Department of Surgery 1 Section of Orthopaedics Yearbook 2010

Department of Surgery
Section of Orthopaedics
Yearbook 2010
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A Message from the Section Head
Upper Extremity and Sports Medicine
HSC Winnipeg Spine Program
HSC Orthopaedic Trauma Program
HSC Pediatric Orthopaedic Program
HSC Diabetic Foot Program
Concordia Hip and Knee Institute
Fellows
Orthopaedic Resident Research Day
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Section head
A message from the
2010 was a busy year in the Orthopaedic Section. We recruited three orthopaedic
staff surgeons to complement our Section. Dr. Allan Hammond joined us in trauma,
foot and ankle and complex knee ligament surgery after fellowships in the United
States with Dr. Ned Amendola in Iowa and Dr. Jim Stannard in Missouri. Al also
spent some time doing locums in Canada and travelled to Australia. Al is well known
to our Program from his residency here and we expect him to make tremendous
contributions particularly to the foot and ankle and complex knee ligament area.
Dr. Tod Clark joined us from the world renowned Mayo Clinic Hand Program where he did a Hand/Wrist Fellowship.
Tod is also very well known from his residency time here. Tod will be working closely with Dr. Jennifer Giuffre
to specialize in hand and wrist surgery. He is also probably going to develop an interest in elbow surgery. Tod’s
expertise will be a very welcome need to the Section and his teaching skills will aid in the Residency Program.
Dr. Virginie Pollet joins us from Belgium. Virginie was actually living in France when she was recruited. She joins
us in the area of Pediatric Orthopaedics where she was doing training in France at the Robert Debré Children’s
Hospital in Paris. Prior to that she did clinical fellowship training in Pediatric Orthopaedic Surgery at the Wilhelmina
Children’s Hospital in Utrecht. She also spent time doing General Orthopaedic Surgery at the Twenteborg
Hospital in the Netherlands. We are extremely fortunate to recruit Virginie to the Section and her skills in the
area of Pediatric Orthopaedics especially lower extremity and some pediatric orthopaedic sports medicine will be
well received.
We also welcome Melanda Guenther to the position of Manager of Physician Services for the Section of
Orthopaedics replacing Shaun Beach who went off to the Faculty of Medicine Simulation Program. Melanda joins
us with a history of skills in human resource management and as our Section grows she will be challenged to
manage the many staff that fall under the Section at both Pan Am and Health Sciences Centre. We welcome her
skills to the Section.
We had another successful Orthopaedic Academic Day in September this year with Visiting Professor Dr. Doug
Hedden who is now Chief of Surgery at the University of Alberta in Edmonton joining us as a Visiting Professor
and adjudicator. Congratulations to Jesse Shantz and Mohammad Zarrabian for distinguishing themselves with
their research.
The Residency Program continues to thrive under the direction of Dr. Jack McPherson and the helpful
administrative skills of Donna Shepard. We thank Jack and Donna for their efforts.
Throughout the Section research continues to grow and our Orthopaedic Research Council now demonstrates a
very healthy long list of personnel doing research within the Section.
We look forward to 2011 for continued growth and prosperity in the Section of Orthopaedics.
We thank you all for your efforts in this regard.
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Peter B. MacDonald, MD, FRCSC
Gibson Professor and Head Section of Orthopaedics
University of Manitoba
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pan am upper extremity &
Sports medicine
Dr. Peter MacDonald
Dr. Peter MacDonald is the Medical Director, Department of Surgery at the Pan
Am Clinic in Winnipeg. He is also the Head, Section of Orthopaedic Surgery for the
University of Manitoba and the Regional Leader, Section of Orthopaedic Surgery for
the Winnipeg Regional Health Authority. In addition, Dr. MacDonald is the Gibson
Chair of Orthopaedic Surgery and Chief Research and Innovation Officer of the
Pan Am Clinic.
Dr. MacDonald completed his undergraduate degrees in Science and Medicine and his Orthopaedic Residency at
the University of Manitoba. He then went on to complete his Sports Orthopaedic fellowship under the guidance of
Drs. Richard Hawkins, Peter Fowler, and Anthony Miniaci at the University of Western Ontario. Dr. MacDonald has
established himself as a prominent research in Orthopaedic Sports Medicine and in his accomplished career he
has been awarded 52 research grants, published 47 articles in peer reviewed journals, completed 94 research
abstracts, and has given 263 presentations at national and international meetings and symposia. He has also
completed eight chapters, four educational videos and three review articles. He is a full professor at the University
of Manitoba and is also a member of 12 orthopaedic and sports medicine associations, many of which he has
served as a director, a committee member, and/or a faculty member. His most recent membership was by invitation
to the prestigious Herodicus Society in 2010. Dr. MacDonald has been awarded with 13 research honours
including the Robert B. Salter Award, an esteemed research award from the Canadian Orthopaedic Foundation. He
was also chosen as the recipient of the 2010 Ignatian Challenge Award by his Alma Mater, St. Paul’s High School
in Winnipeg. Dr. MacDonald also has a strong conviction in the role of mentorship in surgical training and has
provided innumerable opportunities for the development of residents and international fellows in their surgical skills
as well as their research interests.
Bio prepared by Sheila McRae, Research Assistant at Pan Am Clinic Orthopaedic.
Dr. Peter MacDonald and Dr. James Vernon
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Arthroscopic Skills Day 2010
The Arthroscopic Skills Day was held on April 23rd and April 24th, 2010. This is
traditionally a one-day event for the residents and a one-day for community surgeons.
This year we were fortunate in having three outstanding visiting professors in Dr. John Xerogeanes from Emory
University in Atlanta, Dr. Gregory Fanelli from Danville, Pennsylvania and Dr. Daniel Whelan from Toronto, Ontario.
All three have distinguished themselves as experts in the knee ligament reconstruction field.
This day has become extremely popular with the residents not only for its academic aspects and ability to have
hands-on interaction with the visiting surgeons, but also the social aspects of the event that follows afterwards.
In 2011 we will be continuing this tradition with Dr. Xerogeanes returning for a shoulder skills day along with
Dr. Ian Lo from Calgary and Dr. John Randle from Newmarket, Ontario.
Left to right: Dr. Mohammad Zarrabian, Dr. Bahram Groohi, Dr. Abdul Elyousfi, Dr. Fanelli
and Dr. James Vernon
Left to right: Dr. John Xerogeanes, Dr. Mohamed Elkurbo, Dr. Taranjit Tung,
Brad Gerbrandt and Dr. Christopher Kim
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Dr. Jamie Dubberley, Undergraduate Education Director
Dr. Jamie Dubberley is an Orthopaedic Surgeon at the
Pan Am Clinic in Winnipeg, specializing in upper extremity
surgery. He is also an Assistant Professor in the Section
of Orthopaedics at the University of Manitoba and is
the Director of the Undergraduate Medical Students
in Orthopaedics.
Dr. Dubberley completed an undergraduate degree in Physical Education at
Acadia University and then completed his undergraduate medical degree and
Orthopaedic Surgery Residency at the University of Manitoba. He then went
on to complete a fellowship in Upper Extremity Orthopaedics at the Hand
and Upper Limb Centre in London, Ontario. His research interests include the
comparison of different surgical approaches to a variety of conditions, e.g.,
lateral epicondylitis, distal biceps tendon rupture, distal humerus fractures,
as well as surgical resident education. Dr. Dubberley has been a program
chair of the Manitoba Orthopaedic Symposium since 2006. He is a member
of the Canadian Orthopaedic Association and the American Academy of
Orthopaedic Surgeons and been involved in over 60 educational or research
meetings and programs and given 24 presentations at the national and
international level.
Educator of the Year Award
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Undergraduate Education Report
This has been a very busy year for Undergraduate Medical Education in the Section of
Orthopaedic Surgery. We have seen all of the fresh young faces of the Clinical Clerks
as they rotate on their clerkship rotations and have hosted 14 elective students from
various medical schools both in Canada and abroad.
The Section continues to teach within the clinical clerkship program with an Introduction to Clerkship Seminar,
Comprehensive Patient Assessment, Clinical Skills, and the Clerkship Seminar Series.
Clerkship electives requests have improved over the past year; however, more work is required to attract medical
students from other Canadian medical schools to our program.
The Section will once again be participating in the Med II Block V Musculoskeletal Course which will take place
from December to March. These consist of Seminars, Tutorials and Clinical Skills Sessions. The Section would like
to send a special thank you to all of the senior residents and Fellows for their assistance in teaching this course.
The Section continues to participate in the training of the new Physician Assistant Trainees. All PAEP Trainees
complete two-week rotations through Sports Medicine and Adult Orthopaedics. Trainees from the Military
Physician Assistant Program continue to complete rotations in Orthopaedic Surgery and we have had a few nurse
practitioners spend time as observers with our program.
The Section also continues to participate in the Early Exposure Program and the Mentorship Program to allow
those students in their early stages of training the opportunity to spend time learning about the practice of
orthopaedic surgery.
Thank you to all faculty, residents, and fellows who participated in teaching in the Undergraduate Education
sessions with the Section of Orthopaedic Surgery. Your ongoing cooperation and assistance is very
much appreciated.
Dr. Jamie Dubberley,
Director of Undergraduate Education
Dr. Laurie Barron
Dr. Barron practices at the Health Sciences Centre, Pan
Am Clinic, and Concordia Hospital where he specializes in
orthopaedic trauma and lower extremity joint replacement
surgery. He has both Bachelor of Science and Doctor of
Medicine degrees from the University of Saskatchewan. His orthopaedic residency was also completed in Saskatoon. Following three
years of community orthopaedic practice in Regina, he pursued two years
of trauma and arthroplasty fellowship training in Halifax prior to his arriving
in Winnipeg. In 2009 he was given the “Educator of the Year” award for the
section of Orthopaedics, and he received an “Honourable Mention” in 2008
and 2010.
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Dr. Jason Old
Dr. Jason Old has been in practice since 2009 at the
Pan Am Clinic and Concordia Hospital as a member of the
Sports and Upper Extremity group.
He completed his undergraduate medical degree and Orthopaedic Surgery
Residency at the University of Manitoba Medical School. He completed
fellowship training in shoulder and elbow surgery at North Shore Hospital in
Auckland, New Zealand and at the Melbourne Shoulder and Elbow Centre in
Australia. He also completed a shoulder surgery fellowship in Nice, France
under Professor Pascal Boileau. He is also enrolled in a postgraduate
program in medical education at the University of Dundee, Scotland. He
has an interest in clinical shoulder and elbow research as well as medical
education research.
Dr. Greg Stranges
Dr. Stranges works primarily out of Pan Am Clinic and
specializes in Sports Medicine, Arthroscopy, Knee and
Shoulder surgery. After an undergraduate degree in
Science, he completed his MD degree and Orthopaedic
Surgical Residency at the University of Manitoba in
June of 2007.
Dr. Stranges was then accepted for a one-year fellowship at the University
of Toronto in association with Sunnybrook Hospital and their Knee and
Shoulder Surgery program then completed a second year long fellowship
at the Steadman Hawkins Clinic of the Carolinas for a fellowship in Sports
Medicine and Arthroscopic Surgery. Dr. Stranges returned to the University of
Manitoba to begin an academic orthopaedic surgery practice in August 2009.
He currently teaches at the undergraduate, graduate and residency levels of
the University of Manitoba Surgery Program. Dr. Stranges current research
is querying the benefit of sutures over staples in a randomized controlled
trial. He is currently a member of the Canadian Orthopaedic Association,
the American Academy of Orthopaedic Surgery, the American Orthopaedic
Society of Sports Medicine, the Arthroscopy Association of North America and
a Fellow of the Royal College of Physicians and Surgeons.
