Hospital for Special Surgery535 East 70th StreetNew York, NY 10021www.hss.edu

Patients are seeking SpecialSurgery’s services in recordnumbers, with a rise of morethan 60% in the past decade.

So far in 2009 there has been anincrease of almost 10% inpatientadmissions when compared to thesame time period last year. To meetthis demand and continue to provideworld-class care, Special Surgeryembarked on a plan to create moreoperating rooms; more patient rooms;and better access to ancillary services.

Thanks to the generosity of ourdedicated Board, medical staff, grateful patients and friends, Buildingon Success: The Campaign for theFuture of HSS has enabled us toembark on the next critical phase inthe expansion of our facilities. Thissummer, the building expansionkicked off with three new floors overthe East Wing. The goal is to expandwithout interruption to patient care.

“This is an exciting time forHospital for Special Surgery withchanges in many different areas tobetter accommodate patients andtheir families,” said Louis A.Shapiro, President and CEO. “Theconstruction project is vital to ourability to continue to provide the firstrate patient care for which HSS is sowell known,” he continued.

A new ninth floor will serve as thehome for HSS’s renowned pediatricrehabilitation department. Featureswill include a large physical therapy

gymnasium that will overlook the EastRiver and facilities for occupational,fine motor skills, sensory integration,and speech therapies. Another featureof the ninth floor will be a relocatedand enlarged Hospital pharmacy.

Plans for the Hospital’s new tenthand eleventh floors include the addi-tion of an inpatient unit, which willinclude private rooms as well asrooms designed to accommodate twopatients. These units will providepatients with the best possible envi-ronment by locating the patientrooms around a central staff/supportcore and providing each room withriver-oriented views.

Approximately 80% of Americansaged 65 and older suffer from achronic condition, such as arthritis,that imposes limitations on their day-to-day lives. This segment of thepopulation is rapidly growing, andwill represent nearly 20% of the totalU.S. population by 2030.

“The additional space will allowHSS to stay ahead of the curve andwill ensure that the patient experi-ence is an even better one,” said LisaGoldstein, Chief Operating Officer.

Other ImprovementsAdditional important renovations toenhance the patient experience arecontinuing throughout the Hospital tocomplement the major construction.

• The Pain Management Center hasbeen relocated to the seventh floor

CLINICAL AND RESEARCH HIGHLIGHTS AT HSS | FALL 2009

Discoveryto

Nonprofit Org.U.S. Postage

PAIDPermit #186

Lakewood, NJ 08701

Recovery

HSS Responds to Increasein Demand for Services –Building Begins!

Expansion of the Hospital’s East Wing began with the raising of steel this summer.

access for more than 6,000 pain management patients each year whoseek our help.

• Renovations to the third floor haveoccurred in stages to limit any interruptions to patient care. A majorimprovement to (continued on page 8)

of the Belaire building in a newly-designed space that maximizes efficiency and provides a peacefulenvironment for our patients. TheCenter is now in the same location asthe offices of our six pain manage-ment physicians, making it easier to

Two noted senior scientistsjoined HSS this year tofocus on the causes of lupusand the effects of bone, car-

tilage, and soft tissue degeneration. The Research Division continues to

increase its focus on five areas: mus-culoskeletal integrity; autoimmunityand inflammation; arthritis; biome-chanics; and tissue engineering. Tobuild on the strong core of senior sci-entists at the Hospital, the Divisionrecruited these prominent scientists.

Alessandra Pernis, MDDr. Alessandra Pernis adds a newdimension and capacity to theAutoimmunity Program as she pro-vides special expertise in acquiredimmunity. She also brings experiencein animal and genetic models ofrheumatoid arthritis and lupus, whichwill facilitate our use of models tounderstand the origins of disease

and develop therapies. Her recruit-ment will ensure ongoing internation-al leadership for Special Surgery inthis area.

Dr. Pernis has made novel obser-vations regarding the regulation ofinflammation and autoimmunity,which plays a critical role in diseasessuch as lupus and arthritis. Her stud-ies have provided a new understand-ing of how certain key proteins affectthe production of pro-inflammatorymolecules by T lymphocytes, a typeof white blood cell, resulting in theinappropriate production of suchmolecules in an immune response.

“Dr. Pernis will take advantage of our well developed patient cohorts,particularly our lupus and anti-phospholipid antibody syndromepatients, to investigate the role ofthis lymphocyte signaling system inhuman disease,” said Peggy Crow,MD, Co-Director of (continued on page 3)

Two Renowned ScientistsChoose HSS

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RemarkablePeriod of Growth

There’s a lot of change takingplace at Hospital for SpecialSurgery. This summermarked moving forward with

the next – and most significant –phase of our expansion, as steel wasraised to expand the East Wing ofthe Hospital. That wing was con-structed in 1995 and was built as aseven story building. In 2007, weadded a new eighth floor, and now,with all of our city, state, and federalapprovals behind us, we will turnthis into an 11 story building withthe addition of three new floors. Thisexpansion is critical to our ability tocontinue to meet the growingdemand for our services and is thenext major step in expanding thecare offered by Special Surgery.

As more people are leading activelives, and as more people are seeking

In the News

2

to regain theirmobility, morepatients arecoming toSpecialSurgery. Thereputation ofthe Hospitalcontinues togrow as aresult of theextraordinarywork of themen andwomen whoare part of theHSS family.

Our quality results continue to beextraordinary and patient satisfac-tion is outstanding. In the mostrecent Press Ganey survey, we onceagain scored in the 99th percentilewhen our patients were asked thelikelihood that they would refersomeone to our hospital. As ourcover story relates, the number ofpatients who are coming to Special

Surgery has increased at a remark-able rate and so far this year thattrend is continuing.

