OCHSNER OUTCOMES - Ochsner Health System · PDF fileOchsner’s longstanding tradition of...

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OCHSNEROUTCOMES Orthopedics

Patient referrals, transfers and consults are critically important, and we want to make it easy for referring providers and their staff. To refer your patient for a clinic appointment, call our Clinic Concierge at 855.312.4190.

Warner L. ThomasPresident &

Chief Executive Officer Ochsner Health System

Ochsner’s longstanding tradition of bringing physicians together to improve health outcomes continues today. Our goals are to work together with our referring providers to serve the needs of patients and to provide coordinated treatment through partnerships that put patients first. We have automated physician-to-physician patient care summaries for hospital encounters and enhanced the patient experience by giving patients the ability to schedule appointments online.

Close coordination and collaboration begin with transparency and access to the data you need to make informed decisions when advising your patients about care options. OchsnerOutcomes, a compilation of clinical data, represents only part of our efforts to better define the quality of Ochsner’s care and to share that information with you.

Trusted, independent organizations give the highest marks to Ochsner’s quality. Ochsner Medical Center was the only healthcare institution in Louisiana, Mississippi and Arkansas to receive national rankings in four adult specialties from U.S. News & World Report for 2017–2018. Ochsner Hospital for Children has been ranked among the top 50 children’s hospitals in the country for Cardiology and Heart Surgery in the 2017–2018 U.S. News & World Report Best Children’s Hospitals rankings, making it the only nationally ranked children’s hospital in Louisiana.

Additionally, CareChex® named Ochsner Medical Center, Ochsner Baptist and Ochsner Medical Center – West Bank Campus among the top 10% in the nation in Medical Excellence for 16 different specialties. Ochsner was also named #1 in the nation in Medical Excellence for Organ Transplants and, for the fifth year in a row, #1 in the nation in Medical Excellence and Patient Safety for Liver Transplant.

Ochsner is expanding its already robust research program with two new partnerships. The first, with TGen, brings early-phase cancer clinical trials to the region. The second, with TriNetX, an international data research network, will allow Ochsner clinicians to have the opportunity to provide new therapies to their patients sooner, as well as provide our researchers access to new tools with which to analyze data on our own patients and refine treatments.

Ochsner Multi-Organ Transplant Institute is one of 19 transplant hospitals in the United States to participate in the initial pilot phase of the Collaborative Innovation and Improvement Network (COIIN) project, a three-year study by the United Network for Organ Sharing (UNOS) intended to increase transplantation, with a particular focus on utilization of deceased donor kidneys.

Ochsner consistently earns the respect of independent evaluators. We do not rest on these achievements, but use them as a benchmark to continuously improve. We will continue to share the data you need to care for your patients, provide services you may not have in your community and develop the collaborative relationships essential to ensuring the best outcomes for every patient, every time.

Robert I. Hart, MDExecutive Vice President &

Chief Medical OfficerOchsner Health System

Table of ContentsLetter from the Chairman . . . . . . . . . . . . . . . . . . . . . . 6

Ochsner Orthopedics . . . . . . . . . . . . . . . . . . . . . . . . . 7

Joint Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

The Ochsner Perioperative Surgical Home . . . . . . . . . . 16

Sports Medicine Institute . . . . . . . . . . . . . . . . . . . . . . . 23

Hip Fracture Treatment . . . . . . . . . . . . . . . . . . . . . . . . 26

Spine Fusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Pediatric Orthopedics . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Patient Experience . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Sports Medicine In-House Studies . . . . . . . . . . . . . . . . 36

Orthopedics Publications . . . . . . . . . . . . . . . . . . . . . . . 38

Care Team and Locations . . . . . . . . . . . . . . . . . . . . . . . 41

About Ochsner Health System . . . . . . . . . . . . . . . . . . . 42

The Official Healthcare Partner of the New Orleans Saints

The Official Healthcare Partner of the New Orleans Pelicans

George F. Chimento, MD, FACS Chairman, Department of Orthopedic Surgery

Ochsner OrthopedicsThe Ochsner Department of Orthopedics cares for patients of all ages, employing the latest techniques and technology available to treat a wide spectrum of orthopedic problems.

The department’s more than 15 fellowship-trained, board-certified and board-eligible physicians have subspecialty expertise in joint replacement, sports medicine, orthopedic oncology, pediatrics, spine, trauma, foot and ankle, hand, wrist, elbow and shoulder treatments. A talented and experienced team of physician assistants and nurse practitioners work with the physicians to provide patients with the best possible outcomes.

The department enjoys an excellent reputation and is pleased to have been awarded the Blue Cross Blue Shield Destination Center designation and to be a Blue Distinction Center for spine surgery and for knee and hip replacement. From a dedicated Back and Spine Center to a Hand Center, Ochsner Orthopedics has the specialty focus that patients need to enjoy peace of mind in a specialized atmosphere.

