

20 hours/year

1999-2013

Foot/Ankle Journal Club Moderator

Lifespan Hospitals

15 hours/year

2005-2013

Cadaver Foot/Ankle Labs for Residents/Fellows

CORO Building

3 hours/year

2012-2013

Orthopaedic Advocacy Curriculum Moderator

Lifespan Hospitals

20 hours/year

Laboratory and Other Research Supervisory and Training Responsibilities

1999-2013

Supervision of BMS 1-4 Students, including a number of high school students

 

100 hours/year

Formally Supervised Trainees

1999-present

 

Supervision of Residents (PGY1-5)
Monthly mentorship with both clinical and bench top research projects, ongoing (multiple publications)

1999-present

 

Supervision of Trauma Fellows (PGY6)
Monthly mentorship with both clinical and bench top research projects, ongoing (multiple publications)

2005-present

 

Supervision of Foot/Ankle Fellows (PGY6)
Weekly mentorship with both clinical and bench top research projects, ongoing (multiple publications)

2006-present

 

Supervision of Foreign Orthopaedic Residents and Fellows/Attendings
Annual Surgical and Research Supervision, both foreign and domestic (this has included MDs from Italy, Turkey, China, Egypt, India, Greece, France, Switzerland, and Germany)

Formal Teaching of Peers

1993

 

Anabolic-Androgenic Steroid Use Amongst High School Athletes

New England Substance Abuse Conference

One time presentation

Newport, RI

1998

 

Should We be Reaming and Broaching?; Cemented Sockets; Cemented Stems in Revision Total Hip Arthroplasty; Managing Infection in Total Hip Arthroplasty

North American Hip and Knee Symposium

8 Hour Sessions x 3 Days

Beaver Creek, CO

1999

 

Topics In Foot and Ankle Trauma

New England Fracture Forum

Multiple Talks/Sessions x 2 Days

Providence, RI

1999

 

Total Ankle Arthroplasty

AAOS Orthopaedic Learning Center

Faculty/Table Instructor, 6 Hour Sessions x 2 days

Chicago, IL

1999-present

 

Annual Foot/Ankle Update

RI Physical Therapist Lectureship Series

Panel Speaker providing Multiple Talks over the years

Various sites across Rhode Island

2005

 

Incidence and Natural History of Lateral Talus Process Fractures and Their Impact on Ankle and Subtalar Joint Stability; Flexor Hallucis Longus Transfer as a Salvage for Achilles Tendinopathy; Isolated Gastrocnemius Tightness and Its Surgical Recession; Total Ankle Replacement

International Federation of Foot and Ankle Societies

Invited Lecturer/Faculty x 6 Weeks

Naples (Bologna & Milan), Italy

2006

 

The Pathoetiology of Isolated Gastrocnemius Equinus; Surgery for Gastrocnemius Contracture; Endoscopic Gastrocnemius Release

French Foot Society Annual Meeting

Invited Guest Professor x 1 Week

Toulouse, France

2009

 

Intraosseous and Intramedullary Fixation Constructs for Foot and Ankle Reconstruction: A Novel Technique

Heidelberg 2nd Annual Deformity Day

Invited Lecturer/Session Participant x 3 Days

Heidelberg, Germany

2010

 

The Brostrom-Gould Technique for Chronic Lateral Ankle Instability; Surgical Reconstructive Options for Treatment of Instability, Subluxation, and Tears of the Peroneal Tendons; The Lapidus Technique for Hallux Valgus Correction

Societa Italiana Della Caviglia e Del Piede (Italian Foot and Ankle Society)

Invited Guest Professor x 1 Week

 

Arezzo, Italy

Local Invited Presentations

2014

 

Does Bone Graft Work?/Grand Rounds

Massachusetts General Hospital

2014

 

Venous Thromboembolic Disease in Foot and Ankle Surgery: Current Concepts/Grand Rounds

Newton-Wellesley Hospital

Report of Regional, National and International Invited Teaching and Presentations

Invited Presentations and Courses

Regional

1991

Current Concepts in Abdominal Aortic Aneurysms/Grand Rounds
Miriam Hospital

1994

 

Treatment of Congenital Pseudoarthrosis of the Fibula/Danforth Lecture Series
Rhode Island Hospital

1994

 

Unicompartmental Osteoarthrosis of the Tibiofemoral Joint/Grand Rounds
Rhode Island Hospital

1995

 

Osteolysis
Adult Reconstruction Conference, Rhode Island Hospital

1995

 

Current Concepts in the Evaluation and Treatment of Ankle Arthritis/Grand Rounds
Rhode Island Hospital

1998

 

Arthroscopic Evaluation of the Subtalar Joint: Does Sinus Tarsi Syndrome Exist?14th Annual Summer Meeting of the Foot and Ankle Society, Boston, MA

1999

 

Topics in Foot and Ankle Trauma(Navicular Fractures,Talus Fractures, Calcaneal Fractures) /Faculty Instructor
New England Fracture Forum, Providence, RI

2000

 

Foot and Ankle Care in the Millennium/Grand Rounds
Department of Orthopaedics, The Warren Alpert School of Medicine at Brown University,
Rhode Island Hospital

2001

 

Lisfranc Joint Injuries/Guest Lecturer
National Podiatric Conference, Newport, RI

2002

 

Emergency Room External Fixation of Tibial Pilon Fractures
10th Annual Rhode Island Hospital Research Celebration

2002

 

Various Foot & Ankle Topics/Invited Speaker
Beacon Mutual Insurance Company, Warwick, RI

2002

 

Total Ankle Arthroplasty/Invited Speaker
Rhode Island Physical Therapist Society

2002

 

Talus, Calcaneus, and Navicular Fractures/Guest Lecturer
National Podiatric Conference, Newport, RI

2002

 

Revision 1st MPJ Fusion for Failed 1st MP Arthroplasty; The Rheumatoid Forefoot; The Lapidus Procedure; Sinus Tarsi Syndrome; Flatfoot Reconstruction/Guest Lecturer
Northwestern Podiatric Foundation Annual Meeting, Martha’s Vineyard, MA

2002

 

Amputations of the Foot and Ankle and Functional Implications/Invited Guest Lecturer
Rhode Island Association of Prosthetists and Orthotists

2003

 

Ankle and Hindfoot Fusion Options; Foot and Ankle Care in the New Millenium/Invited Guest Lecturer
Rhode Island Podiatric Medical Association, Newport, RI

2004

 

Primary Care of the Foot/Invited Guest Lecturer
Rhode Island Academy of Family Physicians, Newport, RI

2005

 

Session Moderator: Debate I: Bone Healing: What is the most effective bone healing supplementation?
21st Annual AOFAS Summer Meeting, Boston, MA

2011

 

