Elbow Surgery; Hand; Hand Surgery - Orthopaedic Surgery; Orthopaedic Surgery; Shoulder Surgery
My clinical expertise focuses on upper extremity surgery with an emphasis on shoulder and elbow reconstruction and replacement. I also care for multiple common hand conditions, including carpal tunnel syndrome, Dupuytren‘s disease, arthritis, trigger finger and tendonitis. I was attracted to orthopaedic surgery because it is problem-focused and gives me the opportunity to restore function and improve people‘s lives. I was initially attracted to upper extremity surgery because of its multifaceted nature, a complex interplay of bone, tendon, nerve and ligaments. I was also attracted by the ability to perform microvascular surgery to help patients. I am most passionate about taking care of people and making their lives better. There is nothing more gratifying than a patient who experiences better function and less pain as a result of my care. I have three research areas. One focus is anatomy research, and my goal is to increase understanding of the structure of joints and soft tissues. I also conduct demographic studies of different types of surgery, with a goal of increasing understanding of how patients can best utilize health resources. My third area of research is the immunohistochemistry of degenerative tendon. Research results will help physicians treat people with degenerative conditions such as arthritis, tennis and golfer‘s elbow. As associate program director of the hand fellowship and co-chair of the resident research committee, I lead fellow and resident research. I direct medical student research as well and run the summer orthopaedic medical student research program. In this ten-week course, students have the opportunity to learn research methodology and conduct research while being mentored by a faculty member, including me. Though I am well known for my clinical expertise in treating complex upper extremity conditions, I value teaching because it compels me to evaluate what I do on a daily basis and assess how to improve it. I also participate in national efforts regarding resident education: I write questions for the hand surgery board examination and serve as a board examiner for the oral boards in orthopaedic surgery. Inspired by Dr. Charles Severin, my mentor during my master’s degree in anatomical sciences at UB, I teach this essential subject to medical students and residents. I serve as course director of the integument-musculoskeletal module for first-year medical students. I feel indebted to my teachers and think about them daily as I work with fellows, residents and medical students.
General Orthopaedics; Hip & Knee Arthroplasty; Knee Surgery; Lower Extremity Joint Replacement & Reconstruction; Orthopaedic Surgery; Reconstruction; Surgery - Trauma; Trauma & Reconstructive Surgery
I am one of only two orthopaedic surgeons trained in trauma practicing in the greater Buffalo region. My expertise and experience allow me to treat people with multiple traumatic and complex pelvis and extremity injury. As director of orthopaedic trauma services at Erie County Medical Center (ECMC), my practice encompasses care of patients who have sustained acute, complex orthopaedic trauma and complications of musculoskeletal trauma. My goal is to return patients to full function from what are sometimes devastating injuries. In addition to trauma care, I care for general orthopaedics patients who have a wide variety of clinical problems, including those with complications from injury and patients in need of lower-extremity joint reconstruction. As a member of UBMD Orthopaedics and Sports Medicine since completing my orthopaedic trauma fellowship in 1995, I care for people from all walks of life. My goal and greatest satisfaction is bringing about a successful clinical result for my patients. I was one of three designing surgeons of a hip fracture implant for a major orthopaedic implant company. I championed the implant’s worldwide release and developed its early instructional courses. My research now focuses primarily on clinical orthopaedic trauma problems, including pelvis fractures and compartment syndrome practice patterns. I am working on an ankle fracture study, a hip fracture multicenter study and a study evaluating impact of muscle mass on clinical outcomes in trauma. My goal in research is to improve outcomes by learning from surgical experiences, both locally and as part of larger collaborative studies. Teaching is a significant part of my career. My interaction with trainees keeps me on my toes as a teacher and practitioner, and my commitment to teaching locally, nationally and internationally has been recognized with four teaching awards. My daily interactions with residents includes rounding, formal and informal teaching in hospital, emergency room and clinic settings and, perhaps most importantly, hands-on tutoring techniques of orthopaedic surgery in the operating room -- often seven days a week. I train young orthopaedic surgeons in the craft of operating, and I also mentor them so that they grasp the responsibility inherent in caring for people. I strive to produce capable, independent, ethical surgeons ready to launch successful careers.
Adolescent Sports Medicine; Arthroscopic Surgery; General Orthopaedics; Hip Arthroscopy; Knee Surgery; Orthopaedic Surgery; Shoulder Surgery; Sports Medicine
As a physician specializing in orthopaedics and sports medicine, I focus on a combination of advanced nonoperative and operative techniques to treat injuries in patients of all ages and activity levels. My emphasis is on eliminating pain, preserving joints and restoring function so that my patients can return to their normal activity levels safely and as soon as possible. When surgery is necessary, I use advanced arthroscopic techniques for shoulder, hip and knee reconstruction. I continually try to refine and develop new techniques so that my patients always receive the best possible care. My practice extends outside of the operating room and clinic. I care for athletes at community, high school, college, professional and international sports events, on the sidelines, immediately after their injuries occur. By direct interaction with athletes, “weekend warriors,” parents, coaches and administrators, I help amateur and professional teams, schools and colleges provide safe environments for competition, prevent injury of their athletes and allow for the safe recovery of injured athletes. My research interests include collaboration and multicenter studies to elucidate the best method of treatment for orthopaedic conditions such as the anterior cruciate ligament (ACL), rotator cuff and sports-related hip problems. I am also very interested in developing a better systems approach to musculoskeletal problems in order to provide highly effective patient-centered health care. I mentor and help develop current and future orthopaedic surgeons, sports medicine specialists, doctors, physician assistants, athletic trainers and other health care providers. My students are exposed to a worldwide perspective due to my extensive training with many of the thought leaders and physicians in orthopaedics and sports medicine. My commitment to compassion and excellence in patient care and an evidence-based approach to treatment sets an example for my trainees so they can be effective health care providers in the Western New York community and around the world.
