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General Topics Feature

Courtesy of Smoky Mountain Service Dogs

ChoiceSpine’s Donation Program; Lowry Barnes, M.D. Now Carl L. Nelson Distinguished Chair; and Acetabular Surgery in the Developing World

Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, July 7th, 2017

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ChoiceSpine Donating Biologics Proceeds to Veterans’ Organization

ChoiceSpine, based in Knoxville, Tennessee, walks the walk when it comes to giving back.

The company, which recently launched its new biologics portfolio, wanted to ensure that a portion of the proceeds from those products goes to a very deserving cause—the Smoky Mountain Service Dogs charitable organization. This charity focuses on the quality of life for veterans with disabilities by providing custom-trained, mobility-assistance service dogs.

Christy Cote, vice president of Biologics and ChoiceSpine’s Tissue Bank director, told OTW, “ChoiceSpine’s co-founders, Rick Henson and Marty Altshuler, and I discussed wanting to use the launch of our biologics portfolio as a way to support a charitable organization that gives back to those who served in our military. We wanted to find an organization where our donations would have a direct impact on the recipients and the charity’s mission aligned with our values.”

“When we found Smoky Mountain Service Dogs (SMSD) and met Mike Kitchens, their chairman of the board, we knew it was a great fit. Over 97% of their donations are used to custom train service dogs specifically for a wounded veteran’s needs. It takes two years to train a service dog and the SMSD team donates hundreds of hours of their lives to create a relationship that improves the quality of life for our heroes. Our goal is to sponsor as many dogs as we can and grow together in our reach.”

“SMSD is also a neighbor here in the Smoky Mountains, and we enjoy being able to attend their ‘Passing the Leash’ ceremony where you won’t find a dry eye in the building when the veterans receive their furry companions. As dog lovers and supporters of our military, we are delighted to support such an outstanding organization in our backyard.”

"We are extremely excited about the launch of our Biologics Portfolio. We wanted to come out of the gate strong so we are proud to have an offering that includes various allograft and synthetic bone graft options in addition to a full amnion offering,” commented Christy Cote in the June 27, 2017 news release. “We believe the addition of a biologics platform to our already strong product portfolio is an important strategic milestone.”

According to the company, “The Biologics product portfolio is marketed under two brands named after the Stratotanker plane that refuels military aircraft inflight. STRATOFUSE was designed to fuel fusion in spine and orthopedic surgical procedures. The STRATOFUSE brand will promote demineralized bone allograft putties and sponges, synthetic bone graft substitute putties and strips, structural allograft and allograft bone extenders. The STRATOGEN line will focus on a full amnion offering.”

Lowry Barnes, M.D. Now Carl L. Nelson, M.D., Distinguished Chair in Orthopaedic Surgery

He always had one of the best seats at the table…but now C. Lowry Barnes, M.D., chair of the University of Arkansas for Medical Science (UAMS) College of Medicine’s Department of Orthopaedic Surgery, has been invested in the Carl L. Nelson, M.D., Distinguished Chair in Orthopaedic Surgery.

Dr. Barnes graduated with honors from the College of Medicine in 1986 and completed his internship and residency in orthopedic surgery at UAMS. He has served as department chair since August 2014. Dr. Barnes was presented the chair medallion by UAMS Chancellor Dan Rahn, M.D., and UAMS Executive Vice Chancellor and College of Medicine Dean Pope L. Moseley, M.D.

The chair is named in honor of Carl L. Nelson, M.D., a world-renowned expert in joint replacement who served as chairman of the UAMS Department of Orthopaedic Surgery from 1974 until his death in 2005.

Dr. Barnes holds four patents for orthopedic surgery devices and has designed numerous hip and knee implants. He lectures nationally and internationally on total joint replacement surgery and has been active in hip and knee research. Barnes established the HipKnee Arkansas Foundation to further study patients with arthritis.

Dr. Barnes is president of the Mid-America Orthopaedic Association and a past president of the Arkansas Orthopaedic Society, the Southern Orthopaedic Association and the Society of Arthritic Joint Surgery. He has served as treasurer and is currently president-elect of the American Association of Hip and Knee Surgeons.

Dr. Nelson came to UAMS in 1974 to develop the Department of Orthopaedic Surgery and organize the orthopedic training program. He produced more than 200 peer-reviewed scientific publications on topics including orthopedic education, musculoskeletal infection, psychomotor skills and bloodless surgery.

Dr. Barnes told OTW, “While the endowed chair is a personal recognition, it is absolutely because of our team. My partners in the orthopedic department at UAMS truly work as a team. They have grown surgical volume by more than 5,000 cases per year in only three years and have increased peer-reviewed publications by a factor of 7. I am clearly recognized because of their efforts.”

“Carl Nelson provided the first major transformation of orthopedic surgery in our state. He was extremely dedicated to resident education. Because of the high quality educational program that he led, the orthopedic surgeons he trained changed orthopedics across our state. I am very honored to have been educated by him, and I hope that he would be pleased about the current transformation of our department.”

“We have had an incredible growth rate. Our number of faculty has doubled and our clinical volumes and research have far surpassed that. We are now limited by capacity. We will continue to explore partnerships and other opportunities to expand our capacity. In addition, we will significantly grow our research department. We have also begun the process of increasing from four residents to six residents per year.”

Survey of Pelvic and Acetabular Surgery in the Developing World

Florida Orthopaedic Institute has teamed up with colleagues from Wisconsin, Ethiopia, Kenya, Washington, and Georgia to assess the status of some very challenging surgeries in the developing world. Their study, “State of Pelvic and Acetabular Surgery in the Developing World: A Global Survey of Orthopaedic Surgeons at Surgical Implant Generation Network (SIGN) Hospitals,” appears in the July 2017 issue of the Journal of Orthopaedic Trauma.

Hassan R. Mir, M.D., M.B.A. is director of the Orthopaedic Residency Program at the University of South Florida and director of Orthopaedic Trauma Research at the Florida Orthopaedic Institute. He told OTW, “Pelvic and acetabular fractures are amongst the most challenging injuries that we face as orthopaedic trauma surgeons, and they are increasing worldwide with the growing number of road traffic accidents. When we discuss these injuries at international conferences, there are a variety of issues that make the treatment of patients with these fractures even more difficult in the developing world. We sought to document the current state of pelvic and acetabular surgery in the developing world and to identify critical areas for improvement in the treatment of these complex injuries.”

“We sent a 50-question online survey to orthopaedic surgeons at Surgical Implant Generation Network (SIGN) hospitals, which represent a cross-section of institutions in low- and middle-income countries that treat high-energy musculoskeletal trauma. Complete surveys were returned by 181 surgeons at 75 institutions, representing 61.8% of the global SIGN nail volume.”

“Although 96% of respondents were trained in orthopaedic surgery, 53.3% have no formal training in pelvic or acetabular surgery. Responding hospitals see an average of 38.8 pelvic ring injuries annually, with 24% of sites treating them all nonoperatively. Sites treated an average of 22.5 acetabular fractures annually, with 34.7% of institutions treating them all nonoperatively.”

“We report the current state of pelvic and acetabular surgery in low- and middle-income countries. Our results identify significant needs in surgeon training, hospital resources, availability of instruments and implants, and access to appropriate postoperative rehabilitation services for pelvic and acetabular surgery in the developing world. Targeted programs designed to overcome these barriers are required to advance the care of pelvic and acetabular fractures in the developing world.”

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