Division of Orthopaedic Surgery
Progress Report 2011-2013
© 2011-2013 by the Division of Orthopaedic Surgery, McMaster University. All rights reserved
Many Steps Taken,
Many Faces of Change
The last three years has demonstrated that our spirit for innovative
approaches to education, our culture of collaboration, and our
vision towards evidence-based orthopaedics is stronger now than
ever—and fuelled by our most valuable resources - our faculty,
residents, and staff.
As we approach the end of 2013, we are reminded of several significant achievements within
our growing Division. These include, but are not limited to, successes within our residency
training and educational platforms, awards garnered by numerous faculty, and new
benchmarks and frontiers in our programs of research.
Ÿ Orthopaedic residency training program receives full approval from the Royal College
Ÿ Drs. Brad Petrisor and Jaydeep Moro are appointed Royal College Examiners
Ÿ Drs. Victoria Avram, Mitch Winemaker and Jaydeep Moro are recognized with Teaching Awards
Ÿ Drs. Anthony Adili, Justin DeBeer, and Devin Peterson win Faculty Recognition Awards
Ÿ Dr. Bhandari is given the Canadian Orthopaedic Association’s Award of Merit and delivers the 2012
COA Presidential Guest Lecture, “ Think Big”
Ÿ Drs. Ayeni and Bhandari receive the Canadian Orthopaedic Legacy Grant
Ÿ Dr. Michelle Ghert is selected for the prestigious ABC Travelling Fellowship and one of only two in
the history of our Division to have this honour
Ÿ Dr. Dale Williams dramatically expands our Fellowship Program
Ÿ Dr. Ben Deheshi trailblazes with an innovative Mentorship Program for residents
Our milestones not only
signify our distance travelled...
Unity in
vision and
leadership
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Ÿ Dr. Matt Denkers accepts new role as Head Examiner for Orthopaedics
Ÿ Our Research changes the world through the design and execution of large, collaborative studies
Ÿ We compete successfully at the highest academic levels garnering funding from the Canadian Institutes of
Health Research, National Institutes of Health, and the US Departments of Defense
Ÿ We bring world leaders to share their journeys in our highly successful “leadership series”
We are humbled by the success of our faculty and the realization that their work has implications far
beyond our Division. We are meeting the world’s big challenges head on. Our efforts will impact road
traffic safety worldwide (INORMUS study) and make important strides towards making the world safer
for victims of domestic violence (PRAISE study). We are creating a culture of social responsibility, both
locally and abroad, and engaging the world’s best in our quest as life-long educators and learners. Let
us take this moment to celebrate our many steps taken and our faces of change.
Sincerely,
Mohit Bhandari MD, PhD, FRCSC
Professor and Academic Head, Division of Orthopaedic Surgery
Associate Chair, Research, Department of Surgery
Canada Research Chair in Surgical Outcomes
McMaster University
...but also indicate our future course
Table of Contents
OUR FACULTY
OUR EDUCATION
OUR RESEARCH
Leadership
1
Who We Are
2
Vision
3
Faculty
5
Mission
7
Global Presence
8
Orthopaedic Residency Education Training Program Highlights
9
Leadership Series
11
Lectureships and Awards
13
Evidence-based Orthopaedics
15
CEO
16
Global Reach
17
CURRENT RESEARCH FLOW
19
INORMUS
20
HEALTH
21
FAITH
22
PRAISE
23
PREVAIL
24
FIRST
25
PARITY
26
Hamilton Arthroplasty Group
27
IMPACT
30
Femoroacetabular Impingement Symposium
31
Annual Academic Day
32
Reflections on Clinical Leadership
34
Conferences and Meetings
35
Research Funding
37
OUR PUBLICATIONS Faculty and Resident
39
OUR AWARDS
Faculty
53
Resident
54
OUR CONTACT
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
55
OUR FACULTY
Leadership
Our Leadership
The Executive Committee is responsible for assisting and
supporting the educational, research and administrative
activities within the Division of Orthopaedic Surgery.
Anthony Adili
Chief of Surgery
and Site Lead, SJH
Olufemi Ayeni
Director of Advancement
Mohit Bhandari
Academic Division Head;
Associate Chair of Research,
Department of Surgery
Sarah Burrow
Chief of Orthopaedic
Surgery, HHSC
Benjamin Deheshi
Mentorship Director
Brian Drew
Site Lead, HGH
Michelle Ghert
Associate Program Director,
Residency Education Training;
Research Director, Division
Richard Lachowski
Director, Alumni Affairs
Jaydeep Moro
Clerkship Director
Bradley Petrisor
Program Director,
Residency Education Training
Dale Williams
Fellowship Director
Mitchell Winemaker
Clinical CTU Director, JHCC
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR FACULTY
Leadership
Who we are
Our goal is to improve the lives of patients with
musculoskeletal disease through the paradigm of evidencebased orthopaedics. Whether engaged in orthopaedic
surgery, education, research, or practice, we are all here to
learn, to innovate and to disseminate our culture and values
to our patients, students, faculty, and community.
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR FACULTY
Leadership
Our Vision
Education - We aim to be a top tier program in
Canada for evidence-based orthopaedic training,
attracting the best and most promising students to
our Division.
Faculty - We seek to attract and retain top
orthopaedic faculty from Canada and internationally.
We will ensure that our faculty’s accomplishments
are recognized and promoted.
Research - As a research institution, we endeavour
to be the best environment for clinical research,
fostering global collaborations, conducting high
impact clinical research, and educating exceptional
students at the undergraduate and graduate levels.
Leadership - The success of our Division is highly
dependant upon the unified core values and culture
within our leaders. We will continue to produce
lifelong learners that practice orthopaedic surgery in
a responsible, ethical, and evidence-based manner.
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR FACULTY
Division of Orthopaedic Surgery
Our Faculty
Hamilton General Hospital
Dr. Drew Bednar
Dr. Mohit Bhandari
Dr. Matt Denkers
Dr. Brian Drew
Dr. Desmond Kwok
Dr. Bradley Petrisor
Dr. Krishan Rajaratnam
Dr. Bill Ristevski
Dr. John Sadler
Dr. Dale Williams
Clinical Professor
Professor
Assistant Professor
Associate Clinical Professor
Assistant Clinical Professor (Adjunct)
Associate Professor
Assistant Clinical Professor
Assistant Professor
Assistant Clinical Professor
Assistant Professor
McMaster University Medical Centre
Dr. Olufemi Ayeni
Dr. Sarah Burrow
Dr. Jung Mah
Dr. Paul Missiuna
Dr. Rick Ogilvie
Dr. Devin Peterson
Assistant Professor
Associate Professor
Clinical Professor
Assistant Clinical Professor
Associate Clinical Professor
Associate Professor
Juravinski Hospital and Cancer Centre
Dr. Victoria Avram
Dr. Justin de Beer
Dr. Michelle Ghert
Dr. Benjamin Deheshi
Dr. Dinshaw Punthakee
Dr. Frank Smith
Dr. Mitchell Winemaker
Dr. David Wismer
5
Assistant Professor
Associate Clinical Professor
Associate Professor
Assistant Professor
Assistant Clinical Professor
Associate Clinical Professor
Associate Clinical Professor
Associate Clinical Professor
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR FACULTY
Division of Orthopaedic Surgery
St. Joseph's Healthcare Hamilton
Dr. Anthony Adili
Dr. Brett Dunlop
Dr. Richard Lachowski
Dr. Jaydeep Moro
Dr. Arthur Porte
Dr. Louis Saunders
Associate Clinical Professor
Associate Clinical Professor
Associate Clinical Professor
Assistant Clinical Professor
Assistant Clinical Professor
Assistant Clinical Professor
Other
Dr. Markus Bischoff
Dr. Heather Brien
Dr. Paul Grosso
Dr. Thomas Hupel
Dr. Robert Josefchak
Dr. Marc Kalchman
Dr. Ajay Manjoo
Dr. David Martin
Dr. John McCall
Dr. Scott McKenzie
Dr. John Ostrowski
Dr. David Pugh
Dr. Matthew Snider
Dr. Gerard Slobogean
Dr. Peter Stevenson
Dr. Steven Richie
Dr. Michael Woolfrey
Dr. Paul Zalzal
6
Assistant Clinical Professor (Adjunct)
Assistant Clinical Professor
Assistant Clinical Professor (Adjunct)
Assistant Clinical Professor (Adjunct)
Associate Clinical Professor
Assistant Clinical Professor (Adjunct)
Assistant Clinical Professor (Adjunct)
Assistant Clinical Professor (ROMP)
Assistant Clinical Professor (Adjunct)
Assistant Clinical Professor (Adjunct)
Assistant Clinical Professor (Adjunct)
Assistant Clinical Professor (ROMP)
Assistant Clinical Professor (Adjunct)
Associate Clinical Professor
Assistant Clinical Professor (Adjunct)
Assistant Clinical Professor (ROMP)
Assistant Clinical Professor (Adjunct)
Assistant Clinical Professor
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR EDUCATION
Mission
Our Education
Our mission is to educate and empower the
surgeons of tomorrow with the capacity for
evidence-based clinical care, critical thinking,
creativity, professionalism and a proclivity
towards lifelong learning. The development
of these attributes surrounds a core of
technical training in the art and science of
orthopaedic surgery.
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR EDUCATION
Our Global Presence
McMaster has graduated over 190
surgeons since the inaugural
class of 1982.
49
Since 2011, over
undergraduate students
have completed research projects, co-op
placements or theses.
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Our graduates have gone to practice
in many different places across
the globe.
6
undergraduate students have been supported
through the CIHR Undergraduate: Mobility,
Musculoskeletal Health and Arthritis grants.
OUR EDUCATION
Orthopaedic Residency Education Training Program Highlights
Orthopaedic Residency Education
Training Program Highlights
MacOrtho leadership selected for a podium presentation at the
International Conference on Residency Education (ICRE) in Ottawa to
present reliability data on the MacOrtho Orthopaedic OSCE (Objective
Structured Clinical Examination).
Orthopaedic Surgery
Residency Program
nominated by the
residents for the
Professional Association
of Interns and Residents
of Ontario (PAIRO)
Outstanding Program of
the Year Award.
9
The first program to test the
feasibility of CASPer
(computer-based assessment
for sampling personal
characteristics) in the CaRMS
pre-interview process. The
adoption of CASPer will
ensure that we are recruiting
the best candidates into our
program who will be trained
to become top notch
orthopaedic surgeons in the
future.
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Orthopaedic residents
have a major presence
in the McMaster
Surgeon Scientist
Program (SSP)/Clinical
Investigator Program
(CIP).
Four annual OSCE’s (2
Junior & 2 Senior)
MacOrtho prides itself
on innovative
educational tools.
OUR EDUCATION
Orthopaedic Residency Education Training Program Highlights
Clerkship Program
Here in the Division of Orthopaedic Surgery at McMaster University, we recognize the importance of engaging
students at every level of education. Moving forward, our main goal is to identify various ways to further
inspire and prepare clerks to pursue a career in orthopaedic surgery.
Mentorship Program
The success of our Mentorship Program will lead to a strengthening of relationships between
orthopaedic surgeons and trainees, aid in conflict resolution, assist in career planning resulting in overall
positive morale amongst residents and staff. We take pride in the strong support of this program and the
participation from our orthopaedic community.
Fellowship Program
We are focused on disseminating our brand of fellowship opportunities in Canada and abroad. Our active
fellowships include hip and knee reconstruction, orthopaedic trauma, sports medicine and arthroscopy,
paediatric orthopaedic surgery, and musculoskeletal oncology.