Ochsner is the premier referral center for joint replacement in the Gulf South and beyond. Ochsner surgeons have been performing

total hip and knee replacements for more than 30 years and continue to build upon and refine our techniques. We perform more than 600 joint replacements a year. A comprehensive program of medical management and rehabilitation has created the Ochsner Joint Replacement team, whose efforts have made the recovery from joint replacement surgery faster and more complete. Our multidisciplinary team coordinates the physicians (surgeon, internist and anesthesiologist), physical therapists, nurses and social services for each patient for the best possible diagnosis, treatment and recovery.

In 2016, Ochsner transitioned from ICD 9 to 10 (International Statistical Classification of Diseases and Related Health Problems). The 10th edition allows for greater accuracy with the addition of more than 14,000 new diagnostic codes and sub-classifications. While this tool permits greater specificity, the additional classifications have resulted in outcomes metrics that may appear inconsistent from 2015 to 2016.

Orthopedics Case Volume Ochsner Medical Center, 2014–2016

0%

5000%

10000%

201620152014

4,242 4,364 4,380

Letter from the ChairmanThe Ochsner Department of Orthopedics offers comprehensive musculoskeletal treatment, employing the latest techniques and technology for even the most challenging cases. Patients of all ages receive care that is unparalleled in the Gulf South and has been recognized by the following respected organizations:

• Ochsner Medical Center was named a 2017 Five-Star recipient by Healthgrades® for Total Knee Replacement and Total Hip Replacement, and Ochsner Medical Center – Baton Rouge was named a Five-Star recipient for Hip Fracture Treatment. Ochsner Medical Center was also named a 2017 recipient of Healthgrades® Excellence Award™ for Joint Replacement and Top 10% in the nation for Joint Replacement.

• Ochsner Medical Center was recognized as High Performing in Orthopedics and Knee Replacement by U.S. News & World Report in 2017.

We have successfully recruited promising young surgeons and well-established experts to bolster our department of more than 20 orthopedic surgeons and highly trained advanced practice clinicians who provide care throughout the New Orleans metropolitan area, Baton Rouge, Covington and Slidell. We are committed to offering prompt access to patients and referring physicians to our subspecialized department with expertise in:

• Joint Replacement

• Hand, Wrist, Shoulder and Elbow

• Sports Medicine

• Trauma

• Oncology

• Adult and Pediatric Spine and Scoliosis

• Foot and Ankle

• Pediatric Orthopedics

We conduct both clinical and basic science research to enhance the quality of care we deliver to our patients. Our research has also been published in peer-reviewed medical journals and has been presented internationally, with several studies winning awards. Our surgeons serve in leadership roles for their orthopedic societies and organizations.

The Ochsner Department of Orthopedics continues to be a trusted referral center because of the level of care we provide, and our relationships with our referring providers are of the utmost importance.

We thank you for your continued support.

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Joint ReplacementOchsner Medical Center has special operating rooms, medications, surgical staffing, anesthesia techniques and equipment dedicated to joint replacement surgery. The total joint surgeons use special blood preservation techniques and have a very low transfusion rate following surgery. Ochsner is experienced in all the major techniques for joint replacement, including minimally invasive robotically assisted MAKO techniques.

In 2016, Ochsner’s highly specialized team took care of more hip replacement revision patients than the national average and performed as many knee replacement revisions as the national average.

MAKOplasty®: Robotically Assisted Surgery

Ochsner’s Total Joint Team was an early adopter of robotically assisted surgery and was the first in the area to use the RIO® robotic arm. MAKOplasty® Partial Knee Resurfacing is an advanced treatment option. It is powered by the RIO® Robotic Arm Interactive Orthopedic System, which allows the surgeon to perform surgery accurately through a smaller incision relative to manual procedures. By selectively targeting the part of the knee damaged by osteoarthritis (OA), surgeons can resurface the knee while sparing the healthy bone and ligaments surrounding the damage. This technique permits optimal prosthesis positioning, less pain, a more natural feeling knee following surgery, a more rapid recovery and a shorter hospital stay compared to traditional total knee resurfacing surgery. Ochsner’s Total Joint Team is excited to announce that we will begin to perform MAKO total knee replacement surgery in 2017. We will be the first hospital in the area to offer this innovative procedure.

Total hip surgery is also improved by using the robotic arm, permitting more accurate placement of the hip prosthesis, which can reduce the likelihood of hip dislocation and provide more consistency in leg length, potentially decreasing the need for a shoe lift and the risk of impingement and dislocation.

Anterior hip replacement is a total hip replacement performed through the anterior approach. This approach has many advantages. One of the most beneficial advantages is that patients have far fewer restrictions after surgery.

