location Huron Valley-Sinai s Roland Brandt, D.O. Mark Kwartowitz, D.O. E. Patrick Mitchell, D.O. Roland Brandt, D.O. Mark Kwartowitz, D.O. Mark Kamil, M.D. Ronald Lederman, M.D. Mark Mackey, M.D. E. Patrick Mitchell, D.O. Philip Schmitt, D.O. Miles Singer, D.O. Specialists in Orthopedic Surgery Mitchell, E. Patrick, D.O. Brandt, Roland, D.O. Schmitt, Philip, D.O. 1 William Carls Dr Commerce, MI 48382 Ph: (248) 937-4947 Fx: (248) 937-5150 Kamil Orthopaedic Group Kamil, Mark, M.D. Mackey, Mark, M.D. 6621 W Maple Rd West Bloomfield, MI 48322 Ph: (248) 661-4700 Fx: (248) 661-6210 Center for Orthopedic Surgery, Sports Medicine and Physical Therapy Lederman, Ronald, M.D. Kwartowitz, Mark, D.O. 2300 Haggerty Rd Suite 1110 West Bloomfield, MI 48323 Ph: (248) 669-2000 Fx: (248) 669-2110 Bone & Joint Specialists Kohen, William, M.D. 4800 Highland Rd Waterford, MI 48328 Ph: (248) 673-0500 Fx: (248) 673-6077 Specialists in Spine Surgery Singer, Miles, D.O. 2300 Haggerty Rd Suite 2100 West Bloomfield, MI 48323 Ph: (248) 926-1960 Fx: (248) 926-1970 1-888-DMC-2500 www.hvsh.org
TO YOUR GOOD HEALTH Orthopaedic & Sports Medicine from DMC Huron Valley-Sinai Hospital CHOOSING A HOSPITAL WITH A GREAT SAFETY RECORD IS IMPORTANT FOR ORTHOPAEDICS Quality is the foundation of the Orthopaedic Surgery Department at DMC Huron Valley-Sinai Hospital. According to E. Patrick Mitchell, D.O., department chair, that means a medical staff of board-certified orthopaedic surgeons, an outstanding level of infection control and a review of all new technology before implementation. Being board-certified speaks to a level of education that dictates you re a quality physician, Dr. Mitchell says. Board certification requires completion of an accredited residency in orthopaedic surgery and passage of comprehensive examinations. Infection control is another essential quality component and Huron Valley- Sinai Hospital is nationally recognized for eliminating central line infections during the past two years one of only six hospital in Michigan to achieve this. That success required years of careful training, preparation and monitoring to fully implement evidence-based infection control practices. According to James Gordon, M.D., chief of infectious disease at Huron Valley- Sinai Hospital and assistant professor of clinical medicine at Wayne State University School of Medicine, the hospital achieved these great results because of its collaborative staff that is energized to do things the right way. During orthopaedic surgery, physicians, nurses and technicians in the operating Room wear special air-vented helmets with sterile covers for their faces to reduce infection risk during total joint replacements. In addition, patients noses are swabbed before surgery to check for certain bacteria so that preventive antibiotics can be administered if necessary. Dr. Mitchell also points to the department s careful adoption of new technology. He mentions that most orthopaedic procedures are now minimally invasive the surgeon makes smaller incisions which reduce the recovery period. In 2006 Huron Valley-Sinai Hospital was the first American site for the Birmingham Hip resurfacing procedure. This surgery resurfaces rather than replaces the hip joint to provide greater functionality. More often we are following the concept of resurfacing rather than replacing joints, Dr. Mitchell explained. While surgical technology has advanced greatly, the department s physicians carefully scrutinize new methods and equipment before using them. All of the new technology has to go through a fact-finding mission, he said. Together, the commitment to a board-certified surgical staff, optimal infection control and the review and use of beneficial new technology have created a department with very high standards and excellent results. Whether the patient is a teenager with a broken bone from football or a middle-aged adult with joint pain and reduced mobility, Huron Valley-Sinai Hospital s orthopaedic surgeons provide great care.