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Dr. Tod Clark
Dr. Clark works at the Pan Am Clinic in Winnipeg
where he specializes in hand, wrist and microvascular
surgery, as well as peripheral nerve and brachial plexus
reconstruction surgery. He has an undergraduate
degree in Science and a Master’s degree of Science in
Physiology specializing in stroke and vascular disease
from the University of Manitoba.
Dr. Clark graduated from medicine at the University of Manitoba in 2004. He
then completed his surgical residency at the University of Manitoba in 2009
and is a fellow of the Royal College of Physicians and Surgeons of Canada.
After his residency, Dr. Clark went on to do a clinical fellowship in Hand, Wrist
and Microvascular Surgery at the Mayo Clinic in Rochester MN. Dr. Clark
began his orthopaedic surgical practice in Winnipeg in August 2010 and
is working with Dr. Jennifer Giuffre in developing a brachial plexus and
peripheral nerve reconstruction clinic. He has helped develop Hand Service
Rounds at the Pan Am Clinic which run Monday mornings from 7–8 a.m.
and feature didactic lectures and informal case presentations. Dr. Clark has
published various articles during his academic career. Please refer to the
back of this publication for references as well as references for those articles
which have been accepted for future publication. Dr. Clark won the Frederick
Robert Tucker Memorial Award for Outstanding Orthopaedic Research for two
years consecutively (2007 and 2008). Ongoing research interests include
scaphoid non-union repair outcomes, pediatric carpal tunnel syndrome and
lateral epicondylitis. He is currently a member of the Canadian Orthopaedic
Association, the American Association of Orthopaedic Surgeons, and the
American Society for Surgery of the Hand.
Dr. Jeff Leiter
Dr. Leiter is the Research Chair and Executive Director
of the Pan Am Clinic Foundation. He is also an Assistant
Professor in the Faculty of Medicine, Department of
Surgery, Department of Human Anatomy and Cell
Science and Department of Medicine at the University
of Manitoba.
He has a Bachelor of Physical Education and Recreation Studies, a Master of
Science in Biomechanics and a Doctor of Philosophy in Human Anatomy and
Cell Science (Musculoskeletal Research), all from the University of Manitoba.
In his role as Orthopaedic Resident Research Director, Dr. Leiter fosters and
supervises research initiatives and educates residents on various topics from
ethics submissions to self audit and appraisal of practice.
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Pan Am Program
Research Publications
Dr. MacDonald
Peer reviewed journal publications
• Marsh JP, Leiter JRS, MacDonald P. Bilateral Femoral Neck Fractures Resulting from a Grand Mal Seizure in an
Elderly Man with Down Syndrome. Orthopaedic Reviews 2010; Volume 2:e10 pp31-32.
• Peeler J., Leiter J., MacDonald P. Accuracy and reliability of anterior cruciate ligament clinical examination in a
multidisciplinary sports medicine setting. Clin. J. Sport Med. 2010 20(2): 80-5.
• McRae S., Leiter J., Walmsley R., Rehsia S., MacDonald P. Relationship between self-reported shoulder function/
quality of life, body mass index, and other contributing factors in patients awaiting rotator cuff repair surgery.
JSES epub Oct 2010.
• Van Tongel A., MacDonald PB. Single Bundle Posterior Cruciate Ligament Reconstruction: Surgical Technique
and Results. Sports Medicine and Arthroscopy Review 2010.
• Fanelli GC, Stannard JP, Stuart MJ, MacDonald PB, Marx RG, Whelan DB, Boyd JL, Levy BA. Management of
Complex Knee Ligament Injuries. The Journal of Bone & Joint Surgery Volume 92-A Number 12 September 15,
2010 pp 2235-2246.
• Peskun CJ, Levy BA, Fanelli GC, Stannard JP, Stuart MJ, MacDonald PB, Marx RB, Boyd JL, Whelan DB.
Diagnosis and management of knee dislocations. Phys. Sportsmed 2010 Dec; 38(4):101-11.
Research grants
• The Relationship Between Injury to Surgery (I-S) Time and the Incidence of Secondary Joint Injury in an ACL
Injured Population. Manitoba Medical Services Foundation ($24,000) 2010.
• Evaluation of Cardiovascular Fitness and the Association with Neuromuscular Control in Participants who have
Undergone ACL Reconstruction. Alexander Gibson Chair Fund ($28,700) 2010–2011.
• The Effectiveness of Early Anterior Cruciate Ligament (ACL) Reconstruction of the Acutely Injured Knee.
Alexander Gibson Chair Fund ($11,300) 2010–2011.
• Clinical Validation, Implementation, Application and Continued Technical Development of EchoSoft Ultrasound
Image Analysis Technology for the Quantitative Assessment of Pathological Soft Tissue. Manitoba Science and
Technology International Collaboration Fund ($150,000) 2010.
• A Randomized Study of Non-Operative Management versus Expedited Surgery among WCB Patients with Small
Rotator Cuff Tears: Effect upon Time to Claim Closure in Two Prairie Centres; Workers Compensation Board of
Manitoba ($126,500), 2010 (With Sheps, D).
DR. DUBBERLEY
Research Endeavours
• Dr. Jamie Dubberley – Outcomes of distal humerus fracture fixation: A case series (in progress).
• Dr. Jamie Dubberley – Arthroscopic versus open lateral release for the treatment of lateral epicondylitis:
A prospective randomized controlled trial (recruitment ongoing).
• Repair of complete distal biceps tendon rupture through the use of a single anterior approach (study in progress).
• Dr. Jamie Dubberley – Evaluation of the use of computer-simulated surgical skills programs on the confidence
and skills level of orthopaedic surgery residents (in progress).
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DR. OLD
Research Endeavours
Present Ipsilateral vs. contralateral hamstring graft harvest in ACL reconstruction., Randomized-Controlled Trial
in Progress.
Publications
Journal Article – Research
2010 Jul Boileau P., Mercier N., Old J. Arthroscopic Bankart-Bristow-Latarjet (2B3) Procedure: How to Do it and
tricks To Make it Easier and Safe. Ortho Clin North Am 41(3): 381-92. Co-Principal author (CPA), Published 2010
Feb Boileau P., Old J., Gastaud O., Brassart N., Roussanne Y. All-arthroscopic Weaver-Dunn-Chuinard procedure
with double-button fixation for chronic acromioclavicular joint dislocation. Arthroscopy 26(2): 149-160. Collaborator
(C), Published.
Book Chapter/Review Article – Research
Old J., Boileau P. Disorders of the proximal biceps tendon. In Angelo RL, Esch JC, Ryu RK eds. AANA Advanced
Arthroscopy: The Shoulder, Philadelphia, Elsevier: 2010 167-176. Co-Principal author (CPA), Published.
Manuscript (in progress)
Dr. Jason Old – Modular vs. non-modular stems and dislocation risk after revision total hip arthroplasty.
Retrospective chart review completed. Manuscript currently being written. F.R. Tucker Award, 2004. Manuscript
Author/Presenter, Submitted, Presented at. Podium Presentation, Canadian Orthopaedic Residents’ Association
Meeting, Toronto, ON 2006. Poster Presentation, Canadian Orthopaedic Association Meeting, Toronto ON, 2006.
Presentations
National or International Meeting Presentation – Research
2010 Oct Boileau P., O’Shea K., Vargas P., Pinedo M., Old J., Zumstein M., Arthroscopic labral repair and posterior
capsulo-tenodesis for antero-inferior instability of the shoulder associated with large hill-sachs defects., Scottsdale,
Arizona, United States.
2010 Sep Boileau P., Rumian A., Vargas P., Old J., Zumstein M., Melis B., The medial east portal for arthroscopic
Bristow-Latarjet procedure., Edinburgh, Scotland, United Kingdom.
2010 Jun Old J., O’Shea K., Vargas P., Pinedo M., Zumstein M., Boileau P., Arthroscopic “Hill-Sachs remplissage”:
clinical and radiographic results., Edmonton, Alberta, Canada.
2010 Jun Old J., Tips and tricks: Arthroscopic Hill-Sachs remplissage for the treatment of anterior shoulder
instability., Edmonton, Alberta, Canada.
2010 May O’Shea K., Vargas P., Pinedo M., Old J., Zumstein M., Boileau P., Arthroscopic “Hill-Sachs remplissage”:
Does the capsulo-really heal? Nice, France.
2010 May Boileau P., Old J., Gastaud O., Brassart N., Roussanne Y., All- Arthroscopic Weaver-Dunn-Chuinard
procedure with double-button fixation for chronic acromioclavicular joint dislocation., Nice, France.
2010 May Old J., Boileau P., Mercier N., Thelu CE., Roussanne Y., Arthroscopic Bristow-Latarjet-Bankart: the 2B3
procedure:, Nice, France.
2010 May Kempf JF., Old J., Peligri C., Zumstein M., Arthroscopic knot-tying workshop, Nice, France.
2010 Mar Boileau P., Mercier N., Old J., Roussanne Y., The arthroscopic Bristow-Latarjet-Bankart procedure for the
treatment of recurrent anterior shoulder instability: is it reliable and safe? New Orleans, Louisiana, United States.
2010 Mar MacDonald PB., McCormack RG., McRae S., Leiter J., Old J., Prospective randomized trial of ipsilateral
vs. contralateral hamstring graft in ACL reconstruction., New Orleans, Louisiana, United States.
Presentation – Teaching
2009 Oct Old J., When a Bankart repair is not enough: novel procedures for the treatment of severe anterior
shoulder instability., Winnipeg, Manitoba, Canada.
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DR. STRANGES
research endeavours
Stranges, Greg – Sutures versus Staples for Wound Closure in Orthopaedic Surgery: A Randomized Controlled Trial.
Presentation
Sweitzer BA., Thigpen CA., Shanley E., Stranges GA., Wienke J., Storey T., Noonan TJ., Hawkins RJ., Wyland DJ.
“Professional Pitchers with a History of SLAP Repair have Less Glenoid Retroversion.” AOSSM Annual Meeting. Providence, RI; July 18, 2010.
Awards
Manitoba Medical Service Foundation Operating Grant Award 2010–2011.
DR. CLARK
Presentations
Clark, T. – A Follow-up of Surgical Treatment of Type III Acromioclavicular Separations. Manitoba-Saskatchewan
Combined Resident Research Day, 2005. Winnipeg, MB.
Clark, T. – Injuries to the Peroneal Nerve in Professional Hockey. Manitoba-Saskatchewan Combined Resident
Research Day, 2004. Saskatoon, SK.
Clark, T. – Prevention of Venous Thromboembolism in Orthopaedic Patients: Evidence-based Guidelines. University
of Manitoba Orthopaedic Grand Rounds, January 2005.
Clark, T. – NSAIDs and Bone Healing. University of Toronto Orthopaedic Grand Rounds, October 2007.
Publications
Skeete K., Clark TA., Hong Yuan Hsin, Moran S. Pediatric carpal tunnel syndrome. A 30-year analysis and treatment
algorithm. Submitted to J. Hand Surg (Am). Mar 2010.
Clark TA., Skeete K., Amadio PC. Flexor tendon pulley reconstruction. Submitted to J. Hand Surg (Am). Feb 2010.
Clark TA., Maddaford TG., Tappia P., Heyliger CE., Ganguly PG., Pierce GN. Restoration of cardiomyocyte function
in streptozotocin-induced diabetic rats after treatment with vanadate in a tea decoction. Submitted to Curr Pharm
Biotechnol. Jan 2010.
Marsh JP., Jellicoe P., Monson RC., Black B., Clark TA. Noise levels in Adult and Pediatric Cast Clinics. Submitted to
Am J. Ortho. May 2010.
