1. Volume 4, Issue 2
To be among the premier academic
Orthopaedic Departments in the country
Education Patient care ResearchConnecting
Newsletter
Message from the Chair
“If I try and fail, I can handle it…
it’s not trying that I can’t accept.”
--Michael Jordan
The goal of the UTMB Department
of Orthopaedic Surgery and Rehabili-
tation (DOSR) is clearly defined by its
mission statement: to be considered by
others (in the institution, region, and na-
tion) among the best at what we do. The
DOSR fully appreciates the difficulty
inherent in this aspiration, but if we
have to work hard (which we do every
day), what better purpose to strive for?
The plan that will allow us to accom-
plish our objective is quite simple; the
DOSR requests only that all its members
(faculty, staff, residents, and administra-
tors) are dedicated to becoming the best
they can be at their particular jobs. If we
all truly commit to meeting our individ-
ual challenges, our success (individual
anddepartmental)isvirtuallyguaranteed.
The price that must be paid for this
success will call for a basic change in
our approach to our professional re-
sponsibilities…and change is always
difficult. This is especially true of any
meaningful change (stop smoking, lose
weight, develop new skills/hobbies,
preserve quality time for family and
friends, etc.). Many of our colleagues
will fully embrace our new paradigm;
some will not. The DOSR respects
the fact that this is a decision that all
must make for themselves; however,
the focus of the DOSR will always
remain firmly on its stated mission.
We have the critical resources and
personnel with which to begin accom-
plishing our goals. In fact, in a rela-
tively brief period of time the DOSR
has already significantly enhanced
every aspect of its daily operations:
increasedclinicalproductivity,improved
educational forums/activities, and more
prolific scientific research/publications.
Moreover, we have now begun to re-
ceive something we’ve been striving to
deserve…recognition. And these acco-
lades will provide the impetus the DOSR
needs as it augments its current resource/
personnel foundation with additional
talented persons who share our vision.
So when I am approached by peo-
ple throughout our system who con-
fide that they’ve heard “that there are
a lot of changes/transitions occur-
ring in Orthopaedics,” I merely look
at where we were, appreciate where
we are now, and eagerly anticipate the
future toward which we are heading.
--Ronald W. Lindsey, MD
Congratulations to
DOSR faculty member
Dr. Zbigniew Gugala.
Dr. Gugala was recently
inducted as a member
into the American Acad-
emy of Orthopaedic Sur-
geons (AAOS). We also
congratulate the follow-
ing DOSR alumni on their induction as
fellows into the AAOS:
Gurpreet Bajaj, MD
Clinton S. Bell, MD
Steven Dale Eggleston, MD
Christopher English, MD
Stefan Kreuzer, MD
James B. Westmoreland, MD
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UTMB’s DOSR proud-
ly announces the com-
mencement of an exciting
new clinical trial on gene
therapy and diabetic
foot ulcers, with Dr.
Maria T. Guidry serving
as principal investigator. We are one of
25 sites nationwide, with only two study
sites in Texas. This trial, sponsored by
MATRIX, will study the effects of Ex-
cellaratetm
(GAM 501) (Ad5PDGF-B/bo-
vine type 1 collagen gel) for the potential
treatment of neuropathic non-healing
diabetic foot ulcers. Study results to date
indicate that this research may lead to the
world’s first FDA-approved use of gene
therapy to stimulate wound healing. The
DOSR is honored to participate in this
cutting-edge research. The trial has been
gaining media coverage nationwide, so
watch for the news in coming weeks.
The Perioperative Governance Com-
mittee recently commended the fac-
ulty and leadership of the Department
of Orthopaedic Surgery & Rehabili-
tation for the significant role they
have played in increasing the utiliza-
tion of the Rebecca Sealy Operating
Room by 44% from March 2007 to
March 2008. We extend our thanks to
our faculty and leadership and look
forward to the opportunities for fur-
ther improvement that lie ahead in
the coming year.
Honors & Awards

2. Publications
Presentations
Dr. Mabel Caban, a Physical Medicine and
Rehabilitation physician, earned her BS in
Biology from the University of Puerto Rico,
graduating Magna Cum Laude, and then went
on to earn her Doctorate in Medicine from the
UniversityofPuertoRicoSchoolofMedicine.