In addition, use of the robotic arm may improve the life expectancy of the hip replacement. The Ochsner Orthopedic Total Joint Team has performed more than 383 robotically assisted joint surgeries since 2014.

A New Treatment Model for Joint Replacement Surgery

In 2016, Ochsner’s Orthopedics and Anesthesiology Departments worked together to improve patient outcomes and reduce length of stay by implementing a new care model for hip replacement patients.

Anesthesiologists

Administrators

Post-acute Care Team

Transition Navigators

Surgeons

Case Managers

Nutritionists

Physical and Occupational

Therapists

MAKO Volume Ochsner Medical Center, 2014–2016

Hips Knees

60

78

87

54

86

30

201620152014

Multidisciplinary Team

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Total Hip Replacement Revision Burden Ochsner Medical Center, 2014–2016

Methodology and Source: American Joint Replacement Registry (AJRR)

Compare Group: AJRR-participating Hospitals Nationwide

Ochsner Medical Center National Benchmark

201620152014

15.2%

11.2%

18.2%

12.0%

18.9%

8.8%

The Ochsner Joint Replacement Program manages the most complex surgical cases because of our outstanding outcomes. People who have had hip and knee replacement surgery elsewhere and are in need of revision surgery are often referred to an Ochsner specialist. While performing significantly more hip and knee revision surgeries than the national average, our overall outcomes are better than the national average.

Total Hip Replacement Risk-Adjusted Mortality Index (RAMI) Ochsner Medical Center, 2014–2016

0.00

201620152014

1.00

0.00 0.00

Methodology and Source: IBM Watson Health / Truven Care Discovery

Compare Group: Average of All Hospitals Nationwide

Adult Hospital Inpatients Only

RAMI National Average

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Total Hip Replacement Average Length of Stay (in Days) Ochsner Medical Center, 2014–2016




Ochsner Average National Average

201620152014

2.3

3.1

1.7

2.7

1.9

2.8

Total Hip Replacement Expected Complication Rate Index (ECRI) Ochsner Medical Center, 2014–2016

201620152014

1.00

0.00 0.00

0.87




ECRI National Average

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201620152014

1.00

0.00 0.00

8.76

Total Knee Replacement Expected Complication Rate Index (ECRI) Ochsner Medical Center, 2014–2016

Total Knee Replacement Average Length of Stay (in Days) Ochsner Medical Center, 2014–2016

Total Knee Replacement Risk-Adjusted Mortality Index (RAMI) Ochsner Medical Center, 2014–2016

Total Knee Replacement Revision Burden Ochsner Medical Center, 2014–2016

201620152014

7.8% 8.1%8.7%

7.0%

10.2%

6.3%








201620152014

2.9 2.9

2.1

2.7

1.7

2.7

201620152014

1.00

0.55

0.00

0.43Methodology and Source: American Joint Replacement Registry (AJRR)

Compare Group: AJRR-participating Hospitals Nationwide

Ochsner Medical Center National Benchmark






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The Ochsner Perioperative Surgical HomeApproximately 1 million patients each year undergo knee or hip replacement surgery in the United States. In many cases, the care provided is costly, results in extended hospitalization and unnecessarily delays the patients’ return to normal activity. Outside the operating room, the nation has embraced the concept of multidisciplinary coordination of care for a group of patients through the increasingly prevalent “Medical Home.” Patients are selected to the perioperative home program based on their comorbidities, health status and history. This is a collaboration among primary care physicians, health coaches, data specialists, nutritionists and midlevel providers, focused on helping a well-defined group of patients – referred to as a “panel” – control their chronic diseases (e.g., diabetes, heart disease, kidney failure). Before now, nothing like this existed for patients requiring surgery. A handful of innovative groups have established “Perioperative Surgical Homes” to better help these patients navigate the previously lengthy pathway from the decision to have surgery to complete recovery.

These are collaborations of surgeons, anesthesiologists, nurses, physical therapists, case managers, administrators and nutritionists focused on groups of patients having particular kinds of procedures, such as total joint replacement, prostatectomy and others. These physician-led, tightly coordinated care collaborations have been highly successful, achieving the Triple Aim of Healthcare Reform – better healthcare, better health and lower cost.

At the forefront, Ochsner Medical Center has been caring for patients using this new Perioperative Surgical Home model for three years. Led by the chairs of orthopedic surgery and anesthesiology, the Ochsner Surgical Home has already been recognized for providing care that is better than the national benchmarks for hip and knee replacement patients. Patients in the program have excellent mobility and pain relief following replacement of their hip and knee joints, as measured by specific patient- and surgeon-reported outcome scores.