Support Staff
Huguette Berard, Administrative Assistant
Lorraine Gravel, Administrative Assistant
Melody Ferrada, Surgical Office Assistant
Roberta Kanovsky-Anderson, Surgical Office Assistant
Nelia Presingular, Surgical Office Assistant
Susan Paskewitz, Surgical Office Assistant
Crystal Thongsakhom, Surgical Office Assistant
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Spine program
HSC winnipeg
Health Sciences Centre is home to the Winnipeg Spine Program, a multidisciplinary
team of Orthopaedic Surgeons including Dr. Michael Goytan and Dr. Mike Johnson and
a team of Neurosurgeons trained to treat complex disorders of the spine. Dr. Michael
Goytan is the head of this program, which is a national leader in the development and
utilization of minimally invasive surgical procedures.
The Winnipeg Spine Program includes a team of surgeons, nurses, physiotherapists and occupational therapists
specializing in the effective treatment of the spine. They treat degenerative, developmental, inflammatory, traumatic
and cancerous spinal disorders in adults and children.
The Winnipeg Spine Program was established in February 2003. It is the only program of its kind between Toronto
and Calgary. With the assistance of innovative technology – MRI, CT, and specialized operating room equipment,
Dr. Goytan and his team have the expertise in key areas such as anaesthesiology, physiotherapy, rheumatology,
neurosurgery, nursing, and neuromonitoring.
Dr. Michael Goytan
Dr. Michael Goytan joined the Department of Surgery,
Section of Orthopaedics, in 1998 as an Assistant
Professor.
Dr. Goytan graduated from the University of Manitoba medical school in 1989
after completing an undergraduate degree in Science and graduate degree
training in Biomechanics. He then completed a mixed surgical internship and
orthopaedic residency at Health Sciences Centre and St. Boniface Hospitals.
He later became certified by the Royal College of Physicians and Surgeons
in Orthopaedic Surgery in 1995. In 1996, Dr. Goytan left Winnipeg to pursue
further training in spine surgery. He spent the next two years completing
spine fellowships in Montreal (Program Director Dr. Max Aebi) and Vancouver
(Program Director Dr. Marcel Dvorak), where he gained further experience
in the development of instrumentation for the cervical, thoracic and lumbar
spine, and the treatment of spinal cord injury and spine tumour surgery.
Currently, Dr. Goytan is the Head of the Winnipeg Spine Program, Site
Director for the Section of Orthopaedics, as well as an Assistant Professor
in the sections of Orthopaedics and Neurosurgery/Winnipeg Spine Program
at the University of Manitoba. He is also Program Director of the Winnipeg
Spine Fellowship Program, which is devoted to post-graduate training of
orthopaedic, and neurosurgery fellows in spine surgery.
His practice is devoted to pediatric and adult spinal disorders related to
arthritis, tumours, trauma, and deformity. In addition to Health Sciences
Centre, St. Boniface Hospital, Children’s Hospital, he has clinical
appointments at CancerCare Manitoba, St. Amant, and the Rehabilitation
Center for Children.
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Winnipeg Spine Program
Health Sciences Centre is home to the Winnipeg Spine Program, a multidisciplinary team of Orthopaedic Surgeons
and Neurosurgeons trained to treat complex disorders of the spine. Dr. Michael Goytan is the head of this program,
which is a national leader in the development and utilization of minimally invasive surgical procedures.
Dr. Goytan and his team of surgeons, nurses, physiotherapists and occupational therapists specialize in the
effective treatment of the spine. They treat degenerative, developmental, inflammatory, traumatic and cancerous
spinal disorders in adults and children.
The Winnipeg Spine Program was established in February 2003. It is the only program of its kind between Toronto
and Calgary.
With the assistance of innovative technology – MRI, CT, and specialized operating room equipment, Dr. Goytan
and his team have the expertise in key areas such as anaesthesiology, physiotherapy, rheumatology, neurosurgery,
nursing, and neuromonitoring.
Professional Associations & Memberships
Canadian Medical Association, Member
Manitoba Medical Association, Member
Royal College of Physicians and Surgeons of Canada, Member
Canadian Orthopaedic Association, Member
Dr. Michael Johnson
Dr. Michael Johnson joined the Department of Surgery,
Section of Orthopaedics and Neurosurgery as an
Assistant Professor in 2001.
Dr. Johnson graduated from the University of Manitoba Medical School
[M.D., BSc (Med)] in 1994 after completing an undergraduate degree in Arts
(English). He was certified by the Royal College of Physicians and Surgeons
of Canada in Orthopaedic Surgery in 1999. Subsequently, he spent two years
completing combined orthopaedic and neurosurgical adult and pediatric
spine surgery fellowships in New York City (New York University Medical
Center/Hospital for Joint Diseases) and Vancouver (Vancouver Combined
Spine Program, Vancouver General Hospital). Clinical subspecialty areas of
interest include spine trauma, spinal deformity and spinal tumors.
Dr. Johnson’s research interests extend into both clinical and biomechanical
spine research. He is the Director of Spine Research at the University
of Manitoba, Winnipeg Spine Research Laboratory (WSRL) located in
the Rehabilitation Hospital. The WSRL is currently staffed with research
assistants, medical students, physiotherapy students, orthopaedic and
neurosurgical residents, and spine fellows. Ongoing projects include
development of novel outcome measures such as accelerometers, global
positioning systems and heart rate variability monitoring as clinical outcome
tools in spine surgery and in-vivo spinal biomechanics. Completed projects
have been presented at national and international spine meetings (Canadian
Spine Society, North American Spine Society) and have been published in
Spine and the Journal of Neurosurgery. Manuscripts have been published
in Journal of American Academy of Orthopaedic Surgeons and Orthopaedic
Knowledge Update Spine. Dr. Johnson’s research has received grant funding
from the Alexander Gibson Foundation, Health Sciences Center Foundation
and the Manitoba Medical Services Foundation.
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Spine Program Research Publications
Paper Accepted for Publication
September 2010 “Characterization of Physical Activity in Lumbar Spinal Stenosis.”
SPINE, M. Johnson, M. Goytan, D. Kriellaars.
Current Research Projects
“Adolescent Idiopathic Scoliosis Patients’ Activity Levels (as measured by triaxial accelerometer), Physical Literacy
and Participation, and Psychosocial Functioning.” M. Johnson, D. Kriellaars.
“Effect of a Physical Activity Intervention Walking Program on Quality of Life, Physical Activity Monitoring, and
Functional Status of Post-Surgical Lumbar Spinal Stenosis Patients.” M. Johnson, M. Goytan, N. Berrington,
D. Kriellaars.
“Prospective Spine Treatment Outcomes Study (ProSTOS).” M. Johnson, M. Goytan, N. Berrington.
“Rick Hansen Spinal Cord Injury Registry.” M. Johnson, M. Goytan, N. Berrington, D. Fewer, O. Williams. Dr. A.
Casey, Dr. K. Ethans.
“Early Activity Monitoring and Pain Assessment in Microendoscopic Discectomy Versus Conventional Open
Discectomy for the Treatment of Lumbar Herniated Disc.” M. Johnson, M. Goytan, D. Kriellaars.
“Quality of Life, Physical Activity Monitoring, and Functional Status Evaluation of Pre- and Post-Surgical Patients
Diagnosed with Lumbar Stenosis.” M. Johnson, D. Kriellaars.
“Effects of a Physical Activity Intervention Walking Program on Quality of Life, Physical Activity Monitoring, and
Functional Status of Post-Surgical Lumbar Spinal Stenosis Patients.” M. Johnson, M. Goytan, N. Berrington.
“Multicenter: Prospective Spine Treatment Outcomes Study (ProSTOS).” M. Johnson, M. Goytan, N. Berrington.
“Multicenter: Rick Hansen Spinal Cord Injury Registry.” M. Johnson, M. Goytan, N. Berrington.
“Early Activity Monitoring and Pain Assessment in Microendoscopic Discectomy Versus Conventional Open
Discectomy for the Treatment of Lumbar Herniated Disc.” M. Johnson, M. Goytan, N. Berrington, D. Kriellaars.
previous Research Projects
“Analysis of Brace Treatment of Thoracolumbar Junction Fractures.” M. Goytan, M. Johnson.
“Physical Activity and Body Composition of Surgeons and Surgical Residents.” M. Johnson, D. Kriellaars.
“Quality of Life, Physical Activity Monitoring and Functional Status Evaluation of Pre- and Post-Surgical Patients
Diagnosed with Cervical Spondylotic Myelopathy.” M. Johnson, D. Kriellaars.
“Quality of Life, Physical Activity Monitoring and Functional Status Evaluation of Pre- and Post-Surgical Patients
Diagnosed with Lumbar Spinal Stenosis.” M. Johnson, D. Kriellaars.
“The Effect of Operative Management on Adolescent Idiopathic Scoliosis Patients’ Activity Levels (as Measured by
Triaxial Accelerometer) and on Their Psychosocial Functioning.” M. Johnson, D. Kriellaars.
“Physical Activity, Psychologic Characterization and Body Composition of Surgeons in Comparison to Other Allied
Health Professionals and Nonsurgical Professionally Employed Controls.” M. Johnson, D. Kriellaars.
“The Effect of Orthotic Management on Adolescent Idiopathic Scoliosis Patients’ Activity Levels (as Measured by
Triaxial Accelerometer) and on Their Psychosocial Functioning.” M. Johnson, D. Kriellaars.
“An Evaluation of the Feasibility of an Exercise Program on Pre-Surgical Patients with Herniated Lumbar Disc.”
M. Johnson, D. Kriellaars.
15
Grants Received
November 2010 Canadian Paraplegic Association Grant, “Physical Activity, Shoulder Injury, and Wheelchair
calibration studies” M. Johnson, D. Kriellaars.
March 2010
Rick Hansen Foundation, “Rick Hansen Spinal Cord Injury Database” M. Johnson, M. Goytan,
N. Berrington.
February 2010
Alexander Gibson Fund Grant, “The Role of Obesity in Back Load and Lifting; Prevention and
Treatment of Low Back Injury” M. Johnson, M. Goytan, D. Kriellaars.
February 2010
Alexander Gibson Fund Grant, “Does Neurogenic Claudication Arise from Compressive Spine
Loading During Walking” M. Johnson, M. Goytan, D. Kriellaars.
December 2009 Department of Surgery, University of Manitoba, “Effect of Lifestyle Intervention Program on
Disability, Quality of Life and Physical Activity in Patients with Lumbar Spinal Stenosis after
Surgery” M. Johnson, M. Goytan, N. Berrington, D. Kriellaars.
Support Staff
Dean Kriellaars, PhD, Research Director
Kim Bertone, Clinical Research Coordinator
Rob Pryce, MSc.CAT(C), PhD, Rick Hansens Registry
Tanya Kozera, PT
Greg Hodges, PT
Rudy Neibuhr, PT
Ramon Angeles, CA, Clinical
Nasser Ghassemi, CA, Clinical
Tanis Bokouzis, LPN, Support Staff
Sherie Burton, Surgical Office Assistant
Dana McMillan, Surgical Office Assistant
Raina Clowater, Surgical Office Assistant
16
HSC ORTHopaedic
TRAUMA program
Dr. Brad Pilkey
Dr. Brad Pilkey works at the Health Sciences Centre in
Winnipeg. He specializes primarily in Adult Trauma and
Foot and Ankle Surgery. His undergraduate degree in
Medicine and postgraduate training is from the University
of Saskatchewan in Regina.
Dr. Pilkey completed a two-year fellowship training at the University of
Toronto. His subspecialty training includes trauma, foot and ankle surgery,
and lower extremity reconstruction. Dr. Pilkey’s research interests are
centered on clinical outcomes in trauma and foot/ankle surgery. A list of his
published work can be found at the back of this publication. He is a fellow
of the Royal College of Physicians and Surgeons and currently serves as the
Director of Orthopaedic Trauma at Health Sciences Centre. Dr. Pilkey also
has representative positions on the Winnipeg Orthopaedic Surgical Executive,
the HSC Quality Standards Committee, and the Postgraduate Education
Committee. He has won the postgraduate teaching award and is a member
of the Canadian Orthopaedic Association and the American Academy of
Orthopaedic Surgeons.
