Harry E. Rubash, MD


I am finalizing my Ninth Annual Chief’s Report to the Orthopaedic Journal at Harvard Medical School while watching the boats return to Chatham Bars Inlet during the evening our Department Retreat. This year I will focus on the many contributions by the Orthopaedic Staff at the Massachusetts General Hospital. Our commitment to providing the highest quality musculoskeletal patient care, teaching and research has never been stronger in our 108-year history.


In 2007 we saw over 75,000 patients at the Yawkey Center and are our patients enjoy the ease involved in using the facility which houses many clinical programs including the Orthopaedic Service, the Mass General Hospital for Children, Cardiology, Women’s Health, Radiology, the MGH Cancer Center, and the In Vitro Fertilization Unit. The importance of a facility, within the institution, such as the Yawkey center is best underscored when you realize the greatness of the MGH is its dedication to “caring for the patient…” this culture permeates the institution.

We continue to marvel at the construction of the new Liberty Hotel at the Charles Street Jail site. The hotel will have over three hundred guest rooms and will feature three restaurants, a health club, and conference facilities. Dr. David Ring has already reserved the conference space for his annual Primary Care Orthopaedics Course in 2008.

Unfortunately, I have lost my wonderful view of the Charles River as a result of the new structure but in return I will get to watch the construction of another great structure: the Building of the 3rd Century (B3C) that will occupy the site of the former Clinics Building. The B3C is expected to open 2011. This facility will house radiation oncology, radiology, inpatient and outpatient surgery, new operating rooms and related support procedures, and acute and intensive care inpatient capacity. In addition, the top five floors will house up to 150 acute and intensive care beds, with floors dedicated to cancer, neurology and neurosurgery patients. This new facility will also address specific needs of the hospital’s emergency services including the creation of the new Sumner M. Redstone Emergency Department. Mr. Sumner Redstone, Executive Chairman of the Board of Directors of Viacom, Inc. pledged $35 million in April to the institution to develop a new Emergency Department and to relocate and expand the existing Redstone Burn Center, which was established in 1974 at the MGH. The MGH is the only hospital in the country that has certification as a Level I Trauma Center, a Level I Pediatric Trauma Center and a Level I Burn Center.


The Orthopedic Ambulatory Surgery Center (ASC) in the MG West Building in Waltham has been a spectacular addition to our Department. The patient-friendly pre-and post-operative care areas as well as the large waiting room and other modern patient amenities has made this state-of-the-art facility a shining star in the MGH family. From August 16, 2006 through May 31, 2007, we performed nearly 1900 surgical procedures in our three main operating rooms. Later this year we will open the 4th room and we hope our volume to increase to approximately 4,000 cases per year. The Orthopaedic ASC is under the apt direction of Medical Director, Jeffrey Wilson, MD, who has led the center to its incredible proficiency in clinical care, and regional anesthesia delivery. Charles Kelly, MD, Anesthesiologist, and Claire O’Brien, RN, MBA, CNOR, Nursing Director, join Dr. Wilson on the staff at the ASC. Ms. O’Brien brings her incredible nursing management experience and outpatient surgery center experience and has created an environment that is dedicated to patient care and staff satisfaction. Thank you to the Medical Executive Committee of the ASC (Drs. Jon JP Warner, Jesse B. Jupiter, Bertram Zarins, Thomas Gill and Mr. David Gaynor) for their oversight of this magnificent facility.


In 2006, we held the first retreat for the Department of Orthopaedic Surgery at the wonderful Chatham Bars Inn on Cape Cod. At our first Retreat we established some strategic goals for the Department and planned to work over the ensuing year on the, “Taking it to the Next Level” program. In this program we developed a new organizational chart for the Department, defined the roles of the Service Chiefs and Business Unit Directors and established service specific goals and objectives. Our second Retreat, in June of this year has firmly entrenched a new annual tradition for the department. The Retreat occurred over a two-day period and included a MGOA Business Meeting, on Day 1, followed by Larry Harmon, PhD, Director Physician’s Development Program, who spoke on Orthopaedic Leadership. Day 2 included the Service Chiefs and Business Unit Directors presentations, followed by a presentation by Dr. James Herndon on the state of the HCORP Residency Program, and concluded with Dr. Henrik Malchau, Director of the Orthopaedic Laboratory Council who gave a research overview and spoke about the laboratory reorganization plans. Ample time was built into each day for strategic planning discussions. The experience at Chatham Bars Inn for our group was truly special. We were treated to bright sunny weather during the day. We thoroughly enjoyed the theatrics of the rapidly passing electrical storm Friday night - which did not deter from our group’s “Pillar of Fire” bonfire and my annual “cigars under the stars.” Plans are already underway for our 3rd annual event to be held May 30-June 1, 2008.


It is also a great honor to welcome a 3rd Vice Chair into the Department, Dr. Joseph McCarthy. Our previously named Vice Chairs, Andrew Freiberg, MD, and Jon JP Warner, MD, have been assigned to the important tasks of Operational and Strategic planning respectively. Dr. Joseph McCarthy has been named Vice Chair of Program Development at Newton Wellesley Hospital (NWH). Dr. McCarthy did his undergraduate work at the University of Notre Dame and his received his medical degree from Georgetown Medical School. He has been at the staff of the New England Baptist after completing a fellowship with Dr. William Harris in 1981. Dr. McCarthy’s contributions to the orthopaedic literature and to Orthopaedics have been numerous. He is considered one of the premiere hip arthroscopists in the world and has been a pioneer in this technique. Dr. McCarthy recently opened the new “Jim and Ellen Kaplan Center for Joint Reconstructive Surgery” at NWH. This event to celebrate the new collaborative efforts of the MGH and NWH Arthroplasty Services was attended by members of the Orthopaedic staff, nursing staff, support staff, as well as patients. We hope to leverage the many contributions of these two fine groups of clinicians in the field of Arthroplasty Surgery. Our current Harris Joint Registry at the MGH will be expanded to include those patients from NWH Arthroplasty Service and we have established a new rotation for the Arthroplasty Fellows.

Please join me, in welcoming, Dr. McCathy, his lovely wife, Dr. Kathleen McCarthy, a Radiologist here at the MGH and their children, Andrew, Kathryn and Stephanie. We look forward to his many contributions to the NWH, the MGH and the Department.


I am pleased to report that Dr. Dempsey Springfield has settled into the MGH and Boston. His clinical expertise and his strategic insight have added immensely to the Orthopaedic Oncology Service and the Department as a whole. Dr. Springfield and his wife, Deanna, recently hosted a Valentine’s Day Party at their house and included many of the clinical faculty that interact with the Orthopaedic Oncology Service at the MGH. Thanks to the Springfields for this wonderful event.

