4
Surgeons research better ways to treat trauma O rthopaedic Surgeons at Campbell Clinic and Le Bonheur Children’s are caring for an increasing number of pediatric trauma victims – and using their work to publish trauma-related research and develop disaster preparedness plans for the orthopaedic community. Volumes have increased, partly, because of Le Bonheur Children’s new Level 1 pediatric trauma designation by the American College of Surgeons. The hospital is the only Level 1 trauma center in a 400-mile radius. Studying Trauma Orthopaedists have published several studies on trauma-related orthopaedic injuries in recent months – and continue to develop new areas of investigation. Their studies include: Published: Pediatric chance fractures: a multicenter perspective: Arkader, Tolo,Warner, Sponseller, Skaggs:  J Pediatr Orthop. 2011 Oct-Nov;31(7):741-4. PMID: 21926870 Trends in ATV-related Spine Injuries: Sawyer, Warner, Kelly, Matt Bernard (former resident):  J Pediatr Orthop. 2011 Sep;31(6):623-7. Orthopaedic Aspects of All Terrain Vehicle-Related Injures: Sawyer, Kelly, Warner, Kellum.  J Am Acad Orthop Surg. 2011 Apr;19(4):219-25. Use of Taylor Spatial Frame in Pediatric Orthopedic Surgery: Sawyer, Warner, Kelly. COP vol 22 # 2 pp. 135-141 March/April 2011 Ongoing trauma-related research in areas of: • Traumatic atlanto-occipital dislocation • Gunshot-wound associated spinal and extremity fractures • Femur fracture results with Pavlik harness treatment • Pediatric spinal fractures • Fat emboli syndrome following tibial shaft fractures • Obesity and traumatic lower extremity long-bone fractures • Environmental and temporal factors affecting pediatric orthopedic injuries • Medial epicondyle and ulnar collateral ligament anatomy Treating Trauma In 2011, Le Bonheur received a Level 1 designation from the American College of Surgeons. Since then, trauma cases have increased significantly at Le Bonheur Children’s. Summer 2012 lebonheur.org campbellclinic.com Blaine Mabry: Trauma Fifteen-year-old Blaine Mabry of Savannah, Tenn., was rushed to Le Bonheur Children’s via helicopter last September after a 20-foot fall from a homemade zip line in his backyard. Blaine landed on his left side, and when he tried to stand up, the pain was unbearable. Blaine’s mother, Tammy, was alerted by one of his friends and rushed to her son’s side as they waited for paramedics to arrive. “We worried he would go into shock,” said Tammy. “His pain was so bad he was covered in sweat. He kept telling me to pray.” Blaine had an open fracture to his left femur and a broken left wrist. Once at Le Bonheur, doctors told the family Blaine would need immediate surgery to repair the fractures. Blaine underwent six surgeries at Le Bonheur – operations that included external fixation and rodding of his left femur and resetting and casting of his left wrist. “Blaine had a severe open fracture with a great deal of contamination,” said Le Bonheur and Campbell Clinic Pediatric Orthopaedic Surgeon James Beaty, MD. Blaine returned home after a three- week stay at Le Bonheur, but a serious infection at the fracture site brought him back to the hospital only weeks later. This time, Blaine underwent another three operations to clean his wound, and he was placed on several antibiotics. “We knew it was serious. He could lose his leg,” said Tammy. Tammy was amazed by Blaine’s positive attitude throughout the ordeal. Even if he had to get a prosthetic leg, Blaine said, he would walk again. As the infection started to heal, Blaine was sent home after three weeks, where he con- tinued physical therapy. Within one month, Blaine was able to walk with the help of crutches. Today, Blaine is doing well, says Tammy. He still walks with a slight limp and continues to see Beaty every two months to monitor his progress. A freshman in high school, Blaine was most excited to return to school. “We are so amazed by his recovery and his determination to get better after his accident,” said Tammy. “We are so grateful to Le Bonheur and Dr. Beaty.” Blaine Mabry Memphis, Tennessee PEDIATRIC ORTHOPAEDICS continued on page 2 Post-op trochanteric IM nailing of left femur fracture