Dr. Ted Tufescu
Dr. Tufescu has an undergraduate Pharmacology Degree
from the University of Toronto, and a Medical Degree from
Queen’s University.
He completed his Orthopaedic training at the University of Saskatchewan
and obtained subspecialty fellowship training in Orthopaedic Trauma at
Sunnybrook Health Sciences Centre in Toronto, where he also began
his practice.
Dr. Tufescu currently practices at the Health Sciences Centre in Winnipeg,
where he focuses on complex Orthopaedic trauma and post-traumatic
problems. Dr. Tufescu is Assistant Professor at the University of Manitoba and
heads research for the Orthopaedic trauma group. Dr. Tufescu’s research
interests and publications have focused on improving and raising awareness
for femur fracture care, hip fracture care, and documenting injury patterns
and volumes in the province of Manitoba.
Teaching responsibilities include undergraduate and postgraduate students
at the University of Manitoba. Dr. Tufescu has been invited faculty at
numerous fracture care courses for nursing staff, residents and surgeons,
and he chairs a fracture care course in Winnipeg.
17
Dr. Chris Graham
Dr. Graham has an Orthopaedic surgical practice at
the Health Sciences Centre, is a member of the Health
Sciences Orthopaedic Trauma team and specializes in
fracture fixation. After completing undergraduate studies
at the University of Saskatchewan with a Bachelor of
Science, he returned to the University of Saskatchewan
for more general studies and was accepted to the College
of Medicine in September 1995, graduating in 1999.
Dr. Graham completed his Orthopaedic Surgery Residency at the University
of Saskatchewan in 2004. Dr. Graham joined UMG in the Department of
Orthopaedic Surgery as a Trauma Surgeon in 2004, and has also taught
Trauma Surgery through the University Of Manitoba Medical School since.
Dr. Graham’s Current research is focused on the use of radiostereometric
analysis (RSA) to measure acetabular fracture fragment migration in vitro. He
is a member of the Royal College of Physicians and Surgeons of Canada, the
Canadian Orthopaedic Association, the Canadian Medical Association and
sits on the Postgraduate Education Committee of the University of Manitoba
Residency Training program, a position which he has held since 2005.
Dr. Allan Hammond
Dr. Allan Hammond completed both his degree in
undergraduate medicine and his Orthopaedic Residency
in 2008 at the University of Manitoba. It was here that
he became a recipient of the Joe Doupe Memorial
Scholarship through the University of Manitoba.
Dr. Hammond enjoyed work experience as a locum physician in British
Columbia at the Penticton and Cowichan Hospitals, and in Alberta at the
Chinook Hospital for the summer of 2008. In 2009, Dr. Hammond, completed
a Fellowship in Foot and Ankle Surgery at the University of Iowa, with a focus
on multi-ligament knee injuries. Following this, in 2010, he completed a
Fellowship in Orthopaedic Trauma at the University if Missouri with a focus on
arthroscopy and ankle arthritis.
18
Orthopaedic Trauma
Research Publications
Books and Chapters
Graham CP. The Ankle Fracture. In: Emil Schemitch editor. Evidence-Based Orthopaedics. Accepted for publication.
Vernon J., Mascarenhas R., Graham CP. The Patella Fracture. In: Emil Schemitch editor. Evidence-Based
Orthopaedics. Accepted for publication.
Pilkey B. The Perilunate Dislocation. In: Emil Schemitch editor. Evidence-Based Orthopaedics. Accepted for
publication.
Tufescu TV. The Mangled Extremity. In: Mohit Bhandari editor. Evidence-Based Orthopaedics. BMJ Books. Accepted
for publication.
Abstracts
Sharkey B., Tufescu TV. Angulation on the Lateral Hip Xray.
Is it a Predictor of Fracture Instability? Proceedings of the Canadian Orthopaedic Association Meeting. July 2010.
Edmonton.
Tufescu TV, Stephen D., Kreder H. Failure of the new Proximal Femoral Locking Hook Plate to control unstable
pertrochanteric hip fractures: Radiographic results. Proceedings of the Canadian Orthopaedic Association Meeting.
July 2010. Edmonton.
Rusen J., Leiter J., Tufescu TV. An improved method for classifying fractures of pertrochanteric femur: considering
comminution within the AO/OTA 31A2 subgroup. Proceedings of the Canadian Orthopaedic Association Meeting.
July 2010. Edmonton.
Invited Presentations
Tufescu TV. Advanced Principles and Techniques of Operative Fracture Management: Humerus shaft fractures –
plates: indications, techniques, anything new? AO North America, November 2010.
Tufescu TV. Advanced Principles and Techniques of Operative Fracture Management: Pertrochanteric fractures –
indications, techniques, plate versus nail? AO North America, November 2010.
Tufescu TV. Grand Rounds for the Department of Surgery at the University of Manitoba: The Mangled Extremity,
December 2010.
Support Staff
Ramon Angeles, Clinical Assistant
Nasser Ghassemi, Clinical Assistant
Research: Nigar Sultana, PhD, Research Assistant
Carmina Bellisario, Surgical Office Assistant
Kelly Doyle, Surgical Office Assistant
Lois Fraser, Surgical Office Assistant
Frances Magill, Surgical Office Assistant
Melanie Rempel, Surgical Office Assistant
Julie Perrault, Surgical Office Assistant
19
HSC pediatric
orthopaedic program
Dr. Paul Jellicoe
Dr. Jellicoe works at the Children’s Hospital in Winnipeg,
specializing in Pediatric Orthopaedics, with an interest in
disorders of the feet.
He obtained his undergraduate medical degree at St. Andrews University,
Scotland, and his MBChB degree from Manchester University. He completed
his residency in orthopaedics in Newcastle, and while there obtained a
postgraduate degree in Medical Law from the University of Newcastle.
During his fellowship training at the Hospital for Sick Children, Dr. Jellicoe
was part of a team of medical personnel who, through the University of
Toronto, travelled to rural Brazil with the aim of improving access to health
care for underprivileged children.
Since taking up his current position in July 2008 he has taken on the role of
Section Head for Pediatric Orthopaedics, and sits on the Pediatric Surgical
Council and Postgraduate Medical Education Committee. His areas of interest
for research include shoulder reconstruction following brachial plexus nerve
injuries, as well as prevention of pediatric trauma.
Dr. Jack McPherson, Residency Program Director
Dr. McPherson is a Pediatric Orthopaedic Surgeon at the
Children’s Hospital, Health Sciences Centre, Winnipeg.
He is a graduate of the University of Manitoba Medical School and completed
his orthopaedic residency at the University of Manitoba, followed by his
pediatric orthopaedic subspecialty fellowship training at the Hospital for Sick
Children in Toronto.
His clinical practice includes general pediatric orthopaedics and trauma with
a special interest in children with chronic disabilities. He is the orthopaedic
consultant for the Assistive Technology Program and the Juvenile Spina Bifida
Clinic at the Rehab Centre for Children and the consulting orthopedist for
St. Amant Centre. He has a longstanding participation in medical education
including past service as Department of Surgery Clerkship Coordinator,
Orthopaedic Undergrad Coordinator, Core Surgery Program Director, and
Med II Musculoskeletal Course Director. He is currently the Orthopaedic
Residency Program Director. After serving as Service Chief for Pediatric
Orthopaedics for many years, he is the current Director of Pediatric Surgery
for Children’s Hospital and is very actively involved in pediatric surgery
quality improvement.
20
Orthopaedic Surgery Residency
Training Program
The Orthopaedic Surgery Residency Training Program at the U of M has steadily
grown over the years to now include 22 Faculty, 18 Residents and up to 5 Fellows.
The Program also participates in the education of undergraduate medical students,
Physician Assistants and Nurse Practitioners. Training occurs at the Health Sciences
Centre Adult and Children’s Hospitals, the Pan Am Clinic, the Concordia Hospital and
the Concordia Hip and Knee Institute.
A reflection on the past year reveals several exciting changes for the Program. All three of this past year’s
graduating residents successfully passed the Royal College Examinations and are now undertaking subspecialty
Fellowship training. Congratulations and all the best to Dr. Chris Lu (Arthroplasty Fellowship, Toronto), Dr. Heather
Barske (Foot and Ankle Fellowship, Rochester, New York) and Dr. Sacha Rehsia (Arthroplasty Fellowship, Toronto).
The Section is pleased to welcome three new residents to our training program via the 2010 CaRMS match;
Dr. John (Joe) Amirault, Dalhousie University, Dr. Christopher Kim, University of Manitoba, and Dr. Meaghan Rollins,
Royal College of Surgeons in Ireland. We welcome all of the new residents and look forward to their unique
contributions in the next five years.
The Resident Program was also strengthened by the addition of several new personnel. Dr. Allan Hammond
(Trauma Orthopaedics and Foot and Ankle) and Dr. Tod Clark (Orthopaedic Hand Surgery), are graduates of
our own residency program and return to add to our Program following completion of subspecialty training.
Dr. Virginie Pollet is a new recruit to Pediatric Orthopaedics from Belgium and brings a more European approach
to orthopaedic surgery in our Section. All of these surgeons have already augmented our teaching program and
we look forward to their future contributions.
The educational training in our Program continues to be augmented with the addition of expanded clinical exposure
(addition of Hand/Foot and Ankle specialists) and improvements to our formal academic teaching sessions. Our
Wednesday resident academic/research day has been expanded from five teaching blocks (Trauma, Spine, Peds,
Arthroplasty, Sports) to six with the addition of a Basic Science/Can Meds Block. Continued efforts are ongoing to
improve the quality of teaching as well as inclusion of new learning opportunities such as procedural skills training
and use of simulators. Ongoing improvement in evaluation includes both internal and external assessment tools
and OSCE evaluations in keeping with changes to The Royal College exam process.
Resident research continues to flourish under the excellent direction of Dr. Jeff Leiter. This culminated with
another outstanding Resident Research Day on September 29, 2010. Visiting guest speaker, Dr. Doug Hedden
from Edmonton, adjudicated the resident competition and presented very stimulating presentations on congenital
scoliosis and the Future of Orthopaedic Training. Resident research awards for 2010 were 1st place Dr. Jesse
Shantz for “The Validation of a Novel Expertise-Based Global Assessment of Arthroscopic Skills in a Cadaveric Knee
Model” and 2nd place, Dr. Mohammad Zarrabian, “Sleep Quality and Disability in a Population of Spine Surgery
Patients.” Also presented at the Resident Research Day was the resident selected award for Educator of the Year.
This year’s award winner was Dr. Jamie Dubberley with honorable mention to Dr. Laurie Barron.
This year the Orthopaedic Residency Training Program re-instituted the Orthopaedic Junior Resident Award (HPH
Galloway Scholarship) and Senior Resident Award (Elmer James Award). These prizes are selected by residents and
attending staff and are awarded for well rounded resident performance, both academic and administration. This
year’s awards were presented at the Welcome BBQ to Dr. Jon Marsh (Junior) and Dr. James Vernon (Senior).
Overall the Orthopaedic Residency Training Program has grown and excelled in the past year. Thanks to all of the
residents and attending staff for their continued dedication and contribution to this important educational process
and a special thanks to the Sectional leadership from Dr. Peter MacDonald and the excellent administration of the
Program by Mrs. Donna Shepard.
21
Dr. Brian Black
Dr. Black is a Pediatric Orthopaedic Surgeon who works
at different clinic sites including Children’s Hospital, Pan
Am, St. Boniface Hospital and Rehab Centre for Children.
Originally from Nova Scotia, he has a BSc degree from Mount Allison
University, his medical degree from Dalhousie University in Halifax and
completed his orthopaedic training at Queen’s University in Kingston. He
completed a two year Fellowship in Pediatric Orthopaedics at The Hospital
for Sick Children in Toronto.