A dedication to training surgeons
Current Orthopaedic Residents
PGY1
Mike Brown, Adrian Kurz, Colm
McCarthy, Marcin Partyka, Mike
Riediger, Leon van der Watt
PGY2
Darren de SA, Sebastian Heaven,
Gavinn Niroopan, Vandit Sardana,
Thomas Wood, Marco Yeung
PGY3
Marcin Kowalczuk, Matthew
MacLeod, James Nuttall,
Clary Foote
PGY4
Stuart Bisland, Kevin Chan
Khaled Hasan, Daniel Hoppe,
Mohammed Khan, Robert
McCloy III, Justin Todd
PGY5
Nasser Al-Gowizai, Kamaljeet
Banga, Patricia Farrugia,
George Mathew, David Newman,
Rubini Pathy, Theresa Pazionis,
Marcel Abouassaly
Surgical Scientist Program /
Clinical Investigators Program
Harman Chaudhry, Nathan
Evaniew, Raman Mundi
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR EDUCATION
Innovative Series
Our LEADERSHIP Series
Presented as an addendum to our Grand Rounds
lectures, MacOrtho has implemented a highly
successful series - “Visiting Professor Leadership
Series.”
Global Orthopaedic leaders share their journey
with the mandate of providing key insights on true
leadership, trials and tribulations faced on the road
to success, strategies for refining the health care
system in the upcoming years and the true value of
collaboration.
Mr. Jonathan Howell
Mr. John Timperley
(October 2011)
(October 2011)
Exeter Consultant on the hip unit,
specializes in complex revision hip and knee
replacement surgery, trauma, educational
and is a supervisor for the hip fellowship
Council of the British Orthopaedic
Association, Chairman of the Exeter
Hip Foundation (Surgery, Training,
and Research), Exeter Orthopaedic
Consultant
Dr. Emil Schemitsch
Dr. David Ring
Dr. James Waddell
(November 2011)
(February 2012)
(March 2012)
Scientist in the Keenan Research
Centre of the Li Ka Shing Knowledge
Institute of St. Michael's
Hospital; Professor and Division Head
of Orthopedic Surgery
Director of Research, Hand and Upper
Extremity Service, Orthopaedic
Surgeon, Associate Professor, Harvard
Medical School
Orthopaedic Surgeon, St. Michael's
Hospital, Professor, University of
Toronto, Coordinator, National Action
Network for the Bone & Joint
Decade in Canada
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR EDUCATION
Innovative Series
Dr. Richard Buckley
Dr. Benjamin Alman
(May 2012)
(June 2012)
Head of Orthopaedic Trauma, Foothills
Medical Centre, University of Calgary;
Canadian Orthopaedic
Trauma Society
A.J. Latner Professor; Chair of
Orthopaedics, University of Toronto;
Senior Scientist Developmental and
Stem Cell Biology Research Institute
Dr. Ross Leighton
Dr. Bernard Morrey
Dr. Mandeep Dhillon
(January 2013)
(April 2013)
(May 2013)
Professor of Surgery, Dalhousie
University; Canadian Orthopaedic
Trauma Society; Nova Scotia
Orthopaedic Society
Emeritus Chair and Professor of the
Department of Orthopaedics, Mayo
Clinic at the University of Texas Health
Science Center, San Antonio
Professor, Department of
Orthopaedics, Post Graduate Institute
of Medical Education and Research,
Chandigarh, India
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR EDUCATION
Lectureships and Awards
MacOrtho Special Guest Lecture
This invited speaker is selectively chosen from across a variety of disciplines to educate our orthopaedic
community based on the theme of our annual academic day.
Dr. Derek Moore
(2013)
Orthopaedic Spine Surgeon
Southcoast Hospitals Group
Boston, MA
Dr. Reva Joshee
(2012)
Dr. Beate Hanson
(2011)
Associate Professor, Ontario
Institute for Studies in Education,
University of Toronto; Chair of the
Advisory Committee, Mahatma
Gandhi Canadian Foundation
for World Peace
Director of Clinical Research and
Documentation at the AO
Foundation; Associate Clinical
Professor, Department of
Health Services, University
of Washington
Robert F. Martin Lectureship
The Robert F. Martin Lectureship was established in 2011 to honour the former Academic Division Head,
Robert Martin (1983-1998). Dr. Martin made significant contributions to the orthopaedic department by recruiting
academically qualified subspecialty orthopaedic surgeons to help establish an improved academic and research
environment. Invited speakers discuss topics crucial to leadership and education.
Dr. Michael McKee
(2013)
(2012)
Dr. James Heckman
(2011)
Associate Professor,
Department of Clinical
Epidemiology and
Biostatistics, Population
Health Research Institute,
McMaster University
Adjunct Scientist, Keenan
Research Centre, Li Ka Shing
Knowledge Institute,
St. Michael’s Hospital; Professor,
Department of Surgery,
University of Toronto
Past Editor-in-Chief, American
Volume of The Journal of Bone
and Joint Surgery; Chairman of
the Research Grants Committee,
Orthopaedic Research and
Education Foundation
Dr. PJ Devereaux
Robert Lofthouse Memorial Lectureship
The Dr. Robert Lofthouse Memorial Lectureship was established in 2011 in memorial of the former Academic
Division Head, Robert Lofthouse (1970-1982). Dr. Lofthouse participated in the development of the orthopaedic
program and was a positive influence on his community and his family. Invited speakers for this lectureship are
encouraged to share their experiences and insights into innovation and pioneering new frontiers.
13
Dr. Bruce Browner
Dr. Parminder Raina
Dr. Victor Neufeld
(2013)
(2012)
(2011)
Professor and Orthopaedic
Trauma Surgeon, University
of Connecticut Health
Centre, Storrs, CT
Professor, Department of Clinical
Epidemiology and Biostatistics,
McMaster University
Professor Emeritus, Department
of Clinical Epidemiology and
Biostatistics, McMaster
University; National Coordinator,
Canadian Coalition for
Global Health Research
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR EDUCATION
Lectureships and Awards
MacOrtho Award of Excellence
This premier award of distinction was established to honour, recognize and celebrate the accomplishments of
leaders in orthopaedic surgery.
Dr. Jonathan Adachi
(2013)
Douglas Thomson
Professor
Department of Medicine,
McMaster University
CEO, Canadian
Orthopaedic Association
(2012)
MacOrtho Faculty Recognition Award
This recognition award is given annually to a faculty member recognizing excellence in educating, mentorship,
research and professional endeavours.
Dr. Devin Peterson
Anthony Adili
Justin de Beer
(2013)
(2012)
(2011)
Associate Professor,
Orthopaedic Surgery,
McMaster University
Associate Clinical Professor,
Orthopaedic Surgery,
McMaster University
Associate Clinical Professor,
Orthopaedic Surgery,
McMaster University
Nigel Colterjohn Teaching Award
This annual teaching award is given to a faculty member, nominated by residents only, who exemplifies the
qualities 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
contributions to education and patient care.
Dr. Bill Rivtevski
Dr. Dale WIlliams
Dr. Mitchell Winemaker
(2013)
(2012)
(2011)
Assistant Professor,
Orthopaedic Surgery,
McMaster University
Assistant Professor,
Orthopaedic Surgery,
McMaster University
Associate Clinical Professor,
Orthopaedic Surgery,
McMaster University
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 opportunities to help
foster and develop a legacy of surgeon leaders in our field.
On March 7 & 8, 2013, the Division of Orthopaedic Surgery invited Mr. Gerald Huesch, Chairman and CEO of the Global Leadership School, to
McMaster University for a two-day workshop on Evidence-based Leadership. This retreat was the first leadership forum held in honour of the
William L. Orovan Leadership Fund. Mr. Huesch kept the audience fully engaged with a myriad of team building exercises while simultaneously
providing our faculty and residents with leadership tools, communication skills and emotional intelligence. A world record was also set by passing
a total 1120 tennis balls between the participants in two minutes!
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
Our Research
The Division of Orthopaedic Surgery is committed to
clinical research and the education of clinicians and
students in the principles and practices of evidencebased orthopaedics. Our key values include
collaboration, innovation, and the principles of
evidence-based medicine.
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
CEO
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 activities of the Division
into one collaborative centre.
Mohit Bhandari
Director
Gerard Slobogean
Trauma and Injury
Research
Unit Co-Head
16
Our vision for this centre will focus
on enhancing and integrating
research activities as well as
providing education and research
training opportunities to learners
and faculty.
Michelle Ghert
Musculoskeletal Tumor
Surgery Research
Unit Co-Head
Olufemi Ayeni
Sports Medicine
Research
Unit Head
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
The CEO is governed by a steering
committee responsible for the
oversight of research activities and
education programs including
undergraduate research training,
research elective blocks, graduate
research training, and
post-doctoral fellowships.
Bradley Petrisor
Trauma and Injury
Research
Unit Co-Head
Benjamin Deheshi
Musculoskeletal Tumor
Surgery Research
Unit Co-Head
Brian Drew
Disorders of the
Spine Research
Unit Head
Justin de Beer
Degenerative Joint
Disease Research
Unit Head
OUR RESEARCH
Evidence-based Orthopaedics
Our Global Reach
25
countries,
With collaborators located throughout
we are building relationships and expanding our
network to conduct global orthopaedic research.
Argentina
China
Ghana
Malawi
Nicaragua
Tanzania
Zimbabwe
Australia
Egypt
Haiti
Mexico
Norway
Uganda
Brazil
Ethiopia
India
Nepal
Pakistan
United Kingdom
Canada
Finland
Kenya
Netherlands
South Africa
United States of America
Transcending orthopaedic
care across borders
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
In October 2012, Dr. Petrisor visited Uganda to provide orthopaedic trauma
education. One year later, accompanied by Dr. Kwok and as part of a team
from USTOP (Uganda Sustainable Trauma Orthopedic Program), they returned.
Dr. Petrisor will be working toward implementing the INORMUS study (burden
of orthopaedic trauma) at Mulago Hospital.
The Global Burden of Disease Study estimates that
10% of global deaths are due to injuries and that if
the current trend persists, this burden will greatly
increase in the next 20 years. Trauma and
particularly road traffic injuries are a major but
neglected public health challenge. The World Health
Organization (WHO) in 2004 determined that motor
vehicle related injury is seriously harming global
health and development. Their World Report on
Road Traffic Injury Prevention recorded a 63%
reduction in road traffic fatality rate in Canada
between 1975 and 1998 while at the same time
predicting an 80% increase in the fatality rate in SubSaharan Africa between 2000 and 2020. It is
imperative that countries like Canada share their
knowledge and expertise with countries like Uganda
to reduce the impact of trauma on human suffering
and poverty. This project will aim to educate health
care providers in Uganda in systems and techniques
for delivery of trauma care. This will result in a
sustainable improvement in the care of individuals
who are injured and will reduce the rates of death
and disability secondary to trauma. The proposed
project fits with Makerere University’s Department
of Orthopaedics mandate to provide education for
medical students, surgical trainees, nurses and
paramedical personnel in the care of trauma and
particularly musculoskeletal trauma in Uganda.
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Mulago Hospital is the national referral hospital and
training hospital for Makerere University receives the
majority of severely injured people of poor economic
status in the country. The project will help with the
direct delivery of care to those individuals and will
create a sustainable program for the region as it is
currently only one of only two orthopaedic training
centres in East Africa.
