Orthopaedic Surgery News - UC Davis Health System

DEPARTMENT OF ORTHOPAEDIC SURGERYOrthopaedic Surgery NewsCelebrating 42 years of ServiceMessage from the ChairSPRING, 2011On March 17th, in celebrationsthat took place simultaneouslyat medical schools across thecountry, more than 16,000 U.S.medical school seniors foundout where they will be spendingthe next three-to-seven yearsof residency. This year’s matchwas the largest in the history ofthe National Residency MatchProgram (NRMP), a not-for-profitcorporation established in 1952.Match Day is a national eventconducted annually by the NRMP.The Match uses a computerizedmathematical algorithm to alignthe preference of applicantswith the preferences of theresidency programs in order tofill the residency training positionavailable at U.S. teaching hospitals.According to the NRMP data,dermatology, orthopaedic surgery,otolaryngology, plastic surgery,radiation oncology, thoracicsurgery, and vascular surgerywere the most competitive fields.At least 90% of those positionswere filled by U.S. medical seniors.Of the 670 open positions fororthopaedic surgery, only twowere unfilled.The UC Davis Departmentof Orthopaedics would like tocongratulate and welcome thenewest members to our residencyprogram, the 2011-2012 PGY-1 class! We had an especiallystrong applicant pool this year.We received approximately 400applications and interviewed 48applicants for our 5 spots; we onceagain matched our top choicesfrom many distinguished medicalschools. Paul Di Cesare, MDProfessor and ChairDr. Paul Di CesareRESIDENT AND FELLOWSYMPOSIUM ANDGRADUATIONJUNE 16, 2011Evening grand rounds withguest speakerJUNE 17, 2011Graduation symposiumGraduation dinner at theSutter ClubDowntown Sac

ORTHOPAEDIC SURGERY NEWS • SPRING 2011Welcome New Staff!INTRODUCINGRAKESHDONTHINENI,MDOUR NEWORTHOPAEDICONCOLOGISTDr. Donthineni earned his MDdegree from University of WalesCollege of Medicine, Cardiff, UK, andcompleted his orthopaedic residencywith University of California, San Diego,CA. He returns to the UC Davis HealthSystem after helping to develop theOrthopaedic Oncology division from2003 to 2006. He will be providingclinical care to orthopaedic patientsand assisting in the teaching oforthopaedic trainees.To schedule a medical appointment,please call the ACC Orthopaedic clinicat 916.734.2700.INTRODUCINGOUR NEWANALYSTJackie Dalke willbe managingour departmentwebsite, purchasing and the Lipscomband Orthopaedic Surgery GrandRounds Series. She earned her degreein Health Services Administration fromCalifornia State University Chico.Spotlight:Physicians for the Sacramento KingsThe average NBA basketballplayer stands at 6 feet 7 inches talland 225 pounds. He sprints andbursts his way through several milesper game and jumps dozens of times,often landing forcefully in a crowd.Add liberal doses of backwardsrunning, direction change and lateralmovement — plus elbows in the lane— and there’s plenty of potential forinjury over the course of an 82-gameseason.For many years, the SacramentoKings have trusted our UC Davisphysicians to counteract the effects ofthese “major-league” biomechanicalforces. Sports Medicine andorthopaedic specialists at UC DavisHealth System have served as theKings’ official team doctors for morethan two decades, keeping membersof the 15-man roster healthy andmoving.For the Kings, we provide regularmedical care and injury-preventionconsultation as well as treatmentfor both acute injuries and chronic/overuse problems.To meet the challenge, ourSports Medicine Program employs anintegrated, interdisciplinary approachthat brings to bear all of the uniqueresources of an academic healthsystem. This includes fellowshiplevelexpertise, availability of newtechnologies, and ready access toclinical trials and emerging