2019 ORTHOPAEDICS - Florida Orthopaedic Institute
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ORTHOPAEDICS 201 9
THE YEAR
IN REVIEW
Primary teaching hospital for the
USF Health Morsani College of Medicine
Our orthopaedics team at TGH
focuses on producing world-class
outcomes for our patients. From
complex injuries to more routine
orthopaedic care, our health care
professionals organize as a team
with the patient to diagnose and
treat all musculoskeletal issues,
producing world-class results.
— John Couris, President & CEO,
TA M PA G E N E R A L H O S P ITA L
TABLE OF CONTENTS
4 VISION
6 TAMPA GENERAL HOSPITAL
10 FLORIDA ORTHOPAEDIC
INSTITUTE
12 USF HEALTH MORSANI
COLLEGE OF MEDICINE
14 ORTHOPAEDIC SURGERY
RESIDENT TRAINING PROGRAM
16 FELLOWSHIPS AT TAMPA
GENERAL HOSPITAL 5
MEDICAL
HELICOPTERS allow
OUR FOCUS AREAS RESEARCH Tampa General Hospital
18 ADULT RECONSTRUCTION SURGERY 38 FORE (The Foundation for Orthopaedic to transport critically
Research and Education) injured or ill patients
from 23 area counties
22 FOOT & ANKLE SURGERY
to receive the advanced
26 HAND & WRIST SURGERY 40 FIVE LABS
care they need.
28 SHOULDER & ELBOW SURGERY
30 CENTER FOR ADULT SPINE DISORDERS 42 AWARDS, RESEARCH GRANTS,
PUBLICATIONS, BOOKS & Air transport services provided by
Metro Aviation, Inc.
34 ORTHOPAEDIC TRAUMA SERVICE PRESENTATIONS
36 SPORTS MEDICINE
3
VISION
48
orthopaedic beds are
dedicated to patients
being treated by Florida
Orthopaedic Institute and
the USF Department of
Orthopaedics physicians.
We believe our passion will continue
to drive clinical excellence at Tampa
General Hospital for years to come.
4
Department of Orthopaedic Surgery
A
s Florida’s largest orthopedic of care. Our subspecialties including
group, Florida Orthopaedic hand and wrist, spine, joint replace- As academic researchers and teachers,
Institute’s mission remains ment, shoulder and elbow, sports I am proud of our residency program,
excellence in clinical outcomes with medicine, foot and ankle, trauma, and which scored in the 98th percentile
exceptional patient experiences. As pain management. These proficiencies in the nation. Similarly, our research
medical director for the Orthopedics are invaluable for proper diagnosis divisions published 61 peer reviewed
Program at Tampa General Hospital, it and treatment, providing a level of care scientific articles in the 2019 academic
is my responsibility to make sure we live unrivaled anywhere in the Tampa Bay year. This combination of surgical
up to these standards every day. We’re area. talent, clinical researchers, and a strong
committed to achieving world-class residency training program allows USF/
results for all our patients. As the exclusive clinical faculty for FOI at TGH to offer our community
the USF Department of Orthopaedic high-quality academic research, all the
Our world-class results are coupled Surgery, FOI/USF at TGH features a full while maintaining excellence in clinical
with academic teaching, education, complement of orthopaedic surgeons in orthopaedic surgery.
and research through our integration every subspecialty, mid-level providers,
with the University of South Florida’s orthopaedic Fellows in six (6) different For over 30 years, we have worked
Morsani School of Medicine (USF). subspecialties, and the USF Ortho- diligently to make Florida Orthopaedic
Tampa General Hospital (TGH), our paedic Surgery Residency Training Institute a leader in orthopaedics.
academic medical center, is a vital part Program. A total of 48 orthopaedic What we’ve been able achieve has
of this equation and allows us to help beds are dedicated to the Orthopaedic been through outstanding partner-
countless patients with all aspects of Trauma Service, the Hand and Replant ships, forward-thinking leadership,
the musculoskeletal care. With over Service, the Joint Replacement Center, dedicated employees, our staff of
1,000 inpatient beds including 150 ICU and one the largest Shoulder and fellowship trained physicians, our
beds, TGH is the only Level I Trauma Elbow Programs in the United States. affiliation with USF and the Ortho-
Center on the west coast of Florida. It’s TGH offers our region the most sophis- paedic Residency program, and
designated as the region’s Brain and ticated and innovative orthopaedic cutting-edge orthopaedic research.
Spinal Cord Injury Center, Hand Replant care available. This includes complex
Center, and Regional Burn Facility. hand replantation, polytrauma man-
agement, robotic surgery, total ankle Sincerely,
Because all our surgeons are fellowship replacements, revision arthroplasty,
trained, they can practice in their area and management of bone and joint
of expertise with the highest standards infections, to name a few.
Roy Sanders, M.D.
Chief, TGH Department of Orthopaedics
Professor & Chair, USF Orthopaedic Surgery
Our goal is to provide patients with world-class President, Florida Orthopaedic Institute
orthopaedic care and achieve exceptional outcomes
through continuing research and specialty expertise.
5
TAMPA GENERAL HOSPITAL TGH is ranked one of America’s top 50 hospitals in five medical specialties and a top 20 hospital for Orthopaedics by U.S. News & World Report 2019-2020. 6
One of the most comprehensive academic
medical centers in the nation
R
anked as one of the comprehensive interventions.
nation’s top 20 hospitals As one of the largest hospitals in
for orthopaedics and Florida, Tampa General Hospital
one of the best hospitals in five is licensed for 1,007 beds, and with
medical specialties by U.S. News over 8,000 employees, is one of
& World Report 2019-2020, Tampa the region’s largest employers.
General Hospital is one of the most TGH has been affiliated with the
comprehensive academic medical USF Health Morsani College of
centers in the nation. Tampa General Medicine since the school was
performs more orthopaedic surgical created in the early 1970s, with
procedures than anyone in the over 400 residents and fellows
area, giving surgeons the extensive assigned for specialty training.
experience that has made TGH a
regional, national and international Tampa General Hospital is
referral center for orthopaedic home to the only Level I Trauma
trauma, complex procedures and Center in the region and provides
nationally respected orthopaedic
trauma services. It is also the
only regional referral center
that specializes in bone and joint
infections. Additionally, Tampa
General Hospital has specialty
centers for Orthopaedics, Trauma, Tampa General performs more
Bariatrics, Neurology, Head and orthopaedic surgical procedures than
Neck Surgery, Burns, Cardiac anyone in the area, giving surgeons
Surgery, Transplantation, Vascular the extensive experience that has
Surgery, Women’s Health and made TGH a regional, national
Tampa General Hospital’s state-
OB/GYN, Oncology, Pediatrics, and international referral center
verified Level I Trauma Center
Neonatal Intensive Care, In- for orthopaedic trauma, complex
proudly maintains Gold Seal
Vitro Fertilization and others. procedures and comprehensive
Certification for healthcare quality
from the Joint Commission in interventions.
orthopaedic trauma.