Arthroscopic Surgery; Knee Surgery; Orthopaedic Surgery; Shoulder Surgery; Sports Medicine
As the June A. and Eugene R. Mindell, MD Professor and Chair of the Department of Orthopaedics, I’m committed to our mission of compassionate care, innovative research, and collaborative education. I joined UBMD Orthopaedics & Sports Medicine in 2007, and became Chair in 2013. I serve as the Team Physician for both the Buffalo Bills and Buffalo Sabres, and Team Orthopedist for Buffalo State College. My practice is primarily located at the University Orthopaedic Center in Amherst, New York. I’m highly committed to outstanding clinical care, and strive to provide the most advanced operative and non-operative treatment of orthopaedic sports medicine conditions, using scientifically proven methods, delivered in an empathetic and caring fashion. I intend to strengthen our department’s tradition of excellent clinical training in a team atmosphere, and to grow our research program, especially by using validated outcomes instruments to improve care. In addition to my responsibilities as Chair, I have been the Sports Medicine Fellowship Director since 1999, and enjoy teaching fellows, residents, medical students, and other learners in the clinic, OR, and as a research mentor, and welcome leadership mentoring opportunities. The questions and experiences we share motivate me in the lifelong learning process. My research interests include prospective comparative studies to determine the best methods of orthopaedic care, systematic reviews and meta-analyses to disclose findings which may only become apparent after analysis of pooled data, and anatomic/biomechanical studies that can be put to immediate use to improve patient outcomes.
General Orthopaedics; General Pediatric Orthopaedics & Spinal Deformities; Orthopaedic Surgery; Pediatric Orthopaedic Surgery; Pediatric Orthopaedics; Sports Medicine - Pediatrics
I have been in the practice of pediatric orthopedics since I finished my fellowship training at the DuPont Institute in 1981. I continue to find it extremely rewarding to work with children with musculoskeletal needs. The gamut of by practice is really quite broad from trauma to neuromuscular conditions to scoliosis and congenital anomalies, infections and sports medicine, etc. I continue to receive a great deal of satisfaction in helping the children with whom I am privileged to treat and find it especially rewarding to know that a potentially very serious and devastating injury or other condition can be treated and allow the patient to enjoy many decades of normal function after the intervention. As part of my practice I am involved with the medical school orthopedic residency program and have been an assistant clinical professor of orthopedics for going on 34 years now and I also tremendously enjoy tremendously watching the residents grow and in their development of their skills and of treating musculoskeletal conditions. I was trained in our local orthopedic department residency program and was one of the early residents who went on for fellowship training. and I have devoted my career here to treating the Western New York and Northern Pennsylvania pediatric population and I was for many years the only Pediatric Orthopedist in Western New York. We have an expanding program in pediatric orthopedics at Women’s and Children’s Hospital of Buffalo and we are fortunate with this resource to be able to provide state of the art care for nearly or all pediatric orthopedic conditions.
Orthopaedic Surgery; Spine Surgery
As an orthopaedic surgeon, my clinical practice focuses on orthopaedic spine conditions as well as general orthopaedics. I currently see patients in Orchard Park and Warsaw, New York. In addition, I take spine trauma call at Erie County Medical Center (ECMC), and general orthopaedic call at both Mercy Hospital of Buffalo and the Wyoming County Community Health System. Whether treating spine conditions or ankle fractures, my first goal is to educate my patients. Together, my patients and I decide on the best treatment plan for them. I spend a lot of time with patients helping them understand their health conditions and treatment options. I show them their radiographs, MRIs and CT scans, and I explain the results of this testing. We then work through the best course of action. I always prefer to prescribe less invasive treatments before recommending surgery. If I think my patients can improve their symptoms with physical therapy, chiropractic adjustments or injections, that is the course of treatment I recommend. If I can improve their symptoms with less invasive treatments, I consider that a "win." If none of those treatment modalities help, then I discuss surgery with my patients. I feel it is my obligation to determine if surgery is going to make my patients better, and I am very upfront with them. If I do not think they will get better with surgery, I will not offer that as an option. I also work as a faculty member in the Department of Orthopaedics, teaching the next generation of orthopaedic residents. This is extremely rewarding, as I feel I am giving back to the community I was raised in. It is amazing to watch undergraduate students develop into medical students and then graduate to the level of medical residents. I enjoy teaching trainees knowing that I have contributed to their development and, ultimately, to the ways they will care for their future patients.
Physical Medicine and Rehabilitation
My specialty is physical medicine and rehabilitation, or physiatry. My clinical expertise includes the rehabilitation management of patients with significant brain injury due to trauma or stroke, spinal cord injury, and major multiple trauma. In addition, my practice specializes in simple as well as complex musculoskeletal impairments including extremity injuries, arthritis, and neck and back pain. I am one of the few physicians in the Western New York area that is board certified in electro diagnostic medicine. As a result, I do electromyography (EMG) and nerve conduction velocity (NCV) studies on referral from physicians throughout Western New York. Two additional procedures I perform are Botox injections for spasticity management after brain injury and spinal cord injury and prolotherapy. My research focus has been in two main areas. The first is measuring outcomes and interventions after serious trauma or illness. The second main area is prevention of deep vein thrombosis (DVT). Prototypes have been developed and we are in the final stages of validating the design. We are hoping to submit to the FDA in late April or early May 2015. It is conceivable that we will be ready to market the device in 6-8 months. I currently teach UB medical students and students from other medical schools that have an interest in the field of physical medicine and rehabilitation. I also work with students in the D’Youville Chiropractic School. Although I am passionate about the care I provide my own patients, I am concerned about securing the future of physical medicine and rehabilitation clinical services in Western New York. I am also interested in developing multi-specialty programs for individuals with significant injuries and chronic pain. I am the medical director for rehabilitation medicine in the Catholic Health System, which is one venue for this, but we need to expand this to other provider networks.
