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UCLA/Orthopaedic HospitalDepartment of Orthopaedic SurgeryAlumni Bulletin 2012
A Message from Chairman Dr. Jeffrey J. Eckardt:Welcome to the 2012 AAOS UCLA/OH Alumni Reception. Wehave had a most successful year as we remain committed topatient care, emphasizing research while maintaining ourcommitment to education and community service.I am glad to report that in June 2011 the Department receivedword from the RRC (Residency Review Committee) that wereceived a 5-year accreditation without any citations. This was inlarge part due to the diligence of Connie Sams, our MedicalEducation Coordinator, and Drs. Jim Luck and Nelson SooHoo,our program directors, with help from Drs. Prosper Benhaim,Gerry Finerman and David McAllister. After many years ofwaiting, we have now moved into our offices, clinics andoperating rooms within the new Santa Monica Hospital, officiallyknown as the Santa Monica UCLA Medical Center andOrthopaedic Hospital. Our alliance with Orthopaedic Hospitalremains steadfast as Orthopaedic Hospital celebrates their 100year anniversary. Since June 2010 we have added eight newfaculty members: Drs. Frank Petrigliano in the Division of SportsMedicine, Devon Jeffcoat and Eric Farrell in Trauma, PeterAlexakis and Bruce Brown in General Orthopaedics and Jae Jung in PM&R. Drs. Michael Daubs in Spine andSusan Bukata in Oncology and Osteoporosis will be arriving in March 2012. We were also delighted towelcome our new R1 class that represents the best of the best applicants.Our Outpatient Ambulatory Surgical Center, with eight new operating rooms on 16th Street, is due to open byMarch 2012 in Santa Monica. This will bring us to a total of 16 inpatient ORs and 8 outpatient ORs for surgicalprocedures on the Santa Monica campus. We continue to have access to outpatient surgical rooms inWestwood for hand and sports cases, with the Ronald Reagan UCLA Medical Center being primarily used byDrs. Eric Johnson and Devon Jeffcoat for the major trauma cases. Our new outpatient Spine Center withNeurosurgery and PM&R at Wilshire and 12th Street in Santa Monica will hopefully be opened by this summer.Our newest challenge will be the implementation of the Electronic Medical Record System, a two-year processand an administrative challenge for all. All of our faculty, residents, and fellows have diligently been workingwith the implementation team for a smooth transition.We all hope that you will keep in touch and come to visit us if in Los Angeles.Sincerely yours,Jeffrey J. Eckardt, M.D.Professor and Chair, Department of Orthopaedic SurgeryThe Helga and Walter Oppenheimer Chair of Musculoskeletal Oncology2
Historical NotesCharles O. Bechtol, M.D.1911-1998Our Founding Division ChiefCharles O. Bechtol, M.D. (1911-1998) wasthe Founding Division Chief of OrthopaedicSurgery at UCLA. Dr. Bechtol received hisM.D. from Stanford Medical School in 1940.From 1952-1957, he served as Chairman ofthe Department of Orthopaedic Surgery atYale University where he established theYale Biomechanics Laboratory. He joinedthe UCLA faculty in 1957 as FoundingDivision Chief of Orthopaedic Surgery andserved in that capacity until 1970.Dr. Bechtol became internationally knownfor his research in biomechanics, designedmultiple orthopaedic device systems andmade major improvements in artificiallimbs. Among the devices were a selftapping screw in the 1950s, the BechtolStepped Hip Replacement Stem in 1956, theBechtol Straight Hip Stem with TrabecularNotches in the 1960s, the Bechtol Total HipSystem in 1970, the Bechtol Total KneeSystem in 1972, the Bechtol Total ShoulderReplacement in 1974, and the Series II TotalHip System in 1976 among others. Heserved as member and chairman ofresearch committees for the AAOS, ORS,National Science Foundation, CaliforniaMedical Association and LA County MedicalAssociation. In 1991, Dr. Bechtol receivedthe Markowitz Award from the Academy of Surgical Research for a lifetime of outstanding contributions tomedicine through experimental surgery. In 1970, he founded the Los Angeles-based Joint Implant Surgery &Research Foundation, which he chaired until his death on July 16, 1998 at the age of 86.He is survived by hiswife, Louise, who graciously provided this biographical information.Dr. Bechtol set the bar for clinical care and translational bioengineering research. We are indebted to him andindeed privileged to have such an esteemed physician and researcher as our Founding Division Chief.Jeffrey J. Eckardt, M.D.January 20123