Dr. Peter Asnis has seen tremendous growth in his clinical practice. He expands our capacity to treat hip and elbow problems using minimally invasive techniques and he rounds out an incredibly impressive staff in the Sports Medicine Service. This year, Dr. Asnis and Dr. McCarthy, will Co-Direct the newest addition to the 37th Annual Advances in Arthroplasty Course a Pre-Course Seminar entitled, “Hip Arthroscopy and Hip Disease in the Young.” The Pre-Course Seminar will include a day’s worth of intensive work on hip disease in the young. Dr. Asnis reports, “Hip arthroscopy is a rapidly growing area of interest within the field of orthopaedics. We are learning more about hip pathology and developing new techniques to help treat young patients with hip pain. We are very excited to host our first seminar in “Hip Arthroscopy and Hip Disease in the Young” as a part of the very well established Harvard Arthroplasty Course.”

It is a great pleasure to announce Dr. Joseph Schwab as the newest member of our Department. Dr. Schwab will be a member of both the Orthopaedic Oncology Service and the Orthopaedic Spine Service and will focus approximately 50% of his time to clinical activities and the other half to basic science research in the areas of softtissue sarcomas. Dr. Schwab received his medical degree and a Master’s Degree in Pathology from Finch University of Health Sciences/ The Chicago Medical School. He completed a Fellowship in Orthopaedic Oncology in 2006 at Memorial Sloan Kettering and he recently completed a Spine Fellowship from the Hospital for Special Surgery in New York. He has made numerous contributions to the literature and will bring a new expertise to our Department particularly in the area of Orthopaedic Oncology and in spine stabilization. Dr. Francis Hornicek, Chief of the Orthopaedic Oncology Service, reports, “Dr. Joseph Schwab will be joining the Orthopaedic Oncology and Orthopaedic Spine Services on September 1, 2007. His training is unique with this combination of fellowships. He has extensive research interests in chordoma, a relatively rare spinal tumor, and will spend time in the Orthopaedic Research Laboratories once he arrives in Boston. Dr. Dempsey Springfield, Dr. Kevin Raskin, and I are happy to have him join our service, which is part of the Center for Sarcoma and Connective Tissue Oncology within the MGH Cancer Center. Dr. Wood will mentor him in spine and the two orthopaedic services will participate together in joint clinical and basic science research projects.” We welcome Dr. Schwab to the Faculty.


Sports Medicine Center
In October 2006, the MGH and the Department opened the new Sports Medicine Center. The new center is located at 175 Cambridge Street and is situated on the 4th floor of the South Building and overlooks the Simches Building. A series of speakers including Dr. Peter Slavin, Dr. David Torchiana, Dr. Bertram Zarins and Dr. Thomas Gill celebrated this exciting event. Many thanks were extended to David Gaynor, Ann Prestipino, and Jeanette Ives Erickson for their oversight and contributions to the new center. Dr. Bertram Zarins, Clinical Professor and the Thorndike Chair of Sports Medicine at the Harvard Medical School reports, ““The MGH Sports Medicine Service in the largest such service in New England. The athletes of four of the five professional sports teams in the Boston area, and countess other active people receive their care here. We finally have all the services and facilities we need conveniently located in one modern facility.”

All patients including weekend warriors, amateur athletes, household names, and professionals value this new site that includes physician offices, examination rooms, digital radiology, casting and bracing room, a library and conference room space, as well as state-of-the-art physical therapy and rehabilitation services.


Arthroplast y Service
Adult Reconst ructive (Arthroplasty) Service
The Arthroplasty Service, under the direction of Andrew A. Freiberg, MD, has had another outstanding year. We have the pleasure of welcoming Trish Zeytoonjian, RN, to our practice and look forward to her involvement in the peri-operative care of the Arthroplasty patients. This year also marks Joseph McCarthy, MD, joining our practice to lead a Service at Newton Wellesley Hospital.

The Arthroplasty Service had an outstanding presence at this year’s AAOS and ORS Meetings with 25 podium presentations, posters, and exhibits by our surgeons. We were recognized for two outstanding awards: The Orthopaedic Research and Education Foundation 2006 Clinical Research Award for outstanding clinical research, presented to Dr. Kevin Bozic (former Resident and HBS graduate), Dr. Daniel Berry (former Harvard Orthopaedic Resident and Chairman, Mayo), Dr. Michael Reis (UCSF), Dr. Patricia Katz, Dr. Jonathan Showstack, Dr. James Naessens, and Dr. Harry E. Rubash. This study entitled, “Using Clinical and Economic Outcome Data to Influence Health Policy in the United States: The Case of Total Joint Replacement,” was recognized for its multi-center perspective on reimbursement for revision total hip arthroplasty. The hypothesis and pilot work for this study was done at the MGH and CMS, used the data from this study to modify the payment for revision total hip arthroplasty. The Second award honoring members of our group was The 2007 ABJS Marshall Urist Award: “The Impact of Direct-to-Consumer Advertising in Orthopaedics,” which was presented to: Dr. Sanaz Hariri (PGY 4), Dr. Kevin Bozic (former Resident and HBS graduate), Dr. AR Smith, Dr. S. Adeoye, Dr. J. Gourville, Dr. William J. Maloney, Dr. Brian Parsley and Dr. Harry E. Rubash.

Our Adult Reconstructive Fellowship Training Program is one of the oldest and most renowned in the field of Arthroplasty. This year’s Fellows: Hari Parvataneni, MD, John Franklin, MD, Andrew Dutton, MD and James Slover, MD have been an outstanding group. Dr. Parvataneni will join the academic practice at the University of Miami, Dr Franklin will join an excellent private practice in Augusta, Georgia, Dr. Dutton will return to practice at Singapore General Hospital, and Dr. Slover will join the Hospital for Joint Diseases in New York City. We wish them well!

Our research program in crosslinked polyethylene is thriving in new applications in total knee arthroplasty, shoulder and spine. This year we reported results of our mid-term clinical trials evaluating wear utilizing these materials using radiosterometric analysis (RSA). These new materials have outstanding wear resistance and, as a result, have few of the liabilities of first generation crosslinked polyethylenes. In addition, we recently reviewed results of our constrained acetabular component that, for the first time, allows an increased range of motion, the use of crosslinked polyethylene and provides a powerful constraint to prevent dislocation and has early 2 - 3 years follow-up results with no failures.

