NEWS AND UPDATES SPRING 2015news

The son of a veterinarian, Zachary Vaupel, M.D., started learning about medicine at a very early age.

Now a Beaumont orthopedic surgeon, educator and researcher, Dr. Vaupel says growing up on a horse farm and traveling with his father to see patients is probably where the interest in medicine started.

After completing an orthopedic surgery residency at Beaumont and a one-year fellowship in orthopedic foot and ankle surgery in Tampa, Florida, Dr. Vaupel returned to Beaumont, specifically for the opportunity to pay it forward by working with third- and fourth-year medical students and residents.

I always appreciated the education I got from the orthopedic attendings at Beaumont, he said. It's very rewarding to help cultivate students' interest in orthopedics. Most have read and studied a lot, but oftentimes, working with us is the first time they've seen orthopedic surgery. We have a lot of cool tools to work with. It's fun to see students exposed to that for the first time.

Residents focus each month on a different specialty, from foot and ankle surgery to pediatric surgery and sports medicine.

The orthopedic surgery department had more than 500 applicants this year, and we had more than 40 medical students rotate with us, Dr. Vaupel said. That's more students than we've ever had in the past.

He attributes the growth to Beaumont's rising profile in the medical community, through the new Oakland University William Beaumont School of Medicine and top national rankings. Beaumont also offers unique opportunities for physicians, and Dr. Vaupel is a prime example. In addition to seeing patients and teaching medical students, he conducts foot and ankle surgery research as part of Beaumont's orthopedic research team.

Working with engineers in the Orthopedic Research Laboratory, as well as his research partner, Paul Fortin, M.D., Dr. Vaupel participates in leading edge projects that include using osteoporosis medications to pre-treat bone grafts and transplanting tissue from the knee to treat arthritis of the big toe.

The most important research we're doing now is a large retrieval study of failed total ankle arthroplasty implants, he said. "With samples from all over the country, researchers are looking at the wear and tear and damage that occurs, and looking at what happens in x-rays over time, before the implant fails. We get bone and soft tissue specimens and examine them on a microscopic level for signs that predict failure.

Nobody else has this. It's the largest retrieval series of total ankles in the world, Dr. Vaupel said. It's really going to be an impressive study.

The research has garnered attention from the American Academy of Orthopedic Surgeons and was presented during the organization's 2015 annual meeting.

Dr. Vaupel said he feels very fortunate to participate in such a robust research program, all while managing a busy practice and training the next generation of orthopedic surgeons.

I think I have a unique opportunity at Beaumont to participate in all three of those aspects, he said. That's essentially why I came back. There aren't many places in the country that allow a surgeon to combine all three and do them well.

ORTHO

Dr. Vaupel demonstrates scanning electron micrsocopy techniques used for analyzing retrieved total ankle arthroplasty implants.

Beaumont is the lead site in a multicenter study of damage mode, radiographic and tissue analysis of these implants.

Surgeon excited to join research and education efforts

Mission trip changes surgeon's perspectiveEach October, Beaumont hand surgeon Gregory Sobol, M.D., hops on a plane to Colombia for an annual trip that has changed the way he looks at his practice, and the world.

Dr. Sobol has, for the past several years, joined a team of medical professionals who spend a week Saturday to Saturday seeing and treating as many patients as possible in underserved areas of the country. The trips are organized through the Chicago-based Silver Service Foundation and Casa de Colombia, which brings health care and education to Colombian children, particularly those who live in the country's western region.

It's a working trip, said Dr. Sobol, a Wayne State Medical School graduate who came to Beaumont for his residency and returned to practice. On Saturday and Sunday, we spend the whole day seeing who needs help. At the end of the day on Sunday, we arrange our schedule for the week. Monday through Friday, the operating room runs all day long.

During the October visits, doctors treat knees, feet and hands. Patients with other conditions are referred to April, when another team arrives. A nurse based in Chicago coordinates the trips and ensures that patient records transfer between the two groups.

In Colombia, Dr. Sobol sees problems he has never encountered in his practice, from cases of rickets caused by vitamin deficiency to birth injuries, congenital anomalies and even some syndromes that probably have yet to be defined.

It's humbling, he said. In general, a good physician should know that you don't know it all. This makes you think outside the box. There's not always an answer. You can't look it up. It's definitely a different type of practice.

The trip also serves as a kind of reset for Dr. Sobol. It gives you a perspective on real problems. You see kids with no arms and no legs. The first year, I treated a girl who literally had no fingers. What these kids have managed to do given the challenges they face is amazing.

While he puts in full days, Dr. Sobol does not consider the trip a sacrifice. He enjoys the collegial atmosphere and opportunities to work with physicians who are leaders in his field. The Colombians, he said, are extremely giving, and very friendly and appreciative.

I'm thankful I have the opportunity to do it, he said. The real sacrifice is the one my family makes, my wife sacrifices much more than I do.

Dr. Sobol said anyone who has the opportunity to do a mission trip should jump at it.

This definitely changes your perspective, he said. I was a little nervous at first, a little leery. But I've never looked back.

Research showcased at national eventBeaumont surgeons and researchers presented more than a dozen studies during the 2015 American Academy of Orthopaedic Surgeons (AAOS) annual meeting. The meeting took place March 24 to 28 in Las Vegas. More than 30,000 people attended the event, which is the worlds largest annual orthopedic meeting, held to share information about orthopedic advances and research.

Speakers presented Beaumonts latest research on topics that ranged from treatments such as shoulder arthroplasty and lumbar spine fusion to improving patient outcomes. Two symposia were moderated by Beaumont orthopedic surgeons. Ira Zaltz, M.D., facilitated a discussion about surgical hip dislocation and Rachel Rohde, M.D., led a symposium that explored how patient gender plays a role in both outcome and perception of care.

Men and women differ not only in their likelihoods to develop conditions and to have certain treatments recommended by doctors, but also in how well they recover, how long it takes to rehabilitate, and how satisfied they are with different aspects of their treatment, Dr. Rohde explains. We are just beginning to use this information to help guide us in taking care of people.

In addition to showcasing the latest orthopedics research, the annual meeting gives surgeons, researchers and support staff the opportunity to network with and learn from colleagues working on the field's leading edge. Joining Beaumonts orthopedic surgeons at the meeting were six orthopedic trainees, seven research lab staff members and 50 members of the Beaumont orthopedic nursing and surgical staff.

Ryan Pomajzl, M.D., a fifth-year orthopedic surgery resident at Beaumont, was impressed by the size

ORTHO NEWS l 248-551-1467

Many of the cases

Dr. Sobol finds in

Colombia are unlike

anything he sees in his

practice.

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3and content of the conference, as well as the extensive opportunities for individual learning and development. He noted, Despite the magnitude of the conference, I was still able to interact and have personal conversations with many of the leaders and innovators in orthopedics.

The schedule included symposia, instructional course lectures, podium

presentations, scientific exhibits, webcasts and podcasts, all chosen to provide a variety of learning experiences suited to the wide interests of the audience. For instance, participants might choose to learn about improving function after knee replacement, new techniques to treat a rotator cuff tear or improving pain management after

surgery. Total joints coordinator Maureen Cooper, R.N., attended many sessions and was especially impressed by an excellent talk on pain management and same-day total joint arthroplasty.

For more information about AAOS or the annual meeting, please visit www.aaos.org.

ORTHO NEWS l BEAUMONT.EDU/ORTHOPEDICS

Presentations by the Beaumont Department of Orthopedic Surgery 2015 AAOS Annual Meeting

PRESENTATION TYPE STUDY TITLE PRESENTER/MODERATOR

POSTER

Static and Dynamic Anterior Cervical Plates: A Retrieval Analysis of Damage and Clinical Data

Okezie Aguwa, M.D., Orthopedic Surgery Resident

The Effect of Granulocyte Colony Stimulating Factor Therapy on Posttraumatic Avascular Necrosis of the Femoral Head

Rachel Rohde, M.D., Orthopedic Hand and Upper Extremity Surgeon

PODIUM

Wear Rates of Retentive vs. Nonretentive Reverse Total Shoulder Arthroplasty Liners in an In Vitro Wear Simulation

Shannon Carpenter, M.D., Orthopedic Surgery Resident

Lumbar Spine Fusion Rates with Local Bone in Posterolateral and Combined Posterolateral and Interbody Approaches

Daniel Park, M.D., Orthopedic Spine Surgeon

Histopathologic Analysis of Failed Fresh Osteochondral Allografts of the Talus

Ryan Pomajzl, M.D., Orthopedic Surgery Resident

Characterization of In Vivo Damage and Failure of Total Ankle Arthroplasty Systems: A Multi-Center Retrieval Study

Zachary Vaupel, M.D., Orthopedic Foot and Ankle Surgeon

Characterization of Shoulder Arthroplasty Periprosthetic Tissue Pro-Inflammatory Markers and Radiographic Data

Ashok Gowda, M.D., Orthopedic Surgery Fellow

Single-stage Bilateral Total Elbow Arthroplasty is Safe, Reliable, and Cost-Effective in Rheumatoid Arthritis

J. Michael Wiater, M.D., Orthopedic Shoulder and Elbow Surgeon

Are the Clinical Results of Periacetabular Osteotomy Generalizable?