7
30-DAY
READMISSIONS
2.21
1.24%
Anticipated
2.07
33,807 47 43,531 TGH Ortho
SURGERIES SURGICAL INPATIENT AMC
SUITES DISCHARGES comparison group
0.8%
TGH Ortho
EMERGENCY & TRAUMA CENTER VISITS TRANSPLANTS
102,626 19,812 544 HIP & KNEE ARTHROPLASTY
ADULT PEDIATRIC ADULT & PEDIATRIC Length of Stay
8,095 1,663
TOTAL FULL-TIME
EMPLOYEES
MEDICAL STAFF
796
making it one of
the region’s largest em- 1,007 AVERAGE
ployers LICENSED BEDS DAILY
CENSUS
(2019 Fiscal Year End 9/30/19)
8
Tampa General Hospital has been Not only does Tampa General each patient’s mobility, function, workers – all in a single location,
named one of the top 20 hospitals Hospital’s orthopaedic program and quality of life. Patients have providing a simple, convenient and
in the nation and the best hospital excel at providing routine surgical access to a multidisciplinary team patient-centered experience.
in Florida for orthopaedics by procedures such as hip and knee of specialists – including physicians,
U.S. News & World Report 2019- surgery, but they also excel at surgeons, advanced practice nurses,
2020 in recognition of its: providing emergency orthopaedic registered nurses, physical and
care for trauma patients. The occupational therapists, and social
• High patient volume orthopaedic trauma
• Better-than-expected program provides
survival rates fracture management,
For years, Tampa General Hospital has received
• Favorable balance of limb-sparing surgeries,
nurses to patients bone and joint infection numerous disease-specific national certifications
• Full-time availability management, and from The Joint Commission, including hip, knee
of intensive care corrective surgeries for and shoulder joint replacement.
• Compliance with the nonunions, malunions,
nursing standards set forth and a variety of other
by the American Nurses orthopaedic conditions.
Credentialing Center Tampa General Hospital is
• Comprehensive range of a regional referral center
patient services, including for complex orthopaedic
arthritis treatment and surgery, and the orthopaedic
wound management trauma program maintains
• Advanced technological Gold Seal Certification from
offerings, including computer- The Joint Commission.
assisted orthopaedic surgery
and transplant services Tampa General Hospital’s
Orthopaedics Program
Additionally, Tampa General Hospital Orthopaedic surgeons at
earned high performing 2019- Tampa General Hospital Tampa General Hospital
2020 recognition from U.S. News & care for a complete range was named one of the top 20
World Report for its knee and hip of orthopaedic conditions,
hospitals in the nation and the best
replacement programs, both of including arthritis, fractures,
which have low 7- and 30-day re- and all musculoskeletal
hospital in Florida for orthopaedics
admission rates, low post-operative injuries. Surgeons perform by U.S. News & World Report 2019-2020.
complication rates, and low rates joint replacement surgeries, Additionally, the hospital was named a
of patients requesting corrective trauma care, and a high performing hospital for hip and
surgery after their initial procedures. multitude of other treatments, knee replacements.
working collaboratively to improve
9
FLORIDA
ORTHOPAEDIC
INSTITUTE
Florida Orthopaedic
Institute has 9 locations
across the Tampa Bay
area and 2 ambulatory
Surgery Centers.
As Florida’s largest orthopaedic group, our mission
is to provide patients with world-class orthopaedic care,
achieving exceptional outcomes through continuing
research and specialty expertise.
— Roy Sanders, M.D.
President, Florida Orthopaedic Institute
10All surgeons are fellowship trained,
providing a level of care unattainable
elsewhere in Tampa Bay
F 217,242
lorida Orthopaedic Institute With expertise in virtually every Using data, research, and
physicians are known orthopaedic subspecialty, Florida analytics, FOI continues to provide
nationally and throughout Orthopaedic Institute is a one-stop innovative care to patients, OFFICE VISITS seen
the world for their work in shop, with the ability to manage all allowing them the best chance to in 2019
orthopaedic surgery, and have aspects of musculoskeletal care. return to a normal lifestyle.
been named among the best
orthopaedic physicians in America. Founded in 1989, FOI has grown Additionally, in combination with 76,584
This is accomplished through from 12 orthopaedists working USF and Tampa General Hospital, NEW PATIENTS seen
subspecialization, continuing in one office and one hospital, FOI surgeons use the combined in 2019
scientific and clinical research to over 45 physicians, 30 mid- strengths of each partner to
to enhance the art and science level providers, 16 Fellows, and a advance academic orthopaedics
of orthopaedic surgery, and by professional staff of more than through the USF Orthopaedic
providing orthopaedic education 690, working in 9 offices and 18 Surgery Residency Program. This
through courses and lectures,
journal publications, Fellowship
and residency training.
regional hospitals, plus two FOI
Surgery Centers.
combination assures patients the
finest orthopaedic treatment and
brings substantial benefits to the
8,901
INPATIENT
FOI’s Divisions include: community, patients, residents,
SURGERIES
Foot and Ankle, Hand and Wrist, and medical students alike.
With performed in 2019
Joint Arthroplasty, Oncology,
expertise in
Orthopaedic Trauma, Pain
virtually every
Management, Rehabilitative
orthopaedic
Medicine, Shoulder and Elbow,
subspecialty, Florida
Spine Surgery, and Sports
24,036
Orthopaedic Institute
Medicine.
manages virtually
all aspects of
musculoskeletal care. TOTAL
SURGERIES
performed in 2019
11USF HEALTH
MORSANI COLLEGE
OF MEDICINE
The USF/FOI program continues to raise the bar. Our
residents scored amongst the top 5 programs in the US
on the 2019 Orthopaedic In Training Exam, presented
at top national conferences, published in peer reviewed
journals, far surpassed surgical training requirements,
and matched at the most highly sought-after US and
international fellowship programs following graduation.
— Hassan Mir, M.D., M.B.A. USF Health Morsani
College of Medicine
Program Director and Heart Institute in
downtown Tampa.
