Departments

The orthopedic department is organized into sections or services which represent the major subspecialties of the discipline. There are over 29 faculty members that provide cases and contribute to the overall education of the residents. Each specialty features leaders in their field and well-known experts. The residency program significantly benefits from the depth of knowledge and experience that exists within each department.

SECTION OF ADULT RECONSTRUCTION

Aaron G. Rosenberg, MD - Director
Jorge O. Galante, MD, DMedSci
Joshua J. Jacobs, MD
Richard A. Berger, MD
Wayne G. Paprosky, MD
Craig Della Valle, MD
Scott Sporer, MD
Brett Levine, MD, MS

The adult reconstruction service is dedicated to the care of inflammatory, degenerative and post-traumatic arthritic disorders of the major joints of the lower extremity. It is a particularly active clinical service that has seven full-time attendings.

Rush is a tertiary referral center for many complicated lower extremity reconstruction problems. In addition, a high volume of primary total-hip and total-knee arthroplasties are performed at Rush. The resident is actively involved in preoperative management of these patients and obtains considerable experience in the operative management of these disorders.

Residents on the service also rotate through the offices of the joint replacement attendings. Complementing the clinical service is a large full-time staff dedicated to the maintenance of a clinical database in which all joint-replacement patients are followed in a prospective fashion. Many residents participate in clinical research projects that utilize this extensive database.

A large portion of the research efforts of the Department of Orthopedic Surgery are dedicated to joint-replacement surgery, with subsections in biomechanics, biomaterials, and molecular and cell biology. The adult reconstruction service represents one of the preeminent programs in the Midwest and the nation.

SECTION OF PEDIATRIC ORTHOPEDICS

Monica Kogan, MD
Peter Smith, MD

The pediatric orthopedic program offers a broad inpatient and outpatient experience in all musculoskeletal diseases of childhood. The service manages a wide variety of congenital, metabolic endocrinologic and traumatic disorders through inpatient consultations, clinic referrals and emergency room admissions. Residents are involved in all aspects of patient care from diagnosis to operative intervention. The service also performs reconstruction surgery in young adults with continuing pediatric problems, including various types of osteotomy. The Ilizarov apparatus is also commonly used for leg-length discrepancies, bone defects and angular deformities.

Fourth-year residents spend five months in a pediatric orthopedic rotation at Shriners Hospital for Children, Chicago

SECTION OF ORTHOPEDIC ONCOLOGY

Steven Gitelis, MD - Director
Walter Virkus, MD

The Section of Orthopedic Oncology is responsible for the diagnosis and treatment of musculoskeletal neoplasms, which include soft-tissue tumors, primarily of the extremities and primary bone tumors. The section sees approximately 300 new tumor patients per year.

The management of primary bone and soft-tissue tumors emphasizes the concepts of limb salvage. The approach is to remove the neoplasm and reconstruct the limb to provide return of function. Limb salvage requires extensive knowledge and experience in bone transplantation, prosthetic replacement and tumor biology.

In addition to the clinical care of patients with musculoskeletal tumors, the section has developed a broad-based research program. Clinical research is being performed in tumor biology and diagnosis. Basic-Science research is being done in the area of tumor biology, using tissue-culture methodology and animal models.

The section is comprised of two orthopedic attending surgeons and an orthopedic oncology nurse clinician. Residents and medical students rotate throughout the service on a regular basis. A biweekly sarcoma management conference is also held.

DIVISION OF SPORTS MEDICINE

Bernard R. Bach, Jr., MD - Director
Anthony Romeo, MD – Section Director, Shoulder
Brian Cole, MD - Section Director, Articular Cartilage
Charles Bush-Joseph, MD
Gregory Nicholson, MD
Nikhil Verma, MD
Shane J Nho, MD
Kathleen Weber, MD – Section Director, Primary Care Sports Medicine
Jeff Mjaanes, MD
Trish Palmer, MD

The mission of the Section of Sports Medicine is to achieve regional and national recognition and leadership in the care of athletes at all levels of skill, in all sports and of all ages. Patient care, clinical and basic science research, and resident and fellow education comprise the foundation of the program.

Clinical problems are cared for by full-time orthopedic sports medicine surgeons, orthopedic fellows, primary care sports medicine fellows, nurse clinicians and certified athletic trainers. The major clinical problems encountered in our office practices include:

• Meniscal tears
• Anterior cruciate ligament (ACL) and other ligament injuries
• Patellofemoral disorders
• Shoulder instability
• Impingement syndrome
• Rotator cuff disorders
• Shoulder arthritis
• Articular cartilage disorders

Stress fractures, overuse syndromes, foot and ankle pathology, and athletic trauma (fractures) are also treated. Our full-time orthopedists have over 6,000 office visits annually, and they perform more than 600 surgical cases yearly. State-of-the-art arthroscopic knee ligament cartilage transplant and shoulder reconstruction procedures are performed by members of the staff, who emphasize current principles of nonsurgical and post-surgical rehabilitation.

