Date Prepared:          October 28, 2017

 

PART I: General Information

Name:                         MICHAEL BRIAN MILLIS

 

Home Address:          70 Sterling St.
West Newton, Ma 02465-2635

 

Office Address:         300 Longwood Ave

Hunnewell Building, Suite#213
Children’s Hospital Boston
Boston, MA 02115-5724

United States

 

Phone:                        (617) 355-6773

 

Email:                         michael.millis@childrens.harvard.edu

 

Fax:                            (617)730-0147

 

Place of Birth:           Victoria, TX

 

Education:                 1966  A.B., Cum Laude, Harvard College

1970  M.D., Harvard Medical School

 

Postdoctoral Training:

1970 – 1972    Intern and Junior Resident in Surgery, University Hospitals of Cleveland; Case Western University School of Medicine

1972 – 1975    Resident in Orthopaedic Surgery, Harvard Combined Orthopaedic    Surgery Program

1975 – 1976    Chief Resident and Clinical Fellow in Pediatric Orthopaedic Surgery, Children’s Hospital Boston

1979 – 1980    AO International Fellow in Hip and Joint – Preserving Surgery, Wichernhaus Hospital and Clinic, Altdorf/Nuernberg, Germany (Professor Heinz Wagner, Director)

1982 – 1994    Visiting Fellow in Hip Surgery, Krankenhaus Rummelsberg, Germany (Professor Heinz Wagner)

Military Service:

1976 – 1978    Lieutenant Commander, US Navy Medical Corps, Naval Regional Medical Center, Charlestown, South Carolina

 

 

 

 

Academic Appointments:

1976-1978       Instructor in Orthopaedic Surgery, Medical University of South Carolina, Charleston, SC

1978-1980      Instructor in Orthopaedic Surgery, Orthopedic Surgery, Children’s Hospital, Boston, MA

 1978-1980      Tutor in Medical Sciences, Harvard Medical School, Boston, MA

 1980-1987      Clinical Instructor in Orthopedic Surgery, Orthopaedic Surgery, Children’s Hospital, Boston, MA

1987-1995      Assistant Clinical Professor of Orthopedic Surgery, Orthopaedic Surgery, Children’s Hospital, Boston, MA

1995-1998      Associate Professor of Clinical Orthopedic Surgery, Orthopaedic Surgery, Children’s Hospital, Boston, MA

1998-               Associate Professor of Orthopaedic Surgery, Orthopaedic Surgery, Children’s Hospital, Boston, MA

2010-               Professor of Orthopaedic Surgery, Orthopaedic Surgery, Children’s Hospital, Boston, MA

Hospital or Affiliated Institution Appointments:

1978-               Associate in Orthopaedics, Children’s Hospital, Boston, MA

1978-               Associate in Orthopaedics, Brigham and Women’s Hospital, Boston, MA

1982-               Associate in Orthopaedics, New England Baptist Hospital, Boston, MA

2001-               Director, Adolescent and Young Adult Hip Unit, Children’s Hospital Boston, Boston, MA

2004-               Associate in Orthopaedics, Beth Israel Deaconess Medical Center, Boston, MA

Major Administrative Responsibilities:

1980-2003       Pediatric Clinical Section Director,  Musculoskeletal Block Course, Clinical Problems of Disorders in Musculoskeletal Development, Harvard Medical School
Responsibility: Two hours of clinical presentation and lecture; ten hours of preparation
Special Accomplishments: My role in directing the musculoskeletal block on “Clinical Problems of Disorders in Musculoskeletal Development” was to facilitate the demonstration, by the patients themselves, of how abnormalities in musculoskeletal growth and development have affected their lives. This clinic offered an opportunity, which has been dramatic to the students, to perceive the dynamic nature of the patient-doctor relationship and the relationship of the patient to his or her chronic or acute disability. The clinic has given me the challenge of synthesizing a meaningful educational experience that combined elements of basic science and personal sensitivity.

1984-1994       Organizer and Director, “Osteotomy of the Hip and Knee” Harvard Medical School Biennial Continuing Medical Education Course.
Responsibility: Organizer and Director for this course with national and international student base and national and international faculty.
Special Accomplishments: This continuing medical education course was first conceived by me in 1983 to meet a perceived need to educate the orthopaedists of North America in methods to preserve the hip and knee joint in patients destined to develop osteoarthrosis. This course, which was repeated five times, offered a unique combination of didactic lectures and hands-on experience to allow both the resident and practicing orthopaedist to be exposed to the rationale and techniques of this extremely effective type of surgery, which is being performed more each year. The course was subscribed to capacity and earned the highest ratings in the analyses carried out by Harvard Medical School’s Department of Continuing Education.

  • Initiator and Director, Adolescent and Young Adult Hip Unit, Children’s Hospital Boston

Responsibility: Administrative Director; Selector of Fellows; Strategic Planning

Special Accomplishments: Created an academic unit with unique clinical focus. International catchment area.

2004                Symposium Organizer and Chair, Boston Hip Symposium, Professor Reinhold Ganz, Distinguished International Guest, with National Faculty

                        Responsibility: Program Organizer and Moderator

                        Special Accomplishments:  Planning and Coordinating of multi-disciplinary symposium on joint preserving surgery in children, adolescents and adults.

2006                ANCHOR Group (Academic Network for Conservational Hip Outcomes Research), Initiator and founding Member

                        Responsibility: Creator and Initial Organizer

Special Accomplishments: Conceived the concept of a multicenter academic collaboration to study and improve outcomes in hip joint preserving surgery; organized the five center international collaboration.

Major Committee Assignments:

HMS / HSDM

1990-1993       Residency Selection Committee, Harvard Combined Orthopaedic Surgery Program, Harvard Medical School

1995-1998       Ad hoc Committee for CORE Curriculum, Harvard Medical School

2003-2005       Residency Selection Committee, Harvard Combined Orthopaedic Surgery Program, Harvard Medical School

 

Affiliated Institutions

1981-1995       Medical Intensive Care Unit Committee, Children’s Hospital Boston

1984-1996       Quality Assurance Committee, Children’s Hospital Boston

National

1995 – 1999    Research Committee, Pediatric Orthopaedic Society of North America

1997 – 1999    Chair, Research Committee, Pediatric Orthopaedic Society of North America

2007                Initiator and Founding Member, Academic Network for Conservational Hip Outcomes Research (ANCHOR Group)

 2008               Organizing Committee and Founding Member, Pediatric Orthopaedic Society Adolescent and Young Adult Hip Study Group

Professional Societies:

1976-               North American Trauma Association, Massachusetts Medical Society, Member

1979-               American Academy of Orthopaedic Surgeons, Member

1980-               Pediatric Orthopaedic Society, Member

Treasurer’s Committee, 1993-1995

                        Research Committee, 1995-1999

                        Chair, Research Committee, 1997-1999

1984-               Scoliosis Research Society, Member

1985-               Boston Orthopaedic Club, Member

1985-               SICOT – International Society of Orthopaedics and Traumatology, Member

1985-               New England Orthopaedic Society, Member

1993-               European Pediatric Orthopaedic Society, Member

1993-               The Hip Society, Member

1997-               The International Hip Society, Member

Community Service Related to Professional Work:

2003-               Consultant, Dancerhips.com

Editorial Boards:

1993-2000       Journal of Pediatric Orthopaedics

1998-               Journal of Bone and Joint Surgery                             Consultant Reviewer

2004 –              Clinical Orthopaedics and Related Research              Consultant Reviewer

2006-               Journal of Children’s Orthopaedics

Awards and Honors:

1990                Frank Stinchfield Award, The Hip Society (see publication #18)

1992                Best Clinical Paper Award, Pediatric Orthopaedic Society (see publication #27)

2007                The Orthopaedic Journal at Harvard Medical School Dedication, Harvard Medical School

2009                The Dr. Marian Ropes Award, Arthritis Foundation of Massachusetts

2011                Implantcast Orthopaedic Research Prize, German-Speaking society for Pediatric Orthopaedics (see publication #71)

2014                Honorary Member, Polish Othopaedic Society

2016                POSICON Orator, Pediatric Orthopaedic Society of India

2017                Pro Maximis Meritis Award, European Pediatric Orthopaedic Society 2017 Barcelona May 5th

2017                Carroll B Larson Memorial Shrine Lecturer: University of Iowa City Iowa  May 20th 2017

B: Licensure and Certification:

1973                Massachusetts Registered Physician

1977                American Board of Orthopaedic Surgeons (Recertified 1985)

C: Research Funding Information

1999 – 2002    Orthopaedic Research and Education Foundation Research Grant

Direct Cost $75,750

Co-principal Investigator

“Clinical and Noninvasive Mechanical and Physiochemical Analysis of Hip Dysplasia”

D: Report of Current Research

Long-term follow-up of results of periacetabular osteotomy to treat symptomatic acetabular dysplasia

Prospective study of periacetabular osteotomy: analysis of preoperative clinical and imaging (MRI and x-ray) predictors of outcome

Genetic analysis of developmental hip dysplasia

Long-term follow-up of treatment outcomes in slipped capital femoral epiphysis

Prospective study of surgical dislocation of the hip for intraarticular hip problems

Patient – related outcomes of hip surgery

Pain issues before and after hip surgery

Patient expectations of hip surgery

Surgical treatment of hip overcoverage

  1. Report of Teaching
  2. Local contributions
  3. Medical School

1978-1980       Musculoskeletal Block Course

                                                                                    contact time                 prep time

Lecturer           10 Medical Students   2 hours/year                 10 hours/year

                                                            for 3 years                   for 3 years

1980 –              CORE

                                                                                    contact time                 prep time

                         Lecturer          9 Residents                 4 hours/year                 8 hours/year

1985-1991       Musculoskeletal Block Course

                                                                                    contact time                 prep time

                        Lecturer           10 Medical Students   2 hours/year                 10 hours/year

                                                                                    for 7 years                   for 7 years

2006-2007       Patient-Doctor II Course

                                                                                    contact time                 prep time

                        Lecturer           150 Medical Students 2 hours/year                 4 hours/year

                                                                                    for 2 years                   for 2 years

 

  1. Resident and Fellow Teaching

1981-               Title:  Children’s Hospital Orthopaedic Resident Lecture Series-

                         “Developmental Hip Dysplasia I and II”

                        Attendees:  8 residents, 3-4 fellows, 1-2 medical students

1986-               Title:  Children’s Hospital Orthopaedic Resident Lecture Series-

                        “Hip Osteotomy”

                        Attendees: 8 residents, 3-4 fellows, 1-2 medical students

1984-2001       Title:  Children’s Hospital Orthopaedic Resident Lecture Series-

                        “Slipped Capital Femoral Epiphysis”

                        Attendees: 8 residents, 3-4 fellows, 1-2 medical students

1984-1996       Title:  Harvard Combined Orthopaedic Residency Core Lecture Series- “Developmental Hip Disorders”

                        Attendees:  45 residents

2006-2007       Title:  Harvard Combined Orthopaedic Lecture Series-

                       “Joint-Preserving Techniques for the Adolescent and Young Adult Hip”

                       Attendees: 45 residents

                        “Slipped Capital Femoral Epiphysis”

                       Attendees: 45 residents

  1. Local Invited Presentations

     Grand Rounds

1990                Middle Term Experience with Spherical Acetabular Osteotomy to Treat Acetabular Dysplasia, Brigham and Women’s Hospital

1991                Short Segment Anterior Spine Fusion for Thoracolumbar Scoliosis, New EnglandBaptistHospital

1993                Reconstructive Osteotomies of the Hip, Brigham and Women’s Hospital Orthopaedic Grand Rounds

1993                Osteotomies in the Treatment of Hip Dysplasia, New EnglandBaptistHospital

1994                Comparison of Periacetabular Osteotomy and Spherical Acetabular Osteotomy in the Treatment of Hip Dysplasia, Brigham and Women’s Hospital

1995                Current Concepts in the Treatment of Hip Dysplasia, Brigham and Women’s Hospital

2000                The Role of Developmental Hip Deformity in the Pathogenesis of Osteoarthritis, Harvard Combined Orthopaedic Grand Rounds

2005                Slipped Capital Femoral Epiphysis: Critical Concepts, Metrowest Medical Center

2006                Joint-Preserving Surgery to Prevent and Treat Osteoarthritis of the Hip, Boston University Medical Center

2006                Hip-joint Preserving Surgery: An Etiologic Approach to Prevent and Treat Osteoarthritis, William Beaumont Hospital

2007                Joint-Preserving Surgery to Prevent and Treat Osteoarthritis in the Hip, Lahey Clinic

2007                Periacetabular Osteotomy, New England Baptist Hospital Nursing Grand Rounds

2010                Prevention and Hip-Preserving Treatment of Osteoarthritis of the Mature Hip, Brigham & Women’s Hospital

2010                Hipology 2010: Current Perspective of Hip Impingement, Mass General Hospital

2011                Perthes Disease: What to do with the Impinging, Deformed Hip, Boston Medical Center

Other

2004                Adult Consequences of Pediatric Orthopaedic Conditions: Hip, National Association of Operative Registered Nurses Annual Meeting

2011                Perthes Disease:  “What to Do with the Imperfect Hip “Healed” After Perthes Disease”: Boston University-Boston Medical Center Orthopaedic Grand Rounds

2011                “Hip Joint Preservation in the Presence of OA”: 41st Annual Harvard Advances in Arthroplasty Course, Massachusetts General Hospital

2013                “Current Concepts in Femoracetabular Impingement”; Sydney Children’s Hospital, University of Sydney, Australia

2013                “Hipology 2013: Etiology, Diagnosis, Prevention and Hip-Preserving Treatment of Osteoarthritis of the Hip”, National Taiwan University Medical School Orthopaedic Grand Rounds, Taipeh Taiwan

2013                “Current Concepts in Treating Acetabular Dysplasia in the Mature Patient”, American University of Beirut Medical Center, Orthopaedic Grand Rounds

2013                “Hipology 2013:  Contemporary Perspectives on Hip Function/ Dysfunction and Indications for Hip-Preserving Surgery”, University of Alabama-Birmingham Orthopaedic Grand Rounds   Birmingham, AL

2013                UAB Grand Rounds. UAB school of Medicine Department of Surgery Division of Orthopedic Surgery.

2014                Hip Preserving Treatment of Acetabular Dysplasia in  The Young Adult:Where we are in 2014. Rothman-Ranawat Traveling Fellowship Massachusetts General Hospital.