We congratulate Dr. Guoan Li and his team for their outstanding contributions at the Orthopaedic Research Society (ORS) this year with reports on the Kinematics of Knee Arthroplasty and Posterior Stabilized Knee Arthroplasty Post Impingement Using Robotic Technologies, as well as his outstanding ORS symposium on Kinematics of the Knee. Here, he reported some of his newest knee kinematics research as well as unicondylar knee arthroplasty and high flexion knee data. In addition, Dr. Li has developed an extensive and innovative dual fluoroscopy program to evaluate the clinical performance of a variety of different knee arthroplasty designs with a highly reproducible and accurate kinematic evaluation. Early results are now available comparing different implant designs and kinematics using these innovative methods.

Dr. Freiberg reports, “Our future plans include expanding our clinical practices with an emphasis on state-of-the-art methodologies for primary and revision arthroplasty. In addition, we will have continuing emphasis on studying advances in bearing surfaces and crosslinked polyethylenes. It is an honor and pleasure to be the Chief of such a fine Service with rich heritage and an incredibly bright future.” Because of the generosity of Katherine and John Gallagher, III, we have the ability to add an additional Fellow for training at MGH and Newton Wellesley Hospital. In addition, these funds will be used to support a variety of functions for the Arthroplasty Service including additional research support, and educational experiences for our faculty.

Dr. Freiberg and Dr. William H. Harris and the Arthroplasty Service celebrated the “47th Year End Party,” in June 2007, at Dennis and Martha Burke’s home. The program was a spirited old-fashioned cook out with cocktails, dinner, and speakers including our graduating fellows. It was an outstanding yearend event and we look forward to many more in the future.

Preparations are currently underway for our 37th Annual Advances in Arthroplasty Course, September 26-29, 2007 at the Hyatt Regency Hotel in Cambridge. Our Keynote speaker this year will be Dr. Daniel Berry, Chairman at the Mayo Clinic who will be presenting a talk entitled, Dislocation After Total Hip Arthroplasty: Progress on Prevention and Treatment of the Hip Surgeons Scourge. For more detailed information, or to obtain a registration form, contact Harvard Medical School, Department of Continuing Medical Education at (617) 384- 8600 or e-mail: hms-cme@hms.harvard. edu. Visit them on the web at

Podiatry Service

The MGH Podiatry Service provides ambulatory foot care at the main campus (Yawkey Center), the three MGH affiliated health centers (Revere, Chelsea and Charlestown), and two non-affiliate health centers (South End Community Health Center and Lynn Community Health Center), and in-patient consultation services at MGH and Spaulding Rehabilitation Hospital. The Service provides state-of-the-art treatment for our patients throughout the week including evenings and Saturday sessions, weekly. Our voluntary community outreach activities include a longstanding affiliation with Boston HealthCare for the Homeless, providing foot care for patients at the Pine Street Inn.

We have developed a strong relationship with the MGH Orthopaedic Foot & Ankle Service, both collaborating in patient care and referring more complex cases, including foot and ankle deformities and injuries. Negotiations continue with the MGH Vascular Center in Waltham to bring a podiatry “high risk foot” clinical practice to that clinical venue soon.

The curriculum of our 3-year residency program, one of the most comprehensive podiatry post-graduate training programs in the country, includes over twenty non-Podiatry one month medical and surgical rotations, as well as longitudinal training experiences in clinical podiatry. Our Residents receive surgical training from both podiatrist and orthopaedist faculty members at MGH and other Partners institutions. Our first Resident to complete the new program curriculum in its entirety will graduate in June 2009. As competition for residents is now greater than ever, we hope to reactivate sponsorship of a clerkship program for 4th year podiatric medical students soon, in order to attract more resident applicants.

Dr. Robert J. Scardina, MGH. Podiatry Service Chief and Program Director, maintains a busy clinical and surgical practice in the Yawkey Center, in addition to his administrative and teaching responsibilities. The Service also includes seven additional staff members, three residents, a full-time certified orthotic technician, and two full-time medical assistants.

“Our group proudly remains committed to the goals of excellence in patient care and post-graduate education, in a professional and collegial relationship with other hospital Services. With the continued support and assistance of the MGH Orthopaedic Department, we look forward to any and all future opportunities to expand our practice within MGH. and Partners,” notes Dr. Scardina.

Foot and Ankle Service

The Foot and Ankle service at MGH is under the leadership of Co-directors, Drs. Richard de Asla and George Theodore. The service continues to grow providing care for patients in both the Yawkey outpatient center and the new MGH Sport Medicine Center on Cambridge Street. The upcoming year is likely to see the addition of a new full time faculty member as we look to expand our services in communities outside of Boston.

The service continues its relationship with the MGH Biomechanics Laboratory, under the Direction of Dr. Guoan Li, on Jackson 12. Foot and Ankle has enjoyed exceptional representation at both the Orthopaedic Research Society and the American Academy of Orthopaedic Surgeons meeting two podium and four-poster sessions in the past two years. The lab is preparing to finish Dr. de Asla’s OREF “Career Development Award” project in ankle biomechanics this summer. The goal of the project is to better understand how ankle joint complex kinematics differs in arthritic ankles as compared to normal ankle. This understanding may have implications in future ankle joint replacement designs.

Dr. George Theodore has also had a busy year. He recently, became one of the first American members of the govern ing board of the International Society for Musculoskeletal Shockwave Therapy. In addition he was named a team physician for the World Cup Soccer qualifying events in 2007. Dr. Theodore reports, “I am pleased by the clinical and academic growth of the service including the excellent Resident education experiences.”

The service plans to focus on establishing a Foot and Ankle Fellowship in 2009. Watch for more to come from this productive academic service.

Hand and Upper Extremity Service

The Hand and Upper Extremity Service, led by Service Chief, Jesse B. Jupiter, MD, the Hansjörg Wyss Professor of Orthopaedic Surgery, continues to be our busiest services. Dr. Jupiter reports, “The past 6 years have witnessed the Service become a comprehensive hand and upper limb unit providing a wide breadth of expertise in virtually every problem in the specialty. We now have four full time faculty members with unique and varied expertise, as well as a Physiatrist. Our unit is a center of excellence for brachial plexus problems, stroke, microvascular reconstruction and trauma management, fractures and posttraumatic reconstructions of the entire limb, pediatric trauma and reconstruction, and all aspects of elective hand and upper limb surgery.”

Collaborations have continued with the Orthopaedic Trauma Service and the Hand and Upper Extremity Service has become an integral part of providing expertise in all upper limb trauma as well as education and research activities. In addition, the Service has become an internationally recognized center for the management of traumatic and reconstructive problems about the elbow and wrist. The Hand Service has integrated Fellowship rotations with the Brigham and Woman’s Fellowship and with the MGH Plastic Surgery Department making our Fellowship one of the most sought out Fellowships in the country.

