DEDICATION

Hugh P. Chandler, MD

The inaugural volume of the Harvard Orthopaedic Journal is dedicated to Dr. Hugh Chandler in recognition of his exceptional surgical skill; his patient and enthusiastic teaching of fellows, residents, and medical students; and his contributions to our understanding and management of many complex problems in total joint arthroplasty.

Dr. Chandler graduated from Harvard College and Harvard Medical School and began his orthopaedic training at the Massachusetts General Hospital in 1960. He studied arthroplasty under Dr. Otto AuFranc, whom he credits for many of the surgical principles he has taught to the next generation of Harvard Surgeons. These principles include isolating and sealing the skin to prevent contamination, use of sharp dissection rather than electrocautery, frequent irrigation of tissues and use of wound towels, and the use of hand held retractors rather than self-retaining devices to avoid tissue necrosis.
In addition, Dr. Chandler closes all wounds in multiple layers, achieving anatomic reapproximation of all tissue planes. Dr. Chandler introduced the direct lateral approach to the Harvard Orthopaedic Community,
and also developed the trochanteric slide for more extensive exposure of the proximal femur in revision surgery. His rates of dislocation and infection after primary total joint arthroplasty are exceedingly low. He is a compassionate physician, listening to patients and examining them with great care. Dr. Chandler has a passion for complex reconstructive problems in total joint arthroplasty, for teaching residents with patience and respect, and for living life with tremendous energy and infectious enthusiasm. He is a valued role model for all of us.
WELCOME

David Ring, MD

The inaugural edition of The Harvard Orthopaedic Journal introduces a forum for the exchange of ideas between Harvard Institutions - and between current staff and residents and the alumni. It has been an honor and a privilege to take on the responsibility of producing the first volume. I hope that as you read this journal, it will generate a sense of excitement about developments in orthopaedic surgery and a feeling of pride in the contributions of Harvard Orthopaedics.

Although producing The Harvard Orthopaedic Journal was an incredible amount of work, it provided an excellent opportunity to gain experience and skills in editing and medical publishing.

I am grateful for the support and hard work of a number of people. Thanks to my fellow editors for their contributions; to our supervisors for their trust and support;to Michelle Rose who produced many of the photographs; and to the contributors for all the time and energy they devoted to their submissions.

While I cannot endorse any of the products advertised herein, each of the companies that elected to place an advertisement demonstrated enthusiasm and support for our journal that went beyond self-interest.

Special thanks to my friend Tomoko Shibusawa Wasden who facilitated my transition into the digital age and launched the publishing side of things, and to Don Mousseau and David Deranian - our publishers at Digital Arts and Sciences, Inc. whose creativity and energy were unmatched - they helped make the project fun.

Finally, I must thank my wife, Cinta, my son Clint, and my newborn daughter Laila for being so supportive and enthusiastic when I chose to add one more huge project onto an already busy schedule.

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