Patients achieved these results through better preparation and conditioning leading up to surgery and by spending far less time in the hospital. This shortened hospitalization results in a much lower risk for deconditioning, sleep deprivation and what has been referred to as “post-hospital syndrome.” Instead, most of our patients undergoing joint replacement surgery at Ochsner go directly home.

Total cost of hospitalization has been reduced substantially, but patients are also spending less on postacute care. This model of care has recently been recognized by the American Society of Anesthesiologists National Surgical Home Collaborative in Chicago and at the plenary session of Annual Practice Management Conference in Atlanta.

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Total Knee Replacement Length of Stay (in Days) Ochsner Medical Center, 2014–2016



Most of our patients undergoing joint replacement surgery at Ochsner go home the day after their surgery.







Total Hip Replacement Length of Stay (in Days) Ochsner Medical Center, 2014–2016

201620152014

2.86

3.29

2.01

3.29

1.62

3.27

201620152014

2.22

3.28

1.51

3.26

1.34

3.26

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Total Hip Replacement Discharge Mix Ochsner Medical Center, 2016

Home Health Organization Home Self-Care Skilled Nursing Facility Rehab Facility/Unit

Home Health Organization Skilled Nursing Facility Home Self-Care Rehab Facility/Unit

Since starting the Perioperative Surgical Home model in 2013, most patients are discharged directly home decreasing the cost of care.

Total Hip Replacement Discharge Mix Ochsner Medical Center, 2015

12%

14%

4%

7%

2%

1%

82%

78%

2120

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Total Knee Replacement Discharge Mix Ochsner Medical Center, 2016

Total Knee Replacement Discharge Mix Ochsner Medical Center, 2015



Sports Medicine InstituteThe Ochsner Sports Medicine Institute provides comprehensive, state-of-the-art sports medicine care to individuals in a timely, effective manner, allowing your patients to return to their desired activity level. Ochsner Sports Medicine is committed to providing quality service to the community through its team of more than 40 athletic trainers at local colleges, high schools and middle schools, promoting injury prevention and wellness. The sport medicine physicians perform more than 1,200 surgeries per year.

16%

6%

4%

74%

10%

6%

1%

83%

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Ochsner Sports Medicine Institute works closely with all levels of athletes – from weekend warriors to high school to college and professionals.

Sports Medicine Risk-Adjusted Mortality (RAMI) Ochsner Medical Center and Ochsner Baptist, 2014–2016

0.00

201620152014

1.00

0.00 0.00





Sports Medicine Expected Complication Rate Index (ECRI) Ochsner Medical Center and Ochsner Baptist, 2014–2016

Sports Medicine Average Length of Stay (in Days) Ochsner Medical Center and Ochsner Baptist, 2014–2016








201620152014

2.8

3.2

2.92.7

1.9

2.6

201620152014

1.00

0.33

0.67

0.21


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Hip Fracture TreatmentAccording to the Centers for Disease Control and Prevention, there are at least 258,000 hospital admissions for hip fractures among people aged 65 and older annually and, by 2030, the number of hip fractures is projected to reach 289,000, an increase of 12 percent.

A large proportion of fall deaths are due to complications following a hip fracture. One out of five hip fracture patients dies within a year of their injury. Treatment typically includes surgery and hospitalization, usually for about one week, and is frequently followed by admission to a nursing home and extensive rehabilitation. In both men and women, hip fracture rates increase exponentially with age. People 85 and older are 10 to 15 times more likely to sustain hip fractures than are those aged 60 to 65.

For younger, extremely active patients, hip resurfacing, a bone-preserving hip replacement, is often indicated. It requires few restrictions after surgery and helps preserve an extremely active lifestyle after hip surgery.

Hip fracture patients at Ochsner benefit from having a dedicated hospitalist team working alongside the orthopedic surgeon to treat the entire patient, leading to best-in-class outcomes and survival from these injuries.

Hip Fracture Risk-Adjusted Mortality Index (RAMI) Ochsner Medical Center, 2014–2016

0.00

201620152014

1.00

1.45

0.68Methodology and Source: IBM Watson Health / Truven Care Discovery




Hip Fracture Average Length of Stay (in Days) Ochsner Medical Center, 2014–2016




201620152014

6.8

5.5

7.6

5.4

6.5

4.7


Hip Fracture Expected Complication Rate Index (ECRI) Ochsner Medical Center, 2014–2016





201620152014

1.00

1.58

1.38

1.70

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HIP FR

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Spine FusionThe Back and Spine Center at Ochsner Baptist* brings together some of the nation’s top orthopedic and spine specialists in one state-of-the-art facility to focus solely on providing comprehensive care and relief to patients suffering from any type of spine or back pain or discomfort. At the center, our team employs a treatment approach customized for each patient, as no two individuals’ back pain is the same.

