Poster is in the Top 10 According to AOASSN

Doctor Samuel Adams

Doctor Samuel Adams

Providence, RI– Doctor Samuel Adams of Duke was recently awarded a Top 10 High Scoring Poster from the American Orthopaedic Association.  The poster entitled Post-traumatic Inflammatory Cytokine Profile in Synovial Fluid Following Intra-Articular Ankle Fracture, was among the hundreds of posters submitted.  Dr. Adams poster was selected for its quality, among other winning attributes.  Doctor Adams is to be recognized at the 128th Annual gathering at the Presidents Dinner in Providence, Rhode Island.


The American Orthopaedic Association is hosting its annual event in Providence, RI this year.  The event goes from June 24-27.  See here for the detailed schedule.

Students Awarded Seaber Grant

Anthony V. Seaber

Anthony V. Seaber

Durham, N.C– On May 20, 2015 four Duke University Medical Students were awarded the Anthony V. Seaber Student Fellowship Grant, a fund within the Piedmont Orthopaedic Foundation.  Anthony Seaber was a former Professor at Duke who passed away in July of 2010 and had no greater desire than to aid medical students.  The grant that these students received will help send them to orthopaedic meetings across the country to present new information found in the research laboratories.

Below we have listed the students who accepted the award and the works that they will be presenting when they travel.


Alexander Lazarides, A Novel Intraoperative Laser Ablation System for Treatment of Residual Sarcoma

Colin Penrose, Total Hip Arthroplasty in patients with Parkinson’s Disease: Worth the risks?; Impact of Lumbar Arthrodesis on outcomes after elective total hip arthroplasty; Risks of TKA in Solid Organ Transplant Recipients.

Manoj Sekar, Macrophage-secreted Factors that Rejuvenate Delayed Fracture Healing Characteristic of Ageing.

Abiram Bala, Postoperative Complications of total shoulder arthroplasty in HIV positive patients; Comparison between hard-on-hard and hard-on-soft hip bearings in Medicare population; Perioperative transfusion associated with periprosthetic infection in total elbow arthroplasty.


Pictured from Left to right, Colin Penrose, Alexander Lazarides, Manoj Sekar, Abiram Bala.

Duke Celebrates a History through Chiefs

Durham, N.C– On Monday April 27th at 6:30 pm a celebration of the 5 Chiefs of Staff took place.  As many of you know, Orthopaedics became a department a little more than three years ago, previously being a division in the department of surgery.  While part of surgery, we’ve had five chiefs of the division Alfred Shands, Lenox Baker, J. Leonard Goldner, James Urbaniak, and James Nunley.  To celebrate our past leaders, we’ve commissioned portraits of each of these chiefs and will unveil them at an event held at the Doris Duke Centre in the Duke Gardens on the date above.  Faculty, alumni, former staff and more attended this celebratory event.

Shands Portrait

Shands Portrait

Alfred Shands, Jr:  Establishing the division

The division of orthopaedics was established in the department of surgery in 1930.  Deryl Hart was chair of the department of surgery, and Alfred Shands, Jr was appointed the inaugural division chief.  He established a separate clinical division, and started a residency training program. Dr. Shands left Duke for the DuPont Hospital in Delaware, and also went on to play a critical role founding the orthopaedic research and education foundation. Donors with the highest level of giving to the orthopaedic research and education foundation become members of the Shands circle.




Bakers Portrait

Lenox Baker:  Formalizing residency training

The second orthopaedic surgeon appointed at Duke was Lenox Baker, who became division chief after Alfred Shands departed Duke. He recruited additional faculty, and in 1944 formed the Duke Orthopaedic and Affiliated Institutions Training Program.  This was a formal education program with a full-time director, defined goals, and an organized teaching and clinical experience.  He was a supporter of children’s orthopedics, and the Lenox Baker hospital on duke’s campus is named for him.  He integrated the care of Duke sports teams into orthopedics. After his retirement, he became active in the State Health Department and became the Secretary of the State Department of Human Resources.



Goldners Portrait

J Leonard Goldner: Expanding in size and expertise

In 1967, J Leonard Goldner became chief.  He expanded the size and scope of the residency and the division.  During his tenure, formal research was incorporated into the division, and the division increased the areas of clinical expertise to include all areas of orthopedics.  The residency was expanded to eight residents a year.  He led by example, and promoted perfection in surgical technique across multiple disciplines, as well as exceptional doctor patient interactions.