For the past 19 years, Hospital forSpecial Surgery has been top-rankedin the northeast in orthopedics andrheumatology by U.S.News & WorldReport’s “America’s Best Hospitals”publication. And Consumer Reportsrecently rated Hospital for SpecialSurgery the best hospital in NewYork City and featured us on theirwebsite as an example of best prac-tices. As a result of our growing rep-utation for excellence, our patientsare coming to us from across thecountry and around the globe. Thisnext phase of our expansion willenable our incredibly talented staff totreat these patients and provide themwith the remarkable care for whichHSS is so well-known.

We are fortunate that manyfriends have responded to theBuilding on Success Campaign andwe appreciate the generosity of those

Louis A. Shapiro

Thomas P. Sculco, MD

Our Mission

who have contributed. We have along and distinguished history asspecialists in mobility. It is a testa-ment to your continued support thatwe have achieved the success wehave and that we can now literallybuild on our accomplishments. Thisis indeed a remarkable time at theHospital. We thank you for partner-ing with us to make it possible.

Sincerely,

Louis A. ShapiroPresident and CEO

Thomas P. Sculco, MDSurgeon-in-Chief

Surgeons from Hospital forSpecial Surgery have identi-fied a drilling technique thatimproves the outcome of

surgery to reconstruct the anteriorcruciate ligament (ACL). The newswas presented during the annualmeeting of the American OrthopedicSociety for Sports Medicine, in July.

In recent years, an improvedunderstanding of the anatomy of the ACL has allowed surgeons torefine techniques to reconstruct it.Investigators at Hospital for SpecialSurgery (HSS) set out to compare the outcomes of surgeries using twocommon techniques. “The goal inrepairing the ACL is to recreate thenormal anatomy, and there are avariety of different techniques to prepare tunnels for ACL reconstruc-tion that have evolved over time,”

said Dr. Asheesh Bedi,a fellow in sportsmedicine and shouldersurgery at Hospitalfor Special Surgerywho was involvedwith the study. “Thefocus of the study wasto compare two verycommon techniques interms of their abilityto reproduce thenative ligament anato-my and restore thestability of the kneeafter reconstruction ina cadaveric model.”

The investigatorsused 10 matchedcadaveric knees todirectly compare thetwo techniques. The

researchers found that the first tech-nique could not reproduce the natu-ral position of the ACL, whereas thesecond technique could better restorethe native anatomy.

“This study clearly demonstratesthat restoring the anatomy of theACL and the stability of the knee isfar superior when the femoral socketis reamed through the anteromedialportal rather than the tibial tunnel,as has been traditionally done bymost surgeons,” said David W.Altchek, MD, attending orthopedicsurgeon and co-chief of the SportsMedicine and Shoulder Service atHSS. “HSS is an international leaderin this innovative solution toward

further improving patient outcomesin ACL surgery.”

According to Dr. Bedi, the workhas translated into modified tech-niques in the operating room at HSS,where more than 800 ACL surgeriesare performed each year. Tears of theACL are quite common, withbetween 70,000 and 80,000 reportedeach year in the United States.

Others involved in the study areVolker Musahl, MD, Volker Steuber,MD, Daniel Kendoff, MD, AnsworthA. Allen, MD, and Andrew D. Pearle,MD, all with the Sports Medicine andShoulder Service at HSS. ●

Research Identifies Technique that Improves ACL Surgery

Dr. Answorth A. Allen (left) is one of several HSS physicians involved in identifying a new technique to

improve ACL surgical outcomes.

Femur

Site of incision

TranstibialRoute

Anteromedial TunnelRoute

Tibia

•

••

•

Improved Knee Stablility

Improved technique>

<Traditional technique

Surgeons at HSS have found that drilling through the anteromedial portal (right),

rather than the tibial portal (left), results in improved stability of the knee after ACL

reconstruction.

S65178:S65178 10/6/09 1:19 PM Page 2

3

Going to BatAgainst TendonInjuries

For the past few years HSSphysicians Stephen Fealy, MD,Assistant Attending OrthopedicSurgeon, and Ronald S.

Adler, MD, PhD, Chief, Division ofUltrasound, Department of Radiologyand Imaging, have been hard at workresearching injuries that often plagueprofessional and amateur athletes:tendon injuries of the shoulder, elbowand knee.

Their research attracted the atten-tion of Major League Baseball in2007, when the organization awardedthem a three-year $150,000 grant toevaluate common tendon injuries.Since then, the doctors and their colleagues have made great stridestoward understanding tendon prob-lems, which they hope will eventual-ly lead to injury prevention. Theirfirst study used enhanced ultrasoundto show that blood supply to tendons,specifically the rotator cuff, decreas-es as people age.

“Use of ultrasound contrast agentsprovides an exquisitely sensitivemethod to assess vascularity at tendon repair sites,” Dr. Adler says.“This has implications in assessingthe efficacy of various physical therapy protocols in increasing bloodflow to the tendon.”

Earlier this year, Drs. Adler andFealy published an article in theJournal of Shoulder and ElbowSurgery documenting the healingprocess and patterns of vascular tendon changes after surgery. Usingenhanced ultrasound, they and others determined that tendons, par-ticularly those with a defect threemonths after surgery, lacked bloodflow. They hypothesize that improv-ing blood flow in the region may helpincrease the rate of tendon healingafter rotator cuff surgery.

“We have been able to demonstratethat an age-related alteration in bloodflow to the damaged tendon is onevariable linked to tendon failure,” Dr. Fealy says. “We are workingtoward reversing this process andkeeping athletes in their sport longer.”