Foot & Ankle Surgery; Orthopaedic Surgery
My clinical expertise focuses on disorders of the foot and ankle and the lower extremity. I treat a wide variety of problems such as bunions, forefoot deformities, foot and ankle arthritis, trauma, post traumatic and congenital deformities. I gained years of experience as a general orthopedist in the US Air Force. More recently I have combined this with additional specialty training in the foot and ankle and I‘ve been able to develop a whole body approach to foot and ankle pain.
Hip Arthroscopy; Pediatric Orthopaedics; Sports Medicine
As a pediatric orthopaedic surgeon, my clinical expertise is the treatment of pediatric orthopaedic trauma and general pediatric orthopaedics. My aim is to ensure that all the children under my medical care are able to participate in a physically active lifestyle, because the benefits of a healthy musculoskeletal system translate into overall physical and emotional health. I am also clinically active in hip preservation through arthroscopy and reconstruction/osteotomy. I have a special interest in idiopathic and neuromuscular scoliosis as well. I perform surgery at the Women and Children’s Hospital, and I practice at the UBMD Orthopaedics and Sports Medicine clinics, on Harlem Rd. and in Orchard Park. I have active research in a number of areas. In conjunction with residents interested in pediatric orthopaedics, I am studying incidence of benign bone lesions, treatment of open fractures, tarsal coalition, treatment of pediatric femur fractures and rod bending in scoliosis surgery. I am also part of a team developing a pediatric fracture database at the Women and Children’s Hospital of Buffalo. We are collecting fracture data that will allow physicians to critically evaluate treatment protocols and ultimately improve the delivery of fracture care for children. Additionally, I am developing a scoliosis surgery pathway as a quality improvement project. The goal of all my research is to examine the care of patients in order to improve outcomes. I train medical students and orthopaedics residents with an emphasis on collaborative thinking and discussion. I also welcome residents interested in pediatric orthopaedics to conduct research with me. Teaching, mentoring and conducting research with up-and-coming surgeons facilitates the development of new ideas and methods to improve medical care, not only to the children of Western New York, but to children throughout the world via our published research.
Elbow Surgery; Orthopaedic Surgery; Shoulder Surgery
As an orthopaedic surgeon, I care for patients with a range of conditions affecting the musculoskeletal system, including acute injuries and chronic degenerative conditions. I received specialty fellowship training at the Mayo Clinic in shoulder and elbow surgery, the primary focus of my practice. Specifically, I have expertise in caring for patients with rotator cuff disorders and arthritis of the shoulder and elbow. My practice is located at the Erie County Medical Center (ECMC). I care for my outpatients here, and I also care for hospitalized trauma patients from Western New York and beyond who have been transported to ECMC. My overriding goals are to relieve pain and restore function for my patients. My research interests focus on shoulder replacement surgery. I am currently involved in multiple studies: biomechanical evaluation of implant stability and wear in total shoulder and reverse total shoulder arthroplasty; clinical outcomes and the effect of patient expectations on results of total shoulder arthroplasty; diagnosis and treatment of infections in total shoulder arthroplasty; clinical outcomes following revision total shoulder arthroplasty; and a Food and Drug Administration investigational device exemption (FDA IDE) controlled trial of stemless total shoulder arthroplasty. Medical students and residents are welcome to work on research projects with me. I am the director of medical student education for the Department of Orthopaedics. As such, I am responsible for coordinating clinical rotations and organizing physician mentors for medical students. I am also actively involved in resident training and work closely with residents on a daily basis. Additionally, I work on curriculum development for our residency program and am active in resident evaluation. I feel passionately that passing on what I have learned and fostering creative thinking among my medical students and residents are key to the future of medicine and patient care.
Adolescent Sports Medicine; General Pediatric Orthopaedics & Spinal Deformities; Pediatric Orthopaedic Surgery; Pediatric Orthopaedics; Spine Deformities; Sports Medicine - Pediatrics
I have wanted to be a doctor for as long as I can remember; no other occupation was ever a consideration. I am privileged and thankful to be able to be a doctor and help people on a daily basis. Early in my education I wanted to be an eye doctor, but once I rotated through orthopaedic surgery during medical school, I knew I had found my place in medicine. Although in orthopaedic surgery we do not routinely save someone‘s life in the sense of preventing death, we do save people‘s lives on a regular daily basis. As orthopaedic surgeons, we are able to help people continue to live the life that they want to live- whether it is enjoying a sport, working, or just walking; our orthopaedic treatments frequently "save" or restore that life. I am very happy to be part of UBMD via the UBMD Orthopaedics and Sports Medicine group, a great group of doctors, physician extenders, and support staff. We work as a team to help each other provide excellent orthopaedic care for the people of WNY and beyond. We have the privilege and responsibility of teaching medical students and orthopaedic surgery residents, the next generation! One of the things I enjoy most about our profession/specialty is the constant innovation and improvement in the methods and techniques, both surgical and non-surgical, to help "save the lives" of our patients.
Arthroscopic Surgery; Orthopaedic Surgery; Sports Medicine
As Chief of Sports Medicine and Associate Professor of Clinical Orthopaedics I am dedicated to the delivery of scientifically supported and innovative treatments for musculoskeletal problems associated with an active lifestyle. I joined UBMD Orthopaedics and Sports Medicine in 1999. I serve as team physician for the Buffalo Bills (NFL), Buffalo Sabres (NHL), and University at Buffalo Athletics. I am Board Certified in Orthopedic Surgery with a Subspecialty Certificate in Orthopaedic Sports Medicine. My clinical practice includes office-based evaluations, surgery, and sports team care. Office-based care is provided at University Orthopaedic Centers in Amherst and Orchard Park, New York. I focus on the prevention, diagnosis, and personalized non-operative and operative treatments of orthopaedic sports medicine related problems. I specialize in arthroscopic knee and shoulder reconstruction and advanced techniques for major tendon and ligament repairs. My team care involves regular emergency preparedness and training room sessions along with extensive game coverage. I take great pride in all aspects of my practice and strive for those under my care to return to a full and painless lifestyle. I enjoy teaching orthopaedic surgery residents and fellows, primary care sports medicine fellows, medical students, physician assistants, athletic trainers and physical therapists. I am active in all of the orthopaedic departments’ educational modes such as lecturing, journal clubs, role modeling in the office, training in surgical techniques, course organization, community outreach, and research mentoring. My research interests have involved anatomic, biomechanical, and comparative clinical trials related to my specific areas of interest.
