Congratulations to PGY-4 resident, Mitchell Klement, MD, who was featured in Business Insider and Reuters

MitchPatients with mental illness fare worse after hip surgery

(Reuters Health) – People with psychiatric illnesses are more likely to have complications after hip replacement surgery, according to a recent analysis.

This added risk is something doctors and patients should discuss in advance, the study team writes in The Journal of Arthroplasty.

Previous studies have linked depression and other mental illnesses to greater complications after surgery and worse outcomes for patients, the researchers note.

In particular, patients with psychiatric disease are known to have more complications after cardiac, spine and general surgery, lead author Dr. Mitchell Klement told Reuters Health.

“We wanted to see if the same effect was true in total hip replacements,” said Klement, an orthopedic surgery resident at Duke University Medical Center in North Carolina.

Read the original article on Reuters. Copyright 2016. Follow Reuters on Twitter.

SOURCE: The Journal of Arthroplasty, online March 17, 2016.

William Eward, DVM, MD, featured in Raleigh Magazine

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We would like to congratulate William Eward, DVM, MD, who was featured in Raleigh Magazine for his work with the Consortium for Comparative Canine Oncology, a collaboration between the Duke Cancer Institute and North Carolina State University College of Veterinary Medicine. Duke and NC State have joined forces to further explore new cancer therapies offering better efficacy and less toxicity for both humans and canines. Researchers at both institutions are studying naturally occurring cancers in humans and canines and this collaboration will allow investigators to leverage research and resources to benefit both species, ensuring better treatments and outcomes.

You can read the full article here.

Anand Joshi, MD, begins #lowbackpain Educational Series on Twitter

Starting Wednesday, April 27, 2016, Dr. Anand Joshi (@AnandJoshiMD) will be posting a series of educational videos designed to give early-stage learners background on the evaluation of #lowbackpain, so they can be better prepared to see patients when they come to clinic. One video will be posted each week, and the first video tweeted can be found here.

We encourage anyone interested to join the discussion today!

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John Lohnes recognized for Outstanding Leadership in Waste Reduction

Lohnes photoDuke Honors Sustainability Leaders

Awards presented to faculty, staff for commitment to environment
By Bryan Roth

Faculty, staff and students gathered in April to recognize and celebrate a campus-wide commitment to sustainability as part of Duke’s annual sustainability awards.

Sustainable Duke and Duke Sanitation and Recycling, co-sponsors of the event, honored community members nominated by peers for “green” actions that support a commitment to sustainability and carbon neutrality by 2024. Initiatives range from recycling programs to donating reusable medical equipment to health organizations around the world.

“If we are going to solve global problems, we all have to start with ourselves,” said Tim Profeta, director of the Nicholas Institute for Environmental Policy Solutions, who offered closing remarks at the event. “We have so start where we live and where we work, and thats why all we do what we do at Duke.”

Outstanding Leadership in Waste Reduction
Sarah P. Duke Gardens Green Team

Comprised of seven employees from Duke Gardens, the Green Team leads a waste reduction program. Some accomplishments include donated the wood of fallen trees, installing recycling bins, reusing leaves for compost and chipping brush for mulch. Last year, the group led an effort to recycle 4,578 pounds of waste metal.

John Lohnes, physician assistant, Duke Orthopaedics

For more than 10 years, Lohnes has helped run REMEDY, a volunteer program that recovers usable surplus medical supplies from Duke Hospital for distribution to local and global areas of need. With the help of student volunteers, supplies are donated to Duke affiliated and non-profit global health organizations and programs.

“A Neurobiological Consideration of Humor,” by Leonard White, PhD

Screen Shot 2016-04-28 at 9.05.32 AMLeonard White, PhD, recently participated in a unique interdisciplinary conference on humor at the University of North Carolina Chapel Hill (see website for complete description of the conference: His talk and demonstration was entitled, “A Neurobiological Consideration of Humor”.  In keeping with his teaching style, he brought human brain specimens to demonstrate to the diverse audience how the brain processes humor. The audience included social scientists, psychologists, philosophers, humanists, feminists, humorists, television “sit-com” writers and producers, professional comedians, and students from a variety of disciplines. Several attendees gathered around the brains at the conclusion of the presentation for a closer look, to ask questions, and to hold a brain.

Pain-free after shoulder and knee surgery | Featuring Andre C. Grant, MD

Pain-free after shoulder and knee surgery

April 15, 2016

After two successful arthroscopic surgeries at Duke, Lieutenant Colonel Todd Turner is pain-free and ready for his next assignment.

Fit for duty

Colonel Todd Turner, 43, is used to physical wear and tear. A helicopter pilot in the U.S. Army for more than 20 years, he led soldiers at the platoon level and up to the battalion level while serving in the Pacific, Europe and Afghanistan.

But Turner’s time playing football as a cadet at the U.S. Military Academy at West Point probably dealt his body its worst blows. In the early 1990s, he suffered ACL tears in his right knee that required two surgeries. “We played on artificial turf due to the weather there,” he said. “That’s like playing on concrete.” He also took a hit on his right shoulder, which tore his rotator cuff.

Two decades later, the pain from Turner’s past injuries had grown worse. “I’ve been dealing with pain for 20 years,” he said. “I was always able to push through it. But I’d begun having so much pain in my knee and shoulder it was keeping me up at night.”

Last year, Georgia-based Turner spent a year living in Cary and studying at Duke’s Sanford School of Public Policy. It seemed like the perfect time to have his damaged joints repaired. Between moving his family from one place to another and frequent deployments, “you don’t have time for yourself,” he said. “With my schedule as a student, I knew I could do the rehab.”