2015                International Society for Hip Arthroscopy and Hip Preserving Surgery Keynote Lecturer::”Hip Preservation Surgery From Ganz To  Kim and Beyond” (invited )

 

 

Plenary Presentation

1982                Osgood Memorial Symposium, Massachusetts General Hospital     “Spherical Acetabular Osteotomy to Treat Acetabular Dysplasia in the Mature Hip”

Seminar

2006                “Femoro-acetabular Impingement: What it is; Why it’s important; and What to do about it in hips of all ages.”, New England Orthopaedic Society Fall Meeting

2006                Direct and Indirect Observation of Femoral and Acetabular Impingement, Harvard Medical School course on Advances in Arthroplasty
Attending: 400 participants, 8 hours contact time, 12 hours prep time

 

  1. Continuing Medical Education Courses

1985                Children’s Hospital CME Course on Spinal Deformity

“Anterior Correction of Spinal Deformity”

1987                Children’s Hospital CME Course on Primary Pediatrics

“Pediatric Hip Problems”

1987-1988       Children’s Hospital CME Course on Spinal Deformity

                        “Pediatric Hip Problems”

1989                Children’s Hospital CME Course on Primary Pediatrics

                        “Pediatric Hip Problems”

1991                Children’s Hospital CME Course on Primary Pediatrics

                        “Pediatric Hip Problems”

1995                Primary Medicine Today Conference and Exhibition

                        “Pearls and Pitfalls in Pediatric Orthopaedics”

1996                Children’s Hospital CME Course on Primary Pediatrics

“Solid Rod Short Segment Anterior Spinal Fusion for Adolescent Idiopathic Scoliosis”; “Update on Periacetabular Osteotomy”

2006                Direct and Indirect Observation of Femoral and Acetabular Impingement

Lecturer: 400 participants, 8 hours contact time per year, 12 hours prep time per year

  1. Names of advisees or trainees

Andre Kaelin, MD                Fellow 1986

Professor and Chief of Pediatric Orthopaedics, Hospital for Children, Geneva, Switzerland

Philip Therrien, MD              Fellow 1989

Private practice and RWJ School of Medicine, Little Silver, NJ

Richard Schwend  MD         Resident, 1983-1986; Chief Resident, 1987; Fellow, 1989

            Children’s Mercy Hospital, Kansas City, MO

Brian G. Smith, MD              Fellow, 1991

Chief of Pediatric Orthopaedics, Yale-New Haven Medical Center, New Haven, CT

James Mooney, MD              Fellow, 1992

            Chief of Orthopaedics,  Shriner’s Hospital, Springfield, MA

Christopher Cook, MD        Fellow, 1993

Dartmouth-Hitchcock Medical Center, Hanover, NH

Thiery Benaroch, MD          Fellow, 9/1/1993 – 12/31/1993

Montreal Children’s Hospital, Montreal, Quebec, Canada

Roger Widmann, MD           Resident, 7/1/1990 – 6/30/1994; Chief Resident 7/1/1994 – 12/31/1994: Fellow 1/1/1995 – 6/20/1995

Chief of Pediatric Orthopaedics, Hospital for Special Surgery, New York City

Mohammad Diab, MD          Fellow,   1997

Chief of Pediatric Orthopaedics, UCSF Medical Center, San Francisco

 

 Michael Solomon MD, Visiting Fellow 1997

             Chief of  Pediatric Orthopaedics Sydney Children’s Hospital, Sydney, NSW Australia

Young-Jo Kim, MD, Ph.D.   Resident, 1996-2000; Fellow, 2000-2001; Junior Colleague, 2001      Children’s Hospital Boston, Boston, MA

Tim  Schrader, MD               Fellow, 2000 – 2001

Children’s Healthcare of Atlanta, Atlanta, GA

Kevin Klingele, MD               Fellow, 2001 – 2002

            OhioStateUniversitySchool of Medicine, Columbus, OH

Danielle Katz, MD                 Fellow, 2002 – 2003

             Upstate Medical Center, Syracuse, NY

Etienne Belzile, MD    Hip Fellow, 2003 – 2004

            Lavalle School of Medicine, Quebec City, Quebec, Canada

Joshua Strassberg, MD  Hip Fellow, 2005

             Private practice, Cedar Knoll, NJ           

Travis Matheney, MD            Resident, 2001-2005; Fellow, 2005-2006; Junior Colleague, 2006    Children’s Hospital Boston,  Boston, MA

Norman, Espinosa, MD   Hip Fellow, 2007

Head of Foot and Ankle Surgery, Balgrist Clinic, University of Zurich, Zurich, Switzerland

Joseph Janicki, MD   Hip Fellow, 2007

            Children’s Memorial Hospital, Northwestern University, Chicago, IL

Gleeson Rebello, MD   Hip Fellow, 2007 – 2008

             Massachusetts General Hospital, Boston, MA

Yi- Meng Yen, MD, Ph.D.      Fellow, 2007 – 2008

            Children’s Hospital Boston, Boston MA

Matthew Mayfield, MD          Fellow, 2007 – 2008

             Private practice,   Tyler, TX

Purushottam Gholve, MD  Hip Fellow, 2008 – 2009

            Floating Hospital for Children, Tufts University, Boston, MA

Wudbhav Sankar, MD  Hip Fellow, 2009

           Children’s Hospital of Philadelphia, Philadelphia, PA

Justin Lareau, MD   Hip Fellow, 2009 – 2010

            Hinsdale Orthopaedic Associates, Hinsdale IL

Paul Kuzyk, MD  Hip Fellow, 2010

            University of Toronto Toronto, ON, Canada

Eduardo Novais, MD Fellow, 2010 – 2011

             Associate Director, Hip Program Boston Children’s Hospital, Boston MA

Cara Beth-Lee, MD  Fellow, 2011 – 2012

            Co-Director Hip Program, Swedish Hospital, Seattle WA

 

Stephanie Pun, MD   Hip Fellow, 2012 – 2013

            Hip Preservation Unit, Stanford University Medical Center, Redwood  City CA

Rachel Goldstein MD Hip Fellow 2013-2014

            Child and Young Adult Hip Unit, Children’s Hospital of Los, Angeles Los Angeles CA

Matthew Boyle  MD  Hip Fellow  2014-2015

Starship Children’s Hospital Auckland, New Zealand

Michael Merz MD Hip Fellow 2015-2016

            Durham Orthopedics Durham , NC

 

  1. Regional, National, or International Contributions
  2. Invited Presentations

Regional

1989                Orthopaedic Grand Rounds “Osteotomies of the Hip”, University of Massachusetts Medical Center [invited lecture]

1991                Course on Reconstructive Surgery of the Hip and Knee –“Intertrochanteric Osteotomy for the Prevention and Treatment of Osteoarthritis”, Lahey Clinic [invited lecture]

1991                “Supracondylar Fractures of the Humerus”, Boston Orthopaedic Club [invited lecture]

1991                Orthopaedic Grand Rounds, “CD Instrumentation in the Treatment of Scoliosis”, Lahey Clinic [invited lecture]

1993                “Pediatric Elbow Injuries”, New York Academy of Medicine, Orthopaedic Section [invited lecture]

1995                Course on Reconstructive Surgery of the Hip and Knee “Indications and Techniques for Osteotomies about the Hip”, Lahey Clinic [invited lecture]

1995                “Joint Preserving Osteotomies about the Hip”, Otto Aufranc Symposium [invited lecture]

1995                “Osteotomies for Prevention and Treatment of Osteoarthritis Secondary to Hip Dysplasia” and “Current Concepts in the Treatment of Slipped Capital Femoral Epiphysis”, New England Orthopaedic Society [invited lecture]

1995                “New Techniques in the Treatment of Hip Dysplasia in the Adolescent and Young Adult; and “Current Concepts in the Treatment of Slipped Capital Femoral Epiphysis”, New England Orthopaedic Society [invited lecture]

2000                “A 20 year Experience with Surgical Treatment of Acetabular Dysplasia in the Adolescent and Young Adult” , Leon M. Kruger, M.D. Lectureship,  Springfield Shriner’s Hospital [invited lecture]

2000                “Diagnosis and Treatment of Common Pre-arthritic Syndromes of Instability and Impingement in the Hip: Dysplasia and Slipped Epiphysis”, AO North America National Symposium on Complex Musculoskeletal Problems [invited lecture]

2002                “Prevention and Joint-Preserving Treatment for Osteoarthritis of the Hip”, Massachusetts Orthopaedic Association [plenary presentation]

2004                “Prevention and Treatment of Osteoarthritis of the Mature Hip”, New England Orthopaedic Society [invited lecture]

2004                “Early and Late Consequences of Developmental Hip Deformities: Diagnosis and Joint-Preserving Treatments”, Baystate Medical Center/Shriner’s Hospital for Children [invited lecture]

2005                “Joint-Preserving Surgery for the Mature Hip”, Orthopaedic Grand Rounds, University of Massachusetts Medical Center [invited lecture]

2005               “Joint-Preserving Surgery for Mature Hip Dysplasia or Middle-Term Experience with Bernese Periacetabular Osteotomy”, University of Massachusetts Medical School [invited lecture]

2006                “Current Concepts in Slipped Capital Femoral Epiphysis”, “Joint-Preserving Surgery of the Adolescent and Young Adult Hip to Prevent and Treat Osteoarthritis”, Albany Medical College [invited lecture]

2007                Resident Case Presentation; “Osteotomy”; Debate: “Acetabular Impingement”; “The Hip at Mechanical Risk: Contemporary Diagnosis and Treatment”, The Hospital for Special Surgery/Cornell Medical College [Philip Wilson visiting professorship]

2008                “Clinical Physiology and Pathophysiology of Hip Joint in the Adolescent and Young Adults”, Harvard College Department of Athletics [invited lecture]

2013                New England Orthopedic Society Fall Meeting, Boston, “Mechanical Disorders of the Hip: QA Prevention and Hip Preserving Treatment. November 2013(invited lecture)

2015                St Louis Hip Course: Historical  Perspectives  of Hip Preservation (invited)

2015                Maine Orthopedic  Society  Winter  Meeting : Current perspectives on prevention  of hip OA and hip preserving surgery(invited)

National

1982                “Pediatric Elbow Fractures”, American Orthopaedic Association International Symposium on Fractures and Joint Injuries, San Francisco [invited lecturer]

1985                Tutorial “C-D Spinal Instrumentation”, Scoliosis Research Society [invited lecture]

1986-1987       “Hip Osteotomies in Adults”, American Academy of Orthopaedic Surgeons [invited lecturer- instructional course lecture]

1988                “Osteotomies of the Hip in the Adult: Dysplasia and Osteoarthritis”, American Academy of Orthopaedic Surgeons [invited lecturer-instructional course lecture]

1989                “Osteotomies of the Hip in the Adult”, American Academy of Orthopaedic Surgeons [invited lecture-instructional course moderator]

1989                “Osteotomies of the Hip” and “Surgical Treatment of Spinal Deformity”, University of Texas Medical Center at Houston [visiting professorship]

1990                “Pelvic Osteotomies in the Treatment of Developmental Hip Disease”, American Academy of Orthopaedic Surgeons [invited lecture-instructional course]

1990-2009       “Joint-Preserving Surgery for the Hip”; “Hip Arthrodesis”; Etiology and Treatment of Osteoarthritis of the Hip”, Maine Orthopaedic Review Course [invited lectures]