Success in this low resource setting could provide
groundbreaking progress and training modules for
under resourced areas. The ability to create effective
training modules and build capacity in this setting will
create an effective paradigm that can be applied to
numerous settings. The issue of disability due to
neglected injury creates a burden on the health care
system and economy of, not just Uganda, but many
low-income countries and even rural and remote
areas of middle income and high-income countries.
Road traffic injuries, just one area of orthopaedic
trauma, are set to rank third in disability adjusted life
years (DALY) by the year 2020. Current systems for
treatment must be immediately improved to handle
this growing disease burden.
OUR RESEARCH
Evidence-based Orthopaedics
Current Research in
Orthopaedic Surgery
.
250,000
Open fractures account for an estimated
fractures in North America annually.
Fluid Lavage of Open Wounds (FLOW)
FLOW is a multi-centre, blinded, factorial trial
comparing alternative irrigating solutions (soap vs.
saline) and pressures (high vs. low vs. gravity) in
2545 patients with open fractures.
The secondary objective is to assess the impact of
irrigation solutions and pressures and patient illness
beliefs on patient function and quality of life at one
year in patients operatively treated for open fractures.
The primary objective of this trial is to assess the
impact of irrigation solutions and pressures on the
occurrence of re-operations up to one year after the
initial operation.
FLOW is an international study with over 40 sites:
Canada (14 sites), USA (16 sites), Norway (1 site),
Australia (1 site), and India (10 sites).
FLOW hits recruitment milestone of 2,500
patients worldwide and becomes the largest
orthopaedic fracture trial.
Funding Received: Canadian Institutes of Health Research, United States Department of Defense
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
3
rd
Trauma will be the
largest killer in the
developing world by 2020.
International Orthopaedic Multi-centre Study in Fracture Care (INORMUS)
INORMUS is a large multi-centre cohort study aimed
at quantifying the global burden of fractures. The
project also serves to examine the fracture types
and treatment in low and middle income countries.
Thirty-day in hospital surgical outcomes are being
recorded.
The project was launched in India (INORMUS India)
in October 2012 and has enrolled over 5,000
patients in the pilot phase. In the definitive phase,
INORMUS will include sites across Asia, South-East
Asia, Africa, Latin America, and South America.
INORMUS aims to recruit
40,000 patients worldwide.
Funding Applied: Canadian Institutes of Health Research, Orthopaedic Trauma Association
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
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.
Hip Fracture Evaluation with Alternatives of Total Hip Arthroplasty
versus Hemi-Arthroplasty (HEALTH):
Hip Fracture Evaluation with Alternatives of Total Hip
Arthroplasty versus Hemi-Arthroplasty (HEALTH):
HEALTH is a large multi-centre randomized
controlled trial comparing total hip arthroplasty with
hemi-arthroplasty in 1,434 patients with displaced
femoral neck fractures.
The primary outcome is revision surgery rates at 24
months post initial surgery and the secondary
outcome is quality of life up to 24 months post initial
hip surgery. Over 70 international clinical sites will
be included in the HEALTH study and surgeons
across North America, Europe, Australia, and Asia
will participate.
HEALTH has already recruited over 350
patients towards our goal of 1,434.
Funding Received: National Institutes of Health, Canadian Institutes of Health Research,
Hamilton Academic Health Sciences Organization
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FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
Hip fractures are associated with a substantial mortality rate and
profound temporary, and sometimes permanent, impairment of
independence and quality of life.
Fixation using Alternative Implants for the Treatment of Hip Fractures (FAITH)
FAITH is a large multi-centre randomized controlled
trial comparing sliding hip screw and cancellous
screw fixation in femoral neck fracture patients.
Surgeons will use 1 of 2 surgical strategies in 1,500
patients who have sustained a femoral neck
fracture. The outcomes measured are revision
surgery rates and quality of life up to 24 months
post initial hip surgery.
The secondary objective is to evaluate the impact of
sliding hip screws versus cancellous screws on
complications, including mortality, avascular necrosis,
nonunion, implant breakage or failure, and infection.
Over 70 sites are currently participating in the FAITH
study: Canada (12 sites), USA (41 sites), Netherlands
(14 sites), Norway (1 site), Australia (3 sites), and
India (11 sites).
The FAITH trial just enrolled their
th
1000 patient.
Funding Received: Canadian Institutes of Health Research, National Institutes of Health
Physicians’ Services Incorporated Foundation
22
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
Domestic violence is the most common cause of
non-fatal injury to women.
Prevalence of Abuse and Intimate Partner Violence Surgical Evaluation (PRAISE)
in orthopaedic fracture clinics
PRAISE is a large multi-centred observational study
looking at the prevalence of intimate partner violence
against women (physical, sexual, or emotional abuse)
both within the past 12 months and within their
lifetime. The proportion of women who present to
orthopaedic clinics with injuries that were the direct
result of intimate partner violence from a current
and/or ongoing relationship was also explored.
The study included 12 fracture clinics across Canada,
the U.S., the Netherlands, Denmark and India.
The results were recently published in The Lancet
which is a landmark achievement for MacOrtho and
the work has shed much needed light on injuries
associated with domestic violence in fracture clinics.
LANCET publication drives worldwide
media attention for PRAISE.
Funding Received: Orthopaedic Trauma Association, Canadian Orthopaedic Research Legacy,
McMaster Surgical Associates
23
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
If I had something in the clinic, I would have definitely felt
more comfortable bringing it up.
Promoting Empowerment for Victims of Abuse and Intimate Partner Violence (PREVAIL)
PREVAIL is a single centre quasi-experimental
interventional study examining patient perceptions
of and willingness to discuss intimate partner
violence (IPV) in orthopaedic fracture clinics. The
aim of the study is to evaluate the impact of
changing the fracture clinic environment through an
IPV tool kit containing eye-catching posters,
pamphlets, and buttons on patients’ perceptions of
the clinic as a safe place in which to discuss IPV.
536 patients (268 pre-implementation and 268 postimplementation of the IPV tool kit) complete a
confidential and anonymous written questionnaire
in the clinic. Secondary questions include examining
potential demographic differences in patient
perceptions, patients’ beliefs regarding being asked
about IPV in fracture clinics, and patients’ beliefs
about availability of fracture clinic resources to
screen for IPV.
Improving our fracture clinics to
help women across Canada.
Funding: Applications in progress
24
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
As FAI progresses, the resulting hip damage may lead to
osteoarthritis (OA) of the hip.
FIRST
Femoroacetabular Impingement Randomized Controlled Trial (FIRST)
FIRST is the first randomized controlled trial evaluating
the efficacy of surgical treatment in patients diagnosed
with femoroacetabular impingement. The primary
objective of the study is to determine whether surgical
correction of the impingement morphology
(arthroscopic osteochondroplasty) provides improved
clinical results (decreased pain and improved function)
compared to arthroscopic lavage of the hip joint.
This trial will follow 50 patients for one year to
investigate the efficacy and safety of arthroscopy
versus arthroscopic lavage for treatment of FAI.
Challenging current practice
with best evidence.
Funding Received: American Medical Society for Sports Medicine, Canadian Orthopaedic Research Legacy,
Division of Orthopaedic Surgery - McMaster University, McMaster Surgical Associates
25
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
Antibiotic misuse and overuse are considered the main factors
in the development of antibiotic resistance.
PAR TY
Pr oph y l a c t ic A n t ibiot ic
R e g i m e n s in T um or
S u r g e ry
Prophylactic Antibiotic Regimens in Tumor Surgery (PARITY)
PARITY is a multi-center, blinded, randomized
controlled trial of 1000 patients undergoing surgical
excision and endoprosthetic reconstruction of a
lower extremity bone tumor. The primary objective
is to investigate whether a long term (5 days)
postoperative antibiotic regimen will decrease the
rate of infection when compared to a short term (24
hours) postoperative antibiotic regimen.
The secondary objective is to determine the impact
of the postoperative antibiotic regimen on the
development of antibiotic-related complications
(gastrointestinal infections, fungal infections, etc.),
the rate of re-operations, and patient functional
outcome and quality of life after one year. The
PARITY study is the first-ever collaborative multicenter randomized trial in Orthopaedic Oncology
With 10 sites in North America actively
enrolling patients, the PARITY trial is
demonstrating early success which has led
to an explosion of interest in the trial.
Funding Received: Canadian Cancer Society Research Institute, Orthopaedic Research
and Education Foundation/Musculoskeletal Tumor Society
26
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
Hamilton Arthroplasty Group
The Hamilton Arthroplasty Group
(HAGrp) at the Hamilton Health
Sciences Juravinski Hospital is an
independently funded
multidisciplinary clinical outcomes
research group dedicated to
improving total joint replacement
outcomes, specifically patient
quality of life through continuous
quality improvement in clinical
service, research and education in
total joint replacement
In 2012/2013, the Hamilton
Arthroplasty Group continues to
focus on collaborative issues with
other research groups across
various disciplines, most notably
with the Department of
Psychiatry and Behavioural
Neurosciences focusing on
research pertaining to
psychosocial issues and their
impact on total joint replacement
patient outcomes.
A clinical trial on an innovative
knee compression system postTKA will be underway in 2013,
and radiographic review
cohort/case-control trials
continue to study various knee
and hip implant designs, including
one THA review in collaboration
with the Mayo Clinic.
We have a 30-day TJR readmission rate which is half that of the best reported
rates in the US. We attribute this to our practice protocols which we have been
instrumental in establishing to improve the patient experience.
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).
Absent: Dr. Anthony Adili.
27
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Excellence and Innovation
in Orthopaedic Surgery
OUR RESEARCH
Evidence-based Orthopaedics
Knowledge Translation
Our strategy is simple—to be responsible to
our patients by providing exemplary patient
care, using the best evidence to guide our
decisions, and leading with innovation.
29
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
International Multidisciplinary Partner Abuse Course
for Traumatologists (IMPACT)
The IMPACT Course was a knowledge dissemination
project held on December 5th, 2012 with the
objective of helping residents become aware of the
issues surrounding IPV in their clinical setting and
address multiple misconceptions about IPV. This
course brought together an interdisciplinary group
of intimate partner violence (IPV) experts.
Course participants learned about the impact of IPV
in society, clinical cases involving IPV, research
conducted to date on IPV at MacOrtho, what
surgeons can do about IPV, what to do if a patient is
a victim or a batterer, and the Canadian Orthopaedic
Association’s position on IPV.
Participants in this meeting were Mohit Bhandari, Brad Petrisor, Bill Ristevski, Harman Chaudhry,
Nathan Evaniew, Raman Mundi, Samir Faidi, Lehana Thabane, Forough Farrokhyar, Lauren Griffith,
Sheila Sprague, Kim Madden, and Nicole Simunovic from McMaster University, Emil Schemitsch,
Gerard Slobogean, and Aynsley Young from St. Michael’s Hospital (Toronto), Doug Thomson from the
Canadian Orthopaedic Association, Nadine Wathen from University of Western Ontario, Ole Brink from
Aarhus University Hospital Denmark, David Mathews from One T Counseling, Sonia Dosanjh from
Global Research Solutions, Diana Tikasz from Hamilton Health Sciences, Clare Freeman from Interval
House Hamilton, and Pat Campbell from the Ontario Hospital Association.