Does Bone Graft Work?/Grand Rounds
University of Connecticut Health Sciences Center, Dept. of Orthopaedic Surgery, Hartford, CT

2011

 

Implant Technology, Industry, and Research; Current Concepts Regarding Management of the Talus Fracture /Invited Lecturer
American Orthopaedic Foot and Ankle Society Resident Review Court, Boston, MA

2011

 

The Effect of Calcaneal Osteotomy on Tarsal Tunnel Volume/Presenter
Orthopaedic Foot Club Meeting, Hanover, NH

2012

 

Venous Thromboembolic Disease in Foot and Ankle Surgery: Where are We Now?/Grand Rounds
Yale University, Dept. of Orthopaedic Surgery, New Haven, CT

2013

 

Update on the most common foot and ankle problems seen by the primary care physician/Symposium Speaker
Current Trends in Treatment of the Adult Orthopaedic Patient for the Primary Care Provider Symposium, Warren Alpert School of Medicine at Brown University

National

1997

 

Hip Pathology with MRI findings/Clinicopathological Grand Rounds
The Hospital for Special Surgery, New York, NY

1997

 

Femoral Osteolysis and Impaction Grafting/Presenter
79th Annual HSS Alumni Weekend, New York, NY

1998

 

Should We be Reaming and Broaching?; Cemented Sockets; Cemented Stems in Revesion Total Hip Arthroplasty; Managing Infection in Total Hip Arthroplasty/Presenter
North American Hip and Knee Symposium, Beaver Creek, CO

1998

 

In Vivo Mechanical Testing of Implants Covalently Grafted with RGD Attachment Peptides/Presenter
Orthopaedic Research Society, New Orleans, LA

1998

 

Effect of Increasing Polymerization Rate on the Mechanical Properties of Four Commercially Available Bone Cements/Presenter
24th Annual Meeting of the Society for Biomaterials, San Diego, CA

2000

 

Fractures of the Os Calcis in Children: A Study of 43 Fractures/Presenter
67th AAOS Meeting, Orlando, FL

2000

 

Clinical Exam Versus Instrumented Measurement of Gastrocnemius Equinus in Patients With Forefoot Pain/Paper Presentation, Finalist, AOFAS Goldner Award.
Annual Summer Meeting of the AOFAS, Vail, CO

2001

 

Vascularity of the Hip Labrum: An Anatomical Study; The Safety and Efficacy of Intraoperative Heparin in Primary Total Hip Arthoroplasty/Presenter
68th Annual Meeting AAOS, San Francisco, CA

2001

 

VI: Early Bird Session: Forefoot I/Session Moderator
17th Annual AOFAS Summer Meeting, San Diego, CA

2002

 

National History and Treatment of Bone Cysts of the Calcaneus/Invited Participant
AOFAS Fellow Conference, Telluride, CO

2002

 

VI: New Approaches/Session Moderator
18th Annual AOFAS Summer Meeting, Traverse City, MI

2003

 

The MBA Arthroereisis for Treatment of Stage 2 Posterior Tibial Tendon Insufficiency/Presenter
AOFAS Foot and Ankle Alumni Meeting, Telluride, CO

2003

 

Endoscopic Gastrocnemius Recession/Presenter
69th Annual Meeting AAOS, New Orleans, LA

2003

 

Paper Session/Session Moderator
19th Annual AOFAS Summer Meeting, Hilton Head, SC

2003

 

Technique Tips In Orthopaedic Foot and Ankle Surgery/Presenter
Telluride Foot Club (composed of multiple past presidents and board members of AOFAS), Telluride, CO

2004

 

Top Five Clinical Disasters in Foot and Ankle Practice/Presenter
Telluride Foot Club (composed of multiple past presidents and board members of AOFAS), Telluride, CO

2005

 

Why did my bunion fail?/Instructional Course Lecturer
AAOS Meeting, Washington, D.C.

2005

Clinical Case Series in Foot and Ankle Surgery/Presenter
Telluride Foot Club (composed of multiple past presidents and board members of AOFAS), Telluride, CO

2006

 

Is the Future of Arthroscopic Surgery Flexible?/ Paper Presentation
Orthopaedic Foot Club Meeting, Montgomery, AL

2006

 

Why did my bunion fail and what can I do about it?/Instructional Course Lecturer
AAOS Meeting, Chicago, IL

2006

 

Lateral Talar Process Fracture Incidence, Patterns, and Proximity to the Stabilizing Ligaments of the Ankle and Subtalar Joints/Paper Presentation
36th Annual AAOS Meeting, AOFAS Specialty Day, Chicago, IL

2006

 

Overutilization of Foot and Ankle MRI; Potential Role of PDGF in a Foot and Ankle Fusion Model /Paper Presentations
22nd Annual AOFAS Summer Meeting, La Jolla, CA

2006

 

Session Panelist: Research Symposium: Orthobiologics, The New Frontier: Platelet Derived Growth Factor
22nd Annual AOFAS Summer Meeting, La Jolla, CA

2007

 

Why did my bunion fail and what can I do about it?/Instructional Course Lecturer
AAOS Meeting, San Diego, CA

2008

 

A Human Feasibility Trial Evalutating rhPDGF versus Autologous Bone Graft during Foot and Ankle Fusion; Snowboarder Talus Fractures: Effect of Simulated Fracture Excision on Subtalar Contact Parameters; Complications Associated with VTED in Foot and Ankle Surgery; Current Concepts Review: DVT and PE in Foot and Ankle Surgery: Complications/Paper Presentations
75th Annual AAOS Meeting, AOFAS Specialty Day, San Francisco, CA

2008

 

Heparin Induced Thrombocytopenia in the Orthopaedic Patient/Invited Guest Professorship
University of Utah, Department of Orthopaedic Surgery, Salt Lake City, UT

2009

 

Evolving Technologies: Bone Forming Fusions/Paper Presentation
AOFAS Winter Meeting, Las Vegas, NV

2009

 

Lisfranc Injuries/Paper Presentation
Southern Orthopaedic Association 26th Annual Meeting, Amelia Island, FL

2009

 

Are Dropped Osteoarticular Fragments in an OR Setting Safely Re-implantable?/Paper Presentation
Annual Orthopaedic Foot Club Meeting, Washington, DC

2009

 

Clinical Case Series in Foot and Ankle Surgery/Presenter
Telluride Foot Club (composed of multiple past presidents and board members of AOFAS), Telluride, CO

2010

 

A Prospective, Randomized, Controlled, Multicenter Pivotal Human Clinical Trial to Evaluate the Safety and Effectiveness of Augment Bone Graft as a Substitute for Autologous Bone/Presenter
AOFAS/AAOS Specialty Day, New Orleans, LA

2010

 