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Page 1: PEDiATriC OrTHOPAEDiCS · 2018-12-13 · Pediatric team adds new member F ormer Campbell Clinic Resident David Spence, MD, is returning to Le Bonheur and Campbell Clinic as an attending

Surgeons research better ways to treat trauma

Orthopaedic Surgeons at Campbell Clinic

and Le Bonheur Children’s are caring for

an increasing number of pediatric trauma

victims – and using their work to publish

trauma-related research and develop disaster

preparedness plans for the orthopaedic

community.

Volumes have increased, partly, because

of Le Bonheur Children’s new Level 1 pediatric

trauma designation by the American College

of Surgeons. The hospital is the only Level 1

trauma center in a 400-mile radius.

Studying TraumaOrthopaedists have published

several studies on trauma-related

orthopaedic injuries in recent months –

and continue to develop new areas of

investigation. Their studies include:

Published: Pediatric chance fractures: a multicenter perspective:  Arkader, Tolo,Warner, Sponseller, Skaggs:  J Pediatr Orthop. 2011 Oct-Nov;31(7):741-4. PMID:  21926870

Trends in ATV-related Spine Injuries: Sawyer, Warner, Kelly, Matt Bernard (former resident):   J Pediatr Orthop. 2011 Sep;31(6):623-7.

Orthopaedic Aspects of All Terrain Vehicle-Related Injures: Sawyer, Kelly, Warner, Kellum.  J Am Acad Orthop Surg. 2011 Apr;19(4):219-25.

Use of Taylor Spatial Frame in Pediatric Orthopedic Surgery:  Sawyer, Warner, Kelly.  COP vol 22 # 2 pp. 135-141 March/April 2011

Ongoing trauma-related research in areas of:• Traumatic atlanto-occipital dislocation• Gunshot-wound associated spinal and extremity fractures• Femur fracture results with Pavlik harness treatment• Pediatric spinal fractures• Fat emboli syndrome following tibial shaft fractures• Obesity and traumatic lower extremity long-bone fractures• Environmental and temporal factors affecting pediatric orthopedic injuries• Medial epicondyle and ulnar collateral ligament anatomy

Treating TraumaIn 2011, Le Bonheur received a Level 1

designation

from the

American

College of

Surgeons.

Since then,

trauma cases have increased significantly at

Le Bonheur Children’s.

Summer 2012

lebonheur.org

campbellclinic.com

Blaine Mabry: Trauma

Fifteen-year-old Blaine Mabry of Savannah, Tenn., was rushed to Le Bonheur Children’s via helicopter last September after a 20-foot fall from a

homemade zip line in his backyard. Blaine landed on his left side, and

when he tried to stand up, the pain was unbearable. Blaine’s mother, Tammy, was alerted by one of his friends and rushed to her son’s side as they waited for

paramedics to arrive.“We worried he would go into

shock,” said Tammy. “His pain was so bad he was covered in sweat. He kept telling me to pray.”

Blaine had an open fracture to his left femur and a broken left wrist. Once at Le Bonheur, doctors told the family Blaine would need immediate surgery to repair the fractures.

Blaine underwent six surgeries at Le Bonheur – operations that included external fixation and rodding of his left femur and resetting and casting of his left wrist.

“Blaine had a severe open fracture with a great deal of contamination,” said Le Bonheur and Campbell Clinic Pediatric Orthopaedic Surgeon James Beaty, MD.

Blaine returned home after a three-week stay at Le Bonheur, but a serious infection at the fracture site brought him back to the hospital only weeks later. This time, Blaine underwent another three operations to clean his wound, and he was placed on several antibiotics.

“We knew it was serious. He could lose his leg,” said Tammy. Tammy was amazed by Blaine’s positive attitude throughout the ordeal. Even if he had to get a prosthetic leg, Blaine said, he

would walk again.