1991                “Osteotomy of the Adolescent and the Adult Hip for the Prevention and Treatment of Osteoarthritis”, American Academy of Orthopaedic Surgeons [invited lecture- instructional course moderator]

1991                “Anterior Correction of Scoliosis”; “Pelvic Osteotomies to Treat Hip Dysplasia”; “Proximal Tibial Osteotomy for Tibia Vara”, Western Pacific Orthopaedic Association [invited lectures]

1992                “Long Bone Lengthening in the Correction of Limb Length Discrepancy”, National Association of Orthopaedic Nurses Annual Meeting [invited lecture]

1992                “Acetabular Osteotomy for the Treatment of Acetabular Dysplasia: Middle Term Experience”, American Academy of Orthopaedic Surgeons [paper presentation]

1992                “Osteotomies of the Hip for the Prevention and Treatment of Osteoarthritis”, American Academy of Orthopaedic Surgeons [invited lecture-instructional course moderator]

1992                “The A-O Method in the Correction of Bony Deformities: Techniques and Problems”, Pediatric Orthopaedic Society Annual National Meeting [invited lecture]

1993 – 1994     “Osteotomies About the Hip for the Prevention and Treatment of Osteoarthrosis: Surgical Planning and Technical Considerations for Intertrochanteric and Pelvic Osteotomy”, American Academy of Orthopaedic Surgeons Annual Meeting [invited lecture-instructional course moderator and lecturer]

1994                “Update on Hip Osteotomies: University of Pittsburgh Department of Orthopaedic Surgery Grand Rounds” [invited lecture]

1994                “Comparison of Spherical Acetabular Osteotomy and Periacetabular Osteotomy in the Treatment of Acetabular Dysplasia”,   Wayne State University Medical School Symposium on Hip Surgery [invited lecture]

1995 – 1996    “Osteotomies about the Hip for the Prevention and Treatment of Osteoarthrosis”, American Academy of Orthopaedic Surgeons [invited lecture-instructional course moderator and lecturer]

1997 – 1999    “Surgical Planning and Technical Considerations for Intertrochanteric and Pelvic Osteotomy”, American Academy of Orthopaedic Surgeons [invited lecture-instructional course moderator and lecturer]

1996                “New Surgical Perspectives on the Pediatric Elbow and Hip”, American Academy of Orthopaedic Surgeons [invited lecture]

1999                “Joint-Preserving Surgery for the Mature Hip”, Orthopaedic Grand Rounds, University of California-San Francisco Medical Center [invited lecture]

1999                “Osteotomies of the Hip to Prevent Osteoarthritis”, Orthopaedic Grand Rounds, University of Tennessee School of Medicine-Chattanooga Unit [invited lecture]

2000                “Osteotomies about the Hip for the Prevention and Treatment of Osteoarthrosis, American Academy Orthopaedic Surgeons [moderator and lecturer, invited instructional course]

2000                “Surgical Planning and Technical Considerations for Intertrochanteric and Periacetabular Osteotomies”, Pediatric Orthopaedic Society of North America Annual Specialty Day [invited lecture]

2000                “Osteotomy for Prevention and Treatment of Osteoarthritis of the Hip”, American Osteopathic Academy of Orthopaedics [plenary presentation]

2003                  “The Rationale of Osteotomy and Other Joint-Preserving Techniques for Developmental disorders of the Hip”; “The Difficult Dysplastic Hip: Selected Complex Problems and Their Treatment”, Leslie Meyer Visiting Lectureship, Shriners Hospital for Children, Greenville, SC [invited lecture]

2003                “Safe Surgical Dislocation of the Hip for the treatment of major intraarticular hip problems”, The Joel Levine Memorial Lectureship, Children’s Healthcare of Atlanta/Scottish Rite Hospital-Atlanta [invited lecture]

2004                “Treatment of Developmental Deformities of the Hip”, Orthopaedic and Pediatric Grand Rounds and Visiting Professorship, Akron Children’s Hospital [invited lecture]

2000-2005       “Prevention and Treatment of Osteoarthritis of the Hip: Beyond Classical Osteotomy”, American Academy of Orthopaedic Surgeons Annual Meetings [invited instructional course lecture, moderator and lecturer]

2005                “Pediatric Hip Problems”, “Joint-Preserving Surgery for the Mature Hip”; Review Course and Update for Practicing Orthopaedic Surgeons, American Academy of Orthopaedic Surgeons [invited lectures]

2005                “Joint-Preserving Surgery for the Mature Hip”, Orthopaedic Grand Rounds, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis [invited lecture]

2005                “Periacetabular Osteotomy in the Adolescent and Young Adult: State of the Art”, American Academy of Orthopaedic Surgeons Annual Meeting-Symposium on “What’s New in Pediatric Orthopaedics” [invited lecture]

2005                “Surgical Dislocation of the Hip: Indications, Techniques, and Results”, Pediatric Orthopaedic Society of North America Specialty Day [invited lecture]

 

2005                “Pelvic Osteotomies in Adults”, American Academy of Orthopaedic Surgeons Annual Meeting, Instructional Bioskills Course [invited lecture]

2006                “Joint-Preserving Treatment of Dysplasia in the Mature Hip”, Hawaiian Orthopaedic Society/University of Hawaii Department of Orthopaedic Surgery: Ivar Larsen Lectureship in Orthopaedic Surgery. [invited lecture and visiting professorship]

2006                “Evaluation and Treatment Options for Developmental Hip Dysplasia”; “Femoral Head Reshaping”, Pediatric Orthopaedic Hip Symposium, The Orthopedic Center, Ridgewood, NJ [invited lecture]

2006                “Joint-Preserving surgery to Prevent or Treat Osteoarthritis of the Hip”, Garceau-Wray Lectureship, University of Indiana Department of Orthopaedic Surgery [invited lecture and visiting professorship]

2007                “Etiology of hip pathology in adolescents and young adults”; “The Boston experience with the Bernese Periacetabular Osteotomy’, University of New Mexico School of Medicine [invited lectures]

2007                “Pelvic Osteotomies in Young Adults”, American Academy of Orthopaedic Surgeons [invited lecture-instructional course lecture]

2007                “PAO a la Boston: Experience with the Bikini Incision and the Direct Anterior Approach”; “Indications for Femoral Osteotomy Combined with PAO; Complications and Results of Ganz PAO”; “Osteotomies for Relative Lengthening of the Femoral Neck and Trochanteric Transfer”; “Osteotomies of the Femoral Neck”, Baltimore National Hip Symposium, Sinai Hospital, Rubin Center for Advanced Orthopedics/University of Maryland [invited lectures]

2007                “Hip Joint-Preserving Surgery: An Etiologic Approach to Prevent and Treat Osteoarthrosis”; “Overview/Update: Femoral-Acetabular Impingement”, Pediatric Orthopaedic Society of North America [invited lecture]

2007                “The Dysplastic Hip: Open Surgical Treatment”, “Acetabular Impingement: Diagnosis/Treatment”, Harvard Medical School Department of Continuing Education Course on Advances in Arthroplasty [invited lectures]

2008                “Analysis of Minimum 10 Year Results After Acetabular Osteotomy” Charles Gregory Professorship, University of Texas-Southwestern University School of Medicine [invited lecture and visiting professorship]

2008                “Protusio, Coxa Profunda, and Acetabular Retroversion: Pearls and Pitfalls of Joint Preserving Treatment” Closed Scientific Meeting of the Hip Society [invited lecture]

2009                “Treatment Principles on Hip Dysplasia, From the Newborn to the Adult”, “Periacetabular Osteotomy for Treatment of Hip Dysplasia in Patients over Age 40”, “Periacetabular Osteotomy in Patients with Trisomy 21”, “Keys for successfully treating Hip Dysplasia”, “Choosing Between Arthroscopic and Open Treatment for Dysplasia and Impingement”, Symposium on Surgical Preservation of the Hip, Squaw Creek, CA [invited lectures]

2009                “Arthroscopy prior to PAO”; “PAO over 40”; “X-ray Views and Techniques”; ANCHOR Hip Study Group Meeting, Detroit, MI [invited lectures]

2009                “Pediatric and Adolescent Young Adult Hip”, “Clinical Problems in Hip Preservation” American Academy of Orthopaedic Surgeons [instructional course moderator and lecturer]

2009                “Femoral Acetabular Impingement and Associated Labral Pathology” American Academy of Orthopaedic Surgeons [invited symposium presentation]

2009                “Treatment of Severe Stable Slipped Capital Femoral Epiphysis”, Pediatric Orthopaedic Society of North America [invited symposium presentation]

2010                “Early Identification of Childhood Hip Deformity”, Surgical Correction of Childhood Hip Deformity”, “Chiari Osteotomy”, “Early Identification and Treatment of Hip Deformity Predisposing to Femoroacetabular Impingement” American Academy of Orthopaedic Surgeons Annual Meeting, Hawaii [invited lectures]

2010                “Prevention and Treatment of Osteoarthritis of the Hip”, “Arthrodesis of the Hip”, Maine Orthopaedic Review [invited lectures]

2010                “Effect of Retroversion on the Results of Surgical Treatment for Hip Impingement”, New York Hip Society NAHS Closed Meeting [invited lecture]

2011                “Hipology 2011: Prevention and Joint Treatment of Osteoarthritis in Young Active Adults”, Vail Colorado [Steadman Clinic Grand Rounds]

2011                “Surgical Preservation of the Hips: Classic Treatment Options in Developmental Dysplastic Hips in the Newborn to the Adult”, “How to do PAO with Image Intensifier Control”, “Joint Preservation: What Should Patient Expect”, AO North America ACCNE Sponsored [invited lectures]

2011                “The Many Faces of Femoro-Acetabular Impingement”, “”DDH, Slipped Epiphysis, Perthes Disease, and Beyond: A User-Friendly Guide for All Providers”, Eugene Bleck Visiting Professor and Lectureship:  Stanford Medical Center, Palo Alto, CA [invited lectures]

2011                “”Nerve Palsy associated with PAO, PAO Complications, PAO in the Obese Patient, Complication grading scheme reliability, Total Hip after PAO, ANCHOR Meeting, Beaumont Hospital [moderator]

2011                “Slipped Capital Femoral Epiphysis: Perspectives in 2011”, Frymoyer Lecture, Bulington VT [invited lecture]

2011                     Siegling Society Research Day. Gazes Cardiac Research  Institute 114 Doughtry Street, Charlestown ,SC 29403(visiting professor)

2012                “Slipped Capital Femoral Epiphysis: State of the Art Treatment”, 9th Symposium on Joint Preserving & Minimally Invasive Surgery of the Hip, New York City [invited lecture]

2012                “Pelvic Osteotomies in Adults”, “Femoroacetabular Impingement: Pathophysiological Concepts, Treatment, and Outcomes: American Academy of Orthopaedic Surgeons Annual Meeting, San Francisco [instructional course moderator and lecturer]

2012                “25 Years of Hip Joint Preservation”, “The Patient: Clinical Presentation”, American Academy of Orthopaedic Surgeons Hip Preservation in the Adolescent and Young Adult Hip, Rosemont IL [invited lecture]

2012                “Acetabular Dysplasia” Pediatric Orthopaedic Society of North America, Denver CO [moderator]

2012                     “Arthroscopic Findings of Dysplastic Hips Concomitant Periacetabular Osteotomy”, Hip Society Meeting; Rochester Minnesota [invited lecture] 

2012                “Hipology 2012: A User Friendly Guide to Help Function and Hip Preserving Surgery in the Adolescent and Young Adult Hip”, Rainbow Visiting Professorship; Cleveland Ohio [invited lecture]

2012                “The Many Faces of FAI”, “Hipology 2012: A User Friendly Guide to Hip Function and Hip Preservation Surgery in the Adolescent and Young Adult Mature Hip”; Cincinnati Ohio [keynote speaker]

2012                Adult Dysplasia Pearls: Vu Medi Hip Program Proposal

2012                Bernese Hip Symposium: Complex Deformities      +

2013                     “Classic Treatment Options for Hip Dysplasia: Child to Adult”, “Structured History and Interview in Evaluating the Patient with a Mechanical Hip Problem”, “Historical Perspectives on Hip Preservation”; Symposium on Surgical Preservation of the Hip; Jackson Hole, Wyoming

2013                “Hip Dysplasia: Clinical Presentation”, “Perspectives after 30 Years of Hip Preservation”; American Academy of Orthopaedic Surgeons Course on Hip Preservation in the Adolescent and Young Adult, Rosemont IL

2013                “New Hip-Preserving Strategies to Prevent and Treat Osteoarthritis of the Hip”; American Orthopaedic Association Annual Meeting, Denver CO

2013                43rd Annual Advances in Arthroplasty Course “ Arthroplasty Innovation in  an Era of Health Care Reform: The rapidly Changing scene in diagnostics, Early intervention and Joint Replacement Harvard Medical School

2013                AOTrauma  North America Symposium on Surgical  Preservation  of the Hip Jackson Hole, Wyoming

2013                “The Non-Containable Perthes  Hip Still in the Active Phase: What To do? nothing? Shelf?  Valgus Osteotomy? Something Else. POSNA Meeting Toronto,Canada

2015                “Prevention and Treatment of complications from Periacetabular Ostetomy” Instructional course lecture. AAOS Meeting Las Vegas

2015                “Is Nonoperative Treatment of Adolescent Femoroacetabular Impingement Substandard care”? AAOS Meeting Las Vegas Symposium Presentation.

