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JOHNS HOPKINS PEDIATRIC ORTHOPAEDIC SURGERY FELLOWSHIP Downtown Baltimore in the distance as seen from the Johns Hopkins medical campus in foreground Johns Hopkins International Center for Orthopaedic Advancement Orthopaedic Skills Lab Johns Hopkins Pediatric ORs at work B A L T I M O R E , M A R Y L A N D OUR STORIED HISTORY 1st Department Chair William Baer, M.D. A Century of Excellence Johns Hopkins Department of Orthopaedic Surgery has a long t r a d i t i o n o f s t ro n g a c a d e m i c medicine and innovation. William Halsted trained and then appointed William Baer as one of the first orthopaedic surgery department heads in the country, and Dr. Baer in turn, trained a large percentage of the orthopaedic leaders throughout the world. For 82 years Children's Hospital of Baltimore was the premier surgical training facility for orthopaedics in the country. The function of this hospital has been replaced with the expanded pediatric activities of Johns Hopkins Hospital and the establishment of the Johns Hopkins Hospital Children’s Center. T h e n e w Bl o o m b e r g Children's Center is a full“The Bloomberg Children's Center service pediatric center. represents the state-of-the-art in It contains 205 beds plus a pediatric medicine." 41 bed Pediatric ICU and a 45-bed NICU. O u r t r a d i t i o n o f l e a d e r s h i p A full complement of referral services involved pediatrics from the start. is available including a dedicated Dr. Baer established a pediatric Level One pediatric emergency orthopaedic hospital in Baltimore in department. 1909. It is the only such facility in Maryland and this wide catchment and referral base provides the opportunity for exposure to all common pediatric orthopaedic injuries, as well as many rare ones including a wide variety of spinal column injuries. Prior notable Hopkins pediatric or thopaedic surgeons include Drs. Vernon T. Tolo (President of AAOS, POSNA and SRS), Paul P. Griffin (POSNA president), and Nancy H. Miller (leader in the study of Scoliosis Genetics). The Pediatric Orthopaedic service currently carries out 1,200 surgical procedures and 10,000 clinical visits yearly. Bloomberg Children's Center 3 3 OUR PEDIATRIC ORTHO TEAM Five Attendings One Fellow One Chief Resident Two Physician Assistants Four Nurse Practitioners Four Residents In the OR with Dr. Sponseller In the OR with Dr. Ain WEEKLY TEACHING SCHEDULE PROCEDURES TAUGHT Daily: Radiology Board Rounds In this program, you will have the opportunity to learn: Monday: Attending Teaching Conference Tuesday: Physical Exam Session Spinal instrumentation – anterior and posterior SAI fixation of the pelvis Growing Rods VEPTR Percutaneous spondylolysis stabilization Periacetabular (Ganz/Bernese) Osteotomies Hip Arthroscopy Surgical Hip Dislocation Physeal-sparing ACL reconstruction Osteochondritis Dissecans management Simultaneous Multi-level Surgery for CP Crouch Correction in CP Pediatric Trauma management (from A to Z) Bladder Extrophy Osteotomies Wednesday: Resident Teaching Conference Thursday: Grand Rounds Friday: Preoperative Conference MONTHLY FELLOW CONFERENCE One-on-one hour with attending discussing key articles and cases in one subspecialty. FELLOWSHIP CLINICAL OPPORTUNITIES There is ample opportunity to be involved in specific cases as well as teaching and mentoring junior and senior residents in addition to medical students. The fellow will have his or her own clinic and will be able to operate on cases generated from that clinic after formulating a plan with the faculty. The fellow will also be able to experience Pediatric Call once oriented to the Children’s Center. OUR FACULTY Paul D. Sponseller, M.D. Our division is led by professor Paul Sponseller, who has been with Johns Hopkins for 27 years. His areas of special interest include scoliosis, spinal deformities, trauma, Marfan Syndrome, LoeysDietz Syndrome, and the treatment of bladder exstrophy. He is on the Board of Directors of the Scoliosis Research Society and the Growing Spine Foundation, and has held leadership positions in the Pediatric Orthopaedic Society of North America and the Maryland Orthopaedic Society. Michael Ain has a worldwide referral base of patients