The service now has a multidisciplinary Upper Extremity Pain Service along with Physiatry, Psychologists and Occupational and Physical Therapists. Congratulations to Dr. David Ring who recently received his PhD from the University of Amsterdam on Psychosocial Aspects of Arm Pain.

The Annual Richard Smith Lectureship, now in its 18th year, was another tremendous success. Dr. Jesse B. Jupiter, himself, presented as the as the Smith Orator. His topic “Fractures of the distal radius--an historical perspective “was a beautifully prepared summary of the field. Each year this wonderful program offers an opportunity for individuals in the Boston Hand and Upper Extremity community a forum to meet and present interesting ideas and the newest innovative research.

Shoulder Service

Dr. Jon JP Warner has led the Harvard Shoulder Service, a partnership between the Massachusetts General Hospital (MGH) and the Brigham and Women’s Hospital (BWH) since 1998. Dr. Laurence D. Higgins, Director of the Sports Medicine and Shoulder Service (BWH) and Dr. Thomas Holovacs round out the clinical expertise. Together, this service at trains 3 postgraduate fellows each year and hosts over 100 international visitors for varying periods of time ranging from one week to one year.

Clinical growth at the MGH has continued to be very vertical with over 900 shoulder surgeries performed by Drs. Warner and Holovacs. The core expertise of this service is the arthroscopic and reconstructive surgery for primary problems of the shoulder and the management of complex revisions of failed shoulder surgeries. Patient referrals are from the local, regional, national and International sites.

Academic highlights have included over 40 peer review publications this year. Members of this service have lectured around the world. Three especially important papers were published this year. The first entitled, “Pectoralis major tendon reference (PMT): A new method for accurate restoration of humeral length with hemiarthroplasty for fracture,” by Murachovsky, J., Ikemoto, RY, Nascimento, LG. Fujiki, EN, Milani, C., Warner, JJ was published in the Journal of Shoulder and Elbow Surgery in October 2006. A second manuscript, “An academic compensation for an orthopaedic department,” by Warner, JJ, Herndon, JH, Cole, BJ was published in April in Clinical Orthopaedics and Related Research. The third was “Anatomical Glenoid Reconstruction for Recurrent Anterior Glenohumeral Instability with Glenoid Deficiency using an Autogenous Tricortical Iliac Crest Bone Graft,” by Warner, JJP, Gill, TJ, O’Holleran, Pathare N., Millett, PJ, was published in February in the American Journal of Sports Medicine.

The New England Shoulder and Elbow Society (www., which was founded by Dr. Warner four years ago, continues to grow. This is a forum for shoulder and elbow surgeons around New England to gather in a collegial environment and discuss and argue about the best methods of treatment for shoulder and elbow problems. This year our annual meeting was held in Jay Peak, VT. In January and over 140 surgeons attended the two-day event. Recently the worlds largest live shoulder surgery course was held in Annecy, France and Dr. Warner was one of 40 International Faculty who performed 33 live surgeries in 3 days in front of a audience of 750 shoulder surgeons.

Other major developments in on our service include the development of a patient database, which allows for prospective documentation of operative cases and preoperative as well as postoperative outcome for treatment of shoulder problems. Our Educational Database is also growing to over 260 GB of videos, case studies, and case documentations.

This years fellows have been very successful with their job hunt. Dr. Bassam El-Hassan will join the staff of the Mayo Clinic as an Upper Extremity Surgeon. Dr. John Goff will go into Private Practice in Marin County near San Francisco where he will be one of the only Fellowship Trained Shoulder Surgeons in the region. Dr. Nathan Endres will continue on with postgradu- ate training in Trauma, followed by a period of Sports Medicine Fellowship at BWH while he waits for his wife to finish up her postgraduate work. We wish them all success. This coming year we welcome 3 more fellows who come from as far away as Tel Aviv, Israel.

The Shoulder Service is currently recruiting a new surgeon to add additional expertise in the area of shoulder and hand as a combined program between the Shoulder and Hand Services.

Orthopaedic Oncology Service

The Orthopaedic Oncology Service led by the Service Chief, Francis Hornicek, MD, PhD, continues to flourish. Dr. Hornicek, Kevin Raskin, MD, Dempsey Springfield, MD, and Senior Consultant, Henry Mankin, MD, comprise the Orthopaedic Oncology Service, and are members of the Center for Sarcoma and Connective Tissue Oncology within the MGH Cancer Center. Dr. Springfield has reestablished himself in Boston after a decade visit to New York. His addition to our department continues to strengthen this service, which was established about 30 years ago.” Dr. Raskin continues to grow his practice and participate more in the Harvard Medical School Educational process, and Dr. Mankin stays active with several clinical research projects. In the fall the Sarcoma Laboratory will have, Dr. Schwab and a new scientist, Zhenfeng Duan, MD, PhD. Dr. Hornicek also reports, “the laboratories are considering a new focus on stem cell research and continue to explore mechanisms of drug resistance in tumor models. Together with Dr. Gebhardt and Dr. Anderson, we have one of the largest musculoskeletal tumor fellowships. We are pleased to continue are relationship with Boston Children’s Hospital and BIDMC to build further on this strong foundation.” The Oncology Group is truly impressive and continues to prosper.

Pediatric Orthopaedic Service

The Pediatric Orthopaedic Service has had another outstanding year. We continue to meet and exceed benchmarks we have set for ourselves in terms of outpatient visits, volume of surgical cases, patient satisfaction and management of complications. Over the past year the Pediatric Orthopaedic Surgery Service saw a 10.3% increase in surgeries and a 28.5% increase in patient visits. The Service enjoyed another productive year of research and successfully established the Pediatric Orthopaedic Lab for Tissue Engineering. They recently hired our first postdoctoral fellow who is spearheading efforts. Members of the Pediatric Orthopaedic Surgery Service were the recipients of the Pediatric Orthopaedic Society of North America’s basic science research award at the 2006 Spring Meeting in San Diego. This award is being utilized to carry out our first series of experiments within the Lab for Tissue Engineering. We continue to have a competitive clinical fellowship with Harjinder Bajwa, MD currently in that position and have a new fellow starting in August 2007.

Erin Hart, RN, MS, CPNP, was elected to the Board of Directors for the National Association of Orthopaedic Nurses this past year. She continues to provide outstanding patient care and contributes to many academic nursing journals and is certainly a bright light for the future of orthopaedic nursing.