Adolescent Sports Medicine; General Pediatric Orthopaedics & Spinal Deformities; Orthopaedic Surgery; Pediatric Orthopaedic Surgery; Spine Deformities; Sports Medicine - Pediatrics
I chose the field of children‘s orthopaedics as my specialty because of my strong interest in helping children, the most vulnerable members of our society. I completed a fellowship in children‘s orthopaedics and scoliosis surgery; my expertise includes scoliosis surgery, hip and lower extremity reconstructive surgery, foot surgery and all aspects of pediatric trauma. I care for children and adolescents at the Women and Children‘s Hospital of Buffalo (WCHOB) and at the UBMD Orthopaedics and Sports Medicine clinic on Harlem Road in Amherst. My approach is to involve parents in the decision-making for their child’s medical care and, whenever appropriate, I involve the child as well. Doing so helps teach children responsibility for their own health. It may also improve their treatment outcomes and enhance their sense of control, particularly for children and adolescents with chronic health issues or those who have sustained traumatic injury. I care for my young patients in the same way I would treat my own child: with sensitivity and compassion. My research interests include pediatric trauma and post-traumatic reconstruction. I’m currently working on research that addresses femoral fracture management in young children. My goal is to determine whether operative treatment is better than spica cast treatment. I welcome residents to collaborate with me on research projects. I am keenly interested in resident education and take an active role in teaching, training and mentoring trainees. Residents have selected me as "Teacher of the Year" three times during the course of my career. I teach in small groups, at the bedside, in clinic and in the operating room. My goals are to promote independent thinking in my residents, guide them to assume greater independence as they progress through their residencies and, ultimately, take on the mantle of professional orthopaedic surgeons.
Foot & Ankle Surgery; Orthopaedic Surgery
I started my practice with UBMD Orthopaedics and Sports Medicine after completing my foot and ankle fellowship. My focus is on foot and ankle reconstruction, trauma surgery, wound care management, amputee care, diabetic care, women’s care/osteoporosis management and general orthopaedics. I integrate my six years of work experience in physical therapy into my daily medical practice, and I feel that this sets me apart from other physicians. I apply my physical therapist background in orthopedic care, wound care, pediatric neurologic rehabilitation and sports rehabilitation to help care for my patients, and I spend considerable time educating my patients to position them for successful recovery and self-care. My goals are to treat patients and families with compassion, educate patients and family, provide the best care available to my patients and participate in research. While working toward my undergraduate degree in physical therapy, I was encouraged by a professor to think of medicine as a career. Spending time in the operating room at Women & Children’s Hospital and in pediatric offices opened my eyes to a career as a surgeon. I discovered a love of the operating room because of its complex and rewarding challenges. Each step resembles a puzzles that demands a solution to help restore function and get patients back on their feet. I am currently doing research on the effects of ankle fracture pattern on peak contact pressure and contact area in the ankle. I am working with UB medical students and John Marzo, MD, an orthopaedics colleague. During my orthopaedic residency, research was an integral part of my practice. I performed studies involving joint replacement, sports medicine topics, arthroscopy, tendon and meniscus repair and dermatology journals regarding psoriatic arthritis. As a daughter of a second-grade teacher, I have a passion for teaching. And as a faculty member at both UB and Daemen College, I enjoy teaching medical students and residents as well as physician assistant students and physical therapy students.
Orthopaedic Surgery; Spine Surgery
I’m a clinical associate professor with Department of Orthopaedic Surgery and director of Spine Services. My area of specialty training and interest is in Spinal Deformity surgery involving scoliosis, kyphosis and flatback deformities in children and adults. I am a member of the Scoliosis Research Society where I have sat on the Prevalence & Natural History Committee and the Worldwide Course Committee. I have memberships with the North American spine Society, Western New York Orthopaedic Society and American Medical Association and have had the pleasure of giving lectures on diagnosis, treatments and surgery for a wide variety of spine conditions. I work as the co-director of Spine Services at Buffalo General Hospital where I oversee clinical, teaching, research and administrative tasks related to spine care. I am actively involved with teaching medical students, orthopaedic residents and fellows in both orthopaedics and neurosurgery. I have been actively involved in an Adult Deformity study group with a grant given by the North American Spine Society. The emphasis has been on improving outcomes for surgical patients based on patient reported outcomes.
Elbow Surgery; Hand Surgery - Orthopaedic Surgery; Orthopaedic Surgery; Shoulder Surgery
As an orthopaedic surgeon, my clinical practice focuses on hand and upper extremity surgery. I also perform microsurgery such as nerve repair and microvascular anastomoses, including digital replants. I see patients at UBMD Orthopaedics & Sports Medicine at both the Amherst and Orchard Park locations, and at the Erie County Medical Center (ECMC). I also take orthopaedic trauma call at ECMC, where I treat fractures of the upper and lower extremities. Within UBMD Orthopaedics & Sports Medicine, I am referred some of the most challenging fractures of the upper extremity, and I treat them all with the highest level of confidence and professionalism. I am dedicated to providing excellent care to my patients, helping them return to work and play and to daily activities that were painful or problematic before. I hope to conduct research related to trauma of the upper extremity and arthritis of the hand, research areas that I have profound interest in. Results from this research will help improve the care of our patients and move forward surgical techniques and interventions. Serving as a faculty member of the Department of Orthopaedics is rewarding. It is gratifying to watch the skill level of my trainees increase, and their knowledge base grow, as they work with me. I am very demanding of the residents I train, and I expect excellence from everyone who works with me. I also demand the same level of performance from myself; by doing so, I set a standard of medical care for the next generation of orthopaedic surgeons.