*A Campus of Ochsner Medical Center

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Spine Surgery Case Volume Ochsner Medical Center and Ochsner Baptist, 2014–2016

Spine Surgery Risk-Adjusted Mortality Index (RAMI) Ochsner Medical Center and Ochsner Baptist, 2014–2016

0.00 0.00 0.00

201620152014

1.00





201620152014

87

166

195

Spine Surgery Average Length of Stay (in Days) Ochsner Medical Center, 2014–2016





Spine Surgery Expected Complication Rate Index (ECRI) Ochsner Medical Center and Ochsner Baptist, 2014–2016





201620152014

1.001.05

1.241.25

201620152014

5.1

4.4

5.2

3.9

4.74.2

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Pediatric OrthopedicsWhen you bring your child to a pediatric orthopedist, you have questions. At Ochsner Hospital for Children, we believe knowledge is peace of mind, so we make time to listen and provide answers. You will find the Ochsner Pediatric Orthopedic Team to be approachable, thorough and friendly. We judge ourselves not just on how well we treat our patients, but on how well we treat their families. Like you, we believe only the very best will do for your child.

Why Ochsner Hospital for Children for orthopedic care?

Here at Ochsner, your child will be treated by a passionate, world-renowned team composed of fellowship-trained, board-certified physicians, nurse practitioners, pediatric casting specialists and dedicated medical assistants. Together, we treat a complete range of acquired and congenital orthopedic conditions – both common and rare – in children from infancy through age 18. We specialize in pediatric spine surgery, scoliosis and ankle surgery and in the treatment of children’s fractures and dislocations, as well as in infections and tumors of the spine and extremities.

Ochsner Hospital for Children offers innovative procedures that are not available anywhere else in the region. For instance, fewer than a dozen centers in the world offer spine growth modulation – a minimally invasive procedure that helps the spine heal itself.

We also offer a new device called the MAGEC (MAGnetic Expansion Control) System for use in children with severe spinal deformities. The implanted MAGEC spinal rod braces the spine to minimize the progression of scoliosis.

Shorter hospital stays. Less pain.

Whenever possible, the Ochsner pediatric orthopedic team opts for minimally invasive procedures that result in less pain and shorter hospital stays. Our rapid discharge protocols allow many of our surgical patients to go home to their families in two to three days instead of the standard four to five. When appropriate, we offer nonoperative options, including exercise and physical therapy.

Ochsner Hospital for Children offers innovative procedures that are not available anywhere else in the region.

2014 2015 2016

Clinic Visits 6,820 7,454 8,158

Surgical Volume 334 436 496

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Patient ExperienceOchsner Orthopedics is dedicated to delivering the best outcomes surrounded by the best possible experience for patients and their families. Reported patient experience measures are shared with caregivers and used to identify opportunities to improve care.

Orthopedics – Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CGCAHPS) Ochsner Medical Center, 2016

Orthopedics – Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Ochsner Medical Center, 2016

0%

25%

50%

75%

100%

125%

Care Coordination

Access to Care

Office Staff Quality

Physician Communication

Recommend this Provider Office

91.2 90.7 92.592.2 93.5 93.1

82.3 79.576.0 73.7

0.0%

62.5%

125.0%

Care Transitions

Discharge Information

Comm about Medicines

Pain Management

Hospital Environment

Comm with Docs

Response of Hospital Staff

Comm with Nurses

Overall Hospital Rating

77.873.1

79.3

62.367.9

88.7

81.3

69.3 67.6

77.271.1

66.9 64.9

95.1

87.6

63.5

54.1

80.3

Ochsner Average Press Ganey Average

Ochsner Average Press Ganey Average

The HCAHPS data was based on the specialty field in infoEdge for patients with a discharge date between 1/1/2016 – 12/31/2016. The specialty field is based on the DRG that is on the record and the CMS specialty group that is tied to the DRG.

CGCAHPS information was based on provider specialty with a visit date between 1/1/2016 – 12/31/2016; adjusted per Press Ganey methodology for eSurvey.

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Sports Medicine In-House StudiesOchsner Sports Medicine Research Projects

IRB Number Title Principal Investigator

2012.044.A NeoCart Cartilage Repair Phase III Study Deryk Jones

2012.183.A iDuo: Study evaluating the ConforMIS iDuo G2 Bicompartmental Knee Repair System Deryk Jones

2016.203.A The SUN Clinical Trial: Safety Utilizing Nusurface Meniscus Implant Deryk Jones

2016.425.CFlexion FX006:Open label study to assess the safety of repeat administration of FX006 (extended release steroid)

Deryk Jones

— Phase 2, blinded, placebo controlled study evaluating safety and efficacy of SM04690 Deryk Jones

— Novocart Cartilage Repair Phase III Study Deryk Jones

2009.140.BComparison of Autologous chondrocyte implantation using a porcine-derived Type I collagen Implant to a periosteal graft

Deryk Jones

— Missouri Osteochondral Preservation System Deryk Jones

— Patellofemoral Arthroplasty Study Deryk Jones

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Haber L, Womack E, Robbins D. Does Direct Vertebral Rotation Correct the Axial Plane. A comparison of 3 consecutive groups of patients from different time periods to see if the evolution of this technique is making a difference in outcomes. Submitted for presentation to SRS and accepted for 2017 Ochsner Research Days.

