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.
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.
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.
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.
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.