Dr. Caban joined UTMB in January 2002 as
an Assistant Professor in the DOSR. She also
holds a joint appointment as an Assistant Professor in the School of
Allied Health Sciences. In October 2002 she was named a Fellow for
the Sealy Center on Aging and in 2003 she was named as a Fellow for
the Center for Interdisciplinary Research in Women’s Health. She was
recognized in 2005 with the Mentored Clinical Scientist Development
Award and in 2008 was named the inaugural recipient of the Freeman
EndowmentFundfortheDevelopmentofMinorityFaculty.Dr.Caban’s
research, funded through the National Cancer Institute, focuses on the
effects of disability on the diagnosis and treatment of cancer and the re-
habilitation of breast cancer survivors. Dr. Caban’s approach to patient
care and research combines intellect with compassion, providing her
patients,herstudents,andUTMBwithuniqueexperienceandexpertise.
Poster Presentations: The 54th Annual Meeting of the Orthopaedic
Research Society. San Francisco, CA, Mar 2-5, 2008:
Viegas SF. Invited lectures: 13th Annual Meeting of the American
Society of Hand Therapists, Texas State Chapter, Houston, TX,
Apr 6, 2008.
--“Anatomy and Biomechanics of the Hand and Wrist.”
--“Space, The Final Frontier for Hand & Upper Extremity Injuries.”
Grecula MJ. Diagnostic and Therapeutic Imaging in Orthopedics.
24th Annual Diagnostic Imaging Seminar, Galveston, TX, Apr 26,
2008.
Lindsey RW. Healthcare: How Should We Pay? 2008 Biennial J.
Robert Gladden Society Meeting, Washington, DC, Apr 26, 2008.
Lindsey RW, Qaisi Y, Hipp J, Zbigniew G. Long-Term Functional
Implications of Femur Shaft Fracture Malrotation After Intramedul-
lary Nailing. Podium Presentation, 75thAnnual Meeting of theAmer-
icanAcademy of Orthopaedic Surgeons, San Francisco, CA, Mar 5-9,
2008.
Leontaritis NM. Arthroscopically Detected Intra-articular Lesions in
Acute Ankle Fractures. Podium Presentation, 75th Annual Meeting
of the American Academy of Orthopaedic Surgeons, San Francisco,
CA, Mar 5-9, 2008.
Viegas SF. Lecturer & Moderator: Pre-Congress Symposium of the
7th Meeting of the Asian Pacific Federation of Societies for Surgery
of the Hand, Macau, China, Feb 13, 2008.
--Invited Lecture: “The Biomechanics of Carpal Instabilities.”
--Moderator, “free paper” session.
Viegas SF. Invited Lectures: Combined meetings of the 7th Con-
gress of the Asian Pacific Federation of Societies for Surgery of
the Hand 2008 and the 21st Hong Kong Society for Surgery of the
Hand Annual Congress, Hong Kong, China, Feb 14-17, 2008.
--“Biomechanics of the Hand & Wrist.”
--“Anatomic Variability of the Wrist.”
--“Carpal Instabilities.”
--“Telemedicine – Its Use in the Field of Hand Surgery.”
--“Two Stage Flexor Tendon Reconstruction.”
--“Demands on and Injuries to the Hand and Upper
Extremity seen in the Astronauts in the Space Program
During Training and Space Flight” (Plenary Lecture).
--“Ligamentous Anatomy and Motion Analysis of Carpo
Metacarpal Joints.”
Viegas SF. Invited lectures: 7th Congress of the Asian Pacific
Federation of Societies for Surgery of the Hand 2008, Post Con-
gress Meeting, sponsored by the Chinese Hand Society, Shenzhen,
China. Feb 14-20, 2008.
--“Carpal Instabilities.”
--“Telemedicine: Its Use in the Field of Hand Surgery.”
--Buford WL Jr, Koh S, Andersen CR, Viegas SF. Prediction, ex-
perimental validation and revision of muscle moment arm models
at the index MCP joint.
--Panchbhavi VK, Shah VM, Vallurupalli S, Morris RP. Biome-
chanical comparison of fixation in osteoporotic ankle fractures.
--Panchbhavi VK, Vallurupalli S, Andersen CR, Yang JA. Model
for Lisfranc ligament injuries.
--Panchbhavi VK, Vallurupalli S, Andersen CR, Yang JA. Bio-
mechanical comparison of screw and tight rope fixation of isolated
Lisfranc ligament injuries.
--Panchbhavi VK, Vallurupalli S, Morris RP, Patterson RM.
The use of calcium sulfate and calcium phosphate composite graft
to augment screw purchase in osteoporotic ankle.
Faculty Spotlight
Allen JC Jr, Lindsey RW, Hipp JA, Gugala Z, Rianin N, Leb-
lanc A. The effect of retained intramedullary nails on tibial bone
mineral density. Clin Biomech. 2008 [Epub ahead of print].
Bi LX, Mainous EG, Yngve DA, Buford WL. Cellular isolation,
culture and characterization of the marrow sac cells in human
tubular bone. J Musculoskelet Neuronal Interact. 2008;8(1):43-9.
