carilion clinic department of orthopaedic surgery information booklet

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  • ORTHOPAEDICS

    DEPARTMENT OF ORTHOPAEDIC SURGERY

    CarilionClinic.org/ortho

  • Department of Orthopaedics

    Not pictured: Michael S. Helvey, D.O.; Robert B. Stephenson, M.D.; Peter J. Apel, M.D., Ph.D.; Benjamin R. Coobs, M.D.; Jon R. Maher, M.D.; Robert B. Schopf, D.P.M.; Jesse B. Seamon, M.D.

  • Chairmans Letter

    It is with great pride and honor that I write to you as Chairman of the newly formed Department of Orthopaedic Surgery at Carilion Clinic. On June 1, 2014, Carilion Clinic added the Department of Orthopaedics to its organizational structure, which formally integrated the Carilion ortho-paedic practices in the Roanoke Valley, New River Valley, Giles, and Lexington into the first new department added since the incep-tion of Carilion Clinic. One month later on July 1, 2014, the Department of Orthopae-dic Surgery officially became a department of Virginia Tech Carilion School of Medicine (VTCSOM).

    The journey began in 2006, shortly after the formal announcement that Carilion Health System would evolve into a clinic model. With the help and support of my colleagues from Carilion Bone and Joint and associ-ates of Roanoke Orthopaedic Center, we began to explore the concept of building a comprehensive orthopaedic group. Moving forward to 2010, Carilion Bone and Joint Center and Roanoke Orthopaedic Center

    formally joined together, becoming Carilion Clinic Or-thopaedics. With the formalization of our depart-ment we now are a

    unified entity pro-viding comprehensive

    orthopaedic services to central and southwest

    Virginia. Collectively, we have made significant progress

    and were privileged to have more than 65,000 outpatient visits in our Roanoke locations last year. That averages out to 250 patient visits per business day. In addition, for the past two years, our surgical volume has been 20 percent greater than any other medical center in the state. We hope this is validation of our spectrum of services provided in a patient-centered, excel-lence-focused approach to orthopaedics.

    As part of our new structure with VTCSOM, third- and fourth-year students at the school will now have three clinical rotation options in orthopaedics in addition to their eight core rotations. With the addition of the new department, students will be ex-posed to a healthy selection of orthopaedic subspecialties, such as adult reconstruction and total joint replacement, hand surgery,

    spine and pediatric orthopaedics, sports medicine, foot and ankle, and trauma.

    Finally, the Carilion Clinic Orthopaedics- Musculoskeletal Education and Research Center was established. This group of or-thopaedic clinicians/scientists engages the students in a mentor relationship to expose them to participation in and performance of musculoskeletal research and fosters their interest in research in coordination with the VTCSOM mission.

    It is our goal to provide outstanding patient-centered care, teaching opportu-nities for medical students, residents and fellows, and participate in clinical and basic science research. We have attracted top candidates completing very prestigious fellowship programs, further strengthening our departments expertise. I am humbled by the support and confidence Ive received and eager to set in motion the next level of orthopaedic care for our region.

    Sincerely,

    Joseph T. Moskal, M.D., F.A.C.S.Chairman, Department of Orthopaedic Surgery

  • The section of adult reconstruction is comprised of five full-time surgeons who collectively perform approximately 1,500 joint replacements each year in addition to hip arthroscopy and joint preservation. We are proud to be awarded the gold standard for certification by Joint Commission for Disease Specific Care for Total Hip and Knee Replacements. The initial certification was received in July 2007. Gaining popularity worldwide is the anterior approach to hip replacement, a procedure we have

    been performing since 2009. Carilion brought this new technique to the region and has completed

    more than 2,000 of these surgeries. Our results show a shortened recovery period,

    less pain, reduced length of stay, and quicker return to daily activities, including driving and working.

    The section continues to focus efforts on quality outcomes, patient safety, and de-

    veloping community education programs. We hold monthly meetings with represen-

    tatives ranging from physicians and nurses, to pharmacy and dining services staff. Cooperative-

    ly, we continually review outcomes and have been able to significantly decrease our blood utilization, increase patient satisfaction scores to a record high,

    and shorten our length of stay, exceeding national averages. We continue to monitor 30-day bounce back in lowering any necessary hospital readmis-sions.

    Education is vital to our future and we are pleased to offer an ACGME-accredited fellowship in adult reconstruction. In addition, our outpatient joint coordinator has been recognized for building a bridge between her role and the various team mem-bers involved in the surgical process. The patient becomes part of the process, simplifying the complex process of total joint arthroplasty. Challenges con-tinue; however, this strategic approach has improved problem-solving, cultivated an open culture, and fostered educational opportunities. We are commit-ted to furthering our clinical care into unsurpassed patient care.