Lieberman, J, Vail, TP, Jones, DG, Spitzer, A, Jevsevar, D, Lufkin, J, Johnson, JR, Doyle, MK, Bodick, NC: Effects of a single intra-articular injection of a microsphere-formulation of triamcinolone acetonide on knee osteoarthritis pain. A double-blind, randomized, placebo-controlled, multinational study. (submitted JAMA, 2016)

Heltsley, JR, Jones, DG: Osteochondral Allograft for Corticosteriod induced Osteonecrosis of the Femoral Head – Case Report.” The Ochsner Journal 16(3):417, 2016 (Fall).

Vansadia, DP, Nawas, H, Jones, DG: Factors Affecting the of Opening Wedge Height Tibial Osteotomy Using a Locking Titanium Wedge Plate. The Ochsner Journal 16(3): 394, 2016 (Fall).

Samantha L Salkeld, MSE; Laura P Patron, MS; Joan C Lien, MS; Stephen D Cook, Ph.D.; Deryk G Jones, MD: Biological and Functional Evaluation of a Novel Pyrolytic Carbon Implant for the Treatment of Focal Osteochondral Defects in the Medial Femoral Condyle: Assessment in a Canine Model. Journal of Orthopaedic Surgery and Research 11: 155 (2016).

Soberón JR, McInnis C, Bland KS, Egger AL, Patterson ME, Elliott CE, Treuting RJ, Osteen K. Ultrasound-guided popliteal sciatic nerve blockade in the severely and morbidly obese: a prospective and randomized study. J Anesth. 2016 Jun; 30(3) 397–404.

Duplantier NL, Waldron S. Post-traumatic nonunion of the clavicle in a 4-year-old boy and the importance of vitamin D level testing. J Pediatr Orthop B. 2016 Jan; 25(1): 78–80.

Soberón JR Jr, Sisco-Wise LE, Dunbar RM Compartment syndrome in a patient treated with perineural liposomal bupivacaine (Exparel). J Clin Anesth. 2016 Jun; 31: 1–4.

Duplantier NL, Briski DC, Luce LT, Meyer MS, Ochsner JL, Chimento GF The Effects of a Hospitalist Comanagement Model for Joint Arthroplasty Patients in a Teaching Facility. J Arthroplasty. 2016 Mar; 31(3): 567–72.

Godoy G, Sumarriva G, Ochsner JL Jr, Chimento G, Schmucker D, Dasa V, Meyer M Preoperative Acute Inflammatory Markers as Predictors for Postoperative Complications in Primary Total Knee Arthroplasty. Ochsner J. 2016 Winter; 16(4): 481–485.

Habashy A, Sumarriva G, Treuting RJ. Neurectomy Outcomes in Patients With Morton Neuroma: Comparison of Plantar vs Dorsal Approaches. Ochsner J. 2016 Winter; 16(4): 471–474.

Vansadia DV, Heltsley JR, Montgomery S, Suri M, Jones DG. Osteochondrl Allograft Transplantation for Femoral Trochlear Dysplasia. Ochsner J. 2016 Winter; 16(4): 475–480.

Nawas HT, Vansadia DV, Heltsley JR, Suri M, Montgomery S, Jones DG. Factors Affecting the Union of Opening Wedge High Tibial Osteotomy Using a Titanium Wedge Plate. Ochsner J. 2016 Winter; 16(4): 464–470.

Salkeld SL, Patron LP, Lien JC, Cook SD, Jones DG. Biological and functional evaluation of a novel pyrolytic carbon implant for the treatment of focal osteochondral defects in the medial femoral condyle: assessment in a canine model. J Orthop Surg Res. 2016 Dec 1;11 (1): 155.

Soberon JR, Ericson-Neilsen W, Sisco-Wise LE, Gastanaduy M, Beck DE. Perineural Liposomal Bupivacaine for Postoperative Pain Control in Patients Undergoing Upper Extremity Orthopedic Surgery: A Prospective and Randomized Pilot Study. Ochsner J. 2016 Winter; 16(4): 436–442.