As director of the spine center at Erie County Medical Center, the areas of my clinical practice focus on spinal conditions from the upper cervical spine to the sacrum. I treat patients of all ages, shapes and sizes. I have special interests in cervical, thoracic and lumbar disc herniation, stenosis, radiculopathy, myelopathy, and deformity. My areas of interest and expertise include trauma, spinal cord injury, post-traumatic conditions, arthritic and degenerative conditions, as well as tumors, infections and revision neck and back surgery. I also maintain a busy elective clinical practice and also coordinate and participate the Spine and Orthopaedic Trauma services at ECMC. My experience includes traditional procedures including micro discectomy, laminectomy, anterior and posterior spinal fusions, anterior cervical discectomy and fusion. I also perform other minimally invasive procedures including percutaneous instrumentation and kyphoplasty/vetebroplasty augmentation. I have extensive experience in complex spinal reconstruction and instrumentation for deformities such as scoliosis, kyphosis, flat-back deformity and failed-back syndromes. As a resident, fellow and attending physician I have presented at local, regional and national peer attended meetings. These include- American Academy of Orthopaedic Surgeons, North American Spine Society, Cervical Spine Research Society, and WNY Orthopaedic Trauma Society. I have performed research and published these findings in the area of Orthopaedic Surgery and Spine surgery. I am involved with daily teaching rounds at ECMC, with resident physicians, interns, and medical students. I have not only allowed high school and undergraduate students to shadow my practice, but I mentor and instruct Physician Assistant students and Doctors of Chiropractic as well. In 1999 I joined UBMD Orthopaedics & Sports Medicine, and became a full time faculty member at the University of Buffalo. I am fortunate to practice my skills in the town where I grew up, in the presence of my family, friends, and colleagues.
My clinical practice consists of hip and knee replacement surgery, both primary and revision or re-do of such cases. As well I do osteotomies of mostly knees, but occasionally hips. Osteotomies are operations which alter the position of the joint surfaces with respect to the bone and do so to “dodge” the bad area and use the smooth, better areas. In addition, I participate in revision or re-do of hip and knee replacements. I also handle other orthopaedists’ complications. My specialty helps diminish patients’ pain, increases mobility, and generally improves the patient’s quality of life. I am a fulltime professor at the State University of New York at Buffalo, and department head of Orthopaedics at Buffalo General Hospital. I teach residents, fellows and medical students. These house staff participates in my surgeries as well as patient visits while in hospital and in an outpatient setting. They assist and perform at my surgery with supervision. My research activity has involved clinical reports of hip and knee techniques in particular cases and assessment of levels of quality improvement. I devised an activity scale, which is really quite important in assessing levels of improvement and severity of the patient’s condition, pre- and postop. I also invented the first computerized total knee replacement apparatus, as well as the creation of the Krackow suture, which is recognized by nearly all orthopedists. I believe my type of work enhances the life quality for the patient. And, in addition, we educate important young doctors – the residents and fellows. I joined UBMD Orthopaedics in 1992 when I resigned from John’s Hopkins. Our SUNY at Buffalo Department of Orthopaedic Surgery is magnificent with its faculty and residents who are trained in all of the subspecialties of orthopaedic surgery. It has been a great run, and I am still running with it!
Concussion; Sports Medicine; Sports Medicine - Internal Medicine
As a primary care sports medicine physician, my goal is to provide the best evidence-based evaluation and treatment practices to patients with concussion and post-concussion syndrome and to conduct clinical and physiological research on these conditions. I currently serve as medical director of the University at Buffalo Concussion Management Clinic, which is located at UB South Campus. This is the first center in the United States to use a standardized treadmill test to establish recovery from concussion and to use exercise in the rehabilitation of patients with prolonged concussion symptoms. I’m also the director of outcomes research for the Department of Orthopaedics and program director for the UB Primary Care Sports Medicine fellowship. My primary research interest is the investigation of the basic mechanisms of the disturbance of whole body physiology in concussion and how to help to restore the physiology to normal to help patients recover to safely return to activity and sport. I have published in the fields of orthopedics, sports medicine, physiology, nutrition, concussion and post-concussion syndrome. As a professor of Clinical Orthopaedics, Internal Medicine, and Rehabilitation Sciences at the University at Buffalo School of Medicine and Biomedical Sciences, I enjoy educating the next generation of physicians. I am proud to say that the educational experience at UB exposes young physicians to exceptional patient care based upon the latest research and that their experience is informed and enhanced by immersion in the research experience itself.