news BONE & JOINT SURGEONS HELP ATHLETES OF ALL AGES WITH INJURIES Sports activities are great exercise as well as a way to develop friendships and have fun at all stages of life. While strains and injuries from athletics can t be totally eliminated, Huron Valley-Sinai Hospital s orthopaedic surgeons say that they can be reduced. E. Patrick Mitchell, D.O., chair of Huron Valley-Sinai Hospital s Orthopaedic Surgery Department, recommends a general physical for students before strenuous athletics. We make sure that student athletes are healthy enough to participate in grueling high school sports. We check for a heart murmur and for old injuries that may be susceptible to a fracture, he explains. Having good overall health is only the first step to avoid sports injuries. Mark Kwartowitz, D.O., says that 50 percent of his practice comprises patients with sports-related knee and shoulder problems, often due to overuse. Miniscus tears and rotator cuff inflammation are common among baseball players. But education can help to reduce these problems. Dr. Mitchell recommends a halfhour warm-up before baseball including throwing, running and stretching. This can reduce throwing injuries and knee and ankle problems from running bases. If injury does occur, immediate attention is essential. Dr. Mitchell and his partners at Specialists in Orthopedic Surgery, Philip Schmitt, D.O. and Roland Brandt, D.O., are team physicians for Huron Valley high schools. They are responsible for physical examinations for the team members and coverage during games to treat any injured players. After a sports injury, Dr. Mitchell recommends the RICE approach rest, ice, compression on the injury, and elevation of the affected area. By following these guidelines, he says that strains and injuries will heal on their own 90 percent of the time. If not, a doctor s care is essential. 2
DMC HURON VALLEY-SINAI HOSPITAL KEEPING YOU IN THE GAME Total joint replacement Knee procedures Knee arthroscopy Joint reconstruction Sports medicine Mark Kamil, M.D. M.D. Chicago Medical School Residency Orthopaedic Surgery, Henry Ford Hospital Fellowship American College of Surgeons Dr. Kamil is vice-chief of Orthopaedic Surgery at Huron Valley-Sinai Hospital. He has a teaching appointment with DMC-Wayne State Family Practice and Occupational Medicine and has traveled to Hungary to teach total knee arthroscopies. Huron Valley-Sinai Hospital has a very dynamic orthopaedic team. All total joint replacements performed at the hospital are minimally invasive. The team that we have developed in the operating room wears spacesuits to prevent infections and we were one of the first hospitals to do this. Total joint replacement Knee procedures Knee arthroscopy Joint reconstruction Sports medicine Mark Mackey, M.D. M.D. University of Michigan Medical School Residency Orthopaedic Surgery, Detroit Medical Center Metropolitan Northwest Hospital Program Dr. Mackey uses ceramic hip replacement implants, which are hard and smooth, potentially reducing wear. These new ceramic-on-ceramic implants last longer than metal-on-plastic joints, which makes them advantageous for patients under age 60. Dr. Mackey serves on the Detroit Medical Center committee for clinical pathway for treatment of hip fractures. Younger patients don t have to live with pain for the rest of their lives. A total ceramic hip replacement can improve their quality of life and allow them to do daily tasks with less pain. 3
news KEEPING YOU IN THE GAME Hip resurfacing Hip and knee replacement Arthroscopy of knee and hip Joint injury management Philip Schmitt, D.O. D.O. Michigan State University College of Osteopathic Medicine Residency Orthopaedics, Oklahoma State University Dr. Schmitt was the first Michigan physician to perform Birmingham Hip Resurfacing and has completed more than 650 procedures at Huron Valley- Sinai Hospital since 2006. Dr. Schmitt shaves and caps the bone to retain more of the patient s natural bone structure and stability. The Birmingham Hip implant results in less wear than traditional hip implants, reduces the risk of dislocation and inaccurate leg length, and speeds recovery. This procedure is recommended for more active patients. Dr. Schmitt is an associate clinical professor at Michigan State University College of Osteopathic Medicine. He is a Huron Valley and Walled Lake High Schools team physician. Huron Valley is a very progressive orthopaedics center. We re one of the busiest in the state. In particular, we re a leader in performing the Birmingham Hip Resurfacing. Some of the benefits are that it feels better, is bone sparing and people can be much more active. Foot and ankle reconstructive surgery Total joint replacement Revision joint surgery Knee arthroscopy Endoscopy Total shoulder replacement Trauma surgery Sports medicine E. Patrick Mitchell, D.O. D.O. Kansas City College of Osteopathic Medicine Residency Orthopaedics, Pontiac Osteopathic