Ira Zaltz, M.D., Pediatric Orthopedic Surgeon

Does Previous Failed Hip Arthroplasty Compromise the Clinical Outcomes of the Periacetabular Osteotomy in Dysplasia?

Ira Zaltz, M.D., Pediatric Orthopedic Surgeon

SYMPOSIUM

Men, Women and Quality: Targeting Success in Patient Care and Satisfaction Metrics

Rachel Rohde, M.D., Orthopedic Hand and Upper Extremity Surgeon

Is the Surgical Dislocation an Obsolete Procedure?

Ira Zaltz, M.D., Pediatric Orthopedic Surgeon

INSTRUCTIONAL COURSE LECTURE

How to Review the Orthopaedic LiteratureJeffrey Fischgrund, M.D., Orthopedic Spine Surgeon

CASE Adult Hip Pain Ira Zaltz, M.D., Pediatric Orthopedic Surgeon

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We appreciate your support

Beaumont has become a national

leader in orthopedic surgery thanks

to the support of many generous

benefactors and contributors.

Donors can contribute to a variety of

programs including the Orthopedic

Research Laboratory; new facilities

and patient care programs such as

The Madeline & Sidney Forbes Family

Orthopaedic Center; endowments

such as The Harry A. Herkowitz, M.D.,

Distinguished Chair in Orthopaedics;

and community outreach and

education efforts.

To discuss orthopedic funding needs

and opportunities, please contact

John Lewandowski with

the Beaumont Foundation at

248-964-8172 or via email at

john.lewandowski@beaumont.edu.

Editors: Rachel S. Rohde, M.D.

Erin A. Baker, M.S.

Jeffrey S. Fischgrund, M.D. Chairman, Department of

Orthopedic Surgery

beaumont.edu/ortho-publications

ORTHO NEWS l 248-551-1467 l BEAUMONT.EDU/ORTHOPEDICS

Beaumont's Perry Outreach Program expands to encourage more diverse workforceA Beaumont program that introduces female high school students to the fields of orthopedic surgery and engineering expanded this year to include an event for college-aged women.

Introduced to Metro Detroit by Beaumont orthopedic surgeon Rachel Rohde, M.D., and Beaumont orthopedic research engineer Erin Baker, M.S., the Perry Initiative was founded in 2009 by mechanical engineer Jenni Buckley, Ph.D., and orthopedic surgeon Lisa Lattanza, M.D. The founders goal was to increase the number of women in their fields. Engineers and orthopedic surgeons work together to develop safe and effective implants for repairing broken bones, torn ligaments and worn-out joints, according to the Perry Initiative website.

About a dozen young women who are working toward degrees in science, engineering, technology or mathematics (STEM) attended Beaumonts new Perry Initiative undergraduate program this year. Beaumont is only the second location in the country to add a college program, Dr. Rohde said. College students participated on Friday evening, followed by their high school counterparts on Saturday.

The high school program, which has been in place for several years, continues to grow. This year it drew than 100 applications. More than 40 young women attended the Saturday morning session, working in Beaumont's Marcia & Eugene Applebaum Simulation Learning Institute with Dr. Buckley, Dr. Rohde, members of the Beaumont orthopedic research lab, Perry alumnae volunteers, and 10 women engineers from Michigan-based Stryker Corporation.

Stryker, which sponsored the program this year, develops and manufactures medical and surgical technology used by orthopedic surgeons. In addition to working with some of those tools, all Perry Initiative students had the opportunity to talk with the Stryker engineers about their work in the corporate field. Members of the Stryker delegation came from all over the country to participate.

Dr. Rohde said the high school and college programs have similar missions: to expose young women earlier to opportunities in engineering and orthopedics. The approach with college students, however, is oriented more toward the engineering field.

Engineering and orthopedics traditionally have been very male-dominated. Orthopedics is the specialty with the fewest women practicing of any of the specialties in medicine, she said. Encouraging a more diverse workforce to reflect the diversity of the patients we serve ultimately will benefit everyone.

One of the issues has been the lack of early exposure to orthopedics. According to Dr. Rohde, getting young women interested at the high school and undergraduate level gives them time to gather information and plan their educational paths.

Someone has to show you that this is an opportunity, that you can do this; its hard to consider or be interested in a field youve never even seen, she said. It's an opportunity to inspire young women early.

To learn more about the Perry Initiative, visit perryinitiative.org.

For an appointment with

an orthopedic surgery specialist,

please call 248-551-1467.

More than 50 young women from area high schools and colleges participated in Beaumont's Perry Initiative programs this year.