Great work and Congratulations to Drs. Grottkau, Albright, Kim and the Pediatric Orthopaedic Team!

Sports Medicine Service

The MGH Sports Medicine Service expanded and underwent major changes during the past year. In October 2006, the Sports Medicine Service moved to its new location at 175 Cambridge Street. This Center is one block away from the hospital, next to the Holiday Inn. This 18,000 square foot facility contains physician offices, examination rooms, a digital radiology unit, a cast and brace room, a library and conference room, and a state-of-the-art physical therapy and rehabilitation suite. The Service has a spacious, modern facility that will allow it to provide better, more comprehensive patient care and to expand its teaching and research missions. Dr. Thomas Gill was named the Medical Director of the new center in the spring. Dr. Gill reports, “We are building a truly comprehensive and integrated Sports Medicine Service, which will provide our patients with the best possible care. Our new Center will give patients access to Orthopedic Sports Medicine, Foot and Ankle, Hip, Radiology, Physical Therapy/Rehabilitation, Cast/Bracing, and now primary care. We look forward to continuing to develop our Service, with expansion to an exciting, state of the art new facility at Gillette Stadium in Foxboro, as well.”

In 2006, Dr. Peter Asnis has joined the Sports Medicine staff. Dr. Asnis completed the MGH/Harvard sports medicine fellowship in July 2006. Dr. Asnis will specialize in sports medicine and arthroscopic hip surgery. Dr. Asnis has become team physician for Suffolk University, whose students will receive their medical care at the MGH.

Dr. Boland continues his exceptional educational work with the Service, and leads the weekly Sports Medicine Conferences and Fellowship Curriculum. He continues in his clinical work at Harvard College Athletics, and continues to see patients in the office at the Sports Medicine Center.

Research continues to be a major focus of the Sports Medicine Service. Over the past year, Dr. Thomas Gill III, former Chairman of the Dept of Pathology and one of my teachers at the University of Pittsburgh, School of Medicine has joined the service as Director of Sports Medicine Research. The focus of the Sports Medicine Service’s research efforts has been on knee and shoulder biomechanics, and tissue engineering. Together with Dr. Guoan Li and his staff in the Laboratory for Orthopedic Bioengineering, a pioneering new line of research in in-vivo knee and shoulder kinematics has been developed. Currently, the in-vivo kinematic outcomes of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) reconstructions are being studied in an effort to better optimize clinical outcomes. Working in close collaboration and under the direction of Mark Randolph, Director of the Laboratory for Musculoskeletal Tissue Engineering, new approaches to treatment of articular cartilage and meniscal injuries are being investigated. Current approaches include the use of cell-seeded scaffolds and hydrogel polymers in an effort to bring about biologic repair.

In March of 2007, the MGH sent a delegation of physicians from the Cardiology and Sports Medicine Services to Beijing. The purpose of the trip was to consult on preparations for the Beijing Olympics in 2008 and to develop a collaborative relationship with the Peking University Third Hospital, the premier sports medicine service in China. Dr. Zarins led the MGH Sports Medicine delegation, and reported positively about his experience.

In September 2006, the Augustus Thorndike MD Professorship of Orthopaedic Surgery at Harvard Medical School and Massachusetts General Hospital was established and Dr. Bertram Zarins was named the inaugural recipient for this honor. Dr. Thorndike was a pioneer in a field in Orthopaedic Surgery, Sports Medicine before Sports Medicine was even recognized by our Academy as a separate subspecialty. He established the rule that all contact sports should have a doctor in attendance for all games and in addition he created a physical therapy program for injured athletes. If you were to ask me today the definition of sports medicine, it would be exactly what Dr. Thorndike pioneered almost 5 decades ago. Dr. Thorndike authored two books related to athletic injuries that became the gold standard of their time and documented types, severity of injuries and the impact that conditioning, protective gear and education had the reduction and severity of these injuries.

In May 2007, Dr. Zarins was named the first incumbent Augustus Thorndike Professor and became the fifth Chair our department. Dr. Zarins will focus his energies on Orthopaedic education. Speakers at this event included Dean Joseph Martin; Dr. Peter Slavin, President of the MGH; Dr. Rubash stated, “I have had the privileged of working closely with Dr. Zarins as a friend, and a colleague. He is indeed a world-renowned specialist in the surgical treatment of knee and shoulder injuries sustained in athletic competition. Dr. Zarins is a role model for any individual aspiring to greatness. I know that Dr. Zarins will use the opportunities presented by the Thorndike Professorship to reach new heights in patient care, medical research and the education of tomorrow’s Sports Medicine practitioners.”

Orthopaedic Spine Service

The Orthopaedic Spine Service at the MGH under the skillful direction of Dr.Kirham Wood is now in it’s eighth year. The Service continues to be responsible for all aspects of spine care, teaching, and research activities. Members of the multidisciplinary Spine Unit include: Physiatrist, Dr. James Sarni, and two newly hired Physiatrists, Dr. Leonid Shinchuk who joined the service in July and Dr. David Binder who joined the service in August.

In addition, Dr. James Rathmell, an Anesthesiologist from the MGH Pain Service, works closely with Dr. Wood to improve the efficiencies and the timeliness of the care of our patients.

This summer the Combined Harvard Spine Fellowship (BWH – Drs. Mitchell Harris and Christopher Bono - and MGH) will expand to three fellows (2 at MGH, and 1 at BWH). The fellows are actively involved in teaching and research programs in addition to their clinical duties. We also have two visiting research fellows from Asia, and expect more next year. We are in the process of establishing international multi-center collaboration with teaching University hospitals in China, as that country becomes more involved in the various academic Spine societies.

Joseph Schwab, MD, will be joining the division this fall, having completed both a Spine as well as a Tumor fellowship at HSS. It is expected that he will be very actively engaged in both basic science as well as clinical research right from the beginning. We look forward to his many contributions.

This year the Spine service had numerous publications in Spine, Journal of Spine Disorders, European Spine Journal as well as presentations at national and international meetings. In addition to chairing the adult spine deformity and data base committees of the Scoliosis Research Society, Dr. Wood has assumed the chair of the Evidence Based Medicine Committee as well.


Harris Orthopaedic Biom echanics And Biomaterials Laboratory (HOBBL)

The Harris Orthopaedic Biomechanics and Biomaterials Laboratory (HOBBL), led by Co-Directors Orhun Muratoglu, PhD, and Henrik Malchau, MD, PhD, continues to play a significant role in total joint arthroplasty research with many innovative contributions. Members of the HOBBL have contributed in fields of cementing techniques, hip and knee implant design, revision total hip arthroplasty techniques, biology of bone in growth, load bearing surface applications in total joints (such as the first and second generation highly crosslinked polyethylenes) and also in the area of hydrogels for joint applications.