As the infection started to heal, Blaine was sent home after three weeks, where he con-tinued physical therapy. Within one month, Blaine was able to walk with the help of crutches.

Today, Blaine is doing well, says Tammy. He still walks with a slight limp and continues to see Beaty every two months to monitor his progress. A freshman in high school, Blaine was most excited to return to school.

“We are so amazed by his recovery and his determination to get better after his accident,” said Tammy. “We are so grateful to Le Bonheur and Dr. Beaty.”

Blaine Mabry

Memphis, Tennessee

PEDiATriC OrTHOPAEDiCS

continued on page 2

Post-op trochanteric IM nailing of left femur fracture

Page 2: PEDiATriC OrTHOPAEDiCS · 2018-12-13 · Pediatric team adds new member F ormer Campbell Clinic Resident David Spence, MD, is returning to Le Bonheur and Campbell Clinic as an attending

Beaty receives POSNA’s Distinguished Achievement Award

Pediatric Orthopaedic Surgeon James Beaty,

MD, recently received the 2012 Distinguished

Achievement Award from the Pediatric

Orthopaedic Society of North America (POSNA).

Beaty, who is the award’s 25th recipient,

was awarded at POSNA’s annual meeting on

May 17 in Denver. Past recipients include Stuart

Weinstein, MD, Vern Tolo, MD, Newt McCullough,

MD, Mercer rang, MD, Walter Blount, MD, and

robert Salter, MD, among others. Former Campbell Clinic physician Alvin

J. ingram, MD, received the Distinguished Achievement Award in 1990.

Winners are awarded based on their leadership and achievements in the

field of pediatric orthopaedics.

Nurse practitioners

with Le Bonheur

Children’s Hospital are

sharing their research

about easing patient anx-

iety and preventing post-

operative constipation

with fellow clinicians.

In May, Leslie N.

Rhodes, PNP-BC, and Donna C. Scott, PNP-BC, presented

posters at the 2012 Pediatric Orthopaedic Practitioners Society

meeting in Denver. Rhodes presented “Anxiety in Posterior

Spinal Fusion Surgery for Patients with Adolescent Idiopathic

Scoliosis,” which demonstrates the benefits of a pre-hospitaliza-

tion tour in easing the anxiety of patients and parents. Scott

presented “Post-operative Constipation in Pediatric

Orthopaedics: A Pilot Study Comparing Miralax to Mineral Oil,”

which will use a pediatric-friendly modality of pudding and

ice cream to determine whether Miralax or mineral oil is more

effective in preventing constipation in post-op patients. Rhodes

and Scott partnered together on both studies and also presented

these posters at the April Sigma Theta Tau Nursing Conference

at University of Memphis.

The pair led a session titled “Office Orthopaedics: What

to Do for the Child with a Foot Problem” in November at

Le Bonheur’s Pediatric Orthopaedics: Common Conditions and

Injuries of the Lower Extremity in Children and Adolescents

conference. Rhodes also facilitated a roundtable discussion on

pediatric sports medicine at the 2012 Pediatric Orthopaedic

Practitioner’s Society Annual Conference held in conjunction

with the Pediatric Orthopaedic Society of North America’s

annual conference.

Pending IRB approval, Scott is implementing a study

that aims to find effective interventions for impacting

musculoskeletal disorders related to childhood obesity.

continued from on page 1

Nurse practitioners present research, expertise

Orthopaedic surgeons at Campbell Clinic and Le Bonheur Children’s sit on national orthopaedic committees. They include:

Jeffrey R. Sawyer, MDAmerican Academy of Orthopaedic Surgeons (AAOS):  Board review  Pediatric Orthopaedic Surgeons of North America (POSNA):  Practice Management Committee, Membership Committee  Chest Wall and Spine Deformity Study Group   William Warner, MDPOSNA Trauma and Prevention Committee  Clinical Orthopedic Society, Board of Directors, president-elect   Derek Kelly, MDPOSNA, Trauma and Prevention Committee  POSNA, Media and Public Relations Committee  International Perthes Study Group, IRB Committee   James Beaty, MDOrthopaedic Research and Education Foundation, Board of Directors  Journal of Bone and Joint Surgery, Board of Trustees

