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.
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.
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.