Currently, there are a number of clinical studies underway at the HOBBL. Dr Charles Bragdon, PhD is a leading staff member in the clinical outcome projects in HOBBL. Furthermore the outcome projects are staffed by four IT engineers designing the web interfaces and databases utilized in the outcome studies. Additional four staff members, two nurses specialized in outcome research and two special trained technicians covers the increasing IRB administration, patient recruitment, follow for the clinical studies and evaluation of the unique radiographs utilized in the outcome assessment.

One of the clinical outcome studies, in its fifth year, utilizes a RSA technique to determine the wear behavior of a first generation highly crosslinked polyethylene in conjunction with large head femoral components. The analysis of the data is shows a marked reduction in the femoral head penetration. In addition, another clinical follow-up study, with a larger patient population in its seventh year, is showing no detectable periprosthetic osteolysis.

The HOBBL is also focusing on novel crosslinked polyethylenes with low wear and high fatigue strength for applications in high-stress total knee replacements. Under the direction of Dr. Muratoglu, two novel methods of improving the fatigue resistance of highly crosslinked polyethylenes. The first uses mechanical annealing and the second uses vitamin-E to stabilize the residual free radicals and plasticize the base polymer. Both of these technologies were licensed and will be in clinical use within the next few years. In the vitamin-E project Ebru Oral, PhD has a leading role along with one laboratory research manager and four technical staff members. The hydrogel projects are staffed by additional two PhD’s Jeeyoung Choi and Hatice Bodugoz-Senturk together with three researchers.

In addition, Dr. Oral and Dr. Muratoglu have started collaborating with Dr. Kirk Wood to identify areas in need of material improvement in the spine. The team is working on technology using hydrogels for nucleoplasty of the intervertebral disc and biodegradable polymer technology for fusionless correction of scoliosis, a research area that could benefit children and teenagers who develop severe spinal deformity in their formative years. The team is currently seeking funding from several orthopaedic companies and government sources for these promising projects.

On an annual basis, the Laboratory brings in over $3 million in funding from a variety of sources: government, foundations, and industrial. The HOBBL is overflowing with new activity and energy. The skillful scientists in the lab had a phenomenal year at the ORS/AAOS. Congratulations to the members of the HOBBL on these outstanding accomplishments!

Biom aterials Laboratory

It has been another fantastic year for the Biomaterials Laboratory under the earnest direction of Arun Shanbhag, PhD, MBA. Dr. Shanbhag reports, “This year we experienced the vagaries of publishing with one manuscript accepted without revisions while another journal took four revisions and one year to be accepted. We celebrate all our publications – as means to share our work with the larger community of scientists, researchers and clinicians.”

Dr. Shanbhag and the Biomaterials Laboratory were instrumental in conceptualizing and developing our Department Newsletter, “Aches & Joints” for patients in our clinical areas. Aches & Joints will translate the latest Orthopaedic knowledge for patients, and is available in all Orthopaedic clinical waiting areas in Yawkey Building, the Sports Medicine Center and the Ambulatory Surgical Center in Waltham. The Newsletter is also available on the web (

Continuing investigations in defining osteolysis around total joint replacements are progressing well. We now exclusively use whole genome expression chips and custom targeted multiplexed protein assays to identify pathways and markers for the onset of osteolysis. In analyzing the proverbial mountain of data, the challenges of bioinformatics are clearly evident. Bioinformatics is still a work in progress limiting our ability to leverage the promise of genomic technologies.

In addition to our own students and fellows, we have also developed long-distance collaborations with the Manipal Institute of Technology, India. Raw data from gene expression studies is sent to a research team in India. There, a local professor guides students in analyzing the data and weekly teleconferences are used to keep everyone updated on progress and identifying next steps. The team completed analyses in a superlative manner and have a manuscript of their work in this issue of the Orthopaedic Journal of Harvard Medical School. Also see our recent Journal of Bone and Joint Surgery publication, “Assessing Osteolysis with Use of High-Throughput Protein Chips,” by Arun S. Shanbhag, PhD, MBA, Adam M. Kaufman, MD, Koichiro Hayata, MD and Harry E. Rubash, MD.

Dr. Adam Kaufman, who started in the laboratory even before starting at Harvard Medical School, has graduated and will continue his Orthopaedic Surgery Residency at Duke Medical Center in Durham, NC. We congratulate Adam on his excellent performance and wish him the very best in his training. Dr Mahito Kuwahara completed his fellowship and has returned home to start his clinical practice at the Tokyo Women’s Hospital, Tokyo. Mahito will be a stellar surgeon and scientist. Dr Claude Alabre, who was an important part of our lab before proceeding to Boston University Medical School, will start his residency here at the Massachusetts General Hospital in Internal Medicine. We wish him continued excellent in his academic pursuits.

Bioengineering Laboratory

Guoan Li, PhD, Laboratory Director, and members of the Bioengineering Laboratory, have continued using their dual-orthogonal fluoroscopic imaging technique for accurate measurement of in-vivo musculoskeletal joint kinematics. This cutting edge imaging technique, along with a robotic testing system, is being utilized to provide baselines for the development of new concepts in total knee arthroplasty, unicompartmental knee arthroplasty, anterior and posterior cruciate ligament reconstruction, in-vivo function of the lower and upper extremities, and the human spine. The overall goal of this research is to drive our understanding of musculoskeletal joint functions, injury mechanisms, and efficiency of surgical modalities.

Congratulations to Richard de Asla, MD for a newly awarded OREF career development grant which has teamed up bioengineers and clinicians to explore the mechanism of osteoarthritis in human ankles. Congratulations also to Peter Passias for the first place award at the New England Orthopaedic Resident Symposium organized by OREF. He presented the work entitled, “Novel Imaging Technique to Determine the 6DOF (Degree of Freedom) Positions of Vertebrae and Disc Under in-Vivo Conditions,” with co-authors: Shaobai Wang, Gang Li, Guoan Li, Kirk Wood. The research was conducted in the lab on in-vivo spine kinematics measured with our fluoroscopic technique.

This summer, the lab celebrated Jeremy Suggs’ completion of his ScD from the Department of Mechanical Engineering at MIT. Dr. Suggs developed a dual plane image system and investigated in-vivo biomechanics of cruciate retaining and cruciate substituting TKA’s, especially the factors affecting high flexion of TKA patients.