James Beaty, MD

Donna Scott, PNP-BC, and Leslie Rhodes, PNP-BC

Surgeons Aid in Disaster PreparednessPediatric Orthopaedic Surgeons Derek Kelly, MD, and William Warner, MD, are part of a national

effort to increase disaster preparedness in the field of pediatric orthopaedics. Kelly and Warner sit on

the Pediatric Orthopaedic Society of North America (POSNA) committee on Trauma and Prevention

— a group that focuses on improving the treatment and prevention of orthopaedic injuries in

children through education and leadership.

In response to numerous natural and terrorist disasters in the past decade, Warner and Kelly

helped lead the committee through two major educational endeavors – a short review at the POSNA

annual meeting on the current state of disaster response in pediatric orthopaedics and a review paper

with other committee members that focused on improving awareness of issues surrounding pediatric

orthopaedic disaster response and encouraged increased participation in disasters.

“We know that children are

particularly exposed in times of

crisis and sometimes lack basic

survival skills,” Kelly said. “We

want to make sure we equip the

pediatric orthopaedic commu-

nity to care for these children in

times of disaster.”

Kelly was part of a nine-

person team from Le Bonheur

who provided disaster relief in

Haiti following the 2010 earth-

quake. The team, stationed near

Port Au Prince, treated several

cases of crush injuries, open

fractures and amputations.

Trauma admissions increased by 34 percent in 2011 – from 1011 to 1387 admissions.

Admissions by service line:                          2009      2010  2011

Surgery             261       320        458Orthopaedics                 315       326        485

Admissions with iSS >15 (major traumas)2009:   1092010:   1392011:  177

Page 3: PEDiATriC OrTHOPAEDiCS · 2018-12-13 · Pediatric team adds new member F ormer Campbell Clinic Resident David Spence, MD, is returning to Le Bonheur and Campbell Clinic as an attending

Pediatric team adds new member

Former Campbell Clinic Resident David Spence,

MD, is returning to Le Bonheur and Campbell Clinic as an attending physician.

He recently completed his fellowship in pediatric orthopaedics at Boston Children’s Hospital and served as an orthopaedic surgery resident at Campbell Clinic. Spence graduated from The University of Tennessee College of Medicine, and his areas of special interest include the role of hip surveillance in children with cerebral palsy and thelong-term outcome of patients with avascular necrosis following slipped capital femoral epiphysis.

“We are happy to have David returning from his fellowship in Boston to join Campbell Clinic and Le Bonheur,” said Campbell Clinic Orthopaedic Surgeon James Beaty, MD. “David will be a great addition to our community and provide excellent care to children and families with pediatric orthopaedic needs.”

Added Spence, “It is an honor for me to return to my hometown and join the staff of Campbell Clinic, which has a rich history as a world leader in the field of ortho-paedic surgery. Moreover, I look forward to being part of the pediatric orthopaedic team at Le Bonheur Children’s and continuing to give back to the hospital that fought so valiantly for my son.”

Spence and his wife, Brittany, serve on Le Bonheur’s Family Partners Council and established a fund and sibling playroom in memory of their son, Forrest. The Forrest Spence Fund assists with the non-medical needs of critically or chronically ill children and their families.

David Spence, MD

Taryn Krier: Spinal fusion

Thirteen-year-old competitive swimmer Taryn Krier placed third out of 80 competitors at a recent Memphis-area 50-meter backstroke contest. And she was the only swimmer who underwent spinal fusion surgery seven months prior.

Taryn was 7 years old when her pediatri-cian detected a slight curve in her spine. An X-ray to see whether Taryn had pneumonia revealed the scoliosis.