12Producing surgeons ready for the DEPARTMENT OF
ORTHOPAEDIC
challenges of contemporary medicine SURGERY
95%
OF GRADUATES take
Hospitals for Children, and several subspecialty Fellowships
Together, USF and FOI continue community hospitals. Additionally,
to provide educational excellence
research opportunities at USF,
FIVE LABS, and CAMLS, in basic 36
in musculoskeletal medicine and science, biomechanics, and clinical ORTHOPAEDIC
research, now and for the future. research, complete the advanced RESIDENTS
training and education. have completed the
program since inception
T
We believe this creative and in 2007
he USF Health Morsani as compassionate clinicians,
160+
innovative educational experience
College of Medicine, excellent surgeons, and creative
produces practice ready
and Florida Orthopaedic researchers, by offering them
surgeons, instilling within them the
Institute have partnered together a wealth of opportunities in PRESENTATIONS,
knowledge, skills, and attitudes
to provide excellence in academic orthopaedic education. PUBLICATIONS
required for the challenges of
training, research and education. and LECTURES from
contemporary medicine. Our goal orthopaedic residents
Together, we are the keystone in a As such, we have put together
is to create the ultimate learning
350+
network of institutions, programs, a balanced and complete
environment to foster excellence
and individuals that collaborate orthopaedic training program
in the lifelong pursuit of education,
to give innovative, high-quality, with opportunities we believe
compassionate, accessible rival any program in our state.
research, and compassionate PEER-REVIEWED
patient care. PUBLICATIONS
orthopaedic health care. Primarily based at Tampa General
over the last 5 years
Hospital, the Residency Training
TOP 5
The core element in this Program is also blessed with
integrated partnership is our exceptional participating teaching
Orthopaedic Surgery Residency facilities including the James A.
Hassan Mir, M.D., M.B.A. SCORING BY
Training Program. The specific Haley Veterans’ Hospital, Johns RESIDENTS in the 2019
Program Director
goal of the program is to prepare Hopkins All Children’s Hospital, Orthopaedic In Training
orthopaedic leaders of the future Moffitt Cancer Center, Shriners Exam
13ORTHOPAEDIC SURGERY RESIDENCY TRAINING 2015 – 2020 RESIDENTS 2019 Orthopaedic Surgery Residents and Dr. Sanders, Chairman, front row (3rd from the left) and Dr. Mir, M.D., Program Director, front row (4th from the left) 14
Exceptional training opportunities
at 8 area institutions
The goal of the program is to
prepare orthopaedic leaders
of the future as clinicians,
surgeons, and creative
investigators.
T
he Orthopaedic Surgery training opportunities at a variety distance of the main campus of
Residency Training of superb institutions, including the University of South Florida.
EDUCATION
Program at the USF world-renowned Moffitt THROUGH
Health Morsani College of Cancer Center, Florida Hospital Other participating institutions EXPERIENCE
Medicine provides outstanding Tampa, Shriners Hospitals for include John Hopkins All
post-graduate education in Children, and the James A. Children’s Hospital, Florida Residents are provided
the setting of broad spectrum, Haley Veterans Administration Hospital Carrollwood, Brandon educational opportunities
state-of-the-art clinical services. Medical Center. These facilities Regional Hospital, and Tampa through lectures, small
The goal of the program is to are co-located within walking General Hospital where group discussions and
prepare orthopaedic leaders of residents spend the majority exercises, hands-on
the future as clinicians, surgeons, of their time and where the sawbones labs, cadaveric
and creative investigators. This academic offices are located. training, surgical skills labs,
approach puts trainees on the and mobile learning labs
cutting edge of orthopaedic for hands-on experience
advancement, and benefits and to explore the latest
patients and the profession, orthopaedic technologies.
Hands-on resident training
now and for years to come.
at FORE (Foundation for
The USF Orthopaedic Residency Orthopaedic Research and
Program offers exceptional Education)
15FELLOWSHIPS AT
TAMPA GENERAL
HOSPITAL One of the largest Fellowship
programs in the nation
S
urgical Fellowships of a total of 15 Fellows at TGH,
are designed to offer making this one of the largest
graduating orthopaedic Fellowship programs in the
surgeons advanced training in United States.
an orthopaedic subspecialty.
The goal of each of these The ACGME approved Sports
one-year Fellowships is to Medicine Fellowship under
provide a comprehensive Dr. Charles Nofsinger, offers
educational, clinical, operative a broad-based experience,
and research opportunity that teaching the care and
can only be experienced in a prevention of injuries to
highly specialized, high-volume athletes to one Fellow every
referral center. Our goal is year. Using an additional four
that the graduating Fellow will faculty, Fellows are involved in
become proficient in that field the surgical and office-based
of orthopaedics, and develop management of sports-related
into an authority in that field for injuries as well as supporting
their community. team sports including Tampa
Bay Buccaneers, the University
There are six (6) Fellowships of South Florida, University of
offered through FOI/TGH/USF. Tampa, St. Leo University, and
Overall, twenty nine attending most of the high schools in our
staff are involved in the training region.
16The Shoulder and Elbow Fellowship, Kenneth Gustke and Thomas Bernasek,
under Drs. Mark Frankle and Mark and seven other arthroplasty surgeons,
Mighell, consists of three Fellows trains six Fellows in primary and revision
mastering arthroscopic surgery of the hip and knee replacements, as well as
shoulder, as well as fracture care and robotic surgery.
joint arthroplasty, with one of the largest
volume reverse shoulder replacement The Orthopaedic Trauma Service, under
programs in the country. the direction of Dr. Roy Sanders, has
trained more than 100 Fellows over the
The Hand and Wrist Fellowship, under last 30 years. Three Fellows annually are
the supervision of Dr. Alfred Hess, trains taught by a total of six trauma surgeons
three Fellows in all aspects of upper in Level I management of the multiply-
extremity pathology including congenital injured patient.
hand deformities (at Shriners Hospital
for Children) and replantation and limb
salvage surgery of the upper extremity
using four dedicated hand surgeons at
TGH, our Level I facility.
The Foot and Ankle Fellowship, under Dr.
Arthur Walling and two other surgeons,
trains two Fellows each year and has long
More than
240
been a center for total ankle replacement
training.