Heparin Induced Thrombocytopenia and the Orthopaedic Patient/Grand Rounds
Columbia University College of Physicians and Surgeons, Dept. of Orthopaedic Surgery, New York, NY

2011

 

3D Analysis of Ankle Stress Testing: How Accurate are Radiographs?/Paper Presentation
ORS Annual Meeting, Long Beach, CA

2011

 

Journal Club on LCO/Panel Presenter
AAOS Annual Winter Meeting, San Diego, CA

2011

 

Traumatic Foot Injury Patterns Causing Foot Compartment Syndrome/Paper Presentation
AAOS Annual Meeting, San Diego, CA

2011

 

A Biomechanical Comparison of an Open Versus Arthroscopic Approach for the Treatment of Lateral Ankle Instability/Paper Presentation
AANA Annual Meeting, San Francisco, CA

2011

 

A Biomechanical Analysis of Brostrom Versus Brostrom-Gould Lateral Ankle Instability Repair; A Biomechanical Comparison of an Open Versus Arthroscopic Approach for the Treatment of Lateral Ankle Instability/Paper Presentations
American Orthopaedic Society for Sports Medicine (AOSSM) Annual Meeting, San Diego, CA

2011

 

How a Level V Evidence Paper Changed my Life: The Relationship between Calcaneal Osteotomy and Tarsal Canal Neuropathy/Panel Presentation
Panel Presenter in Journal Club on LCO, AAOS Annual Meeting, San Diego, CA

2011

 

A Biomechanical Comparison of an Open Versus Arthroscopic Approach for the Treatment of Lateral Ankle Instability; A Biomechanical Analysis of Brostrom Versus Brostrom-Gould Lateral Ankle Instability Repair; 3D Analysis of Ankle Stress Testing: How Accurate are Radiographs?; Anatomic Safe Zone for Placement of Suture Anchors in Arthroscopic Repairs for Chronic Ankle Instability /Paper Presentations
AOFAS Annual Meeting, Keystone, CO

2011

 

Interesting Case Presentations/Presenter
Telluride Foot Club (composed of multiple past presidents and board members of AOFAS), Telluride, CO

2012

 

Saline Load Test for Traumatic Arthrotomies of the Ankle/Presenter
AAOS Winter Meeting, San Francisco, CA

2012

 

Tibiotalar Joint Space Analysis During in vitro Simulated Gait/Podium Presentation
ORS, San Francisco, CA

2012

 

Outcomes of hindfoot and ankle fusions treated with Augment Injectable Bone Graft: Results of a Prospective Randomized Controlled Trial; Does Site Selection Make a Difference in Pain Outcome after Autologous Bone Graft Harvest?; Does Bone Graft Work?/Paper Presentations
AOFAS Summer Meeting, San Diego, CA

2012

 

Session Panelist: Fusion Techniques and Case Presentations
AOFAS Summer Meeting, San Diego, CA

2012

 

Peroneal Tendon Disorders; Avoiding Lateral Column Overload during Flatfoot Correction; Deltoid Ligament Insufficiency: Is Bony Realignment Enough?; The Crossover Toe /Invited Faculty, Symposium Speaker
1st Annual AAOS/AOFAS International Foot and Ankle Symposium, Orlando, FL

2013

 

Site Selection and Pain Outcomes After Autologous Bone Graft Harvest/Invited Presenter
Best of the AOFAS 2012 Meetings, Webinar

2013

 

Contribution of the Medial Malleolus to Tibiotalar Joint Contact Characteristics/Podium Presentation
Annual Orthopaedic Research Society Meeting, San Antonio, TX

2013

 

MRI Evaluation of Calcaneal Osteotomy’s Effect on Tarsal Tunnel and Proximity of Nerve Structures; Contribution of the Medial Malleolus to Tibiotalar Joint Contact Characteristics; Critical Analysis of a Trauma Fellowship-Modeled 6-year Orthopaedic Surgery Training Program
/Paper Presentation
AAOS 29th Annual Meeting, Chicago, IL

2013

 

Session Moderator: Paper Session: Ankle
AAOS 29th Annual Meeting, Chicago, IL

2013

 

Comparative Study of Scarf and Extended Chevron Osteotomies for Correction of Hallux Valgus; Outcome of Nonunions in Foot and Ankle Fusions/Paper Presentations
AOFAS Annual Meeting, Hollywood, FL

2013

 

Does bone graft work?/Presenter
Annual Meeting of 20th Century Orthopaedic Association, Thompsonville, MI

2013

 

Use of an emergency room external fixator for intial stabilization of pilon fractures/Presenter
Annual Meeting of the Eastern Orthopaedic Association, Miami, FL

2013

 

Effect of Valgus and Varus Supramalleolar Tibial Osteotomy on Loading of Simulated Hemiarticular Ankle Arthritis/Podium Presentation
Society of Miliary Orthopaedic Surgeons, Vail, CO

2014

 

The Senior Athlete: Different treatment strategies in the weekend warrior; Correlation of Geriatric Ankle Fractures and All-Cause Mortality; Nerve Injury Associated with Lateral Calcaneal Osteotomy: A Case Series/Presenter
AOFAS Specialty Day, New Orleans, LA

International

1998

 

The Effect of Intraoperative Heparin and Hypotensive Epidural Anesthesia on the Incidence of Thromboembolism Following Primary Total Hip Arthroplasty/Paper Presentation European Academy of Anesthesiology, Heraklion, Crete, Greece

1998

 

Effect of Vacuum Mixing, Centrifugation, and Hand Mixing on Bone Cement Porosity: An In Vitro and In Vivo Radiographic Study/Paper Presentation
Annual Summer meeting of the Hip Society, Toronto, Canada

1999

 

Vascularity of the Human Hip Labrum: A Microanatomic Study/Paper Presentation30th Annual Eastern Orthopaedic Association, Vienna

2002

 

Os Calcis Fractures in Children and Adolescents: Long term Results of Operative Treatment/Paper Presentation
18th Annual Meeting of the OTA, Toronto, Canada

2002

 

Endoscopic Gastrocnemius Tenotomy: A Preliminary Report/Paper Presentation
German Foot and Ankle Society Meeting, Munich, Germany

2005

 

Effect of Simulated Fracture Excision on the Ligamentous Attachments of the Lateral Process of the Talus/Paper Presentation2nd IFFAS Meeting, Naples, Italy

2006

 

The Etiology of Isolated Gastrocnemius Tightness; The Relationship between Gastrocnemius Tightness and Pathology in the Food and Ankle/Invited Guest LecturerFrench Foot Society Meeting, Toulouse, France

2006

 

Overutilization of Foot and Ankle MRI/Paper Presentation4th SICOT/SIROT Annual International Conference, Buenos Aires, Argentina

2006

 

Gastrocnemius Tightness/Session ModeratorInternational Spring Meeting of the French Foot Society, Toulouse, France

2006

 

Effects of Gastrocnemius Tightness on the Foot; Operative Release of the Gastrocnemius Tendon/Paper PresentationsInternational Spring Meeting of the French Foot Society, Toulouse, France

2006

 

Overutilization of Foot and Ankle MRI/Paper Presentation6th European Foot and Ankle Surgery (EFAS) Congress, Prague, Czechoslovakia

2007

 

A Prospective, randomized, controlled, multi-center human clinical feasibility trial to evaluate the preliminary safety and efficacy of rh PDGF vs. autologous bone graft as a bone regenerative device/Paper Presentation
AOFAS 23rd Annual Summer Meeting, Toronto, Canada

2008

 

Are Dropped Osteoarticular Bone Fragments Safely Re-implantable in vivo?/Paper Presentation3rd IFFAS Meeting, Sao Paolo, Brazil

2009

 

A Novel Intraosseous Fixation Technique for use in the Foot and Ankle; The TarsX and HalluX devices for intramedullary fusion /Presenter and Faculty2nd Annual Deformity Day, University of Heidelberg Orthopaedic Clinic, Germany

2009

 

Salvage of pathology after calcaneal fracture malunion/Presenter and Faculty94th Congresso Nazionale, Societa Italiana Di Orthopedia e Traumatologia, Milan, Italy

2010

 

Chronic Ankle Instability: Brostrom Gould Reconstruction/Presenter
Second Practical Course for Surgery of the Foot, Italian Foot and Ankle Society, Secondo Corso Practico di Chirurgia del Piede, Societa’Italiana Della Caviglia e Del Piede, Arezzo, Italy

2010

 

Treatment of Instability, Subluxation, and Tears of the Peroneal Tendons/Presenter

2011

 

A Biomechanical Comparison of an Open Versus Arthroscopic Approach for the Treatment of Lateral Ankle Instability/Presenter; A Biomechanical Analysis of Brostrom vs. Brostrom- Gould Lateral Ankle Instability Repairs/Paper Presentation
4th IFFAS Meeting, Nara, Japan

2011

 

Intraosseous and Intramedullary Fixation in the Foot and Ankle: Is this the Future?/Presenter
Presented to Foot and Ankle Surgeons in Athens, Greece, and Rome, Italy

2012

 

A Prospective, Randomized, Controlled, Multi Center, Pivotal Human Clinical Trial to Evaluate the Safety and Effectiveness of Augment Bone Graft as a Substitute for Autologous Bone Graft in Foot and Ankle Fusion Surgery/ Paper Presentation
EFORT (European Federation of National Association of Orthopaedics and Traumatology) Submission, 13th Congress, Berlin, Germany

2013

 

Outcomes of Hindfoot and Ankle Fusions treated with Augment Injectable Bone Graft: Results of a Prospective, Randomized, Controlled Trial; Do Nonunion of Foot and Ankle Fusions Result in a Bad Outcome?/Podium Presentation
Canadian Orthopaedic Association Annual Meeting, Winnipeg, Canada

2013

 

Establishing the Relationship Between Clinical Outcomes and Extent of Osseous Bridging by CAT Scan Assessment in Isolated Hindfoot and Ankle Fusions; Outcomes of Hindfoot and Ankle Fusions treated with Augment Injectable Bone Graft: Results of a Prospective, Randomized, Controlled Trial; Do Nonunion of Foot and Ankle Fusions Result in a Bad Outcome?/Podium Presentations
Canadian Orthopaedic Association Annual Meeting, Winnipeg, Canada

2013

 

Foot and Ankle Case Presentations/Presenter
Telluride Foot Club (composed of multiple past presidents and board members of AOFAS), Revelstoke, British Columbia

Report of Clinical Activities and Innovations

Current Licensure and Certification

1991-1996

Temporary Medical License, State of Rhode Island

1992

Advanced Trauma Life Support

1992

Diplomate, National Board of Medical Examiners

1996-1999

Advanced Cardiac Life Support

1996-present

Full Medical License, State of Rhode Island

1997-1998

Full Medical License, State of New York

1998-1999

Full Medical License, State of Washington

2002

Active Fellow, American Academy of Orthopaedic Surgeons

2009-2021

ABOS Recertified

2013-2014

Renewal BLS, ACLS

2013-2014

Full Medical License, State of Massachusetts

Practice Activities

1999-2013

Ambulatory Care, Outpatient Clinic

University Orthopedics, Inc

2 office days per week

1999-2013

Surgical Care, Inpatient/Outpatient Surgery

University Orthopedics, Inc

2-2.5 OR days per week

1999-2013

Ambulatory Care, Free Care Clinic

RIH Foot/Ankle Clinic

1 day per month

1999-2013

Research/Administration

University Orthopedics Inc.

0.5-1 day per week

Clinical Innovations

Creation of the “continuity clinic” for enhanced orthopaedic residency education and training (1994-5)

Approximately twenty years ago, I helped co-create and implement (the original idea must be attributed to my YIT co-resident, Dr. Sean Griggs) the concept of a Continuity Clinic for orthopedic residents during their residency training—designed to improve the continuity of care and doctor-patient relationship in our free clinics. As a result of these unusual changes in clinic structure, whereby residents and patients would no longer encounter the inefficiencies and problematic care associated with having to learn new faces and medical issues during every clinic visit, both patient and resident satisfaction soared. Our program was later commended by the RRC for this novel design improvement which, according to the RRC, has now evolved to become more standard across many orthopaedic programs in the United States —seemingly, in part, because of the improved learning opportunities, accountability, sense of ownership, and communication skills made available by this model.

Arthroscopy for sinus tarsi syndrome (‘STIL’ Lesion) (1999)

This paper in Foot & Ankle International was one of the first published works to highlight the potential clinical utility and promise of subtalar arthroscopy for certain disease states, a procedure that is commonplace today—but quite unusual 15 years ago. The data have been referenced and discussed at various national meetings, most recently at the AANA Foot and Ankle Arthroscopy Course held at the AAOS Orthopaedic Learning Center in Chicago in late October of 2013.

Outcome after Lisfranc Injury (2000)

I have produced several peer review publications (J Bone Joint Surg Am, Orthopedics) and book chapters on Lisfranc injuries that continue to be frequently quoted in the foot and ankle trauma literature with regard to what is considered appropriate care for patients with these serious midfoot injuries. At the time of its publication, our outcome assessment of this patient population represented one of the largest and most comprehensive series of patients having undergone ORIF for Lisfranc injury in the English literature.

ED external fixation for stabilizing severe ankle fractures (2002)

I was amongst the first to publish and popularize (Tech Foot Ankle Surg, Am J Orthop, Foot Ankle Clin) the application of external fixation in the emergency department to provide early intervention management of severe ankle fractures. This work has resulted in new hospital protocols influencing how orthopaedists can more efficiently and perhaps cost-effectively stabilize such acutely injured patients in a lower risk emergency room setting as opposed to the higher risk and more medically complex traditional operating room setting.

The concept of isolated gastrocnemius contracture
(2002)

We were amongst the first to publish on the concept of isolated contracture of the gastrocnemius (J Bone Joint Surg Am, Foot Ankle Int, Medecine et Chirurgie du Pied, Foot Ankle Clin) as a clinical entity, and produced several successive clinical investigations which remain partly responsible for heralding a paradigm shift in our understanding and treatment of many forms of foot and ankle pathology. Although prior to our publications it was difficult to find a regional or national foot and ankle meeting willing to entertain this topic on the podium or surgeons willing to perform a procedure to remedy this problem, the entity has since become one of the most frequently published, quoted, and discussed topics at these meetings. The information has also prompted numerous invited book chapters as well as national and international visiting professorships to discuss the subject and perform related surgical techniques.

Foot and Ankle trauma education (2003)

One of the texts I have helped author and edit over the past decade has become an industry standard for resident education and care of the injured patient in both the United States and abroad. At one point I was told by the publisher of Skeletal Trauma that it was the most widely sold orthopaedic trauma text in the world. We are now finishing the fourth edition.

Low energy, rotational ankle fracture nonunion (2004)

To my knowledge, we were also the first to publish (Foot Ankle Int) on the incidence and treatment of symptomatic nonunion of low energy, rotational ankle fractures after initial closed management. Since our investigation, additional work has been published confirming our initial findings and serving to further influence the recognition and care of such patients.

Vascularity of the hip labrum (2005)

Some of the index work I helped contribute to on the vascularity of the hip labrum (Arthroscopy) has helped one of my co-authors become one of the world’s leading experts on hip arthroscopy and hip joint labral tear management at the Hospital for Special Surgery in New York.

 

Tourniquet use in orthopaedic surgery (2006, 2012)

Our recently published work (J Am Acad Orthop Surg) on the current science behind tourniquet use in the operating room has helped define safe tourniquet use for surgeons and anaesthesiologists. This work, along with further research we previously performed (Orthopedics) to identify the level of contamination associated with standard handling techniques for operating room tourniquets, has led to new protocols for tourniquet sterility and handling in our and other hospitals in the United States.

The importance of VTED in foot and ankle surgery (2007)

My publications on this highly controversial and misunderstood topic (Foot Ankle Int) have resulted in several invited grand rounds presentations as guest professor as well as symposia moderation/participation at national meetings. I continue to dedicate time to this work, in an effort to help define best practice methods and acceptable use of various kinds of venous thromboembolic prophylaxis for foot and ankle surgical patients, including the use of aspirin—and I am now in the process of securing funding for a 60-center North American randomized, prospective, controlled trial on this subject.

Overutilization of MRI in foot and ankle surgery (2007)

Our published work on the overutilization of MRI in the field of foot and ankle surgery (Foot Ankle Int) was, to my knowledge, the first of its kind—and has stimulated great debate on behalf of our society (invited AOFAS presentations), insurance companies (invited Blue Cross/United Health presentations), newspapers (invited New York Times pieces), hospitals (assistance with Lifespan protocols), and gubernatorial candidates (invited commentary)—many of whom continue to communicate with me as to how these data might help guide more cost-effective care in the future.

Heparin-Induced Thrombocytopenia & Thrombocytosis (HITT) in Orthopaedic Surgery (2008)

My published work on HITT and its risk relationship to orthopaedic patients has helped stimulate much needed further attention across the US regarding prevention rather than treatment for this potentially devastating problem. It has resulted in invitation for presentation to national meetings (AOFAS) as well as Grand Rounds at a number of major academic centers in New England

Foot/Ankle mentorship (2008)

As the only foot and ankle specialist in my Orthopaedic Department over the past 15 years, I have enjoyed the opportunity to encourage an unusually large number of residents to pursue foot and ankle surgery as a career choice. This later attracted the attention of the AOFAS Board of Directors, who asked me to implement and then present to them the findings of an investigation designed to identify the primary factors influencing subspecialty career choice—in hopes of encouraging more people to pursue our field and build society strength (subsequently published in Foot Ankle Int).

What do we do when we drop a piece of our patient’s autograft bone in the operating room? (2011)

Many years ago, while nearing completion of a three plus hour case putting an out of state physician’s comminuted calcaneal fracture meticulously back together, I dropped the literally final—but indispensable—piece of this osteoarticular construct onto the OR floor. My subsequent research (J Bone Joint Surg Am) designed to clarify proper handling of dropped osteoarticular fragments has improved our algorithm for how to optimally manage unintended intraoperative contamination of indispensable host bone fragments after being dropped in the OR during orthopaedic surgery—a problem that has actually always been far more common than one might think.

Use of recombinant orthobiologic alternatives to autogenous bone graft in foot and ankle surgery (2013)

I was PI for what remains to date the largest scientific investigation ever performed, to my knowledge, in the field of foot and ankle surgery—in conjunction with many of my AOFAS colleagues across North America. As lead investigator for this study, I helped secure the funding (approximately 25M) and oversee design protocol, IRB approvals, FDA approval for IDE, surgeon recruitment, and appropriate investigational site vetting to successfully execute this 37 center, multi-national, Level I PRCT comparing the healing potential of a novel growth factor (rh-PDGF) to our traditional gold standard autogenous bone graft (ABG) as augments to standard foot and ankle fusion surgery. This research may result in the first FDA approved orthobiologic for use in foot and ankle surgery as a potential alternative to incurring the additional risks, second site surgery, and anaesthetic time associated with ABG harvest. Based on our work, this bone graft substitute has also already been approved for such use in multiple countries around the world and our data have resulted in the generation of multiple novel publications pertaining to bone biology during foot and ankle surgery (J Bone Joint Surg Am, Foot Ankle Clin, Foot Ankle Int, Current Orthop Practice), as well as invites for numerous national and international presentations.

Defining the ideal orthopaedic residency education today: a sixth year? (2013)

Our recently published (J Bone Joint Surg Am) outcomes research on resident perception of the advantages and disadvantages of a six-year training program in orthopaedic surgery, also presented at AAOS, has contributed relevant discussion in this era of new duty hour restrictions and evolving regulatory guidelines for residency training. These data will hopefully provide further framework for vetting the ideal mechanisms by which to educate orthopaedic residents in the years to come.