Next, the physicians aim to deter-mine if this diminished vascularity isa cause or effect of a failed repair. ●

the Mary Kirkland Center for LupusResearch and Director of theAutoimmunity and InflammationResearch Program at HSS.

Dr. Pernis comes to HSS fromColumbia University where sheserved as the Advisor Dean and anAssociate Professor of Medicine. Shewas also a member of the HerbertIrving Comprehensive Cancer Centerat Columbia. Dr. Pernis received her

doctor of medicine from ColumbiaUniversity’s College of Physiciansand Surgeons in 1986. She did herinternship/residency in internal med-icine at Columbia University MedicalCenter from 1986–1989. Dr. Perniscompleted a fellowship in allergy/immunology at Columbia UniversityMedical Center from 1991–1994.

Dr. Pernis has received numerousgrants, and is currently the principalinvestigator on a National Institutesof Health (NIH) grant on SignalingCascades in Humoral Immunity andAutoimmunity. A new chair inautoimmunity and inflammation isbeing established as part of herrecruitment to HSS.

F. Patrick Ross, PhDBone injury and repair representmajor challenges in the treatment ofpatients with orthopedic conditionsand rheumatic diseases. F. PatrickRoss, PhD, will bring his extensive

person like you.’” says Dr. Mandl.“This registry will provide infor-mation to help doctors discernwhy someone does well and some-one else doesn’t. We want to usethis information and identify thepredictors for people doing wellover the long haul.” The patientsin the registry will be followed forat least five years.

Registry staff members areworking to contact 100 percent ofHSS patients having hip, knee, or shoulder total joint replacementfor consent to enter the registryand to fill out their baseline questionnaire. Patients are thensent a follow-up questionnaire at six months and two years after surgery.

“The registry really depends on the patients,” says Dr. Mandl.“The data the registry provides isenriched by each patient who consents and continues to fill outand send in the questionnaire each year.”

The results will provide infor-mation on outcomes, variationsand the economic impacts of totaljoint surgeries. To date, over13,000 patients have been enrolled,with an expected enrollment of20,000 patients by 2012. ●

For more information visithttp://www.hss.edu/d2r

With more people selecting totaljoint replacement surgery toimprove their mobility and main-tain active lifestyles, Hospital forSpecial Surgery is working todetermine how the implants aregoing to hold up to long term use.The joint replacement registry currently underway at HSS is aninitiative included in the Centersfor Education and Research onTherapeutics (CERT) programfunded by the Agency forHealthcare Research and Quality.The overall goal of the program isto conduct research and provideeducation that advances the opti-mal use of therapeutics such asdrugs and medical devices. Thespecific goal for HSS’s CERT initiative is to evaluate the use and success of the devices usedfor total hip, knee, and shoulderreplacements. HSS had previouslyestablished registries for hip andknee, which the new registrybuilds upon. It now includes infor-mation for shoulder replacement.This collaborative effort betweenHSS and Weill Cornell MedicalCollege will be the most compre-hensive registry in the UnitedStates focusing exclusively ontotal joint replacement. SpecialSurgery’s CERT program isdirected by Thomas P. Sculco,MD; Robert G. Marx, MD; Lisa A.Mandl, MD, MPH; and Michael M.Alexiades, MD.

“We want to know ‘How thetotal joint replacement works in a

Patient Enrollment High in JointReplacement Registry

experience in applying basic bonebiology to the study and treatment ofthese conditions. Advances in bonebiology are important for under-standing fracture healing, peripros-thetic loosening, and spine fusion.

Dr. Ross comes to HSS fromWashington University in St. LouisSchool of Medicine. He was a researchprofessor in the department of pathol-ogy and immunology at WashingtonUniversity in St. Louis School ofMedicine. He received his master ofscience in physiology from theUniversity of the Witwatersrand inJohannesburg, South Africa. Hereceived his PhD in molecular sciencesfrom University of Warwick, Coventry,UK in 1976.

Orthopedic physician-scientists willbenefit from the strong mentorship ascientist like Dr. Ross can provide. “Dr.Ross is an international leader in bonecell and molecular biology researchand has joined us to provide mentor-

ing, supervision and integration of theongoing basic and translational boneresearch programs,” said Dr. StevenGoldring, Chief Scientific Officer. Inhis new role at HSS, Dr. Ross willwork with colleagues to further devel-op and enhance programs in the fields

of bone, cartilage and soft tissueresearch, and assist in the develop-ment of grant applications to increaseextramural funding support. ●

Continued from page 1

Alessandra Pernis, MD

F. Patrick Ross, PhD

Research Breakthroughs

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4

On the Air with HSS >Frequently, HSS physicians are soughtout by the media for their expertise in discussing common injuries and condi-tions that affect some of professionalsports’ most beloved athletes. During the2009 baseball season, sports medicineexperts at Special Surgery found a newway to share their knowledge with NewYork Mets fans watching the pre- andpost-game shows airing on SportsNetNew York (SNY), a regional sports network. HSS physicians and physicaltherapists were featured in 60-secondvignettes discussing injuries that oftenafflict professional baseball players. In

addition to the Mets team physicians –David W. Altchek, MD; Struan H.Coleman, MD, PhD; and Andrew D. Pearle,MD – contributing experts includeJonathan T. Deland, MD; Brian C. Halpern,MD; Mickey Levinson, PT; BernardRawlins, MD; and Andrew Weiland, MD.Shown in the broadcast booth, l-r: KeithHernandez, Ron Darling, and Gary Cohen.

hssmobility.org >For those considering orthopedic surgery,a Web site recently launched by SpecialSurgery offers a glimpse of how the rightdiagnosis and top-notch treatment canget patients back to an active life.Visitors to www.hssmobility.org can readtestimonials from patients who haveundergone a variety of different surgicalprocedures at HSS. The interactivemicrosite was developed as an alternativeonline presence to the Hospital’s mainWeb site (www.hss.edu). The site is alsofully integrated with the Hospital’sadvertising campaign in look, feel, andmessage. It is designed to introducepotential patients to HSS and expeditethe process of making an appointmentwith an HSS physician. In addition, animated online banner advertisementslinking to the new site were viewed byover 60,000 people when they appearedon The New York Times’ Web site in June.