The Joint Arthroplasty program with FELLOWS
more than 1,400 joint replacements at have graduated
TGH alone, under the co-direction of Drs. since 2000
17ADULT Performing thousands of
successful hip and knee joint
RECONSTRUCTION arthroplasties
SURGERY
Hip Preservation Surgery Primary Hip & Knee
Technologies and procedures Arthroplasty Surgery
for care and repair of the hip The arthritis specialists of
have evolved significantly in Florida Orthopaedic Institute
recent years. If oral medication use numerous methods to treat
and physical therapy are not arthritis depending on its severity
effective, patients are now including activity modification,
offered the latest advanced exercise programs, and oral
technique - hip arthroscopy. medications to manage milder
For patients with pain related forms of the disease. For more
to torn or loose cartilage, moderate forms of the disease,
or early arthritis with bone cutting-edge regenerative
impingement, minimally invasive techniques including platelet rich
arthroscopic hip surgery is plasma and stem cell injections
an excellent option which is are offered to minimize the pain
performed as an out-patient associated with the disease.
procedure, through one or two When the hip or knee joint is
small incisions. In many cases, either too arthritic, deformed, or
arthroscopic treatment can both, a variety of replacement
Our surgeons are leading the way with minimize or significantly delay options are available, including
minimally invasive arthroscopic hip the need for a hip replacement. total hip, partial hip, and
The specialists of Florida total knee replacements.
surgery, robotic assisted total knee Orthopaedic Institute are among
and hip replacement, tibial trial sensor only a handful within the state
of Florida qualified to provide
Hip and knee replacements
are one of the most successful
technology and other cutting-edge this state-of-the-art therapy. operations ever developed,
with patient satisfaction rates
orthopaedic techniques. typically in excess of 90%. Florida
Orthopaedic Institute surgeons
18Tampa General Hospital is one
of the leading revision hip and
knee centers in the nation.
perform thousands of advanced techniques available,
these joint replacements making them leaders in their field.
each year. All have
received Fellowship Same Day Outpatient Hip
training in their specialty, & Knee Joint Surgery
from some of the world’s Florida Orthopaedic Institute
best universities and surgeons have helped pioneer
research centers, and now outpatient joint replacement,
teach younger surgeons where patients can go home
these same techniques, the same day as the surgery.
lecturing nationally and Traditionally, patients have been
throughout the world. admitted to the hospital for a
These same surgeons have period of two to four days. But
pioneered many of the with team control, excellent
operative procedures and anesthesia, and surgeon expertise,
designed the very implants same day replacements can be
used to replace the hip and performed on selected patients.
knee joints. All are board Patients come in an hour before the
certified and recertified. operation, have surgery, usually stay
As a result, these surgeons between three to four hours in the
consistently use the most recovery unit, and then go home.
ADULT RECONSTRUCTION CASES
FLORIDA ORTHOPAEDIC INSTITUTE ADULT RECONSTRUCTION SURGEONS Pictured Front
9,193
Row (l to r) Dr. Christopher Grayson, Dr. Kenneth Gustke, Dr. Brian Palumbo, Dr. Michael
Miranda, Dr. Kapil Mehrotra, Dr. David Watson; Back Row (l to r) Dr. Steven Lyons, Dr. 2019
Thomas Bernasek, Dr. David Donohue, Dr. Grant Garlick
19Robotic Joint replacements. Surgeons guide the and patients with metabolic
Replacement Surgery Mako robotic arm during surgery, bone problems. As one of the
One recent technique that the based on a patient-specific plan. leading revision hip and knee
Florida Orthopaedic Institute centers in the United States,
Joint Replacement team at Revision Joint Tampa General Hospital and its
TGH has helped pioneer is the Replacement Surgery surgeons’ expertise have restored
Mako® robotic-assisted surgery. As high volume joint replacement many failed joint replacements
This technology helps with the surgeons, the Florida Orthopaedic so patients may successfully
removal of diseased bone while Institute team has a tremendous return to a normal lifestyle.
preserving healthy bone and understanding of the problems
assists the surgeon in the ideal associated with failed surgery.
positioning of the implant, based This expertise has resulted
on the patient’s anatomy. Mako in exceptional experience in
technology provides surgeons solutions for infected joints, loose
with patient-specific 3-D models implants, complex deformities, Blue Cross and Blue Shield
to pre-plan hip and knee fractures around these implants, Association (BCBSA)
has selected Tampa
General Hospital as a Blue
Distinction Center+ for SENIOR STRONG
Knee and Hip Replacement, The SENIOR STRONG program,
part of the Blue Distinction created by Florida Orthopaedic
Specialty Care program. Institute, is designed to
proactively provide seniors with
key fitness techniques to maintain
healthy and active lifestyles by
decreasing falls and increasing
energy levels to prevent hip
fractures. This groundbreaking
preventative treatment program
helps incorporate lower extremity
Based on a patient-specific resistance strength exercises,
plan, surgeons guide the Mako
robotic arm during surgery.
balance exercises, and functional
Mako technology assists the movements and is customized to
surgeon in positioning the implant each patient.
based on the patient’s anatomy.
20ADULT RECONSTRUCTION SURGERY Success Stories ON THE LEADING EDGE
FOI joint arthroplasty surgeons are
When Moseley Ruark Ed Crawford suffered an injury in his youth but using:
had her original thought nothing of it. As Ed aged, he noticed he • Robotic-assisted total knee
knee replacement was no longer able to do activities he enjoyed, replacement, leading the
five years ago, she such as riding his bicycle and his motorcycle, and application team, the IDE study for
thought that was the gentle yoga without pain. He FDA approval, and as part of initial
best recovery she came to Florida Orthopaedic limited release surgeon group
would have. Yet she Institute to see what was going • Second generation robotic partial
couldn’t climb the stairs or stand to cook without on with his hip. Ed had a full knee replacement, leading the
pain. While visiting with some friends, they right hip replacement and application team and part of the
initial limited release surgeon
convinced her that she could achieve a better was able to stand the next day
group
quality of life. After a consult with Dr. Palumbo, following his surgery. He can
Moseley felt like he could revise her knee and get now enjoy the activities he • Robotic-assisted total hip
replacement
her back to being active with her family. Moseley loves with no hesitation or pain.
couldn’t say enough about her experience, and • Tibial trial sensor technology for
is thrilled to be able to bend down and play with total knee soft tissue balancing
her grandchildren now. Grant Pennington has been around horses all • Anterior-based muscle sparing
his life, and his passion for riding and training approach for total hip permitting
progressed from a hobby to a career. During accelerated recovery
Earl Bedford is a 30-year Army veteran who one of his training sessions with a fresh horse, he • Short femoral implant component
served in Special Operations. After retirement was bucked off, shattering his left tibia. He was for total hips
from the service, his body started to fail him. He transferred to Tampa General Hospital so the • Radiofrequency ablation for knee
wanted to ensure his quality of life in the years Florida Orthopaedic Institute Trauma physicians pain (genicular nerves) via novel
ahead and allow him to continue being active. could perform his surgery. He learned he might technique
He had torn muscles in his right never walk again, but his team and Grant himself • Kinematic total knee arthroplasties
knee and torn ligaments and wouldn’t settle on that future. At four months (pilot center)
muscles in his left knee. His post-op, Grant was riding again. • Custom total knee arthroplasty
double knee replacement and implantations
recovery were “outstanding.”