30
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
Femoroacetabular
Impingement Symposium
MacOrtho hosted an International Femoroacetabular Impingement
symposium on May 11, 2013. This meeting brought together the
foremost experts in sports medicine treating FAI. The goal of this
meeting was to foster discussion regarding current practices and
challenges with a focus on future research initiatives, and
ultimately create a FAI research collaborative.
Participants in this meeting were Olufemi Ayeni, Dale Williams, Bandar Hetaimish, Osama Al-Shaya, Nicole Simunovic and Sarah Crouch from McMaster University, Rajiv
Gandhi and Daniel Whelan from University of Toronto, Nicholas Mohtadi from University of Calgary, Etienne Belzile from Laval University, Douglas Naudie from University of
Western University, Matti Seppänen from Turku University Hospital, Kari Tikkinen from Helsinki University Central Hospital, Edwin Cadet from Columbia University College of
Physicians and Surgeons, Volker Musahl from University of Pittsburgh, Asheesh Bedi from the University of Michigan and Marc Philippon from The Steadman Clinic
31
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
Division of Orthopaedic Surgery
Annual Academic Day
Each year, the Division of Orthopaedic Surgery hosts an academic
conference that brings together local, national and international
speakers. The academic day aims to share insights from a
collaborative of basic, clinical and education research as
highlighted from our best internal research activities and
esteemed guests speakers.
2013
Peak Performance
32
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
2012
Milestones
2011
Executing Change
OUR RESEARCH
Evidence-based Orthopaedics
Our Objective
Together, we are engaging our distinguished
community of faculty leaders and residents
to be the faces of change. We aim to
promote the national and international
profile of our faculty members to strengthen
our position as a top education and
research facility.
33
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
Reflections on
Clinical Leadership
We are grateful to be beneficiaries of our programs’ mentors - both
current and past. We honour our mentors by leading with vision. As
we develop and foster our programs’ vision of big things, all of the
little things we do flow in the right direction.
It is truly an honour to be part of this great program and stand
shoulder to shoulder with my peers as we set sail on a voyage of
evolutionary transformation - both within our program and in the
influence we will have on healthcare delivery abroad.
Dr. Anthony Adili
Chief of Surgery,
St. Joseph’s Healthcare Hamilton
The greatest danger for most of
us is not that our aim is too high
and we miss it, but that it is too
low and we reach it.
34
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR RESEARCH
Evidence-based Orthopaedics
Conferences & Meetings
Our faculty and residents have presented
their research at many conferences, meetings
and universities around the world.
Ÿ Canadian Orthopaedic Association Annual Meeting
Ÿ American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting
Ÿ American Orthopaedic Foot and Ankle Society (AOFAS) Meeting
Ÿ American Orthopaedic Association (AOA) Annual Meeting
Ÿ Canadian Academy of Sport & Exercise Medicine Annual Meeting
Ÿ Orthopaedic Research Society (ORS) Meeting
Ÿ Canada Annual Meeting of Trauma Representatives
Ÿ Ontario Orthopaedic Association (OOA) Annual Meeting
Ÿ Annual Meeting of the Canadian Association of Paediatric Surgeons
Ÿ Canadian Association for General Surgeons
Ÿ Asia Pacific Arthroplasty Society (APAS) Conference
Ÿ Indian Orthopaedic Association (IOA) Conference
Ÿ Poona Orthopaedic Society Conference
Ÿ Congresso Nacional de Ortopedia y Traumatologia
Ÿ Latin America Fracture Burden Summit
Ÿ American Academy of Facial Plastic and Reconstructive Surgery
Ÿ American Society of Aesthetic Plastic Surgeons Meeting
35
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
OUR FUNDING
Recognizing the Future
Research Funding
The Division of Orthopaedic Surgery’s research funding has dramatically increased over
the last few years. Our Division received roughly $2.9M in grants this year which represents
a greater than 7-fold increase in total dollars from the last academic year. Here are some
samples of our key funded projects within the Division.
Funding Organization
Study
Amount
American Orthopaedic Society
for Sports Medaicine (AOSSM)
Femoroacetabular Impingement RandomiSed controlled Trial (FIRST)
$20,000
Canadian Cancer Society
Research Institute (CCSRI)
Prophylactic Antibiotic Regimens In Tumor Surgery (PARITY)
$199,047
Canadian Institutes of
Health Research
Fixation using Alternative Implants for the Treatment of
Hip Fractures-2 (FAITH-2)
$85,000
Canadian Institutes of
Health Research
Femoroacetabular Impingement RandomiSed controlled
Trial (FIRST)
Studentship $4,950
Canadian Institutes of
Health Research
Fluid Lavage of Open Wounds (FLOW)
Studentship $4,950
Canadian Institutes of
Health Research
Hip Fracture Evaluation with Alternatives of Total Hip
Arthroplasty versus Hemi-Arthroplasty (HEALTH)
Studentship $4,950
Canadian Institutes of
Health Research
Hip Fracture Evaluation with Alternatives of Total Hip
Arthroplasty versus Hemi-Arthroplasty (HEALTH)
$100,000
Canadian Institutes of
Health Research
Hip Fracture Evaluation with Alternatives of Total Hip
Arthroplasty versus Hemi-Arthroplasty (HEALTH)
$1,898,518
Canadian Institutes of
Health Research
International Multidisciplinary Partner violence and
Abuse Course for Traumatologist (IMPACT)
$9,672
Canadian Institutes of
Health Research
International Orthopaedic Multicentre Study in Fracture Care (INORMUS)
Studentship $4,950
Canadian Institutes of
Health Research
Prophylactic Antibiotic Regimens In Tumor Surgery (PARITY)
Studentship $4,950
Canadian Institutes of
Health Research
Trial to Evaluate Ultrasound in the Treatment of Tibial Fractures (TRUST)
Studentship $4,950
Canadian Institutes of
Health Research
Fixation using Alternative Implants for the Treatment of
Hip Fractures-2 (FAITH-2)
Canadian Orthopaedic
Foundation
Management of Proximal Humerus Fractures Scoping Review
Division of Orthopaedic
Surgery
Femoroacetabular Impingement Randomised controlled Trial (FIRST)
Division of Orthopaedic
Surgery
A Radiographic Assessment of CAM Impingement
Following Femoral Neck Fracture
37
$262,549
$49,772
$19, 979.79
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
$2,000
OUR FUNDING
Recognizing the Future
Division of Orthopaedic Surgery
Prophylactic Antibiotic Regimens In Tumor Surgery (PARITY)
$5,000
McMaster Surgical
Associates
An examination of the reliability, validity, feasibility and
acceptability of CASPer in postgraduate medical admissions
$2,000
McMaster Surgical Associates
Bone Matrix Invasion in Chondrosarcoma
$5,000
McMaster Surgical
Associates
Fixation using Alternative Implants for the Treatment of
Hip Fractures-2 (FAITH-2)
$12,809
McMaster Surgical Associates
FGF2 and cell proliferation and differentiation in GC tumor of bone
$30,000
McMaster Surgical Associates
Femoroacetabular Impingement RandomiSed controlled Trial (FIRST)
$29,937
McMaster Surgical
Associates
Health Care Providers' Perceived Barriers to and Facilitators for Intimate
Partner Violence Screening of Women in Orthopaedic Fracture Clinics
$12,809
McMaster Surgical
Associates
Hip Fracture Evaluation with Alternatives of Total
Hip Arthroplasty versus Hemi-Arthroplasty (HEALTH)
$30,000
McMaster Surgical
Associates
International Multidisciplinary Partner violence and
Abuse Course for Traumatologist (IMPACT)
$15,000
McMaster Surgical Associates
International Orthopaedic Multicentre Study in Fracture Care (INORMUS)
$30,000
McMaster Surgical
Associates
International Orthopaedic Multicentre Study in Fracture
Care – China (INORMUS-China)
$29,981
McMaster Surgical Associates
Knowledge Dissemination of Top Quality Evidence in Orthopaedics
$15,000
McMaster Surgical Associates
Prophylactic Antibiotic Regimens In Tumor Surgery (PARITY)
$18,433.23
McMaster Surgical Associates
Roads in India: A Safety Evaluation
$9,600
McMaster Surgical Associates
The orthopaedic core as a learning experience
$1,550
Office of Integrated
Research Services (OIRS)
Fixation using Alternative Implants for the Treatment of
Hip Fractures-2 (FAITH-2)
$45,000
Ontario Graduate Scholarship
OrthoEvidence
15,000
OMeGA Medical Grants
Association
The reliability and validity of the Orthopaedic
in-training Objective Structured Clinical Examination
$9,800
Orthopaedic Research and
Education Foundation (OREF)
Prophylactic Antibiotic Regimens In Tumor Surgery (PARITY)
$99,960
Physician Services'
Incorporated (PSI)
Prophylactic Antibiotic Regimens In Tumor Surgery (PARITY)
$50,000
Public Health Agency of
Canada (PHAC)
Promoting Empowerment for Victims of Abuse and Intimate
Partner Violence (PREVAIL)
$75,000
Regional Medical
Associates (RMA)
International Orthopaedic Multicentre Study in
Fracture Care (INORMUS)
$7,000
Sarcoma Fund
Prophylactic Antibiotic Regimens In Tumor Surgery (PARITY)
$100,000
Service Canada
Femoroacetabular Impingement RandomiSed controlled Trial (FIRST)
$1,231.20
Service Canada
(International Orthopaedic Multicentre Study in Fracture Care (INORMUS)
$1,231.20
Service Canada
Interval House
$1,231.20
Service Canada
Promoting Empowerment for Victims of Abuse
and Intimate Partner Violence (PREVAIL)
$1,231.20
Stryker
Hip Fracture Evaluation with ALternatives of Total Hip Arthroplasty
versus Hemi-Arthroplasty (HEALTH)
$349,842
United States Department of
Defense
Fluid Lavage of Open Wounds (FLOW)
$800,000
38
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
PUBLICATIONS
Faculty and Resident
Faculty and Resident
Publications
32%
41%
52
2010 - 2011
Total publications = 126
50
2011 - 2012
Total publications = 156
= Orthopaedic Publications
49%
74
2012 - 2013
Total publications = 152
= Department of Surgery Publications
July 2011 – June 2013
Abouassaly M, Peterson D, Salci L,
Farrokhyar F, D'Souza J, Bhandari
M, Ayeni OR. Surgical
management of osteochondritis
dissecans of the knee in the
paediatric population: a systematic
review addressing surgical
techniques. Knee Surg Sports
Traumatol Arthrosc. 2013 May 17.
[Epub ahead of print]
Abouali J, Farrokhyar F, Peterson D,
Ogilvie R, Ayeni O.
Thromboprophylaxis in routine
arthroscopy of knee. Indian J
Orthop. 2013 Mar;47(2):168-73.
39
1 out of every 3
reports published by
the Department of
Surgery are
Orthopaedic related.
Bold=Faculty, Italics=Resident
Adami S, Libanati C, Boonen S,
Cummings SR, Ho PR, Wang A,
Siris E, Lane J; FREEDOM FractureHealing Writing Group, Adachi JD,
Bhandari M, de Gregorio L,
Gilchrist N, Lyritis G, Möller G,
Palacios S, Pavelka K, Heinrich R,
Roux C, Uebelhart D. Denosumab
treatment in postmenopausal
women with osteoporosis does
not interfere with fracturehealing: results from the
FREEDOM trial. J Bone Joint Surg
Am. 2012 Dec 5;94(23):2113-9.
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Alolabi B, Shirali J, Bajammal S,
Karanicolas PJ, Zlowodzki M, Gafni
A, Bhandari M. The development
of a decision aid to elicit treatment
preferences for displaced femoral
neck fractures. Indian J Orthop.