HAPPENINGS AROUND THE HOSPITAL

THE P

1

2

3

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< Special Surgery and the NYC Marathon In a new partnership with New YorkRoad Runners (NYRR), Hospital forSpecial Surgery is now an OrthopedicConsultant to New York Road Runnersfor the 2009 ING New York CityMarathon, Sunday, November 1.

Leading up to the Marathon, HSS willbe offering a series of educational ses-sions on injury prevention and will post aseries of articles on the NYRR website.The purpose of both is to teach marathonrunners what to expect, from a muscu-loskeletal perspective, as they train, andhow to prevent injury leading up to andafter the marathon. The sessions andarticles are targeted to both first-time andexperienced marathoners. HSS will alsobe offering educational sessions on“Marathon Monday,” the day after therace, on post-Marathon recovery.

>

A unique feature of our new lobby is a historical timeline of major Hospitalevents. Visitors and staff alike can learnabout milestones and view significant historical artifacts in an exhibit that willbe updated periodically.

>

Live-tweeting a New KneeHospital for Special Surgery opened theOR doors to a digital audience onWednesday, June 17, allowing unprece-dented access to a total knee replacementvia social media outlets online. The sur-gery, performed by Steven Haas, MD,chief of the Knee Service, was broadcastlive over the web. David Mayman, MD,narrated the surgery, but he wasn’t theonly one giving up-to-the-minute detailsto the surgery’s audience – medicalreporter Dr. Max Gomez, of CBS2, waslive-tweeting the surgery from thepatient’s side. Gomez posted updates toCBS2’s Twitter feed, which goes out tomore than 4,000 followers, and the

tweets were then shared on HSS’sown Twitter feed, HSpecialSurgery.

The surgery was successful andthe patient, Mary Kiefer, 55, ofMiddletown, NJ, was up and walking inrehab therapy the next day. Kiefer hadbeen postponing the surgery for eightyears, believing incorrectly that she wastoo young for the procedure.

For more news and updates, be sureto follow HSS on Twitter:www.twitter.com/HSpecialSurgery.

To view the webcast, go tohttp://www.hss.edu/d2r

5

RT @wcbstv: Dr Haas now

suturing skin. pt will be awake

in short while. Epidural stays in

for a couple days. Just enough

to allow her to walk

4:51 PM Jun 17th from iTweet

RT @wcbstv: Dr Haas now

checking knee alignment,

tracking of kneecap with all

components in place. knee

actually a complex joint, not a

straight hinge

4:49 PM Jun 17th from iTweet

RT @wcbstv: Dr Haas cement-

ing the implant components in

place. essentially medical

grade epoxy mixed at table

and put on the implant lik ...

4:29 PM Jun 17th from iTweet

Live Twitter Posts

PULSE

< Exploring HSS History

S65178:S65178 10/6/09 1:19 PM Page 5

time. The unit also staffs a separatetwo-chair pediatric facility housed onSpecial Surgery’s pediatric floor,complete with computers and Xboxeson wheels along with other booksand games to help make treatmentsmore kid-friendly.

But the staff’s experience andpatient amenities are just part ofwhat make the unit stand apart.

“What makes our unit special is thepeople who work here,” Leff says.“We give more than medication –we become part of people’s lives. Attimes, it doesn’t seem like a treat-ment facility because it’s such avibrant, happy place. It’s full of life,full of care, full of hope.” ●

we help patients get to a point wherethey are feeling better, and we get tobe a part of a patient’s progress,”Leff says. “We’re not in their doctor’soffices with them, but we’re a part oftheir treatment plan.”

With five full-time and two perdiem nurses, the unit features a 3:1staff-to-patient ratio, which allowsdedicated, personalized care. “Everypatient – whether it’stheir first visit or theirlast – receives a call theday before their treat-ment to answer anyquestions and assesstheir health status. Forpatients who are justbeginning treatment, it helps to ease any anxiety they may have,”Leff says. Patients also receive a follow-upcall the day after theirtreatment.

At the start of a session, patients areeducated about theirdisease and the infusiondrug they will receive.Each station isequipped with automat-ic blood pressure and IV pumps andcurtains that provide privacy whenneeded. To help make treatment ascomfortable as possible, each stationalso features a lounge-style chair, pri-vate telephone, free Internet access,and a personal television. Soft drinksand a cold lunch or a snack are avail-able, depending on the treatment

Caring for Our Patients

Supporters of Our Success

Although Mr. Foglia, a Swiss andItalian citizen, hadn’t previouslyheard of Hospital for Special Surgery,his confidence in Dr. Salvati was rea-son enough for him to travel overseasfor his surgery. He had one hipreplaced in 1990 and returned eightyears later to have Dr. Salvati replacethe other hip. “There was no doubt inmy mind that I would come back toHSS for my second hip operation, asmy experience there was most satis-

