Orthopaedics Annual Report :: Nationwide Children's Hospital

Orthopaedics 2014-2015 Annual Report

View the Nationwide Children's Hospital 2014-2015 Annual Report.

The Department of Orthopaedics at Nationwide Children’s Hospital provides diagnosis, evaluation and treatment for all orthopedic conditions and disorders in infants, children and adolescents. Inpatient, outpatient and emergency services are provided to patients with a wide range of developmental, congenital, neuromuscular and posttraumatic problems of the musculoskeletal system, trauma and fractures, scoliosis and other spinal abnormalities.

The Department of Orthopaedic Surgery faculty participates in the education of health care professionals at several levels. Residents, medical students and nurses from The Ohio State University Wexner Medical Center, Ohio Health, and Mount Carmel Health System receive all of their pediatric orthopedic experience at Nationwide Children’s. The Accreditation Council for Graduate Medical Education-accredited fellowship program rounds out the extensive educational program.


Surgical and nonsurgical expertise includes:

  • Clubfoot
  • Fractures, pediatric trauma and fracture care
  • Neuromuscular disorders, including cerebral palsy and myelomeningocele
  • Scoliosis and spinal disorders
  • Musculoskeletal tumors
  • Pediatric hand and foot disorders
  • Limb length discrepancy
  • Bone and joint infections
  • Pediatric and adolescent sports medicine
  • Pediatric and adolescent hip deformity reconstruction including developmental hip dysplasia, Legg-Calve-Perthes disease
  • Slipped capital femoral epiphysis
  • Pediatric congenital hand conditions

Clinical research initiatives within several areas have grown over the past year. Highlights include the unique description of a previously unrecognized finding in adolescent traumatic hip dislocations. Now published, the so-called acetabular fleck sign describes a posterior osteochondral, labral avulsion that is addressed surgically via a surgical hip dislocation approach. Early results from such treatment have shown promise that recognition of this injury could lead to better outcomes.

Collaborative efforts within clinical care also continue to grow. Matthew Beran, MD, has taken the lead surgical role within a multidisciplinary approach for care of the patient with hemophilia. Advanced arthroscopic techniques have allowed a more complete treatment and synovectomy for hemophilic arthropathy of the elbow, knee and ankle.

Daniel Ruggles, DO, director of the Limb Deformity Service, now serves as orthopedic liaison to a growing rickets clinic and a multidisciplinary clinic for osteogenesis imperfecta. The volume of limb deformity surgeries has increased significantly, highlighted by newer and novel techniques of limb lengthening utilizing magnetic intramedullary rods.

Educational initiatives remain strong as our ACGMEaccredited program trains approximately 50 rotating residents and fellows per academic year. The educational program includes a daily trauma conference, a weekly reading and X-ray conference, a pre-op indications conference, a surgical milestones conference, morbidity and mortality, current literature, research meetings and a monthly fellows conference. Also, the department once again teamed with the Division of Sports Medicine to hold the third annual Sports Medicine and Orthopaedics Conference at Nationwide Children’s. Over 200 participants, including pediatricians, physical therapists, athletic trainers and general orthopedists from Ohio and nearby states attended this full-day conference that offered sessions on a wide variety of sports and orthopedic topics.

Orthopaedics Faculty

Kevin E. Klingele, MD
Chief

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Selected Orthopaedics Publications & Presentations

Beran M. “Age-based patellofemoral morphology in the immature knee.” Pediatric Research in Sports Medicine Society 2015 Annual Meeting; 2015 Feb 20-21; Weston, FL.


Blanchard C, Kushare I, Boyles A, Mundy A, Beebe AC, Klingele KE. Traumatic, posterior pediatric hip dislocations with associated posterior labrum osteochondral avulsion: Recognizing the acetabular “fleck” sign. Journal of Pediatric Orthopaedics. 2015 Apr. [Epub ahead of print].


Bono KT, Klingele KE. Pediatric orthopaedic infection season: an analysis of the seasonal variation of pediatric osteomyelitis and septic arthritis. Journal of the Pediatric Infectious Diseases Society. 2014;9(2):67-70.


Kako H, Kean J, Corridore M, Mendell JR, Flanigan KM, Tobias JD. Dexmedetomidine and ketamine sedation for muscle biopsies in patients with Duchenne muscular dystrophy. Paediatric Anaesthesia. 2014 Aug;24(8):851-6.


Martin DP, Bhalla T, Thung A, Rice J, Beebe A, Samora W, Klamar J, Tobias JD. A preliminary study of volatile agents or total intravenous anesthesia for neurophysiological monitoring during posterior spinal fusion in adolescents with idiopathic scoliosis. Spine. 2014 Oct;39(22):E1318-24.


Scharschmidt TJ, Lewis VO, Morris CD, Mayerson JL. Diagnosis and management of soft-tissue masses. The Journal of the American Academy of Orthopaedic Surgeons. 2014 Nov;22(11):742-50.

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