treatmentapproaches. We are also able tooffer these resources to Olympiclevelathletes, collegiate playersand members of the general publicranging from fitness buffs to theproverbial “weekend warriors.”Richard Marder, our servicechief, co-directs the Sports MedicineProgram with sports medicinespecialist Jeffrey Tanji. Tanji andSports Medicine specialists DavidCosca and Gina Lokna from thePrimary Care Network offer treatmentfor non-operative musculoskeletalconditions such as strains, sprains,overuse problems and fractures.They work in concert with BrianDavis and Brandee Waite from theDepartment of Physical Medicine andRehabilitation.Marder, Kirk Lewis, James Vanden Bogaerde, Cassandra Lee and ourFoot and Ankle Service chief Eric Gizacan provide consultation and surgicalexpertise when more aggressivetreatment is required. As the area’slargest orthopaedic group, ourdepartment also offers several otherformal subspecialties that can beapplied when needed in case of injuryor accident, and can draw upon theexpertise of our level-I trauma center.The sports program also worksto develop new prevention andtreatment approaches throughresearch. Our orthopaedic researchlaboratories became the LawrenceJ. Ellison Musculoskeletal ResearchCenter in 1997, made possiblethrough a generous gift by LawrenceJ. Ellison, then president andchief executive officer of OracleCorporation, to help develop aworld-class research center inskeletal molecular biology. Cartilagemechanobiology, cell biology andregeneration are particularly activecurrent research areas.

DEPARTMENT OF INTERNAL MEDICINEMeet a ValuedVolunteerDr. AmirJamali is nostranger to theDepartment ofOrthopaedicSurgery.Appointed tothe UC DavisFaculty in 2003,he quicklybecame avaluable asset to our Department andwell respected amongst his peers,residents and medical students. In2010, he transitioned into an MSPposition and continued to be activelyinvolved in teaching and clinicalduties. Dr. Jamali has recently becomea Volunteer Clinical Faculty memberand, in this new role, will continue thetradition of excellent service.Dr. Jamali is a board-certifiedOrthopaedic surgeon withCertification of Added Qualificationfor Sports Medicine. He is also amember of the Board of Directorsof the California OrthopaedicAssociation. He is a fellow of theAmerican College of Surgeonsand of the American Academy ofOrthopaedic Surgeons (AAOS) inaddition to membership in theOrthopaedic Research Society, andthe Western Orthopaedic Association.Dr. Jamali’s clinical interest is injoint preservation surgery includingcartilage transplantation, realignmentsurgery (osteotomy), arthroscopy, andtotal joint replacement of the hip andknee.Dr. Jamali has been activelyinvolved in both resident educationand medical student education, andhas shown a strong commitment toquality education. He pays close(continued on page 6)Portrait of a Grateful PatientPati MalinowskiPati Malinowski has been a busy person raising three children andcrisscrossing the country due to her husband’s employment. Originally fromRochester, New York, the family moved to Thousand Oaks in Southern California,to Colorado Springs, Colorado, back to New York, down to Phoenix,Arizona and is currently settled in the Sacramento region. Malinowski maybe staying put for now, but thanks to treatment by UC Davis orthopaedicsurgeons, she gets around better than ever.When she was 16 years old, Malinowski had a bicycle accident andinjured her right knee. She said it hurt quite a bit, but the pain went away– and she ignored the injury as all teenagers do. But when she reached her40s the joint started bothering her again. Malinowski nursed it over theyears and sought relief from chiropractors, steroid shots in the knee andarthroscopy a couple of times.A quilter specializing in 1800s