Research by Subspecialty
Emory residents, fellows and faculty have been extremely prolific in producing work suitable for publication. Our network allows enhanced collaboration and access to resources within Emory University, Georgia Institute of Technology, and the Yerkes National Primate Research Center. Below is a list of our research efforts by sub-specialty.
The division of Adult Reconstruction at Emory Orthopaedics & Spine Center is focused on providing quality care to our hip and knee replacement patients. Our team conducts research that directly impacts and improves patient care. We concentrate our research efforts in the prevention and management of infections involving hip and knee replacements along with developing and improving post-op pain management strategies. We also continue to explore delivery of care models, alternate surgical approaches in the hip and improved techniques for failed hip and knee replacements.
Below are a few of our current research projects:
• Systemic Steroid therapy for modulation of inflammation after total knee arthroplasty
• Capsular management in direct anterior total hip arthroplasty- a randomized, controlled trial comparing capsulectomy versus capsulotomy
• Ligament balancing in total knee arthroplasty- What is the influence of a pressure sensing device on validated outcome measures?
• Prevention of Dislocation after Total Hip Replacement. Are Early Range of Motion Restrictions Necessary?
• Changing Delivery of Care Models for Patients Undergoing Total Hip and Total Knee Replacement in the U.S.
• Evaluation of National Trends and Efficacy of Different Regimens for Prevention of DVT after Hip and Knee Arthroplasty
Foot & Ankle
The Foot and Ankle specialists at Emory are maintaining a large clinical and surgical volume to meet the needs of our patients. At the same time, our team is busy with teaching and cutting-edge research including biomechanical, clinical and investigational protocols. The specialists at Emory Foot And Ankle unit are frequent speakers and moderators at regional, national and international meetings in order to stay up-to- date with latest developments in Foot and Ankle care.
Active Research at Emory:
• Talar OCD study ( IRB00039300 )
Study Title: Mid-term Outcomes of Talar Osteochondral Lesions Treated with Osseous Cartilaginous Autografting
• Laser-guided Fluoroscopy ( IRB00064428 )
Study Title: Laser-guided Fluoroscopy and Intraoperative Radiation Exposure, a Randomized Controlled Trial
• TAR vs Fusion ( IRB00025485 )
Study Title: Ankle Replacement versus Arthrodesis: Clinical and Biomechanical Outcomes
• Achilles Open Repair ( IRB00059196 )
Study Title: Open Repair for Achilles Tendon Rupture: Modified Krackow Suture Technique, Biomechanical and Clinical Results
Hand & Upper Extremity
Emory Orthopaedics & Spine Center provides a unique comprehensive approach in diagnosing and treating the pathological processes involving the entire upper extremity. In addition to clinical care, our team continues to actively conduct successful basic science, biomechanical, and clinical research that directly impacts and improves patient care. Our group of physicians and surgeons provide cutting edge research covering not only upper extremity fractures and tendon injuries but also innovative surgical techniques that lead the medical care of hand, wrist, elbow, and shoulder injuries. Some of the recent investigations performed address optimal treatment of proximal humerus and scaphoid fractures, improving surgical repair of distal biceps tendon injuries, minimally invasive approach to treating Dupuytren’s contractures, and arthroscopic treatment of sports related wrist injuries. Research conducted at Emory Orthopaedics & Spine Center has been presented both nationally and internationally as well as published in the most prestigious orthopaedic surgery journals.
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Orthopaedic research within the division of pediatric orthopaedics has enjoyed a significant period of recent growth and development. Several ongoing clinical research trials are focusing on optimizing patient outcomes following spinal surgery in children. A recent study headed by Dr. Nicholas D. Fletcher validating the benefits of a postoperative pathway developed in conjunction with Children’s Healthcare of Atlanta was presented in Toronto at the Pediatric Orthopaedic Society of North America annual meeting. We are also evaluating health care disparities with regards to access for scoliosis care and ways to manage early complications following spinal surgery. Recent publications by our physicians have included studies on spinal casting, idiopathic scoliosis, long term outcomes after scoliosis surgery, early onset scoliosis, pediatric elbow fractures, and hip osteonecrosis. Other future endeavors will build on national and international research collaborations in an attempt to build larger studies and improve clinical quality and advance orthopaedic knowledge.
No active clinical trials at this time.
The Emory Spine Center's multidisciplinary approach to uncovering the etiology, natural progression and most effective treatments for spinal disorders is unique in the field. It has provided, however, an optimum setting for collaborative basic science and clinical outcomes research in all major areas of spine. This effort has yielded the top Research Awards on multiple instances from every major National and International Spine Society, and The Kappa Delta Research Award from the Orthopaedic Research Society (the most prestigious award in any area of Orthopaedics, not just spine). The research from Emory Spine Center has become internationally recognized as one of the elite research centers in the United States for spine disorders.
The Emory Sports Medicine Center strives to improve patient care and surgical techniques through numerous clinical and academic research projects. The team includes sport medicine experts treating all athletic injuries including the shoulder, knee, and ankle and contributes frequently to scientific orthopaedics literature. Currently, Dr. Labib is participating in a long-term study of a human tissue graft for treatment of articular cartilage defects of the knee. Dr. Xerogeanes and Dr. Karas are near completion of a clinical research project studying the diagnostic capabilities of minimally-invasive, arthroscopic imaging technology that takes place in the exam room as opposed to the operating table.
The Emory Orthopaedic Trauma research team’s active clinical research program aims to improve outcomes for all trauma victims with orthopaedic injuries. We are testing new technologies and studying best practices in surgical treatment for acute spine injuries, complex pelvic and hip fractures, reconstruction of peri-articular fractures (around joints), long-term management of complications such as non-union, malunion, and chronic osteomyelitis, traumatic hand injuries, hip and knee reconstruction, expert management of upper and lower extremity fracture. The results of these studies promise to have an immediate impact on the quality of care in the critical care setting.
We are participating in federally funded studies to improve treatment of acute traumatic injuries in military settings that can also be applied to civilian populations. Our residency research training program is designed to promote excellence in new generations of physician scientists.