The section holds a weekly sports medicine conference for residents and fellows, along with a weekly reading club. The section also conducts continuing education sports medicine courses for primary care physicians, physical therapists and athletic trainers, and holds arthroscopy workshops. Rotations for visiting international fellows, visiting residents and medical students are available. Residents and fellows have the opportunity to provide event coverage for local high school and club sports, thus expanding their educational experience as well as providing much-needed preventive medicine.

Clinical research among knee and shoulder surgery patients is being conducted. Use of the KT1000 arthrometer to objectify pre- and postreconstruction knee laxity indices continues to be investigated. Biomechanical gait analysis studies are being conducted on ACL deficient and ACL reconstructed patients. Studies of keratin sulfate proteoglycan correlated with arthroscopic pathology and investigations of new models for arthritis are being evaluated.

SECTION OF HAND SURGERY

Mark Cohen, MD - Director
John Fernandez, MD
Robert Wysocki, MD

The hand service is a busy clinical service involving outpatient clinics and surgery as well as inpatient care. Surgical procedures involve:

• Care of the acutely traumatized upper extremity (fracture and joint injuries, tendon lacerations, etc.)
• Arthroscopic procedures on the wrist and elbow
• Reconstructive surgery for degenerative and rheumatoid arthritis (including joint replacement in the hand, wrist and elbow)
• Nerve compressive syndromes
• Congenital hand deformities

Microsurgery forms an integral part of the hand service not only in the acute setting (replantation and revascularization) but also in other orthopedic conditions requiring free muscle or free fibula transfer carried out on an elective basis.

A two-year lecture curriculum as part of the core curriculum on disorders of the upper extremity compliments the clinical experience of the resident.

DIVISION OF SPINE SURGERY

Howard S. An, MD - Director
Gunnar G.J. Andersson, MD, PhD
Edward Goldberg, MD
Frank Phillips, MD
Kern Singh, MD
Christopher DeWald, MD
Kim Hammerberg, MD
David Fardon, MD

The adult spine service provides outpatient spine care for over 6,000 visits and performs several hundred major spinal surgical cases in a typical year. These include cervical, thoracic and lumbar surgical procedures. In addition to degenerative diseases, cases involving tumor, deformity, fracture, metabolic disease and infection also are seen with relative frequency. The residents participate in all aspects of the care of these patients from diagnosis to definitive operative management. Weekly educational conferences review preoperative as well as the general management of spinal pathology.

Residents become part of the team and are expected to be active participants in patient care. Resident participation includes diagnostic evaluation in an office setting, pre- and postoperative care in the hospital and surgical responsibility in the operating room. Residents assume an increasing role in patient care commensurate with their ability and interests. Daily rounds are conducted by the attending staff to provide residents with exposure to bedside diagnostic skills and teaching. Spine fellows also participate in patient care, and the ACGME accredited spine fellowship program at Rush is an integral part of the Division of Spine Surgery as it complements and adds to the orthopaedic residency program.

SECTION OF FOOT AND ANKLE SURGERY

George Holmes, MD - Director
Simon Lee, MD
Johnny Lin, MD

The foot and ankle service was formally established at Rush in 1992. Since its inception the foot and ankle service has been very active in the inpatient and outpatient care of a broad range of disorders of the foot and ankle. The clinical breath of cases include the conservative and operative treatment of diabetes mellitus, osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, sports injuries, industrial injuries and a soft tissue injuries such as tendon, ligament and cartilage injuries.

Approximately 600 to 700 surgical procedures are performed yearly. Residents experience both the in-patient and out-patient surgical environment. The operative experience is balanced by an active in-office based clinical exposure as well as a busy in-house service. The residents see patients with the attending staff in the office and the operative room throughout the week. They are an integral part of the care provided by the foot and ankle service. This clinical training is in addition to the didactic education via morning conference, grand rounds presentations, the core curriculum and research opportunities.

The foot and ankle section is actively involved in both basic science and clinical research. Areas of interest and publications have including innovations in osteotomy-sparing bunionectomy, epidemiology of tendon injuries of the foot and ankle, treatment of posterior tibial tendon dysfunction, innovations in the treatment of delayed unions and nonunions, cartilage restoration and total joint arthroplasty.

ORTHOPEDIC TRAUMA SURGERY

Walter Virkus, MD - Director
James Kapotas, MD
Anthony Sorkin, MD
Marc Zussman, MD

Rush orthopedic residents receive their trauma training with fellowship trained traumatologists at three locations including; Rush University Medical Center, Rockford Memorial / Saint Anthony Hospital, and John H Stroger Cook County Hospital. Rush University Medical Center is a level II trauma center with approximately 600 trauma cases per year. Cook County and Rockford Memorial/Saint Anthony Hospitals are designated level I trauma centers that expose residents to the entire spectrum of orthopedic trauma care with 600 and 900 cases a year, respectively. Overall, residents experience the complete breadth of orthopedic traumatology and are well trained by national experts.