• Partial and Total knee replacements
Now he is back to swimming, using the MAKO robotic-arm
playing with his dog, and assisted surgery system
keeping up with his two
• Navio Surgical System for partial
daughters. knee replacement
21FOOT & ANKLE Over 1,700 procedures done
in 2019 alone
SURGERY
S
ince 1989, Florida When surgery is indicated, the
Orthopaedic Institute operative experience of the
surgeons at Tampa surgeon is critical. With the
General Hospital have helped largest combined experience
thousands of patients get back in Florida, the FOI team has
on their feet with Tampa Bay’s performed tens of thousands
most advanced orthopedic of these procedures including
lower extremity service. flat foot corrections, ankle
Knowledgeable and experienced and subtalar fusions, midfoot
physicians, therapists and nurses osteotomies, bunion surgery,
work in concert to cover the soft tissue reconstructions, as
total spectrum of foot and ankle well as fracture reconstruction.
musculoskeletal care.
Fracture Surgery
Whether tendon, ligament, The foot and ankle surgeons
bone injuries, arthritis, or are well respected fracture
With over 20 years of experience, acute/chronic conditions, specialists, managing the most
performing thousands of ankle fusions, FOI surgeons are fellowship complex of these problems with
trained and have extensive a national and international
triple arthrodesis, subtalar fusions and knowledge in the management reputation. In addition, the
total ankle replacements, our surgeons of all conditions affecting this
region of the body. Thankfully,
devices used to treat these
injuries (plates, screws and
are leaders in the field. TGH is the many of these problems require intramedullary nails) have
conservative management been developed by members
largest total ankle replacement center before requiring surgery. Shoe of the team. This expertise is
in Florida. modifications, bracing, physical unique in the region and allows
therapy, and medications are for managing problems with
only a part of what is offered. predictable outcomes, as well as
22Patients from all across the nation are
referred Because of the combined
expertise and reputation.
teaching others through courses,
lectures, and publications. In 1995, the Agility® total
ankle prosthesis became
Ankle Arthritis available in the U.S. Tampa
Unfortunately, this is a rather General was the third center
common problem and requires in the country to implant
careful management to maintain this device, with Florida
motion while minimizing pain. Orthopaedic surgeons
The first line of treatment involved in design, teaching,
remains oral medications, but and evaluation of the implant.
stem cell injections are frequently Later that year a European
used by the staff to minimize the ankle known as the S.T.A.R.®
inflammation within the ankle was released, and again Florida
that causes the pain. When this is Orthopaedic surgeons were
not effective, arthroscopy may be involved in the first trial of that
used remove irritating tissue. prosthesis in the U.S.
These minimally invasive Since that time, FOI surgeons FELLOWSHIP AND RESIDENT TRAINING FACULTY, Pictured (l to r)
procedures are designed to (all trained on total ankle Dr. Roy Sanders, Dr. Arthur Walling, Dr. Timothy Epting, Dr. Evan Loewy
prevent the need for an open replacements) have performed
procedure. However, when hundreds of replacements. With are not candidates for an ankle and position the ankle so the joint
arthritic pain and deformity over 20 years of experience, replacement, ankle fusions below moves well.
prevents patients from the foot and ankle surgeons of remain the gold standard.
maintaining a normal lifestyle, Florida Orthopaedic Institute Patients can walk without a limp Revisions & Referrals
either a fusion or an ankle remain leaders in the field. using modern techniques to Because of the combined
replacement is required. Finally, for those patients that remove minimal amounts of bone expertise of the foot and ankle
23FOOT & ANKLE CENTER Success Stories surgeons, as well as their national Specialties include the
reputation, patients are referred treatment of:
not only locally, but from all over • Achilles Tendon Injuries
the country. Many of the referrals • Chronic Ankle Ligament Injuries
are patients with significant • Adult Acquired Flatfoot
post-surgical complications • Bunion Surgery
including infections, failed joint • Hammer Toe
replacements, poorly positioned • Morton’s Neuroma
fusions, and non-healed • Stem Cell Injections
fractures. These patients are • Arthritis of the Foot and Ankle
sent to the Center for definitive • Fractures of the Foot and Ankle
solutions to their problems, • Total Ankle Arthroplasty
and in most cases the Florida (Replacement)
An industrial accident 15 years ago crushed Andy McTear’s right ankle. Orthopaedic surgeons at Tampa
The injury healed reasonably well, but as age caught up to him, he got General Hospital are able to
arthritis in that foot. The progressive pain prohibited him from his usual improve their lives. This ability
activities of teaching woodturning and golfing with his wife. Feeling to solve complex problems and
hopeless, Andy turned to the Florida Orthopaedic Institute for help. help patients is the driving force
He thought after the operation that he would still experience some behind maintaining the high
pain, but today Andy is entirely pain-free and back to enjoying his quality of care offered, and why
favorite hobbies. Tampa General is a regional and
national referral center.
Janice White had a terrible fall one afternoon and broke both her
fibula and ankle along with dislocating her leg from her ankle. An avid
walker and biker, she was concerned
that she would never be able to get
back to the active lifestyle she loved.
Immediately after her break, Janice
went to Tampa General Hospital so
she could have her surgery done by
the Florida Orthopaedic Institute
FOOT & ANKLE CASES
surgeons. Just 3 weeks after surgery,
she was back to walking a mile
a day. 2019 1,742
24FOOT & ANKLE CENTER Success Story
meet
TERRY SWARTZ
Terry Swartz with his children
T
erry was driving home one day when he got into an accident Dr. Sanders knew he could save Terry’s legs, but it would take a series
that drove his car into a wall. The impact from the hit was so of surgeries over a year to do so. As a result of this, Terry moved his
great that it crushed all in its path – including Terry’s legs. The entire family to Tampa for the year, just so he could receive treatment
doctor informed him that there was a chance they would need to do from Dr. Sanders. Initially after the surgeries, Terry was in a lot
a bilateral amputation because of the seriousness of the injury. It was of pain. But as time progressed, he was walking and running the
then that Terry sought out Dr. Roy Sanders of the Florida Orthopaedic hallways. Today, Terry’s legs are fully functioning, and he’s back to all
Institute to see if he could help his case. dad activities.
25HAND & WRIST Additionally training allows our surgeons
to excel in microvascular surgery, with
extensive experience in the replantation
SURGERY of fingers, thumbs, and hands
Hand & Wrist Surgery certified in orthopaedic surgery,
Hand and wrist surgery at have fellowship training in hand
Tampa General Hospital surgery, and have a certificate
is performed by Florida of added qualifications (CAQ) in
Orthopaedic Institute fellowship hand surgery - the highest level
trained surgeons who provide of achievement in this discipline.
treatment for complex Active researchers, teachers,
fractures, ligamentous, nerve, and educators, these surgeons
and arthritis surgery as well train residents, Fellows and other
as reconstruction, including orthopaedic surgeons through
free tissue transfers and limb their lectures, courses, and
replantation. The team consists publications.
of surgeons who are all board
Florida Orthopadic Institute has
managed the Upper Extremity
Fracture Service at Tampa General
Hospital for over 25 years, treating
all injuries sent to this Level I
Trauma Center.
26Fracture Surgery This includes injuries to bone, and crush injuries. Additionally treated with fusions, osteotomies
As the staff that have managed ligament, tendons, nerves, and training allows our surgeons to and deformity correction.
the Upper Extremity Fracture joints sustained in car, boat, and excel in microvascular surgery, Whenever possible, joint
Service at TGH for over 25 years, motorcycle accidents, work- with extensive experience in the replacements including partial
the team treats all the injuries related accidents, including finger replantation of fingers, thumbs, and total wrist replacement
sent to the Level I Trauma Center. and hand amputations, infections and hands. are offered to correct problems
associated with this disease.
Reconstruction
Arthritis of all kinds, both due
to wear and tear, as well as the
rheumatoid type, are effectively
HAND & WRIST CASES
2019 2,273
All hand and wrist surgeons are
board certified, fellowship trained,
with a certificate of added
qualifications (CAQ).
Pictured (l to r) Dr. Jeffrey Stone,
Dr. Jason Nydick, Dr. Michael Garcia
Dr. Alfred Hess
27SHOULDER Dedicated to understanding
diseases of the shoulder and
producing world-class results
& ELBOW
SURGERY T
he quality of the Florida
Orthopaedic Institute While on average, over 60% of
shoulder surgeons have total shoulder replacements are
created one of the preeminent performed by surgeons who do
programs in the country. approximately two replacements
Dr. Mark Frankle, who was a year, the Shoulder Service
Fellowship trained at the Mayo performs over 600 replacements
Clinic, is one of the pioneers of a year. High volume surgery
Reverse Total Shoulder surgery. means greater efficiencies,
faster surgical times and fewer
Over the last 25 years, Dr. complications.
Frankle has performed
thousands of total shoulder Because of these superior
procedures, revolutionizing the outcomes and cutting-edge
procedure, the implants and the research, the Shoulder Service
results. His publications, lectures, is dedicated to understanding
courses and books have won diseases of the shoulder and
him international acclaim. producing world-class results.
The Shoulder Service trains
residents and Fellows in the
The shoulder surgeons at Florida complex aspects of arthroscopic
rotator cuff surgery, fracture
Orthopaedic Institute heve created care, and joint replacement of
one of the preeminent programs in the upper extremity.
the country.
28SHOULDER SERVICE
Over 60% of total shoulder replacements are Cases Performed Fellowship Year 2019
performed by surgeons who do approximately
two replacements a year. The Shoulder
Service performs over 600 a year.
Arthroscopic Shoulder
1103
Open Shoulder
774
ON THE LEADING EDGE
FOI’s surgeons are using:
• BioWick™ SureLock™ Implant, an
interpositional scaffold wick for rotator
cuff repair
• Bioinductive implants for rotator cuff repair
• AltiVate™ Anatomic Shoulder System
• Small shell reverse total shoulder
arthroplasty bone sparing implant
Pictured (l to r)
Dr. Eddy Echols, Jr.
Dr. Ioannis Pappou
Dr. Mark Mighell
Dr. Christopher Baker
Dr. Benjamin Lindbloom
Dr. Mark Frankle
29CENTER FOR FOI’s Center for Adult Spinal Disorders
is dedicated to excellence in the
treatment of the spine
ADULT SPINAL
DISORDERS T
o offer the best possible Minimally Invasive Spine
level of spine care for Surgery
patients, the Center for Patients who suffer chronic
Adult Spinal Disorders is a back pain from certain spine
unique center of excellence conditions and who have been
dedicated to the treatment of unresponsive to nonsurgical
the spine. treatments may be considered
candidates for minimally
Spine specialists of Florida invasive spine surgery.
Orthopaedic Institute focus
on prevention, restoration of Minimally invasive spine
function, reduction in pain, and surgery combines technological
control of costs in developing advances with state-of-the-art
any treatment for back pain. practices that reduce both the
Education, exercise, medication, size of the incision as well as
ultrasound, heat, massage, the hospital stay. Many patients
and chiropractic therapies are able to have the surgery
are applied as nonsurgical performed in an outpatient
options to relieve spine pain. setting. Minimally invasive spine
The majority of patients can surgery typically involves fewer
be successfully treated with risks than open spine surgeries.
The majority of patients can be successfully physical therapy and medical
management. If nonsurgical Anterior Cervical Discectomy
treated nonsurgically, with physical therapy
approaches are not effective, with Fusion (ACDF)
and medical management. When surgery the latest advancements in The fellowship trained surgeons
is indicated, our surgeons use a variety of state-of-the-art spine surgery of Florida Orthopaedic Institute
are offered. routinely perform ACDF surgery,
techniques to obtain successful outcomes. designed to relieve spinal cord
30ORTHOPAEDIC SPINE CASES
2019 1,174
or nerve root pressure in the Lumbar Spine Surgery
neck by removing all or part of a Florida Orthopedic
damaged disc. After all or part of Institute spine surgeons
the damaged disc is removed, a are trained in both
bone graft or a cage is inserted minimally invasive and
into the space where the disc open procedures. The
used to be. This prevents the most common conditions
disc space from collapsing and that may require surgery in
allows the bone to grow together the lumbar spine are spinal
to set up a bony bridge, or stenosis, disk herniations,
fusion, between the upper and and spondylolisthesis
lower vertebrae. A small metal (abnormal motion between
plate is affixed to the front of the bones causing compression
upper and lower vertebrae to of nerves). These three
provide stability while the bone common conditions can be
fusion heals together, a process treated by both minimally
that can take up to invasive and traditional
18 months. open procedures. These
procedures range from a
Pictured Front row (l to r)
Dr. Marc Weinstein, Dr. Steven Tresser
Back row (l to r)
Dr. Adil Samad, Dr. Sheyan Armaghani, Dr. John Small
Many of the Florida Orthopaedic Institute surgeons at the
Center for Adult Spinal Disorders have helped innovate
new minimally invasive spine surgery technologies.