In 2010-2011, the UCLA/Orthopaedic HospitalDepartment of Orthopaedic Surgery continued itsmission of providing outstanding clinical care,resident and fellow education, and research at thebasic science, translational, and clinical levels. Ourgoal as a Department is to integrate clinical care,education, and research while maintaining thehighest levels of patient satisfaction with cuttingedge surgical techniques. We are honored to be apart of the UCLA Health System, consistentlyranked as “Best in the West” by the US News andWorld Report.on a three-story ambulatory surgery center acrossfrom the Santa Monica UCLA Medical Center slatedto open in early 2012. Further, construction of anew UCLA Spine Center has commenced inconjunction with the Department of Neurosurgery,slated to open in 2012.FACILITIESJanuary 2012 marked the opening of the new SantaMonica UCLA/Orthopaedic Hospital, located onWilshire and 16th Street in Santa Monica, CA.This location will serve as the inpatient andoutpatient hub of the UCLA/Orthopaedic HospitalDepartment of Orthopaedic Surgery for decades tocome. Constructed as part of the alliance betweenUCLA Orthopaedic Surgery and Los AngelesOrthopaedic Hospital, this facility houses state ofthe art operating suites, inpatient facilities, facultyoffices, and outpatient exam rooms. In addition,UCLA has signed a 147 million dollar 30 year leaseThe Los Angeles Orthopaedic Hospital has addedand updated facilities to continue to provide worldclass pediatric orthopaedic care both in the originaldowntown Los Angeles location and in SantaMonica. Led by Anthony Scaduto, M.D., interimPresident, Chief Executive Officer and LowmanProfessor of Pediatric Orthopaedics, the Renee andMeyer LuskinChildren’s Clinicmoved into the newSanta MonicaUCLA/OrthopaedicHospital in January2012 and will serve asthe westside focalpoint of PediatricOrthopaedics atUCLA. Also, over95,000 children'sorthopaedic visits areconducted at the40,000-square-foot Orthopaedic HospitalOutpatient Medical Center on the downtown LosAngeles Orthopaedic Medical Center campus. Inaddition, we remain extremely proud of theOrthopaedic Hospital Medical Magnet HighSchool. Opened as an alliance with Los AngelesUnified School District, this magnet high schoolemphasizes healthcare and medical science.
Despite the move of the majority of orthopaedicclinical work to the new Santa Monica facility, westill maintain a strong presence at the mainWestwood UCLA campus. First, we provide Level 1orthopaedic trauma care at the new RonaldReagan UCLAMedical Centerwhich serves as thenucleus for ourOrthopaedicTrauma residenteducation. Second,theUCLA/OrthopaedicHospitalDepartment ofOrthopaedic Surgery maintains the state-of-the-art35,000 square foot Orthopaedic Hospital ResearchCenter (OHRC).regenerative-restorative orthopaedic medicine andtrain the next generation of leaders in the field.The third is to bring research advances to the careof children with musculoskeletal disease, a 100 year-long mission of the Orthopaedic Hospital ofLos Angeles. Third, the UCLA Division of SportsMedicine continues to provide care for over 700UCLA intercollegiate athletes at the Acosta AthleticTrainingComplex and,in addition,providesmusculoskeletal care at theArthur AsheStudent Health andWellness Center. Lastly,UCLA OrthopaedicSurgery will maintain aclinic and SportsMedicine Center oncampus at Westwood.In the UCLA/OrthopaedicHospital Department ofOrthopaedic Surgery, weaim to provide a diverse residency experience andto provide care to the underserved as well. In2011, we