with skeletal dysplasias and is a recognized leader in pediatric orthopaedics. He performs a high volume of various scoliosis corrections. Dr. Ain also treats a comprehensive number of general pediatric orthopaedic patients with conditions, including, but not limited to achondroplasia, pediatric trauma, pediatric spinal deformities, skeletal dysplasia, and hip dysplasia. Michael C. Ain, M.D. John Tis is an expert in the treatment of pediatric sports injuries including ACL reconstruction, patellar dislocation, and arthroscopic hip labrum repair. In addition to taking care of children with sports injuries, Dr. Tis also specializes in young adult hip preservation including Legg-Calve-Perthes, SCFE, and developmental dysplasia of the hip. John E. Tis, M.D. Ranjit Varghese is a specialist in pediatric neuromuscular disorders, with a specific emphasis in cerebral palsy. Dr. Varghese’s areas of clinical interest also include children’s hip and foot disorders, including clubfoot, toe walking, Perthes Disease, and developmental dysplasia of the hip. His research interests include cerebral palsy, hip disorders, and outcomes evaluation. Ranjit A.Varghese, M.B.B.S., M.Sc. Rushyuan Jay Lee, M.D. R. Jay Lee is a specialist in pediatric sports medicine for children, and adolescents with a wide range of orthopaedic and sports medicine issues. His areas of clinical interest include the arthroscopic and open treatment of sports-related injuries, including knee, shoulder, elbow, ankle, and hip issues. Dr. Lee's expertise and research interests include growth plate sparing ACL reconstruction, complex ligament reconstruction in growing patients, and optimizing fracture care. FELLOWSHIP RESEARCH OPPORTUNITIES Each fellow is expected to carry out at least one clinical research project during the year. This should be determined and planned with an attending mentor in advance of arrival so that no delays occur. FELLOW RESEARCH PROJECTS Buckley SL, Smith GS, Sponseller PD, Thompson JD, Griffin PP: Open Tibia Fractures in Children. J. Bone Joint Surgery, 72-A:1462-1469, 1990. Buckley SL, Sponseller PD, Magid D: The Acetabulum in Congenital and Neuromuscular Hip Instability. J. Pediatric Orthop., 11:498-501, 1991. Buehler KC, Thompson JD, Sponseller PD, Black BE, Buckley S, Griffin PP: A Prospective Study of Early Spica Cast Outcomes in the Treatment of Femoral Shaft Fractures in Children. J. Pediatr. Orthop. 15(1):30-35, 1995. Black BE, Hildebrand R, Sponseller PD, Griffin RP: Hip Dysplasia in Spastic Cerebral Palsy. Contemp. Ortho. 29(2): p.101-108, 199. Black BE, O'Brien E, Sponseller, PD: Thoracic and Lumbar Spine Injuries in Children: Different Than In Adults. Contemp. Ortho. 29(4): 253-260, 1994. Hughes BF, Sponseller PD, Thompson JD: Pediatric Femur Fractures. Effects of Spica Cast Treatment on Family and Community. J. Pediatric Orthop. 15(4):457-460, 1995. Buckley SL, Sponseller PD, Thompson JD: Grade III Open Tibia Fractures in Children. J. Pediatric Orthopaedics. 26(5): 627-634, 1996. Thompson JD, Buehler KC, Sponseller PD, Gray DW, Black BE, Buckley SL, Griffin PP: Shortening in femoral shaft fractures in children treated with spica cast. Clinical Orthopaedics and Related Research. 338: 74-8, 1997. Hinton R., Crockett MM, Smith G, Sponseller PD. Sociodemographic variation in the incidence of femoral shaft fractures in children and adolescents: Small-area analysis in Maryland and Baltimore City. J. Bone Joint Surg. 81-A: 500-509, 1999. Tortolani PJ, Ain MC, Miller NH, Brumback RJ, Sponseller PD: Tibial Nails for Femoral Shaft Fractures in adolescents: “off-label” usage. Orthopedics. 2001 Jun; 24(6): 553-7. Launay F, Leet AI, Jouve B, Bollini G, Sponseller PD: Lateral humeral condyle fractures in children: a comparison of two approaches to treatment. J Pediatr Orthop. 2004 JulAug;24(4):385-91. Ngu BB, Khanna AJ, Pak SS, Leet AI, Chhor K, Launay F, Kier-York J, Sponseller PD: Femoral head resection for painful hip subluxation in cerebral palsy. J Pediatr Orthop 25(1): 70-73, 2005. Launay F, Leet AI, Sponseller PD: Pediatric spinal cord injury without radiographic abnormality: a meta-analysis. Clin Orthop Relat Res. 2005 Apr;(433):166-70. Hoernschemeyer D, Farjoodi P, Cheng J, Sponseller P: A study of the cutaneous nerves encountered during thoracoplasty. Spine 2007 Feb 1;32(3):301-5. Chang JH, Hoernschemeyer DG, Sponseller PD: Delayed postoperative paralysis in adolescent idiopathic scoliosis: management with partial removal of hardware and staged correction. J Spinal Disord Tech. 2006 May; 19(3):222-5. Skelley NW, Papp DF, Leu D, Sargent MC. Three cases of slipped capital femoral epiphysis in one family. Orthopedics. 