Urbaniaks Portrait

James Urbaniak: Orthopaedic Innovations

James Urbaniak became chief in1984.  During his tenure, he promoted the development of innovation in orthopaedic surgery. Duke became the pioneering center in replantation and microvascular reconstruction of injured extremities due to his work.  Fellowships in multiple specialties in orthopaedics were established.  The division’s international reach was strengthened, as new clinical and research links from around the world were developed.



Nunleys Portrait

Nunleys Portrait

James Nunley: Becoming a department

In 2002 James Nunley became chief of the division, and worked towards establishing orthopaedic surgery as a separate department.  He worked to expand the division into the community and developed an independent alone orthopaedic clinic.  His work culminated in the division becoming a department in 2011.





Associate Chair for Research Announced

Steven Olson

Dr. Olson

Durham, N.C– We are delighted to announce that Steve Olson has been appointed the department’s inaugural Associate Chair for Research.  In this role, Steve will oversee the implementation of departmental research policies. This role will incorporate many of his current activities such as chairing our departmental seed grant competition and overseeing CRU policies.  He will also act as our interface with the research admin staff we’ve contracted from the department of surgery.

Steve heads our hip preservation service and has a very productive research program in preventing osteoarthritis after intra-articular fractures. He lead the team that received this year’s Kappa Delta award for his research at the ORS and AAOS meetings.

Steve Olson spends most of his non-working hours as a father and husband – and he and Diane are about to join the ranks of empty nester’s this fall.  He enjoys golf though his enthusiasm for the sport is not matched by his handicap.   He enjoys preparing (and eating) Missouri style barbecued pork.

Chief Resident Heads to Europe For Fellowship

HalawiDurham, N.C– Dr. Mohamad Halawi has one of the Chief Residents has been awarded a prestigious award and is headed to Switzerland in 2016-2017 for a fellowship.  Awarded the Hip Society Maurice E. Muller European Fellowship, Dr. Halawi will be in Switzerland for 6 months between 2016-2017.  Dr. Halawi will be studying open hip preservation techniques to help him further expand his knowledge.  We would like to congratulate Dr. Halawi on his achievement.

Old Bones Can Regain Youthful Healing Power

Old Bones

IMAGE: Top slide illustrates an older bone, where fracture repair is slower and can lead to deposits of weak fibrotic tissue. Bottom slide shows rejuvenated fracture repair from exposure to a youthful circulation; the rate and amount of bone tissue deposited is enhanced.

DURHAM, N.C. – Broken bones in older people are notoriously slow to heal, but researchers at Duke Medicine have identified a potential way to speed the process.

In studies using mice, the researchers not only traced what signals go wrong when aged bones heal improperly, they also successfully manipulated the process by both circulating blood and transplanting bone marrow from a young mouse into an older mouse, prompting the bones to heal faster and better.

The findings, reported in the xx issue of the journal Nature Communications, address one of the largest problems draining health care resources. According to the Centers for Disease Control and Prevention, fractures are the most common and costly nonfatal injuries to adults over age 65. They account for more than one-third of that population’s nonfatal injuries, and 61 percent of total nonfatal care costs.

The work builds on earlier research by the Duke-led team and others, which identified an important role for a protein called beta-catenin in the rejuvenation process. The protein requires precise modulation for successful bone fracture repair. In older people, beta-catenin levels are elevated during the early phases of bone repair, leading to the production of tissue that is more like scar than bone, which is not good for bone healing.

Using mice as a surrogate for humans, the researchers found that they could manipulate beta-catenin levels by exposing older animals to the blood circulation of younger animals, essentially correcting the intricate formula necessary for healthy bone repair.

“It’s not that bone cells can’t heal as efficiently as we age, but that they actually can heal if they are given the right cues from their environment,” said senior author Benjamin A. Alman, M.D., chair of the Department of Orthopaedic Surgery at Duke University School of Medicine. “It’s a matter of identifying the right pathway to target, and that’s what’s exciting about this work.”

The researchers replicated the findings using bone marrow cell transplantation between young and old mice, again demonstrating that young hematopoietic cells are able to recalibrate the beta-catenin signaling during early fracture repair, restoring healthy bone-healing in old mice.

Alman said the findings suggest that drug therapies may be able to decrease beta-catenin levels or modulate the inflammatory process to improve fracture repair, both in older adults and perhaps in people who have received bone implants.

“The next steps are to figure out what’s making beta-catenin go up in older adults, so that we can target that cause,” Alman said, “and to explore drugs that can be used in patients to change beta-catenin levels safely and effectively.”

In addition to Alman, study authors include Gurpreet S. Baht; David Silkstone; Linda Vi; Puviindran Nadesan; Yasha Amani; Heather Whetstone; and Qingxia Wei.