“i knew that one of my students wore a back brace for scoliosis. i asked her who her doctor was. That’s when i found out about Dr. Warner,” said Taryn’s mom, Theresa Krier of Bartlett, Tenn.

The Kriers instantly loved Pediatric Orthopaedic Surgeon Dr. William Warner’s approach to care and how he treated Taryn with respect. Warner continued to monitor Taryn’s curve four the next four years. At age 11, Taryn was placed in a brace, which she wore for six months.

“Despite Taryn diligently wearing the

brace, her curve continued to progress,” said Warner.

By summer 2011, the Kriers knew surgery was evitable. Taryn’s curve had progressed another 20 degrees since her initial visit with Warner. The 53-degree curvature made sleeping very uncomfortable for Taryn.

Taryn underwent spinal fusion surgery on Sept. 2, 2011. Warner placed two rods and 19 screws to help straighten her spine.

“She went back to light swimming only seven weeks after surgery. The first night in her bed, she told me ‘Mom it doesn’t hurt to lay down anymore.’ That reassured us we chose the right path for Taryn,” said Theresa.

Taryn continues to swim competitively – her favorite activity. She continues to see Warner every three months in her first year after surgery and will be able to reduce those visits to once every six months after September.

“She’s my hero,” said Theresa. “We wor-ried she wouldn’t be able to swim anymore because of scoliosis. The difference between before and after surgery is huge. We’re so blessed to have Le Bonheur.”

pre-op

Taryn Krier

Staff members in Le Bonheur’s orthopaedic operating suites

foster an environment of patient care that emphasizes teamwork,

reducing the risk of adverse outcomes, surgical site infection, delayed

post-operative pain medication and even patient anxiety.

Nurse anesthetist Charlene Benz and OR nurses Cheryl Perkins and

Leslie Blain agree that planning,

communication and flexibility are the

cornerstones of their team dynamic.

“Our surgical team members are

constantly seeking to improve and

find better, safer and more efficient

ways to do things,” said Jeffrey Sawyer,

MD. “Examples of their efforts include

patient padding and protection during

surgery, the administration of antibiot-

ics and communication with

parents before, during and after the

procedures. Our outcomes have

definitely improved both in terms of

safety and patient satisfaction.”

When the team switched from somatosensory-evoked potentials to

motor-evoked potentials during spine cases, it developed a protocol with

EEG techs to perform a baseline check prior to surgery, testing the inten-

sity and ensuring patient safety before the patient is prone.

“Negative repercussions of motor-evoked potentials can include bro-

ken teeth or a broken jaw, so we take gauze bite blocks and put them

between the molars, which helps prevent any injuries to the teeth or jaw,”

said Benz. “We’ve also established a routine such that we all know our

locations. If I’m putting an IV in the left hand, the EEG team is working

on the right hand while the nurse is simultaneously inserting the Foley

catheter. We’ve learned when to move in and when to step back, and we

know each other’s strengths and weaknesses.”

Other methods the team employs include hosting practice runs with

all new equipment, pre-ordering additional blood when a diagnosis

suggests more bleeding than is typical and communicating throughout the

day with key departments like

radiology, pharmacy and the unit

receiving the patient post-op. The

team also administers antibiotics after

EEG motors are placed to save time

and even issues stickers to surgeons

when they effectively minimize

blood loss.

“Giving out stickers makes the

whole room lighter,” said Perkins.

“Our cases are serious, and we don’t

lose sight of that, but things we can

do to help brighten the mood are

good. We also make an effort to stay

until the end of our case if it runs

past shift change. Even if the next shift has arrived, we prefer to stay and

see our case through.”

“Being surrounded by a team of people who are highly motivated and

very good at what they do allows me to focus on what I need to do, which

is guide the team and perform a good operation,” added Sawyer. “I don’t

have to worry about a lot of things because I know our people are doing

them and doing them well. Everyone on the team is encouraged to make

suggestions and comments to improve care. We have a mutual respect for

each other and recognize that each person plays a key role in achieving a

good outcome.”

Team approach promotes good outcomes

post-op

Page 4: PEDiATriC OrTHOPAEDiCS · 2018-12-13 · Pediatric team adds new member F ormer Campbell Clinic Resident David Spence, MD, is returning to Le Bonheur and Campbell Clinic as an attending

Non-Profit Org.

US POSTAGEPAID

Memphis, TNPermit No. 3093

50 N. Dunlap StreetMemphis, Tennessee 38103

Research, Publications and PresentationsLe Bonheur Children’s Hospital and Campbell Clinic’s four surgeons are actively involved in research and presentations in the pediatric orthopaedic field. Highlights from their work are listed below:

PublicationsJaquith, B., Chase, A., Flinn, P., Warner, W., Sawyer, J., Freeman, B, Kelly, D.  Screws versus hooks:  implant cost and deformity correction in adolescent idiopathic scoliosis. (2012)  Journal of Children’s Orthopaedics, Online First(TM), 23April2012Arkader, Tolo,Warner, Sponseller, Skaggs. Pediatric chance fractures: a multicenter perspective: Journal of Pediatric Orthopaedics. 2011 Oct-Nov;31(7):741-4. PMID: 21926870 Larson AN, Sucato DJ, Herring JA, Adolfsen SE, Kelly DM, Martus JE, Lovejoy JF, Browne R, Delarocha A. A Prospective Multicenter Study of Legg-Calvé-Perthes Disease: Functional and Radiographic Outcomes of Nonoperative Treatment at a Mean Follow-up of Twenty Years. J Bone Joint Surg Am. 2012 Apr 4;94(7):584-92. Sawyer JR, Beebe M, Creek AT, Yantis M, Kelly DM, Warner WC Jr. Age-related Patterns of Spine Injury in Children Involved in All-Terrain Vehicle Accidents.  J Pediatr Orthop. 2012 Jul;32(5):435-9. Sawyer JR, Bernard MS, Schroeder RJ, Kelly DM, Warner WC Jr. (2011) Trends in all-terrain vehicle-related spinal injuries in children and adolescents. Journal of Pediatric Orthopaedics, 31(6):623-7.Rachel JN, Williams JB, Sawyer JR, Warner WC, Kelly DM. (2011) Is radiographic evaluation necessary in children with a clinical diagnosis of calcaneal apophysitis (Sever disease)? Journal of Pediatric Orthopaedics, 31(5):548-50.Sawyer JR, Kelly DM, Kellum E, Warner WC Jr. (2011) Orthopaedic aspects of all-terrain vehicle-related injury. Journal of the American Academy of Orthopaedic Surgeons, 19(4):219-25. Nawaf CB, Kelly CM, Warner WC, Beaty JH, Sawyer JR. (2011) Fat Embolism Syndrome in an Adolescent Before Surgical Treatment of an Isolated Closed Tibial Shaft Fracture. Accepted for publication – American Journal of Orthopaedics.Jaquith BP, Chase A, Flinn P, Sawyer JR, Warner WC Jr, Freeman BL, Kelly DM. (2011) Cost Comparison of Correction Obtained with Pedicle Screw and Hook Constructs in Adolescent Idiopathic Scoliosis. Submitted for publication – Journal of Children’s Orthopaedics.Brey JM, Conoley J, Canale ST, Beaty JH, Warner WC Jr, Kelly DM, Sawyer JR. (2011) Tibial Tuberosity Fracture in Adolescents: Is a Salter-Harris Type IV Posterior Fracture Component a Predictor of Complications? Submitted for publication – Journal of Pediatric Orthopaedics.Miller J, Kelly DM, Spence DD, Beaty JH, Warner WC Jr, Sawyer JR. (2011) Locked Intramedullary Nailing in the Treatment of Femoral Shaft Fracture in Children Younger than Twelve Years of Age: Indications and Preliminary Report of Outcomes. Submitted for publication – Journal of Pediatric Orthopaedics. Warner Jr. WC, Sawyer JR: Kyphosis In Lovell and Winter’s Pediatric Orthopaedics 7th

Edition. Submitted for Publication.Rachel JN, Williams JB, Sawyer JR, Warner Jr WC, Kelly DM (2011) Is RadiographicEvaluation Necessary in Children with a Clinical Diagnosis of Calcaneal Apophysitis(Sever Disease)? Journal of Pediatric Orthopaedics, 31:548-550.Sawyer JR, Kelly DM, Beaty JH, Warner Jr. WC, Canale ST (2011) Kickstand Modification for External Fixation of Lower Extremity Fractures in Children. Journal of Children’s Orthopaedics, 5:63-67.Cross JD, Rush JK, Kelly DM, Warner Jr, WC, Sawyer JR (2010) The Treatment of Pediatric Lower Extremity Deformity Using the Taylor Spatial Frame. Current Orthopaedic Practice, 22 (2): 135-141.Beaty, J.H. (2010). Fractures of the lateral humeral condyle are the second mostfrequent elbow fracture in children. Journal of Orthopaedic Trauma, 24(7):438.No abstract available. PMID: 2057707Anand, K.J., Eubanks, J.W. 3rd, Kelly, D.M., Meier, J.W., Saltzman, J.A., Crisler, S.C., Kraus, G.J., Spentzas, T. & Chesney, R.W. (2010). Pediatric Patients Seen in Port-au-Prince, Haiti. Clinical Pediatrics (Phila). 2010 Aug 19. [Epub ahead of print]Sawyer, J.R., Kellum, E.L., Creek, A.T. and Wood, G.W. 3rd. (2010) Acute compartmentsyndrome of the hand after a wasp sting: a case report. Journal of PediatricOrthopaedics, 19(1):82-5.Sawyer, J.R., Ivie, C.B., Huff, A.L., Wheeler, C., Kelly, D.M., Beaty, J.H. & Canale, S.T.(2010). Emergency room visits by pediatric fracture patients treated with castimmobilization. Journal of Pediatric Orthopaedics, 30(3):248-52.PMID: 20357591Katz, D.E., Herring, J.A., Browne, R.H., Kelly, D.M. & Birch, J.G. (2010)Brace wear control of curve progression in adolescent idiopathic scoliosis. Journal of Bone and Joint Surgery, American edition, 92(6):1343-52.Kelly, D.M., McCarthy, R.E., McCullough, F.L. & Kelly, H.R. (2010). Long-term outcomes of anterior spinal fusion with instrumentation for thoracolumbar and lumbar curves in adoles-cent idiopathic scoliosis. Spine (Philadelphia, Pa. 1976), 35(2):194-8.Sawyer JR, Kellum EL, Kelly DM, Warner Jr WC (2009) Orthopaedic Aspects of All-Terrain Vehicle Accidents. Accepted for publication - Journal of the American Academy of Orthopaedic SurgeonsLee, M.C., Kelly, D.M., Sucato, D.J. & Herring, J.A. (2009). Familial bilateralosteochondritis dissecans of the femoral head. A case series. Journal of Bone andJoint Surgery, American edition. 91(11):2700-7. No abstract available.Sawyer JR, Ivie C, Huff A, Kelly DM, Warner Jr WC, Beaty JH, Canale ST: (2009)Unplanned Emergency Room Visits by Children Treated with Cast Immobilization.Journal of Pediatric Orthopaedics 30(3): 248-52.

Sawyer, J.R., Kapoor M., Gonzales M.H., Warner W.C. Jr., Canale S.T. & Beaty J.H. (2009). Heterotopic ossification of the hip after non-accidental injury in a child: case report. Journal of Pediatric Orthopaedics, 29(8):865-7.PMID: 19934700Beaty, J.H. (2009). The future of orthopedics. Journal of Orthopaedic Science,14(3):245-7. Epub 2009 Jun 5. No abstract available. PMID: 19499288Rhodes LN, Huff AL, Kelly DM, Warner WC, Sawyer JR. (2009) Pediatric Fracture Clinics: Current Status and Future Directions. Pediatric Health 3:439-444.Sawyer, J.R. & Kapoor, M. (2009). The limping child: a systematic approach to diagnosis. American Family Physician, 79(3):215-24. Review.Sawyer JR, Hicks J, Beaty JH, Canale ST, Warner Jr. WC, Beaty JH (2009) The Hammerlock Position for Treatment of Medial Epicondyle Fractures”. Current Orthopaedic Practice 20(5):572-4 .Beebe MJ, Kelly DM, Warner Jr. WC, Sawyer JR (2009) Current Controversies in theTreatment of Pediatric Femur Fractures. Current Orthopaedic Practice 20(6):634-9.Pershad, J., Williams, S., Wan J. & Sawyer, J.R. (2009). Pediatric distal radial fracturestreated by emergency physicians. The Journal of Emergency Medicine, 37(3):341-4.Epub 2009 Feb 6.Kahn S, Sawyer JR, Pershad J. (2009) Prospective Randomized Comparison of Pediatric Forearm Fractures Reduced by Pediatric Emergency Room Physicians. Accepted for publica-tion – Academic Emergency Medicine.Heck R.K., Jr., Sawyer J.R., Warner W.C. & Beaty J.H. (2008). Progressive valgusdeformity after curettage of benign lesions of the proximal tibia. Journal of PediatricOrthopaedics, 28(7):757-60.PMID: 18812903Beaty, J.H. (2008). Unusual doesn’t mean unusable: why information about uncommon injuries or conditions is important. American Journal of Orthopedics (Belle Mead N.J.), Jun;37(6):E107, E119. No abstract available. PMID: 18716699Kellum, E., Creek, A., Dawkins, R., Bernard, M. & Sawyer, J.R. (2008). Age-relatedpatterns of injury in children involved in all-terrain vehicle accidents. Journal of Pediatric Orthopaedics, 28(8):854-8.Richards, B.S., Beaty, J.H., Thompson, G.H., & Willis, R.B. (2008). Estimating theeffectiveness of screening for scoliosis. Pediatrics, 121(6):1296-7; author reply 1297-8. No abstract available. PMID: 18519508Babb, J.R., Ahn, J.I., Azar, F.M., Canale, S.T. and Beaty J.H. (2008). Transphyseal anterior cruciate ligament reconstruction using mesenchymal stem cells. American Journal of Sports Medicine, 36(6):1164-70. Epub 2008 Mar. 19.PMID: 18354144Kapoor, M., Laham, S.G. & Sawyer, J.R. (2008). Children at risk identified in an urban scoliosis school screening program: a new model. Journal of Pediatric Orthopaedics, 17(6):281-7. 18. Golden, D.W., Wojcicki, J.M., Jhee, J.T., Gilpin, S.L., Sawyer, J.R. & Heyman, M.B. (2008). Body mass index and elbow range of motion in a healthy pediatric population: a possible mecha-nism of overweight in children. Journal of Pediatric Gastroenterol Nutrition, 46(2):196-201.Golden, D.W., Jhee, J.T., Gilpin, S.P. & Sawyer, J.R. (2007). Elbow range of motionand clinical carrying angle in a healthy pediatric population. Journal of PediatricOrthopaedics, 16(2):144-9.Arkader, A., Friedman, J.E., Warner, W.C. Jr &Wells, L. (2007).Complete distal femoralmetaphyseal fractures: a harbinger of child abuse before walking age. Journal ofPediatric Orthopaedics, 27(7):751-3.

Arkader, A., Warner, W.C. Jr, Horn, B.D., Shaw, R.N. & Wells, L. (2007). Predicting the outcome of physeal fractures of the distal femur. Journal of Pediatric Orthopaedics, 27(6):703-8.Beaty, J.H. (2007). