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Division of Orthopaedic Surgery
Progress Report 2013-2014
© 2013-2014 by the Division of Orthopaedic Surgery, McMaster University. All rights reserved
Dear Faculty and Friends,
We move ahead another
year with many great
memories and even greater
expecta ons for the future.
Our brand is strong and we
are stronger, together. And
it is indeed together that we
con nue this exci ng
academic journey. Our
leadership as surgical health
care providers and
researchers demands
‘connec vity’. So, today we
celebrate staying connected.
Crea ng a be er world for
our pa ents requires
teamwork, partnership,
and collabora on. Those
who stay connected to a
diverse network of support
and collabora ons will have
the tools to make change —
change that ma ers! Let’s
focus then on our
friendships, our families,
and our collec ve
‘connectedness’ as we,
MacOrtho, drive excellence
for the years to come.
Mohit Bhandari
Academic Division Head
We are se ng benchmarks as
academic surgeons who provide the
highest quality surgical care, cri cally
appraise the evidence we apply in
our daily lives, and answer
knowledge gaps by conduc ng
important research that translates to
be er care worldwide. Valida on of
our vision towards crea ng a culture
driven by evidence and powered by
commi ed surgeons, fellows,
residents and researchers are
exemplified as follows:
RESEARCH
FAITH trial completes recruitment of
over 1,000 pa ents - a milestone
placing FAITH trial among the largest
hip fracture trials to date.
FAITH-2 builds on an ongoing global
hip fracture trial with boost from
CIHR funding.
Fluid Lavage of Open Wounds (FLOW)
enrols 2,545 pa ents at 41 sites in
Canada, United States, Australia,
Europe, and India, making FLOW the
largest orthopaedic trauma study
conducted to date.
PARITY trial receives defini ve
funding from CIHR making it the first
mul -na onal sarcoma study to date.
FIRST trial receives CIHR funding to
cri cally evaluate the efficacy of FAI
surgery.
LEADERSHIP
Dr. Anthony Adili receives the 2013
Italian Heritage Award —
A tremendous recogni on for his
leadership in our community.
Michelle Ghert was named one of the
'Top Reviewers' for Clinical
Orthopaedics and Related Research,
again.
Dr. Mohit Bhandari joined as Deputy
Editor for Evidence-Based
Orthopaedics for Clinical
Orthopaedics And Related Research.
Dr. Ayeni has been invited to be a
Guest Editor for a Special Edi on on
Hip Arthroscopy in the Journal tled:
Knee Surgery, Sports Traumatology,
Arthroscopy.
EDUCATION
Dr. Brad Petrisor contributes to this
year’s inaugural ICRE (The
Interna onal Conference on
Residency Educa on) plenary panel
examining “program director survival
stories”, for one of medical
educa on’s most challenging
posi ons.
McMaster Orthopaedic Surgery
Residency Educa on Program
received the Residency Program
Excellence Award from the
Professional Associa on of Residents
of Ontario.
Dr. Daniel Hoppe and Dr. Ma
Denkers received the 2014 Stephen
Abrahamson Award for Outstanding
Innova on at the Innova ons in
Medical Educa on Conference.
Dr. Darren de SA awarded the
Michael G. DeGroote School of
Medicine (NRC) Excellence in Clinical
Teaching Resident Award and also
selected as the first Medical
Founda on Chief Preceptor.
SERVICE
MacOrtho Research Coordinator
team awarded the McMaster
President’s Award for Outstanding
Service.
CONNECTIVITY
MacOrtho Connect launched as
the Division of Orthopaedic
Surgery's newsle er.
Hos ng American-Bri sh-
Canadian Travelling Fellows at
McMaster University and
receiving the only perfect score in
the ‘educa onal experience’ on
the tour.
Yours sincerely,
Mohit Bhandari MD, PhD, FRCSC
Professor and Academic Head,
Orthopaedic Surgery
Associate Chair, Research,
Department of Surgery
Canada Research Chair in
Evidence-Based Orthopaedics
Staying
Connected
Progress Report 2011-2013
Table of Contents
OUR FACULTY
OUR EDUCATION
OUR RESEARCH
OUR AWARDS
OUR CONTACT
OUR PUBLICATIONS
CURRENT RESEARCH
Leadership
Who We Are
Vision
Faculty
Mission
Global Presence
Orthopaedic Residency Educa on Training Program Highlights
Our Fellows
Leadership Series
ABC Traveling Fellowship
Lectureships and Awards
Evidence-based Orthopaedics
CEO
Global Reach
Trauma & Injury
Musculoskeletal Tumour Surgery
Sports Medicine
Hamilton Arthroplasty Group
Second Annual Femoroacetabular Impingement Symposium
Annual Academic Day
Our Objec ve
Conferences and Mee ngs
Research Funding
Faculty and Resident
Division Awards & Recogni on
Order of Ontario
1
3
4
5
7
8
9
13
11
14
15
17
18
19
21
35
39
44
45
46
47
49
51
53
67
69
71
STAYING CONNECTED | Division of Orthopaedic Surgery
OUR FACULTY Leadership
Our Leadership
Academic Division Head;
Associate Chair of Research
Mohit Bhandari
Clerkship Director
Jaydeep MoroMichelle Ghert
Associate Program Director,
Residency Educa on Training;
Research Director, Division
Anthony Adili
Site Lead, SJH
Director, Alumni Affairs
Richard Lachowski
Site Lead
Sarah Burrow
1 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
McMaster Children’s Hospital
Program Director,
Residency Educa on Training
Bradley Petrisor
Mentorship Director
Benjamin Deheshi
Fellowship Director
Dale Williams
Site Lead, JHCC
Mitchell Winemaker
Site Lead, HGH
Brian Drew
2
The Executive Committee is
responsible for assisting and
supporting the educational,
research and administrative
activities within the Division
of Orthopaedic Surgery.
STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Our goal is to improve the lives of pa ents
with musculoskeletal disease through the
paradigm of evidence-based orthopaedics.
Whether engaged in orthopaedic surgery,
educa on, research, or prac ce, we are all
here to learn, to innovate and to
disseminate our culture and values to our
pa ents, learners, faculty, and community.
Who we are
Educa on
Research
- We aim to be a top er program in
Canada for evidence-based orthopaedic training,
a rac ng the best and most promising students to
our Division.
- As a research ins tu on, we endeavour
to be the best environment for clinical research,
fostering global collabora ons, conduc ng high
impact clinical research, and educa ng excep onal
students at the undergraduate and graduate levels.
Faculty
Leadership
- We seek to a ract and retain top
orthopaedic faculty from Canada and interna onally.
We will ensure that our faculty’s accomplishments
are recognized and promoted.
- The success of our Division is highly
dependant upon the unified core values and culture
within our leaders. We will con nue to produce
lifelong learners that prac ce orthopaedic surgery in
a responsible, ethical, and evidence-based manner.
Our Vision
OUR FACULTY Our Vision
4STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Academic Division Head
Mohit Bhandari
Program Director
Bradley Petrisor
OUR FACULTY Division of Orthopaedic Surgery
Our Faculty
Hamilton General
Hospital
McMaster University
Medical Centre
5
Dr. Olufemi Ayeni
Assistant Professor
Dr. Sarah Burrow
Associate Professor
Dr. Jung Mah
Clinical Professor
Dr. Paul Missiuna
Assistant Clinical Professor
Dr. Rick Ogilvie
Assistant Clinical Professor
Dr. Devin Peterson
Associate Professor
Dr. Victoria Avram
Assistant Professor
Dr. Jus n de Beer
Associate Clinical Professor
Dr. Benjamin Deheshi
Assistant Clinical Professor
Dr. Michelle Ghert
Assistant Professor
Dr. Dinshaw Punthakee
Assistant Clinical Professor
Dr. Frank Smith
Assistant Clinical Professor
Dr. Mitchell Winemaker
Assistant Clinical Professor
Dr. David Wismer
Associate Professor
Juravinski Hospital and
Cancer Centre
Dr. Drew Bednar
Clinical Professor
Dr. Mohit Bhandari
Professor
Dr. Ma Denkers
Assistant Professor
Dr. Brian Drew
Associate Clinical Professor
Dr. Desmond Kwok
Assistant Clinical Professor (Adjunct)
Dr. Bradley Petrisor
Associate Professor
Dr. Krishan Rajaratnam
Assistant Clinical Professor
Dr. Bill Ristevski
Assistant Professor
Dr. John Sadler
Assistant Clinical Professor (Re red)
Dr. Dale Williams
Assistant Professor
STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
St. Joseph's
Healthcare Hamilton Other Healthcare Sites
Dr. Anthony Adili
Associate
Dr. Bre Dunlop
Associate Clinical Professor
Dr. Richard Lachowski
Associate Clinical Professor
Dr. Jaydeep Moro
Associate Clinical Professor
Dr. Arthur Porte
Associate Clinical Professor
Dr. Louis Saunders
Clinical Professor
Dr. Markus Bischoff
Assistant Clinical Professor (Adjunct)
Dr. Heather Brien
Assistant Clinical Professor
Dr. Paul Grusso
Assistant Clinical Professor (Adjunct)
Dr. Thomas Hupel
Assistant Clinical Professor (Adjunct)
Dr. Robert Josefchak
Assistant Clinical Professor
Dr. Marc Kalchman
Assistant Clinical Professor (Adjunct)
Dr. Ajay Manjoo
Assistant Clinical Professor (Adjunct)
Dr. David Mar n
Assistant Clinical Professor (ROMP)
Dr. John McCall
Assistant Clinical Professor (Adjunct)
Dr. Sco McKenzie
Assistant Clinical Professor (Adjunct)
Dr. John Ostrowski
Assistant Clinical Professor (Adjunct)
Dr. David Pugh
Assistant Clinical Professor (ROMP)
Dr. Steven Richie
Assistant Clinical Professor (ROMP)
Christopher Robert
Assistant Clinical Professor (Adjunct)
Ted Scriven
Assistant Clinical Professor (Adjunct)
Dr. Ma hew Snider
Assistant Clinical Professor (Adjunct)
Dr. Gerard Slobogean
Assistant Clinical Professor
Dr. Peter Stevenson
Assistant Clinical Professor (Adjunct)
Dr. Michael Woolfrey
Assistant Clinical Professor (Adjunct)
Dr. Paul Zalzal
Assistant Clinical Professor
6STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Our Educa on
Our mission is to educate and empower the
surgeons of tomorrow with the capacity for
evidence-based clinical care, cri cal thinking,
crea vity, professionalism and a proclivity
towards lifelong learning. The development
of these a ributes surrounds a core of
technical training in the art and science of
orthopaedic surgery.
OUR EDUCATION Our Global Presence
7
30+195
McMaster has graduated over 195
surgeons since the inaugural class
of 1982.
Our graduates have gone to
prac ce in many different places
across the globe.
STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
73+ 10
10 undergraduate students have been
supported through the CIHR
Undergraduate: Mobility, Musculoskeletal
Health and Arthri s grants.
Since 2011, over 73
undergraduate students have
completed research projects,
co-op placements or theses.
8STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
OUR EDUCATION Orthopaedic Residency Educa on Training Program Highlights
Orthopaedic Residency Educa on
Training Program
A dedication to training surgeons
The MacOrtho residency program con nues to
collaborate and forge ahead in the areas of educa on
and research. We have developed collabora ons with
the Research and High Performance Compu ng team
with Ranil Sonnadara and are formula ng specific
procedural based competencies and evalua on tools.
This is in keeping with the Royal College mandate of
“Milestones 2015” and the further development of a
more formal competency based program.
We have remained ac ve again this year at the Royal
College’s Interna onal Conference on Residency
Educa on (ICRE). Dr. Brad Petrisor was involved in
the planning and delivery of the annual “New
Program Directors workshop” which received
posi ve reviews and MacOrtho educa onal work was
presented at the main mee ng of the ICRE.
We have a stellar group of residents and will be
looking to add to our cohort with the upcoming
CaRMS cycle. We con nue to prepare for our
upcoming formal Royal College review which is
scheduled to take place in April of 2015.
Our program con nues to excel with the goals and
vision of both the Clerkship and Mentorship
programs. Our Fellowship program con nues to
draw excellent cohorts both na onally and
interna onally, further branding MacOrtho as a
leader in evidence-based orthopaedic surgery.
9 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
PGY-1 Cohort
Clerkship Program
Here in the Division of Orthopaedic Surgery at McMaster University, we recognize the importance of engaging
students at every level of educa on. Moving forward, our main goal is to iden fy various ways to further
inspire and prepare clerks to pursue a career in orthopaedic surgery.
The success of our Mentorship Program will lead to a strengthening of rela onships between
orthopaedic surgeons and trainees, aid in conflict resolu on, assist in career planning resul ng in overall
posi ve morale amongst residents and staff. We take pride in the strong support of this program and the
par cipa on from our orthopaedic community.
We are focused on dissemina ng our brand of fellowship opportuni es in Canada and abroad. Our ac ve
fellowships include hip and knee reconstruc on, orthopaedic trauma, sports medicine and arthroscopy,
paediatric orthopaedic surgery, and musculoskeletal oncology.
Mentorship Program
Fellowship Program
PGY1 PGY2 PGY3
PGY4 PGY5 Surgical Scien st Program /
Clinical Inves gators Program
Harman Chaudhry, Nathan
Evaniew, Raman Mundi
Current Orthopaedic Residents
Anthony Bozzo, Anthony Habib,
Jeffrey Hartman, Colby Oitment,
Jeffrey Poon, Sebas an Rendon
Harman Chaudhry, Marcin
Kowakzuk, Ma hew Macleod,
Raman Mundi, James Nu all
Stuart Bisland, Kevin Chan,
Nathan Evaniew, Khaled Hasan,
CJ Foote, Daniel Hoppe,
Mohammed Moin Khan, Robert
McCloy III, Jus n Todd
Adrian Kurz, Colm McCarthy,
Mike Riediger, Leon van der Wa
Darren de SA, Sebas an
Heaven, Gavinn Niroopan,
Vandit Sardana, Thomas Wood,
Marco Yeung
10STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Our Fellows
Hussain Al Radwan
Upper Extremity Fellow
Ilyas Aleem
Spine Fellow
Hussain Al Gawahmed
Upper Extremity Fellow
Jamal Al-Asiri
Trauma Fellow
Ijdo Kleinlugtenbelt
Trauma Fellow
Marie-Claude LeBlanc
Sports Medicine Fellow
Natasha Holder
Upper Extremity Fellow
Khaled Almansoori
Trauma Fellow
Mohamed Al Saied
Arthroplasty Fellow
OUR EDUCATION Fellowship
11 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Ijdo Kleinlugtenbelt
Visiting International Fellow, Netherlands
OUR EDUCATION Innovative Series
Our LEADERSHIP Series
Dr. Thomas Einhorn
(June 2014)
Dr. Charles Rockwood
(September 2014)
Dr. Wayne Paprosky
(March 2014)
Professor
Rush University Medical Center
Chicago, Illinois
Chairman and Professor of the
Department of Orthopaedic Surgery;
Boston University,
Boston Massachuse s
Professor and Chairman Emeritus,
Orthopaedic Department,
Director, Shoulder Service,
UTHSCSA - San Antonio, Texas
MacOrtho has implemented a highly
successful series called “The Visi ng Professor
Leadership Series”. This series, presented as
invites global orthopaedic surgeons to share
13 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
an addendum to our Grand Rounds lectures,
their leadership journey. The mandate of this series is to
provide key insights on true leadership, trials and
tribula ons faced on the road to success, strategies for
refining the health care system in the upcoming years and
the true value of collabora on.
ABC Travelling Fellowship
14STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
The historical visit of the American-Bri sh-Canadian
Travelling Fellows to McMaster University took
place June 15-18th, 2014. Apart from their arrival
and departure days, the fellows spent 2 full days
with MacOrtho faculty and residents.
The fellows, Pramod Achan (England), Will Aston
(England), Rob Ashford (England), Brendan Coleman
(New Zealand), Greg Firth (South Africa), Sanjeev
Pa l (Scotland) and Phong Tran (Australia), began
their tour with an outstanding academic session on
the morning of Monday, June 16th in the Great Hall
of the University Club. In front of a packed room,
the fellows presented their research that closely
aligned with those of MacOrtho. In turn, the
MacOrtho faculty presented research studies
represen ng similar interests, thus genera ng
enthusias c and collabora ve discussion.
Lunch in the University Club was accompanied by
further academic discussion and tableside chats
with our Academic Head, Mohit Bhandari. The
a ernoon was spent with subspecialty groups and
further explora on of common surgical interests
and research collabora ons. The fellows then
spent the evening with MacOrtho families at a
poolside BBQ, enjoying the relaxed environment
and camaraderie. The fellows enjoyed wine tas ng
tours at Hillebrand and Peller Estates, and re-
invigorated with a dousing of cool water on the
Hornblower through Niagara Falls.
Official feedback from the COA/AOA regarding the
ABC Travelling Fellowship visit in June of this year
reported scores in 2 categories: educa onal
experience and accommoda on/social hos ng.
Ourcombined scores ed for first place among the
11 elite ins tu ons visited by the Fellows, including
Harvard, Duke, Vanderbilt, Rothman Ins tute,
Pi sburgh and the University of Toronto.
Most notably, McMaster was the only ins tu on to
receive a perfect score in the ‘educa onal
experience’ category.
OUR EDUCATION Lectureships and Awards
15 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
MacOrtho Special Guest Lecture
This invited speaker is selec vely
chosen from across a variety of
disciplines to educate our
orthopaedic community based on
the theme of our annual
academic day.
Robert Lo house
Memorial Lectureship
The Dr. Robert Lo house Memorial
Lectureship was established in
2011 in memorial of the former
Academic Division Head, Robert
Lo house (1970-1982). Dr.
Lo house par cipated in the
development of the orthopaedic
program and was a posi ve
influence on his community and his
family. Invited speakers for this
lectureship are encouraged to
share their experiences and
insights into innova on and
pioneering new fron ers.
Robert F. Mar n Lectureship
The Robert F. Mar n Lectureship
was established in 2011 to honour
the former Academic Division
Head, Robert Mar n (1983-1998).
Dr. Mar n made significant
contribu ons to the orthopaedic
department by recrui ng
academically qualified subspecialty
orthopaedic surgeons to help
establish an improved academic
and research environment. Invited
speakers discuss topics crucial to
leadership and educa on.
Diane KelsallDr. R. Douglas Orr
Staff physician for
Center for Spine Health and the
Department of Orthopaedic Surgery,
Cleveland, Ohio
Peter Ferguson
Program Director
and Associate Professor of
Orthopaedic Surgery
University of Toronto
Editor, CMAJ Open
Lectureships & Awards
William L. Orovan Leadership Fund
The "William L. Orovan Leadership Fund" was established in support and acknowledgement of Dr.
Orovan’s extraordinary leadership as the Chair of the McMaster University Department of Surgery
over the past decade. The goal of this fund is to provide leadership opportuni es to help foster
and develop a legacy of surgeon leaders in our field.
16STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
MacOrtho Award of Excellence
This premier award of dis nc on
was established to honour,
recognize and celebrate the
accomplishments of leaders in
orthopaedic surgery.
MacOrtho Faculty
Recogni on Award
This recogni on award is given
annually to a faculty member
recognizing excellence in
educa ng, mentorship, research
and professional endeavours.
Nigel Colterjohn Teaching Award
This annual teaching award is given
to a faculty member, nominated by
residents only, who exemplifies the
quali es of a great educator. The
award is given in honour of the late
Dr. Nigel Colterjohn who was an
orthopaedic oncologist and
arthroplasty surgeon at McMaster
University. Dr. Colterjohn will
forever be remembered for his
contribu ons to educa on and
pa ent care.
Mark Walton Jaydeep Moro Devin Peterson
Assistant Dean, Post Graduate
Medical Educa on;
Professor, Pediatric Surgery,
McMaster University
Clinical Assistant Professor,
Orthopaedic Surgery,
McMaster University
Associate Professor,
Orthopaedic Surgery,
McMaster University
The Division of Orthopaedic Surgery has invited Bobby Umar, a leadership trainer and professional development teacher
to present, inspire and communicate the 5 C’s of Connectedness to our orthopaedic faculty, residents and friends at our
annual academic day on November 26, 2014. Bobby Umar’s leadership keynote lends itself to the power of connec on
while simultaneously aligning with our overall legacy of developing a leadership edge for leaders in our surgical field.
OUR RESEARCH Evidence-based Orthopaedics
Our Research
The Division of Orthopaedic Surgery is commi ed to
clinical research and the educa on of clinicians and
students in the principles and prac ces of evidence-
based orthopaedics. Our key values include
collabora on, innova on, and the principles of
evidence-based medicine.
17 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Centre for Evidence-based Orthopaedics
At the core of research is the
Centre for Evidence-based
Orthopaedics (CEO). This newly
established centre merges and
integrates the local and global
research ac vi es of the Division
into one collabora ve centre.
Our vision for this centre will focus
on enhancing and integra ng
research ac vi es as well as
providing educa on and research
training opportuni es to learners
and faculty.
The CEO is governed by a steering
commi ee responsible for the
oversight of research ac vi es and
educa on programs including
undergraduate research training,
research elec ve blocks, graduate
research training, and
post-doctoral fellowships.
Mohit Bhandari
Director
Bill Ristevski
Trauma and Injury
Research
Unit Co-Head
Michelle Ghert
Musculoskeletal Tumor
Surgery Research
Unit Co-Head
Bradley Petrisor
Trauma and Injury
Research
Unit Co-Head
Olufemi Ayeni
Sports Medicine
Research
Unit Head
Brian Drew
Disorders of the
Spine Research
Unit Head
Benjamin Deheshi
Musculoskeletal Tumor
Surgery Research
Unit Co-Head
Jus n de Beer
Degenera ve Joint
Disease Research
Unit Head
CEO
18STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Our Global Reach
With collaborators located throughout ,
we are building rela onships and expanding our
network to conduct global orthopaedic research.
countries25
Australia
Egypt
Hai
Mexico
Norway
Uganda
Argen na
China
Ghana
Malawi
Nicaragua
Tanzania
Zimbabwe
Brazil
Ethiopia
India
Nepal
Pakistan
United Kingdom
Canada
Finland
Kenya
Netherlands
South Africa
United States of America
19
OUR RESEARCH Evidence-based Orthopaedics
Transcending orthopaedic
care across borders
STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Current Research in
Orthopaedic Surgery
Our current research ini a ves revolve around 5 major areas: Trauma &
Injury, Degenera ve Joint Disease, Musculoskeletal Tumour Surgery, Sports
Medicine and Disorders of Spine. The ra onale for the five major themes,
each with their unique foci, is driven by the increasing global burden of
orthopaedic trauma injuries worldwide due to the prevalence of road traffic
injuries, the crisis of inten onal injuries in women from domes c violence,
the epidemic of fragility fractures in the elderly, the high rates of
osteoarthri s, the devasta ng effects of bone cancer, the debilita ng
consequences of an orthopaedic sports injury, and high level of disabili es
resul ng from spinal injuries and condi ons. These debilita ng injuries and
disorders affect people of all ages, from children to the elderly. Each of these
core research themes are opera onalized primarily by the conduct of mul -
na onal defini ve randomized controlled trials and large observa onal cohort
studies.
Trauma and Injury:
Road Traffic Accidents &
Associated High-Energy Trauma
Trauma is the leading cause of death in the first
four decades of life, surpassed only by cancer and
atherosclerosis, as the major cause of death in all
age groups. For every person killed as a result of
an injury, threefold more survive and are le
permanently disabled. Musculoskeletal injuries,
such as fractures and disloca ons, are very
common manifesta ons of trauma. The Canadian
Ins tute for Health Informa on reports 119,301
musculoskeletal injury-related hospitaliza ons
annually in Canada. Globally, trauma-related care
costs are over 100 billion dollars per year.
22STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Interna onal Orthopaedic Mul -centre Study in Fracture Care (INORMUS)
Trauma will be the largest killer in the
developing world by 2020.
3
rd
Funding Recieved: Canadian Ins tutes of Health Research, McMaster Surgical Associates
INORMUS study launched,
OUR RESEARCH Evidence-based Orthopaedics
STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-201423
INORMUS is a large mul -centered cohort study aimed at quan fying the global burden
of fractures. The project also serves to examine the fracture types and treatment in low
and middle income countries.
Target 40,000 pateints.
Open fractures account for an es mated .
fractures in North America annually.
250,000
Fluid Lavage of Open Wounds (FLOW)
Funding Received: Canadian Ins tutes of Health Research, United States Department of Defense,
FLOW hits recruitment milestone of 2,500
pa ents worldwide and becomes the largest
orthopaedic fracture trial.
24STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
FLOW is a mul -center, blinded, factorial trial comparing alterna ve irriga ng
solu ons (soap vs. saline) and pressures (high vs. low vs. gravity) in 2545
pa ents with open fractures. The primary objec ve of this trial is to assess the
impact of irriga on solu ons and pressures on the occurrence of re-opera ons
up to one year a er the ini al opera on.
Orthopaedic Trauma Associa on
Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH)
FAITH-2 is the first randomized controlled
trial evalua ng the benefits of vitamin D
supplementa on for young pa ents
with femoral neck fractures.”
Funding Received: Canadian Ins tutes of Health Research, McMaster Surgical Associates,
Hamilton Health Sciences
The FAITH-2 trial seeks to iden fy a surgical and
nutri onal strategy to minimize fracture fixa on
complica ons and to op mize bone health in
order to improve pa ent outcomes in non-
geriatric pa ents with hip fractures (femoral neck
fractures). FAITH-2 will u lize a 2x2 factorial
randomized design to compare two surgical
implants (sliding hip screws versus cancellous
screws) AND nutri onal supplementa on
(vitamin D3 4,000 interna onal units per day for
six months versus placebo) on pa ent important
complica ons and quality of life in 807 non-
geriatric (ages 18 to 60 years) femoral neck
fracture pa ents.
STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
OUR RESEARCH Evidence-based Orthopaedics
25
Hip fractures rank in the top 10of all cause
morbidity worldwide.
Distrac ons on the Road: Injury eValua on in Surgery And FracturE clinics (DRIVSAFE):
Funding Received: Regional Medical Associate Grant
Our proposed cross-sec onal study aims to assess
the burden of distracted driving on pa ents who
present to orthopaedic fracture clinics.
Specifically, the primary aims of the study are to
determine: (1) what propor on of pa ents
present with a musculoskeletal injury that was the
direct or indirect result of distracted driving; and
(2) what types and severity of injuries can
the direct or indirect result of distracted driving;
and (2) what types and severity of injuries can
distracted driving lead to. Our secondary aims
include evalua ng (1) the types and frequency
of distracted driving in fracture pa ents and (2)
the types and frequency of distracted driving
witnessed by fracture pa ents in other drivers.
26STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
MacOrtho launches NO tex ng while
driving advocacy program.
Drivers tex ng while driving are 23 mes more
likely to be involved in a crash
Some mes broken bones
aren’t the whole story.
Trauma and Injury:
Inten onal Injuries in Women
The World Health Organiza on reports that one
in three women globally will experience physical
or sexual in mate partner violence (IPV) or
domes c abuse in their lives. Every six days, a
woman in Canada is killed by her in mate partner.
In mate partner violence is a prevalent social
issue which poses significant health concerns. It
dispropor onately affects women and is a leading
cause of non-fatal injury in females in North
America. The cost of IPV in Canada is es mated at
$5 billion annually. Vic ms of abuse experience
more physical and mental health problems,
including orthopaedic injuries and, consequently,
use health care resources more frequently than
non-abused women.
28STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Promo ng Empowerment for Vic ms of Abuse and In mate Partner Violence (PREVAIL)
If I had something in the clinic, I would have definitely felt
more comfortable bringing it up.
Improving our fracture clinics to
help women across Canada.
Funding: Applica ons in progress
OUR RESEARCH Evidence-based Orthopaedics
PREVAIL is a two-phase prospec ve observa onal
study which will first assess and then a empt to
change the environment of the orthopaedic clinic
in order to be er suit it for the poten al
disclosure of in mate partner violence (IPV). The
control phase consists of surveying pa ents who
visit the orthopaedic clinic about their percep on
of this environment as an open and resource-rich
place in which to discuss IPV, should the need
arise. The interven onal phase will consist of
the implementa on of our self-designed IPV
media 'toolkit', which includes several versions
of a poster, an informa onal brochure with card
insert, and staff bu ons to be worn during the
normal opera ng hours of the orthopaedic
clinic.
STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-201429
PRAISE-2 is a mul -centre pilot prospec ve cohort
study of women with musculoskeletal injuries to
determine how IPV experiences affect outcomes
following a musculoskeletal injury and how
pa erns of IPV change over 12 months following a
musculoskeletal injury.
Prospec ve Abuse and In mate Partner Violence Surgical Evalua on
Domes c violence is the most common cause of
non-fatal injury to women.
LANCET publica on drives worldwide
PRAISE-2 launches
na onwide in 2015.
media a en on for PRAISE.
Funding Received: Canadian Ins tutes of Health Research
30STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Old lady
Trauma and Injury:
Fragility Fractures in Elderly
Fragility fractures are common problems in
Canada and have a significant economic impact
on the healthcare system. It is es mated that at
least one in three women and one in five men will
suffer a fragility fracture in their life me and the
cost of trea ng osteoporo c fractures in Canada
is more than $1.3 billion dollars per year. Two
common types of fragility fractures are hip
fractures and shoulder fractures.
32STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
FAITH is a large mul -centre randomized controlled
trial comparing sliding hip screw and cancellous
screw fixa on in femoral neck fracture pa ents.
Surgeons will use 1 of 2 surgical strategies in 1,500
pa ents who have sustained a femoral neck
fracture. The outcomes measured are revision
surgery rates and quality of life up to 24 months
post ini al hip surgery.
The secondary objec ve is to evaluate the impact of
sliding hip screws versus cancellous screws on
complica ons, including mortality, avascular necrosis,
nonunion, implant breakage or failure, and infec on.
Over 70 sites are currently par cipa ng in the FAITH
study: Canada (12 sites), USA (41 sites), Netherlands
(14 sites), Norway (1 site), Australia (3 sites), and
India (11 sites).
Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH)
The FAITH trial has successfully
completed pa ent enrolment.
Hip fractures are associated with a substan al mortality rate and
profound temporary, and some mes permanent, impairment of
independence and quality of life.
OUR RESEARCH Evidence-based Orthopaedics
STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-201433
Funding Received: Canadian Ins tutes of Health Research, Na onal Ins tutes of Health, Physicians’ Services
Incorporated Founda on, AO Founda on, ZonMw, S tc ng Nuts Ohra
Hip Fracture Evalua on with Alterna ves of Total Hip
Arthroplasty versus Hemi-Arthroplasty (HEALTH):
HEALTH is a large mul -centre randomized
controlled trial comparing total hip arthroplasty with
hemi-arthroplasty in 1,434 pa ents with displaced
femoral neck fractures.
The primary outcome is revision surgery rates at 24
months post ini al surgery and the secondary
outcome is quality of life up to 24 months post ini al
hip surgery. Over 70 interna onal clinical sites will
be included in the HEALTH study and surgeons
across North America, Europe, Australia, and Asia
will par cipate.
Hip Fracture Evalua on with Alterna ves of Total Hip Arthroplasty
versus Hemi-Arthroplasty (HEALTH):
Hip fractures account for more hospital days
than any other musculoskeletal injury and represent
more than two thirds of all hospital days due to fractures.
HEALTH has already recruited over 600
pa ents towards our goal of 1,434.
34STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Funding Received: Na onal Ins tutes of Health, Canadian Ins tutes of Health Research, Hamilton Academic
Health Sciences Organiza on, ZonMw
Musculoskeletal
Tumour Surgery
Malignant bone tumours (bone sarcomas) o en
affect adolescents and young adults. In Canada,
bone sarcomas affect 4 to 5 pa ents per million
persons each year. Long-bone sarcomas were
historically managed with amputa ons, but the
current standard is limb salvage surgery, which
involves wide tumour resec on followed by
func onal reconstruc on. With the aid of modern
imaging techniques and chemotherapeu c
regimens, limb salvage is possible in 95%
of pa ents.
36STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Prophylac c An bio c Regimens in Tumor Surgery (PARITY)
An bio c misuse and overuse are considered the main factors
in the development of an bio c resistance.
With 10 sites in North America ac vely
enrolling pa ents, the PARITY trial is
demonstra ng early success which has led
to an explosion of interest in the trial.
OUR RESEARCH Evidence-based Orthopaedics
STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-201437
PARITY is an interna onal, mul -centre, double-blind,
randomized controlled trial which will evaluate the
efficacy of short versus long-term post-opera ve
prophylac c an bio c regimens on the incidence of
deep infec on following endoprosthe c
reconstruc on of lower extremity bone tumors. This
is, to our knowledge, the first randomized controlled
trial in orthopaedic surgical oncology and will include
920 pa ents recruited by surgeons in Canada, the
United States and Argen na. The PARITY trial is
demonstra ng early success by enrolling 34 pa ents,
which is one-third of the feasibility sample of 100
pa ents earlier than expected.
Funding Received: Canadian Cancer Society Research Ins tute, Orthopaedic Research and Educa on
Founda on/Musculoskeletal Tumor Society, McMaster Surgical Associates, Canadian Ins tutes of Health
Research, Physicians’ Services Incorporated Founda on
Michelle Ghert
PARITY - Principal Inves gator
Sports Medicine
Sports-related injuries account for 30 to 40
percent of all uninten onal injuries. Sports
accidents are the leading cause of injury in young
adults. With approximately 30 million children
and adolescents par cipa ng in sports ac vi es
according to the U.S. Centers for Disease Control,
the prevalence of sports injury is on the rise.
Nearly 40 percent of sports injuries occur in
children aged 5 to 14 years, and the severity of
the injuries increase with age. High school aged
individuals account for 2 million injuries that
result in over 500,000 doctor visits and 30,000
hospitaliza ons in the United States. The
prevalence is higher amongst the younger age
groups as a result of immature bones, insufficient
training, and overuse injuries.
40STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Femoroacetabular Impingement Randomized Controlled Trial (FIRST)
As FAI progresses, the resul ng hip damage may lead to
osteoarthri s (OA) of the hip.
Over 52 pa ents enrolled across
mul ple centres.
OUR RESEARCH Evidence-based Orthopaedics
STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-201441
FIRST is a mul na onal trial evalua ng the efficacy of surgical treatment in pa ents
diagnosed with femoroacetabular impingement. The primary objec ve of the study is to
determine whether the surgical correc on of the impingment morphology (arthroscopic
osteochondroplasty) provides improved clinical results (decreased pain and improved
func on) compared to arthroscopic lavage of the hip joint.
Funding Received: Canadian Ins tute of Health Research, McMaster Surgical Associates, American
Orthopaedic Society for Sports Medicine, Canadian Orthopaedic Society
Olufemi Ayeni
FIRST - Principal Inves gator
Knowledge Transla on
Our strategy is simple—to be responsible to
our pa ents by providing exemplary pa ent
care, using the best evidence to guide our
decisions, and leading with innova on.
OUR RESEARCH Evidence-based Orthopaedics
Hamilton Arthroplasty Group
Back Row: Dr. Ben Deheshi, Dr. Mitch Winemaker, Dr. Dale Williams, Dr. Justin de Beer (Director), Dr. David Wismer, Dr. Frank Smith. Front Row: Dr. Dinshaw Punthakee,
Dr. Victoria Avram, Sabrina Bucalo OTA/PTA (Research Assistant), Danielle Petruccelli MLIS, MSc (Research Coordinator), Liz Piccirillo RN (Clinical Research Nurse).
We have a 30-day TJR readmission rate which is half that of the best reported
rates in the US. We a ribute this to our prac ce protocols which we have been
instrumental in establishing to improve the pa ent experience.
The Hamilton Arthroplasty Group (HAGrp) at the Hamilton Health Sciences Juravinski Hospital is an
independently funded mul disciplinary clinical outcomes research group dedicated to improving total joint
replacement outcomes, specifically pa ent quality of life through con nuous quality improvement in clinical
service, research and educa on in total joint replacement (TJR). In 2013/14 our focus was on research
ini a ves addressing preopera ve pa ent factors, including medical condi ons/comorbidi es and
psychosocial factors that affect TJR pa ent outcome, specifically looking at how these impact such quality
based procedure outcomes as hospital length of stay.
In 2014/15 the Hamilton Arthroplasty Group con nues to focus on pa ent outcomes as well as collabora ve
issues with other research groups across various disciplines. Of note is a key quality assurance trial set to begin
in 2015 in collabora on with Infec ous Diseases to determine the effec veness of a preopera ve
Staphylococcus aureus screening and decoloniza on program to reduce the rela ve risk of prosthe c joint
44STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Our Objec ve
Together, we are staying connected by
con nuously engaging our dis nguished
community of faculty leaders and residents,
na onal and interna onal profile to
strengthen our posi on as a top educa on
and research facility.
while simultanously aiming to promote our
45 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
46STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Our faculty and residents have presented
their research at many conferences, mee ngs
and universi es around the world.
Conferences & Mee ngs
47 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Canadian Orthopaedic Associa on Annual
Mee ng
American Academy of Orthopaedic Surgeons
(AAOS) Annual Mee ng
Ontario Orthopaedic Associa on (OOA) Annual
Mee ng
World Conference on Groin Pain in Athletes
OTA Inves gator Mee ng
Interna onal Society for Hip Arthroscopy
(ISHA) Mee ng
Canadian Society for Epidemiology &
Biosta s cs na onal Student Conference
(CSEB)
Canadian Orthopaedic Residents Associa on
Annual Mee ng
Canadian Medical Educa on courses
Combined Spine Conference
University of Manitoba Annual Research Day
European Society of Sports Traumatology, Knee
Surgery, & Arthroscopy (ESSKA) Congress
Annual Fracture Fixa on Course
Umm Al-Qura University (Saudi Arabia)
Columbia University
Hamad Medical Corpora on Resident Research
Day (Qatar)
48STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Second Femoroacetabular
Impingement Symposium
OUR RESEARCH Evidence-based Orthopaedics
MacOrtho hosted the second annual
Femoroacetabular Impingement symposium on May 3,
2013. This second mee ng was mostly interac ve,
fostering discussion regarding current prac ces and
challenges with a focus on future research ini a ves
within our FAI collabora ve.
During the morning session, selected speakers
presented their current FAI research. In the a ernoon
session, an Inves gators Mee ng was held for the
Femoroacetabular Impingement Randomised
Controlled Trial (FIRST), led by Dr. Olufemi Ayeni. The
FIRST trial will inves gate whether surgical correc on
of the impingement (arthroscopic osteochondroplasty)
provides improved clinical results (decreased pain and
increased func on) at 12 months compared to
arthroscopic lavage of the hip joint in pa ents with
FAI. Enrolment of 50 pa ents in the FIRST pilot study
was recently completed and the Inves gators Mee ng
was held to present protocol informa on and trial
coordina on strategies, discuss funding strategies, and
engage new and poten al site inves gators.
Par cipants in this mee ng included Olufemi Ayeni,
Lehana Thabane, Dale Williams, Sheila Sprague, and
Nicole Simunovic from McMaster University; Rajiv
Gandhi and Daniel Whelan from University of Toronto;
Nicholas Mohtadi from University of Calgary; E enne
Belzile from Laval University; Kevin Willits from
University of Western University, Ma Seppänen from
Turku University Hospital; Uffe Jørgensen from
University of Southern Denmark; Edwin Cadet from
Raleigh Orthopaedic Clinic; Volker Musahl from
University of Pi sburgh; Marc Philippon from the
Steadman Clinic; Gerard Slobogean from University of
Bri sh Columbia; Gavin Wood from Queen's
University.
49 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Division of Orthopaedic Surgery
Annual Academic Day
2011
Execu ng Change
2012
Milestones
20132014 Peak PerformanceStaying Connected
Each year, the Division of Orthopaedic Surgery hosts
an academic conference that brings together local,
na onal and interna onal speakers. The academic
day aims to share insights from a collabora ve of
basic, clinical and educa on research as highlighted
from our best internal research ac vi es and
esteemed guests speakers.
Unity in vision and leadership
50STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Research Funding
2X
2X
The Division of Orthopaedic Surgery’s
research funding has seen a drama c two-
fold increase this past year in comparison
to the last two years combined. Here are
some samples of our key funded projects
within the division.
$4,000,000
Femoroacetabular Impingement Randomised Controlled Trial (FIRST)
Prophylac c An bio c Regimens in Tumor Surgery (PARITY)
Proximal Humerus Fractures Scoping Review Planning Mee ngs
The Development of a Transla onal Proximal Humerus Fracture Research
Program: Engaging Knowledge Users and Clinician-Scien sts
Interna onal Orthopaedic Mul center Study in Fracture Care (INORMUS)
Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH)
Fixa on using Alterna ve Implants for the treatment of Hip Fractures (FAITH-2)
Interna onal Orthopaedic Mul center Study in Fracture Care (INORMUS)
Development of exper se in surgical RCTs: An opportunity for interna onal
impact in orthopaedic fracture care
Minimal Important Differences Of Func onal Outcome Instruments In
Orthopaedic Oncology
Minimal Important Differences Of Func onal Outcome Instruments In
Orthopaedic Oncology
Plas c Evidence: A Plas c Surgery Evidence- Database
Development of a Treatment Decision Aid for Elderly Proximal Humerus
Fracture Pa ents
Interna onal Orthopaedic Mul center Study in Fracture Care (INORMUS)
Central adjudica on of deep post- opera ve infec on following limb-
salvage surgery
Impact of Platelet Rich Plasma Over Alterna ve Therapies in Pa ents with Lateral
Epicondyli s (IMPROVE)
HIP fracture accelerated surgical treatment and care a ack (HIP ATTACK)
Funding Organiza on Study Amount
New Research Funding
$345,315
$913,068
$10,000
$10,000
$497,822
$75,000
$262,549
$14,996
$20,000
$50,000
$40,000
$28,326
$30,000
$1,400,000
$20,000
$167,716
$168,500
Canadian Ins tutes of
Health Research
Canadian Ins tutes of
Health Research
Canadian Ins tutes of
Health Research
Canadian Ins tutes of
Health Research
Canadian Ins tutes of
Health Research
Canadian Ins tutes of
Health Research
Canadian Ins tutes of
Health Research
Canadian Ins tutes of
Health Research
Canadian Ins tutes of
Health Research
Hamilton Health Sciences
Hamilton Health Sciences
Founda on New Inves gator
Fund
McMaster Surgical
Associates
McMaster Surgical
Associates
Na onal Health and Medical
Research Council
Physicians' Services
Incorporated Founda on
Physicians' Services
Incorporated Founda on
Physicians’ Services
Incorporated Founda on
Recognizing the FutureOUR FUNDING
52STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Funding Organiza on Study Amount
$199,047
$1,434,596
$42,200
$1,469,086
$20,000
$461,883
$30,000
$29,937
$18,433
$29,967
$29,981
$18,433
$1,106,000
Canadian Cancer Society
Research Ins tute
Canadian Ins tutes of
Health Research
Canadian Ins tutes of
Health Research
Canadian Ins tutes of
Health Research
Canadian Orthopaedic
Founda on Research Legacy
Greenville Hospital System
Hamilton Health Sciences
McMaster Surgical
Associates
McMaster Surgical
Associates
McMaster Surgical
Associates
McMaster Surgical
Associates
McMaster Surgical
Associates
Na onal Ins tutes of Health
Prophylac c an bio c regimens in tumor surgery (PARITY) Trial
Hip Fracture Evalua on with Alterna ves of Total Hip Arthroplasty versus Hemi-
Arthroplasty (HEALTH): A Mul - Centre Randomized Trial Comparing
Total Hip Arthroplasty and Hemi-Arthroplasty on Revision with Displaced
Femoral Neck Fractures
An economic evalua on of low-intensity pulsed ultrasound in pa ents with bial
sha fractures
Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH): A
Mul centre Randomized Trial
Femoroacetabular Impingement Randomized Controlled Trial (FIRST)
FLOW-Greenville Fluid Lavage of Open Wounds (FLOW): A Mul -center Blinded,
Factorial Trial Comparing Alterna ve Irriga ng Solu ons and Presssures in
Pa ents with Open-Fractures
Impact of Platelet Rich plasma OVer alternata ve therapies in pa ents with
lateral Epicondyli s (IMPROVE)
Femoroacetabular Impingement Randomized Controlled Trial (FIRST)
MIDs of func onal outcomes in pa ents undergoing limb-salvage surgery for
primary bone tumors
Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH-2)
Interna onal Orthopaedic Mul center Study (INORMUS-China)
Prophylac c an bio c regimens in tumor Surgery (PARITY)
Ongoing Research Funding
Recognizing the FutureOUR FUNDING
53 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Hip Fracture Evalua on with Alterna ves of Total Hip Arthroplasty versus Hemi-
Arthroplasty (HEALTH): A Mul - Centre Randomized Trial Comparing Total Hip
Arthroplasty and Hemi-Arthroplasty on Revision with Displaced Femoral Neck
Fractures
Funding Organiza on Study Amount
$49,500
$20,000
$99,960
$75,000
$40,000
$829,056
Office of Integrated
Research Services
Orthopaedic Founda on
Orthopaedic Research and
Educa on Founda on
/Musculoskeletal Tumor
Society
yPublic Health Agency of
Canada
Radiological Society of
North America
United States Department
of Defense
Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH-2)
Femoroacetabular Impingement Randomised Controlled Trial (FIRST)
Prophylac c An bio c Regimens in Tumor Surgery (PARITY): A Pilot Randomized
Mul -Center Clinical Trial
Promo ng Empowerment for Vic ms of Abuse and In mate Partner Violence
PREVAIL (EMPOWER)
IMpact of Platelet Rich plasma OVer alternata ve therapies in pa ents with
lateral Epicondyli s (IMPROVE)
Fluid Lavage of Open Wounds (FLOW): A 2x3 factorial randomized trial of
irriga ng solu ons and irriga ng pressures in pa ents with open fractures
54STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Faculty and Resident
Publica ons
PUBLICATIONS Faculty and Resident
Bold=Faculty, Italics=ResidentJuly 2013 – Present
= Orthopaedic Publica ons = Department of Surgery Publica ons
Alradwan H, Khan M, Hamel-Smith
Grassby M, Bedi A, Philippon MJ,
Ayeni OR. Gait and lower
extremity kinema c analysis as an
outcome measure a er
femoroacetabular impingement
surgery. Arthroscopy. 2014 Aug 14.
[Epub ahead of print] IF=3.191
Banga K, Racano A, Ayeni OR,
Deheshi B. Atypical hip pain:
Coexistance of femoroacetabular
impingement (FIA) and ostoid
osteoma. Knee Surg Sports
Traumatol Arthrosc. 2014 Apr 20.
[Epub ahead of print] (s ll epub'd
9/3). IF=2.209
Bhandari M and the FAITH
Inves gators. Fixa on using
alterna ve implants for the
treatment of hip fractures (FAITH):
Design and ra onale for a mul -
centre randomized trial comparing
sliding hip screws and cancellous
screws on revision surgery rates and
quality of life in the treatment of
femoral neck fractures. BMC
Musculoskelet Disord. 2014 Jun
26;15(1):219.
Chan K, Macdermid JC, Faber KJ,
King GJ, Athwal GS. Can we treat
select terrible triad injuries
nonopera vely? Clin Orthop Relat
Res. 2014 Jul;472(7):2092-9.
IF=2.787
Björnsson H, Desai N, Musahl V,
Alentorn-Geli E, Bhandari M, Fu F,
Samuelsson K. Is double-bundle
anterior cruciate ligament
reconstruc on superior to single-
bundle? A comprehensive
systema c review. Knee Surg Sports
Traumatol Arthrosc. 2013 Sep 15.
[Epub ahead of print] (s ll epub'd
9/25) IF=2.209
Chan K, MacDermid JC, Hoppe DJ,
Ayeni OR, Bhandari M, Foote CJ,
Athwal GS. Delayed vs early mo on
a er arthroscopic rotator cuff repair:
A meta-analysis. J Shoulder Elbow
Surg 014 Nov;23(11):1631-9. 12.
IF=2.365
198
55 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
1 out of every 2 reports
published by the Department of
Surgery are Orthopaedic related.
114
Chaudhry H, Simunovic N, Petrisor B.
Cochrane in CORR: Surgical Versus
Conserva ve Treatment for Acute
Injuries of the Lateral Ligament Complex
of the Ankle in Adults (Review). Clin
Orthop Relat Res. 2014 Oct 25. [Epub
ahead of print] IF=2.882
Chiavaras MM, Jacobson JA, Carlos R,
Maida E, Bentley T, Simunovic N,
Swinton M, Bhandari M. Impact of
platelet rich plasma over alterna ve
therapies in pa ents with lateral
epicondyli s (IMPROVE): Protocol for a
mul center randomized controlled
study: A mul center randomized trial
comparing autologous platelet rich
plasma, autologous whole blood, dry
needle tendon fenestra on and physical
therapy exercises along on pain and
quality of life in pa ents with lateral
epicondyli s. Acad Radiol. 2014
Sep;21(9):1144-55 IF=1.914
Dao D, Sodhi S, Tabasinejad R,
Peterson D, Ayeni OR, Bhandari M,
Farrokhyar F. Serum 25-
Hydroxyvitamin D Levels and Stress
Fractures in Military Personnel: A
Systema c Review and Meta-
analysis. Am J Sports Med. 2014
Nov 4 .[ Epub ahead of print]
IF=4.69
de Sa D, Alradwan H, Cargnelli S,
Thawer Z, Simunovic N, Cadet E,
Bonin N, Larson C, Ayeni OR. Extra-
ar cular hip impingement: A
systema c review examining
opera ve treatment of psoas,
subspine, ischiofemoral and greater
trochanteric/pelvic impingement.
Arthroscopy. 2014 Aug;30(8):1026-
1041. IF=3.103
de Sa D, Horner NS, MacDonald A,
Simunovic N, Ghert MA, Philippon
MJ, Ayeni OR. Arthroscopic surgery
for synovial chondromatosis of the
hip: A systema c review of rates
and predisposing factors for
recurrence. Arthroscopy. 2014 Jul
23. [Epub ahead of print] (s ll
epub'd 9/25) IF=3.103
de Sa D, Phillips M, Philippon MJ,
Letkemann S, Simunovic N, Ayeni
OR. Ligamentum teres injuries of
the hip:A systema c review
examining surgical indica ons,
treatment op ons and outcomes.
Arthroscopy. 2014 Aug 12. [Epub
ahead of print] (s ll epub'd 9/25)
IF=3.191
Dehghan N, McKee MD, Nauth A,
Ristevski B, Schemitsch EH. Surgical
fixa on of Vancouver type B1
periprosthe c femur fractures: A
systema c review. J Orthop Trauma.
2014 Dec;28(12):721-7.
Ebrahim S, Mollon B, Bance S, Busse
JW, Bhandari M. A not-so-systema c
review - The authors respond. Can J
Surg. 2014 Oct;57(5):E152-3.
I.F.=1.267
Evaniew N, Bayegan D, Popovic S,
Parasu N, Ghert M. Infrapatellar fat
pad osteosacroma: Three cases and a
systema c review. J Knee Surg. 2014
May 29. [Epub ahead of print] (s ll
epub'd 9/25) IF=n/a
Bhandari M, Guya GH, Kulkarni
AV, Devereaux PJ, Leece P,
Bajammal S, Heels-Ansdell D,
Busse JW. Percep ons of
authors' contribu ons are
influenced by both byline order
and designa on of
corresponding author. J Clin
Epidemiol. 2014 Sep;67(9):1049-
54. IF=5.332
Evaniew N, Khan M, Drew B,
Peterson D, Bhandari M, Ghert
M. Intrawound vancomycin to
prevent infec ons a er spine
surgery: A systema c review and
meta-analysis. Eur Spine J. 2014
May 18. [Epub ahead of print]
(s ll epub'd 9/25) IF=2.133
Evaniew N, Simunovic N, Karlsson J.
Cochrane in CORR®:
Viscosupplementa on for the
treatment of osteoarthri s of the
knee. Clin Orthop Relat Res. 2014
Jul;472(7):2028-34. IF=2.787
56STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Evaniew N, Simunovic N, McKee MD,
Schemitsch E. Cochrane in CORR®:
Surgical vs conserva ve interven ons
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IF=2.787
Evaniew N, Yarascavitch B, Madden
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9/25). IF-2.159
Farrokhyar F, Amin N, Dath D,
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Po ruff C, Skot M, Reid S. Impact of
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Jul-Aug;71(4):513-20. IF=1.634
MacLeod MG, Hoppe DJ, Simunovic
N, Bhandari M, Philippon MJ, Ayeni
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Mak IW, Evaniew N, Popovic S, Tozer
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M. The epigene c regula on of
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Farrokhyar F, Tabasinejad R, Dao
D, Peterson D, Ayeni OR,
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3. [Epub ahead of print]
I.F.=5.32
Khan M, Evaniew N, Bedi A,
Ayeni OR, Bhandari M.
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degenera ve tears of the
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2014 Oct 7;186(14):1057-64.
IF=6.5
Ghert M, Yao X, Corbe T, Gupta
AA, Kandel RA, Verma S, Werier J.
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Hussain N, Sprague S, Madden K,
Hussain FN, Pindiprolu B, Bhandari
M. A comparison of the types of
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Järvinen TL, Sihvonen R, Bhandari
M, Sprague S, Malmivaara A,
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GH. Blinded interpreta on of study
results can feasibly and effec vely
diminish interpreta on bias. J Clin
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IF=5.332
Khan M, Ranawat A, Williams D,
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Khan M, Simunovic N, Provencher
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57 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Mascarenhas R, Chalmers PN,
Sayegh ET, Bhandari M, Verma NN,
Cole BJ, Romeo AA. Is double-row
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to single-row rotator cuff repair: A
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Walter S. The cri cal sized defect in
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GH. Pa ents' values and
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58STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Macintyre NJ, Busse JW, Bhandari
M. Physical Therapists in Primary
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the P.O.S.I.T.I.V.E.
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59 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
de Sa D, Urquhart N, Philippon M,
Ye JE, Simunovic N, Ayeni OR.
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Bhandari M, Ghert M. What Are
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Bone Tumors? Clin Orthop Relat
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Muir JM, Ye C, Bhandari M, Adachi
JD, Thabane L. The effect of regular
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de Sa D, Urquhart N, Philippon M,
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Ayeni O, Chu R, Hetaimish B, Nur L,
Simunovic N, Farrokhyar F, Bedi A,
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Evaniew N, Madden K, Bhandari M.
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Bhandari M, Wasserman SM,
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Evaniew N, Madden K, Bhandari M.
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M. Cochrane in CORR ® : Joint
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Mundi R, Madden K, Bhandari M.
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Ristevski B, Nauth A, Williams D,
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Schemitsch E. Systema c Review of
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Andernord D, Karlsson J, Musahl V,
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Salci L, Ayeni O, Abouassaly M,
Farrokhar F, D'Souza JA, Bhandari
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60STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
The Hip Fracture Accelerated
Surgical Treatment and Care
Track (HIP ATTACK)
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Bhandari M, Sanche P, Rocha
S, Winemaker M, Adili A, de
Beer J, Tiboni M, Neary JD,
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Robinson A, Rodseth RN,
Kolesar R, Farrell J, Crowther
M, Tandon V, Magloire P,
Dokainish H, Joseph P,
Tomlinson CW, Salehian O,
Has ngs D, Hunt DL, Van Spall
H, Cosman TL, Simpson DL,
Cowan D, Guya G, Alvarado
K, Evans WK, Mizera R,
Eikelboom J, Cook D, Loeb M,
Johnstone J, Kearon C, Sessler
DI, Vanhelder T, Rao-Melacini
P, Worster A, Pa l A, McLean
R, Macdonald AM, Badzioch R,
Devereaux PJ. Accelerated care
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Bednar DA. Teripara de Treatment
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Chan K, Farrokhyar F, Burrow S,
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Papakos dis C, Bhandari M,
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Hoppe DJ, Denkers M, Hoppe FM,
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Lyon T, Scheele W, Bhandari M,
Koval KJ, Sanchez EG, Christensen J,
Valen n A, Huard F. Efficacy and
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2/Calcium Phosphate Matrix for
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Hoppe DJ, de Sa D, Simunovic N,
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M, Ayeni O.R. The Learning Curve
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61 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Avram V, Petruccelli D,
Winemaker M, de Beer J.
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Readmission Rates and
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2014 Mar;29(3):465-8
Sprague S, Goslings J. C, Hogentoren
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B, Bedi A, Philippon MJ, Bhandari M,
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Bo o F, Alonso-Coello P, Chan MT,
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Surgery patIents cOhort evalua oN
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Barasi MA, Mundi R, Niroopan G,
Bhandari M. Is the treatment gap in
knee osteoarthri s real? A
qualita ve study of surgeons'
percep ons. J Long Term Eff Med
Implants. 2013;23(2-3):223-40.
Ivers R, Bhandari M, Norton R. A call
to research: Documen ng the non-
fatal outcomes of injury. Injury. 2014
Jun;45(6):921-2. doi:
10.1016/j.injury.2014.02.020. Epub 2014
Feb 21.
Somerson JS, Bhandari M, Vaughan
CT, Smith CS, Zelle BA. Lack of
diversity in orthopaedic trials
conducted in the United States. J
Bone Joint Surg Am. 2014 Apr
2;96(7):e56. doi:
10.2106/JBJS.M.00531.
Chan K, Petrisor B, Bhandari M.
Emo onal intelligence in orthopedic
surgery residents. Can J Surg. 2014
Apr;57(2):89-93.
62STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Cupido C, Peterson D, Sutherland
MS, Ayeni O, Stra ord
PW.Tracking pa ent outcomes
a er anterior cruciate ligament
reconstruc on. Physiother Can.
2014 Spring;66(2):199-205.
Shalini Singh, Isabella W. Y. Mak,
Divya Handa, and Michelle Ghert,
“The Role of TWIST in
Angiogenesis and Cell Migra on in
Giant Cell Tumor of Bone,”
Advances in Biology, vol. 2014,
Ar cle ID 903259, 8 pages, 2014.
Farrokhyar F, Amin N, Dath D,
Bhandari M, Kelly S, Kolkin AM,
Gill-Po ruff C, Skot M, Reid S.
Impact of the Surgical Research
Methodology Program on Surgical
Residents' Research Profiles.J Surg
Educ. 2014 Jul-Aug;71(4):513-20. doi:
10.1016/j.jsurg.2014.01.012. Epub 2014
May 10.
Farrugia P, Goldstein C, Petrisor
BA. Measuring foot and ankle
injury outcomes: common scales
and checklists. Injury. 2011
Mar;42(3):276-80. E
pub 2011 Jan 12.
de Moraes VY, Godin K, Dos Santos
JB, Faloppa F, Bhandari M, Bello
JC. Influence of compensa on
status on me off work a er carpal
tunnel release and rotator cuff
surgery: a meta-analysis. Pa ent
Saf Surg. 2013 Jan 2;7(1):1.
Sprague S, Swinton M, Madden K,
Swaleh R, Goslings JC, Petrisor B,
Bhandari M. Barriers to and
facilitators for screening women
for in mate partner violence in
surgical fracture clinics: a
qualita ve descrip ve approach.
BMC Musculoskelet Disord. 2013
Apr 5;14:122.
Colterjohn T, de Beer J, Petruccelli
D, Zab a N, Winemaker M.
An bio c Prophylaxis for Dental
Procedures at Risk of Causing
Bacteremia Among Post-Total Joint
Arthroplasty Pa ents: A Survey of
Canadian Orthopaedic Surgeons
and Dental Surgeons. J
Arthroplasty. 2014 Jun;29(6):1091-7.
doi: 10.1016/j.arth.2013.11.024. Epub
2013 Dec 2.
Ebrahim S, Mollon B, Bance S, Busse
JW, Bhandari M. Low-intensity pulsed
ultrasonography versus electrical
s mula on for fracture healing: a
systema c review and network meta-
analysis. Can J Surg. 2014
Jun;57(3):E105-E118.
Ayeni OR, Kowalczuk M, Farag J,
Farrokhyar F, Chu R, Bedi A, Willits K,
Bhandari M.Trends in repor ng of
mechanisms and incidence of hip
injuries in males playing minor ice
hockey in Canada: a cross-sec onal
study. Open Access J Sports Med. 2014
Jun 19;5:143-9
Pazionis TJ, Papanastassiou ID,
Maybody M, Healey JH. Emboliza on
of Hypervascular Bone Metastases
Reduces Intraopera ve Blood Loss: A
Case-control Study. Clin Orthop Relat
Res. 2014 Oct;472(10):3179-87. doi:
10.1007/s11999-014-3734-3. Epub 2014
Jun 26.
Dvorak MF, Noonan VK, Fallah N,
Fisher CG, Rivers CS, Ahn H, Tsai EC,
Linassi AG, Chris e SD, A abib N,
Hurlbert RJ, Fourney DR, Johnson
MG, Fehlings MG, Drew B, Bailey CS,
Paquet J, Parent S, Townson A, Ho C,
Craven BC, Gagnon D, Tsui D, Fox R,
Mac-Thiong JM, Kwon BK. Minimizing
Errors in Acute Trauma c Spinal Cord
Injury Trials by Acknowledging the
Heterogeneity of Spinal Cord
Anatomy and Injury Severity: An
Observa onal Canadian Cohort
Analysis. J Neurotrauma. 2014 Sep
15;31(18):1540-7. doi:
10.1089/neu.2013.3278. Epub 2014 Jul 8.
Bisland SK, Smith FC. Total Hip
Arthroplasty in A Young Pa ent with
Bernard-Soulier Syndrome. Journal of
Orthopaedic Case Reports 2014
April-June;4(2): 38-41.
Zhang S, Paul J, Nantha-Aree M,
Buckley N, Shahzad U, Cheng J, de
Beer J, Winemaker M, Wismer D,
Punthakee D, Avram V, Thabane L.
Empirical comparison of four
baseline covariate adjustment
methods in analysis of con nuous
outcomes in randomized controlled
trials. Clin Epidemiol. 2014;6:227-35.
Ayeni OR, Chan K, Whelan DB,
Gandhi R, Williams D, Harish S,
Choudur H, Chiavaras M, Karlsson,
Bhandari M, Jiwa S. Diagnosing
Femoroacetabular Impingement
From Plain Radiographs: Do
Radiologists and Orthopaedic
Surgeons Differ? Orthopaedic Journal
of Sports Medicine. 2014 Jul 21; 2(7)
Busse JW, Bhandari M, Einhorn
TA, Heckman JD, Leung KS,
Schemitsch E, Torne a P 3rd,
Walter SD, Guya GH.Trial to
re-evaluate ultrasound in the
treatment of bial fractures
(TRUST): a mul center
randomized pilot study. Trials.
2014 Jun 4;15(1):206. doi:
10.1186/1745-6215-15-206.
63 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
A global apex
of top-tier research
MacOrtho Goes Viral
PUBLICATIONS Faculty and Resident
65 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
66STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
BIG DATA REPORTS:
MacOrtho Dominates the Top
4 Websites in Google Searches
Recognizing the FutureOUR AWARDS
Jaydeep Moro
Michelle Ghert
Darren de Sa
Thomas Wood
Leon van der Wa
Colm McCarthy
Anthony Adili
Ma hew Denkers
Desmond Kwok
2014 Faculty Recogni on Award
Devin Peterson
Bradley Petrisor
2014 Dr. Nigel Colterjohn
Royal College Examiner
Resident Teaching Award
Mohit Bhandari
Fellow of Canadian
Academy of Health SciencesMichael G. DeGroote Fellowship
Award in Clinical Research
1st prize Research Methodology
Award and Honorable Men on
Technical Skills Award
Inaugural McMaster Undergraduate
Medical Program and First Medical
Founda on Chief Preceptor
2nd Prize Research Methodology
Award
Honorable Men on Technical
Skills Award
Honorable Men on Research
Methodology Award
Canadian Undergraduate
Surgical Educa on Commi ee
(CUSEC) Sponsorship
2013 Italian Heritage Award
2014 Stephen Abrahamson
Award for Outstanding Innova on
2013 Medical Staff Associa on
President’s Award for
Dis nguished Long Service
Ontario Graduate Scholarships
Master’s Award
Physicians’ Services Incorporated
Resident Research Grant
'Top Reviewers' for Clinical
Orthopaedics and Related Research
for 2013
'Top Reviewers' for Clinical
Orthopaedics and Related Research
for 2014
CE&B Mentoring/Supervision
Award: Full me/Joint Faculty
2014 Dis nguished Alumni
Award for the Sciences
Deputy Editor for Evidence-Based
Orthopaedics for Clinical
Orthopaedics and Related Research
2014 Order Of Ontario Honour
2014 Dr. Nigel Colterjohn Resident
Teaching Award
Dr. Jaydeep Moro Dr. Devin Peterson
2014 Faculty Recogni on
Award
Awards & Recognition
2013 Orthopaedic Surgery
Preceptor Award
Royal College Examiner
67 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
MacOrtho Research team
Moin Khan Kevin Chan
Kim Madden
Harman Chaudhry
Raman Mundi
Daniel Hoppe
Nathan Evaniew
MacOrtho Research Coordinator
team was awarded the 2013
McMaster President’s Award for
Outstanding Service.
2014 Faculty of Health
Sciences Graduate Student
Publica on Award
2014 Faculty of Health
Sciences Diversity Graduate
Student Award
2014 Regional Medical Associates
Scholarship Award
Master of Science, MSc,
McMaster University
American Society for Surgery
of the Hand(ASSH)/American
Founda on for Surgery of
the Hand (AFSH) Annual
Mee ng Scholarship
Master of Science, MSc,
McMaster University
Faculty of Health Sciences
Graduate Programs Outstanding
Achievement Award
MSc Thesis Defence –
In mate Partner Violence in
Orthopaedic Surgery: Lessons
Learned and Future Direc ons
Physicians’ Services Incorporated
Founda on Resident Prize
2014 Excellence in Poster
Presenta on Award
2013-2014 Surgeon Scien st
Scholarship Award
2013-2014 Surgeon Scien st
Scholarship Award
2013-2014 Fergus Mills
Scholarship Recipient
2014 Stephen Abrahamson
Award for Outstanding Innova on
Masters of Educa on,
OISE,Toronto
2014 Faculty of Health Sciences
Graduate Student Publica on Award
Michael G. DeGroote Fellowship
Award in Clinical Research
Ontario Graduate Scholarships
Master’s Award
Physicians’ Services Incorporated
Resident Research Grant
Physician’s Services Incorporated
Founda on Resident Prize
2014 Excellence in Poster
Presenta on Award
68STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
The Order of Ontario is the province’s highest
official honour which recognizes individuals who
have demonstrated a high level of individual
excellence and achievement in any field
benefi ng the people of Ontario or anywhere
in the world.
Dr. Bhandari has demonstrated a high level of
excellence and achievement in advoca ng for
women and ac ng as an ambassador for
developing na ons, thereby advancing the lives of
Ontario ci zens, Canadians, and people
worldwide. As a professor of surgery, Dr. Bhandari
con nues to be a source of pride for many in the
faculty of Health Sciences.
Order of Ontario
Dr. Mohit Bhandari receives
69 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
Mohit Bhandari
Academic Division Head
Contact the DivisionDivision of Orthopaedic Surgery
McMaster University
Hamilton General Hospital
293 Wellington Street N, Suite 110
Hamilton, ON
L8L 8E7
P: 905-527-4322 ext 44590
W: s.mcmaster.ca/macortho
71 STAYING CONNECTED | Division of Orthopaedic Surgery
Progress Report 2013-2014
MacOrtho2014

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MacOrtho2014

  • 1.
  • 2. Division of Orthopaedic Surgery Progress Report 2013-2014 © 2013-2014 by the Division of Orthopaedic Surgery, McMaster University. All rights reserved
  • 3. Dear Faculty and Friends, We move ahead another year with many great memories and even greater expecta ons for the future. Our brand is strong and we are stronger, together. And it is indeed together that we con nue this exci ng academic journey. Our leadership as surgical health care providers and researchers demands ‘connec vity’. So, today we celebrate staying connected. Crea ng a be er world for our pa ents requires teamwork, partnership, and collabora on. Those who stay connected to a diverse network of support and collabora ons will have the tools to make change — change that ma ers! Let’s focus then on our friendships, our families, and our collec ve ‘connectedness’ as we, MacOrtho, drive excellence for the years to come. Mohit Bhandari Academic Division Head
  • 4. We are se ng benchmarks as academic surgeons who provide the highest quality surgical care, cri cally appraise the evidence we apply in our daily lives, and answer knowledge gaps by conduc ng important research that translates to be er care worldwide. Valida on of our vision towards crea ng a culture driven by evidence and powered by commi ed surgeons, fellows, residents and researchers are exemplified as follows: RESEARCH FAITH trial completes recruitment of over 1,000 pa ents - a milestone placing FAITH trial among the largest hip fracture trials to date. FAITH-2 builds on an ongoing global hip fracture trial with boost from CIHR funding. Fluid Lavage of Open Wounds (FLOW) enrols 2,545 pa ents at 41 sites in Canada, United States, Australia, Europe, and India, making FLOW the largest orthopaedic trauma study conducted to date. PARITY trial receives defini ve funding from CIHR making it the first mul -na onal sarcoma study to date. FIRST trial receives CIHR funding to cri cally evaluate the efficacy of FAI surgery. LEADERSHIP Dr. Anthony Adili receives the 2013 Italian Heritage Award — A tremendous recogni on for his leadership in our community. Michelle Ghert was named one of the 'Top Reviewers' for Clinical Orthopaedics and Related Research, again. Dr. Mohit Bhandari joined as Deputy Editor for Evidence-Based Orthopaedics for Clinical Orthopaedics And Related Research. Dr. Ayeni has been invited to be a Guest Editor for a Special Edi on on Hip Arthroscopy in the Journal tled: Knee Surgery, Sports Traumatology, Arthroscopy. EDUCATION Dr. Brad Petrisor contributes to this year’s inaugural ICRE (The Interna onal Conference on Residency Educa on) plenary panel examining “program director survival stories”, for one of medical educa on’s most challenging posi ons. McMaster Orthopaedic Surgery Residency Educa on Program received the Residency Program Excellence Award from the Professional Associa on of Residents of Ontario. Dr. Daniel Hoppe and Dr. Ma Denkers received the 2014 Stephen Abrahamson Award for Outstanding Innova on at the Innova ons in Medical Educa on Conference. Dr. Darren de SA awarded the Michael G. DeGroote School of Medicine (NRC) Excellence in Clinical Teaching Resident Award and also selected as the first Medical Founda on Chief Preceptor. SERVICE MacOrtho Research Coordinator team awarded the McMaster President’s Award for Outstanding Service. CONNECTIVITY MacOrtho Connect launched as the Division of Orthopaedic Surgery's newsle er. Hos ng American-Bri sh- Canadian Travelling Fellows at McMaster University and receiving the only perfect score in the ‘educa onal experience’ on the tour. Yours sincerely, Mohit Bhandari MD, PhD, FRCSC Professor and Academic Head, Orthopaedic Surgery Associate Chair, Research, Department of Surgery Canada Research Chair in Evidence-Based Orthopaedics Staying Connected
  • 6. Table of Contents OUR FACULTY OUR EDUCATION OUR RESEARCH OUR AWARDS OUR CONTACT OUR PUBLICATIONS CURRENT RESEARCH Leadership Who We Are Vision Faculty Mission Global Presence Orthopaedic Residency Educa on Training Program Highlights Our Fellows Leadership Series ABC Traveling Fellowship Lectureships and Awards Evidence-based Orthopaedics CEO Global Reach Trauma & Injury Musculoskeletal Tumour Surgery Sports Medicine Hamilton Arthroplasty Group Second Annual Femoroacetabular Impingement Symposium Annual Academic Day Our Objec ve Conferences and Mee ngs Research Funding Faculty and Resident Division Awards & Recogni on Order of Ontario 1 3 4 5 7 8 9 13 11 14 15 17 18 19 21 35 39 44 45 46 47 49 51 53 67 69 71 STAYING CONNECTED | Division of Orthopaedic Surgery
  • 7. OUR FACULTY Leadership Our Leadership Academic Division Head; Associate Chair of Research Mohit Bhandari Clerkship Director Jaydeep MoroMichelle Ghert Associate Program Director, Residency Educa on Training; Research Director, Division Anthony Adili Site Lead, SJH Director, Alumni Affairs Richard Lachowski Site Lead Sarah Burrow 1 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 McMaster Children’s Hospital
  • 8. Program Director, Residency Educa on Training Bradley Petrisor Mentorship Director Benjamin Deheshi Fellowship Director Dale Williams Site Lead, JHCC Mitchell Winemaker Site Lead, HGH Brian Drew 2 The Executive Committee is responsible for assisting and supporting the educational, research and administrative activities within the Division of Orthopaedic Surgery. STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 9. Our goal is to improve the lives of pa ents with musculoskeletal disease through the paradigm of evidence-based orthopaedics. Whether engaged in orthopaedic surgery, educa on, research, or prac ce, we are all here to learn, to innovate and to disseminate our culture and values to our pa ents, learners, faculty, and community. Who we are
  • 10. Educa on Research - We aim to be a top er program in Canada for evidence-based orthopaedic training, a rac ng the best and most promising students to our Division. - As a research ins tu on, we endeavour to be the best environment for clinical research, fostering global collabora ons, conduc ng high impact clinical research, and educa ng excep onal students at the undergraduate and graduate levels. Faculty Leadership - We seek to a ract and retain top orthopaedic faculty from Canada and interna onally. We will ensure that our faculty’s accomplishments are recognized and promoted. - The success of our Division is highly dependant upon the unified core values and culture within our leaders. We will con nue to produce lifelong learners that prac ce orthopaedic surgery in a responsible, ethical, and evidence-based manner. Our Vision OUR FACULTY Our Vision 4STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 Academic Division Head Mohit Bhandari Program Director Bradley Petrisor
  • 11. OUR FACULTY Division of Orthopaedic Surgery Our Faculty Hamilton General Hospital McMaster University Medical Centre 5 Dr. Olufemi Ayeni Assistant Professor Dr. Sarah Burrow Associate Professor Dr. Jung Mah Clinical Professor Dr. Paul Missiuna Assistant Clinical Professor Dr. Rick Ogilvie Assistant Clinical Professor Dr. Devin Peterson Associate Professor Dr. Victoria Avram Assistant Professor Dr. Jus n de Beer Associate Clinical Professor Dr. Benjamin Deheshi Assistant Clinical Professor Dr. Michelle Ghert Assistant Professor Dr. Dinshaw Punthakee Assistant Clinical Professor Dr. Frank Smith Assistant Clinical Professor Dr. Mitchell Winemaker Assistant Clinical Professor Dr. David Wismer Associate Professor Juravinski Hospital and Cancer Centre Dr. Drew Bednar Clinical Professor Dr. Mohit Bhandari Professor Dr. Ma Denkers Assistant Professor Dr. Brian Drew Associate Clinical Professor Dr. Desmond Kwok Assistant Clinical Professor (Adjunct) Dr. Bradley Petrisor Associate Professor Dr. Krishan Rajaratnam Assistant Clinical Professor Dr. Bill Ristevski Assistant Professor Dr. John Sadler Assistant Clinical Professor (Re red) Dr. Dale Williams Assistant Professor STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 12. St. Joseph's Healthcare Hamilton Other Healthcare Sites Dr. Anthony Adili Associate Dr. Bre Dunlop Associate Clinical Professor Dr. Richard Lachowski Associate Clinical Professor Dr. Jaydeep Moro Associate Clinical Professor Dr. Arthur Porte Associate Clinical Professor Dr. Louis Saunders Clinical Professor Dr. Markus Bischoff Assistant Clinical Professor (Adjunct) Dr. Heather Brien Assistant Clinical Professor Dr. Paul Grusso Assistant Clinical Professor (Adjunct) Dr. Thomas Hupel Assistant Clinical Professor (Adjunct) Dr. Robert Josefchak Assistant Clinical Professor Dr. Marc Kalchman Assistant Clinical Professor (Adjunct) Dr. Ajay Manjoo Assistant Clinical Professor (Adjunct) Dr. David Mar n Assistant Clinical Professor (ROMP) Dr. John McCall Assistant Clinical Professor (Adjunct) Dr. Sco McKenzie Assistant Clinical Professor (Adjunct) Dr. John Ostrowski Assistant Clinical Professor (Adjunct) Dr. David Pugh Assistant Clinical Professor (ROMP) Dr. Steven Richie Assistant Clinical Professor (ROMP) Christopher Robert Assistant Clinical Professor (Adjunct) Ted Scriven Assistant Clinical Professor (Adjunct) Dr. Ma hew Snider Assistant Clinical Professor (Adjunct) Dr. Gerard Slobogean Assistant Clinical Professor Dr. Peter Stevenson Assistant Clinical Professor (Adjunct) Dr. Michael Woolfrey Assistant Clinical Professor (Adjunct) Dr. Paul Zalzal Assistant Clinical Professor 6STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 13. Our Educa on Our mission is to educate and empower the surgeons of tomorrow with the capacity for evidence-based clinical care, cri cal thinking, crea vity, professionalism and a proclivity towards lifelong learning. The development of these a ributes surrounds a core of technical training in the art and science of orthopaedic surgery. OUR EDUCATION Our Global Presence 7 30+195 McMaster has graduated over 195 surgeons since the inaugural class of 1982. Our graduates have gone to prac ce in many different places across the globe. STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 14. 73+ 10 10 undergraduate students have been supported through the CIHR Undergraduate: Mobility, Musculoskeletal Health and Arthri s grants. Since 2011, over 73 undergraduate students have completed research projects, co-op placements or theses. 8STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 15. OUR EDUCATION Orthopaedic Residency Educa on Training Program Highlights Orthopaedic Residency Educa on Training Program A dedication to training surgeons The MacOrtho residency program con nues to collaborate and forge ahead in the areas of educa on and research. We have developed collabora ons with the Research and High Performance Compu ng team with Ranil Sonnadara and are formula ng specific procedural based competencies and evalua on tools. This is in keeping with the Royal College mandate of “Milestones 2015” and the further development of a more formal competency based program. We have remained ac ve again this year at the Royal College’s Interna onal Conference on Residency Educa on (ICRE). Dr. Brad Petrisor was involved in the planning and delivery of the annual “New Program Directors workshop” which received posi ve reviews and MacOrtho educa onal work was presented at the main mee ng of the ICRE. We have a stellar group of residents and will be looking to add to our cohort with the upcoming CaRMS cycle. We con nue to prepare for our upcoming formal Royal College review which is scheduled to take place in April of 2015. Our program con nues to excel with the goals and vision of both the Clerkship and Mentorship programs. Our Fellowship program con nues to draw excellent cohorts both na onally and interna onally, further branding MacOrtho as a leader in evidence-based orthopaedic surgery. 9 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 PGY-1 Cohort
  • 16. Clerkship Program Here in the Division of Orthopaedic Surgery at McMaster University, we recognize the importance of engaging students at every level of educa on. Moving forward, our main goal is to iden fy various ways to further inspire and prepare clerks to pursue a career in orthopaedic surgery. The success of our Mentorship Program will lead to a strengthening of rela onships between orthopaedic surgeons and trainees, aid in conflict resolu on, assist in career planning resul ng in overall posi ve morale amongst residents and staff. We take pride in the strong support of this program and the par cipa on from our orthopaedic community. We are focused on dissemina ng our brand of fellowship opportuni es in Canada and abroad. Our ac ve fellowships include hip and knee reconstruc on, orthopaedic trauma, sports medicine and arthroscopy, paediatric orthopaedic surgery, and musculoskeletal oncology. Mentorship Program Fellowship Program PGY1 PGY2 PGY3 PGY4 PGY5 Surgical Scien st Program / Clinical Inves gators Program Harman Chaudhry, Nathan Evaniew, Raman Mundi Current Orthopaedic Residents Anthony Bozzo, Anthony Habib, Jeffrey Hartman, Colby Oitment, Jeffrey Poon, Sebas an Rendon Harman Chaudhry, Marcin Kowakzuk, Ma hew Macleod, Raman Mundi, James Nu all Stuart Bisland, Kevin Chan, Nathan Evaniew, Khaled Hasan, CJ Foote, Daniel Hoppe, Mohammed Moin Khan, Robert McCloy III, Jus n Todd Adrian Kurz, Colm McCarthy, Mike Riediger, Leon van der Wa Darren de SA, Sebas an Heaven, Gavinn Niroopan, Vandit Sardana, Thomas Wood, Marco Yeung 10STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 17. Our Fellows Hussain Al Radwan Upper Extremity Fellow Ilyas Aleem Spine Fellow Hussain Al Gawahmed Upper Extremity Fellow Jamal Al-Asiri Trauma Fellow Ijdo Kleinlugtenbelt Trauma Fellow Marie-Claude LeBlanc Sports Medicine Fellow Natasha Holder Upper Extremity Fellow Khaled Almansoori Trauma Fellow Mohamed Al Saied Arthroplasty Fellow OUR EDUCATION Fellowship 11 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 19. OUR EDUCATION Innovative Series Our LEADERSHIP Series Dr. Thomas Einhorn (June 2014) Dr. Charles Rockwood (September 2014) Dr. Wayne Paprosky (March 2014) Professor Rush University Medical Center Chicago, Illinois Chairman and Professor of the Department of Orthopaedic Surgery; Boston University, Boston Massachuse s Professor and Chairman Emeritus, Orthopaedic Department, Director, Shoulder Service, UTHSCSA - San Antonio, Texas MacOrtho has implemented a highly successful series called “The Visi ng Professor Leadership Series”. This series, presented as invites global orthopaedic surgeons to share 13 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 an addendum to our Grand Rounds lectures, their leadership journey. The mandate of this series is to provide key insights on true leadership, trials and tribula ons faced on the road to success, strategies for refining the health care system in the upcoming years and the true value of collabora on.
  • 20. ABC Travelling Fellowship 14STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 The historical visit of the American-Bri sh-Canadian Travelling Fellows to McMaster University took place June 15-18th, 2014. Apart from their arrival and departure days, the fellows spent 2 full days with MacOrtho faculty and residents. The fellows, Pramod Achan (England), Will Aston (England), Rob Ashford (England), Brendan Coleman (New Zealand), Greg Firth (South Africa), Sanjeev Pa l (Scotland) and Phong Tran (Australia), began their tour with an outstanding academic session on the morning of Monday, June 16th in the Great Hall of the University Club. In front of a packed room, the fellows presented their research that closely aligned with those of MacOrtho. In turn, the MacOrtho faculty presented research studies represen ng similar interests, thus genera ng enthusias c and collabora ve discussion. Lunch in the University Club was accompanied by further academic discussion and tableside chats with our Academic Head, Mohit Bhandari. The a ernoon was spent with subspecialty groups and further explora on of common surgical interests and research collabora ons. The fellows then spent the evening with MacOrtho families at a poolside BBQ, enjoying the relaxed environment and camaraderie. The fellows enjoyed wine tas ng tours at Hillebrand and Peller Estates, and re- invigorated with a dousing of cool water on the Hornblower through Niagara Falls. Official feedback from the COA/AOA regarding the ABC Travelling Fellowship visit in June of this year reported scores in 2 categories: educa onal experience and accommoda on/social hos ng. Ourcombined scores ed for first place among the 11 elite ins tu ons visited by the Fellows, including Harvard, Duke, Vanderbilt, Rothman Ins tute, Pi sburgh and the University of Toronto. Most notably, McMaster was the only ins tu on to receive a perfect score in the ‘educa onal experience’ category.
  • 21. OUR EDUCATION Lectureships and Awards 15 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 MacOrtho Special Guest Lecture This invited speaker is selec vely chosen from across a variety of disciplines to educate our orthopaedic community based on the theme of our annual academic day. Robert Lo house Memorial Lectureship The Dr. Robert Lo house Memorial Lectureship was established in 2011 in memorial of the former Academic Division Head, Robert Lo house (1970-1982). Dr. Lo house par cipated in the development of the orthopaedic program and was a posi ve influence on his community and his family. Invited speakers for this lectureship are encouraged to share their experiences and insights into innova on and pioneering new fron ers. Robert F. Mar n Lectureship The Robert F. Mar n Lectureship was established in 2011 to honour the former Academic Division Head, Robert Mar n (1983-1998). Dr. Mar n made significant contribu ons to the orthopaedic department by recrui ng academically qualified subspecialty orthopaedic surgeons to help establish an improved academic and research environment. Invited speakers discuss topics crucial to leadership and educa on. Diane KelsallDr. R. Douglas Orr Staff physician for Center for Spine Health and the Department of Orthopaedic Surgery, Cleveland, Ohio Peter Ferguson Program Director and Associate Professor of Orthopaedic Surgery University of Toronto Editor, CMAJ Open Lectureships & Awards William L. Orovan Leadership Fund The "William L. Orovan Leadership Fund" was established in support and acknowledgement of Dr. Orovan’s extraordinary leadership as the Chair of the McMaster University Department of Surgery over the past decade. The goal of this fund is to provide leadership opportuni es to help foster and develop a legacy of surgeon leaders in our field.
  • 22. 16STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 MacOrtho Award of Excellence This premier award of dis nc on was established to honour, recognize and celebrate the accomplishments of leaders in orthopaedic surgery. MacOrtho Faculty Recogni on Award This recogni on award is given annually to a faculty member recognizing excellence in educa ng, mentorship, research and professional endeavours. Nigel Colterjohn Teaching Award This annual teaching award is given to a faculty member, nominated by residents only, who exemplifies the quali es of a great educator. The award is given in honour of the late Dr. Nigel Colterjohn who was an orthopaedic oncologist and arthroplasty surgeon at McMaster University. Dr. Colterjohn will forever be remembered for his contribu ons to educa on and pa ent care. Mark Walton Jaydeep Moro Devin Peterson Assistant Dean, Post Graduate Medical Educa on; Professor, Pediatric Surgery, McMaster University Clinical Assistant Professor, Orthopaedic Surgery, McMaster University Associate Professor, Orthopaedic Surgery, McMaster University The Division of Orthopaedic Surgery has invited Bobby Umar, a leadership trainer and professional development teacher to present, inspire and communicate the 5 C’s of Connectedness to our orthopaedic faculty, residents and friends at our annual academic day on November 26, 2014. Bobby Umar’s leadership keynote lends itself to the power of connec on while simultaneously aligning with our overall legacy of developing a leadership edge for leaders in our surgical field.
  • 23. OUR RESEARCH Evidence-based Orthopaedics Our Research The Division of Orthopaedic Surgery is commi ed to clinical research and the educa on of clinicians and students in the principles and prac ces of evidence- based orthopaedics. Our key values include collabora on, innova on, and the principles of evidence-based medicine. 17 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 24. Centre for Evidence-based Orthopaedics At the core of research is the Centre for Evidence-based Orthopaedics (CEO). This newly established centre merges and integrates the local and global research ac vi es of the Division into one collabora ve centre. Our vision for this centre will focus on enhancing and integra ng research ac vi es as well as providing educa on and research training opportuni es to learners and faculty. The CEO is governed by a steering commi ee responsible for the oversight of research ac vi es and educa on programs including undergraduate research training, research elec ve blocks, graduate research training, and post-doctoral fellowships. Mohit Bhandari Director Bill Ristevski Trauma and Injury Research Unit Co-Head Michelle Ghert Musculoskeletal Tumor Surgery Research Unit Co-Head Bradley Petrisor Trauma and Injury Research Unit Co-Head Olufemi Ayeni Sports Medicine Research Unit Head Brian Drew Disorders of the Spine Research Unit Head Benjamin Deheshi Musculoskeletal Tumor Surgery Research Unit Co-Head Jus n de Beer Degenera ve Joint Disease Research Unit Head CEO 18STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 25. Our Global Reach With collaborators located throughout , we are building rela onships and expanding our network to conduct global orthopaedic research. countries25 Australia Egypt Hai Mexico Norway Uganda Argen na China Ghana Malawi Nicaragua Tanzania Zimbabwe Brazil Ethiopia India Nepal Pakistan United Kingdom Canada Finland Kenya Netherlands South Africa United States of America 19 OUR RESEARCH Evidence-based Orthopaedics Transcending orthopaedic care across borders STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 26. Current Research in Orthopaedic Surgery Our current research ini a ves revolve around 5 major areas: Trauma & Injury, Degenera ve Joint Disease, Musculoskeletal Tumour Surgery, Sports Medicine and Disorders of Spine. The ra onale for the five major themes, each with their unique foci, is driven by the increasing global burden of orthopaedic trauma injuries worldwide due to the prevalence of road traffic injuries, the crisis of inten onal injuries in women from domes c violence, the epidemic of fragility fractures in the elderly, the high rates of osteoarthri s, the devasta ng effects of bone cancer, the debilita ng consequences of an orthopaedic sports injury, and high level of disabili es resul ng from spinal injuries and condi ons. These debilita ng injuries and disorders affect people of all ages, from children to the elderly. Each of these core research themes are opera onalized primarily by the conduct of mul - na onal defini ve randomized controlled trials and large observa onal cohort studies.
  • 27.
  • 28. Trauma and Injury: Road Traffic Accidents & Associated High-Energy Trauma Trauma is the leading cause of death in the first four decades of life, surpassed only by cancer and atherosclerosis, as the major cause of death in all age groups. For every person killed as a result of an injury, threefold more survive and are le permanently disabled. Musculoskeletal injuries, such as fractures and disloca ons, are very common manifesta ons of trauma. The Canadian Ins tute for Health Informa on reports 119,301 musculoskeletal injury-related hospitaliza ons annually in Canada. Globally, trauma-related care costs are over 100 billion dollars per year. 22STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 29. Interna onal Orthopaedic Mul -centre Study in Fracture Care (INORMUS) Trauma will be the largest killer in the developing world by 2020. 3 rd Funding Recieved: Canadian Ins tutes of Health Research, McMaster Surgical Associates INORMUS study launched, OUR RESEARCH Evidence-based Orthopaedics STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-201423 INORMUS is a large mul -centered cohort study aimed at quan fying the global burden of fractures. The project also serves to examine the fracture types and treatment in low and middle income countries. Target 40,000 pateints.
  • 30. Open fractures account for an es mated . fractures in North America annually. 250,000 Fluid Lavage of Open Wounds (FLOW) Funding Received: Canadian Ins tutes of Health Research, United States Department of Defense, FLOW hits recruitment milestone of 2,500 pa ents worldwide and becomes the largest orthopaedic fracture trial. 24STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 FLOW is a mul -center, blinded, factorial trial comparing alterna ve irriga ng solu ons (soap vs. saline) and pressures (high vs. low vs. gravity) in 2545 pa ents with open fractures. The primary objec ve of this trial is to assess the impact of irriga on solu ons and pressures on the occurrence of re-opera ons up to one year a er the ini al opera on. Orthopaedic Trauma Associa on
  • 31. Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH) FAITH-2 is the first randomized controlled trial evalua ng the benefits of vitamin D supplementa on for young pa ents with femoral neck fractures.” Funding Received: Canadian Ins tutes of Health Research, McMaster Surgical Associates, Hamilton Health Sciences The FAITH-2 trial seeks to iden fy a surgical and nutri onal strategy to minimize fracture fixa on complica ons and to op mize bone health in order to improve pa ent outcomes in non- geriatric pa ents with hip fractures (femoral neck fractures). FAITH-2 will u lize a 2x2 factorial randomized design to compare two surgical implants (sliding hip screws versus cancellous screws) AND nutri onal supplementa on (vitamin D3 4,000 interna onal units per day for six months versus placebo) on pa ent important complica ons and quality of life in 807 non- geriatric (ages 18 to 60 years) femoral neck fracture pa ents. STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 OUR RESEARCH Evidence-based Orthopaedics 25 Hip fractures rank in the top 10of all cause morbidity worldwide.
  • 32. Distrac ons on the Road: Injury eValua on in Surgery And FracturE clinics (DRIVSAFE): Funding Received: Regional Medical Associate Grant Our proposed cross-sec onal study aims to assess the burden of distracted driving on pa ents who present to orthopaedic fracture clinics. Specifically, the primary aims of the study are to determine: (1) what propor on of pa ents present with a musculoskeletal injury that was the direct or indirect result of distracted driving; and (2) what types and severity of injuries can the direct or indirect result of distracted driving; and (2) what types and severity of injuries can distracted driving lead to. Our secondary aims include evalua ng (1) the types and frequency of distracted driving in fracture pa ents and (2) the types and frequency of distracted driving witnessed by fracture pa ents in other drivers. 26STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 MacOrtho launches NO tex ng while driving advocacy program. Drivers tex ng while driving are 23 mes more likely to be involved in a crash
  • 33. Some mes broken bones aren’t the whole story.
  • 34. Trauma and Injury: Inten onal Injuries in Women The World Health Organiza on reports that one in three women globally will experience physical or sexual in mate partner violence (IPV) or domes c abuse in their lives. Every six days, a woman in Canada is killed by her in mate partner. In mate partner violence is a prevalent social issue which poses significant health concerns. It dispropor onately affects women and is a leading cause of non-fatal injury in females in North America. The cost of IPV in Canada is es mated at $5 billion annually. Vic ms of abuse experience more physical and mental health problems, including orthopaedic injuries and, consequently, use health care resources more frequently than non-abused women. 28STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 35. Promo ng Empowerment for Vic ms of Abuse and In mate Partner Violence (PREVAIL) If I had something in the clinic, I would have definitely felt more comfortable bringing it up. Improving our fracture clinics to help women across Canada. Funding: Applica ons in progress OUR RESEARCH Evidence-based Orthopaedics PREVAIL is a two-phase prospec ve observa onal study which will first assess and then a empt to change the environment of the orthopaedic clinic in order to be er suit it for the poten al disclosure of in mate partner violence (IPV). The control phase consists of surveying pa ents who visit the orthopaedic clinic about their percep on of this environment as an open and resource-rich place in which to discuss IPV, should the need arise. The interven onal phase will consist of the implementa on of our self-designed IPV media 'toolkit', which includes several versions of a poster, an informa onal brochure with card insert, and staff bu ons to be worn during the normal opera ng hours of the orthopaedic clinic. STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-201429
  • 36. PRAISE-2 is a mul -centre pilot prospec ve cohort study of women with musculoskeletal injuries to determine how IPV experiences affect outcomes following a musculoskeletal injury and how pa erns of IPV change over 12 months following a musculoskeletal injury. Prospec ve Abuse and In mate Partner Violence Surgical Evalua on Domes c violence is the most common cause of non-fatal injury to women. LANCET publica on drives worldwide PRAISE-2 launches na onwide in 2015. media a en on for PRAISE. Funding Received: Canadian Ins tutes of Health Research 30STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 38. Trauma and Injury: Fragility Fractures in Elderly Fragility fractures are common problems in Canada and have a significant economic impact on the healthcare system. It is es mated that at least one in three women and one in five men will suffer a fragility fracture in their life me and the cost of trea ng osteoporo c fractures in Canada is more than $1.3 billion dollars per year. Two common types of fragility fractures are hip fractures and shoulder fractures. 32STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 39. FAITH is a large mul -centre randomized controlled trial comparing sliding hip screw and cancellous screw fixa on in femoral neck fracture pa ents. Surgeons will use 1 of 2 surgical strategies in 1,500 pa ents who have sustained a femoral neck fracture. The outcomes measured are revision surgery rates and quality of life up to 24 months post ini al hip surgery. The secondary objec ve is to evaluate the impact of sliding hip screws versus cancellous screws on complica ons, including mortality, avascular necrosis, nonunion, implant breakage or failure, and infec on. Over 70 sites are currently par cipa ng in the FAITH study: Canada (12 sites), USA (41 sites), Netherlands (14 sites), Norway (1 site), Australia (3 sites), and India (11 sites). Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH) The FAITH trial has successfully completed pa ent enrolment. Hip fractures are associated with a substan al mortality rate and profound temporary, and some mes permanent, impairment of independence and quality of life. OUR RESEARCH Evidence-based Orthopaedics STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-201433 Funding Received: Canadian Ins tutes of Health Research, Na onal Ins tutes of Health, Physicians’ Services Incorporated Founda on, AO Founda on, ZonMw, S tc ng Nuts Ohra
  • 40. Hip Fracture Evalua on with Alterna ves of Total Hip Arthroplasty versus Hemi-Arthroplasty (HEALTH): HEALTH is a large mul -centre randomized controlled trial comparing total hip arthroplasty with hemi-arthroplasty in 1,434 pa ents with displaced femoral neck fractures. The primary outcome is revision surgery rates at 24 months post ini al surgery and the secondary outcome is quality of life up to 24 months post ini al hip surgery. Over 70 interna onal clinical sites will be included in the HEALTH study and surgeons across North America, Europe, Australia, and Asia will par cipate. Hip Fracture Evalua on with Alterna ves of Total Hip Arthroplasty versus Hemi-Arthroplasty (HEALTH): Hip fractures account for more hospital days than any other musculoskeletal injury and represent more than two thirds of all hospital days due to fractures. HEALTH has already recruited over 600 pa ents towards our goal of 1,434. 34STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 Funding Received: Na onal Ins tutes of Health, Canadian Ins tutes of Health Research, Hamilton Academic Health Sciences Organiza on, ZonMw
  • 41.
  • 42. Musculoskeletal Tumour Surgery Malignant bone tumours (bone sarcomas) o en affect adolescents and young adults. In Canada, bone sarcomas affect 4 to 5 pa ents per million persons each year. Long-bone sarcomas were historically managed with amputa ons, but the current standard is limb salvage surgery, which involves wide tumour resec on followed by func onal reconstruc on. With the aid of modern imaging techniques and chemotherapeu c regimens, limb salvage is possible in 95% of pa ents. 36STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 43. Prophylac c An bio c Regimens in Tumor Surgery (PARITY) An bio c misuse and overuse are considered the main factors in the development of an bio c resistance. With 10 sites in North America ac vely enrolling pa ents, the PARITY trial is demonstra ng early success which has led to an explosion of interest in the trial. OUR RESEARCH Evidence-based Orthopaedics STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-201437 PARITY is an interna onal, mul -centre, double-blind, randomized controlled trial which will evaluate the efficacy of short versus long-term post-opera ve prophylac c an bio c regimens on the incidence of deep infec on following endoprosthe c reconstruc on of lower extremity bone tumors. This is, to our knowledge, the first randomized controlled trial in orthopaedic surgical oncology and will include 920 pa ents recruited by surgeons in Canada, the United States and Argen na. The PARITY trial is demonstra ng early success by enrolling 34 pa ents, which is one-third of the feasibility sample of 100 pa ents earlier than expected. Funding Received: Canadian Cancer Society Research Ins tute, Orthopaedic Research and Educa on Founda on/Musculoskeletal Tumor Society, McMaster Surgical Associates, Canadian Ins tutes of Health Research, Physicians’ Services Incorporated Founda on
  • 44. Michelle Ghert PARITY - Principal Inves gator
  • 45.
  • 46. Sports Medicine Sports-related injuries account for 30 to 40 percent of all uninten onal injuries. Sports accidents are the leading cause of injury in young adults. With approximately 30 million children and adolescents par cipa ng in sports ac vi es according to the U.S. Centers for Disease Control, the prevalence of sports injury is on the rise. Nearly 40 percent of sports injuries occur in children aged 5 to 14 years, and the severity of the injuries increase with age. High school aged individuals account for 2 million injuries that result in over 500,000 doctor visits and 30,000 hospitaliza ons in the United States. The prevalence is higher amongst the younger age groups as a result of immature bones, insufficient training, and overuse injuries. 40STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 47. Femoroacetabular Impingement Randomized Controlled Trial (FIRST) As FAI progresses, the resul ng hip damage may lead to osteoarthri s (OA) of the hip. Over 52 pa ents enrolled across mul ple centres. OUR RESEARCH Evidence-based Orthopaedics STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-201441 FIRST is a mul na onal trial evalua ng the efficacy of surgical treatment in pa ents diagnosed with femoroacetabular impingement. The primary objec ve of the study is to determine whether the surgical correc on of the impingment morphology (arthroscopic osteochondroplasty) provides improved clinical results (decreased pain and improved func on) compared to arthroscopic lavage of the hip joint. Funding Received: Canadian Ins tute of Health Research, McMaster Surgical Associates, American Orthopaedic Society for Sports Medicine, Canadian Orthopaedic Society
  • 48. Olufemi Ayeni FIRST - Principal Inves gator
  • 49. Knowledge Transla on Our strategy is simple—to be responsible to our pa ents by providing exemplary pa ent care, using the best evidence to guide our decisions, and leading with innova on.
  • 50. OUR RESEARCH Evidence-based Orthopaedics Hamilton Arthroplasty Group Back Row: Dr. Ben Deheshi, Dr. Mitch Winemaker, Dr. Dale Williams, Dr. Justin de Beer (Director), Dr. David Wismer, Dr. Frank Smith. Front Row: Dr. Dinshaw Punthakee, Dr. Victoria Avram, Sabrina Bucalo OTA/PTA (Research Assistant), Danielle Petruccelli MLIS, MSc (Research Coordinator), Liz Piccirillo RN (Clinical Research Nurse). We have a 30-day TJR readmission rate which is half that of the best reported rates in the US. We a ribute this to our prac ce protocols which we have been instrumental in establishing to improve the pa ent experience. The Hamilton Arthroplasty Group (HAGrp) at the Hamilton Health Sciences Juravinski Hospital is an independently funded mul disciplinary clinical outcomes research group dedicated to improving total joint replacement outcomes, specifically pa ent quality of life through con nuous quality improvement in clinical service, research and educa on in total joint replacement (TJR). In 2013/14 our focus was on research ini a ves addressing preopera ve pa ent factors, including medical condi ons/comorbidi es and psychosocial factors that affect TJR pa ent outcome, specifically looking at how these impact such quality based procedure outcomes as hospital length of stay. In 2014/15 the Hamilton Arthroplasty Group con nues to focus on pa ent outcomes as well as collabora ve issues with other research groups across various disciplines. Of note is a key quality assurance trial set to begin in 2015 in collabora on with Infec ous Diseases to determine the effec veness of a preopera ve Staphylococcus aureus screening and decoloniza on program to reduce the rela ve risk of prosthe c joint 44STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 51. Our Objec ve Together, we are staying connected by con nuously engaging our dis nguished community of faculty leaders and residents, na onal and interna onal profile to strengthen our posi on as a top educa on and research facility. while simultanously aiming to promote our 45 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 52. 46STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 53. Our faculty and residents have presented their research at many conferences, mee ngs and universi es around the world. Conferences & Mee ngs 47 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 54. Canadian Orthopaedic Associa on Annual Mee ng American Academy of Orthopaedic Surgeons (AAOS) Annual Mee ng Ontario Orthopaedic Associa on (OOA) Annual Mee ng World Conference on Groin Pain in Athletes OTA Inves gator Mee ng Interna onal Society for Hip Arthroscopy (ISHA) Mee ng Canadian Society for Epidemiology & Biosta s cs na onal Student Conference (CSEB) Canadian Orthopaedic Residents Associa on Annual Mee ng Canadian Medical Educa on courses Combined Spine Conference University of Manitoba Annual Research Day European Society of Sports Traumatology, Knee Surgery, & Arthroscopy (ESSKA) Congress Annual Fracture Fixa on Course Umm Al-Qura University (Saudi Arabia) Columbia University Hamad Medical Corpora on Resident Research Day (Qatar) 48STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 55. Second Femoroacetabular Impingement Symposium OUR RESEARCH Evidence-based Orthopaedics MacOrtho hosted the second annual Femoroacetabular Impingement symposium on May 3, 2013. This second mee ng was mostly interac ve, fostering discussion regarding current prac ces and challenges with a focus on future research ini a ves within our FAI collabora ve. During the morning session, selected speakers presented their current FAI research. In the a ernoon session, an Inves gators Mee ng was held for the Femoroacetabular Impingement Randomised Controlled Trial (FIRST), led by Dr. Olufemi Ayeni. The FIRST trial will inves gate whether surgical correc on of the impingement (arthroscopic osteochondroplasty) provides improved clinical results (decreased pain and increased func on) at 12 months compared to arthroscopic lavage of the hip joint in pa ents with FAI. Enrolment of 50 pa ents in the FIRST pilot study was recently completed and the Inves gators Mee ng was held to present protocol informa on and trial coordina on strategies, discuss funding strategies, and engage new and poten al site inves gators. Par cipants in this mee ng included Olufemi Ayeni, Lehana Thabane, Dale Williams, Sheila Sprague, and Nicole Simunovic from McMaster University; Rajiv Gandhi and Daniel Whelan from University of Toronto; Nicholas Mohtadi from University of Calgary; E enne Belzile from Laval University; Kevin Willits from University of Western University, Ma Seppänen from Turku University Hospital; Uffe Jørgensen from University of Southern Denmark; Edwin Cadet from Raleigh Orthopaedic Clinic; Volker Musahl from University of Pi sburgh; Marc Philippon from the Steadman Clinic; Gerard Slobogean from University of Bri sh Columbia; Gavin Wood from Queen's University. 49 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 56. Division of Orthopaedic Surgery Annual Academic Day 2011 Execu ng Change 2012 Milestones 20132014 Peak PerformanceStaying Connected Each year, the Division of Orthopaedic Surgery hosts an academic conference that brings together local, na onal and interna onal speakers. The academic day aims to share insights from a collabora ve of basic, clinical and educa on research as highlighted from our best internal research ac vi es and esteemed guests speakers. Unity in vision and leadership 50STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 57. Research Funding 2X 2X The Division of Orthopaedic Surgery’s research funding has seen a drama c two- fold increase this past year in comparison to the last two years combined. Here are some samples of our key funded projects within the division. $4,000,000
  • 58. Femoroacetabular Impingement Randomised Controlled Trial (FIRST) Prophylac c An bio c Regimens in Tumor Surgery (PARITY) Proximal Humerus Fractures Scoping Review Planning Mee ngs The Development of a Transla onal Proximal Humerus Fracture Research Program: Engaging Knowledge Users and Clinician-Scien sts Interna onal Orthopaedic Mul center Study in Fracture Care (INORMUS) Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH) Fixa on using Alterna ve Implants for the treatment of Hip Fractures (FAITH-2) Interna onal Orthopaedic Mul center Study in Fracture Care (INORMUS) Development of exper se in surgical RCTs: An opportunity for interna onal impact in orthopaedic fracture care Minimal Important Differences Of Func onal Outcome Instruments In Orthopaedic Oncology Minimal Important Differences Of Func onal Outcome Instruments In Orthopaedic Oncology Plas c Evidence: A Plas c Surgery Evidence- Database Development of a Treatment Decision Aid for Elderly Proximal Humerus Fracture Pa ents Interna onal Orthopaedic Mul center Study in Fracture Care (INORMUS) Central adjudica on of deep post- opera ve infec on following limb- salvage surgery Impact of Platelet Rich Plasma Over Alterna ve Therapies in Pa ents with Lateral Epicondyli s (IMPROVE) HIP fracture accelerated surgical treatment and care a ack (HIP ATTACK) Funding Organiza on Study Amount New Research Funding $345,315 $913,068 $10,000 $10,000 $497,822 $75,000 $262,549 $14,996 $20,000 $50,000 $40,000 $28,326 $30,000 $1,400,000 $20,000 $167,716 $168,500 Canadian Ins tutes of Health Research Canadian Ins tutes of Health Research Canadian Ins tutes of Health Research Canadian Ins tutes of Health Research Canadian Ins tutes of Health Research Canadian Ins tutes of Health Research Canadian Ins tutes of Health Research Canadian Ins tutes of Health Research Canadian Ins tutes of Health Research Hamilton Health Sciences Hamilton Health Sciences Founda on New Inves gator Fund McMaster Surgical Associates McMaster Surgical Associates Na onal Health and Medical Research Council Physicians' Services Incorporated Founda on Physicians' Services Incorporated Founda on Physicians’ Services Incorporated Founda on Recognizing the FutureOUR FUNDING 52STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 59. Funding Organiza on Study Amount $199,047 $1,434,596 $42,200 $1,469,086 $20,000 $461,883 $30,000 $29,937 $18,433 $29,967 $29,981 $18,433 $1,106,000 Canadian Cancer Society Research Ins tute Canadian Ins tutes of Health Research Canadian Ins tutes of Health Research Canadian Ins tutes of Health Research Canadian Orthopaedic Founda on Research Legacy Greenville Hospital System Hamilton Health Sciences McMaster Surgical Associates McMaster Surgical Associates McMaster Surgical Associates McMaster Surgical Associates McMaster Surgical Associates Na onal Ins tutes of Health Prophylac c an bio c regimens in tumor surgery (PARITY) Trial Hip Fracture Evalua on with Alterna ves of Total Hip Arthroplasty versus Hemi- Arthroplasty (HEALTH): A Mul - Centre Randomized Trial Comparing Total Hip Arthroplasty and Hemi-Arthroplasty on Revision with Displaced Femoral Neck Fractures An economic evalua on of low-intensity pulsed ultrasound in pa ents with bial sha fractures Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH): A Mul centre Randomized Trial Femoroacetabular Impingement Randomized Controlled Trial (FIRST) FLOW-Greenville Fluid Lavage of Open Wounds (FLOW): A Mul -center Blinded, Factorial Trial Comparing Alterna ve Irriga ng Solu ons and Presssures in Pa ents with Open-Fractures Impact of Platelet Rich plasma OVer alternata ve therapies in pa ents with lateral Epicondyli s (IMPROVE) Femoroacetabular Impingement Randomized Controlled Trial (FIRST) MIDs of func onal outcomes in pa ents undergoing limb-salvage surgery for primary bone tumors Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH-2) Interna onal Orthopaedic Mul center Study (INORMUS-China) Prophylac c an bio c regimens in tumor Surgery (PARITY) Ongoing Research Funding Recognizing the FutureOUR FUNDING 53 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 Hip Fracture Evalua on with Alterna ves of Total Hip Arthroplasty versus Hemi- Arthroplasty (HEALTH): A Mul - Centre Randomized Trial Comparing Total Hip Arthroplasty and Hemi-Arthroplasty on Revision with Displaced Femoral Neck Fractures
  • 60. Funding Organiza on Study Amount $49,500 $20,000 $99,960 $75,000 $40,000 $829,056 Office of Integrated Research Services Orthopaedic Founda on Orthopaedic Research and Educa on Founda on /Musculoskeletal Tumor Society yPublic Health Agency of Canada Radiological Society of North America United States Department of Defense Fixa on using Alterna ve Implants for the Treatment of Hip Fractures (FAITH-2) Femoroacetabular Impingement Randomised Controlled Trial (FIRST) Prophylac c An bio c Regimens in Tumor Surgery (PARITY): A Pilot Randomized Mul -Center Clinical Trial Promo ng Empowerment for Vic ms of Abuse and In mate Partner Violence PREVAIL (EMPOWER) IMpact of Platelet Rich plasma OVer alternata ve therapies in pa ents with lateral Epicondyli s (IMPROVE) Fluid Lavage of Open Wounds (FLOW): A 2x3 factorial randomized trial of irriga ng solu ons and irriga ng pressures in pa ents with open fractures 54STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 61. Faculty and Resident Publica ons PUBLICATIONS Faculty and Resident Bold=Faculty, Italics=ResidentJuly 2013 – Present = Orthopaedic Publica ons = Department of Surgery Publica ons Alradwan H, Khan M, Hamel-Smith Grassby M, Bedi A, Philippon MJ, Ayeni OR. Gait and lower extremity kinema c analysis as an outcome measure a er femoroacetabular impingement surgery. Arthroscopy. 2014 Aug 14. [Epub ahead of print] IF=3.191 Banga K, Racano A, Ayeni OR, Deheshi B. Atypical hip pain: Coexistance of femoroacetabular impingement (FIA) and ostoid osteoma. Knee Surg Sports Traumatol Arthrosc. 2014 Apr 20. [Epub ahead of print] (s ll epub'd 9/3). IF=2.209 Bhandari M and the FAITH Inves gators. Fixa on using alterna ve implants for the treatment of hip fractures (FAITH): Design and ra onale for a mul - centre randomized trial comparing sliding hip screws and cancellous screws on revision surgery rates and quality of life in the treatment of femoral neck fractures. BMC Musculoskelet Disord. 2014 Jun 26;15(1):219. Chan K, Macdermid JC, Faber KJ, King GJ, Athwal GS. Can we treat select terrible triad injuries nonopera vely? Clin Orthop Relat Res. 2014 Jul;472(7):2092-9. IF=2.787 Björnsson H, Desai N, Musahl V, Alentorn-Geli E, Bhandari M, Fu F, Samuelsson K. Is double-bundle anterior cruciate ligament reconstruc on superior to single- bundle? A comprehensive systema c review. Knee Surg Sports Traumatol Arthrosc. 2013 Sep 15. [Epub ahead of print] (s ll epub'd 9/25) IF=2.209 Chan K, MacDermid JC, Hoppe DJ, Ayeni OR, Bhandari M, Foote CJ, Athwal GS. Delayed vs early mo on a er arthroscopic rotator cuff repair: A meta-analysis. J Shoulder Elbow Surg 014 Nov;23(11):1631-9. 12. IF=2.365 198 55 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 1 out of every 2 reports published by the Department of Surgery are Orthopaedic related. 114
  • 62. Chaudhry H, Simunovic N, Petrisor B. Cochrane in CORR: Surgical Versus Conserva ve Treatment for Acute Injuries of the Lateral Ligament Complex of the Ankle in Adults (Review). Clin Orthop Relat Res. 2014 Oct 25. [Epub ahead of print] IF=2.882 Chiavaras MM, Jacobson JA, Carlos R, Maida E, Bentley T, Simunovic N, Swinton M, Bhandari M. Impact of platelet rich plasma over alterna ve therapies in pa ents with lateral epicondyli s (IMPROVE): Protocol for a mul center randomized controlled study: A mul center randomized trial comparing autologous platelet rich plasma, autologous whole blood, dry needle tendon fenestra on and physical therapy exercises along on pain and quality of life in pa ents with lateral epicondyli s. Acad Radiol. 2014 Sep;21(9):1144-55 IF=1.914 Dao D, Sodhi S, Tabasinejad R, Peterson D, Ayeni OR, Bhandari M, Farrokhyar F. Serum 25- Hydroxyvitamin D Levels and Stress Fractures in Military Personnel: A Systema c Review and Meta- analysis. Am J Sports Med. 2014 Nov 4 .[ Epub ahead of print] IF=4.69 de Sa D, Alradwan H, Cargnelli S, Thawer Z, Simunovic N, Cadet E, Bonin N, Larson C, Ayeni OR. Extra- ar cular hip impingement: A systema c review examining opera ve treatment of psoas, subspine, ischiofemoral and greater trochanteric/pelvic impingement. Arthroscopy. 2014 Aug;30(8):1026- 1041. IF=3.103 de Sa D, Horner NS, MacDonald A, Simunovic N, Ghert MA, Philippon MJ, Ayeni OR. Arthroscopic surgery for synovial chondromatosis of the hip: A systema c review of rates and predisposing factors for recurrence. Arthroscopy. 2014 Jul 23. [Epub ahead of print] (s ll epub'd 9/25) IF=3.103 de Sa D, Phillips M, Philippon MJ, Letkemann S, Simunovic N, Ayeni OR. Ligamentum teres injuries of the hip:A systema c review examining surgical indica ons, treatment op ons and outcomes. Arthroscopy. 2014 Aug 12. [Epub ahead of print] (s ll epub'd 9/25) IF=3.191 Dehghan N, McKee MD, Nauth A, Ristevski B, Schemitsch EH. Surgical fixa on of Vancouver type B1 periprosthe c femur fractures: A systema c review. J Orthop Trauma. 2014 Dec;28(12):721-7. Ebrahim S, Mollon B, Bance S, Busse JW, Bhandari M. A not-so-systema c review - The authors respond. Can J Surg. 2014 Oct;57(5):E152-3. I.F.=1.267 Evaniew N, Bayegan D, Popovic S, Parasu N, Ghert M. Infrapatellar fat pad osteosacroma: Three cases and a systema c review. J Knee Surg. 2014 May 29. [Epub ahead of print] (s ll epub'd 9/25) IF=n/a Bhandari M, Guya GH, Kulkarni AV, Devereaux PJ, Leece P, Bajammal S, Heels-Ansdell D, Busse JW. Percep ons of authors' contribu ons are influenced by both byline order and designa on of corresponding author. J Clin Epidemiol. 2014 Sep;67(9):1049- 54. IF=5.332 Evaniew N, Khan M, Drew B, Peterson D, Bhandari M, Ghert M. Intrawound vancomycin to prevent infec ons a er spine surgery: A systema c review and meta-analysis. Eur Spine J. 2014 May 18. [Epub ahead of print] (s ll epub'd 9/25) IF=2.133 Evaniew N, Simunovic N, Karlsson J. Cochrane in CORR®: Viscosupplementa on for the treatment of osteoarthri s of the knee. Clin Orthop Relat Res. 2014 Jul;472(7):2028-34. IF=2.787 56STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 63. Evaniew N, Simunovic N, McKee MD, Schemitsch E. Cochrane in CORR®: Surgical vs conserva ve interven ons for trea ng fractures of the middle third of the clavicle. Clin Orthop Relat Res. 2014 Sep;472(9):2579-85. IF=2.787 Evaniew N, Yarascavitch B, Madden K, Ghert M, Drew B, Bhandari M, Kwok D. Atlantoaxial instability in acute odontoid fractures is associated with non-union and mortality. Spine J. 2014 Mar 21. [Epub ahead of print] (s ll epub'd 9/25). IF-2.159 Farrokhyar F, Amin N, Dath D, Bhandari M, Kelly S, Kolkin AM, Gill- Po ruff C, Skot M, Reid S. Impact of the Surgical Research Methodology Program on surgical residents' research profiles. J Surg Educ. 2014 Jul-Aug;71(4):513-20. IF=1.634 MacLeod MG, Hoppe DJ, Simunovic N, Bhandari M, Philippon MJ, Ayeni OR. YouTube as an informa on source for femoroacetabular impingement: A systema c review of video content. Arthroscopy. 2014 Aug 20. [Epub ahead of print] IF=3.191 Mak IW, Evaniew N, Popovic S, Tozer R, Ghert M. A transla onal study of the neoplas c cells of Giant Cell Tumour of Bone following neoadjuvant denosumab. J Bone Joint Surg Am. 2014 Aug 6;96(15):e127. [Epub ahead of print] IF=4.309 Mak IW, Singh S, Turco e R, Ghert M. The epigene c regula on of SOX9 by miR-145 in human chondrosarcoma. J Cell Biochem. 2015 Jan;116(1):37-44 Farrokhyar F, Tabasinejad R, Dao D, Peterson D, Ayeni OR, Hadioonzadeh R, Bhandari M. Prevalence of Vitamin D Inadequacy in Athletes: A Systema c-Review and Meta- Analysis. Sports Med. 2014 Oct 3. [Epub ahead of print] I.F.=5.32 Khan M, Evaniew N, Bedi A, Ayeni OR, Bhandari M. Arthroscopic surgery for degenera ve tears of the meniscus: A systema c review and meta-analysis. CMAJ. 2014 Oct 7;186(14):1057-64. IF=6.5 Ghert M, Yao X, Corbe T, Gupta AA, Kandel RA, Verma S, Werier J. Treatment and follow-up strategies in demoid tumours: A prac ce guideline. Curr Oncol. 2014 Aug;21(4):e642-9. IF=1.643 Hussain N, Sprague S, Madden K, Hussain FN, Pindiprolu B, Bhandari M. A comparison of the types of screening tool administra on methods used for the detec on of in mate partner violence; A systema c review and meta- analysis. Trauma Violence Abuse. 2013 Dec 15. [Epub ahead of print] (s ll epub'd 9/25), IF=2.40 Järvinen TL, Sihvonen R, Bhandari M, Sprague S, Malmivaara A, Paavola M, Schünemann HJ, Guya GH. Blinded interpreta on of study results can feasibly and effec vely diminish interpreta on bias. J Clin Epidemiol. 2014 Jul;67(7):769-72. IF=5.332 Khan M, Ranawat A, Williams D, Gandhi R, Choudur H, Parasu N, Simunovic N, Ayeni OR. Rela onship between the alpha and beta angles in diagnosing CAM-type femoroacetabular impingement on frog-leg lateral radiographs. Knee Surg Sports Traumatol Arthrosc. 2014 Jul 22. [Epub ahead of print] IF=2.837 Khan M, Simunovic N, Provencher M. Cochrane in CORR®: Surgery for rotator cuff disease (Review) Clin Orthop Relat Res. 2014 Nov;472(11):3263-9. IF=2.787 Kowalczuk M, Adamich J, Simunovic N, Farrokhyar F, Ayeni OR. Methodological quality of systema c reviews addressing femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc. 2014 Jul 19. [Epub ahead of print] IF=2.837 57 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 64. Mascarenhas R, Chalmers PN, Sayegh ET, Bhandari M, Verma NN, Cole BJ, Romeo AA. Is double-row rotator cuff repair clinically superior to single-row rotator cuff repair: A systema c review of overlapping meta-analysis, Arthroscopy. 2014 Sep;30(9):1156-65. doi: 10.1016/j.arthro.2014.03.015. *Mundi S, Chaudhry H, Bhandari M. Systema c review on the inclusion of pa ents with cogni ve impairment in hip fracture trials: A missed opportunity? Can J Surg. 2014 Aug;57(4):E141-E145. IF=1.267 Sanders DW, Bhandari M, Guya G, Heels-Ansdell D, Schemitsch EH, Swiontkowski M, Torne a P 3rd, Walter S. The cri cal sized defect in the bia: Is it cri cal? Results from the SPRINT trial. J Orthop Trauma. 2014 Nov;28(11):632-5. *Voineskos SH, Coroneos CJ, Thoma A, Bhandari M. Measuring and understanding treatment effec veness in hand surgery. Hand Clin. 2014 Aug;30(3):285-292. IF=1.071 Voineskos SH, Coroneos CJ, Thoma A, Bhandari M. Measuring and understanding treatment effec veness in hand surgery. Hand Clin. 2014 Aug;30(3):285-292. IF=1.071 Wong IH, Denkers M, Urquhart N, Farrokhyar F. Construct validity tes ng of the Arthroscopic Knot Trainer (ArK) Knee Surg Sports Traumatol Arthrosc. 2013 May 18. [Epub ahead of print] (S ll epub'd 8/8) IF=2.209 Wong IH, Denkers MR, Urquhart NA, Farrokhyar F. Systema c instruc on of arthroscopic knot typing with the ArK Trainer: an objec ve evalua on tool. Knee Surg Sports Traumatol Arthrosc 2013 Jun 25 [Epub ahead of print] (S ll epub'd 8/8) IF=2.209 Wood TJ, Racano A, Yeung H, Farrokhyar F, Ghert M, Deheshi BM. Surgical management of bone metastases: Quality of evidence and systema c review. Ann Surg Oncol. 2014 Dec;21(13):4081-9. Yao X, Corbe T, Gupta AA, Kandel RA, Verma S, Werier J, Ghert M. A systema c review of ac ve treatment op ons in pa ents with desmoids tumours. Curr Oncol. 2014 Aug;21(4):e613-29. IF=1.643 Yeung M, Khan M, Schreiber VM, Adamich J, Letkemann S, Simunovic N, Bhandari M, Musahl V, Philippon MJ, Safran MR, Ayeni OR. Global discrepancies in the diagnosis, surgical management and inves ga on of femoroacetabular impingement. Arthroscopy. 2014 Aug 20.. [Epub ahead of print] IF=3.191 Wong IH, Denkers MR, Urquhart NA, Farrokhyar F. Systema c instruc on of arthroscopic knot typing with the ArK Trainer: an objec ve evalua on tool. Knee Surg Sports Traumatol Arthrosc 2013 Jun 25 [Epub ahead of print] (S ll epub'd 8/8) IF=2.209 Zhang Y, Tikkinen KA, Agoritsas T, Ayeni OR, Alexander P, Imam M, Yoo D, Tsalatsanis A, Djulbegovic B, Thabane L, Schünemann H, Guya GH. Pa ents' values and preferences of the expected efficacy of hip arthroscopy for osteoarthri s: a protocol for a mul na onal structured interview- based study combined with a randomised survey on the op mal amount of informa on to elicit preferences. BMJ Open. 2014 Oct 17;4(10):e005536. Zielinski SM, Keijsers NL, Praet SF, Heetveld MJ, Bhandari M, Wilssens JP, Patka P, Van Lieshout EM. Func onal outcome a er successful internal fixa on vs salvage arthroplasty of pa ents with a femoral neck fracture. J Orthop Trauma. 2014 Dec;28(12):e273-80. Hoyeck P, Madden K, Freeman C, Sco T, Bhandari M. Predictors of change in mental health and distress among women a ending a women's shelter. Eur J Psychotraumatol. 2014 Sep 12;5. doi: 10.3402/ejpt.v5.24809. eCollec on 2014. Hoyeck P, Madden K, Freeman C, Sco T, Bhandari M. Predictors of change in mental health and distress among women a ending a women's shelter. Eur J Psychotraumatol. 2014 Sep 12;5. doi: 10.3402/ejpt.v5.24809. eCollec on 2014. 58STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 65. Macintyre NJ, Busse JW, Bhandari M. Physical Therapists in Primary Care Are Interested in High Quality Evidence Regarding Efficacy of Therapeu c Ultrasound for Knee Osteoarthri s: A Provincial Survey. Scien ficWorldJournal. 2013 Jun 4 Ayeni OR, Banga K, Bhandari M, Maizlin Z, de Sa D, Golev D, Harish S, Farrokhyar F. Femoroacetabular impingement in elite ice hockey players. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):920-5. de Moraes VY, Godin K, Dos Santos JB, Faloppa F, Bhandari M, Bello JC. Influence of compensa on status on me off work a er carpal tunnel release and rotator cuff surgery: a meta-analysis. Pa ent Saf Surg. 2013 Jan 2;7(1):1. Sprague S, Swinton M, Madden K, Swaleh R, Goslings JC, Petrisor B, Bhandari M. Barriers to and facilitators for screening women for in mate partner violence in surgical fracture clinics: a qualita ve descrip ve approach. BMC Musculoskelet Disord. 2013 Apr 5;14:122. Walter SD, Ismaila AS, Cook DJ, Bhandari M, Tikkinen KA, Guya GH. Clinical experience may affect clinician compliance with assigned treatment in randomized trials.J Clin Epidemiol. 2013 Jul;66(7):768-74. Zielinski SM, Keijsers NL, Praet SF, Heetveld MJ, Bhandari M, Wilssens JP, Patka P, Van Lieshout EM; FAITH Trial Inves gators. Femoral neck shortening a er internal fixa on of a femoral neck fracture. Orthopedics. 2013 Jul 1;36(7):e849-58. Pritchard JM, Papaioannou A, Tomowich C, Giangregorio LM, Atkinson SA, Bea e KA, Adachi JD, DeBeer J, Winemaker M, Avram V, Schwarcz HP. Bone mineraliza on is elevated and less heterogeneous in adults with type 2 diabetes and osteoarthri s compared to controls with osteoarthri s alone. Bone. 2013 May;54(1):76-82. Samaan MC, Thabane L, Burrow S, Dillenburg RF, Scheinemann K.Canadian Study of Determinants of Endometabolic Health in ChIlDrEn (CanDECIDE study): a cohort study protocol examining the mechanisms of obesity in survivors of childhood brain tumours.BMJ Open. 2013 Jun 20;3(6). Moraes VY, Bello JC, Faloppa F, Bhandari M. Collabora ve mul center trials in La n America: challenges and opportuni es in orthopedic and trauma surgery. Sao Paulo Med J. 2013;131(3):187- 92. Qutob M, Winemaker M, Petruccelli D, de Beer J. Staged Bilateral Total Knee Arthroplasty: Does History Dictate the Future? J Arthroplasty 2013;28(7):1148-51. Bakhtyar N, Wong N, Kapoor A, Cutz JC, Hill B, Ghert M, Tang D. Clear cell renal cell carcinoma induces fibroblast-mediated produc on of stromal perios n. Eur J Cancer. 2013 Nov;49(16):3537-46 Power PF, Mak IW, Singh S, Popovic S, Gladdy R, Ghert M. ETV5 as a regulator of matrix metalloproteinase 2 in human chondrosarcoma.J Orthop Res. 2013 Mar;31(3):493-501. Epub 2012 Sep 11. Paul JE, Nantha-Aree M, Buckley N, Cheng J, Thabane L, Tidy A, DeBeer J, Winemaker M, Wismer D,Punthakee D, Avram V. Gabapen n does not improve mul modal analgesia outcomes for total knee arthroplasty. Can J Anaesth. 2013 May;60(5):423-31. doi: 10.1007/s12630-013-9902-1. Epub 2013 Mar 12.. Hasan KA, De Sa D, Khan M, Pazionis T, Zalzal P. Naviga on vs. conven onal high bial osteotomy: a systema c review. OA Orthopaedics. 2013 Aug; 1(2):14. Sprague S, Goslings JC, Petrisor BA, Avram V, Ayeni OR, Schemitsch EH, Poolman RW, Madden K, Godin K, Dosanjh S, Bhandari M; (for the P.O.S.I.T.I.V.E. Inves gators). Pa ent Opinions of Screening for In mate Partner Violence in a Fracture Clinic Se ng: P.O.S.I.T.I.V.E.: A Mul center Study. J Bone Joint Surg Am. 2013 Jul 3;95(13) 59 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 66. de Sa D, Urquhart N, Philippon M, Ye JE, Simunovic N, Ayeni OR. Alpha angle correc on in femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):812-21. Ayeni O, Chu R, Hetaimish B, Nur L, Simunovic N, Farrokhyar F, Bedi A, Bhandari M. A painful squat test provides limited diagnos c u lity in CAM-type femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):806-11.. Evaniew N, Madden K, Bhandari M. Cochrane in CORR ® : Arthroplasty Versus Fusion in Single-level Cervical Degenera ve Disc Disease. Clin Orthop Relat 2014 Mar;472(3):802-8. Evaniew N, Nu all J, Farrokhyar F, Bhandari M, Ghert M. What Are the Levels of Evidence on Which We Base Decisions for Surgical Management of Lower Extremity Bone Tumors? Clin Orthop Relat Res. 2013 Oct 1. Muir JM, Ye C, Bhandari M, Adachi JD, Thabane L. The effect of regular physical ac vity on bone mineral density in post-menopausal women aged 75 and over: a retrospec ve analysis from the Canadian mul centre osteoperosis study. BMC Musculoskelet Disord. 2013 Aug 23;14(1):253. doi: 10.1186/1471-2474-14-253. de Sa D, Urquhart N, Philippon M, Ye JE, Simunovic N, Ayeni OR. Alpha angle correc on in femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc. . 2014 Apr;22(4):812-21 Ayeni O, Chu R, Hetaimish B, Nur L, Simunovic N, Farrokhyar F, Bedi A, Bhandari M. A painful squat test provides limited diagnos c u lity in CAM-type femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):806-11.. Evaniew N, Madden K, Bhandari M. Cochrane in CORR ® : Arthroplasty Versus Fusion in Single-level Cervical Degenera ve Disc Disease. Clin Orthop Relat 2014 Mar;472(3):802-8. Evaniew N, Nu all J, Farrokhyar F, Bhandari M, Ghert M. What Are the Levels of Evidence on Which We Base Decisions for Surgical Management of Lower Extremity Bone Tumors? Clin Orthop Relat Res. 2013 Oct 1. Bhandari M, Wasserman SM, Yurgin N, Petrisor B, Sprague S, Dent RE. Development and preliminary valida on of a Func on IndeX for Trauma (FIX-IT). Can J Surg. 2013 Oct;56(5):E114-20. Walenkamp NN, Roes KC, Bhandari M, Goslings JC, Schep NW. Mul ple tes ng in orthopedic literature: a common problem? BMC Res Notes. 2013 Sep 21;6(1):374. Zielinski SM, Bouwmans CA, Heetveld MJ, Bhandari M, Patka P, Van Lieshout EM; FAITH trial inves gators. The societal costs of femoral neck fracture pa ents treated with internal fixa on. Osteoporos Int. 2014 Mar;25(3):875-85 Evaniew N, Madden K, Bhandari M. Cochrane in CORR ®: Arthroplas es (With and Without Bone Cement) For Proximal Femoral Fractures in Adults. Clin Orthop Relat Res. 2014 May;472(5):1367-72 Chaudhry H, Madden K, Bhandari M. Cochrane in CORR ® : Joint Lavage for Osteoarthri s of the Knee. Clin Orthop Relat Res. 2014 Jan;472(1):22-7 Mundi R, Madden K, Bhandari M. Cochrane in CORR ®: Surgical Interven ons for Trea ng Acute Achilles Tendon Ruptures (Review). Clin Orthop Relat Res. 2014 Jun;472(6): Ristevski B, Nauth A, Williams D, Hall J, Whelan D, Bhandari M, Schemitsch E. Systema c Review of the Treatment of Periprosthe c Distal Femur Fractures. J Orthop Trauma. 2014 May;28(5):307-12 Andernord D, Karlsson J, Musahl V, Bhandari M, FU FH, Samuelsson K. Timing of Surgery of the Anterior Cruciate Ligament. Arthroscopy. 2013 Nov;29(11):1863-71. Salci L, Ayeni O, Abouassaly M, Farrokhar F, D'Souza JA, Bhandari M, Peterson D. Indica ons for Surgical Management of Osteochondri s Dissecans of the Knee in the Pediatric Popula on: A Systema c Review. J Knee Surg. 2014 Apr;27(2):147-55. 60STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 67. The Hip Fracture Accelerated Surgical Treatment and Care Track (HIP ATTACK) Inves gators, Buse GL, Bhandari M, Sanche P, Rocha S, Winemaker M, Adili A, de Beer J, Tiboni M, Neary JD, Dunlop V, Gauthier L, Patel A, Robinson A, Rodseth RN, Kolesar R, Farrell J, Crowther M, Tandon V, Magloire P, Dokainish H, Joseph P, Tomlinson CW, Salehian O, Has ngs D, Hunt DL, Van Spall H, Cosman TL, Simpson DL, Cowan D, Guya G, Alvarado K, Evans WK, Mizera R, Eikelboom J, Cook D, Loeb M, Johnstone J, Kearon C, Sessler DI, Vanhelder T, Rao-Melacini P, Worster A, Pa l A, McLean R, Macdonald AM, Badzioch R, Devereaux PJ. Accelerated care versus standard care among pa ents with hip fracture: the HIP ATTACK pilot trial. CMAJ. 2014 Jan 7;186(1):E52-60. doi: 10.1503/cmaj.130901. Epub 2013 Nov 18. Bednar DA. Teripara de Treatment of a Glucocor coid-associated Resorbing Nonunion of a Type III Odontoid Process Fracture: A Case Report. J Spinal Disord Tech. 2013 Dec;26(8):E319-22. Chan K, Farrokhyar F, Burrow S, Kowalczuk M, Bhandari M, Ayeni OR. Complica ons following hip arthroscopy: a retreospec ve review of the McMaster experience (2009-2012). 2013 Dec;56(6):422-6. Papakos dis C, Bhandari M, Giannoudis PV. Distrac on osteogenesis in the treatment of long bone defects of the lower limbs: Effec veness, complica ons and clinical results; a systema c review and meta-analysis. Bone Joint J. 2013 Dec 1;95-B(12):1673- 80. Hoppe DJ, Denkers M, Hoppe FM, Wong IH. The use of video before arthroscopic shoulder surgery to enhance pa ent recall and sa sfac on: a randomized- controlled study. J Shoulder Elbow Surg 2014 Jun;23(6):e134-9. doi: 10.1016/j.jse.2013.09.008. Epub 2013 Dec 2. Lyon T, Scheele W, Bhandari M, Koval KJ, Sanchez EG, Christensen J, Valen n A, Huard F. Efficacy and Safety of Recombinant Human Bone Morphogene c Protein- 2/Calcium Phosphate Matrix for Closed Tibial Diaphyseal Fracture: A Double-Blind, Randomized, Controlled Phase-II/III Trial. J Bone Joint Surg Am. 2013 Dec 4;95(23):2088-96. Ayeni OR, Alradwan H, de Sa D, Philippon MJ. The hip labrum reconstruc on: indica ons and outcomes – a systema c review. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):737-43. doi: 10.1007/s00167-013-2804-5. Epub 2013 Dec 7. Desai N, Björnsson H, Musahl V, Bhandari M, Petzold M, Fu FH, Samuelsson K. Anatomic single- versus double-bundle ACL reconstruc on: a meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2014 May;22(5):1009-23. doi: 10.1007/s00167-013-2811-6. Epub 2013 Dec 17. Ayeni O.R, Chan K, Al-Asiri J, Chien T, Spraque S, Liew S, Bhandari M, Sources and quality of literature addressing femoroacetabular impingement.Knee Surg Sports Traumatol Arthrosc. 2013 Feb 21 21(2):415-9 Hussain N, Chien T, Hussain F, Bookwala A, Simunovic N, She y V, Bhandari M.Simultaneous Versus Staged Bilateral Total Knee Arthroplasty: A Meta-Analysis Evalua ng Mortality, Peri- Opera ve Complica ons and Infec on Rates. 2013;9(1)50-59 Mundi S, Pindiprolu B, Simunovic N, Bhandari M.Similar mortality rates in hip fracture pa ents over the past 31 years. Acta Orthop. 2014 Feb;85(1):54-9. doi: 10.3109/17453674.2013.878831. Epub 2014 Jan 7 Hoppe DJ, de Sa D, Simunovic N, Bhandari M, Safran M. R, Larson C. M, Ayeni O.R. The Learning Curve for Hip Arthroscopy: A Systema c Review. Arthroscopy. 2014 Mar;30(3):389-97. doi: 10.1016/j.arthro.2013.11.012. Epub 2014 Jan 22. 61 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 68. Avram V, Petruccelli D, Winemaker M, de Beer J. Total Joint Arthroplasty Readmission Rates and Reasons for 30-Day Hospital Readmission. J Arthroplasty. 2014 Mar;29(3):465-8 Sprague S, Goslings J. C, Hogentoren C, Milliano S, Simunovic N, Madden K, Bhandari M. Prevalence of In mate Partner Violence Across Medical and Surgical Health Care Se ngs. Violence Against Women. 2014 Jan;20(1):118-36. doi: 10.1177/1077801213520574. Epub 2014 Jan 28. Mak IW, Evaniew N, Ghert M. Lost in transla on: animal models and clinical trials in cancer treatment. Am J Transl Res. 2014 Jan 15;6(2):114-118. eCollec on 2014. Khan M, Rothrauff B B, Merali F, Musahl V, Peterson D, Ayeni O.R. Management of the contaminated anterior cruciate ligament gra . Arthroscopy. 2014 Feb;30(2):236-44. Mathew G, Kowalczuk M, Hetaimish B, Bedi A, Philippon MJ, Bhandari M, Simunovic N, Crouch S, Ayeni OR; on behalf of the FAITH Inves gators. Radiographic prevalence of CAM- type femoroacetabular impingement a er open reduc on and internal fixa on of femoral neck fractures. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):793-800. doi: 10.1007/s00167-014-2835-6. Epub 2014 Feb 1. Bo o F, Alonso-Coello P, Chan MT, Bhandari M, Cook D… Vascular events In noncardiac Surgery patIents cOhort evalua oN (VISION) Wri ng Group, on behalf of The Vascular events In noncardiac Surgery patIents cOhort evalua oN (VISION) Inves gators. Myocardial Injury a er Noncardiac Surgery: A Large, Interna onal, Prospec ve Cohort Study Establishing Diagnos c Criteria, Characteris cs, Predictors, and 30-day Outcomes. Anesthesiology. 2014 Mar;120(3):564-78. Gilbert A, Li CS, Sanche P, Hanson B, Dhillon MS, Naik R, Shah NV, She y VD, Reddy G, Jagiasi J, Reddy AK, Ganguly U, Jhangiani N, Bhandari M. The Natural J Long Term Eff Med Implants. 2013;23(2- 3):93-104. History of Knee Osteoarthri s: India-based Knee Osteoarthri s Evalua on (iKare): A Study Protocol. J Long Term Eff Med Implants. 2013;23(2-3):93-104. Farrokhyar F, Dath D, Amin N, Bhandari M, Kelly S, Kolkin A, Gill Po ruff C, Reid S. Standardized methodological assessment of research presenta ons (SHARP): development of a new instrument. Am J Surg. 2014 Jun;207(6):964-73. doi: 10.1016/j.amjsurg.2013.08.053. Epub 2014 Jan 4. Li CS, Ayeni OR, Sprague S, Truong V, Bhandari M. Conserva ve Treatments, Surgical Treatments, and the KineSpring® Knee Implant System for Knee Osteoarthri s: A Systema c Review. J Long Term Eff Med Implants. 2013;23(2-3):105-49. Li CS, Pathy R, Adili A, Avram V, Barasi MA, Mundi R, Niroopan G, Bhandari M. Is the treatment gap in knee osteoarthri s real? A qualita ve study of surgeons' percep ons. J Long Term Eff Med Implants. 2013;23(2-3):223-40. Ivers R, Bhandari M, Norton R. A call to research: Documen ng the non- fatal outcomes of injury. Injury. 2014 Jun;45(6):921-2. doi: 10.1016/j.injury.2014.02.020. Epub 2014 Feb 21. Somerson JS, Bhandari M, Vaughan CT, Smith CS, Zelle BA. Lack of diversity in orthopaedic trials conducted in the United States. J Bone Joint Surg Am. 2014 Apr 2;96(7):e56. doi: 10.2106/JBJS.M.00531. Chan K, Petrisor B, Bhandari M. Emo onal intelligence in orthopedic surgery residents. Can J Surg. 2014 Apr;57(2):89-93. 62STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 Cupido C, Peterson D, Sutherland MS, Ayeni O, Stra ord PW.Tracking pa ent outcomes a er anterior cruciate ligament reconstruc on. Physiother Can. 2014 Spring;66(2):199-205. Shalini Singh, Isabella W. Y. Mak, Divya Handa, and Michelle Ghert, “The Role of TWIST in Angiogenesis and Cell Migra on in Giant Cell Tumor of Bone,” Advances in Biology, vol. 2014, Ar cle ID 903259, 8 pages, 2014.
  • 69. Farrokhyar F, Amin N, Dath D, Bhandari M, Kelly S, Kolkin AM, Gill-Po ruff C, Skot M, Reid S. Impact of the Surgical Research Methodology Program on Surgical Residents' Research Profiles.J Surg Educ. 2014 Jul-Aug;71(4):513-20. doi: 10.1016/j.jsurg.2014.01.012. Epub 2014 May 10. Farrugia P, Goldstein C, Petrisor BA. Measuring foot and ankle injury outcomes: common scales and checklists. Injury. 2011 Mar;42(3):276-80. E pub 2011 Jan 12. de Moraes VY, Godin K, Dos Santos JB, Faloppa F, Bhandari M, Bello JC. Influence of compensa on status on me off work a er carpal tunnel release and rotator cuff surgery: a meta-analysis. Pa ent Saf Surg. 2013 Jan 2;7(1):1. Sprague S, Swinton M, Madden K, Swaleh R, Goslings JC, Petrisor B, Bhandari M. Barriers to and facilitators for screening women for in mate partner violence in surgical fracture clinics: a qualita ve descrip ve approach. BMC Musculoskelet Disord. 2013 Apr 5;14:122. Colterjohn T, de Beer J, Petruccelli D, Zab a N, Winemaker M. An bio c Prophylaxis for Dental Procedures at Risk of Causing Bacteremia Among Post-Total Joint Arthroplasty Pa ents: A Survey of Canadian Orthopaedic Surgeons and Dental Surgeons. J Arthroplasty. 2014 Jun;29(6):1091-7. doi: 10.1016/j.arth.2013.11.024. Epub 2013 Dec 2. Ebrahim S, Mollon B, Bance S, Busse JW, Bhandari M. Low-intensity pulsed ultrasonography versus electrical s mula on for fracture healing: a systema c review and network meta- analysis. Can J Surg. 2014 Jun;57(3):E105-E118. Ayeni OR, Kowalczuk M, Farag J, Farrokhyar F, Chu R, Bedi A, Willits K, Bhandari M.Trends in repor ng of mechanisms and incidence of hip injuries in males playing minor ice hockey in Canada: a cross-sec onal study. Open Access J Sports Med. 2014 Jun 19;5:143-9 Pazionis TJ, Papanastassiou ID, Maybody M, Healey JH. Emboliza on of Hypervascular Bone Metastases Reduces Intraopera ve Blood Loss: A Case-control Study. Clin Orthop Relat Res. 2014 Oct;472(10):3179-87. doi: 10.1007/s11999-014-3734-3. Epub 2014 Jun 26. Dvorak MF, Noonan VK, Fallah N, Fisher CG, Rivers CS, Ahn H, Tsai EC, Linassi AG, Chris e SD, A abib N, Hurlbert RJ, Fourney DR, Johnson MG, Fehlings MG, Drew B, Bailey CS, Paquet J, Parent S, Townson A, Ho C, Craven BC, Gagnon D, Tsui D, Fox R, Mac-Thiong JM, Kwon BK. Minimizing Errors in Acute Trauma c Spinal Cord Injury Trials by Acknowledging the Heterogeneity of Spinal Cord Anatomy and Injury Severity: An Observa onal Canadian Cohort Analysis. J Neurotrauma. 2014 Sep 15;31(18):1540-7. doi: 10.1089/neu.2013.3278. Epub 2014 Jul 8. Bisland SK, Smith FC. Total Hip Arthroplasty in A Young Pa ent with Bernard-Soulier Syndrome. Journal of Orthopaedic Case Reports 2014 April-June;4(2): 38-41. Zhang S, Paul J, Nantha-Aree M, Buckley N, Shahzad U, Cheng J, de Beer J, Winemaker M, Wismer D, Punthakee D, Avram V, Thabane L. Empirical comparison of four baseline covariate adjustment methods in analysis of con nuous outcomes in randomized controlled trials. Clin Epidemiol. 2014;6:227-35. Ayeni OR, Chan K, Whelan DB, Gandhi R, Williams D, Harish S, Choudur H, Chiavaras M, Karlsson, Bhandari M, Jiwa S. Diagnosing Femoroacetabular Impingement From Plain Radiographs: Do Radiologists and Orthopaedic Surgeons Differ? Orthopaedic Journal of Sports Medicine. 2014 Jul 21; 2(7) Busse JW, Bhandari M, Einhorn TA, Heckman JD, Leung KS, Schemitsch E, Torne a P 3rd, Walter SD, Guya GH.Trial to re-evaluate ultrasound in the treatment of bial fractures (TRUST): a mul center randomized pilot study. Trials. 2014 Jun 4;15(1):206. doi: 10.1186/1745-6215-15-206. 63 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 70. A global apex of top-tier research
  • 71. MacOrtho Goes Viral PUBLICATIONS Faculty and Resident 65 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 72. 66STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014 BIG DATA REPORTS: MacOrtho Dominates the Top 4 Websites in Google Searches
  • 73. Recognizing the FutureOUR AWARDS Jaydeep Moro Michelle Ghert Darren de Sa Thomas Wood Leon van der Wa Colm McCarthy Anthony Adili Ma hew Denkers Desmond Kwok 2014 Faculty Recogni on Award Devin Peterson Bradley Petrisor 2014 Dr. Nigel Colterjohn Royal College Examiner Resident Teaching Award Mohit Bhandari Fellow of Canadian Academy of Health SciencesMichael G. DeGroote Fellowship Award in Clinical Research 1st prize Research Methodology Award and Honorable Men on Technical Skills Award Inaugural McMaster Undergraduate Medical Program and First Medical Founda on Chief Preceptor 2nd Prize Research Methodology Award Honorable Men on Technical Skills Award Honorable Men on Research Methodology Award Canadian Undergraduate Surgical Educa on Commi ee (CUSEC) Sponsorship 2013 Italian Heritage Award 2014 Stephen Abrahamson Award for Outstanding Innova on 2013 Medical Staff Associa on President’s Award for Dis nguished Long Service Ontario Graduate Scholarships Master’s Award Physicians’ Services Incorporated Resident Research Grant 'Top Reviewers' for Clinical Orthopaedics and Related Research for 2013 'Top Reviewers' for Clinical Orthopaedics and Related Research for 2014 CE&B Mentoring/Supervision Award: Full me/Joint Faculty 2014 Dis nguished Alumni Award for the Sciences Deputy Editor for Evidence-Based Orthopaedics for Clinical Orthopaedics and Related Research 2014 Order Of Ontario Honour 2014 Dr. Nigel Colterjohn Resident Teaching Award Dr. Jaydeep Moro Dr. Devin Peterson 2014 Faculty Recogni on Award Awards & Recognition 2013 Orthopaedic Surgery Preceptor Award Royal College Examiner 67 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 74. MacOrtho Research team Moin Khan Kevin Chan Kim Madden Harman Chaudhry Raman Mundi Daniel Hoppe Nathan Evaniew MacOrtho Research Coordinator team was awarded the 2013 McMaster President’s Award for Outstanding Service. 2014 Faculty of Health Sciences Graduate Student Publica on Award 2014 Faculty of Health Sciences Diversity Graduate Student Award 2014 Regional Medical Associates Scholarship Award Master of Science, MSc, McMaster University American Society for Surgery of the Hand(ASSH)/American Founda on for Surgery of the Hand (AFSH) Annual Mee ng Scholarship Master of Science, MSc, McMaster University Faculty of Health Sciences Graduate Programs Outstanding Achievement Award MSc Thesis Defence – In mate Partner Violence in Orthopaedic Surgery: Lessons Learned and Future Direc ons Physicians’ Services Incorporated Founda on Resident Prize 2014 Excellence in Poster Presenta on Award 2013-2014 Surgeon Scien st Scholarship Award 2013-2014 Surgeon Scien st Scholarship Award 2013-2014 Fergus Mills Scholarship Recipient 2014 Stephen Abrahamson Award for Outstanding Innova on Masters of Educa on, OISE,Toronto 2014 Faculty of Health Sciences Graduate Student Publica on Award Michael G. DeGroote Fellowship Award in Clinical Research Ontario Graduate Scholarships Master’s Award Physicians’ Services Incorporated Resident Research Grant Physician’s Services Incorporated Founda on Resident Prize 2014 Excellence in Poster Presenta on Award 68STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 75. The Order of Ontario is the province’s highest official honour which recognizes individuals who have demonstrated a high level of individual excellence and achievement in any field benefi ng the people of Ontario or anywhere in the world. Dr. Bhandari has demonstrated a high level of excellence and achievement in advoca ng for women and ac ng as an ambassador for developing na ons, thereby advancing the lives of Ontario ci zens, Canadians, and people worldwide. As a professor of surgery, Dr. Bhandari con nues to be a source of pride for many in the faculty of Health Sciences. Order of Ontario Dr. Mohit Bhandari receives 69 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014
  • 77. Contact the DivisionDivision of Orthopaedic Surgery McMaster University Hamilton General Hospital 293 Wellington Street N, Suite 110 Hamilton, ON L8L 8E7 P: 905-527-4322 ext 44590 W: s.mcmaster.ca/macortho 71 STAYING CONNECTED | Division of Orthopaedic Surgery Progress Report 2013-2014