ORTHOPAEDIC TRAUMA UPDATE
Animesh Agarwal, M.D.
The orthopaedic trauma service at University Hospital (UHS) continues to be the busiest service that residents rotate through. The core faculty are comprised of three fellowship trained orthopaedic traumatologists: Animesh Agarwal, Ravi Karia and Boris Zelle; a fellowship trained shoulder specialist – Anil Dutta; a fellowship trained Hand Surgeon – Fred Corley and a fellowship trained plastic-hand surgeon – Doug Cromack. The integration of a plastic surgeon into the service has improved the care of our patients with open fractures to assist in timely coverage and enhance our outcomes. Care of the orthopaedic trauma patient is facilitated by three PA’s: John Kodosky, PA,PhD, Chris DeLallo, PA and Priscilla Ramos, PA as well as two clinical nurses: Melissa Lopez, RN and Georgina Perez, RN.
Approximately 7-9 residents rotate on the orthopaedic trauma service each month. We continue to have military residents rotate on the service as well. Starting with the academic year in 2019, the orthopaedic trauma service will have an Orthopaedic Trauma Association (OTA) accredited fellowship. We have been a site for an AO International Trauma fellowship since 2015. Resident education involves primarily hands on clinical training as well as didactic lectures, fracture conferences and journal clubs. Most recently, an orthopaedic trauma resident area was established in conjunction with UHS in proximity to the operating rooms and the trauma clinic.
University Hospital is the only civilian Level 1 trauma center in San Antonio and South Texas, covering all the way to Brownsville. In 2017 the UHS trauma service saw over 7200 patients in the ER of which over 5600 were admitted. The orthopaedic trauma service was consulted on over 1700 of these patients. There were over 420 direct admission to the orthopaedic trauma service for isolated orthopaedic injuries. The orthopaedic trauma service performed over 1750 orthopaedic trauma procedures in 2017 at University Hospital. A brand-new trauma clinic at UHS was built in 2017 which allows us to provide follow-up care for our patients. The service has over 15,000 clinic visits annually, and that number continues to grow. In partnership with UHS, a fragility fracture clinic was established utilizing the American Orthopaedic Association’s (AOA) Own the Bone program. Every year since 2014, the program has received Star Performer recognition by the AOA.
Clinical research continues to be an integral part of the orthopaedic trauma service. We have a clinical research nurse, Rachel Pesek, RN, whom has been instrumental in our projects. We continue to be involved in multiple studies as a satellite center for the Major Extremity Trauma Research Consortium (METRC). We are currently involved in three clinical studies and additionally have 13 active IRB protocols. In 2017, the division published over 10 articles, 1 book and contributed 3 book chapters.