Orthopaedic Trauma Service
Chief:William M. Ricci, MD
Visit the Service Page for the full faculty listing.
The HSS Trauma Service strives to lead the field of orthopaedic trauma by focusing on patient care, education, research and staff development.
In June 2021, Orthopaedic Trauma Service surgeon Daniel Dziadosz, MD, was awarded the Philip D. Wilson, Jr., MD, Teaching Award, which recognizes an HSS attending physician who has demonstrated an outstanding commitment to resident education as deemed by the graduating chief residents. This tremendous honor exemplifies the commitment of Dr. Dziadosz, and the entire service, to fostering the growth and development of future leaders in the field of orthopaedic trauma surgery.
Another example of the success of the Orthopaedic Trauma Service in this arena is our fellowship program. Through mentorship, the program continues to be one of the best in the country, having been awarded competitive grants for fellowship education and research from the Center for Orthopaedic Trauma Advancement and Smith + Nephew Medical Education grants. The quality of the fellowship is evidenced by the quality of applicants; we have matched two of our top four applicants for the upcoming 2022-2023 academic year.
The Orthopaedic Trauma Service was delighted to host Heather A. Vallier, professor of orthopaedic surgery at Case Western Reserve University School of Medicine and Orthopaedic Trauma Association President, at this year’s HSS Annual Orthopaedic Trauma honorary lecture series. Dr. Vallier’s lecture, “Timing of Orthopaedic Surgery in Multiple Trauma Patients: Development of a Protocol for Early Appropriate Care,” was enlightening and extremely well received.
Gruskay JA, Dvorzhinskiy A, Konnaris MA, LeBrun DG, Ghahramani GC, Premkumar A, DeFrancesco CJ, Mendias CL, Ricci WM. Universal Testing for COVID-19 in Essential Orthopaedic Surgery Reveals a High Percentage of Asymptomatic Infections. J Bone Joint Surg Am. 2020 Aug 19;102(16):1379-1388. doi: 10.2106/JBJS.20.01053. PMID: 32516279
LeBrun DG, Konnaris MA, Ghahramani GC, Premkumar A, DeFrancesco CJ, Gruskay JA, Dvorzhinskiy A, Sandhu MS, Goldwyn EM, Mendias CL, Ricci WM. Hip Fracture Outcomes During the COVID-19 Pandemic: Early Results From New York. J Orthop Trauma. 2020 Aug;34(8):403-410. doi: 10.1097/BOT.0000000000001849. PMID: 32482977
O'Toole RV, Joshi M, Carlini AR, Murray CK, Allen LE, Huang Y, Scharfstein DO, O'Hara NN, Gary JL, Bosse MJ, Gardner MJ, Ricci WM, Spraggs-Hughes A, Collins SC, Taylor TJ, Zadnik M et al. Effect of Intrawound Vancomycin Powder in Operatively Treated High-risk Tibia Fractures: A Randomized Clinical Trial. JAMA Surg. 2021;156(5):e207259.
In the upcoming year, we will continue to focus our efforts on optimizing patient outcomes through a variety of research initiatives.
The service received startup funding via an HSS Surgeon-in-Chief Grant for a translational research project that will be a collaboration between Service Chief William Ricci, MD, and HSS resident Gregory Schimizzi with the basic science laboratory of Baohong Zhao, PhD, in the HSS Research Institute. This research is focused on determining the cellular and molecular composition of human fracture hematoma at different time points after injury. The primary goals of this exciting and novel project are to enhance and accelerate healing for patients with fractures.
The John P. Lyden, MD, Fracture Service Fund provided funding to support research studies to assess the effect of surgical interventions on the vascularity of tissues. Specifically, these research efforts are currently focused on using quantitative-MRI analysis and computed tomography imaging to assess the effect of suture repair techniques on patellar tendon vascularity. The project aims to provide a more precise understanding of patellar tendon vascularity and may help in optimizing associated surgical approaches utilized in multiple orthopaedic subspecialties.
We are also concentrating efforts on fractures and nonunions in the geriatric and non-geriatric patient populations. We are seeking to leverage collaborations with colleagues in medicine, cardiology and anesthesia to minimize delays to surgery and maximize postoperative care pathways. Shorter length of hospital stays, improved patient satisfaction and fewer complications are among the goals.
We anticipate going live in 2022 with a customized outcomes research tool to help us collect valuable patient-reported outcomes. The sophisticated and highly efficient computer adaptive testing system, known as PROMIS CAT, will be applied to every patient at every postoperative visit. This will allow us to collect a tremendous volume of data to be used for state-of-the-art orthopaedic trauma outcomes research as well as aid in point-of-care decision-making. This effect was largely enabled by philanthropic support.