2012 Jan;46(1):22-8.
Alolabi N, Alolabi B, Mundi R,
Karanicolas PJ, Adachi JD, Bhandari
M. Surgical preferences of patients
at risk of hip fractures;
Hemiarthroplasty vs total hip
arthroplasty. BMC Musculoskelet
Disord. 2011 Dec 23;12(1):289.
PUBLICATIONS
Faculty and Resident
Alradwan H, Philippon MJ,
Farrokhyar F, Chu R, Whelan D,
Bhandari M, Ayeni OR. Return to
preinjury activity levels after
surgical management of
femoroacetabular impingement in
athletes. Arthroscopy. 2012
Oct;28(10):1567-76.
Ayeni OR, Chahal M, Tran MN,
Sprague S. Pivotal shift as an
outcome measure for ACL
reconstruction: A systematic
review. Knee Surg Sports Traumatol
Arthrosc. 2012 Apr;20(4):767-77.
Ayeni OR, Chan K, Al-Asiri J, Chien
T, Sprague S, Liew S, Bhandari M.
Sources and quality of literature
addressing femoroacetabular
impingement. Knee Surg Sports
Traumatol Arthrosc. 2013
Feb;21(2):415-9.
Ayeni OR, Peterson D, Chan K,
Javidan A, Gandhi R. Suture
Repair versus Arrow Repair for
Symptomatic Meniscus Tears of
the Knee: A Systematic Review. J
Knee Surg .
Ayeni OR, Wong I, Chien T,
Musahl V, Kelly BT, Bhandari M.
Surgical indications for
arthroscopic management of
femoroacetabular impingement.
Arthroscopy. 2012
Aug;28(8):1170-9. Epub 2012 Apr
24.
Balogh ZJ, Reumann MK, Gruen
RL, Mayer-Kuckuk P, Schuetz MA,
Harris IA, Gabbe BJ, Bhandari M.
Advances and future directions
for management of trauma
patients with musculoskeletal
injuries. Lancet. 2012 Sep
22;380(9847):1109-19.
Bhandari M, Chiavaras M, Ayeni O,
Chakraverrty R, Parasu N, Choudur
H, Bains S, Sprague S, Petrisor B.
Assessment of Radiographic
Fracture Healing in Patients With
Operatively Treated Femoral Neck
Fractures. J Orthop Trauma. 2013
Jan 2. [Epub ahead of print]
Bhandari M, Chiavaras MM, Parasu
N, Choudur H, Ayeni O,
Chakravertty R, Bains S, Hak A,
Sprague S, Petrisor B. Radiographic
union score for hip substantially
improves agreement between
surgeons and radiologists. BMC
Musculoskelet Disord. 2013 Feb
25;14(1):70.
Bednar DA. Teriparatide
Treatment of a GlucocorticoidAssociated Resorbing Nonunion
of a Type III Odontoid Process
Fracture -A Case Report. J Spinal
Disord Tech. 2013 Apr 3. [Epub
ahead of print]
Bednar D. Uncovertebral
Anatomic Midline Targeting for
cerival disc Arthropalsty. Glob
Spine J. 2012 2:47-50.
Ayeni OR, Evaniew N, Ogilvie
R, Peterson DC, Denkers MR,
Bhandari M. Evidence-based
practice to improve outcomes
of anterior cruciate ligament
reconstruction. Clin Sports
Med. 2013 Jan;32(1):71-80.
40
Bhandari M, Pascale W, Sprague
S, Pascale V. The Genesis II in
primary total knee replacement: a
systematic literature review of
clinical outcomes. Knee. 2012
Jan;19(1):8-13. Epub 2011 Apr
14.
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Bhandari M, Fong K,
Sprague S, Williams D,
Petrisor B. Variability in the
definition and perceived
causes of delayed unions
and nonunions: a crosssectional, multinational
survey of orthopaedic
surgeons. J Bone Joint Surg
Am. 2012 Aug
1;94(15):e1091-6.
PUBLICATIONS
Faculty and Resident
Bhandari M, Smith J, Miller LE,
Block JE. Clinical and economic
burden of revision knee
arthroplasty. Clin Med Insights
Arthritis Musculoskelet Disord.
2012;5:89-94.
Bhandari M, Tornetta P 3rd,
Schemitsch EH. Randomized
trials in orthopaedic surgery:
one step closer. J Bone Joint
Surg Am. 2012 Jul 18;94
Suppl 1:1.
Bhatti P, Schemitsch EH, Bhandari
M. Managing data in surgical trials:
a guide to modern-day data
management systems. J Bone Joint
Surg Am. 2012 Jul 18;94 Suppl
1:45-8.
Bhatti P, Schemitsch EH, Bhandari
M. Managing data in surgical trials:
a guide to modern-day data
management systems. J Bone Joint
Surg Am. 2012 Jul 18;94 Suppl 1:45-8.
Braga LH, Farrokhyar F, Bhandari
M. Confounding: what is it and
how do we deal with it? Can J
Surg. 2012 Apr;55(2):132-8.
Briel M, Sprague S, Heels-Ansdell
D, Guyatt G, Bhandari M,
Blackhouse G, Sanders D,
Schemitsch E, Swiontkowski M,
Tornetta P 3rd, Walter SD, Goeree
R. Economic Evaluation of Reamed
versus Unreamed Intramedullary
Nailing in Patients with Closed and
Open Tibial Fractures: Results
from the Study to Prospectively
Evaluate Reamed Intramedullary
Nails in Patients with Tibial
Fractures (SPRINT). Value Health.
2011 Jun;14:450-7.
Buijze GA, Weening AA, Poolman
RW, Bhandari M, Ring D.
Predictors of the accuracy of
quotation of references in peerreviewed orthopaedic literature in
relation to publications on the
scaphoid. J Bone Joint Surg Br.
2012 Feb;94(2):276-80.
Burgers PT, Van Geene AR, Van
den Bekerom MP, Van Lieshout
EM, Blom B, Aleem IS, Bhandari
M, Poolman RW. Total hip
arthroplasty versus
hemiarthroplasty for displaced
femoral neck fractures in the
healthy elderly: a meta-analysis
and systematic review of
randomized trials. Int Orthop.
2012 Aug;36(8):1549-60.
Bookwala A, Hussain N, Bhandari
M. The three-minute appraisal of a
prospective cohort study. J Orthop.
2011 Jul;45(4):291-3.
41
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Busse JW, Bhandari M, FerreiraGonzález I, Montori VM, Guyatt
GH. Use and interpretation of
composite end points in
orthopaedic trials. J Bone Joint
Surg Am. 2012 Jul 18;94 Suppl
1:65-9.
Busse JW, Bhandari M, Guyatt GH,
Heels-Ansdell D, Kulkarni AV,
Mandel S, Sanders D, Schemitsch
E, Swiontkowski M, Tornetta P 3rd,
Wai E, Walter SD, The SPRINT
Investigators & the Medically
Unexplained Syndromes Study
Group. Development and
validation of an instrument to
predict functional recovery in tibial
fracture patients: The somatic preoccupation and coping (spoc)
questionnaire. J Orthop Trauma.
2012 Jun;26(6):370-8. Epub 2011
Oct 18.
Busse JW, Jim J, Jacobs C, Ngo T,
Rodine R, Torrance D, Kulkarni AV,
Petrisor B, Drew B, Bhandari M.
Attitudes towards chiropractic: an
analysis of written comments from
a survey of north american
orthopaedic surgeons. Chiropr
Man Therap. 2011 Oct 4;19(1):25.
Chan K, Ayeni O, McKnight L,
Ignacy TA, Farrokhyar F, Thoma A.
Pyrocarbon versus silicone
proximal interphalangeal joint
arthroplasty: a systematic review.
Plast Reconstr Surg. 2013
Jan;131(1):114-24.
PUBLICATIONS
Faculty and Resident
Chaudhry H, Mundi R, Einhorn TA,
Russell TA, Parvizi J, Bhandari M.
Variability in the approach to total
hip arthroplasty in patients with
displaced femoral neck fractures. J
Arthroplasty. 2012 Apr;27(4):569-74.
Chaudhry H, Devereaux PJ,
Bhandari M. Cognitive dysfunction
in hip fracture patients. Orthop
Clin North Am. 2013
Apr;44(2):153-62.
Chien T, Malhotra R, Bhandari M.
The 3-min appraisal of a diagnostic
test. Indian J Orthop. 2011
Sep;45(5):389-91.
Chuback JE, Varley TL,
Yarascavitch BA, Eaves F
3rd, Thoma A, Bhandari
M. The level of evidence
presented at plastic
surgery meetings: what do
we have to learn? Plast
Reconstr Surg. 2013
Apr;13(4):776-83.
Chuback JE, Yarascavitch BA, Eaves
F 3rd, Thoma A, Bhandari M.
Evidence in the aesthetic surgical
literature over the past decade:
how far have we come? Plast
Reconstr Surg. 2012
Jan;129(1):126e-134e.
Chiavaras MM, Bains S,
Choudur H, Parasu N,
Jacobson J, Ayeni O, Petrisor
B, Chakravertty R, Sprague S,
Bhandari M. The
radiographic union score for
hip (RUSH): The use of a
checklist to evaluate hip
fracture healing improves
agreement between
radiologists and orthopaedic
surgeons. Skeletal Radiol.
2013 Aug;42(8):1079-88.
Epub 2013 Apr 7.
42
Cole PA, Mehrle RK, Bhandari M,
Zlowodzki M. The Pilon Map:
Fracture Lines and Comminution
Zones in OTA/AO Type 43C3 Pilon
Fractures. J Orthop Trauma. 2013
Jul;27(7):e152-6. Epub 2013 Jan
28.
Cowan RW, Ghert M, Singh G. T
cells stimulate catabolic gene
expression by the stromal cells
from giant cell tumour of bone.
Biochem Biophys Res Commun.
Mar 23;419(4):719-23.
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Cowan RW, Singh G, Ghert
M. PTHrP increases RANKL
expression by stromal cells
from giant cell tumour of
bone. J Orthop Res. 2012
Jun;30(6):877-84.
Daniel J, Holland J, Quigley L,
Sprague S, Bhandari M.
Pseudotumors associated with
total hip arthroplasty. J Bone Joint
Surg Am. 2012 Jan 4;94(1):86-93.
de Beer J, Petruccelli D, Adili A,
Piccirillo L, Wismer D, Winemaker
M. Patient perspective survey of
total hip vs total knee arthroplasty
surgery. J Arthroplasty. 2012
Jun;27(6):865-869.e5.
de Moraes VY, Godin K, Dos Santos
JB, Faloppa F, Bhandari M, Belloti
JC. Influence of compensation
status on time off work after
carpal tunnel release and rotator
cuff surgery: a meta-analysis.
Patient Saf Surg. 2013 Jan 2;7(1):1.
PUBLICATIONS
Faculty and Resident
de Moraes VY, Godin K, Tamaoki
MJ, Faloppa F, Bhandari M, Belloti
JC. Workers' compensation status:
does it affect orthopaedic surgery
outcomes? A meta-analysis. PLoS
One. 2012;7(12):e50251.
Della Rocca GJ, Sprague S, Dosanjh
S, Schemitsch EH, Bhandari M.
Orthopaedic surgeons’ knowledge
and misconceptions in the
identification of intimate partner
violence against women. Clin
Orthop Relat Res. 2013
Apr;471(4):1074-80.
