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The Department of Orthopaedic Surgery at the Beth Israel Deaconess Hospital
underwent a major change in September 2003 when the Harvard search committee chose Mark C.
Gebhardt, MD as Orthopaedic Surgeon-in-Chief of the Department. Mark is the Frederick W.
and Jane M. Ilfeld Professor of Orthopaedic Surgery at Harvard Medical School. He moved
from the Massachusetts General Hospital and continues his practice of pediatric orthopaedic
oncology at the Children's Hospital. He will continue as Chair of the Core Curriculum Committee
for the residency program, Chair of the Orthopaedic Residency Review Committee of the ACGME,
as a Senior Director of the American Board of Orthopaedic Surgery and member of the Board of
the American Academy of Orthopaedic Surgeons. Since his arrival a multidisciplinary team
consisting of members of the medical oncology, radiotherapy, surgical oncology, radiology
and pathology departments have come together for the treatment of adults with bone and soft
tissue tumors and metastatic carcinoma. The oncology service has rapidly become quite busy
in the first six months and a vibrant multidisciplinary tumor conference was instituted. The
oncology fellowship received ACGME accreditation to include the service at the BIDMC with
Children's Hospital and the MGH and we will begin having three fellows per year beginning
in August 2004.
We are pleased to announce the appointment of Douglas K. Ayres, M.D., to our
full-time staff. Dr. Ayres, who joined us in December, is an instructor of orthopaedic surgery
at Harvard Medical School. He will lead our efforts in adult primary and revision joint
reconstruction of the hip, knee and shoulder, expanding services at the BIDMC in this
important area. He also brings his experience in minimally invasive total hip and total
knee operations, and unicompartmental knee reconstruction. Dr. Ayres will be working closely
with the BIDMC gerontology division to develop integrated residency rotations that will
benefit residents in both specialties. He has additional interests in orthopaedic trauma
and general orthopaedics, both surgical and non-operative. Dr. Ayres comes to us from the
Sentara Williamsburg Regional Medical Center in Virginia, although his reputation as a
skilled surgeon had already been well established in Boston during prior years here. He
was fellowship-trained in adult hip and knee reconstruction surgery at Massachusetts
General Hospital (MGH), where he also was chief resident in orthopaedic trauma. He completed
the Harvard Combined Orthopaedic Residency Program following his general surgery training
at Brigham and Women's Hospital (BWH). His medical degree is from Tufts University School
of Medicine. Dr. Ayres has been an associate surgeon at BWH, MGH, Mount Auburn Hospital,
and for the Massachusetts Institute of Technology medical department. He has an M.B.A.
from the College of William and Mary, and was a management consultant prior to his career
in medicine.
Robert Davis, MD has continued his clinical work and expanded his practice
in sports medicine and trauma. He currently serves as an at large member of the Medical
Executive Committee of the BIDMC and has an active role in teaching of the PGY-1 and
Emergency Department residents that rotate on the Orthopaedic Department.
Charles Day, MD, is in his second year at BIDMC and his practice has grown
rapidly in hand and upper extremity disorders. He runs a weekly hand surgical indications
conference that is well attended and received by the plastics hand service, musculoskeletal
radiology service, rheumatology service, occupational therapists, and medical students. He
also runs the HMS third year surgical rotation in Orthopaedics at the BIDMC. He is building
his clinical research interest in wrist injuries and has been invited to give grand rounds
at UCSF and Chang Gung Memorial Hospital in Taiwan on this topic. He was also the winner of
the 2003 Julian M. Bruner Award for Outstanding Poster Submission Sponsored by the American
Foundation for Surgery of the Hand and the American Society for Surgery of the Hand for
"Basal Joint Arthritis of the Thumb: Results of a Prospective Trial of Steroid Injection
and Splinting".
Donald Reilly, MD continues his clinical practice at the New England
Baptist Hospital and the BIDMC. He remains active in the teaching of Harvard residents
and HMS students and continues his research in the areas of knee replacement implants.
Drs. Louis Meeks, Lars Richardson and Jeffrey Zilberfarb continue their
busy practice and make a big contribution to the education of the sports medicine resident
on their service, as well as to the education of HMS students.
The surgeons in the Boston Orthopedic Group (Drs. Harris Yett, Hyman Glick,
Tobin Gerhart, and Saechin Kim) continue in their busy practice of patient care and
education of HMS students and BIDMC medicine residents. Drs. Gerhart and Kim have been
active in providing trauma care and coverage for the medical center.
Dr. Paul Glazer continues his practice in the Shapiro Clinical Center and
continues his research in several areas of spine surgery. Dr. Hillel Skoff has an active
practice in Hand Surgery.
Dr. Augustus A. White, III devotes his attention and energies to the
students of Harvard Medical School, serving as Master of the Holmes Society. We plan on
celebrating his career with the first Augustus A. White, M.D. Symposium scheduled October
13, 2004.