6

Celebrating 15 Years of AdvancedCare for Rheumatoid Arthritis

A New Lease on LifeGrateful Patient SupportsEduardo A. Salvati Chair

s CEO of Banca del Ceresio,a small family-owned bank

in Lugano, Switzerlandsince 1958, Mr. Alberto

Foglia had no time to slow down. Soin 1988, when hip pain began mak-ing it difficult for him to walk, hewanted to find the best orthopedicsurgeon to get him back on his feet.Upon being introduced to HSSAttending Orthopedic SurgeonEduardo A. Salvati, MD, by a mutualfriend, Mr. Foglia knew that he hadfound a surgeon he could trust. “Iimmediately felt that his hands werefar more sensitive than the hands of the other three or four surgeonswho I had seen previously,” says Mr. Foglia, who had enjoyed soccer, tennis, golf, skiing, and mountainbiking throughout his life. Mr. Fogliawas also delighted that they wouldbe able to easily communicate inSpanish, Dr. Salvati’s native language.

factory,” he says. With both hipsworking again, Mr. Foglia, now 80years old, says that his quality of lifehas improved immensely. He walks,plays golf, and bikes two or threetimes each week, including a weekly15-25 mile ride with friends throughthe Swiss Alps. He and his wife of 50 years, Maria Pia, also have fourchildren and 18 grandchildren tokeep up with.

The Foglias have been makingvery generous gifts to Hospital for

Special Surgery since 1993. Mostrecently, they have elected to supportthe Eduardo A. Salvati, MD, Chair inHip Arthroplasty. This fund providesvital perpetual support to HSS’s jointreplacement research, while honoringDr. Salvati for his 40 years of serviceto Special Surgery – a career thathas enriched the lives of thousandsof patients, students, and colleagues,while advancing the course of hipsurgery throughout the world. TheChair was created as a means ofacknowledging Dr. Salvati’s tremen-dous contribution to the field of jointreplacement, and will help to ensurethat his legacy of excellence in carewill continue by advancing work torestore mobility and improve the livesof our patients. The Eduardo A.Salvati, MD, Chair in Hip Arthroplastyhas already received over $1.9 mil-lion in funding since its establish-ment. According to Mr. Foglia, thedecision to support Hospital forSpecial Surgery was an easy one. “Iwanted to thank Dr. Salvati, HSS,and all of the people there,” he says.“Thanks to them, I have been given anew lease on life.” ●

Grateful patient Alberto Foglia bikes regularly through the Swiss Alps.

When the Hospital forSpecial SurgeryInfusion TherapyUnit opened its

doors in 1994, it was the first ambu-latory infusion unit dedicated to thecare of patients with rheumatoidarthritis.

The center developed out of agrowing need for treatment servicesin the rheumatoid community, saysStephen Paget, MD, FACP, FACR,Physician-in-Chief and Chairman ofthe Division of Rheumatology.Typically reserved for patients whohaven’t found adequate relief withoral medications, infusion therapyhelps people with a variety ofrheumatoid conditions – disordersthat affect the joints, muscles, ten-dons, ligaments and bones – main-tain a normal lifestyle by providingmedication intravenously on an out-patient basis. Often, these conditionscause inflammation, swelling, andpain that can make everyday activi-ties difficult. Treatment can reducejoint inflammation, relieve pain, pre-vent or slow joint damage and loss offunction which helps patients main-tain productive, active lives.

Individual treatment times varywidely, ranging from an hour to 12hours, depending on the patient’s con-dition and medication. The center is

open weekdays from 8 a.m. to 8 p.m.to accommodate patients’ busy lives.As a result, wait time for an appoint-ment is minimal and the unit enjoys ahigh level of patient satisfaction. Dr. Paget can see why: “The InfusionTherapy Unit is a safe haven. Peopleare made to feel better both physical-ly and emotionally, so what could oth-erwise be a very anxiety-provokingexperience in actuality becomes acomfortable one. It’s a safe, soothingand supportive environment.”

Focused on Patients’ NeedsManaged by Linda Leff, RN-BC, a 20-year Special Surgery veteran, the Infusion Therapy Unit is one ofthe largest in the country and cantreat up to 25 patients a day, seeingabout 3,000 patients a year. The unit,recently featured in Infusion CentersAcross America: Advancing Optionsfor the Care of Rheumatoid Arthritisfor its advances in rheumatoid arthri-tis care, is staffed entirely by nurseswho coordinate with patients’ doc-tors, social workers, nutritionists,and physical therapists to provide apatient-centered approach and fullcontinuity of care. “At the beginningstages, patients are often frightenedand trying to find a treatment regi-men that works. In our role as nurses

A

The HSS Infusion Therapy Unit, celebrating 15 years of

service, is known for its caring spirit.

S65178:S65178 10/6/09 1:19 PM Page 6

In addition to his AAOS posi-tion, Dr. Parks has authored manypeer-reviewed articles, abstractsand chapters and has been recog-nized for his expertise in numer-ous publications throughout hiscareer. He serves on the editorialboard for Techniques in KneeSurgery and as a guest reviewerfor the Journal of Bone and JointSurgery. Dr. Parks is an assistantprofessor of orthopedic surgery atthe Weill Cornell School ofMedicine and an active member ofseveral professional organizations.In 1997, he completed a fellowshipat Special Surgery, specializing inhip and knee surgery. ●

For more information visithttp://www.hss.edu/d2r

for prevention, diagnosis and treatmentof these disorders.