31laminectomy, which is the removal Deformity Surgery/Adult Scoliosis: A comprehensive range of spine procedures
of bones and tissue that can cause FOI spine surgeons are also The Florida Orthopaedic Institute surgeons at the Center for Adult
compression of the spinal canal, to trained in various acquired spinal Spinal Disorders perform the following spine procedures.
fusion procedures that are usually deformities which can cause a
required if there is abnormal significant amount of patient CERVICAL
motion between bones or if the morbidity if left untreated. These • ACDF - Anterior cervical discectomy with fusion
amount of bone removed could can range from scoliosis that • Cervical artificial disc replacement
cause abnormal motion. Fusion was present in childhood and • Cervical corpectomy and fusion
procedures can be performed then progressed later in life, to • Laminaplasty
from a minimally invasive method gradual deformities acquired • Laminectomy
from the back, side, or through as patients age, or deformities • Laminoforaminotomy
the abdomen; or with traditional caused by prior spine surgery. • Posterior cervical fusion
midline open incisions in the low Open procedures are typically • Posterior cervical laminoplasty
required with pedicle screws and • Posterior cervical laminectomy and fusion
rods to aid in placing the patient
in a better position to maintain THORACIC
a horizontal gaze. Occasionally, • Instrumented fusion
osteotomies in the bone are • Kyphoplasty
required to obtain the necessary • Laminectomy
correction. Minimally invasive • Transpedicular decompression and costotraversectomy
techniques are sometimes used • Tumor resection
to spare the patient the risk of an • Vertebroplasty
osteotomy with the insertion of
interbody cages. LUMBAR
• ALIF - Anterior lumbar interbody fusion
back. The fusions procedures • Deformity correction
typically include use of an • Laminectomy
interbody cage which enhances • Minimally invasive microdiskectomy
fusion rates as well as aids in the • Percutaneous pedicle screws
decompression of nerves. • Posterolateral fusion
• Revision surgery
• SI joint fusion
• TLIF - Transforaminal lumbar interbody fusion
• XLIF - Lateral lumbar interbody fusion
32ADULT SPINE SURGERY Success Story
I’m no longer in that agonizing pain.
He took 20+ years off my back.
My pain is gone. I stand up
and I’m 100%.
meet
SCOTT BLAND
S
cott Bland’s back pain started when he was 16 years old. By the time he
reached his 50s, the pain was debilitating. The pain affected even his
ability to stand. As an avid outdoor enthusiast who enjoyed skydiving,
hiking, and walking, the pain prevented him from doing the things he loved.
Two of his friends recommended Dr. Small at Florida Orthopaedic Institute.
After putting off the surgery, the pain only got worse. Scott was in the hospital
for two nights for minimally invasive spine surgery and was back to work the
following day. After surgery, Scott followed Dr. Small’s post-surgery directions
“to the letter.” Now Scott says he can “do anything I want to do – there are no
restrictions. I’m no longer in that agonizing pain. He took 20+ years off my back.
My pain is gone. I stand up and I’m 100%.”
33ORTHOPAEDIC Tampa General Hospital, the
only Level 1 facility on the
TRAUMA West Coast of Florida.
SERVICE T
he Orthopedic Trauma and lower extremities, pelvic
Service is a nationally and acetabular fractures, and
prominent program based polytraumatized patients.
at Tampa General Hospital, the
only Level 1 facility on the West Due to our location, the
Coast of Florida. In existence Orthopedic Trauma Service sees
since 1987, the Service has a disproportionate number of
offered leadership in orthopaedic watercraft accidents. In addition,
trauma care for 30 years, acute and chronic infections
receiving regional, national of the extremities, including
and international awards and necrotizing fasciitis, are
recognition, both in teaching and managed in an effort to minimize
training. The program consists of amputations.
six fellowship trained orthopaedic
traumatologists, three trauma The Orthopaedic Trauma Service
Fellows, plus residents providing also specializes in the care of
care for both acute injuries and fracture-related problems, such
chronic problems. as nonunions, malunions, post-
The Orthopaedic Trauma Service traumatic arthritis, deformity
Orthopedic trauma surgeons correction, and complex
at TGH is a nationally-prominent are involved in multi-disciplinary reconstruction of the lower
care coordination with general extremity.
program, involved in the METRC surgery trauma teams,
studies sponsored by the Department neurosurgeons, plastic and The Service has pioneered new
vascular surgeons. Exclusively techniques such as suprapatellar
of Defense and awarded a Center of covering emergency calls at nail insertion for fractures of the
Excellence designation by the Joint TGH, a host of injuries are tibia, the use of electromagnetic
seen, including open and field sensors for the insertion
Commission. closed fractures of the upper of locking screws rather than
34fluoroscopy, calcaneal fracture The Orthopedic Trauma Service Service, a multi-disciplinary
surgery, and posterior approach continues to be involved in the program, to expedite care of these
to aid in the treatment of ankle METRC studies, sponsored by the individuals. Results show that
fractures. Department of Defense evaluating early aggressive treatment of their
trauma care and specific injury injuries lowers morbidity as well as
The Orthopaedic Trauma Service issues in the lower extremity. mortality.
has a dedicated research starff Because of the increase in retirees
including research nurses and in Florida, the Service sees
a research coordinator. The a high volume of geriatric
Orthopedic Trauma database fractures and has created
allows the Service to evaluate the Geriatric Fracture
patients and report on their
outcomes which has resulted
in publishing 61 peer reviewed
articles, all based on the clinical
Pictured Front row (l to r)
work at TGH.
Dr. Roy Sanders
Dr. Hassan Mir
Back row (l to r)
Dr. David Watson
Dr. Anthony Infante, Jr.