The Musculoskeletal Medicine Unit, located in the orthopaedic suite of
the Shapiro Clinical Center is under the direction of John Donohue, MD. John is a
rheumatologist with a joint appointment in the orthopaedic and rheumatology division.
He and Sharon Gates, an experienced nurse practitioner, continue to provide excellent
care for non-operative musculoskeletal disorders in close collaboration with our
Department members.
The Orthopaedic Biomechanics Laboratory at the Beth Israel Deaconess
Medical Center continues to thrive as a world-renowned center for biomechanics research
in orthopaedics. In addition, the lab trains numerous Harvard residents, medical
residents and engineering students from the Massachusetts Institute of Technology
and Boston University. The Orthopaedic Biomechanics Laboratory is now under the
co-direction of Brian D. Snyder, MD, PhD and Mary L. Bouxsein, PhD. Dr. Snyder is
a pediatric orthopaedic surgeon at Children's Hospital and in addition to his
clinical work is very active in the laboratory. He and John A. Hipp, PhD won the
prestigious Vaughan Award from the Kappa Delta Sorority at this year's Orthopaedic
Research Society and American Academy of Orthopaedic Surgery Annual Meeting in San
Francisco, CA. The award was for their work in the prediction of fracture risk due
to benign and metastatic skeletal defects from benign and malignant tumors. Dr.
Snyder also recently received a grant from the Susan G. Komen Breast Cancer Foundation
entitled "Computed Tomographic Prediction of Response to Treatment in Breast Cancer
Induced Bone Metastasis."
Dr. Bouxsein has developed two new areas of research related to
understanding the genetic regulation of bone density, microarchitecture and strength
using mouse models. In this new research area, she has developed techniques for
assessment of skeletal strength and architecture in mice. In addition, she has
initiated her own in vivo research program to study the role of an intracellular
adaptor molecule, ß-arrestin2, which is important in regulation of G-protein-coupled
receptor signaling in mediating the skeletal response to parathyroid hormone. She
is recognized world-wide as a leader in the field of biomechanics as it relates to
the etiology and treatment of osteoporotic fractures, as evidenced by her invitation
to speak at the NIH-sponsored Consensus Conference on Osteoporosis, the NIH-sponsored
conference on Skeletal Genetics, and to co-chair the NIH-sponsored workshop of Bone
Quality. In addition, she has been a leader in the field of non-invasive assessment
and diagnosis of osteoporosis, in particular in the area of quantitative ultrasound
and bone quality.
Ron Alkalay, Ph.D. focuses on spinal biomechanics in the areas of;
vertebral and disc mechanics, the effect of failure and degenerative processes on
the function of these structures and the effect of clinical procedures and spinal
instrumentation on the outcome of surgical procedures. Of particular interest to
Ron is the effect of vertebral structure on its post-failure load carrying capacity,
the role of nutrition as an underlying cause for degenerative process of the
intervertebral disc and the role of the vertebral endplate in both the initiation
of vertebral failure and in the process of disc degeneration. This work combines
both experimental and the use of advanced algorithms for CT and MRI image based
analysis and the development of computational models to enable prediction of
functional and structural competence of these structures to support clinical care.
Robert Fajardo, Ph.D. primarily takes a comparative mammalian
perspective to his research. He recently completed work investigating the
relationship between locomotor behavior and cancellous bone structure in the
primate hip, as well as effects of gender and body size. He continues to study
bone biology in a comparative context and is investigating comparative bone cell
biology to explore scaling issues at this level. He contributes to several ongoing
collaborative biomedical research projects requiring microCT expertise, including
structural quality assessments of tissue engineered bone, roles of calcitonin and
RANKL in osteoclastogenesis, and the efficacy of a murine estrogen transgene to
shield against menopausal-associated bone loss.
The plans for the future look even brighter! The Department is
actively recruiting new faculty in trauma surgery, spine, sports medicine and
oncology. At least two new faculty will start in September, 2004 and the goal
is to recruit 6-7 new faculty over the next two to three years. We will be asking
the Residency review Committee to increase our resident complement so that more
orthopaedic residents can return to the BIDMC for unique educational opportunities
that will complement those already in existence within the HCORP. We are actively
planning to form a multidisciplinary Musculoskeletal Research Unit combining the
strengths of the Orthopaedic Research Laboratory with the Bone Biology Laboratory
at the Harvard Institute of Medicine under the direction of Steven Goldring, MD,
Chief of the Rheumatology Service at the BIDMC. This research unit will also
collaborate with other laboratories in the Harvard community including the
Orthopaedic Biology Laboratory at Children's Hospital.
All of this bodes well for the future of Orthopaedics at BIDMC.
The Hospital is committed to providing the resources to rejuvenate this Department
to one of the best in the country and we are convinced that the BIDMC will once
again be a vital part of the Harvard Combined Orthopaedic Residency Program.
Links of interest:
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