2015                “Adolescent Hip Pain: Case Based-Approach” AAOS Meeting Las Vegas Instructional l course Presentation.

2015                “ Perthes Diesease:the Misbehaving Hip, “Slipped  Capitol  Femoral  Epiphysis “2015: New perspectives on an old Problem, “Pelvic Osteotomy: Classical  and Non-Classical Indications” John C.  Wilson Sr. Visiting Professor, Children’s Hospital Los Angeles March 19th, 2015

2015                “Hipology: The Role of the Developmental Deformity and how to prevent most osteoarthritis of the Hip”19th  Los Angeles Shriner’s Hospital visiting Professorship

2015                Expectations of PAO Patients and their Surgeons In Relation to postoperative Satisfaction” Pediatric Association of North Americs Annual Meeting Atlanta , Ga

2015                American  Hip Society(open Meeting) Case Presentations  and Moderation Hip Preservations  Surgery

2016                AAOS Annual Meeting 2016: Open case Discussion session (with Stuart Weinstein)(invited)

2016                Case_based  Hip  Preservation ICL(zaltz Chairman) Case presentations and discussions(invited) Femoro-acetabular impingement  ICL (Peters Chairman) Case Presentation and discussion:  Complications  of PAO

2016                Pediatric Orthopedic Society of North America Indianapolis: Pain trajectories  after hip  preservation surgery(submitted and accepted  Abstract)

2016                Instability after Dunn Osteotomy for SCFE:an Under_reported serious Complication(submitted and accepted)

2016                Annual  Summer Meeting, American Hip Society Boston October 29th “Predictors and Trajectories of chronic PostoperativePain Following  Hip Preservation Surgery”

International

1987                “The Ups and Downs of Osteotomies of the Hip”, SICOT-International Society of Orthopaedics and Traumatology Triennial International Meeting [invited plenary presentation]

1994                “Correction of Acetabular Dysplasia: Experiences with the Osteotomies of Salter, Wagner and Ganz”, Canadian Orthopaedic Association Annual Meeting [plenary presentation]

1994                “The Direct Anterior Surgical Approach for Periacetabular Osteotomy”; “Comparison of In nominate, Spherical Acetabular Osteotomy and Periacetabular Osteotomy in the Treatment of Hip Dysplasia”, Hungarian Orthopaedic Association [invited lectures]

1997                “Surgical Decision-making and Results of Treatment for Acetabular Dysplasia in the Adolescent and Young Adult.”, McGill University[visiting professorship]

1997                “The Direct Anterior Approach: A New Abductor-Sparing Surgical Approach for Pelvic and Acetabular Osteotomies”, Congress of the European Federation of National Associations of Orthopaedics and Traumatology, Barcelona [paper presentation]

1997-2000       “Osteotomies and Other Joint Preserving Procedures about the Hip for the Prevention and Treatment of Osteoarthrosis: Principles, Clinical Analysis and Treatment Selection”, American Academy Orthopaedic Surgeons Annual Meeting [moderator and lecturer, invited instructional course lectures]

1997                International Meeting on Labral Lesions in Acetabular Dysplasia. “Modified Periacetabular Osteotomy in Residual Hip Dysplasia-The Boston Experience”, Austrian Society for Orthopaedics [invited lecture]

1998                “Osteotomies to Correct Slipped Capital Femoral Epiphysis”; “Surgical Treatment of Perthes Disease”; “Osteotomies to Correct Acetabular Dysplasia in Patients of Various Ages”, Annual Meeting, Society of Latin American Orthopaedics for Infants and Children   [invited lectures]

1998                “Effectiveness of Current Detection and Treatment in Infancy of CDH in America; Epidemiology of DDH and the Risk of Secondary Arthritis, International Pediatric Orthopaedic Hip Surgery Course, Zürich [invited lectures]

2000                “Joint-preserving Procedures in the Prevention and Treatment of Osteoarthrosis of the Hip”, “Periacetabular Osteotomy in the Treatment of Congruous Acetabular Dysplasia in the Mature Hip”, “Short Segment Anterior Instrumentation and Fusion in the Treatment of Idiopathic Thoracolumbar Scoliosis”, “Cunieform and Flexion Intertrochanteric Osteotomy in the Treatment of Severe Slipped Capital Femoral Epiphysis”, “Open Reduction in the Treatment of Pediatric Supracondylar Fractures of the Humerus”, Brazilian Society of Orthopaedic Surgery and Traumatology, Annual Meeting, [invited lectures]

2001                Osteotomies to Treat and Prevent Osteoarthritis of the Hip”, Japanese Hip Society 28th Annual Meeting [invited plenary lecture]

2001                “Joint-Preserving Surgery for the Mature Hip”, La Journee Scientifique “Albert Normand”, Visiting Professorship, du Programme d’Orthopedie de l’Universite’ Laval, Quebec City [invited lecture]

2002                “Boston Experience with Periacetabular Osteotomy in Treatment of Acetabular Dysplasia”, “Treatment of Dysplasia in the Mature Hip”, McMaster University, Ontario Canada [visiting professorship and invited lectures]

2002                “Experience with Simultaneous Periacetabular Osteotomy and Arthrotomy via the Direct Anterior Approach in the Treatment of Adult Hip Dysplasia”, Labral Pathology in Hip Dysplasia”, Balgrist Clinic Hip course, Zürich Switzerland [invited lectures]

2002                “Adult Consequences of Developmental Dysplasia of the Hip”; “Boston Experience with Reconstructive Hip Osteotomies for Dysplasia”, SICOT-International Society of Orthopaedics and Traumatology Symposium on Joint-Preserving Strategies for Dysplasia of the Hip [invited lectures]

2002                “The Spectrum of Hip Dysplasia in the Adolescent and Young Adult”, International Pediatric Orthopaedic Symposium, Orlando [invited lecture]

2003                “Joint-Preserving Surgery of the Hip for the Prevention and Treatment of Osteoarthritis”; “Corrective Surgery for Slipped Capital Femoral Epiphysis”, Australian Orthopaedic Association Meeting [plenary lecture]

2003                “Improving the Prognosis of Periacetabular Osteotomy”; Moderator, session on “New and Forgotten Conservative Solutions”, Second International Symposium on Joint and Bone Preserving Surgery of the Hip, Montreal [invited lecture]

2004                “Assessment of the Prearthritic Hip”; “The Boston Experience with Hip Dysplasia: Three Decades with Salter, Wagner, and Ganz”, International Symposium in Honor of Reinhold Ganz, Berne Hip Symposium [invited lectures]

2004                “Surgical dislocation for the hip for deformity and mechanical disorders; The Early Boston Experience.”, Polish Pediatric Orthopaedic Society [invited lecture]

2004                “Evaluation of Hip Deformity in Late Childhood and Adolescence”, European Pediatric Orthopaedic Society Annual Meeting [plenary presentation]

2004                “Bernese PAO a la Boston 2004: PAO: The Middle Term Boston Experience”,   Boston International Hip Symposium Children’s Hospital Boston, Orthopaedic Surgery Foundation [invited lectures; symposium organizer and chair]

2004                “Various Pelvic Osteotomies in Children and Adolescents and Their Indications”, Chiba Pediatric Hip Symposium Chiba, Japan [invited lecture]

2005                “Developmental Dysplasia of the Hip: A Comprehensive Review of the Pathophysiology and Treatment Strategies for the Adolescent and Young Adult “, Pediatric Orthopaedic Society of North America Annual Pre-Meeting Course [invited lecture]

2005                “History and Physical Evaluation of Hip Dysplasia”, “Radiographic Presentation of Hip Dysplasia”, “Complications of Periacetabular Osteotomy”, New Trends of Hip Joint Reconstructive Surgery Symposium, McGill University School of Medicine, Montreal [invited lectures]

2006                “Treatment of Slipped Capital Femoral Epiphysis Beyond In-Situ Fixation”, Korean Pediatric Orthopaedic Society [invited lecture]

2006                “Periacetabular Osteotomy for Dysplasia Associated with Charcot-Marie-Tooth Disease”, Korean Orthopaedic Association [invited lecture]

2006                “Joint-preserving Treatment of Developmental Hip Dysplasia in the Adolescent and Young Adult”, Korean Orthopaedic Association [visiting professorship-plenary presentation]

2007                “The Boston Experience with Reconstructive Acetabular Osteotomies”, Zeiler Festschrift Meeting, Krankenhaus Rummelsberg, University of Erlangen, Germany [invited lecture]

2007                “Femur-based Femoro-Acetabular Impingement”, Pediatric Orthopaedic Society of North America Specialty Day [invited lecture]

2007                “Outcomes of PAO in Patients over 40 years old”, The Hip Society [invited lecture] :abstract:

2008                “Joint Preserving Surgery for the Adolescent Hip” Department of Orthopaedic Surgery, Ludwig Maxmilian University, Düsseldorf, Germany [invited lecture]

2008                “Long-term results of Bernese Periacetabular Osteotomy to treat Acetabular Dysplasia”, European Pediatric Orthopedic Society [invited lecture]

2008                “Periacetabular Osteotomy: predictive factors for long-term success: the Boston Experience”; “Evolution in Treatment of Slipped Capital Femoral Epiphysis” Bernese Hip Symposium [invited lecture]

2008                “Treatment of Acetabular Dysplasia in the Young Adult”; “Femoro- Acetabular Impingement in the Young Adult, The 2nd Jishuitan Orthopedics Forum, Beijing, China [invited lecture]

2008                “Experience with the Surgical Dislocation Approach for Intra-articular Hip Problems in the Child & Adolescent, SICOT/International Hip Society, Hong Kong, China [invited lecture]

2008                “Adolescent Hip Disorders”, The 35th Annual Meeting of the Japanese Hip Society, Osaka, Japan [invited lecture]

2009                “Developmental Hip Deformity as the Major Etiologic Factor in Osteoarthritis of the Hip”; “Bernese Periacetabular Osteotomy-Surgical Technique”: “Bernese Periacetabular Osteotomy-Results and Complications”; “Surgical Dislocation of the Hip: Indications and Technique”; “Management of Femoroacetabular Impingement following Treatment by Surgical Dislocation:; “Symposium on Hip Preservation Techniques in Adolescents”; Turkish Society of Orthopaedics and Traumatology, Ankara, Turkey [invited lectures]

2010                “Acetabular Overcoverage”; “Periacetabular Osteotomy”; “Hipology 2010”, Christian Medical College Annual Orthopaedic Seminar, Vellore, India [guest lectures]

2010                “Treatment of Impingement in Healed Perthes Disease”, Pediatric Orthopedic Society of India Annual Congress; Hyderabad, India [keynote speaker]

2010                “Clinical Evaluation of the Adolescent Hip Patient”, “Hip Function and Dysfunction: Rationale of Hip-Preserving Surgery”, “Periacetabular Osteotomy”; “Chiari Osteotomy”,  “Surgical Dislocation in the treatment of Mechanical Hip Disorders”; Madrid, Spain [guest lectures]

 

2010                “Acetabular Overcoverage: Types and Treatments” Balgrist Clinic; Zurich, Switzerland [Orthopaedic Grand Rounds]

2010                “Results of Treatment for Slipped Capital Femoral Epiphysis”; Bern Hip Symposium, Bern Switzerland [invited lecture]

 

2010                “Diagnosis and Treatment of Important Developmental Hip Conditions”; Ospedale Pediatrico Meyer, Florence Italy [grand rounds]

 

2010                “Mechanical Etiology of Osteoarthritis of the Hip”, “Use of surgical dislocation of Major Mechanical Hip Disorders”, “Mid to Long-term Results of Periacetabular Osteotomies in the Treatment of Hip Dysplasia”; Warsaw, Poland [invited lectures]

 

2011                “Prospective Multicenter Study of demographics, early results, and complications of Periacetabular Osteotomy:  The Anchor Experience” SICOT 25th Triennial World Congress, Prague [open session]

 

2011                “The Boston Experience of more than 1100 PAO’s: 1991-2011 – SICOT Instructional Course Lecture on Pelvic Osteotomy” SICOT 25th Triennial World Congress, Prague [invited lecture]

 

2011                “Are Symptoms in Patients with Hip Dysplasia and Femoroacetabular Impingement associated with findings in Magnetic Resonance Arthrography”, “Adolescent Athletes can Return to Previous Level of Athletic Activity Following Surgical Dislocation of the Hip; Switzerland [invited lecture]

 

                               

 

2012                “Hip Dysplasia – Where We Are Today”, Bernese Hip Symposium,  Switzerland [invited lecture]