maintained our strong relationship withHarbor-UCLA Department of Orthopaedic Surgerybut also added a new Orthopaedic Surgery serviceat the county hospital, Olive View Medical Center.This new service, led by Olive View Chief NelsonSoohoo, M.D., has been tremendously wellreceived by residents, faculty, and patients alike.The orthopaedic service joins the alreadyextremely busy hand service at Olive View andprovides Level 2 orthopaedic trauma care andsports medicine in the North San Fernando Valley.Led by Vice Chair of Research John Adams, M.D.,we harbor three goals for this facility anddepartmental research as a whole. The first is tobecome the foremost research department oforthopaedic surgery in the United States.Currently, we rank 8th among Orthopaedic Surgerydepartments nationally for NIH funding. Thesecond is to build a leading training program in5
RESIDENT/FELLOW EDUCATIONUCLA continues to pride itself on training some ofthe finest orthopaedic surgery residents in thecountry. Our goal is to train both future academicleaders and outstanding clinicians. Each year weare faced with the difficult task of choosing fromthe most outstanding applicants in the country inan increasingly competitive field. We are rewardedeach year with bright young minds that provideoutstanding care and strengthen our department.Led by Program Director James V. Luck, Jr., M.D.and Associate Program Director Nelson Soohoo,M.D., we currently train six residents perresidency class. In addition, two residents peryear choose to complete a prestigious one-yearresearch fellowship between second and thirdyears of residency. Our residents continue torotate at Harbor-UCLA Medical Center, Shriner’sHospital Los Angeles, the West Los Angeles VAHospital, and the aforementioned OrthopaedicSurgery Service at the Olive View Medical Center.Lucie Krenek, MD, Hand Surgery, University ofWashingtonMichael Eagan, MD, Trauma, Shock Trauma,Baltimore, MDApril Ligato, MD, United States Air ForceHillard (Theo) Spencer, MD, Pediatric Orthopaedics,Harvard, Boston, MAJoshua Bales, MD, Hand Surgery, Cincinnati, OHThe current chief residents (graduating June 2012and pictured left to right) are matched to thefollowing excellent fellowships:In addition, we train two Pediatric OrthopaedicSurgery Fellows, two Orthopaedic SportsMedicine Fellows, two Hand Surgery Fellows, andtwo Spine Surgery Fellows per year. These traineeshave completed their orthopaedic surgeryresidencies and have chosen to spend one year atUCLA for subspecialty training.Mark Elzik, MD, Hand Surgery, Philadelphia Hand CenterDan Le, MD, Joint Replacement, New England BaptistHospital, Boston, MAPaul Celestre, MD, Spine Surgery, Norton Leatherman,Louisville, KYTad Kremen, MD, Sports Medicine, Duke University, NCNicholas Bernthal, MD, Orthopaedic Oncology, University ofUtahLocky Chambers, MD, Sports Medicine, Hospital for SpecialSurgery, NY, NY (not pictured)The strength of our residency program isdemonstrated by the outstanding fellowshipsgarnered by UCLA graduates. The following is apartial list of the fellowships attended by recentgraduates:Lastly, we welcome our stellar new intern class:Michael Leathers, MD, USC Medical SchoolDean Wang, MD, Case Western Reserve Medical SchoolMark Sugi, MD, UCLA Medical SchoolNatalie Leong, MD, Harvard Medical SchoolAdedayo Ashana, MD, University of Pennsylvania MedicalSchoolBenjamin Bluth, MD, UCLA Medical SchoolScott Crow, MD, Sports Medicine, Kerlan Jobe, LA, CAEugene Farng, MD, Hand Surgery, University ofWashingtonMoazzaz, Payam MD, San Diego Center for Spinal DiseasesCarlos Gonzales, MD, Sports Medicine, Brigham andWomen’s Hospital, Boston, MAChukwunenye Osuji, MD, Trauma, UC DavisSamuel Park, MD, Joint Replacement, Brigham and Women’sHospital, Boston, MABrent Berger, MD Pediatric Orthopaedics, DuPontChildren’s Hospital, Wilmington, DEAdam Bier, MD, Sports Medicine, Kerlan Jobe, LA, CAOur residents have been very productive inresearch over the past year as well. Nick Bernthal,M.D. received the Lloyd Taylor Award, 2011Western Orthopaedic Association and the 20116