Bu J, Overgaard K, Viegas SF. Distal migration of a foreign
body (sago palm thorn fragment) within the long-finger flexor
tendon sheath. Am J Orthop. 2008;37(4):208-9.
Iwamoto A, Kearney JP, Goyal G, Viegas SF. The incidence of
subsequent contralateral distal biceps tendon rupture following
unilateral rupture. Orthopedics. 2008;31(4):356-58.
Joyner KS, Wilson B, Wagner RF, Viegas SF. Marginal excision of
squamous cell carcinomas of the hand. Orthopedics. 2008;31:79.
Nourbakhsh A, Ahmed HA, McAuliffe TB, Garges KJ. Case report:
bilateral slipped capital femoral epiphyses and hormone replacement.
Clin Orthop Relat Res. 2008;466(3):743-8. Epub 2008 Feb 10.
Nourbakhsh A, Von Ritschl RH, Garges KJ. Bilateral isthmic
L3 spondylolisthesis in an adult female. J Manipulative Physiol
Ther. 2008;31(2):160-3.

3. Ronald W. Lindsey, MD
Department Chair
The John Sealy Distinguished
Centennial Chair in
Rehabilitation Sciences
Foot & Ankle and
Infections & Wound Care
Maria T. Guidry, MD
Vinod K. Panchbhavi, MD
Hand Surgery
J. Pat Kearney, Jr., MD
Steven F. Viegas, MD
Joint Arthroplasty &
General Orthopaedics
Stanley D. Allen, MD
E. Burke Evans, MD
Michael J. Grecula, MD
John W. Kosty, MD
Kelly W. Stephenson, MD
Orthopaedic Research
William L. Buford, Jr., PhD
Zbigniew Gugala, MD, PhD
Pediatric Orthopaedics &
Scoliosis Surgery
Kelly D. Carmichael, MD
David A. Yngve, MD
Spine Surgery &
Rehabilitation
Mabel E. Caban, MD
Lilly L. Chen, MD
Kim J. Garges, MD
Ronald W. Lindsey, MD
Sports Medicine and
Knee & Shoulder Surgery
Frank M. Ivey, Jr., MD
Brian A. Smith, MD
Trauma
Stanley D. Allen, MD
Ronald W. Lindsey, MD
UTMB
Dept. of Orthopaedic Surgery
301 University Blvd
Galveston TX 77555-0165
409.747.5700
www.utmb.edu/ortho
If you have comments, questions, or news you would like highlighted in a future edition, please contact Rob Cox at recox@utmb.edu or 409-747-5735.
Grand Rounds
On March 12 in Galveston, Stephen J. Incavo, MD, Professor of Clinical Orthopaedic Surgery at Weill
Cornell Medical College of Cornell University, NY, presented “TKA KINEMATICS In Vitro and In
Vivo Studies.”
The Austin Lecture Series continued on March
19 with Mark R. Brinker, MD, Director of Acute
and Reconstructive Trauma at Texas Orthopedic
Hospital in Houston. Dr. Brinker presented “Biol-
ogy of Fracture Healing and Strategies for When
Things Go Poorly.”
Drs. William Buford, Stephen J.
Incavo & E. Burke Evans follow-
ing March Grand Rounds
On April 16, Lonnie Paulos, MD, Medical Director of
the Texas Sports Medicine Alliance in Houston presented
“Shoulder Resurfacing Update.”
Dr. Mark R. Brinker Dr. Lonnie Paulos
Kenneth L. Mattox, MD, FACS, Chief of Surgery and Chief of
Staff at Ben Taub General Hospital in Houston presented “The
Mystery of the Death of Princess Diana,” on April 9 in Galveston.
Dr. Kenneth L. Mattox
Voluntary Faculty Class of 2013
Kathy Flesher, Resident Training Program Coordinator of the DOSR, recently passed her national
board certification and is now a board-certified residency program coordinator. We congratulate Ms.
Flesher on this achievement and extend our appreciation for her years of service and for the critical
work she performs for the DOSR and our residents every day.
Resident Notes
Niki Leontaritis, DO, was selected to present at
the Southern Orthopaedic Association Annual
Meeting, Jun 11-14, 2008, Hot Springs, VA.
David Merriman, MD, was selected to attend the
American College of Surgeons: Residents asTeach-
ers and Leaders, May 2-4, 2008, Chicago, IL.
Chad Conner, MD, was selected to attend the
Resident Leadership Forum in conjunction with
the AOA, Quebec City, Canada, Jun 3-5, 2008.
Sonya Ahmed, MD, was selected to attend the Na-
tional Orthopaedic Leadership Conference (AAOS),
Washington, DC, Apr 30-May 3, 2008.