2011 Aug 8;34(8):e408-12. Lazar-Antman MA, Leet AI. Current Concepts Review: Effects of Obesity on Pediatric Fracture Care and Management. J Bone Joint Surg Am 2012; May 2;94(9): 855-61. Paloski M, Taylor B, Iobst C, Pugh K. Pediatric and adolescent applications of the Taylor Spatial Frame. Orthopedics. 2012 Jun 1;35(6):518-27. Paloski M, Sponseller PD. “Is There An Optimal Time Interval to Distract Dual Growing Rods?” Accepted, Spine Deformity. Lonner BS, Lazar-Antman MA, Sponseller PD, Shah SA, Newton PO, Betz R, Shufflebarger HS. Multivariate Analysis of factors Associated with Kyphosis Maintenance in Adolescent Idiopathic Scoliosis. Spine 2012 Jul 1;37 (15):1297-302. Leu D, Sargent MC, Ain MC, Leet AI, Tis JE, Sponseller PD. Spica casting for pediatric femoral fractures: a prospective, randomized controlled study of single-leg versus double-leg spica casts. J Bone Joint Surg Am. 2012 Jul 18;94(14):1259-64. Bazzi, A., Shannon, B., Sponseller, P. "Distal Radius Fractures." The Pediatric Upper Extremity. Abzug, J., Kozin, S.,Zlotolow, D., Eds. Springer, New York. Bazzi, A., Brooks, J., Jain, A., Sponseller, P. "Is Non-operative treatment of Pediatric Grade 1 Open Fractures Safe and Effective?" J Child Orthop. 2014 Dec; 8(6): 467–471. CURRENT APPOINTMENT 1988 Steven L. Buckley, M.D. Sports MED Ortho Surgery & Spine Center, Huntsville, AL 1989 Brian E. Black, M.D. Sports Medicine & Ortho Center, Milwaukee, WI 1995 J. David Thompson, M.D. Grapevine, TX 1995 Donald Diverio, D.O. AO Orthopedic, Morristown, NJ 1996 Michael C. Ain, M.D. Johns Hopkins University, Baltimore, MD 1997 Richard Y. Hinton, M.D., M.P.H. Union Memorial Hospital, Baltimore, MD 1998 Barry Berger, M.D. USAS Orthopaedics, Allentown, PA 2004 Daniel G. Hoernschemeyer, M.D. Associate Professor, University of Missouri, Columbia, MO 2009 Suzanne Jaffe Walters, M.D. D.C. Children’s Hospital, Washington, DC 2010 David J. Leu, M.D. Sinai Hospital, Baltimore, MD 2011 Meredith Lazar-Antman, M.D. Winthrop University, Mineola, NY 2012 Michael Paloski, D.O., M.B.A. Ortho Carolina, Charlotte, NC 2013 Ahmed Bazzi, D.O. Children's Hospital of Michigan, Detroit, MI 2014 Urvij Mahendrakumar Modhia, M.D. Associate Professor, University of New Mexico 2015 Amit Merchant, M.D. Hackensack University Medical Center, Hackensack, N.J. For detailed information please contact: Paul D. Sponseller, M.D. Sponseller Professor and Head Division of Pediatric Orthopaedics The Johns Hopkins Hospital 1800 Orleans Street/Room 7359A Baltimore, Maryland 21287-0010 Office: 410-955-3137 Fax: 410-502-3944 [email protected] BALTIMORE: A historical city filled with eclectic neighborhoods, diverse colleges, a booming waterfront, world-class history and incredible scenery. LIVING IN BALTIMORE Baltimore has many fantastic cultural outlets that are second to none. Among other points of interest, The National Aquarium in Baltimore is one of the world’s best. The Baltimore Museum of Art houses the most comprehensive collection of work done by Henri Matisse in the world. The Baltimore Symphony Orchestra is in the top tier nationally. The Walters Art Gallery has another world-class collection. Baltimore is also home to a fantastic variety of restaurants including numerous crab shacks with what is considered to be the world’s best crab. Baltimore also is home to the Baltimore Orioles Major League baseball team as well as The Baltimore Ravens of the National Football League One of the unique features of Baltimore is its central location in the Mid-Atlantic with easy access to New York, Philadelphia and Washington, D.C. as well as the fabled Chesapeake waterways leading to the Eastern Shore. Philadelphia, Pennsylvania Washington, D.C. Ocean City, M.D. Cape May, N.J. Deep Creek Lake, M.D. Middleburg,V.A. 1.5 hours 1 hour 3 hours 3 hours 3 hours 2 hours