OREF Resident Award, California OrthopaedicAssociation. Alan Zhang, M.D. received an HH LeeSurgical Resident Travel Grant. Jared Niska, M.D.received the HH Lee Surgical Research Grantof 25,000 for work on an infected mousearthroplasty model. Jonathan Pribaz, M.D. won 4thplace and a 1000 honorarium at the 2011 UCLADepartment of Medicine Research Day PosterCompetition. Scott Montgomery, M.D. and JaredNiska, M.D. are currently doing an outstanding jobas the 2011-2012 research residents.Staphylococcus aureus Infection. J Orthop Res 2011;29:16216.Bernthal N, Seeger L, Motamedi K, Stavrakis A, Kremen T,McAllister D, Motamedi A. Can the Reparability of MeniscusTears be Predicted with MRI? Am J Sports Med 2011;39:50610.Chambers KL, Kremen TJ, Snell CJ, Gamradt SC. ArthroscopicAnterior Shoulder Stabilization in the Beach Chair PositionUsing Trans-Subscapularis Drilling of the 5:30Anchor.Techniques in Shoulder & Elbow Surgery. 12(3):56-61,September 2011.Chambers L, Hame S, Levine B. AcuteExertional Medial CompartmentSyndrome of the Foot after PlayingBasketball. Journal of Skeletal Radiology.2011 40(7): 931-5.Gamradt, SC, Gelber J, Zhang, AL.Shoulder Function and Pain Level afterRevision of Failed Reverse ShoulderReplacement toHemiarthroplasty.International Journal ofShoulder Surgery, In Press 2011.Hartzell T, Shahbazian J, Pandey A,Stofman L, Rubinstein R, Bernthal N,Azari K, Benhaim P. Does the gatekeepermodel work in hand surgery? In Press 2011.Current and Former Research Residents (graduation year)pictured left to right: Drs. Jonathan Pribaz (2014), JeremyReid (2013), Jared Niska (2015), Tad Kremen (2012), NickBernthal (2012), Jared Johnson (2013), Scott Montgomery(2015)Johnson JS, Meliton V, Kim WK, Lee KB, Wang JC, Nguyen K,Yoo D, Jung ME, Atti E, Tetradis S, Pereira RC, Magyar C,Nargizyan T, Hahn TJ, Farouz F, Thies S, Parhami F. NovelOxysterols have pro-osteogenic and anti-adipogenic effects invitro and induce spinal fusion in vivo. J Cell Biochem. 2011Jun; 112(6): 1673-84.Resident Publications 2011Kremen T, Bernthal N, Seeger L, Nelson S, Eckardt J. GiantCell Tumor of Bone: Risk Stratification and Long TermOutcomes. Clin Orthop Relat Res Nov 29, 2011.Bernthal N, Celestre P, Stavrakis A, Luddington J, Oakes D.Disappointing Short Term Results with the DePuy ASR Metalon Metal Total Hip Arthroplasty. J Arthroplasty October 12,2011.Kremen TJ,Bernthal NM, Eckardt MA, Eckardt JJ. Giant CellTumor of Bone: Are We Stratifying Results Appropriately? ClinOrthop Relat Res. 2011 Nov 29.Bernthal N, Hoshino C, Dichter D, Wong, M, Silva M.Assessing Long-Term Range of Motion After Lateral CondyleFractures in Children. J Bone Joint Surg 2011;93:871-7.Bernthal N, Pribaz J, Dichter D, Wong, M, Silva M. LateralSpurring After Lateral Condyle Fractures of the Humerus inChildren. J Ped Orthop. In Press 2011.Kremen TJ, McAllister DM. Graft Selection in MultipleLigament Injured Knee Surgery. In: The Multiple LigamentInjured Knee: A Practical Guide to Management 2nded.,edited by Gregory C. Fanelli. New York, NY: Springer; 2011(In Press).Bernthal N, Pribaz J, Stavrakis A, Finerman G, Adams J, MillerL. Protective Role of IL-1B against Post-ArthroplastyKremen TJ, Petrigliano FA, McAllister DR. Revision AnteriorCruciate Ligament Reconstruction.Orthopaedia 7
Collaborative Orthopaedic Knowledgebase.Anterior Cervical Spine Surgery. Eur Spine J. 2011 Feb;20Suppl 2:S211-6.Lee KB, Johnson JS, Song KJ, Taghavi CE, Keorochana G, WangJC. The use of autogenous bone graft compared to rhBMP inhigh risk patients: A comparison of fusion rates and time tofusion. In Press, Journal of Spinal Disorders and Techniques.Zhang AL, Kreulen C, Ngo, S, Hame S, Wang J, Gamradt SC.Demographic Trends in Arthroscopic SLAP Repair. Am J SportsMed. In press, 2011.Lee KB, Murray SS, Taghavi CE, Song KJ, Brochmann EJ,Johnson JS, Keorochana G, Liao JC, Wang JC. Bonemorphogenetic protein-binding peptide reduces theinflammatory response to recombinant human bonemorphogenetic protein-2 and recombinant human bonemorphogenetic protein-7 in a rodent model of soft tissueinflammation. Spine J. 2011 Jun;11(6):568-76.Zhang, AL, Gelber J, Gamradt, SC. Removal of the ReverseShoulder Prosthesis. Tech Should Elbow Surg. 2011 June;12(2):40-45.Resident Abstracts/Presentations 2011Bernthal N, Eilber F, Eilber F, Eckardt J. Total FemoralEndoprostheses: The UCLA Experience 1980-2011. PodiumPresentation – Combined Connective Tissue Oncology Society(CTOS)/ Musculoskeletal Tumor Society (MSTS) AnnualMeeting, Chicago, October 2011.Lee KB, MurraySS, Duarte ME, Spitz JF, Johnson JS, Song KJ,Brochmann EJ, Taghavi CE, Keorochana G, Liao JC, Wang JC.Effects of the bone morphogenic protein binding proteinspp24 (secreted phosphoprotein 24 kD) on the growth ofhuman lung cancer cells. J Orthop Res. 2011 Nov29(11):17128.Bernthal N, Hoshino C, Dichter D, Wong M, Silva M.Prospective Longitudinal Evaluation of Elbow Range ofMotion Following Pediatric Lateral Condyle Elbow Fractures.Podium Presentation – American Academy of OrthopaedicSurgeons (AAOS) Annual Meeting, San Diego, February 16,2011.Leelapattana P, Keorochana G, Johnson J, Wajanavisit W,Laohacharoensombat W. Reliability and validity of an adaptedThai version of the Scoliosis Research Society-22questionnaire. J Child Orthop. 2011 Feb;5(1):35-40.Bernthal N, Ludington J, Gamradt S, Oakes D. To Screen orNot to Screen: Results of Routine DVT Screening in KneeArthroplasty Patients in the Era of Regional Anesthesia.Poster Presentation – Western Orthopaedic AssociationAnnual Meeting, Honolulu HI, July 28, 2011.Liao JC, Tzeng ST, Keorochana G, Lee KB, Johnson JS,Moroshita Y, Murray SS, Wang JC.Enhancement ofrecombinant human BMP-7 bone formation with bmpbinding peptide in a rodent femoral defect model.J OrthopRes. 2011 May;29(5):753-9.Bernthal N, Pribaz J, Stavrakis A, Billi F, Cho J, Francis K,Iwakura Y, Eckardt J, Miller L. Using Bioluminescence toCombat Biofilm: Mouse Modeling of Implant Infections toProtect Endoprosthetic Reconstructions. PodiumPresentation – Combined Connective Tissue Oncology Society(CTOS)/ Musculoskeletal Tumor Society (MSTS) AnnualMeeting, Chicago, October 2011.Niska JA, Shahbazian J, Ramos RI, Pribaz J, Billi F, Francis K,Miller L. Daptomycin and tigecycline have a broader effectivedose range than vancomycin as prophylaxis against a surgicalimplant Staphylococcus aureus infection in mice.Antimicrobial Agents and Chemotherapy In Press, 2011.Pribaz J, Bernthal N, Stavrakis A, Finerman G, Adams J, MillerL. Mouse Model of Chronic Post-Arthroplasty Infection:Noninvasive in vivo bioluminescence imaging to monitorbacterial burden for long term study. J Orthop Res 2011;doi:10.1002/jor.21519.Bernthal N, Pribaz J, Stavrakis A, Billi F, Cho J, Francis K,Iwakura Y, Miller L. Protective role of IL-1b against postarthroplasty Staphylococcus aureus infection. PodiumPresentation – Western Orthopaedic Association AnnualMeeting, Honolulu HI, July 30, 2011. Winner of the LloydTaylor Award.Reid JJ, Johnson JS, Wang JC.Challenges to bone formation inspinal fusion. J Biomech. 2011 Jan 11;44(2):213-20.Silva M, Wong T, Bernthal N.Outcomes of Reduction Morethan Seven Days After Injury in Supracondylar HumerusFractures in Children. Accepted J Ped Orthop 2011;31:751-6.Bernthal N, Pribaz J, Stavrakis A, Billi F, Cho J, Francis K,Iwakura Y, Miller L. Using Bioluminescence to MonitorBiofilm: A Murine Model of Post-Arthroplasty Infection.Podium Presentation – Western Orthopaedic AssociationAnnual Meeting, Honolulu HI, July 28, 2011.Tian H, Yuan W, Johnson JS, Chen H, Chen D.Pharyngoesophageal Diverticulum: A Delayed Complication ofBernthal N, Pribaz J, Stavrakis A, Billi F, Francis K, Iwakura Y,Miller L. Protective role of IL-1b against post-arthroplasty8
Staphylococcus aureus infection. Podium Presentation –Orthopaedic Research Society (ORS)
UCLA has signed a 147 million dollar 30 year lease on a three-story ambulatory surgery center across from the Santa Monica UCLA Medical Center slated to open in early 2012. Further, construction of a new UCLA Spine