Soberon JR jr, Crookshank JW 3rd, Nossaman BD, Elliott CE, Sisco-Wise LE, Duncan SF. Distal Peripheral Nerve Blocks in the Forearm as an Alternative to Proximal Brachial Plexus Blockade in Patients Undergoing Hand Surgery: A Prospective and Randomized Pilot Study. J Hand Surg Am. 2016 Oct; 41 (10): 969–977.

continued on next page …

Orthopedics Publications2016 Publications:

DeMartino I, D’Apolito R, Waddell BS, McLawhorn AS, Sculco PK, Sculco TP. Early intraprosthetic dislocation in dual-mobility implants: a systematic review. Arthroplasty Today 2016; 1(1): 1–6.

Waddell BS, Robb WJ: Patient Safety and Core Competencies. Orthopaedic Knowledge Online Journal 2016; 14(11): 1.

Waddell BS, Meyer MS, Duplantier NL, Duncan SFM. Smartphone-based Goniometers Versus Standard Goniometers: Accuracy in a Clinical Setting. Accepted to The Journal of Surgical Orthopaedic Advances. June 2016.

Waddell BS, DeMartino I, Sculco T, Sculco P. Total Hip Arthroplasty Dislocation: More Complex Than They Appear: A Case Report of Intra-prosthetic dislocation of a Dual Mobility Implant After Closed Reduction. Ochsner Journal 2016 Summer; 16(2): 185–90.

Waddell BS, Briski D, Meyer MS, Ochsner LO, Chimento G. Financial Analysis of Treating Periprosthetic Joint Infections at a Tertiary Referral Center. J Arthroplasty 2016; 31(5): 952–956.

Waddell BS, Waddell WH, Godoy G, Zavatsky JM. A Comparison of Ocular Radiation Exposure Utilizing Three Types of Leaded Glasses. Spine (Phila Pa 1976). 2016 Feb; 41(4): E231-6.

Waddell BS, Mohamed S, Glomset JT, Meyer MS. A detailed review of hip reduction maneuvers: a focus on physician safety and introduction of the Waddell technique. Orthop Rev (Pavia). 2016 Mar 21; 8(1): 6253.

Waddell BS, Zahoor T, Meyer MS, Ochsner LO, Chimento G. Topical Tranexamic Acid Use in Knee Periprosthetic Joint Infections is Safe and Effective. J Knee Surg 2016; 29: 423–429.

Waddell BS, Duncan SFM. Perioperative Surgical Home. AAOS Now April 2016.

Waddell BS. Reduce Your Radiation Exposure: Don’t ignore the very real threats you can’t see. Outpatient Surgery Magazine 2016; 17(2): 77–82.

Waddell BS. Thinking of Buying: Orthopedic Image Guidance and Robotic Systems. Outpatient Surgery Magazine October 2016; 17(10).

Haber L, Womack E, Shrader M etal. Who Needs a PICU after PSF for AIS. A consecutive series of 99 patients trying to predict which idiopathic scoliosis patients are at risk for hypotension after posterior spinal fusion. The study found that the incidence is still significant and no preoperative or intraoperative parameters were predictive. The only predictive factor was that patients who did not have issues with hypotension in the first four hours were stable throughout the recovery period. Based on this, for institutions not want to use a PICU, we propose the possibility of a 4 hour PICU or PACU stay before patients are sent to the Floor postoperatively. Submitted to Spine Deformity.

Haber L, Shrader W, et al. Long Term Results of Spine Stapling. Spine Stapling was a method used mostly from 200–2010 to modulate and straighten scoliosis with a minimally invasive and motion sparing technique. We followed 15 curves stapled from 2005–2008 to skeletal maturity to study long term effectives and safety. Presented at International Meeting for Advance Spine Techniques 2016 and to be presented at American Academy of Orthopaedic Surgeons Annual Me3eting 2017. In final preparation for submission for publication.

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Waddell BS, Zahoor T, Meyer M, Ochsner L, Chimento G. Topical Tranexamic Acid Use in Knee Periprosthetic Joint Infection Is Safe and Effective. J Knee Surg. 2016 Jul; 29(5): 423–9.

Waddell BS, De Martino L, Sculco T. Total Hip Arthroplasty Dislocations Are More Complex Then They Appear: A Case Report of Intraprosthetic Dislocation of an Anatomic Dual-Mobility Implant After Closed Reduction. Ocshner J. 2016 Summer;16 (2): 185–90.

Vansadia DV, Heltsley JR, Montgomery S, Suri M, Jones DG. Osteochondrl Allograft Transplantation for Femoral Trochlear Dysplasia. Ochsner J. 2016 Winter; 16(4): 475–480.

Nawas HT, Vansadia DV, Heltsley JR, Suri M, Montgomery S, Jones DG. Factors Affecting the Union of Opening Wedge High Tibial Osteotomy Using a Titanium Wedge Plate. Ochsner J. 2016 Winter; 16(4): 464–470.