His areas of research interest include pediatric trauma and he has written
numerous papers on pediatric orthopaedic injuries associated with ATVs,
snowmobiles, playgrounds, trampolines and motocross use. He is a past
faculty member for the Orthopaedic Basic Science Course and Ste. Justine
Pediatric Review Course as well as an examiner with the Royal College.
He continues to enjoy clinical research and teaching. More recently he has
rekindled his longtime interest in veterinary medicine.
Dr. Susan Thompson
Dr. Susan Thompson (nee Nasser-Sharif) is an attending
Pediatric Orthopaedic surgeon at the Children’s Hospital
and the Rehabilitation Centre for Children in Winnipeg.
She received her Bachelors of Science degree from the University of
Manitoba and then went on to McGill University where she did her
undergraduate degree in medicine. She completed her orthopaedic residency
at McGill University and received her FRCSC in 1999.
From Montreal, Dr. Thompson went to the Alfred I duPont Hospital for
children in Wilmington, Delaware, a division of Jefferson University, where
she finished a fellowship in Pediatric Orthopaedic surgery. She then moved to
Philadelphia and completed a fellowship in Hand Surgery at the Philadelphia
Hand Centre, also a division of Jefferson University. Dr. Thompson then
moved to Paris, France where she studied at l’Institut de la Main and had
the opportunity to learn from Dr. Alain Gilbert who specializes in obstetrical
brachial plexus injuries and congenital hand deformities. She returned to
Delaware in 2002 and initiated and developed a pediatric hand program at
the Alfred I duPont Hospital for children. After being an attending Pediatric
Orthopaedic surgeon at Alfred I duPont for three years she then moved to
Winnipeg to be with her husband and family.
Dr. Thompson’s interests include congenital pediatric hand anomalies,
obstetrical brachial plexus injuries and pediatric hand trauma. She is
currently a member of the Pediatric Orthopaedic Society of North America,
the American Association of Orthopaedic Surgeons, the Canadian
Orthopaedic Association, the Ruth Jackson Society, and the Manitoba
Orthopaedic Society. Dr. Thompson is Board Certified in Orthopaedic Surgery
in the United States and is a fellow of the Royal College of Surgeons of
Canada. She is presently working on her Masters degree in Public Health at
the University of Manitoba on a part time basis.
22
Dr. Virginie Pollet
Dr. Pollet joined the Pediatric Orthopaedic Section of
Surgery at the Children’s Hospital in October 2010.
In 1997, she completed her medical training in Brussels, Belgium and began
her Orthopaedic Residency at the Free University of Brussels. During her
residency, she developed a special interest in Sports Medicine and Pediatrics.
As a resident in 2004, she received the Belgian Arthroscopy Society
(ABA) Travel Fellowship Award to present as a visiting fellow at the ESSKA
conference in Greece. After residency, Dr. Pollet moved to the Netherlands
and worked as a general Orthopaedic surgeon for four years. In 2007, she
was accepted for a fellowship program at the Texas Scottish Rite Hospital in
Dallas, Texas and her experience there further focused her career interests in
Pediatric Orthopaedic Surgery.
Dr. Pollet went on to complete a year long clinical fellowship at the
Wilhelmina Children’s Hospital in Utrecht, Netherlands and another two
years of clinical fellowship at the Robert Debre Children’s Hospital in Paris,
France. She has been a participant of the European Pediatric Orthopaedic
Society (EPOS) Marie Curie Course, a combined orthopaedic lecture and
workshop course organized by the leading European and North American
Orthopaedic Surgeons in four countries and runs concurrently for two
years. In 2009, Dr. Pollet presented as a visiting fellow/member of EPOS in
the United States and is also a member of the Dutch Orthopaedic Society
(NOV) and the Belgian Orthopaedic Society (BVOT). Her research is focused
on Developmental Dysplasia of the Hip (DDH), in which she is currently
completing her doctoral research at the University of Utrecht.
Support Staff
Melanda Guenther, Manager of Physician Services, Section Orthopedics HSC and Pan Am
Donna Shepard, Education Program Coordinator, Section of Orthopaedics
23
Pediatric Orthopaedic
Research Publications
DR. JELLICOE
Publications
Jonathan P. Marsh, Paul Jellicoe, Ronald C. Monson, Brian Black, Tod A. Clark
Noise Levels in Adult and Pediatric Orthopaedic Cast Clinics.
Paul Jellicoe, FRCS; Jochen Son-Hing, M.D., FRCS(C); Sevan Hopyan, M.D.,
FRCS(C); George H. Thompson, M.D.:
Surgical hip dislocation for removal of intra articular exostoses. Report of 2 cases. JPO.
Volume 29(4), June 2009, pp 327-330.
Presentations
Jellicoe, PA: Noise levels in the cast room. Salter Day 29 May 2009. Hospital for Sick Children, Toronto.
Dr. Jellicoe’s work presented by others:
Canadian Orthopaedic Association, Edmonton 2010.
Dr. M. Zarabian: Epidemiology of dirt bike injurie.s
Pediatric Orthopaedic Society of North America, Boston, May 2009.
Dr. J. Janicki: Is routine bone aspiration necessary in the initial management of acute Osteomyelitis
Podium presentation.
Dr. S. Hopyan,
Glenoid neck osteotomy for Brachial plexus shoulder deformity. Podium presentation.
Salter Day: 29 May 2009:
Dr. M. Shah/S Hopyan,
Glenoid neck osteotomy for Brachial plexus shoulder deformity.
DR. POLLET
Pollet V. “Results of Pavlik Harness treatment in children with dislocated hips between the age of six and
twenty‑four months” – V. Pollet, H. Pruijs, R. Sakkers, R. Castelein, J. Pediatr Orthop 2010 Jul-Aug;30(5):437-42.
Ongoing Research
Pollet V. “The effect of abduction treatment in stable developmental dysplasia of the hip (DDH) in infants between
3 and 6 months of age” MultiCentre Randomised Trial.
Pollet V. “Reproducibility of hip ultrasound for developmental dysplasia of the hip (DDH) in newborns: acetabular
depth” Prospective study.
Support Staff
Lynne Ferris, Administrative Assistant
Victoria Brown, Surgical Office Assistant
Tonya Derkson, Surgical Office Assistant
Jocelyn Malapit, Surgical Office Assistant
Kim Barratt, Surgical Office Assistant
24
FOOT program
HSC diabetic
Diabetic Foot is a multi-disciplinary sub-specialty in Medicine that is now gaining
increased demand in North America. The Diabetic Foot Service provides patient care
to patients with a range of conditions from complex diabetic mellitus conditions to
ulcers and Charcot Foot complications.
This multi-disciplinary focus in the Diabetic Foot Service Program combines the disciplines of Infectious Disease,
vascular Surgery and Plastic Surgery to provide the best possible care for patients with diabetes mellitus.
In 2010, we performed 780 procedures, including minor and major debridements (infected ulcers, osteomyelitis),
toe amputation, ingrown nail surgeries, and other complications of the loss of sensation such as Charcot Foot. The
Diabetic Foot Service is available to patients in the main OR, the outpatient OR, in clinics, in cast clinics and for
those patients that are bedridden with other complications. This allows for the maximum flexibility of care and the
rapid saving of limbs to patients with diabetes across a wide range of disciplines that can admit patients.
In 2010, the average number of Total Contact Casts was 450 cases, similar to the numbers in 2009. The
continuing need for TCC shows the continuing gold standard indicator that this procedure has now become in the
treatment of complications related to Diabetic Foot such as Ulcers and Charcot Foot.
The Diabetic Foot team attended several international conferences in 2010, including “The Diabetic
Global Conference 2010” in Los Angeles, California and “The Diabetic Limb Salvage Conference 2010” in
Washington, D.C.
The Diabetic Foot Team is currently continuing its collaborative research efforts across all the multidisciplinary
specialties to continue to investigate the connection between Diabetic foot complications and depression, how to
target decreased dialysis complications, and how to target diabetic nerve damage in feet at an earlier stage of
disease. Dr. Dascall is beginning to research the connection between Vitamin D deficiency as a contributing factor
to Charcot Foot. This research is not expected to be complete until 2012.
The Diabetic Foot Service continues to maintain the goal of educating diabetes patients at an earlier stage of the
disease and its complications. If Charcot foot can be detected at an earlier stage of diabetes, some of the most
devastating effects of nerve damage and severe deformities of the foot may be avoided.
25
Dr. Mario Dascal
Dr. Dascal received his undergraduate medical degree
at the University of Buenos Aires in 1993 and completed
his Orthopaedic Residency in 1990 there. He completed
a Fellowship in Arthroscopy subsequently, and continued
his education to specialize in Forensic Medicine and
Occupational Medicine.
Before beginning to practice as a Diabetic Foot Surgeon here at the
University of Manitoba as an Assistant Professor in 2004, Dr. Dascal’s
practiced as a surgeon in Buenos Aires, Argentina. His practice in Argentina
focused on General Orthopaedics, Arthroscopy and Diabetic Foot. Dr. Dascal’s
research interests are in the area of Vitamin D deficiency as a contributing
factor in Charcot foot disease. He is hoping to complete a major study in this
area in 2012.
Diabetic Foot Program Publications
Publications
Hurton S., Embil S., Dasal M. et al-Upper Extremity complications in patients with chronic renal failure receiving
haemodialysis, The Journal of Renal Care, 2010:36:203-211.
Works in Progress
Soreen J., Embil S., Dascal M. Mental health issues associated with Lower Extremity complications of diabetes
(2010).
Presentations
Dascal M., The Canadian Society of Orthopaedic Technologists (CSOT) 2010 Conference, Toronto, “Diabetic Foot, a
Team Effort.”
Dascal M., The Manitoba Society of Orthopaedic Technologists, “Diabetic Foot, a Team Effort.”
Dascal M., 25th Annual Conference of The Ontario Society of Chiropodists, “Diabetic Foot, a Team Effort.”
Dascal M., Demystifying Diabetes 10th Annual Conference Certified Foot Care Nurses Interest Group, Winnipeg,
2010, “Charcot Neuroarthropathy.”
26
institute
concordia hip and knee
Dr. David Hedden
Dr. Hedden is the current Site Medical Director of
Surgery at Concordia Hospital. Dr. Hedden specializes
in Orthopaedic Surgery with a focused area of practice
in hip and knee reconstructive surgery. Dr. Hedden
completed his Bachelor of Medicine and Surgery at the
University of Cape Town, South Africa.
After coming to Canada, Dr. Hedden set up a General Practice and Anesthesia
practice in Virden Manitoba. Dr. Hedden completed his postgraduate training
in Orthopaedic Surgery at the University of Manitoba in 1997. Dr. Hedden
spent a year in Toronto, ON at St. Michael’s Hospital completing a Fellowship
in Lower Extremity Arthroplasty. Dr. Hedden joined University Medical Group in
the Department of Surgery, Faculty of Medicine at the University of Manitoba in
1998 as an Assistant Professor in the Section of Orthopaedics. His current areas
of research interest are clinical research related to hip and knee reconstructive
surgery. He is a member of the Royal College of Physicians and Surgeons of
Canada as well as an examiner for the Royal College for the past four years, the
Canadian Medical Association, American Academy of Orthopaedic Surgeons,
Canadian Orthopaedic Association, Manitoba Medical Association, the Canadian
Medical Protective Association, Manitoba Orthopaedic Society, The College of
Physicians and Surgeons of Manitoba, General Medical Council (UK), South
African Medical and Dental Council, and an Assistant Professor for the University
of Manitoba.
Dr. Eric Bohm
Dr. Bohm works at the Concordia Hip and Knee Institute
in Winnipeg, Canada where he specializes in primary and
revision hip and knee replacement surgery.