Dr. Ivashkiv has helped in thegrowth of the Research Division for some time. He is head of theLaboratory of Cytokine Signaling andInflammation and holds the David H.Koch Chair in Arthritis and TissueDegeneration. He is also a professor ofMedicine and Immunology at WeillCornell Medical College and hasauthored more than 65 peer-reviewedarticles in his tenure. Dr. Ivashkiv has

an outstanding National Institutes ofHealth funding record, and serves asPrincipal Investigator on 4 R01grants to study basic mechanisms inpathogenesis of rheumatoid arthritis,systemic lupus, and inflammatorybone disease. ●

For more information visithttp://www.hss.edu/d2r

fter 17 years of specializingin rheumatoid arthritis and

pathogenesis of inflamma-tory diseases at HSS,

Lionel B. Ivashkiv, MD, has beennamed the Hospital’s Associate ChiefScientific Officer.

“In his newly created position, Dr.Ivashkiv will work with me to developand execute a long-term strategic planto enhance HSS’s position as a leaderin musculoskeletal and autoimmunedisease,” said Dr. Steven R. Goldring,MD, Chief Scientific Officer, inannouncing the new appointment.“Dr. Ivashkiv’s special expertise inrheumatoid arthritis and inflammato-ry bone disease make him an excel-lent choice to be associate chiefscientific officer.”

In his expanded role, he joins Dr.Goldring and Robert N. Hotchkiss,MD, Director of Clinical Research, in fulfilling the mission of SpecialSurgery’s Research Division: attainingthe highest level of scientific excel-lence through basic and appliedresearch and education in orthopedics,rheumatology and related scientificdisciplines; identifying the mecha-nisms underlying musculoskeletal andautoimmune diseases; and discoveringand developing effective approaches

7

News & Notes

Assistant attending orthopedicsurgeon Michael L. Parks, MD,was honored at the 2009 AmericanAcademy of Orthopaedic Surgeons(AAOS) annual meeting by beingnamed to the organization’s Boardof Directors. Dr. Parks will serveas a Member-at-Large for the“under 45 year old” Board posi-tion. The Directors play a pivotalrole in AAOS’ future, managingits affairs and maintaining admin-istrative authority of its activitiesand policies.

“With the ever-increasingdemands from our aging popula-tion and decreasing resources, theAcademy’s role in advocacy andeducation becomes more impor-tant,” Dr. Parks says. “It is myhope to bring the perspective of an urban practicing orthopedist to the Board, while working to strengthen the reach of ourorganization.”

In working with his patients atHospital for Special Surgery, Dr. Parks specializes in minimallyinvasive total joint replacementand knee and hip revision surgery.He also uses alternative proce-dures to restore function, usingpain as a guide to indicate the bestindividual approach for arthritistreatment.

HSS Surgeon Elected to AAOS BoardHSS NamesAssociate ChiefScientific Officer

Teaching OthersHow to NavigateChallenges in the OR

This spring, Hospital forSpecial Surgery orthopedicsurgeon David M. Dines,MD, performed two live

shoulder surgeries during profession-al conferences: the Live SurgeryInternational Shoulder AdvancedCourse in Annecy, France and theCurrent Concepts in Joint Replacement(CCJR) meeting in Las Vegas.

Dr. Dines, a respected shouldersurgeon and past president of theAmerican Shoulder and Elbow

Society, was one of only nineAmerican surgeons selected to par-ticipate in the Annecy Live SurgeryInternational Shoulder AdvancedCourse. Attracting surgeons from 47different countries and five conti-nents, the program features 33 livesurgeries over the course of fourdays, with the goal of demonstratingthe most up-to-date surgical tech-niques. According to LaurentLaFosse, course chairman, the pro-gram allows participants “to learnhow to face different situations anddifficulties managed by the bestworldwide experts.” Since it began in2005, the conference has beendeemed the “Woodstock of ShoulderSurgery” because of its ability tobring together over 1,000 surgeons

Dr Dines “miked-up” with assistants explain-

ing the surgical procedure to the viewers.

X-rays of the patient being shown as they

are described to the audience.

During the surgery the moderator and

viewers are able to communicate directly

and ask questions about the procedure.

After surgery Dr. Dines discusses the results

of the procedure with the audience.

AMichael L. Parks, MD

Lionel B. Ivashkiv, MD

from all over the world. Dr. Dinesperformed a total shoulder arthro-plasty which entails resurfacing boththe humeral head and the glenoid(socket). The structure of the confer-ence allowed Dr. Dines to answerquestions from the audience as hewas performing the procedure.

For the CCJR meeting, Dr. Dinesperformed a reverse shoulder recon-struction. For patients suffering from debilitating rotator tear cuffarthropathy, reverse shoulder recon-struction provides pain relief, whilealso restoring stability and function.This specialized procedure hasgained popularity around the world,particularly in treating difficultcases, and is performed by relativelyfew shoulder surgeons, nine of whomare at HSS. The CCJR meeting is the

largest of its kind focusing on arthro-plasty, attended by over 2,000 ortho-pedic surgeons annually. The surgerywas telecast live from Hospital forSpecial Surgery’s operating rooms,with an orthopedic surgeon fromTexas serving as moderator.

According to Dr. Dines, HSSphysicians have always been at theforefront of orthopedics, whether pio-neering a new joint replacement ordeveloping innovative surgical tech-niques. Thanks to improved technol-ogy, live surgery telecasts give HSSsurgeons one more way to make significant contributions to the fieldof international orthopedic surgery.“There’s a beacon here,” he says. “We share it with the world.” ●

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8

KudosAdele Boskey, PhD, and HSS colleaguesSamuel Gourion-Arsiquaud, PhD, andLyudmila Spevak, PhD, along with col-leagues at several other institutions, hada paper selected for Faculty of 1000Medicine, a literature awareness servicethat identifies the most important arti-cles published in medicine. The paper,which was published in the Journal ofBone and Mineral Research, identifiednew risk factors contributing to bonefragility and fractures and new potentialtargets for therapies for osteoporosis. Dr. Boskey was also named to the edito-rial advisory board of the journal Boneand served on a National Institutes ofHealth (NIH) review panel for ChallengeGrants (opportunities for funding provid-ed under the American Recovery andReinvestment Act (ARRA) of 2009).

