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Orthopaedic Surgery

Research During Fellowship

Research is essential to advancing the field of orthopaedic surgery. Additionally, research experience is vital in shaping physicians and preparing fellows for positions at academic health centers.

Each fellow must complete one research project from idea inception to manuscript submission. A structured research curriculum with associated timelines and dedicated meetings built into the academic calendar ensures success.

Learn more about department researchers

Four women in scrubs stand in a hallway in front of two doors. Between each pairing is a black printed cat on the wall.

Research support

Fellows work with the program director and faculty mentors to develop a scientific question, generate a hypothesis, write a protocol to be approved by the Internal Review Board, perform data collection and analysis, submit an abstract to a national meeting, present the project at the year-end fellow/resident graduation Garceau-Wray Lectureship and submit a manuscript.

Todd McKinley, MD, has successfully secured more $10 million in grant funding to support the program. Ongoing research and grant funding at the IU School of Medicine led to the employment of full-time research coordinators and research assistants allocated only to the orthopaedic trauma service. This improves the efficiency of the research projects and provides the fellows with administrative support to complete projects promptly.

Indiana University Health Methodist Hospital is an active member of METRC, the Major Extremity Trauma and Rehabilitation Consortium, serving as one of six "anchor" sites. View a list of METRC investigations. Additionally, the department has many established national collaborations.

 

Fellow Publications

Wynn MS, Jang Y, Ochenjele G, Natoli RM. External Fixation Before Planned Conversion to Internal Fixation in Orthopaedic Trauma: Controversies and Current Trends. J Am Acad Orthop Surg. 2024 Apr 18. doi: 10.5435/JAAOS-D-23-01256. Epub ahead of print. PMID: 38657184.

Chen JY, Sharma I, Sabbagh RS, Narendran N, Everhart JS, Slaven JE, Archdeacon MT, Sagi HC, Mullis BH, Natoli RM. Risk of Postoperative Sciatic Nerve Palsy After Posterior Acetabular Fracture Fixation: Does Patient Position Matter? J Orthop Trauma. 2023 Feb 1;37(2):64-69. doi: 10.1097/BOT.0000000000002481. Erratum in: J Orthop Trauma. 2023 May 1;37(5):e234. doi: 10.1097/BOT.0000000000002605. PMID: 36026568. 

Lieder, C, Jang, Y, Rea, P, Gaski, G, Virkus, W. Results of low distal femur periprosthetic fractures. J Orthop Trauma. 2022 (Accepted) PubMed

Virkus W, Lieder C, Jang Y, Rea P, Gaski G. Results of Low Distal Femur Periprosthetic Fractures. J Orthop Trauma. 2022 Aug 1;36(8):e300-e305. doi: 10.1097/BOT.0000000000002352. PMID: 35171135. PubMed.

Farooq H, Wessel RP 3rd, Brown K, Slaven JE, Marini F, Malek S, Natoli RM. Utility of Plasma Protein Biomarkers and Mid-Infrared Spectroscopy for Diagnosing Fracture-Related Infections: A Pilot Study. J Orthop Trauma. 2022 Apr 22. doi: 10.1097/BOT.0000000000002379. Epub ahead of print. PMID: 35452050. PubMed.

Richard RD, Gaski GE, Farooq H, Wagner DJ, McKinley TO, Natoli RM. Risk factors for complications within 30 days of operatively fixed periprosthetic femur fractures. J Clin Orthop Trauma. 2022 Jun 25;31:101925. doi: 10.1016/j.jcot.2022.101925. PMID: 35799883; PMCID: PMC9253917. PubMed.

Lieder CM, Gaski GE, Virkus WW, Kempton LB. Is Immediate Weight-Bearing Safe After Single Implant Fixation of Elderly Distal Femur Fractures? J Orthop Trauma. 2021 Jan 1;35(1):49-55. doi: 10.1097/BOT.0000000000001882. PMID: 32639392. PubMed.

Slobogean GP, Sprague S, Bzovsky S, Scott T, Thabane L, Heels-Ansdell D, O'Toole RV, Howe A, Gaski GE, Hill LC, Brown KM, Viskontas D, Zomar M, Della Rocca GJ, O'Hara NN, Bhandari M; FAITH-2 Investigators. Fixation using Alternative Implants for the Treatment of Hip Fractures (FAITH-2): The Exploratory Health-Related Quality of Life and Patient-Reported Functional Outcomes of a Multi-Centre 2 × 2 Factorial Randomized Controlled Pilot Trial in Young Femoral Neck Fracture Patients. Injury. 2021 Feb 14:S0020-1383(21)00133-9. doi: 10.1016/j.injury.2021.02.030. Epub ahead of print. PMID: 33618847. PubMed.

Jang Y, Virkus W, Mckinley T. A modified Levine approach for exposure of the anterior column, anterior wall and sacroiliac joint: a surgical technique and a case series. J Orthop Trauma. 2021 Mar 9. doi: 10.1097/BOT.0000000000002111. Epub ahead of print. PMID: 33724966. PubMed.

Sardesai NR, Gaski GE, Gunderson ZJ, Cunningham CM, Slaven J, Meagher AD, McKinley TO, Natoli RM. Polytraumatized patient lower extremity nonunion development: Raw data. Data Brief. 2021 Jun 25;37:107244. doi: 10.1016/j.dib.2021.107244. PMID: 34258338; PMCID: PMC8253899. PubMed.