General Orthopaedics; Sports Medicine
My clinical practice has recently changed from traditional arthroscopic and sports related orthopedic surgery to focus on non-operative sports medicine and orthopedics. While I will still see patients with problems and complaints across the musculoskeletal spectrum, I will focus on problems of the shoulder and the knee, referring to my surgical partners when necessary. The time gained from no longer going to the operating room will be used to expand my roles as a teacher and a clinical researcher. Teaching is a major focus of mine, as I have coordinated and written a curriculum for instruction in the Department of Orthopedics Arthroscopy Lab for the last 8 years. I plan on expanding that role by increasing the time spent with the residents and fellows, and by formalizing the first week of each rotation so trainees can ramp up their skills away from the pressure of the operating room. This should improve the level of knowledge, and enhance the efficiency and speed of our students with respect to arthroscopic anatomy, and acquisition of the psychomotor skills required for surgical arthroscopy. Through a generous philanthropic gift, we were able to purchase a virtual reality arthroscopic surgery simulator. We have now trained four years of resident classes on the simulator, and continue to upgrade the system’s hardware and software. I teach an upper level fourth year medical school course – Anat 801 Clinical Musculoskeletal Anatomy in the spring of each academic calendar. My research interests in the basic sciences relate to the biomechanics of the shoulder and the knee, with the most recent project sponsored by Carestream Health to investigate the advantages of a new prototype portable 3D cone beam CT scanner. I participate in the Department’s largest clinical trial investigating the relationship of a surgical chondroplasty to clinical outcome when performed or withheld during arthroscopic meniscal surgery. I am active in pursuing clinical questions that can be answered by statistical review of our practice’s ACL database, or by performing metaanalysis on the literature regarding rotator cuff tear. I serve on a committee that supervises and reviews the research projects of our Department’s Orthopedic Residents in training. I have also advised PhD candidates seeking advanced degrees in the Departments of Exercise Science and Anthropology. I am very fulfilled by participating in the above – the three pillars of activity – clinical medicine, teaching, and research.
Orthopaedic Surgery; Lower Extremity Joint Replacement & Reconstruction; Adult Hip & Knee Arthroplasty; Hip & Knee Arthroplasty; Hip Arthroscopy
My clinical practice is divided between musculoskeletal oncology and hip reconstruction. The two halves of my practice compliment themselves nicely to maximize my analysis of all aspects of my patients care. Orthopedic oncology focuses on the care and treatment of benign and malignant tumors of bone and soft tissue from infancy to geriatrics while hip reconstruction requires similar in depth knowledge of normal and pathologic anatomy, physiology and kinematics from infancy to geriatrics. I am a clinical professor of orthopedic surgery that specializes in the teaching of minimally invasive hip replacement, arthroscopic management of hip preserving surgery and musculoskeletal oncology. Interaction with the residents stimulates me to keep current with the fund of growing orthopedic knowledge and to investigate what is not yet known. My research efforts are focused on the clinical results of our combined multidisciplinary team approach to our pediatric oncology patients, the advancement of hip arthroscopic techniques and minimally invasive hip replacement surgery. We recently completed our institutional review of our treatment of osteosarcoma with white blood cell stimulating agents and presented it at an international oncology meeting; subsequently we are preparing a multi –institution study. Our latest hip arthroscopy advanced technique, a novel portal bridge technique, is accepted for publication in the journal of sports medicine and we are following that up with a new arthroscopic suture retraction and portal technique. Most exciting is our recently developed minimally invasive Watson-jones approach for total hip replacement which we have recently written up for publication and industry support for education. I am also working on an arthroscopically assisted total hip approach. I joined UBMD Orthopaedics and Sports Medicine in 1993 and remain most interested in the diagnosis and treatment of disorders of the hip and the cure of childhood malignant tumors of bone and soft tissue.
Adult Hip & Knee Arthroplasty; Hip & Knee Arthroplasty; Knee Surgery; Lower Extremity Joint Replacement & Reconstruction; Orthopaedic Surgery; Surgery - Trauma; Trauma & Reconstructive Surgery
As an orthopaedic surgeon, my practice is centered on providing the highest level of orthopaedic care for fractures and lower extremity joint reconstruction. From simple fractures to complex pelvic trauma, I take pride in personally delivering the care my patients need. The same focus on personal care applies to my elective practice performing hip and knee replacement. In addition to seeing and treating patients in Western New York, I enjoy keeping up with current research topics. My research interests include orthopaedic trauma outcomes and pain management in the acute setting, as well as utilization of three dimensional imaging technology in orthopaedic patient assessment and preoperative planning. I joined the Department of Orthopaedic Surgery in 2008, and am currently the program director for our residency program. I enjoy the challenges and rewards of training future generations of orthopaedic surgeons. Teaching enriches my practice as it requires me to be at the top of my game and to stay current with the latest practices and techniques in the field.
Adult Hip & Knee Arthroplasty; Arthroplasty; Hip & Knee Arthroplasty; Knee Surgery; Lower Extremity Joint Replacement & Reconstruction; Orthopaedic Surgery; Reconstruction
As a member of the Department of Orthopaedic Surgery, I have always tried to maintain a healthy balance between my clinical practice, my educational duties, and my research endeavors. By incorporating these three facets into my professional life I believe that I am able to provide the highest quality care to my patients while giving back to the community as a whole through both teaching and scientific research. I subspecialize in hip and knee arthroplasty including complex deformity and revision cases. Hip and knee replacements are some of the most successful procedures in all of medicine today. It is very gratifying to me to be able to restore function and provide pain free mobility to patients who have been afflicted with debilitating arthritis, congenital deformity or post-traumatic joint problems. I have been fortunate to be at the forefront of the development and use of computer navigation for knee replacement. I have also been a leader in the development of less-invasive hip replacement techniques that have allowed patients to go through the surgery process with much less pain and a more rapid recovery. Most of my research activities have been in the area of clinical studies. I believe that it is important to critically look at what we are doing today in order to build upon our current knowledge for an even better tomorrow. Along with Residents, Fellows, and students and in conjunction with our full-time research personnel we are constantly striving to learn better ways to provide quality care to our patients. Education is a large part of my daily professional life. During my own training I came to realize how important it was to have great teachers and mentors. I believe that working in an environment where trainees are constantly questioning what we are doing pushes us to strive for even greater results. I also feel fortunate to play a role in the education of our future physician leaders.