 

2012                “Periacetabular Osteotomy for Symptomatic Acetabular Dysplasia associated with Charcot Marie Tooth Disease”, International Hip Society, Switzerland [invited lecture]

 

2012                “Pearls, Problems, and Pitfalls in Treatment of FAI: What to Do and What Not to Do”, “Slipped Capital Femoral Epiphysis: New Perpectives in Diagnosis and Treatment”, “Various Pelvic Osteotomies to Treat Dysplasia and Non-Dysplasia Problems”; 3rd Wierzejewski International Hip Symposium, Warsaw Poland [invited lecture]

 

2013                “FAI and other Closely-related Hip Joint Problems: Etiology, Consequences, Prevention, and Treatment (When Needed)”; Danish Sports Medicine Association Annual Congress, Kolding Denmark [invited lecture]

 

2013                “Hip Breakout Session:  Impingement in Healed Perthes Disease: When and How to Treat” Pediatric Orthopaedic Society of North America Annual Meeting Toronto, Canada [Chairman and Moderator]

2013                “dGEMRIC MRI in evaluating cartilage damage in adolescent and young adult hip disorders”, “Bernese Periacetabular osteotomy in treating acetabular dysplasia: Technique and Long-Term Results”, “Surgical Hip Dislocation for treatment of femoral head deformity” Symposium on Hip Disorders in Adolescents and Young Adults,Chang Gung Memorial Hospital, Linko, Taiwan [invited lecture]

2013                “Pelvic Osteotomies: Powerful Tools for Many Hip Problems”, Japanese Orthopaedic Association Annual Meeting, Hiroshima Japan [invited lecture]

2013                AAOS Annual Meeting Chicago,IL

2013                7th Annual Orthopedic and Spine Summit San Antonio, TX

2014                AAOS/AHK/Posna Hip Preservation In the Adolescent and Young Adult#3345 OLC Rosemont, Il(invited lecture)

2014                St Louis Hip Skills Course Hip Arthroscopy and Preservation Procedures Saint Louis University.

2015                German  Orthopedic Society-Berlin: Perspectives on Hip preserving  Surgery(invited)

2015                University of  Ottowa International Hip course :Understanding the Anatomy for hip Preserving Surgery (invited)

2015                International Hip Society:: Long-term  results of PAO (submitted and accepted)

2015                International Society for Hip Arthroscopy and Hip Preserving Surgery

2016                POSICON Orator: Bangalore, India January 8th 2016: Hip Health  for the 21st Centry”Perspectives  of a pediatric  Orthopedic Outlier”

2016                POSICON  PAO 2016 “New Perspectives” Role of surgical  hip dislocation in cases of instability, impingement, and combinations (invited)

2016                Epos Annual Meeting Advanced Hip Course Rome April 6th 2016invited lecture: Slipped Capital Femoral Epiphysis Clinical Aspects, Diagnosis and Classifications

2016                Bern International Hip Course: Patients Expectations Vs surgeon Expectations in PAO Surgery(invited)

2016                European  Pediatric  Orthopedic Society-Rome Pre course:on SCFE:SCFE clinical aspects:Diagnosis and Classifications” (invited)

2016                Barcelona Hip Course : Acute treatment of SCFE: Various options including open reduction(invited)

2016                DDH from child to adult: Long term Outcome  of PAO and other Pelvic Osteotomies(invited)

2016                International  Society for Hip Arthroscopy (invited) Instructional  course Moderator:”Maximizing the Open Option in Hip Preservation” Where will we be in 10 years  with hip preserving osteotomies  Prophylactic focus? “What have we learned  in the past 10 years with Acetabular Osteotomy.  San Francisco  Sept 13th -16th .

2016                International Society  for Technology in  Arthoplasty Boston, MA October 6th. :Predictors and Trajectories of Chronic  Postoperative Pain Following Hip Preservation Surgery”

2016                Wierzejewski International Hip Symposium Warsaw  October 14th “Instability  following  Dunn Osteotomy  performed  for Slipped Capital Femoral  Epiphysis”(invited lecture) “is there a place  for femoral Redirection in Treating  Adult Hip Dysplasia?”(Invited Lecture) “Current Advances in the treatment of Adult Hip Dysplasia”(invited lecture) Moderator

Part III: Bibliography

Original Articles

  1. Harris ED, Millis MB. Treatment with colchicine of the periarticular inflammation associated with sarcoidosis. Arthritis Rheum. 1971;14:130-3.
  2. Millis MB, Millender LH, Nalebuff EA. Stiffness of the proximal interphalangeal joints in rheumatoid arthritis. The role of flexor tenosynovitis. J Bone Joint Surg Am. 1976;58(6):801-5.
  3. Millis MB and Hall JE. Transiliac lengthening of the lower extremity: A modified innominate osteotomy for the treatment of postural imbalance. J Bone Joint Surg. 1979;61A(8):1182-94.
  4. Davis RJ, Millis MB. Ankle arthrodesis in the management of traumatic ankle arthrosis: a long-term retrospective study. J Trauma. 1980;20(8):674-8.
  5. Herndon WA, Ellis RD, Hall JE, Millis MB. Correction with a transverse loading system in the operative management of scoliosis. Clin Orthop Relat Res. 1982;(165):168-71.
  6. Millis MB, Singer IJ, Hall JE. Supracondylar fracture of the humerus in children. Further experience with a study in orthopaedic decision-making. Clin Orthop Relat Res. 1984;(188):90-7.
  7. Cohen MS, Gelberman RH, Griffin PP, Kasser JR, Emans JB, Millis MB. Slipped capital femoral epiphysis: assessment of epiphyseal displacement and angulation. J Pediatr Orthop. 1986;6(3):259-64.
  8. O’Brien T, Millis MB, Griffin PP. The early identification and classification of growth disturbances of the proximal end of the femur. J Bone Joint Surg Am. 1986;68(7):970-80.
  9. Murphy SB, Kijewski PK, Simon SR, Millis MB. Simulation of orthopaedic reconstructive surgery. Computer Assisted Radiology. 1987: pp. 411-15.
  10. Murphy SB, Kijewski PK, Millis MB, Hall JE, Simon SR, Chandler HP. The planning of orthopaedic reconstructive surgery using computer-aided simulation and design. Comp Med Imag & Graph. 1988;12(1):33-45.
  11. Waters PM, Millis MB. Hip and pelvic injuries in the young athlete. Clin Sports Med. 1988;7(3):513-26.
  12. Sponseller PD, Desai SS, Millis MB. Comparison of femoral and innominate osteotomies for the treatment of Legg-Calvé-Perthes disease. J Bone Joint Surg Am. 1988;70(8):1131-9.
  13. Berde CB, Sethna NF, Levin L, Retik A, Millis MB, Lillehei C, Micheli L. Regional analgesia on pediatric medical and surgical wards. Int Care Med. 1989;15(Suppl 1):S40-43.
  14. Mah JY, Thometz J, Emans J, Millis MB, Hall JE. Threaded K-wire spinous process fixation of the axis for the modified Gallie fusion in children and adolescents. J Pediatr Orthop. 1989;9:675-79.
  15. Sponseller PD, Desai SS, Millis MB. Abnormalities of proximal femoral growth after severe Perthes disease. J Bone Joint Surg 1989;71(4):610-4.
  16. Kasser JR, Richards K, Millis MB. The triceps-dividing approach to open reduction of complex distal humeral fractures in adolescents: a Cybex evaluation of triceps function and motion. J Pediatr Orthop. 1990;10:93-6.
  17. Millis MB, Ahearn MC, Hall JE. [Transiliac leg lengthening: experiences with a modified Salter osteotomy]. Orthopade. 1990;19(5):283-91.
  18. Murphy SB, Kijewski PK, Millis MB, Harless A. Acetabular dysplasia in the adolescent and young adult. Clin Orthop Relat Res. 1990;(261):214-23.
  19. Millis MB, Poss R, Murphy SB. Osteotomies of the hip in the prevention and treatment of osteoarthritis. Instr Course Lect. 1992;41:145-54.
  20. Millis MB, Murphy SB. Use of computed tomographic reconstruction in planning osteotomies of the hip. Clin Orthop Relat Res. 1992;(274):154-9.
  21. Millis MB, Share JC. Use of ultrasonography in dysplasia of the immature hip. Clin Orthop Relat Res. 1992;(274):160-71.
  22. Hennrikus WL, Kasser JR, Rand F, Millis MB, Richards KM. The function of the quadriceps muscle after a fracture of the femur in patients who are less than seventeen years old. J Bone Joint Surg Am. 1993;75(4):508-13.
  23. Hennrikus WL, Millis MB. The dinner fork technique for treating displaced lateral condylar fractures of the humerus in children. Orthop Rev. 1993;22(11):1278-80.
  24. Millis MB, Kaelin AJ, Schluntz K, Curtis B, Hey L, Hall JE. Spherical acetabular osteotomy for the treatment of acetabular dysplasia in adolescents and young adults. J Pedi Orthop Part B. 1994;3(1):47-53.
  25. Mooney JF, Hall JE, Emans JB, Millis MB, Kasser JR. Spinal deformity associated with neurenteric cysts in children. Spine. 1994;19(13):1445-50.
  26. Campbell CC, Waters PM, Emans JB, Kasser JR, Millis MB. Neurovascular injury and displacement in type III supracondylar humerus fractures. J Pediatr Orthop. 1995;15(1):47-52.
  27. Hangen DH, Kasser JR, Emans JB, Millis MB. The Pavlik harness and developmental dysplasia of the hip: Has ultrasound changed treatment patterns? J Pediatr Orthop. 1995;15(6):729-35.
  28. Laurencin CT, Ferriter PJ, Millis MB. Oblique proximal tibial osteotomy for the correction of tibia vara in the young. Clin Orthop Relat Res. 1996;(327):218-24.
  29. Schwend RK, Hennrikus WL, O’Brien TJ, Millis MB, Lynch MR. Complications when using the cannulated 3.5 mm screw system. Orthopedics. 1997;20(3):221-3.
  30. Eldredge EA, Rockoff MA, Medlock MD, Scott RM, Millis MB. Postoperative cerebral edema occurring in children with slit ventricles. Pediatrics. 1997;99(4):625-30.
  31. Smith BG, Kasser JR, Hey LA, Jaramillo D, Millis MB. Postreduction computed tomography in developmental dislocation of the hip: part I: analysis of measurement reliability. J Pediatr Orthop. 1997;17(5):626-30.
  32. Smith BG, Millis MB, Hey LA, Jaramillo D, Kasser JR. Postreduction computed tomography in developmental dislocation of the hip: part II: predictive value for outcome. J Pediatr Orthop. 1997;17(5):631-6.
  33. Jaramillo D, Villegas-Medina O, Laor T, Shapiro F, Millis MB. Gadolinium-enhanced MR imaging of pediatric patients after reduction of dysplastic hips: assessment of femoral head position, factors impeding reduction, and femoral head ischemia. AJR Am J Roentgenol. 1998;170(6):1633-7.
  34. Millis MB, Murphy SB. The Boston peri-acetabular osteotomy with simultaneous arthrotomy via direct anterior approach (in German). Orthopade. 1998;27(11):751-8.
  35. Richolt JA, Teschner M, Everett PC, Millis MB, Kikinis R. Impingement simulation of the hip in SCFE using 3D models. Comput Aided Surg. 1999;4(3):144-51.
  36. Murphy SB, Millis MB, Hall JE. Surgical correction of acetabular dysplasia in the adult. A Boston Clin Orthop Relat Res. 1999;(363):38-44.
  37. Murphy SB, Millis MB. Periacetabular osteotomy without abductor dissection using direct anterior exposure. Clin Orthop Relat Res. 1999;(364):92-8.
  38. Hipp JA, Sugano N, Millis MB, Murphy SB. Planning acetabular redirection osteotomies based on joint contact pressures. Clin Orthop Relat Res. 1999;(364):134-43.
  39. Mooney JF, Millis MB. Spinal deformity after selective dorsal rhizotomy in patients with cerebral palsy. Clin Orthop Relat Res. 1999;(364):48-52.
  40. Richolt JA, Everett P, Teschner M, Kikinis R, Millis MB. [Computer-assisted planning of corrective osteotomies in cases of epiphysiolysis capitis femoris]. Orthopade. 2000;29(7):599-604.
  41. Kordelle J, Richolt JA, Millis MB, Jolesz FA, Kikinis R. Development of the acetabulum in patients with slipped capital femoral epiphysis: a three-dimensional analysis based on computed tomography. J Pedi Orthop. 2001;21(2):174-8.
  42. Reitman RD, Waters PM, Millis MB. Open reduction and internal fixation for supracondylar humerus fractures in children. J Pedi Orthop. 2001;21(2):157-61.
  43. Widmann RF, Hresko MT, Kasser JR, Millis MB. Wagner multiple K-wire osteosynthesis to correct coxa vara in the young child: experience with a versatile ‘tailor-made’ high angle blade plate equivalent. J Pediatr Orthop B. 2001;10(1):43-50.
  44. Kennedy JG, Hresko MT, Kasser JR, Shrock KB, Zurakowski D, Waters PM, Millis MB. Osteonecrosis of the femoral head associated with slipped capital femoral epiphysis. J Pediatr Orthop. 2001;21(2):189-93.
  45. Lerman JA, Emans JB, Millis MB, Share J, Zurakowski D, Kasser JR. Early failure of Pavlik harness treatment for developmental hip dysplasia: clinical and ultrasound predictors. J Pediatr Orthop. 2001;21(3):348-53.
  46. Kim YJ, Jaramillo D, Millis MB, Gray ML, Burstein D. Assessment of early osteoarthritis in hip dysplasia with delayed gadolinium-enhanced magnetic resonance imaging of cartilage. J Bone Joint Surg Am. 2003;85-A(10):1987-92.
  47. Kocher MS, Bishop JA, Weed B, Hresko MT, Millis MB, Kim YJ, Kasser JR. Delay in diagnosis of slipped capital femoral epiphysis. Apr 2004;113(4):e322-325.
  48. Diab M, Hresko MT, Millis MB. Intertrochanteric versus subcapital osteotomy in slipped capital femoral epiphysis. Clin Orthop Relat Res. 2004;(427):204-12.
  49. Murphy S, Tannast M, Kim YJ, Buly R, Millis MB. Debridement of the adult hip for femoroacetabular impingement: indications and preliminary clinical results. Clin Orthop Relat Res. 2004;(429):178-81.
  50. Kocher MS, Bishop JA, Hresko MT, Millis MB, Kim YJ, Kasser JR. Prophylactic pinning of the contralateral hip after unilateral slipped capital femoral epiphysis. J Bone Joint Surg Am. 2004;86-A(12):2658-65.
  51. Katz DA, Kim YJ, Millis MB. Periacetabular osteotomy in patients with Down syndrome. J Bone Joint Surg 2005;87(4):544-7.
  52. Kassarjian A, Yoon LS, Belzile E, Connolly SA, Millis MB, Palmer WE. Triad of MR arthrographic findings in patients with cam-type femoroacetabular impingement. Radiology. 2005;236(2):588-92.
  53. Kocher MS, Kim YJ, Millis MB, Mandiga R, Siparsky P, Micheli LJ, Kasser JR. Hip arthroscopy in children and adolescents. J Pediatr Orthop. 2005;25(5):680-6.
  54. Kim YJ, Ganz R, Murphy SB, Buly RL, Millis MB. Hip Joint-Preserving Surgery: Beyond the Classic Osteotomy. Instr Course Lect. 2006;55:145-58.
  55. Spencer S, Millis MB, Kim YJ. Early results of treatment of hip impingement syndrome in slipped capital femoral epiphysis and pistol grip deformity of the femoral head-neck junction using the surgical dislocation technique. J Pediatr Orthop. 2006;26(3):281-5.
  56. Cunningham T, Jessel R, Zurakowski D, Millis MB, Kim YJ. Delayed gadolinium-enhanced magnetic resonance imaging of cartilage to predict early failure of Bernese periacetabular osteotomy for hip dysplasia. J Bone Joint Surg Am. 2006;88(7):1540-8.
  57. Kocher MS, Kasser JR, Waters PM, Bae D, Snyder BD, Hresko MT, Hedequist D, Karlin I, Kim Y-J, Murray MM, Millis MB, Emans JB, Dichtel L, Matheney T, Lee B. Lateral entry compared with medial and lateral entry pin fixation for completely displaced supracondylar humeral fractures in children. A randomized clinical trial. J Bone Joint Surg Am. 2007;89:706-712.
  58. Jäger M, Begg MJ, Ready J, Bittersohl B, Millis MB, Krauspe R, Thornhill TS. Primary total hip replacement in childhood, adolescence and young patients: Quality and outcome of clinical studies. Technol Health Care. 2008;16(3):195-214.
  59. Mamisch TC, Kim YJ, Richolt JA, Millis MB, Kordelle J. Femoral Morphology Due to Impingement Influences the Range of Motion in Slipped Capital Femoral Epiphysis. Clin Orthop Relat Res. Oct 22 2008.
  60. Espinosa N, Strassberg J, Belzile E, Millis, MB, Kim, YJ. Extra-articular Fractures Following Periacetabular Osteotomy.  Clin Orthop Relat Res 2008; 466(7): 1645-1651.