Sardesai NR, Gaski GE, Gunderson ZJ, Cunningham CM, Slaven J, Meagher AD, McKinley TO, Natoli RM. Polytraumatized patient lower extremity nonunion development: Raw data. Data Brief. 2021 Jun 25;37:107244. doi: 10.1016/j.dib.2021.107244. PMID: 34258338; PMCID: PMC8253899. PubMed.

Jang Y, Gaski G, Natoli R, Virkus W, Mckinley T. Tibial Fracture Healing Score: A Novel Tool to Predict Tibial Nonunion. Orthopedics. 2020 Jul 1;43(4):e323-e328. doi: 10.3928/01477447-20200521-07. Epub 2020 Jun 5. PMID: 32501520. PubMed.

Richard RD, Natoli RM, Sorkin AT, Virkus WW, Gaski GE. Retrograde intramedullary nailing below a hip arthroplasty prosthesis: a viable fixation option for periprosthetic and interprosthetic femur fractures. Int Orthop. 2020 Nov;44(11):2283-2289. doi: 10.1007/s00264-020-04734-3. Epub 2020 Jul 21. PMID: 32696332. PubMed.

Virkus WW, Wetzel RJ, McKinley TO, Sorkin AT, Cheeseman JS, Hill LC, Kempton LB. Response to Letter to the Editor: Costs and Radiographic Outcomes of Rotational Ankle Fractures Treated by Orthopaedic Surgeons With or Without Trauma Fellowship Training. J Am Acad Orthop Surg. 2019 Feb 1;27(3):e143-e145. doi: 10.5435/JAAOS-D-18-00509. PMID: 30320736. PubMed.

FAITH-2 Investigators, Slobogean GP, Sprague S, Bzovsky S, Heels-Ansdell D, Thabane L, Scott T, Bhandari M. Fixation using alternative implants for the treatment of hip fractures (FAITH-2): design and rationale for a pilot multi-centre 2 × 2 factorial randomized controlled trial in young femoral neck fracture patients. Pilot Feasibility Stud. 2019 May 28;5:70. doi: 10.1186/s40814-019-0458-x. PMID: 31161044; PMCID: PMC6540373. PubMed.

Natoli RM, Sardesai NR, Richard RD, Sorkin AT, Gaski GE, Virkus WW. Intramedullary Nailing of Lower-Extremity Periarticular Fractures. JBJS Essent Surg Tech. 2019 Nov 1;9(4):e35.1-2. doi: 10.2106/JBJS.ST.18.00112. PMID: 32051781; PMCID: PMC6974312. PubMed.

Cavallero M, Rosales R, Caballero J, Virkus WW, Kempton LB, Gaski GE. Locking Plate Fixation in a Series of Bicondylar Tibial Plateau Fractures Raises Treatment Costs Without Clinical Benefit. J Orthop Trauma. 2018 Jul;32(7):333-337. doi: 10.1097/BOT.0000000000001188. PMID: 29738401. PubMed.

Virkus WW, Wetzel RJ, McKinley TO, Sorkin AT, Cheesman JS, Hill LC, Kempton LB. Costs and Radiographic Outcomes of Rotational Ankle Fractures Treated by Orthopaedic Surgeons With or Without Trauma Fellowship Training. J Am Acad Orthop Surg. 2018 Jun 15;26(12):e261-e268. doi: 10.5435/JAAOS-D-16-00687. PMID: 29787464. PubMed.

Virkus WW, Caballero J, Kempton LB, Cavallero M, Rosales R, Gaski GE. Costs and Complications of Single-Stage Fixation Versus 2-Stage Treatment of Select Bicondylar Tibial Plateau Fractures. J Orthop Trauma. 2018 Jul;32(7):327-332. doi: 10.1097/BOT.0000000000001167. PMID: 29920192. PubMed.

Faculty Publications

Yohan Jang, DO, is an alum of the department's trauma fellowship program. As a faculty member, he is heavily involved in research. 

PubMed

Luke Lopas, MD, believes orthopaedic trauma affords him the incredible privilege to meet patients in a true moment of need and help them navigate their path to recovery. Traumatic injuries are never planned for and the healing process can seem complicated and even daunting. He embraces the opportunity to help patients overcome these injuries and truly enjoys working with them to regain function and return to the activities that are most meaningful to them.

PubMed

Todd McKinley, MD, has been the principal investigator on multiple peer-reviewed grants, including several major grants from the Centers for Disease Control and Prevention, National Institutes of Health and the Department of Defense. He served as the chairman of the Orthopaedic Trauma Association Research Committee and is a member of the Orthopaedic Research Society.
PubMed

Brian Mullis, MD, has a history of collaborative, multi-center retrospective and prospective studies as the principal investigator and co-investigator. He has served on the AOTNA research committee. He continues to be actively involved in OTRC and METRC projects.

PubMed

Roman Natoli, MD, PhD, focuses on translational research to lessen the burden of post-traumatic problems.

PubMed

Jan Szatkowski, MD, has co-authored multiple articles in scientific journals. His efforts to improve care for patients include his work helping develop new medical technologies and is actively involved in multiple research projects targeted at improving orthopaedic care.

PubMed

Dillon O'Neill, MD, is the newest faculty member in the orthopaedic trauma fellowship. He brings an extensive research history with studies in hip reconstruction and arthroscopy and arthroscopic advancements.

PubMed