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Trauma Care in the Himalayas

David Lhowe Trauma Surgeon at Mass General Hospital David Lhowe, MD is an Orthopedic Trauma and Hip & Knee Replacement surgeon in the Department of Orthopaedic Surgery, Massachusetts General Hospital, and Assistant Clinical Professor of Orthopedic Surgery at Harvard Medical School.


Sandwiched between its gigantic neighbors, China and India, the tiny nation of Bhutan is making a rapid transition from an isolated kingdom to a modern Asian democracy. Its 600,000 residents are almost exclusively Buddhist, and are dispersed over a landscape that remains largely forested with relatively little arable terrain. The population clusters in valleys, separated by Himalayan mountain barriers which have only recently become connected by two-lane roads. Through most of its history the country has been isolated from even its closest neighbors, and has only opened to Western tourists in the last 20 years. While visiting Bhutan from the United States is now possible it doesn’t come cheaply. The Bhutanese government charges US citizens a substantial daily tax for the duration of their visits. Continue reading

Holly Johnson: Sochi 2014 – Dreams & Heartbreaks

Dr Holly Johnson presents Grand Rounds on Team USA Hockey, Sochi at Mass General OrthopaedicsSochi 2014 – Dreams & Heartbreaks
A Holly Johnson, MD
Foot & Ankle Service, Department of Orthopaedic Surgery,
Massachusetts General Hospital, Harvard Medical School
Boston, MA.

Grand Rounds presented on September 25th, 2014 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA.
Continue reading

Orthopedic Trauma Initiative Launched

Mark Vrahas Mass General Trauma Surgeon Mark Vrahas, MD is the Chief of Partners Orthopaedic Trauma Service and Vice Chairman of the MGH Department of Orthopaedic Surgery.


In March 2014, Harvard Medical School welcomed the Harvard Medical School Orthopedic Trauma Initiative as part of an elite group of twenty-two Institutes, Centers, Divisions and Initiatives. We are proud to be part of this group and our new name is reflected in our updated masthead. The primary purpose of this Initiative is to foster collaboration amongst the orthopedic trauma services at all four Harvard Teaching Hospitals in Boston: Mass General, Children’s, Brigham and Women’s, and Beth Israel Deaconess. This effort (and a long effort it was) formalizes our dedication to ensuring excellent educational opportunities in musculoskeletal trauma for HMS students, our HCORP Residents, and Fellows in the Harvard Orthopedic Trauma Fellowship Program. As a group, our trauma surgeons will work together to develop clinical pathways, collaborate on clinical research, and be – in large part because of our size – the premier research center nationally and internationally. Continue reading

Orthopaedic Perspective of the Boston Marathon Bombing

Orthopaedic Perspective on the Boston Marathon Bombing by Mitch HarrisMitchel Harris, MD Chief of Orthopedic Trauma at the Brigham & Women’s Hospital, Boston, MA.


Michael Weaver, MD is an is an attending traumatologist on the Orthopedic Trauma Service at Brigham & Women’s Hospital, Boston, MA.


First run in 1897, the Boston Marathon is the oldest, continuous running marathon in America. It is generally considered the most prestigious annual running event that is open to the public, once qualifications are met. Prior to its 117th consecutive running, it had not been generally viewed as a target for a “terrorist attack”. However, on April 15, 2013, two brothers allegedly placed explosive filled backpacks with remote detonator switches within yards of each other and the finish line of the Boston Marathon. The following essay will highlight the extraordinary response by the medical community of Boston. Continue reading

Femoroplasty for Hip Fractures

figure from Femoroplasty for Hip Fractures posted by Arun Shanbhag in Trauma RoundsE Kenneth Rodriguez, MD, PhD is Chief of Orthopaedic Trauma at Beth Israel Deaconess Medical Center, Boston, MA.


Hip fractures in geriatric patients are associated with mortality rates of 20-30% at one year. Many more patients experience significant loss of function and independence (1). The number of hip fractures worldwide was estimated at 1.7 million (1990) and is expected to rise to 6.3 million by 2050 (2). Continue reading

Geriatric Fracture Patient Co-management

Michael Weaver, MD is an Orthopaedic Trauma Surgeon, at Brigham & Women’s Hospital.


In the United States, hip fractures represent a significant medical burden. The annual cost of caring for geriatric patients with hip fractures is $10 – 15 billion. As the Baby Boomer generation continues to age, the number of patients with hip fractures is expected to rise dramatically. The rate of mortality at one year in this patient population runs between 12 and 37% (1). Continue reading

Healing Critical Defects in the Femur

Christopher Evans, PhD, is the Maurice Mueller Professor of Orthopaedic Surgery and Director of the Center for Advanced Orthopaedic Studies in the Department of Orthopaedic Surgery at Beth Israel Deaconess Medical Center.

Vaida Glatt, PhD, is a Senior Research Fellow with the Trauma Research Group of the Institute of Health and Biomedical Innovation at Queensland University of Technology Brisbane, Queensland.


Introduction
Large segmental defects heal poorly and often present clinical challenges. Approaches used to improve healing include autograft and allograft bone, distraction osteogenesis, vascularized bone grafts and the application of BMP-2 and BMP-7. We wanted to determine whether modulation of the mechanical environment could improve bone healing in a rat femoral segmental defect model. Continue reading