Peggy Crow, MD, was the Kroc VisitingProfessor at UCLA. She also served onan NIH Special Emphasis Panel reviewcommittee and as a grant reviewer onthe NIH/National Institute of Allergyand Infectious Diseases study sectionreviewing Autoimmunity Centers ofExcellence grants.

Eve Donnelly, PhD, received the “NewInvestigator Recognition Award” fromthe Orthopaedic Research Society at the2009 annual meeting.

Doruk Erkan, MD, was an invited speak-er at the New Jersey RheumatologyAssociation Annual Conference held inWoodbridge, and at the 1st NationalThrombotic Storm Meeting held inMiami, Florida, where he also served onthe Thrombotic Storm ClassificationCommittee.

Mary B. Goldring, PhD, was awarded the Clark Honors College AlumniAchievement Award at the commence-ment ceremony at University of Oregon,Eugene, and was an invited speaker atthe Japanese College of RheumatologyAnnual Meeting held in Tokyo. She was

also appointed as Professor of Cell andDevelopmental Biology at Weill CornellMedical College.

Steven Goldring, MD, was a guest lectur-er at the University of Washington andUniversity of Oregon RheumatologyDivisions and was the Arthur C. DeGraffSpeaker for Annual Research Day at NYUMedical School. He was also a speaker at the Advances in Targeted Therapiesmeeting in Mandelieu, France, andVisiting Professor in Rheumatology at theUniversity of Pittsburgh Medical School.

Jo Hannafin, MD, PhD, was VisitingProfessor at Brown University’sDepartment of Orthopaedic Surgery anddelivered the 47th Annual Murray S.Danforth, MD, Oration.

R. Frank Henn III, MD, Christina E. Kuo,MD, Scott Wolfe, MD, and colleaguesreceived second prize in the AnnualResidents and Fellows Research Awardsfrom the New York Society for Surgery of the Hand. Dr. Wolfe was also VisitingProfessor at Boston University MedicalCenter.

Richard Herzog, MD, received theInternational Society for the Study of theLumbar Spine prize for “Lumbar SpineResearch” for 2009.

Thomas Lehman, MD, spent two weeksas a Distinguished Visiting Expert forthe Ministry of Health of the governmentof Singapore and provided advice on the establishment of a center in pediatricrheumatology to serve children from the region.

Gregory Liguori, MD, served as Chair ofthe 2009 American Society of RegionalAnesthesia Meeting held in Phoenix,Arizona.

Michael Lockshin, MD, was the PfizerVisiting Professor at Louisiana StateUniversity in Shreveport and gave theMorris Ziff Distinguished Lectureship inRheumatology at Southwestern MedicalCenter in Dallas.

Stephen Lyman, PhD, served on theHealthcare Research Training StudySection for the Agency for HealthcareResearch and Quality and was invited toserve as a reviewer for the British MedicalJournal. He was also invited to join theMulti-Center Total Joint ReplacementHealth Services Research Group. In addi-tion, Dr. Lyman was elected Chairman of the Data Safety Monitoring Board forthe HEALTH Trial sponsored byNIH/National Institute of Arthritis andMusculoskeletal and Skin Diseases.

Suzanne Maher, PhD, was invited to join the Biomedical EngineeringCommittee of the American Academy ofOrthopaedic Surgeons.

Hollis Potter, MD, was appointed to theOsteoarthritis Research SocietyInternational FDA OA Initiative:Assessment of Structural ChangeWorking Group. She also served on anNIH review panel for Challenge Grants,and was the keynote speaker atComparative Orthopaedics Day at theUniversity of Missouri ComparativeOrthopaedic Laboratory and theDepartment of Orthopaedic Surgery.

Scott Rodeo, MD, and colleagues collaborated on a paper that received theAircast Award for Basic Science Researchfrom the American Orthopaedic Societyfor Sports Medicine.

Jane Salmon, MD, was the PfizerVisiting Professor at the University ofKentucky and gave an invited lecture atthe meeting of the European LeagueAgainst Rheumatism in Copenhagen.

Louis A. Shapiro, HSS President andCEO, was named Healthcare Executiveof the Year by the Healthcare Leaders ofNew York at their 2009 Gala.

Peter Torzilli, PhD, spoke at theDistinguished Lecture Program inBiomechanical Engineering and partici-pated in the Joint Health Workshop onEarly Detection of Osteoarthritis, bothheld at Stanford University, and spoke atthe Department of Orthopaedics at BrownUniversity-Rhode Island Hospital. He also

Recognition from Around the World

Continued from page 1

Editor-in-Chief: Sara Kosowsky

Contributing Editors: Melissa Caravella,Phyllis Fisher, Rachel Jager, Rachel Sheehan

Design: Arnold Saks Associates

Major Photography: Robert Essel

Illustration: Al Granberg

Printing: Monroe Litho

Discovery to Recovery is published twice ayear by the External Affairs Department,Hospital for Special Surgery, 535 East 70thStreet, New York, NY 10021. 866.976.1196d2r@hss.edu

Hospital for Special Surgery is an affiliate ofNewYork-Presbyterian Healthcare System andWeill Cornell Medical College.

