Some of our patient story participants have also allowed us to share the story of their treatment from a medical perspective. Rest assured that participation is voluntary and you can be certain that unless you grant us written permission to share your medical journey, all of your information will be kept private and confidential.
While some of the case studies may include x-rays and other medical images, surgical images will be kept to a minimum and any case studies containing such imagery will be clearly marked.
It may not be included in each individual case study but wounds are thoroughly cleaned, closed in layers, and dry sterile dressings are typically applied at the end of all surgical procedures. Patients are also also typically given antibiotics during surgery and placed on an antibiotic regimen after surgery to prevent infection.
I first met Douglas when his parents brought him in at the age of 1 week old for a consultation on his bilateral clubfeet. However, during my initial examination of Douglas I found a combination of symptoms that indicated he actually had arthrogryposis with clubfeet.
Vincenzo is a young man from Bari, Italy who had been diagnosed with arthrogryposis at birth and had been wheelchair bound since the age of six. At age 14, he traveled with his family to America to seek treatment. Over the course of two years, I performed muscles and tendon releases to allow for improved range of motion. By the end of treatment, Vincenzo was able to walk without assistance and had greater control of his arms which allowed him to use his hands in ways he could not before.
Avascular Necrosis of the Hip (Legg-Calve-Perthes disease)
Anthony was diagnosed with Legg-Calve-Perthes disease at the age of four and was treated by me until the age of 10. His multi-faceted and individualized course of treatment consisted of therapy, non-weight bearing, and surgery. Five years after his last procedure, Anthony’s Legg-Calve-Perthes is completely resolved and he should continue to enjoy normal hip function for many decades to come.
A pain in the leg around the age of 8 led to Bernard being diagnosed with Legg-Calve-Perthes disease. Review of an intraoperative arthrogram determined that the best course of treatment was arthrodiastasis with an EBI fixator applied to the hip. Since being treated, Bernard no longer experiences any pain is his hip and has returned to his normal activities with no limitations.
David is an avid hiker who fell and fractured his femoral neck during a hike. He underwent a successful surgery which fixed his femoral neck but later developed avascular necrosis of the hip. I ultimately recommended a multi-faceted course of treatment that included bisphosphonates, core decompression, BMP/Calcium phosphate, and arthrodiastasis. This course of treatment has successfully resolved his avascular necrosis of the hip and prevented the collapse of his femoral head.
After six years of intermittent groin pain, Nadine sought medical care when her symptoms became worse. An MRI revealed a cartilage tear in her right hip and she was later diagnosed with bilateral hip dysplasia. When Nadine visited me for a second opinion, I found that her right hip was worse than her left and recommended a right hip periacetabular (Ganz) osteotomy. In the months since her surgery, Nadine’s right hip pain has been resolved and she’s been able to return to her normal activities.
Lower Limb Deformity
Charlotte has been my patient since she was three years old. Over the years, I’ve collaborated with other medical professionals to treat her for various issues with her right leg. When Charlotte was 13, we began a multi-faceted course of treatment to correct a complex lower limb deformity that occurred as a result of her earlier leg issues. These treatments have made it possible for Charlotte to keep her leg while avoiding amputation and prosthetics.
Francesca is a competitive level female gymnast who sustained a proximal tibia fracture at the age of 10. The injury damaged her growth plate (physis) which caused it to close prematurely and led to the development of deformities where her right leg was shorter than her left and her right knee bent backwards 16 degrees more than her left knee. Francesca underwent a proximal tibia fibular osteotomy surgical procedure and had a Taylor Spatial Frame applied to her leg. The combination of this surgical procedure with physical therapy resolved her lower limb issues and allowed her to return to gymnastic.
At the age of 10, Grace suffered a gymnastics injury that caused severe lower limb trauma. She underwent two surgeries at other facilities to resolve the original injury and complications. As a result on recurring pain and numbness in her foot, Grace and her mom visited me for a second opinion. I found that the injury had stunted her growth plate and the size of her fibula was insufficient for protecting her ankle. I performed Grace’s third surgery, an epiphysiodesis procedure, to resolve her growth plate issues. Since her surgery, Grace has been doing very well and in addition to returning to gymnastics is now running track.
Shaunak was diagnosed at birth with achondroplasia, a bone growth disorder that causes a form of dwarfism. Shortly before his sixth birthday, he visited my office with his family to discuss options for limb lengthening and correction of his bowed legs. Shaunak’s limb deformities were corrected in stages over the course of eight months.
Shortly before his 14th birthday we discussed options for additional lengthening and the correction of a deformity that occurred as he grew. This course of treatment is still in progress and Shaunak’s case study will be updated once treatment is complete.
A few days before her sixth birthday, Ashley visited my office for a second opinion on her scoliosis. I diagnosed that her decompensation (curving) of the trunk towards one side was due to a hemivertebra at Lumbar 1 and a congenital wedge vertebra (deformed vertebra) at Lumbar 5. Based on my findings, I determined that a posterior spinal fusion and osteotomy was the best course of treatment.
At the age of 13, Stephanie underwent a posterior spinal fusion to treat her scoliosis which severely affected her lumbar and thoracic vertebrae. Following her surgery, Stephanie was able to recover and return to her activities without any restrictions in a relatively short amount of time.
Misc. Orthopedic Conditions
At the age of 23, Christopher a young man with left hemiplegic cerebral palsy visited me for an evaluation of right knee pain which began eight years prior without any known injury. Christopher was unable to walk independently, had a history of lower limb issues, and had undergone several surgeries prior to and after the occurrence of his knee pain. I found that a combination of a crouched gait, hip contracture, and knee contractures were causing his knee pain. A series of tenotomies, osteotomies, and a trochlear replacement relieved his pain and improved his ability to walk.
Jordan was born with skeletal issues which included low muscle tone, absent clavicles, and congenital kyphosis. He was later diagnosed with cleidocranial dysostosis, a rare hereditary congenital disorder which causes teeth and bones in the upper torso to develop abnormally. At the age of 13, Jordan’s spine had developed multiple hemivertebrae in addition to scoliosis and kyphosis curves. Jordan underwent a posterior spinal fusion with Ponte osteotomies to help straighten his spine and expand his ribs. He did very well after surgery and was able to return to playing basketball five months after surgery.
Nathalie was diagnosed with osteogenesis imperfecta (Type IV) as a toddler. Osteogenesis imperfecta is a congenital genetic condition that causes brittle bones which fracture easily from minor impact and in some cases for no reason. Given the nature of osteogenesis imperfecta, childhood fractures are to be expected and require immediate attention to avoid long-term issues. Nathalie is now in her early teens and doing very well.