https://www.mcmasterarthroplasty.com/fellowship-information daily 0.75 2023-12-11 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599857379117-M00TTTWPPMDOFGJHFG47/javier-matheu-AHDeiqdiC7Q-unsplash.jpg Fellowship Information https://www.mcmasterarthroplasty.com/home daily 1.0 2020-10-16 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599853220521-5SOABFPC86G3KGKHJADC/Cardiac_surgery_operating_room.jpg Home - One of Canada’s Top Arthroplasty Fellowships https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1600116398774-GZ0BNVN7LK57CPW2V5MV/hamilton-robot-knee-surgery_2500kbps_852x480_1446775875540.jpg Home - Canada's only robotic arthroplasty centre https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599851545488-U75WKT6LQ1IQ0UL778DQ/X-ray_of_the_pelvis_of_an_18_year_old_male_-_case_3_-_anteroposterior.jpg Home - Patient-Focused Research on a Global Scale https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599857481687-FOOZ8K3BR7ROA5PD9VW6/Food-Shops-Juravinski-Hospital-and-Cancer-Centre.jpg Home - Amenities Spanning 3 Hospitals https://www.mcmasterarthroplasty.com/about-us daily 0.75 2020-10-02 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1601668086562-V118OHR9V82XUK5Y5SK0/arseny-togulev-DE6rYp1nAho-unsplash.jpg About us - Better Evidence. Better Outcomes. The McMaster Arthroplasty Collective is a consortium of world class researchers, surgeons, physicians, trainees and more, that strive to provide the best care possible to patients. Collaboration and Innovation is in our DNA. https://www.mcmasterarthroplasty.com/contact daily 0.75 2023-12-11 https://www.mcmasterarthroplasty.com/directors-message daily 0.75 2021-02-18 https://www.mcmasterarthroplasty.com/arthroplastyresearch daily 0.75 2020-10-16 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602819453226-ID9DWWUML00V4KZZ7FSH/4332780839_5bbe4c9494_b.jpg Arthroplasty Research https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602818937674-1X4Z2DAB1H13SCGSPF2F/spp_01.jpg Arthroplasty Research https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602818661889-P93MT0MJ4HUZ4QJU0BNT/external-content.duckduckgo.com.jpg Arthroplasty Research https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602819730539-WOEU58NA23TXFG8NQ9NF/Medical_X-Ray_imaging_AEI02_nevit.jpg Arthroplasty Research https://www.mcmasterarthroplasty.com/researchers daily 0.75 2022-02-14 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599856536409-16TWUVGME5MQ4FQ0N3W3/Unknown.jpeg Researchers Danielle is a researcher and database manager for the Hamilton Arthroplasty Group. Her roles include; Clinical Manager, Hamilton Health Sciences Hamilton Arthroplasty Research Group, Juravinski Hospital and Hamilton General Hospital Orthopaedic Clinics, MSK Oncology/Rehabilitation Inpatient Unit, HNHB LHIN Musculoskeletal Central Intake and Assessment Centre. She has very strong interest in orthopaedic clinical outcomes research and continuous quality improvement in orthopaedic patient care. She obtained a Masters in Health Research Methodology from McMaster University and plays an integral role in the research produced by the Hamilton Arthroplasty Group. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599856148071-CQD1E9P1TEGNS5Q5VS2U/Madden.png Researchers Dr. Kim Madden is an assistant professor in the Department of Surgery and the Department of Health Research Methods, Evidence & Impact at McMaster University. She is currently the research methodologist for the orthopaedic research programs at St. Joseph’s Healthcare Hamilton. Before joining St. Joe’s in 2018, she worked as a clinical trials coordinator in orthopaedic trauma at Hamilton General Hospital since 2010. Dr. Madden has published over 70 studies, including some of the largest orthopaedic trials to date in NEJM, BMJ, and the Lancet. She has extensive experience writing grant applications, designing and conducting large international randomized trials and observational studies, and biostatistics consulting. Dr. Madden completed her undergraduate degree at the University of Waterloo, her master’s and PhD in Health Research Methodology at McMaster University, and an international research term at Deventer Hospital in the Netherlands. She is currently an associate editor for Pilot and Feasibility Studies and Clinical Orthopaedics and Related Research journals and she teaches in the Health Research Methodology graduate program at McMaster. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599856056806-S80HP6O52LPTYHWKLJFZ/debeer.jpg Researchers Dr. de Beer received his M.B., Ch. B. from the University of Cape Town, followed by his FCS (SA) Orthopaedics and FRCSC Orthopaedics. He is an Associate Clinical Professor in the Department of Surgery at McMaster University, Hamilton, Ontario. He retired from active clinical practice in 2019 after a surgical career focused on primary and revision arthroplasty spanning more than three decades. He continues to be the Director of Research for the Hamilton Arthroplasty Group and has been fulfilling that role since 1997. He has 88 peer-reviewed publications, and his field of interest includes clinical outcomes in total joint arthroplasty and related topics. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1600116028497-UGJLN3IYYZHPBA35CV1E/image-asset.jpeg Researchers https://www.mcmasterarthroplasty.com/surgeons daily 0.75 2024-09-02 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599855040875-ZFTOSA6VUGAGZC60KCWL/mcmasterortho_anthonyadili-1811.jpg Surgeons Dr Adili is a fellowship trained surgeon in lower extremity reconstruction, sports injuries and arthroplasty. He completed his medical school and residency at McMaster University. He then completed fellowship training at the Mayo Clinic, Rochester Minnesota. His current orthopaedic practice includes navigation and robotic surgery for hip and knee arthroplasty reconstruction and periarticular osteotomies, including total, unicompartmental and bicompartmental knee arthroplasty, lateral and posterior approaches to total hip arthroplasty, revision arthroplasty, and sports injuries about the knee including meniscal and ACL surgery. His research interests include basic and clinical trials in navigation and robotics in orthopaedics, gait analysis, cartilage preservation and transplantation for the knee, opioid reduction in surgery including the cannabis research, and prosthetic joint infections. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599855306452-X4BLGMWRHGQC11T6DPV3/mcmasterortho_vickhanna-1665.jpg Surgeons Dr. Khanna is a dual fellowship trained lower extremity arthroplasty surgeon. He completed his medical school at Dalhousie University and residency training at McMaster University. He then completed an Adult Hip and Knee Reconstruction fellowship at the University of Ottawa followed by an additional Adult Hip and Knee Reconstruction Fellowship at the University of Toronto, Mount Sinai campus. He recently completed his Master in Health Administration from the University of Regina. His current orthopaedic practice includes primary and revision total hip and knee arthroplasty as well as single limb trauma. He has a special interest in computer and robotic assisted surgery for alignment correction procedures around the hip and knee, as well as for partial and total knee replacement. His research interests include assessing the impact of technology such as navigation, robotics and virtual reality on surgical outcomes and training. He also has an interest in researching patient factors that impact outcomes after total joint replacement. He is currently the Program Director for the McMaster Orthopedic Residency Training Program. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599855546736-36G94LN6267T0QQXT79I/kris.jpg Surgeons Dr Rajaratnam is a Fellowship Trained Upper Extremity, Trauma and Arthroplasty surgeon. He completed his medical school, residency and Fellowship training at the University of Toronto. He pursued advanced Fellowship training in Sydney, Australia, His current clinical practice includes upper and lower joint arthroplasty, including primary, reverse and revision shoulder arthroplasty and advanced shoulder arthroscopy. His research interests include residency education, shoulder arthroplasty in the young patient and outcome assessment. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599854968855-M21F7WN3M54UIB7LAVA2/Avram.jpg Surgeons Dr. Avram completed her Orthopaedic residency at McMaster University as well as her fellowship in Hip and Knee Arthroplasty. Her practice is focused solely on primary hip and knee replacement. She had an interest in surgical education and teaching medical students. She is involved in competency-based education and has recently been appointed the Faculty wellness coordinator. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599855350944-FC9KH2FDBKER2D47ZHA1/image-asset.jpeg Surgeons Dr Williams completed his medical training at Dalhousie University and residency training at McMaster. He then underwent fellowships in Arthroplasty and Trauma through the Hamilton Arthroplasty Group at McMaster University and The Alfred Hospital in Melbourne, Australia. His arthroplasty practice focuses on minimally invasive hip and knee replacements as well as complex primary and revision hip and knee replacements. Dr Williams is the former Fellowship Director for the Division of Orthopaedic Surgery. He is currently the Associate Division Head of Orthopaedic Surgery. He is actively involved in medical education, hospital administration and 3D printing innovations for surgical planning. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599854573346-X1M5HZMFKDNM9I22K9E8/Winemaker.jpg Surgeons Dr. Mitchell Winemaker graduated from the University of Toronto medical school program in 1991 and received his residency training in orthopedic surgery at the University of western Ontario this was followed by fellowship training and adult joint reconstructive surgery primary of the hip and knee at Harvard University he obtained his fellowship of the Royal College of Physicians and surgeons in 1997 . New parents since April 1999 he has been practicing orthopedic surgeon at juravinski hospital in Hamilton where he holds admitting and surgical privileges and is currently the site chief of orthopedics surgery and the director of the regional joint assessment program for our local integrated Health Network. Doctor winemaker is also a part time clinical associate professor at McMaster University where he is involved in clinical research and the training of future orthopedic surgeons https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/8f6f6e4d-60e2-4dad-bb8f-1b80ceecaf92/kamal-headshot.jpg Surgeons Dr Bali is extensively trained and has completed his advanced fellowships in joint replacement surgery from Australia, Calgary, and University of Western Ontario. In addition, he is also fellowship trained in Trauma Surgery. Dr Bali specializes in all aspect of hip and knee replacement. His specific clinical interests include minimally invasive direct anterior hip arthroplasty as well as complex primary/revision arthroplasty of hip and knee. His practice is primarily based at the Juravinksi Hospital, Hamilton Health Sciences. Dr. Bali has around 100 publications in various peer reviewed journals. In addition to his clinical practice, Dr Bali is actively involved in resident and fellow education; arthroplasty research with Hamilton Arthroplasty group; and contributes to several professional organizations. He currently leads the McMaster Orthopedic Resident Summer Anatomy Course and is the Juravinski Representative for MacOrtho Trainee Selection Sub-Committee. He also holds the position of Chief Analytics Officer for MacOrtho’s academic impact on social media and worldwide. Dr Bali loves spending time with his three girls (two daughters and a physician wife!), who he believes bring out a perfect work-life balance in him. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599854417537-0B6RO2WWGIDZTZEZSULC/Tushinski.jpg Surgeons Dr. Tushinski is a fellowship trained arthroplasty surgeon. He completed his medical school and residency training at McMaster University. He then underwent fellowship training at the University of Toronto, Mount Sinai, in lower extremity reconstruction. His current orthopaedic practice includes anterior and lateral total hip arthroplasty, total knee arthroplasty, deformity correction, revision arthroplasty, and posttraumatic reconstruction. His research interests include same-day home arthroplasty and opioid reduction strategies. He is currently the Clinical Teaching Unit director at the Juravinski site, and Fellowship director for the Division of Orthopaedic Surgery at McMaster University. He is completing his Masters of Science in Health Research Methodology. He is actively involved in education, research, and administrative work at both the University and hospital level. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/bf09742a-3f45-493a-934a-b7668b6eb940/Picture1.png Surgeons - Make it stand out Dr. Zecchetto completed his fellowship in Orthopedic Oncology and Adult Reconstruction at the University of Ottawa. He has devoted his clinical practice to treating patients with musculoskeletal tumors and complex limb trauma. He possesses expertise in the utilization of specialized endoprostheses for patients undergoing bone and joint resections, as well as those experiencing bone loss due to other factors such as revisions or complications stemming from trauma. Furthermore, he employs hybrid techniques that involve the integration of implants with autologous bone grafts and/or bone transplants. He is focused on personalizing patient treatments through the utilization of innovative technologies, such as 3D navigation and customized implants. Dr. Zecchetto is involved in training medical professionals and specialists in the field, as well as conducting research in the area. Beyond his professional commitments, he champions the nurturing of relationships with family, friends, and the pursuit of sports, recognizing them as cornerstones for elevating the tapestry of life's quality. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/63356f53-c743-4b29-897b-cbc86fcf2fb0/EkhtiariHeadshot2.jpg Surgeons - Make it stand out Dr. Ekhtiari came to McMaster for medical school after completing a Bachelor of Kinesiology with High Honours at the University of Toronto. As a medical student at McMaster, he was exposed to MacOrtho and fell in love with the program and orthopaedic surgery as a specialty. He then completed his residency in the MacOrtho program, as well as a Master of Science in Health Research Methodology. Following residency, Dr. Ekhtiari completed The Hip Society European Travelling Fellowship at the ENDO Klinik in Hamburg, Germany, and at University of Cambridge in the UK. He has also completed a complex adult reconstruction fellowship at Mount Sinai Hospital at the University of Toronto. Dr. Ekhtiari has a strong research interest, with over 90 publications and over 10 book chapters thus far, including being a principal investigator on an opioid reduction randomized controlled trial completed at McMaster. Outside the hospital, Dr. Ekhtiari enjoys running, cycling, reading, and travelling. He also has an active interest in palaeontology, having been a part of the team who identified a malignant cancer (osteosarcoma) in a dinosaur fossil for the first time. Dr. Ekhtiari is excited to return to the MacOrtho team in order to be able to give back to the program that fostered his interest and skill in orthopaedics, contribute to the landscape of Evidence-Based Orthopaedics, and to help train the next generation of orthopaedic surgeons. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1600115067671-6RNR84JOX8V1LE7RCQTO/Screen+Shot+2019-09-17+at+7.37.58+PM.png Surgeons Dr. Wood is a fellowship trained arthroplasty surgeon. He completed his medical school and residency training at McMaster University. Following this, he underwent fellowship training at the University of Western, University Hospital, in lower extremity reconstruction. His current orthopaedic practice includes anterior and lateral total hip arthroplasty, total knee arthroplasty, and revision hip and knee arthroplasty. His research interests include periprosthetic joint infection and patient reported outcome measures following hip and knee arthroplasty. He is currently completing his MSc in health research methodology. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602815184826-IUBPZSZ04KJ4OAK6UKXN/Zalzal.png Surgeons Dr. Zalzal has an undergraduate degree in Mechanical Engineering and Masters Degree in Biomedical Engineering from University of Toronto. He completed his Medical Degree and Residency in Orthopaedic Surgery from McMaster University. He completed Fellowships in Adult Reconstruction at Mt. Sinai Hospital, University of Toronto. He is an Associate Clinical Professor at McMaster University and his clinical practice is at OTMH in Oakville, Ontario. He specialises in Computer Assisted Surgery (CAS) including CAS TKR and CAS HTO and traditional THR. He is Chair of the Research Ethics Committee OTMH. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/ac6da9f1-01f2-4fb9-a569-ef03875b1ad2/Headshot2024.jpg Surgeons Dr. Aaron Gazendam, MD, MSc, FRCSC, is an orthopaedic surgeon specializing in musculoskeletal oncology and sarcoma care. He received his medical doctorate at the University of Toronto and completed his orthopaedic surgical training at McMaster while concurrently completing a Master of Science in the Health Research Methodology program. He returned to Toronto to complete his fellowship at the Musculoskeletal Oncology Unit at Mount Sinai Hospital. He has published extensively in the field of musculoskeletal oncology and has a clinical and academic interest in clinical trials for patients with sarcoma and metastatic bone disease. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/b42558ad-43b1-48c8-a68c-9961946be1cc/MAKO-Robot-Hip-Surgery-JH-24.08.20-Web-Size-011.jpg Surgeons https://www.mcmasterarthroplasty.com/facilities daily 0.75 2020-09-11 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599857527169-4YPG60IH2HHRETBKF90B/Food-Shops-Juravinski-Hospital-and-Cancer-Centre.jpg Facilities - Juravinski Hospital https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599857662153-AOUK6ZAJRDXZ800HYSN5/www.stjoes.ca.jpeg Facilities - St. Joseph’s Healthcare Hamilton https://www.mcmasterarthroplasty.com/program daily 0.75 2023-12-11 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599851636097-HI8SNLZNY1D6ARNWYJMT/image-asset.jpeg Program - Fellowship Program The McMaster Arthroplasty Group aims to attract top clinical and research-minded orthopaedic surgery fellows and provide them with the skills and knowledge required to function as excellent orthopaedic surgeons and researchers. The breadth and depth of the surgical experience our clinical fellows receive reflect directly back on our Division by way of how successful our graduates are in their subsequent surgical careers. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1599857048024-HLXQP7O96CTQ3BUDIJ3Q/burst-kUqqaRjJuw0-unsplash.jpg Program - Reach Your Potential Welcome to the McMaster Arthroplasty Fellowship Training Program. Our mission is to educate and empower the surgeons of tomorrow with the capacity for evidence based clinical care, critical thinking, creativity and a proclivity towards lifelong learning. The development of these attributes surrounds a core of technical training in the art and science of orthopaedic surgery. The Division of Orthopaedics at McMaster University has a robust research environment with a broad spectrum of opportunities for resident research. Clinical Trials Research and Evidence-Based Methodology are key strengths of the Division. https://www.mcmasterarthroplasty.com/publications daily 0.75 2020-10-19 https://www.mcmasterarthroplasty.com/oncology daily 0.75 2020-10-04 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1601843366005-5CIWLOPH3GLMQ24IJMOT/parity.png Oncology https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1601843417183-LP0HKA0S25E6D3YYHSTB/safety.png Oncology https://www.mcmasterarthroplasty.com/robotics daily 0.75 2020-10-19 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602816291018-GOWOMWW9IV9OU0NFU0GK/1al-content.duckduckgo.com.jpg Robotics - MacOrtho Arthroplasty Fellowship Will Include Hands-On Experience with Robotic Assisted Total Joint Surgery St. Joseph’s Healthcare Hamilton (affiliated with McMaster University) is proud to be the first centre in Canada to have acquired the Stryker Mako Rio Surgical Robotic System. This powerful tool uses 3D reconstructive technology based upon a pre-operative CT scan to create a detailed plan prior to the surgery that can then be uploaded to the robotic unit such that the plan is carried out precisely in the OR via a robotic arm. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1603139485404-ELCN7P5NES20HQW7S6A4/external-content.duckduckgo.com.jpg Robotics - Furthermore, the Rio will provide real-time inter-operative visual, tactile and auditory feedback and can even allow for on-the-fly alterations to be made in the plan as dictated by each individual patient’s anatomy and soft tissue envelope. This enables a high level of precision and optimal positioning of the implants during surgery. As arthroplasty Fellows you will have the only exposure in the country currently to this rapidly growing technology that is advancing exponentially across the globe. Robotics has entered the world of hip and knee arthroplasty and shows no sign of ever leaving. The preciseness of robotic surgery cannot be argued, and it is expected that this will soon translate to better patient outcomes. https://www.mcmasterarthroplasty.com/research-projects daily 0.75 2020-10-16 https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602817043611-KTR9JJ8VHLM6IK6B3Q1W/image-asset.jpeg Research Projects - Oral Cannabis Trial Approximately 20% of patients develop persistent post-surgical pain after undergoing total knee arthroplasty (TKA), and higher pre-surgery and acute postoperative pain are associated with this outcome. Medicinal cannabis has anti-inflammatory and analgesic properties and may reduce perioperative pain and the rate of PPSP following TKA. We will recruit patients undergoing TKA and randomize them to receive oral cannabidiol (CBD; derived from cannabis) to assess whether oral CBD helps decrease persistent post-surgical pain. We are partnering with the Centre for Medicinal Cannabis Research and the Institute for Pain Research and Care at McMaster to complete this trial. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602817263591-DCOHMPEJE462MQ039VSJ/cbd-oil-5358403_1920.jpg Research Projects - TOPIKS trial Physicians and the public have become concerned about the amount of opioids being used in healthcare because of the risks of serious adverse effects including overdose, addiction, and death. We hypothesize that topical cannabidiol (CBD) in addition to standard pain management will result in better pain control and a reduction in opioid use compared to standard care alone and will have a preferable safety profile compared to other commonly used pain medications (e.g. opioids and oral NSAIDs). We also hypothesize that topical CBD and topical diclofenac together will have improved effects on pain relief over topical CBD or topical diclofenac alone. The TOPIKS Trial is a pilot randomized factorial trial of patients undergoing knee replacement surgery. We are assessing topical CBD, topical diclofenac, topical CBD+diclofenac, and placebo. We are partnering with the Centre for Medicinal Cannabis Research and the Institute for Pain Research and Care at McMaster to complete this trial. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602817483045-3CIEYKII65WKEIRWCONK/external-content.duckduckgo.com.jpg Research Projects - RoboKnees Trial St. Joseph’s Healthcare Hamilton is the first institution in Canada to obtain an orthopaedic surgical robot to assist with joint replacements. The RoboKnees Trial is a pilot randomized controlled trial of patients to give us preliminary evidence of whether we can use the robotic technology to perform better partial knee replacements to improve functional outcomes, return to activities, implant survival, and patient satisfaction in a cost-effective manner. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602817420968-YH3AVDUF2QP1AC3JO7L3/image-asset.jpeg Research Projects - SPOC Study Knee arthroplasty is a common surgical procedure to replace weight-bearing surfaces of the knee joint in order to relieve pain and improve functioning; however, many patients report persistent pain and poor functional outcome after surgery. The SPOC Study aims to capture the incidence of persistent post-surgical pain and poor satisfaction at 12 months after knee arthroplasty, and also look at physical and psychological determinants of long term outcomes. We will conduct this prospective cohort study of 388 patients in collaboration with the Department of Anesthesia. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602817836930-XXH5EYTTMW0UI8NMXX4A/Knee-Replacement-Surgery.jpg Research Projects - Bilateral Knee Replacement Trial The Bilateral TKA trial aims to determine whether patients with bilateral end-stage knee osteoarthritis benefit from replacing both knees at the same time (simultaneous) or replacing one at a time (sequential). Local Principal Investigator: Dr. Vickas Khanna https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602817656930-BCVI1J0YXGBC2BAJNF5V/Screen+Shot+2020-10-15+at+11.07.27+PM.png Research Projects - OREOS Trial Opioid overuse is a major public health concern that can result in inadequate pain control, adverse events, addiction, overdose, and death. We are conducting a randomized cluster-crossover trial that will randomly assign total joint replacement patients to receive standard care or a novel pain management pathway that aims to minimize opioids used before, during, and after surgery. The goal of this study is to determine whether this pathway can improve patients’ satisfaction with pain management while improving safety and minimizing opioids. https://images.squarespace-cdn.com/content/v1/5f5bcc18ed6c742f1fb7c2ea/1602818095143-WBBH6090NJYNG7XNCHSN/yoga-posture-women-wellness.jpg Research Projects - FitJoints Trial The FitJoints Trial is investigating whether a multimodal fitness and nutrition program before joint replacement surgery helps frail elderly patients have better outcomes after surgery. Local Principal Investigators (HHS Juravinski Site): Dr. Justin de Beer, Dr. Mitch Winemaker, Danielle Petruccelli Local Principal Investigator (St. Joseph’s Site): Dr. Anthony Adili