A quick recovery

andre-c.grant-mdTurner sought out Duke orthopaedic surgeon Andre C. Grant, MD, who specializes in sports medicine ranging from fracture care to ACL reconstruction. “I call it sports ‘trauma’—anything from the neck down that occurs during sports activity,” said Grant. “My patients range from young athletes to older active folks.” A former athlete himself, Grant is active in local sports and provides medical coverage for the NCHSAA state football championship.

Grant performed arthroscopic surgery on Turner’s knee last December. He smoothed the damaged knee cartilage to lessen friction in the joint and removed damaged tissue to allow healthy cartilage to grow and replace it.

Turner’s recovery went so well he decided to schedule surgery on his shoulder last April. Grant faced other degenerative problems there, including bone spurs and tears, but recovery was even easier than for his knee. “My shoulder healed very quickly,” Turner said. “I was literally out of the sling in three days and had almost full mobility.”

Turner’s fellowship ended in the summer and he returned to Georgia with his wife and seven-year-old son, ready for his next assignment—and more fit for duty than ever.

“I don’t have the near-constant pain in my right shoulder or the clicking and pain in my knee when I walk,” he said. “My only regret is not having the procedures done sooner.”

Originally posted by Duke Health at

24th Annual J. Leonard Goldner Visiting Professor: David G. Little, MBBS, FRACS(Orth), PhD

Drs. Ben Alman and David Little

From left to right: Drs. Ben Alman and David Little

J. Leonard Goldner, MD

J. Leonard Goldner, MD

On April 27, 2016, we were honored and delighted to welcome David G. Little, MBBS, FRACS(Orth), PhD, to Grand Rounds as our 24th Annual J. Leonard Goldner Visiting Professor. His talk was entitled, “Current and Future Treatment of Perthes Disease.”

Dr. Little is the head and founder of Orthopaedic Research and Biotechnology at the Department of Orthopaedic Surgery and conjoint professor of Pediatrics and Child Health at the University of Sydney-Children’s Hospital at Westmead in Westmead, Australia. In 2005, Dr Little was awarded his PhD on bisphosphonates in distraction osteogenesis. He has initiated further research on osteonecrosis, fracture healing, and the interaction of the anabolic and catabolic responses in bone repair. His current focuses include improving bone healing outcomes in neurofibromatosis, and using muscle for in vivo bone tissue engineering.


From left to right: Drs. Lou DeFrate, Julie Neumann, Jonathan Godin, and Ben Alman

After Dr. Little’s talk, he, along with Drs. Ben Alman and Lou DeFrate, presented the Annual Award for Excellence in Orthopaedic Research to chief residents Julie A. Neumann, MD, for her talk, “Interposition Porcine Dermal Matrix Xenografts: A Successful Alternative to Traditional Treatment of Massive Rotator Cuff Tears,” and Jonathan A. Godin, MD, for his talk, “The Effects of Time to Return to Sport and Physical Therapy Utilization on Subsequent Anterior Cruciate Ligament Injury after ACL Reconstruction: Local and National Perspectives.”

Please enjoy more photos taken during Grand Rounds below.

Steven A. Olson, MD, FACS, and his patient, Douglas Meckes, DVM, participate in AAOS Capitol Hill Research Days

(From left to right) Dr. Steven Olson, Matt Flynn (Health Care Liaison to Senator Tom Tillis from NC), Dr. Douglas Meckes, and Mr. Craig King (from SC)

From left to right: Dr. Steven Olson, Matt Flynn (Health Care Liaison to Senator Tom Tillis from NC), Dr. Douglas Meckes, and Mr. Craig King (from SC)


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On Thursday, April 14, 2016, Steven A. Olson, MD, FACS, and his patient, Douglas Meckes, DVM, travelled to Washington, D.C., to participate in the AAOS Capitol Hill Research Days and to lobby Congress on the critical need for research funding. Below is a press release from the AAOS, as well as why patients like Douglas Meckes, DVM, hope that further research and physician education will advance the standard of care for trauma patients.

For more information, contact:
Elizabeth Fassbender / / 202.548.4143

For Immediate Release
April 22, 2016

Orthopaedic Surgeons, Patients, and Researchers Personalize the Critical Need for Research Funding

Over 100 Million Americans a Year Identify Bone and Joint Disorders as Their Number One Health Concern

Washington, D.C. — Orthopaedic surgeons, patients, and researchers visited Capitol Hill on Thursday, April 14 to raise awareness about the debilitating and costly musculoskeletal diseases and disorders afflicting millions of Americans and emphasize the need for research funding. Advocacy teams urged Congress to appropriate $34.5 billion in FY 2017 to the National Institutes of Health (NIH) and to support the Next Generation Researchers Act. Continue reading

The Role and Benefits of Free Vascularized Fibular Grafts in Avascular Necrosis of the Hip

Approximately 10,000 to 20,000 new patients are affected by osteonecrosis of the femoral head (ONFH) each year in the United States. Although many joint-preserving procedures are available to treat ONFH, free vascularized fibular grafts (FVFG) can be an appropriate strategy for select patients to relieve pain, preserve or restore the femoral head, and delay the need for total hip arthroplasty. Review factors to consider, including disease stage, etiology, lesion size and location, and the presence of comorbidities, to help determine the most appropriate intervention for individual patients with ONFH.

Screen Shot 2016-04-22 at 12.30.29 PMFACULTY

Marc J. Richard, MD
Orthopaedic Surgeon
Duke University Medical Center
Durham, NC
To learn more about this activity, call (toll-free) 866-858-7434, email, or visit