Dijkman BG, Busse JW, Walter SD,
Bhandari M, Trust TI. The impact
of clinical data on the evaluation of
tibial fracture healing. Trials. 2011
Nov 3;12(1):237.
Doornberg JN, Buijze GA, Ham SJ,
Ring D, Bhandari M, Poolman RW.
Nonoperative treatment for acute
scaphoid fractures: a systematic
review and meta-analysis of
randomized controlled trials. J
Trauma. 2011 Oct;71(4):1073-81.
Dowrick AS, Bhandari M. Ethical
issues in the design of randomized
trials: to sham or not to sham. J
Bone Joint Surg Am. 2012 Jul 18;94
Suppl 1:7-10.
Dowrick AS, Tornetta P III,
Obremskey WT, Dirschl DR,
Bhandari M. Practical research
methods for orthopaedic surgeons.
J Bone Joint Surgery Am. 2012 Feb
15;94(4):368-74.
43
Duckworth AD, Watson BS, Will
EM, Petrisor BA, Walmsley PJ,
Court-Brown CM, McQueen MM.
Radial head and neck fractures:
Functional Results and predictors
of outcome. J Trauma. 2011 Sept;
71(3):643-8.
Evaniew N, Holt G, Kreuger S,
Farrokhyar F, Petrisor B, Dore K,
Bhandari M, Ghert M. The
orthopaedic in-training
examination: perspectives of
program directors and residents
from the United States and
Canada. J Surg Educ. 2013 JulAug;70(4):528-36.
Evaniew N, Tan V, Parasu N,
Jurriaans E, Finlay K, Deheshi B,
Ghert M. Use of a calcium
sulfate-calcium phosphate
synthetic bone graft composite in
the surgical management of
primary bone tumors.
Orthopedics. 2013
Feb;36(2):e216-22.
El-Rabbany M, Rosenwasser M,
Bhandari M. Managing the
burden of osteoporosis: is there a
standard of care? J Orthop
Trauma. 2011 Jun;25 Suppl
1:S44-6.
Ferguson PC, Zdero R, Schemitsch
EH, Deheshi BM, Bell RS, Wunder
JS. A biomechanical evaluation of
press-fit stem constructs for
tumor endoprosthetic
reconstruction of the distal
femur. J Arthroplasty. 2011
Dec;26(8):1373-9.
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Fallah A, Guyatt GH, Snead OC 3rd,
Ebrahim S, Ibrahim GM, Mansouri
A, Reddy D, Walter SD, Kulkarni AV,
Bhandari M, Banfield L, Bhatnagar
N, Liang S, Teutonico F, Liao J,
Rutka JT. Predictors of seizure
outcomes in children with
tuberous sclerosis complex and
intractable epilepsy undergoing
resective epilepsy surgery: an
individual participant data metaanalysis. PLoS One. Feb
2013;8(2):e53565.
Farrokhyar F, Reddy D, Poolman
RW, Bhandari M. Why perform a
priori sample size calculation? Can
J Surg. 2013 Jun;56(3):207-13.
Fong K, Truong V, Foote CJ, Petrisor
B, Williams D, Ristevski B, Sprague
S, Bhandari M. Predictors of
nonunion and reoperation in
patients with fractures of the tibia:
an observational study. BMC
Musculoskelet Disord. 2013 Mar
22;14(1):103.
Foote CJ, Maizlin ZV, Shrouder J,
Grant MM, Bedi A, Ayeni OR. The
association between avulsion of
the reflected head of the rectus
femoris and labral tears: A
retrospective study. J Pediatr
Orthop. 2013 Apr;33(3):227-31.
Foote CJ, Sprague S, Schemitsch
EH, Bhandari M. Future
perspectives: the need for large
clinical trials. J Orthop Trauma.
2011 Jun;25 Suppl 1:S95-8.
PUBLICATIONS
Faculty and Resident
Gandhi R, Jan M, Smith HN,
Mahomed NN, Bhandari M.
Comparison of published
orthopaedic trauma trials
following registration in
Clinicaltrials.gov. BMC
Musculoskelet Disord. 2011 Dec
7;12:278.
FLOW Investigators,
Petrisor P, Sun X, Bhandari
M, Guyatt G, Jeray KJ,
Sprague S, Tanner S,
Schemitsch E, Sancheti P,
Anglen J, Tornetta P, Bosse
M, Liew S, Walter S. Fluid
lavage of open wounds
(FLOW): A multicenter,
blinded, factorial pilot trial
comparing alternative
irrigating solutions and
pressures in patients with
open fractures. J Trauma.
2011 Sep;71(3):596-606.
Ghandhi R, Smith H, Mahomed
NN, Rizek R, Bhandari M.
Incorrect use of the student t test
in randomized trials of bilateral
hip and knee replacement
patients. J Arthroplasty. 2011
Aug;26(5):811-6.
Ghert M, Petrisor B. Subgroup
analyses: when should we believe
them? J Bone Joint Surg Am. 2012
Jul 18;94 Suppl 1:61-4.
44
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Godin K, Dhillon M, Bhandari M.
The three-minute appraisal of a
randomized trial. Indian J Orthop.
2011 Jun;45:194-6.
Harish S, Kuruvilla M, Alowami S,
DeNardi F, Ghert M. Intra-articular
nodular fasciitis of the shoulder: A
case report and review of the
literature. Skeletal Radiol. 2011
Oct;40(10):1383-6.
Hasan K, Racano A, Deheshi B,
Farrokhyar F, Wunder J, Ferguson P,
Holt G, Schwartz H, Petrisor B,
Bhandari M, Ghert M. Prophylactic
antibiotic regimens in tumor
surgery (PARITY) survey. BMC
Musculoskelet Disord. 2012 Jun
7;13:91.
Ghert M, Deheshi B, Holt
G, Randall RL, Ferguson P,
Wunder J, Turcotte R,
Werier J, Clarkson P,
Damron T, Benevenia J,
Anderson M, Gebhardt M,
Isler M, Mottard S, Healey
J, Evaniew N, Racano A,
Sprague S, Swinton M,
Bryant D, Thabane L,
Guyatt G, Bhandari M;
PARITY Investigators.
Prophylactic antibiotic
regimens in tumour
surgery (PARITY): protocol
for a multicentre
randomised controlled
study. BMJ Open. 2012
Nov 28;2(6).
Heineman DJ, Bhandari M,
Poolman RW. Plate fixation or
intramedullary fixation of humeral
shaft fractures--an update. Acta
Orthop. 2012 Jun;83(3):317-8.
Epub 2012 May 29.
Hetaimish BM, Khan M, Crouch S,
Simunovic N, Bedi A, Mohtadi N,
Bhandari M, Ayeni OR.
Consistency of reported outcomes
after arthroscopic management of
femoroacetabular impingement.
Arthroscopy. 2013 Apr;29(4):780-7.
Epub 2013 Feb 5.
Hetaimish BM, Khan MM,
Simunovic N, Al-Harbi HH,
Bhandari M, Zalzal PK. Metaanalysis of navigation vs
conventional total knee
arthroplasty. J Arthroplasty. 2012
Jun;27(6):1177-82.
PUBLICATIONS
Faculty and Resident
Hickey M, Farrokhyar F, Deheshi B,
Turcotte R, Ghert M. A systematic
review and meta-analysis of
intralesional versus wide resection
for intramedullary grade I
chondrosarcoma of the
extremities. Ann Surg Oncol. 2011
Jun;18(6):1705-9.
Khan M, Adamich J, Simunovic N,
Philippon MJ, Bhandari M, Ayeni
OR. Surgical management of
internal snapping hip syndrome: a
systematic review evaluating open
and arthroscopic approaches.
Arthroscopy. 2013 May;29(5):9428 Epub. 2013 Mar 16.
Kowalczuk M, Bhandari M,
Farrokhyar F, Wong I, Chahal M,
Neely S, Gandhi R, Ayeni OR.
Complications following hip
arthroscopy: a systematic review
and meta-analysis. Knee Surg
Sports Traumatol Arthrosc. 2013
Jul;21(7):1669-75. Epub 2012
Sep 2.
Hoang-Kim A, Beaton D, Bhandari
M, Kulkarni AV, Schemitsch E. The
need to standardize functional
outcome in randomized trials of
hip fracture: a review using the ICF
framework. J Orthop Trauma. 2013
Jan;27(1):e1-8.
Hoang-Kim A, Schemitsch E,
Bhandari M, Kulkarni AV, Beaton D.
Outcome assessment in hip
fracture: evaluation of the
practicality of commonly-used
outcomes in hip fracture studies.
Arch Orthop Trauma Surg. 2011
Dec;131(12):1687-95.
Khan MM, Khan MW, AlHarbi HH, Weening BS, Zalzal
PK. Assessing short-term
functional outcomes and
knew alignment of
computer-assisted navigated
total knee arthroplasty. J
Arthroplasty. 2012
Hussain N, Bookwala A, Sancheti P,
Bhandari M. The 3-min appraisal of
a meta-analysis. Indian J Orthop.
2011 Jul;45(4):291-3.
Jones KB, Griffin AM, Chandrasekar
CR, Biau D, Babinet A, Deheshi B,
Bell RS, Grimer RJ, Wunder JS,
Ferguson PC. Patient-oriented
functional results of total femoral
endoprosthetic reconstruction
following oncologic resection. J
Surg Oncol. 2011 Nov
1;104(6):561-5.
45
Klein G, Hussain N, Sprague S,
Mehlman CT, Dogbey G, Bhandari
M. Characteristics of highly
successful orthopedic surgeons: a
survey of orthopedic chairs and
editors. Can J Surg. 2013
Jun;56(3):192-8.
Khan H, Hussain N, Bhandari M.
The Influence of Large Clinical
Trials in Orthopaedic Trauma: Do
They Change Practice? J Orthop
Trauma. Epub 2013 Apr 19. [Epub
ahead of print]
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Li CS, Karlsson J, Winemaker M,
Sancheti P, Bhandari M.
Orthopedic surgeons feel that
there is a treatment gap in
management of early OA:
international survey. Knee Surg
Sports Traumatol Arthrosc. 2013
Jun 18. [Epub ahead of print]
Li CS, Seeger T, Auhuber TC,
Bhandari M. Cost-effectiveness
and economic impact of the
KineSpring(®) Knee Implant System
in the treatment for knee
osteoarthritis. Knee Surg Sports
Traumatol Arthrosc. 2013 Feb 10.
[Epub ahead of print]
Linda DD, Harish S, Alowami S,
DeNardi F, Deheshi BM. Radiologypathology conference: cutaneous
angiosarcoma of the leg. Clin
Imaging. 2013 May-Jun;
37(3):602-7.
PUBLICATIONS
Faculty and Resident
Lindenhovius A, Karanicolas PJ,
Bhandari M, Ring D; COAST
Collaborative. Radiographic
arthrosis after elbow trauma:
interobserver reliability. J Hand
Surg Am. 2012 Apr;37(4):755-9.
Epub 2012 Mar 6.
Mak IW, Turcotte RE, Ghert M.
Parathyroid hormone-related
protein (PTHrP) modulates
adhesion, migration and invasion
in bone tumour cells. Bone. 2013
Jul;55(1):198-207. Epub 2013
Mar 2.
Mastracci TM, Bhandari M,
Mundi R, Rizoli SB, Nascimento
BA, Schreiber M; Evidence-Based
Reviews in Surgery Group.