©2009 Hospital for Special Surgery. All rights reserved.

served as a member of the NIH’s NationalInstitute of Biomedical Imaging andBioEngineering Special Emphasis Panelon Enabling Technologies for TissueEngineering and Regenerative Medicine.

Timothy Wright, PhD, hosted theAdvisory Council of Cornell University’sBiomedical Engineering Department atHSS. Dr. Wright also presented an invit-ed lecture at the InMotion QuarterlyMusculoskeletal Lecture Series inMemphis, TN. In addition, he served onNIH review panels for Loan Repayments,for Challenge Grants, and for GrandOpportunity grant applications underthe ARRA. ●

expanded and offer some new fea-tures (see PULSE, page 5). Whenpatients and visitors arrive at theHospital they enter a bright new lobbywith an expansive wall made of glass,providing the space with a feeling ofopenness. Expanded seating areas areaccented by light colored woods andceiling panels. The area also contains a new reception desk, coffee kiosk, and patient transport area as well as a prominently featured donor wall.

• A Children’s Pavilion, HSS’s newmusculoskeletal pediatric “hospitalwithin a hospital,” will span the Eastand West Wings of the fifth floor andinclude the Pediatric RehabilitationCenter on the ninth floor. The 34,000square feet of renovated and newly-constructed space will address thespecialized needs of families withsmall children and adolescents alike,in a warm, cheerful environmentdesigned specially for young patients.

• A Center for Hip Pain andPreservation was established thisyear with the goal of treating young,active adults suffering from hip pain.The Center includes surgeons andnon-operating physicians all focusedon preserving the hip joint over thelong term.

• The Sports Medicine and ShoulderService is also undergoing a renova-tion which will create a more sports-centered environment for doctorvisits and therapy appointments, aswell as for those who visit the SportsPerformance Center.

The addition of an eighth MRI in the Hospital is scheduled for laterthis year.

“All of these improvements allowus to meet the Hospital’s mission – toprovide the highest quality patientcare, improve mobility, and enhancethe quality of life for all,” said ThomasP. Sculco, Surgeon-in-Chief. ●

this area is the expansion of pre-sur-gical screening. The great majorityof patients are cleared for surgery inthis area. The new pre-surgicalscreening area is 4,200 square feet,nearly twice the previous size. Withnine exam rooms and five admittingbays, it will be able to accommodateup to 150 patients per day, offergreater patient privacy, improve effi-ciency and reduce waiting time.

• The Hospital lobby and mainentrance have been redesigned and

The new Children's Pavilion will be a musculoskeletal pediatric “hospital within a hospital“

when it's completed. Architect's rendering by Suben/Dougherty.

Late Breaking News

A Next GenerationScientist Looks atBone BiologyInvestigators at Hospital for SpecialSurgery, collaborating with scientists from other institutions, have contributedto the discovery that a gene called interferon regulator factor-8 (IRF-8) isinvolved in the development of diseasessuch as periodontitis (gum disease),rheumatoid arthritis, and osteoporosis.Baohong Zhao, PhD, a research fellow inthe HSS Arthritis and Tissue DegenerationProgram, was the lead author of a studypublished this summer in the journalNature Medicine. The discovery could leadto novel treatments of these diseases inthe future. Dr. Zhao initiated the studywhile working in the laboratory at ShowaUniversity, Tokyo, where much of thework was performed. Dr. Zhao completedthe study and extended the work tohuman cells during the past year at HSSworking with Dr. Lionel Ivashkiv.

For more information visithttp://www.hss.edu/d2r

S65178:S65178 10/6/09 1:19 PM Page 8

MAKING UP FOR LOST TIME

Anne WellesWith pain so severe that she was

unable to braid her daughter’s

hair or tie her shoes, Anne Welles

refused to allow systemic lupus

erythematosus (SLE) to hold her

back. This young mother of two

and her HSS rheumatologist

Anne R. Bass, MD, (see other side)

worked hand in hand to find a

solution. Through a course of

chemotherapy to treat lupus

nephritis, and then a range of

therapeutic interventions, doctor

and patient together found the

right treatment. Today, five years

since her most severe flare-up,

Anne’s lupus is in remission, she

is virtually pain free and has been

able to cut back on her medica-

tions. With more energy and a

brighter outlook, Anne is making

up for lost time. She returned to

school for training in landscape

design and has since launched

her own business. “Dr. Bass never

gave up on me. I always felt that

she understood what I was going

through and cared.”

For more information visit

http://www.hss.edu/d2r

Our Patients

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Our Physic ians

PARTNERINGWITHPATIENTS

Anne R. Bass, MDAssociate Attending Physician

Anne R. Bass, MD, specializes in

the treatment of autoimmune

diseases such as systemic lupus

erythematosus (SLE), as well as

other inflammatory and muscu-

loskeletal disorders. She serves

as program director of the HSS

Rheumatology Fellowship

Program. Dr. Bass, who has

treated patients suffering from

Lupus, Lyme Disease, Vasculitis,

Inflammatory Eye Disease,

Rheumatoid Arthritis and Venous

Thromboembolism for over 18

years, knows the importance of

doctor-patient communication.

Such dialogue was critical in the

treatment of her patient Anne

Welles (see other side). “Anne’s

experience with lupus exempli-

fies the issues that surround

giving very potent medications

to a patient. As a physician, you

have to watch the patient closely,

engage in lots of discussions, be

there for them when they are

very sick, explain what they are

going through, and take the time

to listen and explore their con-

cerns until a treatment is found

that both works and helps to

maintain quality of life.”

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