Report of Technological and Other Scientific Innovations

Eclipse total ankle replacement (2006)

I was lead designer for the Eclipse Total Ankle Replacement, Kinetikos Medical Inc (now Integra Life Sciences Corp), one of the few third generation total ankle arthroplasties to receive 510K FDA approval (K061749, 9/22/06) for clinical use in the United States. This implant was also the first of its kind to permit resurfacing through either a medial or lateral (as opposed to a traditionally anterior) approach—thereby enabling the surgeon to take advantage of local anatomy or prior surgical exposure. Our original work has stimulated new total ankle design considerations in the US market, as well as alternative approaches for ankle replacement, reflected, for example, by recent entrance of a very similar and just recently approved implant (Zimmer Trabecular Metal) released by Zimmer Corporation.

The flexible arthroscope: our future (2007)

Acknowledging a singular, partially relevant report published in the 1970s from Japan, I consider myself an original developer of the concept of a flexible arthroscope for use in orthopaedic surgery (US Patent Application #20070219412, filed March 16, 2007). It is my belief that this concept will someday revolutionize how orthopaedists across all subspecialties (not just foot and ankle) perform increasingly complex arthroscopic tasks through increasingly complex articular anatomy. Flexible arthroscopy offers the capacity to mirror and bend with the confinements of its surroundings, and therefore has the potential to extend the reach of arthroscopy well beyond the limits of what is now our effectively sole, and stale, technology (originally intended for just the knee): the rigid arthroscope.

IoFix novel intraosseous and intramedullary fixation in the foot and ankle (2009)

The concept of fixed angle intramedullary and/or intraosseous fixation has for decades been very successfully applied to the long bones of the musculoskeletal system. With this understanding, I led a team of foot and ankle experts to be the first to devise (multiple U.S. patents pending) a similar fixation system for application in the “small long bones” of the foot and ankle (recently published application in Tech Foot Ankle Surg). The indications for this new technology (IoFix) continue to expand rapidly, and over the past five years their applications have grown to a level which now includes their use across multiple countries throughout the world.

Report of Education of Patients and Service to the Community

Media

2003

‘Health Check’ with Barbara Morse on Patient Compliance During Surgical Procedures

Channel 10 NBC News Broadcast

Barbara Morse interview with DiGiovanni, CW

2004

‘Health Check’ with Barbara Morse on Peroneal Injury/Pathology with Curt Schilling

Channel 10 NBC News Broadcast

Barbara Morse interview with DiGiovanni, CW

2011

‘Health Check’ with Barbara
Morse on Charcot Marie Tooth
Disease and High Arches

Channel 10 NBC News Broadcast

Barbara Morse interview with DiGiovanni, CW

2011

“Sports Medicine Said to Overuse MRIs”

http://www.nytimes.com/2011/10/29/health/mris-often-overused-often-mislead-doctors-warn.html?_r=0

Gina Kolata interview with DiGiovanni, CW

Activities

1983-present

Eagle Scout, Boy Scouts of America, Troop 11, New Hempstead, NY

1983-1987

Assistant Scoutmaster, Boy Scouts of America, Troop 11, New Hempstead, NY

1999-present

Rhode Island Worker’s Compensation

 

Have at various times over the past 15 years given invited lectures on foot and ankle injury in the workplace and the care and recovery that can be expected thereafter. Held Q&A sessions.

2001

National Arthritis Foundation/Invited Speaker

 

Provided a 30 minute lecture on the status of ankle replacement and foot reconstruction for patients suffering from severe rheumatological conditions, and also reviewed what technology was on the horizon.

2007-2010

Hearts to Soles Foundation and Providence Homeless Shelters/RI State Organizer

 

Provided uncompensated foot and ankle care to several men’s homeless shelters, as well as shoe fittings from contributions acquired through Heart to Soles Foundation. Would also bring my medical students, residents, and fellows to these places as both an education experience and an opportunity to assist those who did not have medical coverage and could not otherwise seek care.

2013-present

Parent Volunteer, Boy Scouts of America, Troop 5, Milton, MA

Educational Material for Patients and the Lay Community

Activities

2006-2010

Hearts to Soles Campaign

Teacher/Provided Free Foot and Ankle Care

Men’s Shelters, Providence Rhode Island

Patient Educational Material

2009-present

Patient Education Site for Reference

Editor

www.FootEducation.com

2011-2012

Helping patients understand their implant choices

Contributor

www.FootandAnkleFixation.com

2013-present

AOFAS educational site for use

Contributor

www.FootCareMD.org

Recognition

2001

Life Member

National Registry of Who’s Who

2002

Best Doctors in Rhode Island

Better Living Magazine

2004

Best Doctors in America

Best Doctors, Inc

2006

Best Doctors in America

Best Doctors, Inc

2006

Inducted

Who’s Who in Medicine and Healthcare

2006

Inducted

Who’s Who in Science and Engineering

2007

Inducted

America’s Registry of Outstanding Professionals

2007

Inducted

Who’s Who in America

2007

America’s Top Orthopaedists

Consumer Research Council of America

2007

Best Doctors in America

Best Doctors, Inc

2008

America’s Top Orthopaedists

Consumer Research Council of America

2008

Patients’ Choice Award

The American Registry

2009

America’s Top Doctors

Castle Connolly

2009

Patients’ Choice Award

The American Registry

2010

America’s Top Orthopaedists

Consumer Research Council of America

2010

Compassionate Doctor Recognition

The American Registry

2011

Best Doctors

Best Doctors, Inc.

2011

Top Specialist

US News and World Report

2011

Patient Choice Award

MDx Medical, Inc.