The Department of Orthopaedic Surgery and
Rehabilitation proudly welcomes our incom-
ing PGY-1s for 2008:
(L-R)JonathanCapellefromUTMedicalSchool
at Houston, Justin Chronister from UT Medi-
cal School at Houston, Keith Ellison from UT
Medical School at Houston, David Kummerfeld
from UTMB, and Leah Rankine from The Uni-
versity of Alabama School of Medicine.
We look forward to working with the class of
2013 in advancing the DOSR’s core mission,
in improving the lives of our patients, and in
enriching the quality of health care in the state
and region.
UTMB’s DOSR is actively expanding its
voluntary faculty roster in the Galveston,
Austin, and Houston areas. We envision that
these core voluntary appointees will augment
many educational, clinical, and/or research
activities of the department. Recent DOSR
voluntary faculty appointees include:
Houston Area:
Dan Eidman, MD
Stanley Gertzbein, MD
Omer Ilahi, MD
Jean Sibonga, PhD
Austin Area:
Marc DeHart, MD
Andrew Ebert, MD
Tyler Goldberg, MD
Matthew Heinrich, MD
Anand Joshi, MD
Manish Patel, MD

4. Dr. Al & Lezlie CuellarDr. Alexander Hadjipavlou
& Kathy Flesher
Dr. Bob & Julie Mendonsa Dr. David Capen & Ceci Lindo
Drs. Ronald W. Lindsey, Lonnie Paulos & Marcos Masson
Drs. E. Burke Evans & Skip HeathDr. James & Nancy Pearson
2008 AAOS Alumni Reception
Dr. Darrel & Cindy Martin
& Dr. Tom Jackson
Drs. Alex Schroeder
& Robert Launikitis
Socrates Brito & Dr. Sonya Ahmed
Dr. Tom Jackson & Dr. Rollo
& Tommie Nesset
Drs. Vinod Panchbhavi, Sonya
Ahmed & Ronald W. Lindsey
Mrs. Ashley Rapley, Veronica Vasquez
& Drs. James Bynum & Jay Rapley
Donna Parker & Drs. Michael
Grecula & Kelly Carmichael

5. Drs. David Merriman & Sean Burns
Drs. Pat Kearney &
Niki Leontaritis
Drs. Clark Race, Roger Mann & David Yngve
The 26th Annual G.W.N. Eggers Lectureship
Drs. E. Burke Evans & Kelly Carmichael
Drs. Vinod Panchbhavi, John
Kosty & Gurpreet Bajaj
Drs. David Randall, Bob Blais,
Brian Smith & Steven Viegas
Dr. Ben Turnbow, Randal
Morris & Dr. Brandon Low
Drs. Steven Viegas &
Amir Alemohammad
Drs. Michael Grecula
& David Randall
We welcome our 2008 inductees
into the G.W.N. Eggers Society:
Sonya Ahmed, MD
Amir Alemohammad, MD
James Bynum, MD
Robert Launikitis, MD
Jay Rapley, MD
Honorary inductee:
Roger Mann MD
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Drs. Eugene Schoch, E.
Burke Evans & Mike Putney
Drs. Gurpreet Bajaj
& Steve Eggleston

6. UTMB Galveston Grand Rounds:
--May 14: Valerae O. Lewis, MD, Associate Professor of Surgery, Ad-Interim Chief, Department of Orthopaedic Oncology, The University
of Texas MD Anderson Cancer Center, Houston, TX.
Austin Visiting Lecture Series:
--May 21: Jay D. Mabrey, MD, Chief of the Department of Orthopaedic Surgery at Baylor University Medical Center, Dallas, TX.
2008 Texas Orthopaedic Association Annual Meeting:
--May 22-24, Westin Riverwalk Hotel, San Antonio, TX; five DOSR residents will be presenting along with one of our faculty.
2008 UTMB School of Medicine Commencement Ceremonies:
--May 31, Moody Gardens Convention Center, Galveston; Keynote Speaker and UTMB Alumnus Bernard Morrey, MD,
Professor of Orthopedics, The Mayo Clinic, Rochester, MN.
2008 Resident Graduation:
--June 20, Moody Gardens, Galveston; Distinguished Lecturer E. Burke Evans, MD; Visiting Professor, Augustus A. White III, PhD, MD,
The Ellen and Melvin Gordon Distinguished Professor of Medical Education, Harvard Medical School, Boston, MA.
2008 26th
Annual Conference on Innovations in Sports Medicine:
--July 11-12, Galveston Island Convention Center at the San Luis Resort, Galveston, TX.
301 University Blvd
Galveston, TX 77555-0165
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