Adult Hip & Knee Arthroplasty; General Orthopaedics; Hip & Knee Arthroplasty; Knee Surgery; Lower Extremity Joint Replacement & Reconstruction; Orthopaedic Surgery
I currently serve as a clinical assistant professor in the Department of Orthopaedic Surgery with subspecialty interest in lower extremity adult reconstruction. My interest includes taking care of and improving the outcomes for most difficult situations we face in my subspecialty including infections and complex revisions. I am also passionate about improving the outcomes of primary joint replacement and training the future surgeons in good predictable techniques in primary joint replacement thereby decreasing the load of revision surgeries. I primarily operate out of Buffalo General and Kenmore Mercy hospitals and am also actively involved in the value analysis of various implant choices and treatments so that we can provide affordable care by demand matching. We are also involved in various research projects incorporating new techniques to improve clinical outcomes. “Change is inevitable” this is the moto that drives me. The current standard of care will be an outdated concept in future. Just as anything else in medicine, we continue to evolve, especially in our field of orthopaedic surgery, to better diagnose and treat various ailments that cripple our patients there by increasing their productivity and quality of life. We as an organization and me, personally take pride in positioning ourselves at the forefront of this process of evolving into better health care providers while critically evaluating the value of the new treatments and also training the future surgeons to have a solid base to launch further in the advancement of the field. The main focus of my practice is the patient care and improving outcomes by innovation while also educating future surgeons. I feel proud and privileged to be associated with an organization such as UBMD Orthopaedics and Sports Medicine that places me in the position and provides me the tools to achieve the goals I strive for.
Arthroscopic Surgery; Orthopaedic Surgery; Sports Medicine
I care for patients with various orthopaedic conditions by maximizing the nonsurgical options available for treatment. In cases where nonsurgical options will not help return my patients to full function, I perform surgery. I focus my surgical practice on outpatient arthroscopic procedures of the shoulder and knee, including but not limited to arthroscopic rotator cuff repairs, labral reconstructions following shoulder dislocations, anterior cruciate ligament (ACL) reconstructions and knee cartilage procedures involving the meniscus. I help my patients make informed decisions about their health. I also help them understand the expectations for recovery that come with each treatment option—as well as what will be required of them to recover function. I am dedicated to improving the lives of my patients through compassionate, high quality medical care. My research projects directly support my patient care. They include flexible reaming technology in ACL reconstructions, biomechanics of ACL reconstructions and outcomes of rotator cuff repairs in elderly patients. The goal of this research is to improve the outcomes of patients undergoing orthopaedic surgery and receiving treatment for the multitude of musculoskeletal conditions. Medical students and UB college students interested in careers in orthopaedics may collaborate with me through the UBMD Orthopaedics Summer Research Program or by contacting my office. I foster a hands-on approach for students who conduct research with me, so that they can decide whether research is a career path they want to pursue. I teach musculoskeletal evaluation and management skills to medical students, residents and fellows. I have taught the musculoskeletal Clinical Practice of Medicine (CPM) course for second-year medical students every year since 2007. Since musculoskeletal care is often focused on nonsurgical treatments as a way for patients to improve, I teach students how to assess patients’ capacity for, and commitment to getting better, and to manage patients’ expectations for recovery. I also teach courses on orthopaedic surgery. I have worked with industry to teach orthopaedic surgeons around the world to perform ACL surgery more efficiently and safely. I also have helped develop new instrumentation and techniques for ACL surgery. As a UB faculty member, I teach at the bedside, in the operating room, in the office and in the physical therapy clinic. My students actively participate in their learning, together with me, in each of these venues.
Foot & Ankle Surgery; Orthopaedic Surgery; Surgery - Trauma
As an orthopaedic physician, the focus of my practice is complex foot and ankle deformities. Total ankle replacement, lower extremity osteotomies and complicated hindfoot fusions are unique aspects of my practice. There are many people that have arthritic deformities of the foot and ankle, often from previous traumatic injuries, that have difficulty with normal daily activities or difficulty simply walking any distance without pain. Surgical and non-surgical options exist for these patients to return them to higher levels of function with less pain. I joined UBMD Orthopaedics & Sports Medicine in 2004 when I returned to my hometown of Buffalo, upon completed of my medical education. I am board-certified by the American Board of Orthopaedic Surgery and a fellow of the American Academy of Orthopaedic Surgeons. I also maintain membership in the American Orthopaedic Foot and Ankle Society, New York State Orthopaedic Society, Western New York Orthopaedic Society and Erie County Medical Society. In addition to my clinical practice, I participate in educating medical students and residents at the University of Buffalo, as I serve as an assistant clinical professor. I also continue to lecture at local and national conferences on reconstruction of the foot and ankle. Through my affiliation with the University of Buffalo, I continue to be involved in related research projects with abstract and presentations at national meetings as well as publications in peer reviewed journals.
Foot & Ankle Surgery; Orthopaedic Surgery
As an orthopaedic surgeon, my clinical expertise is in taking care of patients with orthopaedic foot and ankle problems. This includes both non-operative and operative care of patients with Achilles tendon disorders, posterior tibia tendon dysfunction, sports injuries, arthritis, forefoot reconstruction, bunions, toe deformities, neurologic disorders, and trauma. Presently I practice out of Erie County Medical Center, where I put forth nothing but tremendous effort into caring for my patients. Currently I take part in research with our orthopaedic residents. One study involves radiographic stress testing and ankle fractures using cadaveric specimens, and the second study involves a retrospective clinical study of ankle blocks and hallux valgus surgery. Such research will allow us to improve our care of patients and help move the practice of orthopaedic surgery forward. I have been a faculty member with the Department of Orthopaedic Surgery since 1990, upon completion of my medical training. I’ve enjoyed the sense of teamwork and professionalism working alongside my fellow faculty members. In particular I’ve enjoyed teaching our orthopaedic residents and medical students. All of the above have driven me to try to provide the best care I can give to my patients in an intellectually stimulating environment.