The study received funding from the Canadian Institutes of Health Research and from Duke. The work was done at Duke and the Hospital for Sick Children in Toronto.


3D Printing Saves Woman from Amputation

Dr. Samuel Adams

Dr. Samuel Adams

Durham, N.C– Dr. Samuel Adams of Duke Orthopaedics helped to combine modern technology, extensive medical knowledge, a patients trust  and hope, to save patient Ruth’s leg.  After being involved in a devastating car accident, Ruth was faced with the difficult decision on whether or not to amputate her leg.  But her medical team at Duke, led by Dr. Adams was able to offer her an alternative.  By using 3D printing he saw at a conference, Dr. Adams worked closely for 4 months with suppliers to create a new bone structure for the patient.  With intensive physical therapy, and good spirit from the patient, Ruth was able to make a full recovery instead of having to amputate.

Without the medical team at Duke, and Dr. Adams advance knowledge of technology and medicine, Ruth would have lost her leg, and the ability to maintain a normal life.  But she now can because of Duke Orthopaedics.  The video is connected with a hyperlink in the line below so you can watch the full story.

See this link  for the video.

North Carolina Physical Therapy Association Announces Keynote Speaker

Dr. Chad Cook

Dr. Chad Cook

Asheville, N.C– The 2015 NCPTA conference has been announced to take place in Asheville, North Carolina from October 8-10.  With the inaugural keynote speaker being Dr. Chad Cook of Duke Orthopaedics, the fall is set to kick off to a great start.  Registration to attend the event will take place soon, and it will be hosted at the Crowne Plaza.  See the NCPTA Site for more details about upcoming events.  A big congratulations to Dr. Chad Cook for the honour.

New NIH Grants for the Department Of Orthopaedics

Farshid Guilak

Dr. Farshid Guilak

Amber Collins

Amber Collins

Shannon O'Connor

Shannon O’Connor

Durham, N.C– Division of Orthopaedic Research receives 3 new NIH grants!    The Research Division is excited to announce several new NIH grants and fellowships that were award this month.  Dr. Guilak received a research grant in collaboration with Dr. Charles Gersbach, entitled, “Scaffold-Mediated Gene Delivery for Engineering of Osteochondral Tissues”.  This makes Dr. Guilak one of very few people in the country who is Principal Investigator of 6 NIH grants, along with two other federal grants and numerous foundation grants.   This project is one of the first approaches of combining gene therapy and tissue engineering to regenerate cartilage and bone for joint repair.


Dr. Amber Collins, a postdoctoral fellow working with Dr. Lou DeFrate, received a prestigious NIH F32 Fellowship Award entitled, “Biomechanical Markers of Knee Osteoarthritis and In Vivo Cartilage Loading”.   Amber’s project will examine the effects of obesity on cartilage strain as well as other MR imaging signals in cartilage.  Shannon O’Connor, a MD/PhD student working with Dr. Farsh Guilak, received a highly competitive NIH F31 Fellowship entitled, “Functional Tissue Engineering of Cartilage Using Induced Pluripotent Stem Cells”.   Shannon, who is the Graduate Young Trustee on Duke’s board, will focus on developing new methods to direct the differentiation of pluripotent stem cells into chondrocytes and osteoblasts.

Feagin Leadership Shapes Lives


Dr. Feagin giving a speech on the Sunday Brunch of the event.

Durham, N.C– The weekend of May 22 played host to the 6th annual Feagin Leadership Programme.  An invitation only event, the programme hosts many notable speakers who help influence the thought process of fellows, residents, and medical students with speakers at the conference including Eugene Washington President and CEO of Duke University Health System, Alex Gorsky CEO of Johnson & Johnson, and Coach Mike Krzyzewski.  Bringing together such great minds in one place is to help push the boundaries of leadership and shape new ideas to create a better leader, another shining example of Duke Medicine being a leader in the country in innovation.  The event has several corporate and social partners related to Orthopaedics to help give the future leaders the best opportunities possible.  See a gallery of the picture here.


A full list of guests and speakers;

  • Coach Mike Krzyzewski
  • Jay Bilas
  • General Kenneth Dahl
  • General (ret) Eric Schoomaker
  • Alex Gorsky, CEO of Johnson & Johnson
  • Eugene Washington, MD, Chancellor for Health Affairs; President and CEO Duke University Health System
  • Bill Fulkerson, MD – Executive vice President Duke University Health System
  • Mary Klotman, MD – Duke University
  • Bob Sallis, MD – Everybody Walk, Kaiser Permanente
  • Leah Houde, Duke Corporate Education
  • John Feagin, MD