61.  Rebello G, Spencer S, Millis MB, Kim YJ. Surgical dislocation in the management of pediatric and adolescent hip deformity. Clin Orthop Relat Res. 2009 Mar;467(3):724-31. 62.  Tiderius C, Jaramillo D, Connolly S, Griffey M, Rodriguez DP, Kasser JR, Millis MB, Zurakowski D, Kim YJ. Post-closed reduction perfusion magnetic resonance imaging as a predictor of avascular necrosis in developmental hip dysplasia: a preliminary report. J Pediatr Orthop. 2009 Jan-Feb;29(1):14-20. 63.  Clohisy JC, Carlisle JC, Trousdale R, Kim YJ, Beaule PE, Morgan P, Steger-May K, Schoenecker PL, Millis MB. Radiographic evaluation of the hip has limited reliability. Clin Orthop Relat Res. 2009 Mar;467(3):666-75. 64.  Clohisy JC, Carlisle JC, Beaulé PE, Kim YJ, Trousdale RT, Sierra RJ, Leunig M, Schoenecker PL, Millis MB. A systematic approach to the plain radiographic evaluation of the young adult hip. J Bone Joint Surg Am. 2008 Nov;90 Suppl 4:47-66. 65.  Zilkens C, Spencer S, Millis MB, Kim YJ. Die Behandlung der Epiphyseolysis Capitis Femoris mittels Chirurgischer Hüftluxation und subkapitaler Osteotomie. Orthopädische Praxis. 2008;44(6):297-303.66.  Tiderius C, Jaramillo D, Connolly S, Griffey M, Rodriguez DP, Kasser JR, Millis MB, Zurakowski D, Kim YJ. Post-closed reduction perfusion magnetic resonance imaging as a predictor of avascular necrosis in developmental hip dysplasia: a preliminary report. J Pediatr Orthop. Jan-Feb 2009;29(1):14-2067.  Mamisch TC, Kim YJ, Richolt J, Zilkens C, Kikinis R, Millis MB, Kordelle J. Range of motion after computed tomography-based simulation of intertrochanteric corrective osteotomy in cases of slipped capital femoral epiphysis: comparison of uniplanar flexion osteotomy and multiplanar flexion, valgisation, and rotational osteotomies. J Pediatr Orthop. 2009 Jun;29(4):336-40. 68.  Millis MB, Kain M, Sierra R, Trousdale R, Taunton MJ, Kim YJ, Rosenfeld SB, Kamath G, Schoenecker P, Clohisy JC. Periacetabular Osteotomy for Acetabular Dysplasia in Patients Older than 40 Years: A Preliminary Study. Clin Orthop Relat Res. 2009 May 7. [Epub ahead of print]

  1. Matheney TH, Kim YJ, Matero C, Zurakowski D, and Millis, MB.  Intermediate to Long-Term results following Bernese periacetabular osteotomy and predictors of clinical outcome.  J Bone Joint Surg Am. 2009; 85. 2009 Sept;91:2113-23
  2. Ziebarth K, Balakumar J, Domayer S, Kim YJ, Millis MB. Bernese Periacetabular Osteotomy in Males: Is there an increased risk of Femoroacetabular impingement (FAI) after Bernese periacetabular Osteotomy? Clin Orthop Relat Res. 2010; 469: 447-53.
  3. Zilkens C, Miese F, Bittersohl B, Jäger M, Schlutz J, Holstein A, Kim YJ, Millis MB, Mamisch TC, Krauspe R. Delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC), after slipped capital femoral epiphysis. Eur J Radiol. 2010 May [Epub ahead of print]
  4. Zilkens C, Jäger M, Bittersohl B, Kim YJ, Millis MB, Krauspe R. Slipped capital femoral epiphysis. Orthopade. 2010 Oct;39(10): 1009-21.
  5. Sierra R, Schoeniger, R, Millis MB, Ganz, R. Periacetabular Osteotomy for containment of the nonarthritic dysplastic hip secondary to poliomyelitis. J Bone Joint Surg Am. Dec 2010;92:2917-2923.
  6. Rhee P, Woodcock J, Clohisy JC, Millis MB, Sucato DJ, Beaule PE, Trousdale RT, Sierra RJ The shenton line in the diagnosis of acetabular dysplasia in the skeletally mature patient. J Bone Joint Surg Am 2011;93A:35-39
  7. Millis MB, Novais, EN. In situ fixations for slipped capital femoral epiphysis, perspectives in 2011. J Bone Joint Surg Am 2011;93A:46-51
  8. Kain M, Novais EN, Vallim C, Millis MB, Kim YJ. Periacetabular Osteotomy after failed hip arthroscopy for labral tears in patients with acetabular dysplasia. J Bone Joint Surg Am 2011;93A:57-61
  9. Zaltz I, Beaule PE, Clohisy JC, Schoenecker PL, Sucato DJ, Podeszwa D, Sierra RJ, Trousdale, Kim YJ, Millis MB. Incidence of deep vein thrombosis and pulmonary embolus following periacetabular osteotomy. J Bone Joint Surg Am 2011;93A:62-65
  10. Sink EL, Beaule PE, Sucato DJ, Kim YJ, Millis MB, Dayton M, Trousdale RT, Sierra RJ, Zaltz I, Schoenecker P, Monreal A, Clohisy JC. Multicenter study of complications following surgical dislocation of the hip. J Bone Joint Surg Am. 2011;93:1132-6
  11. Kuzyk PR, Kim YJ, Millis MB. Surgical management of healed slipped capital femoral epiphysis. J Am Acad Orthop Surg 2011; 19: 667-677

  1. Sankar WN, Millis MB, Kim YJ. Instability of the hip in patients with down syndrome. J Bone Surg Am 2011;93:1924-33
  2. Shore BJ, Novais EN, Millis MB, Kim YJ. Low early failure rates using a surgical dislocation approach in healed legg-calve-perthes disease. Clin Ortop Relat
  3. Schoenecker PL, Clohisy JC, Millis MB, Wenger DR. Surgical management of the problematic hip in adolescent and young adult patients. J Am Acad Orthop Surg 2011;19:275-286
  4. Rhee PC, Woodcock JA, Clohisy JC, Sucato DJ, Beaule PE, Trousdale RT,Sierra RJ, Academic Network for Conservational Hip Outcomes Research Group. The Shenton line in the diagnosis of acetabular dysplasia in the skeletally mature patient. J Bone Joint Surg Am. 2011 May; 93 Suppl 2:35-9
  5. Polkowski GG, Novais EN, Kim YJ, Millis MB, Schoenecker PL, Clohisy JC. Does previous reconstructive surgery influence functional improvement and deformity correction after periacetabular osteotomy? Clin Orthop Relat Res.