quilting by profession, Malinowski saidthings came to a head while attending a quilting show. She was pushinganother individual in a wheelchair and at the end of the day she felt pain inher left knee; Malinowski knew it was from compensating for her right knee.When she visited her primary care doctor for the pain, he told her the rightknee was bone-on-bone and needed to be replaced.After doing her research, Malinowski decided UC Davis had the bestpossible care. “After being told I needed surgery, I chose UCD because of itsunmatched reputation.” She chose to come to the Department of OrthopaedicSurgery and specifically requested Dr. Paul Di Cesare, chair of orthopaedicsurgery. “I found out later that he was the head if the department. Iknew I couldn't be in better hands.”While Dr. Di Cesare wasready to move forward with thesurgery, Malinowski wanted toget through the holidays so sheelected to go with “visco replacement”or viscosupplementation– an injection of a fluid to supplementor replace the naturalsynovial fluid in the knee jointcapsule. The injection affordsmore lubrication and cushioningfor the cartilage. The cushioninglasted through the holidays andthen Malinowski scheduled hersurgery with Dr. Di Cesare.(continued on page 6)

ORTHOPAEDIC SURGERY NEWS • SPRING 2011Annual Meeting PresentationsThe Following members of our department have presented at:The Orthopaedic Research Society and The American Academy of Orthopaedic SurgeonsORSORS Paper“COMP Binds Multiple TGF-b1 toActivate TGF-b1 Signaling”Dominik Haudenschild, Jasper Yik,Eunmee Hong, Paul Di CesareORS Paper“c-Maf Transcription Factor RegulatesADAMTS-12 Expression in HumanChondrocytes”Eunmee Hong, Jasper Yik, Paul DiCesare, Dominik HaudenschildORS Paper“COMP is a Primary Response GeneTargeted by TGF-b1”Jasper Yik, Huan Li, DominikHaudenschild, Paul Di CesareORS Paper”High Grade Chondrosarcomas AreAssociated with Elevated Expression ofthe Proto-oncogene LRF”Japser Yik, Huan Li, DominikHaudenschild, Cathy Carlson, RobertTamurian, Paul Di CesareORS Poster“Monitoring COMP Expression duringArticular Chondrocyte Compression”Derek Amanatullah, Jeffrey Lu, ShaneCurtiss, Jasper Yik, Paul Di Cesare,Dominik HaudenschildORS Poster“c-Maf Transcription Factor RegulatesADAMTS-12 Expressionin Human Chondrocytes”Eunmee Hong, Jasper Yik,Paul Di Cesare, Dominik HaudenschildORS Poster“High Grade Chondrosarcomas AreAssociated with Elevated Expression ofthe Proto-oncogene LRF”Japser Yik, Huan Li, DominikHaudenschild, Cathy Carlson, RobertTamurian, Paul Di CesareORS Poster“Persistent Expression of LRF inhibitsChondrogenesis of MSCs”Jasper Yik, Huan Li, DominikHaudenschild, Paul Di CesareORS Poster“Distinct Gene Expression Patterns inthe Surface, Middle, and Deep Zones ofBovine Articular Cartilage”Derek F. Amanatullah, ShintaroYamane, A. Hari ReddiORS Poster“Characterization of Irregular StressDistributions Induced by CongenitalKlippel Feil Syndrome”Enoch Leung, Nesrin Sarigul-Klijn,Rolando RobertoAAOSAAOS Session 233“Surgical Timing of Injured Extremities -An Evolving Concept of Urgency”Brett Crist, Yvonne Murtha, PhilipWolinsky. Moderator: Mark LeeAAOS Session 334“Soft Tissue Management inOrthopaedic Trauma”Edward Harvey, Lawrence Webb, PhilipWolinskyAAOS Moderator for Trauma III FemurPhilip WolinskyAAOS Moderator for AdultReconstruction Hip 1: Surfacing andOsteotomy Paper SessionPaul Di CesareAAOS Specialty Day Open CarpalTunnel is SaferRobert SzaboAAOS/OTA Specialty Day Lecture “OpenFractures – 6 Hour Rule?”Mark LeeAAOS/OTA Specialty Day Lecture“DBMs: Are They All the Same?”Mark LeeAAOS Session 481Hand or Wrist Problems OrthopodsTreat (or should treat): Diagnostic andOperative TipsH. Brent Bamburger, Nader Paksima,Robert SzaboAAOS Poster P233Hybrid and Volar Locking Plate Fixationin Normal and Osteoporotic DistalRadius ModelsDerek Amanatullah, Shima Sokol,Shane Curtiss, Robert Szabo