Salkeld SL, Patron LP, Lien JC, Cook SD, Jones DG. Biological and functional evaluation of a novel pyrolytic carbon implant for the treatment of focal osteochondral defects in the medial femoral condyle: assessment in a canine model. J Orthop Surg Res. 2016 Dec 1;11 (1): 155.

Soberon JR, Ericson-Neilsen W, Sisco-Wise LE, Gastanaduy M, Beck DE. Perineural Liposomal Bupivacaine for Postoperative Pain Control in Patients Undergoing Upper Extremity Orthopedic Surgery: A Prospective and Randomized Pilot Study. Ochsner J. 2016 Winter; 16(4): 436–442.

Soberon JR jr, Crookshank JW 3rd, Nossaman BD, Elliott CE, Sisco-Wise LE, Duncan SF. Distal Peripheral Nerve Blocks in the Forearm as an Alternative to Proximal Brachial Plexus Blockade in Patients Undergoing Hand Surgery: A Prospective and Randomized Pilot Study. J Hand Surg Am. 2016 Oct; 41 (10): 969–977.

Waddell BS, Zahoor T, Meyer M, Ochsner L, Chimento G. Topical Tranexamic Acid Use in Knee Periprosthetic Joint Infection Is Safe and Effective. J Knee Surg. 2016 Jul; 29(5): 423–9.

2016 Books and Chapters:

Waddell BS, Westrich G. Orthopaedic Knowledge Update: Hip and Knee 5: Patient Satisfaction Chapter. 2016.

Waddell BS, Padgett D. Orthopaedic Knowledge Update: Hip and Knee 5: Robotics in Total Hip Arthroplasty. 2016

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Care Team and LocationsCare Team

Pediatric OrthopedicsLawrence Haber, MD Director of Pediatric Spine and Scoliosis SurgerySean F. Waldron, MD

Joint ReplacementGeorge F. Chimento, MD, FACS Chairman, OrthopedicsJohn Lockwood Ochsner, Jr., MD Associate Chairman, OrthopedicsMark S. Meyer, MD Program Director, OrthopedicsBradford Waddell, MD

Hand CenterLeslie Sisco-Wise, MD

Foot and Ankle SurgeryRobert J. Treuting, MD

OncologyMark S. Meyer, MD Program Director, Orthopedics

Back and Spine CenterPaul Celestre, MD

Sports MedicineDeryk G. Jones, MD Section Head, Cartilage RestorationAndrew Gottschalk, MDScott Montgomery, MDMisty Suri, MD

TraumaJames F. Mautner, MD

Advanced Practice ProvidersShannon Branford, NPEmily Breen, NPSarah Frieberg, PA-CBonnie Hansen, PA-CJoe Impastato, PA-CEmily Lawrentz, PA-CRenee Ross, PA-CLynsey Shaffer, PA-CDaryl Stanga, PA-CColleen Story, NPAnna Strahan, NP

Locations

Ochsner Baptist* 504.842.4263

Ochsner Medical Center 504.842.3970

Ochsner Medical Center – Baton Rouge 225.761.5200

Ochsner Health Center – Covington 985.875.2828

Ochsner Hospital – Elmwood 504.736.4800

Ochsner Medical Center – Kenner 504.443.9500

Ochsner Medical Center – North Shore 985.639.3777

*A Campus of Ochsner Medical Center

For patient referral and transfer information, please see page 42.

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Patient referrals, transfers and consults are critically important. We make it easy for referring providers and their staff. To refer your patient for a clinic appointment, call our Clinic Concierge at 855.312.4190. To initiate a transfer to any Ochsner hospital, call our Regional Referral Center, staffed 24/7 by clinicians, at 855.OHS.LINK (647.5465).

For patients needing to schedule their own appointments, please call 866.OCHSNER (624.7637).

Visit us online at ochsner.org

About Ochsner Health SystemOchsner Health System is Louisiana’s largest non-profit, academic healthcare system. Driven by a mission to Serve, Heal, Lead, Educate and Innovate, coordinated clinical and hospital patient care is provided across the region by Ochsner’s 29 owned, managed and affiliated hospitals and more than 80 health centers and urgent care centers. Ochsner is the only Louisiana hospital recognized by U.S. News & World Report as a “Best Hospital” across four specialty categories caring for patients from all 50 states and more than 80 countries worldwide each year. Ochsner employs more than 18,000 employees and over 1,100 physicians in over 90 medical specialties and subspecialties, and conducts more than 600 clinical research studies. Ochsner Health System is proud to be a tobacco-free environment. For more information, please visit ochsner.org and follow us on Twitter and Facebook.

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