2012 Feb;470(2):516-24

  1. Shore BJ, Millis MB, Kim YJ. Vascular Safe Zones for Surgical dislocation in Children with healed Legg-Cav’e-Perthes disease. J Bone Joint Surg AM 2012 April 18;94(8) 721-7

  1. Stelzeneder D, Mamisch TC, Kress I, Domayer SE, Werlen S, Bixby S, Millis MB, Kim Y-J. Patterns of joint damage seen on MRI in early hip osteoarthritis due to structural hip deformities.  Osteoarthritis Cartilage. 2012 Jul;20(7):661-9

  1. Sierra RJ, Beaule P. Zaltz I, Millis MB, Clohisy JC, Trousdale RT, ANCHOR Group. Prevention of nerve injury after periacetabular osteotomy. Clin Orthop Relat Res. 2012 Aug; 470(8):2209-19. Epub 2012 Jun 09

  1. Novais, EN, Millis MB, Slipped capital femoral epiphysis: prevalence, pathogenesis, and natural history. Clin Orthop Relat Res. 2012 Oct; 3432-38

  1. Millis MB, Siebenrock KA; Session Particapants. Report of Breakout Session: Defining parameters for correcting the Acetabulum during a pelvic reorientation osteotomy. Clin Orthop Related Res. 2012 Dec;470(12)3453-5

 

  1. Sink El, Leuning M, Zaltz I, Gilbert JC, Clohisy J, Academic Network For conservational Hip Outcomes Research Group. Reliability of complication classification system for orthopaedic surgery. Clin  Orthop  Related RES. 2012 Aug:470(8):2220-6

  1. Kim SD, Jessel R, Zurakowski D, Millis MB, Kim YJ. Anterior delayed gadolinium-enhanced MRI of cartilage values predict joint failure after periacetabular osteotomy. Clin Orthop Relat Res. 2012 Dec;470(12):3332-41
  2. Lee CB, Millis MB. Alternatives to periacetabular osteotomy for adult acetabular dysplasia. Instr Course Lect. 2013;62:287-95.
  3. Lee CB, Millis MB. Patient selection for rotational pelvic osteotomy. Instr Course Lect. 2013;62:265-77.
  4. Lee CB, Mata-Fink A, Millis MB, Kim YJ. Demographic differences in adolescent-diagnosed and adult-diagnosed acetabular dysplasia compared with infantile developmental dysplasia of the hip. J Pediatr Orthop. 2013 Mar;33(2):107-11.
  5. McPartland TG, Sankar WN, Kim YJ, Millis MB. Patients with unstable slipped capital femoral epiphysis have antecedent symptoms. Clin Orthop Relat Res. 2013 Jul;471(7):2132-6.
  6. Clohisy JC, Baca G, Beaulé PE, Kim YJ, Larson CM, Millis MB, Podeszwa DA, Schoenecker PL, Sierra RJ, Sink EL, Sucato DJ, Trousdale RT, Zaltz I; ANCHOR Study Group. Descriptive epidemiology of femoroacetabular impingement: a North American cohort of patients undergoing surgery. Am J Sports Med. 2013 Jun;41(6):1348-56.
  7. Lee CB, Kalish LA, Millis MB, Kim YJ. Predictors of blood loss and haematocrit after periacetabular osteotomy. Hip Int. 2013 Nov-Dec;23 Suppl.9:S8-13.
  8. Novais EN, Bixby SD, Rennick J, Carry PM, Kim YJ, Millis MB. Hip Dysplasia Is More Severe in Charcot-Marie-Tooth Disease Than in Developmental Dysplasia of the Hip. Clin Orthop Relat Res. 2014; 472(2): 665-73
  9. Clohisy JC, Nepple JJ, Larson CM, Zaltz I, Millis M, ANCHOR, Persistent Structural  Disease is the Most Common Cause of Repeat Hip Preservation Surgery, Clin Ortho Relat Res 2013;  471(12):3788-94.
  10. Millis MB, Lewis Cl, Schonecker PL, Cloisy JC. Legg-Calve- Perthes disease and slipped capital femoral  epiphysis: major developmental causes of femoroacetabular impingement.  J Am Acad Orthop Surg. 2013; 21 Suppl 1: s59-63.
  11. Lee CB, Mata-Fink A, Millis MB, Kim YJ. Demographic differences in adolescent-diagnosed and adult-diagnosed acetabular dysplasia compared with infantile developmental dysplasia of the hip. J Pediatr Orthop 2013; 33(2):107-11
  12. Millis MB, Zaltz I, Emerging Concepts in slipped capital  femoral  epiphysis: editorial comment. Clin Orthop Relat Res.2013;  471(7): 2083-4
  13. Novais EN, HeyWorth B, Murray K, Johnson VM, Kim YJ, Millis MB. Physical Activity level improves after periacetabular osteotomy for the treatment of symptomatic hip dysplasia. Clin Orthop Relat Res. 2013 Mar:471(3):981-8
  14. Chu CR, Millis MB, Olson SA Osteoarthritis: From Palliation to Prevention.  J Bone Joint Surg. Am 2014; 96(15): e130-9.
  15. Novais EN, Kim YJ, Carry PM, Millis The Bernese Periacetabular Osteotomy: Is Transection of the Rectus Femoris Tendon Essential? Clin Ortho Related Res. 2014 Jul 23[epub ahead of print]
  16. Novais EN, Heyworth BE, Stamoulis C, Sullivan K, Millis MB, Kim YJ. Open Surgical treatment of femoroacetabular impingement in adolescent atheletes: Preliminary report on improvement of physical activity J Pediatr Orthop. 2014 Apr-May;34: 287-94.
  17. Domb BG, Lareau JM, Baydoun H, Botser I, Millis MB, Yen YM. Is intraaticular pathology common in patients with hip dysplasia undergoing periacetabular osteotomy? Clin Orthop Relat Res. 2014 Feb:472(2):674-80.
  18. Novais EN, Bixby SD Rennick J, Carry PM, Kim YJ, Millis MB  Hip dysplasia is more  severe in Charcot-Marie-Tooth disease than in developmental dysplasia of the hip. Clin Orthop Relat Res 2014 ; 472(2);665-73
  19. Nepple JJ, Martell JM, Kim YJ, Zaltz I, Millis MB, Podeswza DA, Sucato DJ Sink EL,Clohisy JC: ANCHOR Interobserver Reliability of the Radiographic Analysis of Femoroacetabular impingement and Dysplasia Using Computer –Assisted Measurements. AM J Sports Med. 2014 AUG 18[e pub ahead of print]
  20. Upasani, VV, Matheney, TH, Spencer, SA, Kim, YJ, Millis, MB and Kasser, JR Complications after Modified Dunn Osteotomy for the treatment of adolescent slipped capital femoral epiphysis.J Pediatr Orthop, 2014. 34(7):p. 661-7.
  21. Hingsammer, AM, Kalish, LA, Stelzender, D, Bixby, S, Mamisch, TC Connell, P, Millis, MB, and Kim, YJ, Does Periacetabular osteotomy for hip dysplasia modulate cartilage biochemistry? J Bone Joint Surg Am,2015. 97 (7): p. 544-50.
  22. Hingsammer, AM , Stelzender, D, Kalish, LA Millis, MB, and Kim, YJ, Prognostic factors for mid-term symptom relief after open surgical correction for femoro-acetabular impingement. Hip Int, 2015: p.0.
  23. Hoellwarth, JS, Kim YJ, Millis, MB, Kasser, JR, Zurakowski, D, and Matheney, TR, Medical  versus  anterior open reduction for developmental hip dislocation in age –matched patients. J Pediatr Orthop, 2015. 35(1): p.50-6.
  24. Novais, EN, Kim, YJ, Carry, PM, Millis, MB, Periacetabular Osteotomy Redirects the Acetabulum and Improves Pain in the Charcot-Marie-Tooth Hip Dysplasia with Higher Complications Compared  with Developemtal Dysplasia of the Hip. J Pediatr Orthop, 2015.
  25. Novais, EN, Potter, GD, Clohisy, JC, Millis, MB, Kim, YJ, Trousdale, RT, Carry,PM, and Sierra, RJ, Obesity is a major risk factor  for the development of complications after peri-acetabular osteotomy. Bone Joint J, 2015 97-B(1): p.29-34.
  26. Novais, EN, Potter, GD, Sierra, RJ, Kim, YJ, Clohisy,JC, Schoenecker,PL, Trousdale, RT, Carry, PM, and Millis, MB, Surgical  Treatment of Adolescent  Acetabular Dysplasia With a Periacetabular Osteotomy: Does Obesity  Increase the Risk  of Complications? J Pediatric Orthop, 2015. 35(6):p.561-4.
  27. Sankar, WN, Beaule, PE, Clohisy, JC Kim, YJ, Millis, MB, Peters, CL, Podeszwa, DA, Schoenecker, PL, Sierra, RJ, Sink EL, Sucato, DJ and Zaltz, I, Labral  Morphologic Characteristics in Patients With Symptomatic Acetabular Dysplasia. Am J. Sports Med, 2015.
  28. Stambough, JB, Clohisy, JC, Bacca, GR, Zaltz, I, Trousdale, R. Millis, MB, Sucato, D, Kim, YJ, Sink, E Schoenecker, Pl, Sierra, R.,Podeszwa, D, and Beal, P, Does Previous Pelvic Osteotomy Compromise the results of  Periacetabular Osteotomy Surgery? Clin Orthop Relat Res, 2015. 473(4):p.1417-24.
  29. Steppacher, SD, Zurmuhle, CA Puls, M. Siebenrock, KA, Millis, MB, Kim, YJ and Tannast, M, Periacetabular Osteotomy Restores the Typically Excessive Range of Motion in Dysplastic Hips With a  Spherical Head.  Clinical Orthop Relat Res 2015. 473(4):1404-16.
  30. Matheney T, Zaltz I, Kim YJ, Schonecker P, Millis MB, Podeszwa, Zurakowski D, Beaule P, Clohisy J,” Activity Level and Severity  of  Dysplasia  Predict age at Bernese Periacetabular Osteotomy for Symptomatic Hip Dysplasia:. J Bone Joint Surg Am  2016; 98:665-75.
  31. Upasani VV, Birke O,. Klingele KE, Millis MB,  International SCFE Study Group.  Iatrogenic Hip Instability Is a Devastating Complication After the Modified Dunn Procedure for Severe Slipped Capital Femoral Epiphysis. Clinical  Orthop  Relat Res 2017; 475(4): 1229-35.
  32. Sankar W; Duncan ST; ;Baca GR . Millis MB et al. Descriptive Epidemiology of Acetabular Dysplasia: The Academic Network of Conversational Hip Outcomes research (ANCHOR) Periacetabular Osteotomy Cohort.   J American  Acad Orthop Surg 2017; 25(2):150-9.
  33. Sieberg CB, Klajn J, Wong C, Bowen G,Simons LE, Millis MB   Predictors and trajectories of chronic postoperative pain following hip preservation Surgery. J Hip Preserv Surg.2017Jan; 4(1):45-53.PMID:28630720.
  34. Millis,MB. Giants of Orthopaedic Surgery: Professor Heinz Wagner, Clin Orthop Relat Res. 2017 Aug;475(8);1969-1973
  35. Hesper T, Bixby S, Kim YJ, Bowen G, Miller P, Millis MB, Novais EN.  Acetabular Retroversion, but Not Increased Acetabular Depth or Coverage in Slipped Capital Femoral Epiphysis.  J Bone Joint Surg Am. 2017; 99: 1022-9.
  36. Wells J, Millis MB,Kim YJ, Bulat E, Miller P, Matheney T. Survivorship of the Bernese Periacetabular Osteotomy: What Factors Are Associated with Long Term Failure Clin Orthop Relat Res.2017 Feb;475(2);396-405
  37. Wudbhav N Sankar, MD; Eduardo Novais, MD; Denise Koueiter, MS; Christian Refakis, BS; Ernest Sink, MD; Millis, MB; Young-jo Kim, MD, PhD; John Clohisy, MD; Joel Wells, MD, MPH; Jeffrey Nepple, MD; Ira Zaltz, MD Analysis of Femoral Version in Patients Undergoing Periacetabular Osteotomy for Symptomatic Acetabular Dysplasia Journal of the American Academy of Orthopaedic Surgeons : Ms. No. JAAOS-D-17-00076R1

Proceedings of Meetings

  1. Herndon W, Millis MB. Primary surgical management of Perthes disease. In: Orth Trans;1980. p. 334.
  2. Treishman H, Millis MB, Hall JE. Sliding calcaneal osteotomy in the treatment of hindfoot deformities. In: Orth Trans; 1980. p. 305.
  3. Millis MB, Hall JE. Supracondylar fracture of the humerus in children. A study in orthopaedic decision making. Perspectives of treatment sequence in 50 consecutive cases. In: Orth Trans; 1981. p. 403.
  4. Millis MB. Pediatric elbow injuries. In: Orth Trans; 1982. p. 418.
  5. Millis MB, Rosenberg J, Green WT. Long-term follow-up of closed treatment for congenital hip dislocation. In: Ortho Trans; 1983. p. 524.
  6. Hall JE, Millis MB, D’Ambrosia P, Micheli LJ. The treatment of severe spondylolithesis by posterior stabilization and early mobilization. In: Orth Trans; 1983. p. 343.
  7. Hall JE, Millis MB, Lipton H, Gebhardt, M. Treatment of hypokyphotic scoliosis: nonoperative and operative. In: Orth Trans; 1984. p. 154.

Reviews/Chapters/Editorials

  1. Millis, MB. Congenital Hip Dysplasia: Treatment from Infancy to Skeletal Maturity. In: Surgery of the Hip Joint, Raymond G. Tronzo, Ed. New York, Berlin, Heidelberg, Tokyo: Springer-Verlag;1984. p. 329-386.
  2. MB Millis, R Poss, SB Murphy. Osteotomies of the Hip in the Prevention and Treatment of Osteoarthritis. In: Robert E. Eilert. Instructional Course Lectures; Park Ridge (IL): American academy of Orthopaedic Surgeons;1992. p. 145-156.
  3. Millis MB, Murphy SB, Poss R. Osteotomies about the hip for the prevention and treatment of osteoarthrosis. Instr Course Lect. 1996;45:209-26.
  4. Millis MB, Kim YJ. Rationale of osteotomy and related procedures for hip preservation: a review. Clin Orthop Relat Res. 2002;(405):108-21.
  5. Millis MB. Michael B. Millis on periacetabular osteotomy. Orthopedics. 2004;27(8):817-8.
  6. Kim YJ, Millis MB. Safe Surgical Dislocation of the Hip. Operative Techniques in Orthopaedics. 2005;15(4):338-344.
  7. Morrissy RT, Weinstein SL,Lourie GM, Millis MB, Schrader T, Sponseller PD. Ganz Periacetabular Osteotomy. In: Atlas of Pediatric Orthopaedic Surgery. Philadelphia (PA): Lippincott Williams & Wilkins;2006.
  8. Hedequist, HJ, Millis, MB. Orthopedics. In: Medical Care for Children and Adults with Developmental Disabilities. Baltimore (MD): Paul H. Brooks Publishing Co.;2006.
  9. Kim, YJ, Ganz, R, Murphy SB, Buly, RL, Millis, MB. Hip Joint-preserving Surgery: Beyond the Classic Osteotomy. In: Terry R. Light. Instructional Course Lectures; Rosemont (IL): American Academy of Orthopaedic Surgeons;2006. p. 145-158.
  10. Millis, MB, Murphy, SB. Periacetabular Osteotomy. In: The Adult Hip, Callaghan, John; Rosenberg, Aaron G; Rubash, Harry E. Philadelphia, PA: Lippincott Williams & Wilkins;2007. p. 795-815.
  11. Gholve, Purushottam A., Cameron, Danielle B., Millis, MB. Slipped Capital Femoral Epiphysis Update. In: Current Opinion in Pediatrics. Philadelphia, PA: Lippincott Williams & Wilkins;2009. p. 39-45.
  12. Millis, MB, Dawicki, E, and Kim, YJ.: The Adolescent and Young Adult Hip Unit at Children’s Hospital Boston: Anatomy and Physiology of a Hip Joint Preservation Practice.  The Orthopaedic Journal at Harvard Medical School 11: 112-115, 2009.
  13. Millis, MB.   Giants of Orthopaedic Surgery: Professor Heinz Wagner            Clin Orthop Relat Res 2017; 475: 1969-73.

Books, Monographs, and Textbooks

  1. John E. Hall, Michael B. Millis, Brian D. Snyder. Short Segment Anterior Instrumentation for Thoracolumbar Scoliosis. In: The Textbook of Spinal Surgery. Second Philadelphia – New York: Lippincott-Raven;1997. p. 665-674.
  2. Millis, MB: The Treatment of Congenital Dislocation of the Hip in the Patient of Walking Age. ORTHOSAT Audiovisual Programs, Sarasota FL, 1982. Volume 1, Chapter 15.
  3. Jens A Richolt, Nobuniko Hata, Ron Kikinis, Jens Kordelle, Michael B. Millis. Three-Dimensional Bone Angle Quantification. In: Handbook of Medical Image Processing and Analysis. Elsevier Inc, Oxford, UK; 2009. Volume 2, Chapter 21.
  4. Kocher MS, Millis, MB: Operative Techniques Pediatric Surgery. Elsevier Saunders, Philadelphia PA; 2011
  5. Michael B. Millis, Eduardo N. Novais. Hip Disorders: Developmental Dysplasia, Slipped  Capitol Femoral Epiphysis, And Legg-Calve-Perthes Disease.In Adult Consequences Of Pediatric Orthopedics Conditions Monograph series:51 AAOS

Professional Educational Materials and Reports in Print or other Media

1985                “Treatment of Congenital Dislocation of the Hip in Children of Walking Age”, ORTHOSAT Audiovisual Presentation, vol 1, chapter 15,   COMSAT, Sarasota, FL

2011                “Correction of Proximal Femoral Deformity in Perthes Disease”  “Acetabular Retroversion in Trisomy 21″  [E-poster], “Return to Play after PAO in Young Athletes” [presented manuscripts] SICOT 25th Triennial World Congress, Prague

2011                “Descriptive Epidemiology of Symptomatic Acetabular Dysplasia: A North American Cohert” [paper/poster abstract]

 

Part III: Research, Teaching, and Clinical Contributions

  1. Narrative report of Research, Teaching, and Clinical Contributions

I am a pediatric orthopaedist by classical training, with a particular interest as a clinician and a clinical researcher in developmental hip problems that play out over a lifetime. The focus of my orthopaedic practice has been on the large adolescent and young adult patient population with structural hip abnormalities predisposing to painful osteoarthritis. These patients lie in the watershed zone between the specialty care offered by the pediatric orthopaedist and the total hip replacement care for destroyed hip joints provided by the adult orthopaedist. Their clinical problems therefore have been relatively understudied and undertreated, despite the great therapeutic potential for preventing future morbidity in this population.
Extensive clinical experience at Children’s Hospital had confirmed to me by about 1980 that the correction of certain pediatric and adolescent hip deformities greatly improved hip function in these skeletally immature patients. Soon I became aware that large numbers of mature American patients who had similar symptomatic structural hip problems were left untreated, seemingly because very few American orthopaedists caring for adults had either the conceptual or technical knowledge required to treat these problems.
Both the necessary conceptual knowledge and the technical expertise to provide effective joint-preserving care for these at-risk mature hips existed in parts of Europe and Asia. This stimulated me to spend a fellowship in Germany in 1980, acquiring the background to practice hip joint-preserving surgery and to teach its principles and practice to others.
My German experience gave me a greatly broadened personal and professional perspective which has persisted and deepened. Ever since, my investigative and educational collaborations and initiatives have had strong national and international elements.
In the early 1980’s, as my clinical practice quickly expanded to include the young adult hips in need of joint-preserving treatment, I simultaneously became involved in teaching the discipline to a variety of regional and national orthopaedic audiences through instructional courses and lectures, as well as through publications. In 1984, I conceived and co-directed the first HMS Course on Osteotomy of the Hip and Knee, which enjoyed critical acclaim for its cutting-edge information and international faculty during the decade we offered it, through 1994. Subsequently, I have directed or moderated annual instructional courses in hip joint preservation topics yearly for the American Academy of Orthopaedic Surgeons.
Our Adolescent and Young Adult Hip Unit at Children’s Hospital Boston, which I  organized and direct, offers internationally-recognized expertise in the analysis and treatment of complex hip problems to a national and international patient base. My clinical volume in treating adolescent and young adult hip dysplasia by the very effective periacetabular osteotomy is the largest in North America, giving our Harvard residents and fellows a deep level of exposure.

     Dr. Stephen Murphy and I recognized and dealt with the problem of frequent abductor dysfunction following pelvic osteotomy by developing the direct anterior approach, an abductor-sparing approach which is now the gold standard for pelvic osteotomies for mature patients here and abroad. I also was the first surgeon to employ routine arthrotomy at the time of periacetabular osteotomy, which has proved extremely useful in avoiding impingement from unappreciated labral tears and proximal femoral cam deformities. I have welcomed numerous visiting fellows, both national and international, for a variety of educational experiences with us. We also have clinical and research fellows dedicated to the Unit.

My greatest contribution as a Clinician-Teacher perhaps has been to promote the discipline of hip joint preservation to a position of legitimacy and respect within the arena of North American orthopaedic surgery. This has been possible not only because I and my collaborators have refined relevant surgical techniques and proved their effectiveness by long-term follow-up studies. Just as importantly, we have worked energetically, through a multiplicity of pedagogical efforts over the last twenty years, to nurture a philosophy of rational analysis of hip problems in the adolescent and young adult. This has led to the development of a cadre of orthopaedists here and abroad with technical and analytic skill sets which position them to deliver biologically-oriented hip-preserving care to a much larger patient base than ever before.
I have organized a core group of experts in hip joint preservation, the Academic Network for Conservational Hip Outcomes Research (ANCHOR Group) at five major academic centers to develop a common language, common protocols, and collaborative prospective studies regarding problems of the adolescent and young adult hip. Three of these centers are in the U.S., one is Canadian, and the fifth is Swiss. We have received our first grant, have had two publications accepted, and our first major prospective study, on periacetabular osteotomy outcomes in the treatment of developmental dysplasia, is under way.
Current major personal efforts includes the prospective study of adolescent and young adult patients with mechanical hip problems treated by various interventions, utilizing contemporary outcome measures; refinement of the curriculum for our joint-preserving fellowship program; expansion of our Hip Unit to allow initial extensive retrospective studies of developmental hip problems associated with adult symptoms; and subsequent related powerful prospective studies of the same problems.
I am dedicated to using my unusual long-term extensive experience with pediatric, adolescent, and adult hip problems to reach out in two very different directions. In reaching out to the pediatric orthopaedists, who often have the first and best opportunity to deal with hip deformities, I have sought to illustrate the adult sequelae of pediatric hip conditions. Our closely-related educational effort involves didactic teaching—often hands-on- of how newer diagnostic tools and surgical interventions prior to maturity can improve greatly on the natural history of these developmental hip conditions.
In reaching out to the very different population of adult orthopaedists, I emphasize the treatable mechanical nature of the problem in many symptomatic adult hips at a stage when osteoarthritis can be prevented or halted. A major research effort of our unit is to demonstrate the effectiveness of appropriate joint-preserving surgery in the young adult hip in improving function in many clinical situations in which joint replacement is not a good choice. We have done this well with periacetabular osteotomy to treat hip dysplasia. We are making equally satisfying progress with hip impingement.

      Hip impingement, usually termed femoro-acetabular impingement, has recently, and dramatically, become recognized as a major etiologic factor in more than 50% of the cases of osteoarthritis of the hip in North America.  Over the last 5 years, the characterization of femoro-acetabular impingement, originally proposed by Reinhold Ganz of Bern, has unraveled the puzzle of causation in many cases osteoartrhritis in the hip previously considered idiopathic, while at the same time suggesting rational joint-preserving methods of treatment. While the association of developmental hip deformity with nearly 80% of cases of hip osteoarthritis was first recognized more than 30 years ago, it awaited the dynamic concept of impingement for a clear understanding of etiology in most cases.

Our more than 30 year close academic and personal contact with Reinhold Ganz allowed us to be among the earliest adopters of the hip impingement concept, leading to the rapid implementation in our unit of impingement-correcting surgical treatment protocols.  This in turn has led to extensive short and middle term clinical experiences with impingement-correcting surgery for our large pediatric and adolescent impingement patient bases.  Our experiences with several disease subgroups are even larger than those in the Bernese center of origin of the impingement concept.

The very powerful impingement concept has stimulated dramatic implementation of clinically effective treatment measures for hip impingement in a very short period of time in our unit and others. Our contemporary hip joint-preserving surgical treatment methods for both hip impingement and hip dysplasia have demonstrated satisfying clear improvement by clinically-based outcome measures.

   We have sought to complement our clinical observations of the positive effects of impingement-relieving surgery and of periacetabular osteotomy to correct acetabular dysplasia by objective direct cartilage imaging.  Major recent work in our Adolescent and Young Adult Hip Unit has been the novel use of dGEMRIC imaging of cartilage in the hip joint.

   Delayed Gadolinium Enhanced Magnetic Resonance Imaging of Cartilage allows direct quantitative assessment of the loss of glycosaminglycan, a major structural macromolecule, from articular cartilage.  In both the hip and the knee, glycosaminglycan loss, which is reversible to at least some degree, is a very early biomarker of mechanical damage to articular cartilage.  Our unit’s novel clinical application of the technique to the hip was initially in cases of acetabular dysplasia, in which we demonstrated a better correlation of symptoms with the dGEMRIC analysis than with any other imaging parameter.  Our subsequent experience has shown a close correlation of preoperative dGEMRIC imaging to success or failure of periacetabular osteotomy in relieving pain.

     The dGEMRIC technique is therefore of critical therapeutic importance, since it allows noninvasive analysis of the extent of articular cartilage of the hip which has occurred secondary to developmental deformity, and  the extent of articular cartilage damage  is a most important predictor of outcome in hip joint-preserving surgery. Our imaging protocols allow us greatly improved patient selection, choosing joint-preserving surgery only for those likely to benefit most from it, and sending patients with advanced cartilage damage on to arthroplasty surgeons to consider hip replacement.  In dysplasia, our considerable experience with dGEMRIC already has made it a useful tool for us in clinical practice.  Its use in impingement cases is at a much earlier stage, though we anticipate in the next 2 years a use of the technique in hip impingement treatment selection that is qualitatively similar to its established use in cases of acetabular dysplasia.

       Thus by clinical outcome measures and by direct cartilage imaging, we have demonstrated  the retardation or arrest of the progression of osteoarthritis in many of our dysplastic hips treated by periacetabular osteotomy and in impinging hips treated with intraarticular surgery via the surgical dislocation approach.  Our large clinical experiences and retrospective studies of periacetabular osteotomy to treat acetabular dysplasia have allowed the planning and early implementation of appropriate prospective studies, using both validated clinical outcome measures and dGEMRIC metrics.  We anticipate similar clinical research efforts with the spectrum of impingement-related hip conditions.

        I am and have been privileged to learn from and to collaborate with world-class authorities here and abroad, developing and employing powerful therapeutic and diagnostic techniques relevant to developmental hip disease.   I see my primary role as a very active academic clinician with unusual extensive hip joint-preserving experience in both pediatric and adult patients with mechanical hip disorders, in a unique position to improve the treatment methods of both pediatric orthopaedists and adult orthopaedists in caring for patients with various developmental hip deformities.