Match Day ResultsAccording to the NationalResident Matching Program (NRMP),2011 was the largest Match Dayin history with more than 26,000positions and almost 38,000applicants. Among U.S. seniors, 80%were matched with one of their topthree choices. In orthopaedics, therewere 158 programs offering 670positions to the 1,013 applicants.Orthopaedic surgery was one of themost competitive fields for applicantswith 90% of the these positions filledby U.S. seniors.Success StoriesMark Lee, MD, was awarded with$178,768 from Synthesis for hisproject “In Vitro and In Vivo Evaluationof Allogenic Cadaveric MesenchymalStem Cells”.OREF AWARDS FOR 2011/2012FELLOWSHIPSAdult Reconstruction, Dr. DiCesare -$75,000Spine, Dr. Klineberg - $54,250Sports Medicine, Dr. Lewis - $26,400Trauma, Dr. Lee - $52,600Laurence CookCase Western Reserve - M.D. - 5/2011UC Berkeley - B.A. - Molecular andCellular BiologyActing Internship - Joint ServiceWilliam (B.T.) KentMichigan State University - M.D. -5/2011UC Santa Barbara - B.A. - BusinessEconomicsActing Internship - Trauma ServiceJason KimUC San Diego - M.D. - 6/2009UC San Diego - B.S. - Bioengineering:Pre medUC Davis Department ofOrthopaedics Consult Physician2010-2011Dora RendulicUC Davis - M.D. - 5/2011Cal State Fresno - B.S. Biology,ChemistryActing Internship - Spine ServiceMotasem RefaatCongratulationsUC Davis Medical Center!Named Top Hospital bythe Leapfrog GroupUniversity of Illinois, College ofMedicine - M.D. - 5/2011UC Davis - B.S. Exercise PhysiologyActing Internship - Spine Service(6-Year Research Track)

ORTHOPAEDIC SURGERY NEWS • SPRING 2011Portrait of a GratefulPatient(continued from page 3)Unfortunately, in the meantimeMalinoswski broke a bone in her rightfoot, which required surgery and timeto recover. Between her foot and kneeproblems, Malinowski was “absolutelymiserable” with pain – and more thanready for the knee replacement.The surgery went “beautifully,” shesays. “I had great post-operative careand wonderful in-home physicaltherapy.” Malinowski made sure tofollow the doctor’s orders to the “T”in terms of recovery, physical therapyand exercise -- and now things aremoving along smoothly. She recentlytook a trip to tour historic homesin Fredericksburg, VA and despitewalking and being on her feet all day,says “It didn’t bother me one bit.”“Life is different when you havemobility,” she says. “To get my abilityof movement back gave me a normallife again. I don’t have to think aboutmy knee anymore.”When asked why she donated to UCDavis Health System’s Departmentof Orthopaedic Surgery, Malinowskireplied, “I decided to contributebecause of the quality of care. I havehad several surgeries, including handsurgery, and the outcome has beenexcellent. And with the newsletter Ican sort of keep an eye on everythingthat goes on. I guess I’m a little‘nosey’ and want to learn about whatis new.”Next up on her agenda? “Training todo ‘Bay to Breakers,’” she says, witha big smile. I don’t dream of being amarathon runner but I think it wouldbe fun to participate!” Meet a Valued Volunteer(continued from page 3)attention to the learning needs ofthe students and residents whom heteaches.Dr. Jamali has been an activemember of the department, hehas contributed greatly to theacademic and clinical mission of theUC Davis School of Medicine, hasestablished himself as a competentand passionate teacher and clinician,and has laid the groundwork forproductive and meaningful basicscience and clinical research. AsVolunteer Clinical Faculty, hecontinues to be a team player and agreat asset to the Department andUniversity. Department of Orthopaedic SurgeryUniversity of California, Davis4860 Y. St., Suite 3800Sacramento, CA 958172922