Dr. Anjan Shah
Dr. Benjamin Maxson
Dr. David Donohue
ORTHOPAEDIC TRAUMA CASES
2019 4,231
2018 4,114
2017 3,720
35SPORTS A comprehensive method for all
aspects of sports related injuries
with a multi-disciplinary approach
MEDICINE
W
ith the largest and The Most Advanced Treatment
most advanced sports for Sports-Related Injuries
medicine program in Using a multi-disciplinary
the region, doctors from Florida approach to ensure the most
Orthopaedic Institute and innovative treatment for all
University of South Florida have sports-related injuries, most
served as the team physicians surgery is performed on an
for the Tampa Bay Buccaneers, outpatient basis. However,
Tampa Bay Lightning, Tampa when multi-ligamentous
Bay Mutiny, Tampa Bay Rowdies, injuries, significant fractures, or
Tampa Bay Storm, University of those associated with vascular
South Florida, the University of problems arise, surgery is
Tampa, Saint Leo University and performed at Tampa General
many high schools throughout Hospital.
Hillsborough County.
The largest and most advanced sports
medicine program in the region.
Source: USF Athletics
36Additionally, the Sports Medicine Overall the combined program
program is associated with both offers a comprehensive method
the Athletic Training Program to address all aspects of sports-
and the Sports Medicine and related injuries with a multi-
Related Trauma (SMART) Program disciplinary approach, not found
within the USF Department of anywhere else in Tampa Bay.
Orthopaedic Surgery. These
programs are designed to protect
the high school athlete through
supervision, rehabilitation and
education. Using data collected
from the covered high schools,
research is published and used
to evaluate and develop newer
methods of injury prevention.
SPORTS MEDICINE Success Story
J ade Martin
thought that
she would
never perform
gymnastics
again. One day,
while shopping,
the pain in her
hip was so great
that it prevented
her from walking any further. Concerned about
her future, as well as her career in gymnastics,
she decided to see our sports medicine team. After
being diagnosed with a labral tear, she underwent a
Pictured Front Row (l to r)
successful hip arthroscopy and has since returned to Dr. Trey Remaley, Dr. Adam Morse, Dr. Seung Yi; Back Row (l to r)
competitive gymnastics. Dr. Christopher Baker, Dr. Seth Gasser, Dr. Charles Nofsinger
37FORE (Foundation for Orthopaedic Research and Education) 38
Improving orthopaedic medicine through
investigation, innovation and education
F
ounded in 1999 by the • Investigator-Initiated Studies FORE facilitates the collaboration
surgeons at the Florida • Randomized, Controlled Trials between different subspecialties
Orthopaedic Institute, • Case Studies of biomedical engineers and
FORE is a 501(c)(3) non-profit • Access to Florida’s largest physicians to perform various
organization established as orthopaedic group biomechanical evaluations
a way to improve the care of including synthetic bone
patients with musculoskeletal FORE also provides full- testing, cadaver testing,
disorders through research and service clinical trial computer simulations and
education. While FORE operates management strategies: finite element modeling.
independently from Tampa • Experimental Design/
General Hospital and Florida Protocol Development FORE partners with industry, to kinematic range of motion
Orthopaedic Institute, there is • IRB Management research and educational analysis of human cadaveric
constant collaboration with the • Patient Recruitment foundations, and orthopaedic lumbar and cervical spine fusion
surgeons on numerous research • Data Management associations and societies to and arthroplasty constructs. The
and education endeavors. • Statistical Support conduct basic science and laboratory is also heavily involved
and Data Analysis translational research: in biomechanical projects that
Clinical Research • Medical Writing of • Investigating how various further the understanding of
The clinical research department Manuscripts and Abstracts orthopaedic disease states total and reverse shoulder
conducts orthopaedic clinical • Presentation Development affect musculoskeletal function. arthroplasty and the resultant
trials in such subspecialties • Developing and biomechanical effects that these techniques
as hand, foot, ankle, knee, Biomechanical Research evaluating of promising impart on the kinematics and
hip, spine, elbow, shoulder, FORE’S Phillip Spiegel new orthopaedic devices kinetics of the shoulder.
and sports medicine. Orthopaedic Research and technologies.
Laboratory conducts high
This orthopaedic outcome- quality translational and Completed and published studies
based research includes: basic science research that demonstrate research expertise
• IDE (Investigational Device significantly contributes to in the general area of in vitro
Exemption) Studies the knowledge base, resulting biomechanical testing. Projects
• IND (Investigational in advancements in clinical range from strength testing of
New Drug) Studies applications in orthopaedics. various fracture fixation devices in
• Industry-Sponsored Studies the knee, hip, shoulder, and elbow
39FIVE Labs 40
Innovative facility for biomechanical
and clinical research
Florida InnoVation and Education Prototype Lab Conference Center Innovation Studio
(FIVE) Labs The Prototype Lab is designed The FIVE Labs Conference Engineers at FIVE Labs work
Florida InnoVation and Education to function as a 1-2 station Center can accommodate large hand-in-hand with surgeons
(FIVE) Labs is an innovative facility bioskills lab and innovation hub. multi-day conferences, demo and medical device professionals
for biomechanical and clinical It is easy to create an intimate sessions for individual surgeons, to develop new and innovative
research. This 15,500-sq. ft. facility experience with the closure of the sales training events, or team medical ideas. They have the
is centrally located only two miles garage door. The Prototype Lab brainstorming meetings. In experience to take these ideas
from Tampa International Airport has direct access to the board addition, FORE is an ACCME from concept to prototype to
(TPA). room to increase the efficiency accredited provider of continuing final product. The studio offers
of engineering, design review, medical education for physicians. rapid 3D prototyping (plastic
Bioskills Lab and product development labs. The in-house team of CME and metal), 3 and 5 Axis CNC
The Bioskills Lab has over 3,600 The Prototype Lab features two Coordinators/Event Planners machining, development of
sq. ft. of lab space that can be surgical stations, HD video/audio provides accreditation, education, 3D CAD models and drawings,
customized for small or large recording and a floor-to-ceiling and conference management provisional and full utility
events. The lab is fully equipped dry-erase wall to aid and capture services for over 40 courses patenting and initial FDA
for up to 30 surgical stations the creative process. annually. documentation.
with monitors and cameras
throughout. Additionally, live
feed video can be displayed
throughout the facility or
streamed over the web, allowing
viewers to watch the event in
progress. The experienced team
of professionals at FIVE Labs
offers concierge level service to
ensure seamless and successful
events.
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