2011

America’s Top Orthopaedists

Consumer Research Council of America

2011

America’s Top Doctors

Castle Connolly

2011

Leading Professionals of the World

International Biographical Center

2011

Compassionate Doctor Recognition

The American Registry

2012

America’s Top Doctors

Castle Connolly

2012

America’s Top Orthopaedists

SLD Industries

2012

Best Doctors

Best Doctors, Inc

2012

Top Doctor

US News and World Report

2012

Patients’ Choice Award

The American Registry

2013

Best Doctors

Best Doctors, Inc

2013

Top Doctor

US News and World Report

2013

Top Doctors

Castle Connolly

2014

Top Doctors

The American Registry

2016

Top Doctors

Boston Magazine

Report of Scholarship

Publications

Peer-Reviewed Publications in print or other media

Research Investigations

Reviews

  • DiGiovanni, CW. Isolated gastrocnemius tightness: Is it real, and can it affect the foot? Medecine et Chirurgie du Pied. 2006; 22(2):136.
  • DiGiovanni C, Banerjee R, Villareal R. Foot and Ankle Research Priority 2005: report from the Research Council of the American Orthopaedic Foot and Ankle Society. Foot Ankle Int. 2006; 27(2):133-134.
  • DiGiovanni CW, Brodsky A. Current concepts: lateral ankle instability. Foot Ankle Int. 2006; 27(10):854-866.
  • DiGiovanni, CW, Saxena, A. Surgical treatment of gastrocnemius contracture. Medecine et Chirurgie du Pied. 2006; 22(2):149.
  • DiGiovanni CW. Current concepts review: heparin-induced thrombocytopenia. Foot Ankle Int. 2008; 29(11):1158-1167.
  • Trepman E, Lutter LD, Richardson EG, Thordarson DB, Gill LH, DiGiovanni CW; American Orthopaedic Foot and Ankle Society. Special report: highlights of the 23rd Annual Summer Meeting of the American Orthopaedic Foot and Ankle Society, Toronto, Ontario, Canada, July 13-15, 2007. Foot Ankle Int. 2008; 29(1):105-113.
  • Trepman E, Lutter LD, Richardson EG, Thordarson DB, Gill LH, DiGiovanni CW. Special report: Highlights of the 23rd Annual Summer Meeting of the American Orthopaedic Foot and Ankle Society, Toronto, Ontario, Canada, 13-15 July 2007. Foot Ankle Surg. 2008; 14(2):104-12.
  • Ritterman SA, Fellars TA, DiGiovanni CW. Current thoughts on ankle arthritis. R I Med J. 2013; 96(3):30-33.
  • DiGiovanni CW, Beasley BB, Petricek J. A new orthobiologic alternative to bone grafting. Current Orthopaedic Practice. In Press.

Clinical Communications

  • Banerjee R, Bradley MP, Bluman EM, DiGiovanni CW. Clinical pearls: locked great toe. Acad Emerg Med. 2003; 10(8):878-880.
  • Ritter M, Nickisch F, DiGiovanni C. Technique tip: posterior blade plate for salvage of failed total ankle arthroplasty. Foot Ankle Int. 2006; 27(4):303-304.
  • DiGiovanni CW, Patel A, Tocci S. Is the future of foot and ankle arthroscopy flexible? Current Orthopedic Practice. 2009; 20(3):1-6
  • Blankenhorn BD, Kerner PJ, DiGiovanni CW. Clinical tip: one stage lengthening of fourth brachymetatarsia using fibular autograft. Foot Ankle Int. 2010; 31(2):175-178.

Other peer-reviewed investigations

  • Gastel J, DiGiovanni CW, Fadale PD, Hulstyn, NU, Lindy PB. Surgical repair of the avulsed patellar tendon using nonabsorbable sutures. AAOS Surgical Technique Video created for AAOS Library. Presented at 65th AAOS Meeting, New Orleans, 1998.
  • Drakos M, DiGiovanni CW: Lateral Ankle Instability. In: http://www.orthopaedia.com/display/Main/Lateral+ankle+instability 2010.
  • Article published in www.AAOS.org/news: Soft Tissue Problems: Top Foot and Ankle Complications, by Terry Stanton. P. 1-3, About original paper by Hunter J, Olsen J, DiGiovanni CW, Anglen J, and Baumhauer JF, 2013.

Non-peer reviewed scientific or medical publications/materials in print or other media

Reviews, chapters, monographs, and editorials

  • Frey C, DiGiovanni CW, Feder KS. Arthroscopic Evaluation of the Subtalar Joint: Does Sinus Tarsi Syndrome Exist? Orthopaedics Today 1998;
  • DiGiovanni CW. Reflections on a Traveling Fellowship. In-Stride 2006; p. 6-7.
  • DiGiovanni CW. Spotlight on Total Ankle Arthroplasty, Orthopaedics Today 2007; 27:1, p. 62.
  • DiGiovanni CW, Baumhauer JF, Pinzur M. Expert Opinion: Autologous Bone Graft in Foot/Ankle Fusion Procedures 2011;

Books/textbooks for the medical or scientific community

  • Ehrlich MG, DaSilva MF, DiGiovanni CW. Orthopaedic Conditions. In: Practical Guide to the Care of the Pediatric Patient, Mosby-Year Book, 1997; p. 415-430.
  • Trafton PC, Cole PA, DiGiovanni CW. Malleolar Fractures. In: Master Techniques in Orthopaedic Surgery, Fracture Volume. Eds: Wiss D, Thompson RT. Lippincott-Raven, New York, NY: 1998. p.485-504.
  • DiGiovanni CW, Saleh KJ, Salvati EA, Pellicci PM, Masri BA: Deep Infection Complications Total Hip Arthroplasty. In: OKU Hip and Knee Reconstruction, 2nd Ed., Ed. by Hip and Knee Society. AAOS Publishers, Rosemont, IL: 2000. p.137-148.
  • DiGiovanni CW, Benirschke S, Hansen ST, Jr. Foot Injuries. In: Skeletal Trauma, Eds: Browner B, Jupiter J, Levine A, Trafton P. WB Saunders Company, Philadelphia, PA: 2003. p. 2375-2492.
  • DiGiovanni CW, Nickisch F. Injuries of the Ankle and Foot. In: Primary Care For Women, Eds: Leppert, PC, Peipert, JF. Lippincott, Williams, and Wilkins. Philadelphia, PA: 2003.
  • Frey C, DiGiovanni CW. Gross and Arthroscopic Anatomy of the Foot. In: Foot and Ankle Arthroscopy, 3rd Ed., Chapter 1. Eds: Guhl JF, Parisien JS, Boynton MD. Springer-Verlag Inc., New York, NY: 2004. p. 1-18.
  • DiGiovanni CW, Banerjee, R: Static Forefoot Deformity and Osteoarthritis. In: Manual of The American Orthopaedic Foot and Ankle Society, 2004.
  • DiGiovanni CW: Guest Editor, Foot and Ankle Clinics: ‘External Fixation Techniques for the Foot and Ankle’. In: Foot and Ankle Clinics, Eds: DiGiovanni CW, Myerson M. W.B. Saunders, Philadelphia, PA, p. 1-662, 9/04.
  • DiGiovanni CW, Banerjee, R: Soft tissue and crush injuries to the foot. In: Manual of The American Orthopaedic Foot and Ankle Society, 2004.
  • DiGiovanni CW, Saxena A: Endoscopic Gastrocnemius Recession. In: Minimally Invasive Surgery in Orthopedics, Eds: Scuderi GR, Tria AJ. Springer Publishing, New York, NY, Chapter 41, 2009.
  • DiGiovanni CW, Greisberg J: Editors: The Foot and Ankle, Core Knowledge in Orthopaedics. Mosby-Elsevier Publishing, Philadelphia, PA, p. 1-394, 2007.
  • Lee M, DiGiovanni CW: Nail Problems in the Foot. In: The Foot and Ankle, Core Knowledge in Orthopaedics. Eds: DiGiovanni CW, Greisberg J. Mosby-Elsevier Publishing, Philadelphia, PA, p. 363-375, 2007.
  • Banerjee R, DiGiovanni CW: Enhancement of Bone Healing. In: The Foot and Ankle, Core Knowledge in Orthopaedics. Eds: DiGiovanni CW, Greisberg J. Mosby-Elsevier Publishing, Philadelphia, PA, p. 376-388, 2007.
  • Saxena A, DiGiovanni CW: Ankle Equinus and Endoscopic Gastrocnemius Recession. In: Minimally Invasive Surgery of the Foot and Ankle. Eds: Maffulli N, Easley M. Springer Verlag, London Limited, p. 323-340, 2011.
  • Banerjee R, Nickisch F, Easley M, DiGiovanni CW: Foot Injuries. In: Skeletal Trauma, Eds: Browner B., Jupiter J, Levine A, Trafton P, Krettek C. Saunders Elsevier Company, Philadelphia, PA. Fourth Edition, p. 2585-2747, 2009.
  • Ritter M, Nickisch F, DiGiovanni CW: Posterior Blade Plate for Salvage of Failed Total Ankle Arthroplasty. In: Operative Techniques in Foot and Ankle Surgery, Eds: Easley ME, Wiesel SW . Lippincott Williams and Wilkins, Lansdowne, PA. p. 728-735, 2011.
  • Drakos M, DiGiovanni CW: The Importance of Isolated Gastrocnemius Tightness in Foot Pathology. In: Gastrocnemius Tightness, From Anatomy to Treatment. Eds:Barouk S, Barouk P. Sauramps Medical, Montpellier, France, p. 231-240, 2012.
  • Altchek D, DiGiovanni CW, Dines J, Positano R, Eds: Foot and Ankle Sports Medicine, Wolters Kluwer Lippincott Williams Wilkins, p. 1-351, 2013.
  • Lareau C, Bariteau J, DiGiovanni CW: Foot and Ankle. In: Comprehensive Board Review in Orthopaedic Surgery. Eds: Kamal R, Weiss APC. Thieme Publishing, Due out Spring 2013.
  • Positano R, DiGiovanni CW, Trepal M, Borer J, Murphy D, Eds: Manifestations of Sysytemic Disease in the Lower Extremity. Wolterskluwer LWW Publishing, Due out Winter 2014.
  • Richter M, Kwon J, DiGiovanni CW: Foot Trauma. In: Skeletal Trauma, 4th Edition. Due out 2014.