Operative blood loss, blood
transfusion and 30-day mortality
in older patients after major
noncardiac surgery. Can J Surg.
2012 Dec;55(6):426-8.
Namdari S, Rabinovich R, Scolaro
J, Baldwin K, Bhandari M, Mehta
S. Absorbable and nonabsorbable cement augmentation
in fixation of intertrochanteric
femur fractures: systematic
review of the literature. Arch
Orthop Trauma Surg. 2013
Apr;133(4):487-94.
Nauth A, Miclau T 3rd, Bhandari
M, Schemitsch EH. Use of
osteobiologics in the
management of osteoporotic
fractures. J Orthop Trauma. 2011
Jun;25 Suppl 1:S51-5.
Okike K, Kocher MS, Nwachukwu
BU, Mehlman CT, Heckman JD,
Bhandari M. The fate of
manuscripts rejected by The
Journal of Bone and Joint Surgery
(American Volume). J Bone Joint
Surg Am. 2012 Sep 5;94(17):e130.
Missiuna PC, Gandhi HS,
Farrokhyar F, Harnett BE, Dore
EM, Roberts B. Anatomically safe
and minimally invasive trascrestal
technique for procurement of
autogenous cancellous bone graft
from the mid-iliac crest. Can J
Surg. 2011 Oct;54(5):327-32.
Okike K, Liu B, Lin YB, Torpey JL,
Kocher MS, Mehlman CT,
Bhandari M, Biermann JS. The
orthopedic gender gap: trends in
authorship and editorial board
representation over the past 4
decades. Am J Orthop (Belle
Mead NJ). 2012 Jul;41(7):304-10.
Moreau LC, Turcotte R, Ferguson
P, Wunder J, Clarkson P, Masri B,
Isler M, Dion N, Werier J, Ghert
M, Deheshi B; the Canadian
Orthopaedic Oncology Society
(CANOOS). Myxoid/Round cell
lipsarcoma (MRCLS) Revisited: An
analysis of 418 primarily
managed cases. Ann Surg Oncol.
2012 Apr;19(4):1081-1088.
Paul JE, Nantha-Aree M, Buckley
N, Cheng J, Thabane L, Tidy A, de
Beer J, Winemaker M, Wismer D,
Punthakee D, Avram V.
Gabapentin does not improve
multimodal analgesia outcomes
for total knee arthroplasty: A
randomized controlled trial. Can J
Anaesth. 2013 May;60(5):423-31.
Epub 2013 Mar 12.
46
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
PRAISE Investigators,
Sprague S, Bhandari M, Della
Rocca GJ, Goslings JC,
Poolman RW, Madden K,
Simunovic N, Dosanjh S,
Schemitsch EH. Prevalence of
abuse and intimate partner
violence surgical evaluation
(PRAISE) in orthopaedic
fracture clinics: a
multinational prevalence
study. Lancet. 2013 Sep
7;382(9895):866-76.
Panesar SS, Carson-Stevens A,
Mann BS, Bhandari M, Madhok R.
Mortality as an indicator of patient
safety in orthopaedics: lessons
from qualitative analysis of a
database of medical errors. BMC
Musculoskelet Disord. 2012 Jun
8;13:93.
PUBLICATIONS
Faculty and Resident
Paul JE, Nantha-Aree M, Buckley N,
Cheng J, Thabane L, Tidy A, de
Beer J, Winemaker M, Wismer D,
Punthakee D, Avram V.
Gabapentin does not improve
multimodal analgesia outcomes for
total knee arthroplasty: A
randomized controlled trial. Can J
Anaesth. 2013 May;60(5):423-31.
Epub 2013 Mar 12.
Qutob M, Winemaker M,
Petruccelli D, de Beer J. Staged
bilateral total knee arthroplasty:
Does history dictate the future? J
Arthroplasty. 2013 Mar 15. [Epub
ahead of print]
Resendes S, Ramanan T, Park A,
Petrisor B, Bhandari M. Send it:
study of e-mail etiquette and
notions from doctors in training. J
Surg Educ. 2012 MayJun;69(3):393-403. Epub 2012
Feb 2.
Rubio-Avila J, Madden K,
Simunovic N, Bhandari M. Tip to
apex distance in femoral
intertrochanteric fractures: a
systematic review. J Orthop Sci.
Epub 2013 May 2. [Epub ahead of
print]
Petruccelli D, Rahman WA,
de Beer J, Winemaker M.
Clinical outcomes of
primary total joint
arthroplasty among
nonagenarian patients. J
Arthroplasty. 2012
Oct;27(9):1599-603.
Pritchard JM, Papaioannou A,
Tomowich C, Giangregorio LM,
Atkinson SA, Beattie KA, Adachi JD,
De Beer J, Winemaker M, Avram
V, Schwarcz HP. Bone
mineralization is elevated and less
heterogeneous in adults with type
2 diabetes and osteoarthritis
compared to controls with
osteoarthritis alone. Bone. 2013
May;54(1):76-82.
47
Samuelsson K, Desai N, McNair E,
van Eck CF, Petzold M, Fu FH,
Bhandari M, Karlsson J. Level of
evidence in anterior cruciate
ligament reconstruction research:
a systematic review. Am J Sports
Med. 2013 Apr;41(4):924-34.
Epub 2012 Oct 10.
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).
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Ristevski B, Hall JA, Pearce
D, Potter J, Farrugia M,
McKee MD. The
radiographic quantification
of scapular malalignment
after malunion of displaced
clavicular shaft fractures. J
Shoulder Elbow Surg. 2013
Feb;22(2):240-6.
Schemitsch EH, Bhandari M,
Guyatt G, Sanders DW,
Swiontkowski M, Tornetta P,
Walter SD, Zdero R, Goslings JC,
Teague D, Jeray K, McKee MD;
Study to Prospectively Evaluate
Reamed Intramedullary Nails in
Patients with Tibial Fractures
(SPRINT) Investigators. Prognostic
factors for predicting outcomes
after intramedullary nailing of the
tibia. J Bone Joint Surg Am. 2012
Oct 3;94(19):1786-93.
PUBLICATIONS
Faculty and Resident
Schulz AP, Jönsson A, Kasch R,
Jettoo P, Bhandari M. Sources of
information influencing decisionmaking in orthopaedic surgery an international online survey of
1147 orthopaedic surgeons. BMC
Musculoskelet Disord. 2013 Mar
14;14:96.
Sharma R, Farrokhyar F, McKnight
LL, Bhandari M, Poolman RW,
Adili A. Quality of assessment of
randomized controlled trials in
blood conservation after joint
arthroplasty. J Arthroplasty. 2011
Sep;26(6):909-13. Epub 2010 Nov
12.
Sharma R, Vannabouathong C,
Bains S, Marshall A, MacDonald
SJ, Parvizi J, Bhandari M. Metaanalyses in joint arthroplasty: a
review of quantity, quality, and
impact. J Bone Joint Surg Am.
2011 Dec 21;93(24):2304-9.
Sheffler LC, Yoo B, Bhandari M,
Ferguson T. Observational studies
in orthopaedic surgery: the
STROBE statement as a tool for
transparent reporting. J Bone
Joint Surg Am. 2013 Feb
6;95(3):e14(1-12).
Sheth U, Simunovic N, Klein G, Fu
F, Einhorn TA, Schemitsch E, Ayeni
OR, Bhandari M. Efficacy of
autologous platelet rich plasma
use for orthopaedic indications: a
meta-analysis. J Bone Joint Surg
Am. 2012 Feb 15;94(4):298-307.
48
Sheth U, Simunovic N, Tornetta
P 3rd, Einhorn TA, Bhandari M.
Poor citation of prior evidence
in hip fracture trials. J Bone Joint
Surg Am. 2011 Nov
16;93(22):2079-86.Review.
Shetty V, Shitole B, Shetty G,
Thakur H, Bhandari M. Optimal
bearing surfaces for total hip
replacement in the young
patient: a meta-analysis. Int
Orthop. 2011 Sep;35(9):1281-7.
Epub 2010 Aug 5.
Singh J, Kundukulum J, Bhandari
M. A systematic review of
validated methods for
identifying orthopedic implant
removal and revision using
administrative data.
Pharmacoepidemiology & Drug
Safety. 2012 Jan;21 (Suppl.
1):265-273.
Singh S, Mak IW, Cowan RW,
Turcotte R, Singh G, Ghert M.
The role of TWIST as a regulator
in giant cell tumor of bone. J
Cell Biochem. 2011
Sep;112(9):2287-95.
Smith HN, Bhandari M,
Mahomed NN, Jan M, Gandhi R.
Comparison of arthroplasty trial
publications after registration in
ClinicalTrials.gov. J Arthroplasty.
2012 Aug;27(7):1283-8.
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Slobogean G, Bhandari M.
Introducing levels of
evidence to the Journal of
Orthopaedic Trauma:
implementation and future
directions. J Orthop Trauma.
2012 Mar;26(3):127-8.
Sohani Z, Shannon H, Busse JW,
Tikacz D, Sancheti P, Shende M,
Bhandari M. Feasibility of
screening for intimate partner
violence at orthopedic trauma
hospitals in India. J Interpers
Violence. 2013 May;28(7):1455-75.
Epub 2012 Dec 21.
Sprague S, Kaloty R, Madden K,
Dosanjh S, Mathews DJ, Bhandari
M. Perceptions of intimate partner
violence: A cross sectional survey
of surgical residents and medical
students. J Inj Violence Res. 2013
Jan;5(1):1-10. Epub 2011 Sep 17.
PUBLICATIONS
Faculty and Resident
Sprague S, Madden K, Simunovic N,
Godin K, Pham NK, Bhandari M,
Goslings JC. Barriers to screening
for intimate partner violence.
Women Health. 2012;52(6):587605. doi:
10.1080/03630242.2012.690840.
Slobogean GP, Sprague S,
Bhandari M. The tactics of
large randomized trials. J Bone
Joint Surg Am. 2012 Jul 18;94
Suppl 1:19-23.
Sprague S, Madden K, Dosanjh S,
Godin K, Goslings JC, Schemitsch
EH, Bhandari M. Intimate partner
violence and musculoskeletal
injury: bridging the knowledge gap
in orthopaedic fracture clinics.
BMC Musculoskelet Disord. 2013
Jan 15;14(1):23.
Sprague S, Madden K, Dosanjh S,
Petrisor B, Schemtisch EH,
Bhandari M, Screening for intimate
partner violence in orthopedic
patients: A comparison of three
screening tools. J Interpers
Violence. 2012 Mar;27(5):881-98.
Epub 2011 Oct 10.
49
Sprague S, Pozdniakova P,
Kaempffer E, Saccone M,
Schemitsch EH, Bhandari M.
Principles and practice of clinical
research course for surgeons: an
evaluation of knowledge transfer
and perceptions. Can J Surg. 2012
Feb;55(1):46-52.
Sprague S, Swinton M, Madden K,
Swaleh R, Goslings JC, Petrisor B,
Bhandari M. Barriers to and
facilitators for screening women
forintimate partner violence in
surgical fracture clinics: A
qualitative descriptive approach.
BMC Musculoskelet Disord. 2013
Apr 5;14(1):122. IF=1.577; PMID:
23560744
SPRINT Investigators, Simunovic N,
Walter S, Devereaux PJ, Sprague S,
Guyatt GH, Schemitsch E, Tornetta
P 3rd, Sanders D, Swiontkowski M,
Bhandari M. Outcomes
assessment in the SPRINT
multicenter tibial fracture trial:
Adjudication committee size has
trivial effect on trial results. J Clin
Epidemiol. 2011 Sep;64(9):102333. Epub 2011 Mar 25.