Hospital Dr. Mitchell is chief of orthopaedic surgery at DMC Huron Valley-Sinai Hospital and a team physician for Huron Valley high schools. He serves on the Board of Directors of the Michigan Association of Osteopathic Physicians and Surgeons. Dr. Mitchell specializes in total shoulder replacement to alleviate arthritic pain when other treatments haven t worked. A metal implant attached to a stem replaces the ball at the top of the humerus and the socket part of the joint is shaved clean and replaced with a plastic socket. We see a lot of weekend warriors who spend five or six days at a desk and then play a double-header on Sunday, ending up with an over-taxed shoulder or elbow or a twisted ankle. I recommend a half-hour warm-up, throwing the ball and doing some good stretching. If there is an injury, ice is their friend. Follow the RICE guidelines rest, ice, compression and elevation. 4
DMC HURON VALLEY-SINAI HOSPITAL Fractures Shoulder injuries Carpal tunnel syndrome Elbow disorder Hip dysplasia Arthroscopy Foot and ankle reconstruction Joint replacement Shoulder surgery including repair of rotator cuff tears Roland Brandt, D.O. D.O. College of Osteopathic Medicine and Surgery Residency Garden City Osteopathic Hospital Dr. Roland Brandt is an assistant clinical professor at Michigan State University College of Osteopathic Medicine. He specializes in arthroscopic rotator cuff repair, a minimally invasive technique to eliminate pain and restore strength and function to the shoulder after injury or overuse. Dr. Brandt uses precise, miniature equipment and high definition video to guide surgical repair of rotator cuff tears with only three to four incisions. Arthroscopic repair results in less pain and scarring and a faster recovery. Rotator cuff tears are painful. Patients often are unable to raise their arm or put weight on their shoulder. Signs of a torn rotator cuff may include: pain or weakness when lifting or lowering the arm or a crackling sensation when the shoulder is moved in certain positions. 5
news KEEPING YOU IN THE GAME Back injuries Spinal fractures Cervical spine disorders Spine surgery Spinal stenosis Lumbar degenerative disc disease Head and neck disorders Miles Singer, D.O. D.O. University of Osteopathic Medicine and Health Sciences, Iowa Residency Orthopaedic Surgery, Botsford Hospital Fellowship Spine Surgery, Southern Illinois University Dr. Singer is an assistant clinical professor at Michigan State University College of Osteopathic Medicine. He is the former president of the Section of Spinal Surgery of the American Osteopathic Academy of Orthopedics and is a Fellow of the American College of Osteopathic Surgery and the American Osteopathic Academy of Orthopaedics. Dr. Singer specializes in a procedure to alleviate symptoms of lumbar spinal stenosis, using an X-Stop Spacer to maintain the space between the bones intact without screws or hardware to the bone or ligaments. 6
DMC HURON VALLEY-SINAI HOSPITAL Arthroscopic shoulder procedures including reverse shoulder replacement Sports-related medicine Arthroscopic knee surgeries Joint replacement Reconstructive surgery Mark Kwartowitz, D.O. D.O. Philadelphia College of Osteopathic Medicine Residency Orthopaedics, Botsford Hospital Fellowship Sports Medicine Orthopaedic Surgery, The University of Chicago Dr. Kwartowitz and his partner, Dr. Lederman, were the first Michigan physicians to use the iuni unicompartmentalized knee implant, which results in much quicker recovery and better range of motion for knee surgery. We are seeing a lot more shoulder and neck injuries from yoga and gymnastics, especially rotator cuff inflammation. We recommend rest, anti-inflammatory medications and physical therapy for strengthening to counteract overuse, comments Dr. Kwartowitz. Sports medicine for the knee, foot and ankle Non-surgical approaches to the injured throwing athlete Arthroscopic surgery for knees, ankles and shoulders, including rotator cuff repairs, and ACL reconstruction Ronald Lederman, M.D. M.D. University of Michigan Medical School Residency Orthopaedic Surgery, Mt. Sinai Medical Center, Cleveland, Ohio Fellowship Foot and Ankle Surgery, Campbell Clinic, University of Tennessee Dr. Lederman specializes in sports medicine with a focus on non-surgical treatments. He works with sports medicine physical therapists to help throwing athletes by working not only with their upper extremities but also the scapular, spine and core muscles, pelvic alignment, and quadriceps and calf muscles. In addition, he is one of the first Michigan physicians to use the iuni unicompartmentalized knee implant, which conforms to the individual patient s anatomy. This implant provides a better fit with less bone cutting, faster surgical recovery and often better range of motion. For the throwing athlete with injuries, the key is to focus on the kinetic chain a comprehensive total body approach from the upper to lower extremities. 7