The laboratory also recently celebrated Miss Meng Li’s Master’s Degree in the Department of Electrical Engineering at Boston University. Miss Li joined the laboratory in 2005, and has been developing a combined imaging segmentation method to accurately delineate the complicated tissue interfaces in MR and CT images in order to efficiently construct 3D models of human musculoskeletal joints. Mr. Jeffrey Bingham, a graduate from MIT, continues to investigate the in-vivo cartilage contact mechanics of the knee after PCL deficiency in collaboration with Dr. Thomas Gill.

The lab has an increasing contingent of graduate students from MIT, including Lu Wan, Daniel Massimini, Ali Hosseini, Shaobai Wang, and Kartik Varadarajan. Mr. Wan has been studying in-vivo ankle joint kinematics and in-vivo articular cartilage contact mechanics of ankles in collaboration with Dr. R de Asla. Mr. Massimini continues to conduct research on in-vivo human shoulder biomechanics in collaboration with Dr. JP Warner as part of his Master degree thesis. Mr. Hosseini continues to investigate in-vivo ACL tension using advanced imaging and robotic technology in collaboration with Dr. Thomas Gill. Mr. Wang joined our lab last year to study intrinsic biomechanics of human lumber spine in collaboration with Dr. K Wood. Mr. Varadarajan recently joined our laboratory to investigate in-vivo biomechanics of knee with end-stage OA and the effect of surgical treatment in collaboration with Drs. Andrew Freiberg and Harry E. Rubash. Drs. Samuel van de Velde, Gang Li, Michal Kozanek and Sabatian Souer have been productive postdoctoral fellows in our lab and are actively working in-vivo human knee joint, ankle hand and spine biomechanics. Ramprasad Papannagari, George Hanson and Angela Moynihan, three young, core bioengineers, have actively participated in a variety of clinical and robotic projects, including in-vivo ACL/PCL, invivo TKA, and in-vivo shoulder investigations. Congratulations to Ramprasad, who recently joined Smith & Nephew as a Senior Engineer at their Memphis Ortho Division. The team had over 20 podium talks, posters, and symposiums at this past year’s ORS, AAOS and Bioengineering meetings and published extensively in various orthopaedic and biomedical engineering journals. Wow!!! What a year!

Cartilage Biology And Orthopaedic Oncology Laboratory

The Cartilage Biology and Orthopaedic Oncology laboratory is under the direction of Christine A. Towle, PhD and Dr. Henry J. Mankin. Dr. Towle’s research team is exploring the mechanisms that regulate metabolism in normal articular cartilage; aberrations in these mechanisms may lead to cartilage damage in rheumatoid and osteoarthritis. The group is especially interested in understanding how interleukin-1 exerts its devastating effects on the integrity of the articular cartilage. Through studies on a small molecule inhibitor, they have identified a novel signal transduction mechanism linking IL-1’s interaction with cell surface receptors to diverse pathways in cartilage. They are exploring whether this novel mechanism contributes to the regulation of cytokine signaling by mechanical and osmotic factors to decrease extracellular matrix synthesis in articular cartilage. A grant from the National Institute of Aging supports this investigation of the interactions between physical forces and IL-1. In a CIMIT-funded collaboration with Tayyaba Hasan, PhD in the Wellman Center for Photomedicine, the group has identified a promising photochemical for use in the light-based technology photodynamic therapy or PDT. They are working to develop PDT as a minimally invasive approach to protect articular cartilage in conditions such as osteoarthritis. The Oncology group continues to focus on clinical, molecular, and biochemical markers that may serve as predictors of metastasis in bone and soft tissue tumors. They use a variety of approaches in their studies including the experimental treatment of tumor cell cultures and the measurement of DNA synthesis and apoptotic activity using flow cytometric procedures. The laboratories have access to a computerized database with information on almost 18,000 patients treated by the Orthopaedic Oncology Service including 1200 treated with allograft transplantation.

Drs. Henry Jaffe, Jakob Erdheim and Crawford Campbell bequeathed to Dr. Mankin their pathology collections consisting of thousands of cases, including histological slides, x-ray films, and patient records. All of these are currently housed in Dr. Mankin’s basement along with his own collection. The Orthopaedic Research and Education Foundation (OREF) and other organizations have recognized the value of these resources and have provided support to convert the collection into digital format. Dr. Mankin’s group hopes to make this resource available on the Web for educational and research purposes. The data from the collections have enabled numerous publications, including some on rarely encountered orthopaedic pathologies. In addition, they are continuing to maintain and expand their bank of tumor tissue, which now contains over 1000 specimens. The Musculoskeletal Tumor Society, corporate funding, and donations from patients and their family’s further support Dr. Mankin’s clinical research projects.

Sarcom a Molecular Biology Laboratory

The Sarcoma Molecular Biology Laboratory (SMBL), under the direction of Zhenfeng Duan, MD, PhD and Francis J. Hornicek, MD, PhD. Dr. Duan was working with Dr. Michael Sieden in Medical Oncology Laboratories until June 1st. He has now joined the Sarcoma Molecular Biology Laboratory and has worked extensively in the field of chemotherapy drug resistance. His major interest is to explore and define the molecular aspects of drug resistance in cancer cells.

This laboratory investigates novel approaches to further advance the treatment of cancer. The overall objectives of this laboratory are to explore biological mechanisms of tumors arising in bone and other tissues. One of the major focuses of the lab is to elucidate mechanisms of drug resistance. In addition, translational research into new treatment options for sarcoma patients has been undertaken. Continued collaboration with Pharmaceutical companies has provided the foundation for evaluation of new drug development. Many of these drugs are derived from marine sources and their corresponding biochemical structures quite complex. The Sarcoma Molecular Biology Laboratory has published articles pertaining to sarcoma biology, and has received funding from a variety of sources including foundations, corporate sponsors, and benefactors.

A new addition to the laboratory will be Joseph Schwab, MD. He has a research focus in chordoma and has experience during his training at Memorial Sloan Kettering. He has an interest in development of immunotherapy drugs for the treatment of chordoma. The interest of the sarcoma group in this rare tumor will become another major focus of the lab. The sarcoma research group at the MGH includes investigators from multiple disciplines, as does the clinical group. We hope to continue research expansion and further collaboration within the Harvard community.