Adult Hip & Knee Arthroplasty; Hip & Knee Arthroplasty; Knee Surgery; Lower Extremity Joint Replacement & Reconstruction; Orthopaedic Surgery; Reconstruction
As an orthopedic surgeon my clinical practice focuses on adult hip and knee reconstructive surgery. Practicing in Buffalo for the last thirty-two years has equipped me with a wealth of experience and expertise in caring for patients from diverse cultures from around the globe. I currently see patients out of the UBMD Orthopaedics & Sports Medicine office in Amherst, New York, but my primary hospital is the Buffalo General Medical Center. Here I work with orthopedic residents and a dedicated team of orthopaedic nurses, technologists, therapists and social services professionals. I enjoy the teaching component of my faculty role, which includes mentoring of orthopedic residents as well as medical and nursing students. Together with other medical professionals, we promote research projects aimed at improving the care we provide for our patients. I feel fortunate to be an assistant clinical professor for the Department of Orthopaedics, and look forward to many more opportunities to serve the orthopaedic needs of Western New York.
General Orthopaedics; Sports Medicine
Since joining UB’s Department of Orthopaedics in 1991, my passion has been caring for athletes. This passion continues today providing medical and orthopeadic care to the UB Bulls as their head team physician. Though I am now focused on the nonoperative care of competitive and recreational athletes, I also care for the orthopaedic injuries of adolescent, adult and elderly. Currently, I see patients at Jericho Road Community Health Center, and the ECMC Orthopaedic Clinic. I also see patients and perform surgery at the Buffalo VA Medical Center (Buffalo VAMC). Here, I typically care for our injured veterans who selflessly served our country. My philosophy in caring for patients is this: whether on the athletic field or battlefield, or in the arena of daily life, patients of every age should feel that they are being cared for by a physician that wants to get them back in the game of life, fully functional, as quickly as possible. I strive to deliver this kind of high quality, patient-focused medical care to every patient I see. Teaching, mentoring and volunteering are also passions of mine. I continue to volunteer with The Hope For Tommorrow Foundation traveling yearly to impoverished countries on surgical missions. At UB, I lecture on the musculoskeletal system, and I work with orthopaedic residents and fellows, nurse practitioner and physician assistant students during their clinical rotations. I believe that training the doctors of tomorrow is a significant way I can give back to the community I was raised in.
I am an orthopaedic consultant and evaluate patients in my office at the Erie County Medical Center (ECMC), a Level I trauma center. As a former surgeon at ECMC, I draw from my years of experience to offer insight and personalized attention to diagnosis, decision-making and treatment for our nonsurgical orthopaedic patients. My initial career focus was treating patients with multiple injuries and complex fractures as well as practicing general orthopaedics and sports medicine. I also performed total joint arthroplasties. Throughout my residency and early career, I had a keen interest in shoulder pathology. While continuing my work in trauma and general orthopaedics, my concentration and expertise advanced to total shoulder replacement, rotator cuff repair and shoulder reconstruction for the remaining years of my operative career. My affiliation with the Department of Orthopaedics has spanned more than twenty-five years. Additionally, I have held the position of Chief of Orthopaedics at ECMC for well over a decade. As chief, I am committed to the continued growth of a world-class orthopaedic department specializing in trauma, total joint reconstruction, shoulder, foot and ankle, upper extremity, spine and sports medicine. I remain active in our growing orthopaedic residency program that produces some of the most competent orthopaedic surgeons in the country. As a faculty member, I mentor and teach residents, lead orthopaedic clinics and collaborate on research projects primarily involving shoulder arthroplasty. I am actively involved in our weekly orthopaedic conference, which provides a forum for our surgeons-in-training to discuss thought-provoking and challenging cases. I expect our trainees to know not only how to perform an operation, but more important, WHO to operate on. I also expect our residents to graduate from our program appreciating the importance of the patient as a whole person, and not simply their orthopaedic problem. From me, trainees learn to be a patient-centered physician. I emphasize the importance of listening and the skill of asking the right questions of patients. I have taught and mentored over 120 residents, countless medical students and many allied health professionals. I think of my mentors and use daily the skills and insights they taught me in educating and training the next generation of orthopaedic physicians. Teaching is one of the most gratifying aspects of my career.
Orthopaedic Surgery; Sports Medicine; Arthroscopic Surgery
My clinical practice focuses on comprehensive treatment of knee and shoulder conditions. I returned back to my hometown in 2003 to join UBMD Orthopaedics & Sports Medicine. I am currently a clinical assistant professor and full-time faculty member at the University at Buffalo. I chose the subspecialty of sports medicine because it allows me to return patients to a healthy, active lifestyle through diagnosis and treatment. My practice spans Western New York with offices in Orchard Park, Amherst and Niagara Falls. Surgical procedures are performed in Niagara Falls and Amherst, where I’m the clinical chief of orthopaedics at the Ambulatory Surgery Center. My patient population ranges from adolescents to adults and athletes from the weekend-warrior to the elite, professional athlete. I am currently the head team physician for University at Buffalo as well as head orthopaedist for NCCC. My surgical interests include ligament (ACL) reconstruction and meniscal work in the knee and rotator cuff, and instability in the shoulder. As director of the WNY Cartilage Restoration Center, I have a particular interest in knee cartilage preservation and restoration. The latest surgical technical advances and innovative research has allowed the center to provide the highest quality care for patients with injury and aging of the knee’s articular cartilage. My full-time academic appointment and affiliation with UBMD has allowed me to remain active in the teaching and learning environment. I feel this has allowed me to provide my patients with the highest level of care. My research efforts include studying the effects of different types of treatment options for both articular and meniscus cartilage injuries. I am fortunate to be a part of the UBMD Orthopaedics and Sports Medicine group of physicians and to practice in my hometown. I enjoy being a part of the community and participating in the care of patients through the continuum of prevention, treatment and recovery of their injuries.