He has undergraduate degrees in both Mechanical Engineering and Medicine
from McMaster University, and a graduate degree in Community Health and
Epidemiology from Dalhousie University. He completed his orthopaedic residency
at the University of Saskatchewan, and undertook an arthoplasty fellowship at
Dalhousie University in Halifax.
His areas of research interest include access to healthcare, healthcare quality
indicators, clinical trials, implant retrieval analysis, and radiographic stereometric
analysis. He currently chairs the Winnipeg Regional Health Authority Orthopaedic
committee, and the advisory committee of the Canadian Joint Replacement
Registry (co-chair). He serves as medical advisor to the Winnipeg Regional Health
Authority’s orthopaedic wait list project and their joint replacement registry. In
2009, he completed the prestigious ABC fellowship, sponsored by the American,
Canadian, British and South African Orthopaedic Societies.
27
Dr. Colin Burnell
Dr. Burnell is the current Site Supervisor in Postgraduate
Surgery Education for the Department of Surgery at
Concordia Hospital. Dr. Burnell specializes in Orthopaedic
Surgery with a focused area of practice in complex
primary and revision hip and knee arthroplasty.
Dr. Burnell completed his medical degree along with postgraduate training
in Orthopaedic Surgery at the University of Manitoba. He also completed a
Fellowship in Primary and Revision Hip and Knee Arthroplasty.
Dr. Burnell joined University Medical Group in the Department of Surgery,
Faculty of Medicine at the University of Manitoba in 2003 as an Assistant
Professor in the Section of Orthopaedics. His current areas of research
interest are retrieval analysis and clinical trials. He is a member of the Royal
College of Physicians and Surgeons of Canada, Winnipeg Orthopaedic
Surgery Executive, Manitoba Medical Association, Canadian Medical
Association, College of Physicians and Surgeons of Manitoba, Manitoba
Orthopaedic Society and The Canadian Medical Protective Association.
Dr. Thomas Turgeon
Dr. Turgeon specializes in Orthopaedic Surgery with a
focused area of practice in complex primary and revision
hip and knee arthoplasty. Dr. Turgeon completed his
medical degree at the University of Western Ontario and
his residency at the University of Saskatchewan.
He completed a two-year fellowship in hip and knee primary and revision
arthoplasty and osteotomies with the Orthopaedic Medical Group affiliated
with University of California San Diego. He also completed his Master’s
degree in Public Health Epidemiology at San Diego State University,
concurrently.
Dr. Turgeon joined University Medical Group in the Department of Surgery,
Faculty of Medicine at the University of Manitoba in 2005 as an Assistant
Professor in the Section of Orthopaedics. His current areas of research
interest are retrieval analysis and clinical trials. He is a member of the
Royal College of Physicians and Surgeons of Canada, Manitoba Medical
Association, Canadian Medical Association, College of Physicians and
Surgeons of Manitoba, Manitoba Orthopaedic Society, The Canadian Medical
Protective Association, American Association of Hip and Knee Surgeons
and the America Association of Orthopaedic Surgeons. Currently chair for
Concordia Foundation and the Concordia Infection Control Committee.
28
Hip and Knee Research Publications
Award to the CJRG
Award of Merit, Canadian Orthopaedic Association, Canada, 2010, Concordia Joint Replacement Group.
DR. HEDDEN
Submitted for Publication
Elyousfi A., Malhi A., Goytan M., Hedden D., A Revision Total Hip Replacement Complicated by an Acute Caudi
Equina Syndrome Secondary to Epidural Anesthesia and Undiagnosed L4-5 Disc Herniation.
Hedden D., Early Clinical Results of a High-Flexion, Posterior-Stabilized, Mobile Bearing Total Knee: A United States
Investigational Device Exemption Trial.
Hiscox C., Bohm E., Turgeon T., Hedden D., Burnell C., Randomized Trial of Computer-Assisted Knee Replacement:
Impact on Clinical and Radiographic Outcomes.
DR. ERIC BOHM
Published Refereed Papers
Bohm E., Bozic K., Galatz L., Glazebrook M., Haydon R., Milhalko B., Sperling J. The Orthopaedic Forum: The 2009
ABC Traveling Fellowship. The Journal of Bone and Joint Surgery, 2010 Apr;92(4): 1038-40.
Bohm E., Dunbar M., Bourne R., Canadian Joint Replacement Registry “What have we learned?” Acta Orthop. 2010
Feb; 81(1): 119-21.
Tan Q., Bohm E., Loucks L., Wang X., Lifetime data analysis of waiting time to healthcare in Canada, Advances and
Applications in Statistical Sciences, 2010, 2 (1): 89-100.
Macdonald SJ., Rosenzweig S., Guerin JS., McCalden RW., Bohm E., Bourne RB., Rorabeck CH., Barrack RL.,
Proximally Versus Fully Porous-coated Femoral Stems: A Multicenter Randomized Trial, Clinical Othop Relat Res,
2010 Feb; 468 (2): 424-32.
Bohm E., Dunbar M., Pitman D., Rhule C., Araneta J.: Experience with Physician Assistants in a Canadian
Arthroplasty Program, Canadian Journal of Surgery, 2010 Apr; 53(2): 103-8.
Mandzuk L., McMillan D., Bohm E.: The Bone and Joint Decade in Canada: A Look Back and a Look Forward,
International Journal of Orthopaedic and Trauma Nursing, 2010 February 10, 14 (1): 12-17.
Presentation as Guest Speaker
Update on Arthroplasty Surgery, Information Session with Orthopaedic Physiotherapists, Health Sciences Centre,
Winnipeg, Manitoba, October 25, 2010.
Surgery for Arthritis, Clerkship Seminar Series Presentation, Health Sciences Centre, Winnipeg, Manitoba,
October 8, 2010.
Panel Member, Hip: Case-based Primary and Revision Total Joint Arthroplasty, Canadian Orthopaedic Association
Annual Meeting, Edmonton, Alberta, June 20, 2010.
Trends and Updates in Total Knee Arthroplasty: Obesity and Total Knee Arthroplasty, Canadian Orthopaedic
Association Annual Meeting, Edmonton, Alberta, June 19, 2010.
Alternate Bearings in Total Hip Arthroplasty: Polyethylene – What Has Cross-linking done to the Gold Standard?,
Canadian Orthopaedic Association Annual Meeting, Edmonton, Alberta, June 19, 2010.
Moderator: Joint Replacement Registries – An International Perspective, Canadian Orthopaedic Association Annual
Meeting, Edmonton, Alberta, June 18, 2010.
29
Improving Efficiency in the OR: The Manitoba Approach, Canadian Orthopaedic Association Annual Meeting,
Edmonton, Alberta, June 18, 2010.
Orthopaedic Research at the Concordia Hip & Knee Institute: Overview of programs and potential linkages with
CHS, Community Health Sciences Colloquium & Grand Rounds, Winnipeg, Manitoba, May 21, 2010.
Stem Philosophy – Registry Review , The New Millennium Hip Patient Conference, Vancouver, British Columbia,
May 7, 2010.
Patient Outcomes – Getting Back to Work, The New Millennium Hip Patient Conference, Vancouver, British
Columbia, May 7, 2010.
What Have We Learned from our Arthroplasty Registry?, 1st International Arthroplasty Course, Guayaquil, Ecuador,
April 17, 2010.
Principles of the Revision of Primary Total Knee Arthroplasty, 1st International Arthroplasty Course, Guayaquil,
Ecuador, April 16, 2010.
Navigation of Primary Total Knee Arthroplasty, 1st International Arthroplasty Course, Guayaquil, Ecuador,
April 16, 2010.
Primary Total Hip Arthroplasty, 1st International Arthroplasty Course, Guayaquil, Ecuador, April 16, 2010.
Total Hip Arthroplasty for Fractures, 1st International Arthroplasty Course, Guayaquil, Ecuador, April 15, 2010.
How To Do the Prosthesis of a Primary Hip, 1st International Arthroplasty Course, Guayaquil, Ecuador,
April 15, 2010.
Update of the Canadian Joint Replacement Registry, International Society of Arthroplasty Registries (ISAR) meeting,
New Orleans, Louisiana, March 11, 2010.
Surgery for Arthritis, Clerkship Seminar Series Presentation, Health Sciences Centre, Winnipeg, Manitoba,
February 11, 2010.
Surgery for Arthritis, Clerkship Seminar Series Presentation, Health Sciences Centre, Winnipeg, Manitoba,
January 29, 2010.
Bridging General and Specialist Care Pathway Presentation, Winnipeg, Manitoba, January 22, 2010.
Scientific Poster Presentations
Petrak M., Slobodian I., Turgeon T., Bohm E. Patient Satisfaction When Completing Self-Administered
Questionnaires on a Touch Screen Data Entry System in an Orthopaedic Clinic. International Society for Technology
in Arthroplasty, Intercontinental Dubai Festival City Hotel, Dubai, October 6–9, 2010.
Bohm E., Loucks L., Relationships among BMI, self reported complications, functional outcomes and satisfaction
following elective, primary hip and knee replacement: Results from a Canadian regional joint replacement
registry. Poster presented at the 12th Meeting of the Combined Orthopaedic Associations, Glasgow, Scotland,
September 12–17, 2010.
30
Scientific Podium Presentations
Petrak M., Bohm E., Turgeon T., Van der Put R., Burger A. Precision Phantom Study of a CR and DR Imaging
System for Radiostereometric Analysis (RSA) using a Novel Spine Pedicle Screw. International Society for
Technology in Arthroplasty, Intercontinental Dubai Festival City Hotel, Dubai, October 7, 2010.
Bohm E., Slobodian I., Petrak M., DeCoster C., Sawatzky J-A. A comparison of functional outcomes between
elective coronary bypass graft surgery and elective lower extremity joint replacement surgery. 12th Meeting of the
Combined Orthopaedic Associations, Glasgow, Scotland, September 16, 2010.
Turgeon T., Bohm E., Petrak M., Sinaisky M. Functional Outcome of Revision Total Knee Replacement – is it as Poor
as We Think it is?, Canadian Orthopaedic Association Annual Meeting, Edmonton, June 20, 2010.
Loucks L., Bohm E. Relationships Among BMI, Self Reported Complications, Functional Outcomes and Satisfaction
Following Elective, Primary Hip and Knee Replacement: Results from a Canadian Regional Joint Replacement
Registry, Canadian Orthopaedic Association Annual Meeting, Edmonton, June 18, 2010.
Turgeon T., Bohm E., Kesler N., Petrak M., Burnell C., Hedden D. Femoral Head Penetration in X3 Cross-linked
Acetabular Liners: A Two-Year RSA Study, Canadian Orthopaedic Association Annual Meeting, Edmonton,
June 18, 2010.
Slobodian I., Bohm E., Sawatzky J., De Coster C., Petrak M. A Comparison of Functional Outcomes Between
Elective Coronary Artery Bypass Graft Surgery and Elective Lower Extremity Joint Replacement Surgery, Canadian
Orthopaedic Association Annual Meeting, Edmonton, June 18, 2010.
Turgeon T., Bohm E., Kesler N., Petrak M., Burnell C., Hedden H. The Effect of Tobramycin on Femoral Stem
Migration: A Two-Year RSA Study, Canadian Orthopaedic Association Annual Meeting, Edmonton, June 18, 2010.
Bohm E., Dunbar M., Frood J., Johnson T., Morris K. Hospitalizations, Early Revisions, Infections and
Costs Following Joint Replacement Surgery. American Academy of Orthopaedics Surgeons, New Orleans,
March 10, 2010.
Hiscox C., Bohm E., Turgeon T., Hedden D., Burnell C., Randomized trial of computer assisted knee replacement:
impact on clinical and radiographic outcomes. Surgery Forum, Inn at the Forks, Winnipeg, Manitoba,
January 15, 2010.
Bohm E., Dunbar M., Frood J., Johnson T., Morris K., Hospitalizations, early revisions, infections, and associated
costs following lower extremity joint replacement., Surgery Forum, Inn at the Forks, Winnipeg, Manitoba,
January 15, 2010.
Grand Rounds Presentations
Bohm E., Research at the HKI – Studies and Results, Orthopaedic Grand Rounds, Health Sciences Centre,
Winnipeg, Manitoba, November 3, 2010.
Bohm E., Orthopaedic Research at the Concordia Hip & Knee Institute: Overview of programs and potential linkages
with CHS, Community Health Sciences Colloquium & Grand Rounds, Winnipeg, Manitoba, May 21, 2010.
Bohm E., The impact of Physician Assistants on Arthroplasty Care – What Can Nephrologists learn? Nephrology
Rounds, Health Sciences Centre, February 3, 2010.
Research Reports
Loucks L., Bohm E., Wilson T., The Orthopedist and Blood – borne Pathogens – Literature Summary Supporting
the Canadian Orthopaedic Association’s Position Statement on the Orthopedist and Blood-borne Pathogens –
Presented at the Canadian Orthopaedic Association, Edmonton, Alberta, June, 2010.
Sanmartin C., McGrail K., Dunbar M., Bohm E., Using Population Data to Measure Outcomes of Care: The Case
of Hip and Knee Replacements, Statistics Canada, Catalogue no. 82-003-XPE Health Reports, Vol. 21, no. 2,
June 2010.
31
DR. TURGEON
Grants
03/2010 – 03/2012 Stability Analysis of a LEGION™ Total Primary Uncemented Knee
Smith & Nephew Richards Inc. (Memphis, TN)
Principal Investigator: Thomas Turgeon
01/2010 – 01/2012 Development of Patient-Centered Joint Replacement Educational Video
Development of in vivo knee
Pfizer Canada Inc.
Principal Investigator: Petrak, Martin
Co-Applicant: Thomas Turgeon
Case Reports
Marsh JP., Turgeon TR. and Guzman R. Acute Limb Ischemia Following Closed Reduction of a Hip Arthroplasty
Dislocation. Orthop. 33(10);768, 2010.
Burnell CD., Turgeon TR., Hedden DR., Bohm ER. Paraneoplastic Clostridium septicum Infection of a Total Knee
Arthroplasty. J Arthroplasty. 2010 Sep 24. [Epub ahead of print]
Invited Presentations
Petrak M., Bohm E.,Turgeon TR., Van der Put R., Burger A. Precision Phantom Study of a CR and DR Imaging
System for Radiostereometric Analysis (RSA) using a Novel Spine Pedicle Screw. Presented at the International
Society for Technology in Arthroplasty Annual Meeting, Dubai, UAE: October 8, 2010.
Petrak M., Slobodian I., Turgeon TR., Bohm E. Patient Satisfaction When Completing Self- Administered
Questionnaires on a Touch Screen Data Entry System in an Orthopaedic Clinic. International Society for Technology
in Arthroplasty Annual Meeting, Dubai, UAE: October 8, 2010.
Turgeon TR., Bohm E., Petrak M., Sinaisky M. Functional Outcome of Revision Total Knee Replacement – Is
it as Poor as We Think it is? Presented at Canadian Orthopaedic Association Annual Meeting, Edmonton, AB:
June 20, 2010.
Turgeon TR. Cementless Fixation in TKA, Trends and Updates in Total Knee Arthroplasty Symposium. Presented at
Canadian Orthopaedic Association Annual Meeting, Edmonton, AB: June 19, 2010.
Turgeon TR., Bohm E., Kesler N., Petrak M., Burnell C., Hedden D.. Femoral Head Penetration in X3 Cross-linked
Acetabular Liners: A Three Year Study. Presented at Canadian Orthopaedic Association Annual Meeting, Edmonton,
AB: June 18, 2010.
Turgeon TR., Bohm E., Kesler N., Petrak M., Burnell C., Hedden D. The Effect of Tobramycin on Femoral Stem
Migration: A Three-Year RSA Study. Presented at Canadian Orthopaedic Association Annual Meeting, Edmonton,
AB: June 18, 2010.
Awards
Award of Merit, Canadian Orthopaedic Association, Canada, Effective: 06/2010, New Care Models to Reduce
Surgical Wait Times.
DR. BURNELL RESEARCH
Awards
Award of Merit, Canadian Orthopaedic Association, Canada, 2010, Concordia Joint Replacement Group.
32
Scientific Presentations
Burnell C.: TKA and Periprosthetic Fractures. Trends and Updates in Total Knee Arthroplasty. Canadian Orthopaedic
Association, Edmonton, Alberta. June 2010.
Turgeon T., Bohm E., Kesler N., Petrak M., Burnell C., Hedden H. The Effect of Tobramycin on Femoral Stem
Migration: A Two-Year RSA Study, Canadian Orthopaedic Association Annual Meeting, Edmonton, June 18, 2010.
Submitted for Publication (in progress)
Hiscox C., Bohm E., Turgeon T., Hedden D., Burnell C., Randomized Trial of Computer-Assisted Knee Replacement:
Impact on Clinical and Radiographic Outcomes, Submitted to Journal of Arthroplasty (2010).
Research Grants
Comparison of Intraoperative Fracture Risk Using Traditional and Compaction Broaching Methods 2010.
Research
Marin Petrak, BSc, MSc, PEng, Biomedical Engineer,
Director of Research Operations, Chief Innovations Officer
Nathan Janzen BSc, Consultant
Ili Slobodian, BA, BSc, MSc, Clinical Research Coordinator
Sarah Tran, BA, BSc, MSc, Clinical Research Coordinator
Dr. Jan Brandt, Dipl. – Ing, Phd, Tribology Manager
Rebecca Austman, BSc, Phd, EIT, Post Doctoral Research Fellow
Shannon Barker, Research Assistant
Sean O’Brien, BSc (ENG), MSc (Candidate), EIT, Research Engineer
Lynda Loucks, BMR, PT, MSc (Rehab), Researcher
Trevor Gascoyne, BSc, Researcher
Prof. Urs Wyss, Phd PEng, Senior Industry Research Chair (Candidate)
Richard Dyrkacz, MSc, Phd (Candidate), Biomedical Engineer
Support Staff
Susan Rubin, BA, HRM (Hons) HSM (Hons), Manager, Physician Services
Josephine Cervantes, Surgical Office Assistant
Shelley Miller, Surgical Office Assistant
Pauline Pikl, Surgical Office Assistant
Janet Darknell, Surgical Office Assistant
Laura Paulson, Clinical Office Assistant – RIS/PACS
Tracy Scott, Clinical Office Assistant – Clinic Reception
Kimberley Meikle, Clinical Office Assistant – Medical Records
Kimberley Leeson, Surgical Office Assistant – Administration
33
fellows
Dr. Tosin Akinbiyi
Dr. Tosin Akinbiyi, MD, University of Saskatchewan, Orthopaedic Residency, Fellow, Winnipeg Spine Program,
University of Manitoba Medical Faculty
Current Research and Presentations:
Bone Mineral Resorption in SCI Patients – Resident Research Day 2010
Awards:
NSERC Research Scholarship – Characterization of Human Thioredoxin
Dr. Aaron Tay
Dr. Aaron Tay, MD, MBBS, FRACS Ortho (2009) Graduated as a Medical
Doctor from the University of Western Australia, completed Orthopaedic
Fellowship from 2002–2008 through the Royal Australian College of
Surgeons (Orthopaedics), and a subsequent Orthopaedic Fellowship at
Pan Am Sports Medicine in Winnipeg through the University of Manitoba
Medical Faculty.
Recipient of the Orthopaedic Registrar of the Year in 2008 through the
Sir Charles Gairdner Hospital WA.
Dr. Adam Durrant
Dr. Adam Durrant, MB.ChB, FRACS-Graduated as a Medical Doctor in 1998,
has worked extensively in the management of severe trauma throughout
Australia and the United Kingdom until 2008, when he completed his
Fellowship as an Orthopaedic Trauma Surgeon and became a member of
the Royal Australasian College of Surgeons. He completed post Fellowship
training in 2010 in Upper Limb surgery and trauma at the Pan Am site for
Sports Medicine in Winnipeg.
Sports Medicine: Dr. Moustfha AlShrif, Dr. Alexander Van Tongel
Arthroplasty: Dr. Arfin Malhi
34
ORTHopaedic residenT
research day
Dr. J. McPherson’s Message
Orthopaedic Surgery Resident Research Day, which was held on Wednesday, September 29, 2010 was a
resounding success! Thank you to all of the organizers, Donna Shepard, Lorraine Gravel, Dr. Peter MacDonald,
Dr. Jeff Leiter.
A special thank you to the contributing sponsors for this event, Mr. Judd Ekdahl and Dupuis.
Congratulations to all the residents for work well done and excellent presentations. Award congratulations to the winners of this year’s Resident Research Day:
1st Place:
Dr. Jesse Shantz “The Validation of a Novel ExpertiseBase Global Assessment of Arthroscopic Skills in a
Cadaveric Knee Model”
2nd Place:
Dr. Mohammad Zarrabian “Sleep Quality and Disability
In A Population of Spine Surgery Patients”
Honourable Mention:
Dr. Jon Marsh “Noise Levels in Adult and Pediatric Orthopaedic Cast Clinic”
The Educator of the Year Award as selected by the residents was also presented as part of Resident Research Day.
Congratulations to this year’s recipients:
Educator of the Year:
Dr. Jamie Dubberley
Honorable Mention:
Dr. Laurie Barron
35
Resident Research Day
The Section of Orthopaedic Surgery hosted the second annual Resident Academic Day at Pan Am Clinic on
September 29, 2010. Dr. Douglas Hedden, the Walter Stirling Anderson Chair and Professor of Surgery for the
Faculty of Medicine and Dentistry at the University of Alberta, was the Visiting Faculty and judged the presentations
with Drs. MacDonald and Leiter. A total of 17 residents and one fellow presented their research.
Douglas Hedden is currently the Walter Stirling Anderson Chair and Professor
of Surgery for the Faculty of Medicine and Dentistry at the University of
Alberta. Prior to this achievement, Dr. Hedden served as Divisional Director,
Division of Pediatric Surgery at the University of Alberta.
Publications
The orthopaedic residents published two research articles, two case reports
and one text book chapter in 2009–2010.
Research Grants
Dr. Doug Heddon, Guest Speaker
Five research grants were awarded to residents in 2010. The granting
agencies included the Manitoba Medical Services Foundation, Orthopaedic
Trauma Association, the Alexander Gibson Fund, Manitoba Institute of Patient
Safety (Dr. John Wade Award) and Orthopaedic Research and Education
Foundation (Appendix IV).
Publications 2010
Marsh JP., Jellico P., Monson R., Black B., Clark T. American Journal of Orthopaedics. Accepted September 2010 –
Noise levels in adult and pediatric orthopaedic cast clinics.
Marsh JP., Turgeon T., Guzman R. Orthopaedics. October 2010;33(10)768. Acute Limb Ischemia Following Closed
Reduction of a Hip Arthroplasty Dislocation.
Marsh, Leiter, MacDonald. Orthopaedic Reviews. 2010 (2),1 Bilateral Femoral Neck Fractures Resulting from a
Grand Mal Seizure in an Elderly Man with Down Syndrome.
Mascarenhas, Tranovich, Karpie, Irrgang, Fu, Harner. Arthroscopy: The Journal of Arthroscopic and Related
Research. 2010. 26 (9), S1 Patellar Tendon Anterior Cruciate Ligament Reconstruction in the High Demand Patient:
Evaluation of Autograft Versus Allograft Reconstruction.
Mascarenhas, Randy Operative Treatment of Fractures of the Patella.
Mascarenhas R., Vernon J., Graham C. Operative Techniques: Orthopaedic Trauma Surgery.
Mascarenhas R., Vernon J., Graham C. Operative – Operative Treatment of Fractures of the Patella.
36
Residents
Dr. Jesse Shantz
Dr. Jesse Shantz is a sixth-year Resident at the University
of Manitoba who completed his undergraduate degree
in medicine at the University of Western Ontario in
London, Ontario. In 2011, Jesse will enter his Orthpaedic
Fellowship training at the University of California.
Shantz, Jesse – The Validation of a Novel Expertise-based Global Assessment
of Arthroscopic Skills in a Cadaveric Knee Model, Orthopaedic Resident
Academic Day 2010.
Shantz, Jesse – The Measurement of Changes in the Self-Perceived
Confidence of Orthopaedic Trainees After an Arthroscopic Skills Course.
Podium Presentation. COA Edmonton, June 2010.
Shantz, Jesse – A systematic review of the utility of arthroscopic simulator
training in orthopaedic education, 2nd Annual Faculty of Medicine Resident
and Fellow Research Day, 2010.
Dr. David Aimes
Dr. Aimes is a graduate of the University of Manitoba
in Medicine. He is a second-year Orthopaedic Surgery
Resident at the University of Manitoba.
Aimes, David – Pitching Velocity: Mechanics of the Amateur Athlete
Orthopaedic Resident Academic Day 2010.
Akinbiyi, Tosin Bone Mineral Resorption in SCI Patients Orthopaedic Resident
Academic Day 2010.
Dr. Joe Amirault
Dr. Amirault is a graduate of Dalhouse University in
Halifax, Nova Scotia in undergraduate medicine. He is a
first-year Orthopaedic Surgery Resident at the University
of Manitoba.
Amirault, Joe – Does Low Gravity-Environment Rehabilitation Accelerate
Return to Work, Orthopaedic Resident Academic Day 2010.
37
Dr. Mohammad Elkurbo
Dr. Elkurbo is a graduate of the Faculty of Medicine at
Al Fateh University of Medical Sciences in Tripoli, Libya.
He is a fifth-year resident in Orthopaedic Surgery at the
University of Manitoba.
Elkurbo, Mohammed – Determining ACL Hamstring Graft Diameter from
Anthropometric and MRI Measurements, Orthopaedic Resident Academic
Day 2010.
Dr. Abdulhamid Elyousfi
Dr. Elyousfi is a graduate of the Faculty of Medicine at Al
Fateh University of Medical Sciences in Tripoli, Libya. He
has also graduate with a MSc. In Surgical Sciences at
Imperial College, London, UK. He is a fifth-year resident in
Orthopaedic Surgery at the University of Manitoba.
Dr. Danny Gillis
Elyousfi, Abdulhamid – Incidence and Outcomes of Unexpected Positive
Intraoperative Cultures in Revision Total Hip and Knee Arthroplasties,
Orthopaedic Resident Academic Day 2010.
Dr. Gillis is a graduate of the University of Manitoba
Faculty of Medicine. He is a second-year resident in
Orthopaedic Surgery at the University of Manitoba.
Gillis, Danny – The Efficacy and Cost-Effectiveness of Preoperative and
Postoperative Cryotherapy in Proximal Tibia Fractures, Orthopaedic Resident
Academic Day 2010.
Dr. Bahram Groohi
Dr. Groohi is a graduate of the Iran University of Medical
Sciences for undergraduate medicine. He is a third-year
resident in Orthopaedic Surgery at the University of
Manitoba.
Groohi, Bahram – Seasonal Variations in Orthopaedic Injuries Treated at a
Major Trauma Centre, Orthopaedic Resident Academic Day 2010.
Dr. Christopher Kim
Dr. Kim is a graduate of the University of Manitoba Faculty
of Medicine. He is a first-year resident in Orthopaedic
Surgery at the University of Manitoba.
Kim, Chris – A Prospective Clinical Study Comparing Anteromedial Portal
Techniques Versus Transtibial Technique for Femoral Tunnel Positioning in
Hamstring Anterior Cruciate Ligament Reconstruction, Orthopaedic Resident
Academic Day 2010.
38
Dr. Earl Kowalczyk
Dr. Kowalczyk is a graduate of the University of
Saskatchewan Faculty of Medicine. He is a fifth-year
resident in Orthopaedic Surgery at the University of
Manitoba.
Kowalczyk, Earl – Patient Satisfaction When Completing Hip and Knee
Replacement Follow-up Questionnaires On a Touch-Screen Kiosk In an
Orthopaedic Clinic, Orthopaedic Resident Academic Day 2010.
Dr. Jonathan Marsh
Dr. Marsh is a graduate of the University of Manitoba
Faculty of Medicine. He is a third-year resident in
Orthopaedic Surgery at the University of Manitoba.
Marsh, Jonathan – Noise Levels in Adult and Pediatric Orthopaedic Cast
Clinic Orthopaedic Resident Academic Day 2010.
Dr. Randy Mascarenhas
Dr. Mascarenhas is a graduate of the University of
Manitoba, Faculty of Medicine. He is a third-year
Orthopaedic Resident at the University of Manitoba.
Mascarenhas, Randy – Iliac Crest Allograft for Glenoid Deficiency in
Recurrent Shoulder Instability in Athletes, Canadian Orthopaedic Association
Annual Meeting, Edmonton, Alberta, 2010.
Mascarenhas Randy – Transphyseal Anterior Cruciate Ligament
Reconstruction with Autogenous Semitendinosus/Gracilis Tendons in the
Skeletally Immature Patient, 2009 Department of Surgery Research Forum.
Mascarenhas, Randy – Iliac Crest Allograft for Glenoid Deficiency in
Recurrent Anterior Shoulder Instability in Athletes, 2009 Department of
Surgery Research Forum.
Mascarenhas Randy – Iliac Crest Allograft for Glenoid Deficiency in Recurrent
Shoulder Instability in Athletes, Arthroscopy Association of North America
Annual Meeting 2010.
Mascarenhas, Randy – Arthroscopic and Magnetic Resonance Imaging (MRI)
Grading of Articular Cartilage Lesions of the Knee:Inter-Rater Reliability and
Agreement Between Modalities Orthopaedic Resident Academic Day 2010.
Dr. Meaghan Rollins
Dr. Rollins is a graduate of the Royal College of Surgeons
in Ireland in Dublin, Ireland for undergraduate medicine.
She is a first-year resident in Orthopaedic Surgery at the
University of Manitoba.
Rollins, Meaghan – The Relationship Between Injury to Surgery Time and
the Incidence of Secondary Joint Injury in an ACL Injured Population: A
Randomized Controlled Trial, Orthopaedic Resident Academic Day 2010.
39
Dr. Jamie Rusen
Dr. Rusen is a graduate of the University of Manitoba
Faculty of Medicine. He is a third-year resident in
Orthopaedic Surgery at the University of Manitoba.
Rusen, Jamie – Outcome of Distal Humerus Fracture Fixation: A Case Series
Orthopaedic Resident Academic Day 2010.
Rusen, Jamie – An improved method for classifying fractures of the
pertochanteric femur: considering comminution in the AO/OTA 31A2
subgroup, Poster Presentation COA Edmonton June 2010.
Dr. Taranjit Tung
Dr. Tung is a graduate of the University of Saskatchewan
Faculty of Medicine. He is a fourth-year Orthopaedic
Resident at the University of Manitoba.
Tung, Taranjit – Cortical Step Sign in Assessing Rotation During
Intramedullary Nailing of Winquist and Hansen Type II Femoral Shaft
Fractures, Orthopaedic Resident Academic Day 2010.
Dr. James Vernon
Dr. Vernon is a graduate of the University of Sydney,
Faculty of Medicine in Australia. He is a fifth-year
Orthopaedic Resident at the University of Manitoba.
Vernon, James – Sutures versus Staples For Wound Closure in Orthopaedic
Surgery: A Randomized Controlled Trial, Orthopaedic Resident Academic
Day 2010.
Dr. Mohammad Zarrabian
Dr. Zarrabian graduated from the Queen’s University
in Kingston.
Zarrabian, Mohammad – Off-road motorcycle injuries in children Canadian
Orthopaedic Association Annual Meeting, Edmonton, Alberta, 2010.
Zarrabian, Mohammed – Off-road motorcycle injuries in children 2nd Annual
Faculty of Medicine Resident and Fellow Research Day, 2010.
Zarrabian Mohammed Sleep Quality and Disability In A Population Of Spine
Surgery Patients, Orthopaedic Resident Academic Day 2010.
40
Winning Research Paper,
Resident Research Day
The Validation of a Novel Expertise-based Global Assessment of Arthroscopic Skills in a Cadaveric
Knee Model.
Dr. Jesse Shantz*, MD MBA2
2
Section of Orthopaedics, University of Manitoba
* Corresponding Author
Funding for this research was generously provided by an unrestricted grant from the Arthroscopy Association of
North America and through a grant from the Alexander Gibson Fund.
Acknowledgements: The authors would like to thank the residents and staff of the Section of Orthopaedics for
volunteering the time to serve as subjects in this study. Additional thanks to Drs. John Collins and Daniel Pratt of
the University of British Columbia for their guidance in the construction of the global assessment of arthroscopic
skills. Thanks also to Dr. Jamie Dubberley, Dr. Jason Old and Dr. Greg Stranges for evaluating the countless videos.
Purpose
The development of skills in arthroscopic surgery is essential to the training of modern orthopaedic surgeons.
Few validated, objective tools exist which track improvement in arthroscopic skills. The purpose of this study
was to validate an objective global assessment of arthroscopic skills employing videotape footage of diagnostic
arthroscopy performed by participants of various skill levels on a cadaveric knee.
Methods
A total of 22 participants with varying arthroscopic experience performed a recorded diagnostic knee arthroscopy
on a cadaveric knee. Recorded footage of the procedures from an arthroscopic and external view was assessed by
five blinded evaluators and scored on a global skills evaluation and checklist evaluation form. Interclass correlation
coefficient analyses were used to determine the inter-rater reliability. Mean scores of novice and experienced
residents and practicing arthroscopists (based on rank and experience) were compared using a student’s t-test.
Results
A total of 22 participants completed an attempt at a diagnostic arthroscopy of a cadaver knee. Interclass
correlation coefficient for the five raters on the global rating scale was 0.626 indicating moderate to good
agreement. Interclass correlation coefficient for visual analogue scale skill measurement was 0.645. Discriminant
validity was shown by the ability of the global assessment to differentiate novice (95% CI=8-10) and experienced
residents (95% CI=13-17) from fellows (95% CI=21-31) and staff (95% CI=17-23). There was a ceiling effect
based on the inability to differentiate fellows from staff.
Conclusions
The Objected Assessment of Arthroscopic Skills global rating scale is a valid, reliable measure of arthroscopic skills
in residents. It could be used for evaluative or educational purposes in orthopaedic training.
Level of Evidence
Level II – Prospective Comparative Study
Keywords
Education, Evaluation, Arthroscopy, OSATS
41
Education Events
Skills Course: L– R: Dr. Jesse Shantz, Dr. David Ames and Dr. Jon Marsh
Skills Course: L– R: Dr. Randy Mascarenhas, Dr. Jamie Rusen and Dr. James Vernon
Skills Course: L– R: Dr. Fanelli, Dr. Abdul Elyousfi and Dr. Bahram Groohi
42
Scope Day: L– R: Dr. Fanelli, Dr. Taranjit Tung and Dr. Christopher Kim
Scope Day: L– R: Dr. Warren Froese, Dr. Danny Gillis, Dr. Earl Kowalczyk and Dr. Heather Barske
Scope Day: L– R: Dr. James Vernon, Dr. Jamie Rusen and Dr. Randy Mascarenhas
43
Notes
44
46