    OUR ADULT RECONSTRUCTION FACULTYRoanoke and New River ValleyJoseph Moskal, M.D., ChairmanJeffrey Chain, M.D.Ryan Harris, D.O.John Mann, M.D.Michael Wolfe, M.D.Benjamin R. Coobs, M.D. (August 2015)

    Section of Adult Reconstruction

  • The foot and ankle section treats the entire spectrum of foot and ankle issues, ranging from injury and sports problems to the effects of aging. Fractures are managed both with surgical and nonsurgical treatments. Arthritis of the foot and ankle has many treatment options, including ther-apy, medication, fusion, and replacement. Ankle instability or tendon injuries after sports mishaps can be effectively treated to get patients back in their game. Defor-mity of the foot or ankle can interfere with everyday activities and can also be correct-ed, much improving quality of life. Diabetic foot problems can be limb threatening; limb salvage techniques are readily available.

    Deformities of the foot and ankle related to stroke, brain injury, or nerve injury can be corrected, much improving a patients ambulatory ability. Many patients are able to become brace-free.

    We are dedicated to improving care

    for our patients and actively par-

    ticipate in research. Currently, we have three

    ongoing FDA trials inves-tigating topical medications

    used in venous leg ulcerations and diabetic foot infections. Our third podiatry resident class began July 1, 2014. We are excited to finally reach full maturity and look forward to continue to develop a curriculum that supports evidence-based practice and learning.

    OUR FOOT AND ANKLE FACULTYRoanoke, New River Valley, Lexington, Franklin, and Westlake James Chandler, M.D., Co-ChiefJ. Randolph Clements, D.P.M., Co-ChiefJohn L. Clements, D.P.M.Jason Naldo, D.P.M.Marc Platt, D.P.M.Robert B. Schopf, D.P.M. (August 2015)

    Section of Foot and Ankle

  • We are pleased to offer several new services to better serve our patients and referring physicians. We have expanded our Westlake clinic to five days a week, providing care closer to home for the residents of Franklin and Bedford counties. For patients who need to be seen in a timely manner for routine orthopaedic needs, we offer same-day appointments in Roanoke and Westlake. We continue to offer an after-hours clinic four days a week at our Riverside location in Roanoke as well. Our seasoned group of general ortho-paedists offers expert care in diagnosing and treating orthopaedic conditions.

    OUR GENERAL ORTHOPAEDIC FACULTYAll Carilion Orthopaedic LocationsJoseph Moskal, M.D., ChairmanDallas Crickenberger, M.D.Michael Helvey, D.O.Douglas Kells, M.D.Robert Stephenson, M.D.

    Section of General Orthopaedics

  • We offer comprehensive care for conditions of the hand and upper extremity for patients of all ages.

    Non-operative, surgical, and supervised reha-bilitation services are provided for congenital, acquired, traumatic, and arthritic problems that lead to pain, deformity, and loss of func-tion of the upper extremity.

    Problems commonly cared for and services provided include:

    Birth deformities of the hand Benign and malignant tumors of the hand Arthroscopy of the wrist, elbow, and shoulder

    Treatment of fractures, sprains, tendon injuries, and lacerations of the hand, wrist, elbow, and shoulder (rotator cuff and labral tears) using modern techniques of internal fixation and rehabilitation

    Shoulder replacement Collagenase injections for Dupuytren Contracture Disease

    Treatment of acute and chronic nerve problems in the upper extremity, includ-ing carpal tunnel syndrome, using both

    endoscopic and open decompression tech-niques for pinched nerves in the hand, wrist, and elbow

    Repair of injured nerves and blood vessels in the hand and arm using modern micro-surgical techniques

    Tendon and nerve transfers of the hand and upper extremity

    Treatment of arthritic conditions of the hand, wrist, elbow, and shoulder using modern techniques such as fusion and joint replacement (standard and reverse total shoulder) when needed

    OUR HAND SURGERY FACULTYRoanoke and LexingtonHugh J. Hagan III, M.D., ChiefCesar J. Bravo, M.D.Horatiu Dancea, M.D.Cassandra Mierisch, M.D.Cay Mierisch, M.D.Peter Apel, M.D., Ph.D. (September 2015)

    Our certified hand therapists include: Amy Conforti, O.T., C.H.T.; Patti

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