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
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.
Investigators). Patient
Opinions of Screening for
Intimate Partner Violence in a
Fracture Clinic Setting:
P.O.S.I.T.I.V.E.: A Multicenter
Study. J Bone Joint Surg Am.
2013 Jul 3;95(13):e911-10.
Racano A, Pazionis T, Farrokhyar F,
Deheshi B, Ghert M. High
infection rate outcomes in longbone tumor surgery with
endoprosthetic reconstruction in
adults: a systematic review. Clin
Orthop Relat Res. 2013
Jun;471(6):2017-27.
PUBLICATIONS
Faculty and Resident
Thoma A, Cornacchi SD, Farrokhyar
F, Bhandari M, Goldsmith CH.
Users’ guide to the surgical
literature: how to assess a survey
in surgery. Can J Surg. 2011
Dec;54(6):394-402. Epub 2011 Oct
1;54(5):25910.
Tornetta P 3rd, Pascual M, Godin
K, Sprague S, Bhandari M.
Participating in multicenter
randomized controlled trials:
what's therelative value? J Bone
Joint Surg Am. 2012 Jul 18;94
Suppl 1:107-11.
Thompson SR, Zabtia N, Weening
B, Zalzal P. Arthroscopic and
computer-assisted high tibial
osteotomy using standard total
knee arthroplasty navigation
software. Arthrosc Tech. 2013 May
2;2(2):e161-6.
Turcotte R, Wunder J, Ferguson P,
Masri B, Clarkson P, Ghert M and
Deheshi B for CANOOS:
Myxoid\Round Cell Liposarcoma
(MRCLS) Revisited: An analysis of
421 Primarily Managed Cases.
Annal of Surgical Oncology Nov 4
2011. [Epub ahead of print]
SPRINT Investigators,
Bhandari M, Tornetta P 3rd,
Rampersad SA, Sprague S,
Heels-Ansdell D, Sanders
DW, Schemitsch EH,
Swiontkowski M, Walter S.
(Sample) size matters! An
examination of sample size
from the SPRINT trial study
to prospectively evaluate
reamed intramedullary nails
in patients with tibial
fractures. J Orthop Trauma.
2013 Apr;27(4):183-8.
50
SPRINT Investigators, Briel
M, Sprague S, HeelsAnsdell D, Guyatt G,
Bhandari M, Blackhouse G,
Sanders D, Schemitsch E,
Swiontkowski M, Tornetta
P 3rd, Walter SD, Goeree R.
Economic evaluation of
reamed versus unreamed
intramedullary nailing in
patients with closed and
open tibial fractures:
results from the study to
prospectively evaluate
reamed intramedullary
nails in patients with tibial
fractures (SPRINT). 2011
Sep;14(6):963.
Thompson SR, Zabtia N, Weening
B, Zalzal P. Arthroscopic and
computer-assisted high tibial
osteotomy using standard total
knee arthroplasty navigation
software. Arthrosc Tech. 2013
May 2;2(2):e161-6.
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
van Eck CF, Kopf S, Irrgang JJ,
Blankevoort L, Bhandari M, Fu FH,
Poolman RW. Single-bundle versus
double-bundle reconstruction for
anterior cruciate ligament
rupture: a meta-analysis--does
anatomy matter? Arthroscopy.
2012 Mar;28(3):405-24.
Van Oldenrijk J, Schafroth MU,
Rijk E, Runne WC, Verheyen CC,
van Egmond C, Bhandari M,
Poolman RW. Learning curve
analysis of the Colum Femoris
preserving total hip surgical
technique. Hip Int. 2013 Apr
24;2(23):154-61.
Vannabouathong C, Saccone M,
Sprague S, Schemitsch EH,
Bhandari M. Adjudicating
outcomes: fundamentals. J Bone
Joint Surg Am. 2012 Jul 18;94
Suppl 1:70-4.
PUBLICATIONS
Faculty and Resident
Vascular Events In Noncardiac
Surgery Patients Cohort Evaluation
(VISION) Study Investigators,
Devereaux PJ, Chan MT, AlonsoCoello P, Walsh M, Berwanger O,
Villar JC, Wang CY, Garutti RI, Jacka
MJ, Sigamani A, Srinathan S,
Biccard BM, Chow CK, Abraham V,
Tiboni M, Pettit S, Szczeklik W,
Lurati Buse G, Botto F, Guyatt G,
Heels-Ansdell D, Sessler DI,
Thorlund K, Garg AX, Mrkobrada
M, Thomas S, Rodseth RN, Pearse
RM, Thabane L, McQueen MJ,
VanHelder T, Bhandari M, Bosch J,
Kurz A, Polanczyk C, Malaga G,
Nagele P, Le Manach Y, Leuwer M,
Yusuf S. Association between
postoperative troponin levels and
30-day mortality among patients
undergoing noncardiac surgery.
JAMA. 2012 Jun 6;307(21):2295304. Erratum in: JAMA. 2012 Jun
27;307(24):2590.
Walter SD, Ismaila AS, Cook DJ,
Bhandari M, Tikkinen KA, Guyatt
GH. Clinical experience may affect
clinician compliance with assigned
treatment in randomized trials. J
Clin Epidemiol. 2013 Apr 6. [Epub
ahead of print]
Wei DH, Poolman RW, Bhandari M,
Wolfe VM, Rosenwasser MP.
External fixation versus internal
fixation for unstable distal radius
fractures: a systematic review and
meta-analysis of comparative
clinical trials. J Orthop Trauma.
2012 Jul;26(7):386-94. Epub 2011
Nov 21.
51
Wood T, Sameem M, Avram R,
Bhandari M, Petrisor B. A
systematic review of early versus
delayed wound closure in patients
with open fractures requiring flap
coverage. J Trauma Acute Care
Surg. 2012 Apr;72(4):1078-85.
Williams D, Petruccelli D,
Paul J, Piccirillo L,
Winemaker M, de Beer J.
Continuous infusion of
bupivacaine following total
knee arthroplasty: a
randomized control trial
pilot study. J Arthroplasty.
2013 Mar;28(3):479-84.
Winemaker M, Rahman WA,
Petruccelli D, de Beer J.
Preoperative knee stiffness and
total knee arthroplasty outcomes.
J Arthroplasty. 2012
Sep;27(8):1437-41.
Wood TJ, Quinn KM, Farrokhyar F,
Deheshi B, Corbett T, Ghert MA.
Local control of extra-abdominal
desmoid tumors: systematic
review and meta-analysis. Rare
Tumors. 2013 Feb 11;5(1).
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Wong IH, Denkers MR, Urquhart
NA, Farrokhyar F. Systematic
instruction of arthroscopic knot
tying with the ArK Trainer: an
objective evaluation tool. Knee
Surg Sports Traumatol Arthrosc.
2013 Jun 27. [Epub ahead of print]
Yarascavitch BA, Chuback
JE, Almenawer SA, Reddy K,
Bhandari M. Levels of
evidence in the
neurosurgical literature:
more tribulations than
trials. Neurosurgery. 2012
Dec;71(6):1131-7.
PUBLICATIONS
Faculty and Resident
Yeung M, Bhandari M. Uneven
global distribution of randomized
trials in hip fracture surgery. Acta
Orthop. 2012 Aug;83(4):328-33.
Epub 2012 Aug 10.
Zelle BA, Bhandari M, Sanchez AI,
Probst C, Pape HC. Loss of followup in orthopaedic trauma: is 80%
follow-up still acceptable? J Orthop
Trauma. 2013 Mar;27(3):177-81.
Zielinski SM, Keijsers NL, Praet SF,
Heetveld MJ, Bhandari M, Wilssens
JP, Patka P, Van Lieshout EM; FAITH
Trial Investigators. Femoral neck
shortening after internal fixation of
a femoral neck fracture.
Orthopedics. 2013 Jul
1;36(7):e849-58.
Zielinski SM, Viveiros H, Heetveld
MJ, Swiontkowski MF, Bhandari M,
Patka P, Van Lieshout EM; FAITH
trial investigators. Central
coordination as an alternative for
local coordination in a multicenter
randomized controlled trial: the
FAITH trial experience. Trials. 2012
Jan 8;13:5.
52
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
A global
apex of
top-tier
research
OUR AWARDS
Recognizing the Future
Faculty Awards
Dr. Anthony Adili
2012 Faculty Recognition Award
Dr. Victoria Avram
2012 Michael G. DeGroote School of
Medicine Orthopaedic Surgery
Teaching Award
Dr. Jaydeep Moro
2013 Michael G. DeGroote School of
Medicine Orthopaedic Surgery
Preceptor Award
2012 Michael G. DeGroote School of
Medicine Orthopaedic Surgery
Teaching Award
Dr. Dale Williams
2012 Dr. Nigel Colterjohn
Resident Teaching Award
Dr. Mohit Bhandari
2013 Canadian Orthopaedic
Foundation Research Award
Dr. Mitchell Winemaker
2011 Dr. Nigel Colterjohn
Resident Teaching Award
2012 Canadian Orthopaedic
Association's Award of Merit
Dr. Michelle Ghert
2013 ABC Travelling Fellowship
(American-British-Canadian)
Dr. Desmond Kwok
2013 Medical Staff Association
President's Award for
Distinguished Long Service
Dr. Justin de Beer
2011 Faculty Recognition Award
Dr. Devin Peterson
2013 Faculty Recognition
Award
53
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
2012 American Society for
Aesthetic Plastic Surgery, American
Society of Plastic Surgeons and
American Academy of Facial Plastic
and Reconstructive Surgery Award
of Outstanding Merit
2011 Canadian Institutes of Health
Research Top Achievements in
Health Research
2011 Royal College of Physicians
and Surgeons of Canada Mentor of
the Year
Dr. Bill Ristevski
2013 Dr. Nigel Colterjohn Resident
Teaching Award
OUR AWARDS
Recognizing the Future
Resident Awards
Dr. Osama Al-Shaya
2013 Medical Staff Association
Clinical Fellow of the Year Award
Dr. Kevin Chan
2013 American Society for Surgery
of the Hand (ASSH)/American
Foundation for Surgery of the Hand
(AFSH) Annual Meeting Scholarship
Dr. Nathan Evaniew
2012 Medical Staff Association
Outstanding Resident Award
Dr. Moin Khan
2012 Margaret and Charles
Juravinski Surgical Fellowship Award
Dr. Colm McCarthy
2013 Canadian Undergraduate
Surgical Education Committee
Sponsorship
Dr. Clary Foote
2013 American Orthopaedic Foot
and Ankle Society (AOFAS) Resident
Scholar
Dr. Rubini Pathy
2012 International Surgery
Desk Scholarship
2012 McMaster University Faculty of
Health Sciences Excellence in Poster
Presentation Award
Dr. Thomas Wood
2012 Department of Surgery
Resident Research Day AK
Mighton Award for Best
Presentation by a Junior
Resident
2012 Department of Surgery
Resident Research Day Best Resident
Research Project
2012 McMaster University Faculty of
Health Sciences Best Oral
Presentation Award
Leading evidence-based orthopaedics
54
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013
Contact the Division
Division 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: fhs.mcmaster.ca/macortho
55
FACES OF CHANGE | Division of Orthopaedic Surgery
Progress Report 2011-2013