Poster Presentations and Exhibits Presented at Professional Meetings in the Past 3 Years

  • Drakos M, Behrens S, Mulcahey M, Paller D, Hoffman E, DiGiovanni CW: Anatomic Safe Zone for Placement of Suture Anchors in Arthroscopic Repairs for Chronic Ankle Instability, Poster presentation at the AOSSM Annual Meeting: San Diego, CA; July 2011.
  • Drakos M, Behrens S, Mulcahey M, Paller D, Hoffman E, DiGiovanni CW: Anatomic Safe Zone for Placement of Suture Anchors in Arthroscopic Repairs for Chronic Ankle Instability, Poster presentation at the AANA Annual Meeting: San Francisco, CA. April 2011.
  • Bariteau J, Blankenhorn B, Paller D, Lareau C, DiGiovanni CW: A Biomechanical Evaluation of Locking versus Conventional Fibular Plating for Supination External Rotation Fibular Fractures. Poster presentation #1432, AAOS Winter Meeting, San Francisco, CA. Feb 2012.
  • Bariteau JT, Bruce B, Evangelista P, DiGiovanni CW: Effect of Calcaneal Osteotomy on Tarsal Tunnel Volume. Accepted E Poster #64, AOFAS Summer Meeting, San Diego, CA. June 2012.
  • Baumhauer J, DiGiovanni C, Glazebrook M: Clinical Decision Making on the Need for Autologous Bone Graft: Results of a Nationwide Survey Among Orthopaedic Foot and Ankle Surgeons. Accepted E Poster #49, AOFAS Summer Meeting, San Diego, CA. June 2012.
  • Blankenhorn B, Bariteau J, Schwartz J, Moore D, McGlone Dawson M, DiGiovanni CW: Biplanar Fluoroscopic Measurement of Transverse Tarsal Kinematics In Static Cadaveric Simulated Gait. Poster presentation #0907, AAOS Winter Meeting, San Francisco, CA. Feb 2012. Best Poster Award Recipient.
  • DiGiovanni CW, Lin SS, Baumhauer JF, Daniels T, Younger A, Glazebrook M, Anderson JG, Lau JTC, Evangelista P: Recombinant Human Platelet-Derived Growth Factor-BB and Beta-Tricalcium Phosphate (rhPDGF-BB/B TCP) in Foot and Ankle Fusions. Accepted Poster #191 at 8th Annual Orthopaedic Trauma Association Meeting, October 2012.
  • Hunter J, Olsen J, DiGiovanni CW, Anglen J, Baumhauer JF: The Most Common Patient Safety Problems in Orthopaedic Surgery of the Foot and Ankle. Accepted E Poster # 200, AOFAS Summer Meeting, San Diego, CA. June 2012.
  • Bariteau J, DiGiovanni CW: Advocacy Curriculum for Orthopaedic Residents, Accepted CORD Educational Poster Display, AOA CORD Conference, Denver, CO. June 2013.
  • Christino MA, Matson AP, Reinert SE, DiGiovanni CW, Fadale PD: Paperwork and Patient Care: A Nationwide Survey of Orthopaedic Surgeons. Poster #P274, AAOS Annual Meeting, Chicago, IL. March 2013.
  • Fellars T, Anavian J, Hsu R, DiGiovanni CW: Effect of Medial and Lateral Translating Calcaneal Osteotomy on Loading of Simulated Hemiarticular Ankle Arthritis. Accepted Poster Presentation, Society of Military Orthopaedic Surgeons, Vail, CO. Dec 2013.
  • Hunter JG, Olsen JR, DiGiovanni CW, Anglen J, Baumhauer JF: The Most Common Patient Safety Problems in Orthopaedic Surgery of the Foot and Ankle. Poster #P207, AAOS Annual Meeting, Chicago, IL. March 2013.
  • Klinge SA, McClure P, DiGiovanni CW. The educational value of common orthopaedic in-training review sources. Accepted Poster, 44th Annual Meeting of the Eastern Orthopaedic Association, Miami, FL. November 2013.
  • Bariteau J, Daniels A, DiGiovanni CW. Prospective Analysis of a Novel Orthopaedic Residency Advocacy Education Program. Accepted Poster #274, AAOS Annual Meeting, New Orleans LA, March 2014.