Laborato ry of Orthopaedic Biochemistry and Ost eoarthritis Therapy

Teresa Morales, PhD, directs the Laboratory of Orthopaedic Biochemistry and Osteoarthritis Therapy. She explains, “The mission of the Laboratory is to understand the regulation of chondrocyte biology in health and disease and to apply this knowledge towards investigations of cartilage repair”. Dr. Morales and her team continue to examine how normal regulatory pathways are altered during osteoarthritis (OA), with major emphasis on the dysregulated actions of the Insulin-like growth factor binding proteins, particularly IGFBP-3. The insulin-like growth factors are important regulators of matrix synthesis. This work extends to the international forum, by a 3-way collaboration of the Morales group with those of Dr. Ernst Hunziker (Muller Institute, Bern, Switzerland), Drs Joseph Buckwalter and James Martin (University of Iowa and Iowa City Veterans Medical Center, Iowa U.S.A). The work of this team has culminated in the definitive description of the dual extracellular and intracellular location of IGFBP-3, soon to be published in Ostearthritis Cartilage. Taken together with studies on other cell types, the novel intracellular location of the binding protein in chondrocytes points the way to the possibility that this molecule may control cell fate and survival during OA.

Additional work on analogs of IGF that do not recognize the binding protein was initiated by Dr. Morales and her summer student Ms. Emily Pfeil (Johns Hopkins Medical School) under the combined auspices of the R01 from NIAMS (Morales, P.I.) and a Summer Student Fellowship to Emily from the Massachusetts Chapter of the Arthritis Foundation. Taken together, the studies suggest that IGFBPs may exert dual actions during OA, tuning the action of their target growth factor, IGF-I, outside the cell while also acting within the intracellular environment in a manner that is independent of IGF-I receptor signaling. An additional interest of Dr. Morales is chondrocyte motility. This interest in chondrocyte motility has helped to seed new directions for the laboratory with the initiation of studies into the motility, engraftment and invasiveness of mesenchymal stem cells on and within cartilage. A new review article by Dr. Morales,to be published in Osteoarthritis Cartilage, addresses the complex topic of cartilage cell migration and invasiveness.

Laboratory for Musculos keletal Engineering

The Laboratory for Musculoskeletal Tissue Engineering, under the direction of Mark Randolph and Dr. Thomas Gill, focuses on cartilage repair and regeneration in the knee. Work funded by the AO Foundation on tissue engineering strategies to repair lesions in the avascular regions of the meniscus was presented at the International Cartilage Repair Society, in San Diego, California, in January 2006. The results demonstrated an efficient means to seed chondrocytes onto polygalactin (PLGA) scaffolds, and the capacity of these cell-scaffold constructs to heal bucket-handle lesions in swine meniscus. This study was published in November in the American Journal of Sports Medicine in November 2006.

Their group also continues to explore alternative cell sources and new hydrogels for articular cartilage repair and regeneration. Working with Drs. Robert Redmond and Irene Kochevar from the Wellman Center of Photomedicine, they have developed a novel means to photocrosslink collagen gel for use as an encapsulation gel for chondrocytes and neocartilage formation. This work was presented at the Orthopedic Research Society in Chicago, Illinois, in February 2006 and published in Tissue Engineering in 2007. In collaboration with Dr. Kristi Anseth, at the University of Colorado, the group has been exploring photoactive substances that can form hydrogel scaffolds for cartilage formation, specifically poly (ethylene glycol). Results of this were presented at the Orthopedic Research Society in San Diego, California, in March 2007. Additional work with in collaboration with Dr. Lawrence Bonassar, from Cornell University, is examining the ability of chondrocytes to integrate with porous polyethylene for making flexible cartilage.


This year’s annual black tie Department Holiday Party was held at the beautiful Massachusetts State House. This year we had our largest turnout ever with close to 400 attendees and by all accounts the evening was phenomenal. Our event was held in the historic Memorial Hall, which is also known as the Hall of Flags. Plans are underway for next year’s party, which will return to one of our favorite sites, the Museum of Fine Arts. A festive evening indeed!!!


Our seventh annual Children’s Holiday Party at the Boston Children’s Museum this past December was a raucously fun event for kids of all ages. Laughter, fun and smiles were the name of the game for our group who enjoyed the museum exhibits, a catered lunch and entertainment in the museum’s private function room. Santa and Mrs. Claus were again in town this year with gifts and goody bags for all the children.


Kim and I continue to enjoy some additional personal freedom and we are looking forward to our 30th Wedding Anniversary this fall. Kim and I are also planning to travel to Asia this year as guests of Asian Pacific Orthopaedic Society. Kim has resumed playing tennis, a sport she has enjoyed for years and she loves her new competition. I have been able to resume my golf with a renewed level of participation after my successful Unicompartimental Knee Arthroplasty (UKA).

Our daughter, Kristen, finished the 11th grade this year and is now in the early phases of deciding where she would like to go to college. She and I had the pleasure of attending the Rolex Kentucky Three Day Event in April. This four star event includes Dressage, Cross-Country as well as Stadium Jumping. We were amazed to see the caliber of these world-class athletes as they competed for elite status and in some cases membership on the United States Olympic Equestrian Team. It was a competition that was a treat of a lifetime to see. Kristen competes in these types of events throughout the summer and fall. This sport requires tremendous dedication, athletic skill and carries a year-round commitment to training.

We have a new member of our family, Rigaudon (a lively 17th Century French dance), also known as Miss Amber. She is a 7 year old, Swedish Warm Blood and she will be Kristen’s Eventing horse for the next several years. Kristen would like to combine her riding skills as a collegiate athlete as well as a student. Kim and I continue to marvel at Kristen’s continued perseverance and resilience and we hope and pray that her health continues to improve.

Steve finished his freshman year at Boston University (BU) in the School of General Studies. When he returns to BU in the fall he will be transferring to the School of Business. He has been thinking a lot about career choices and we hope that he finds one that can occupy his endless energy and will be able to leverage his many talents. Steve’s summer will be filled with events including a job, athletics, and a leadership program!

Brad finished a highly successful sophomore year at Rollins College in Florida. He has now declared Anthropology major and he intends to go to business school after receiving his undergraduate degree. He had a wonderful swimming season as a freestyle sprinter (50 and 100 yards) and he is working for the summer at an elite swimming camp in Winter Park, Florida. Brad and I are in the final phases of restoring our 1970 Chevelle Super Sport and this year it gets a new engine and suspension system. We will miss not having Brad with us for the summer. Our three children make for an incredibly busy and complicated household!

Finally and importantly, I am most proud and honored to continue as the Chairman of this world-class Orthopaedic Department at the Massachusetts General Hospital. Our faculty is superb, our collegiality is blossoming and our productivity continues to amaze me. The Department continues on a meteoric rise and I hope that we can sustain this path for the indefinite future. It is a pleasure to serve as your Chairman.

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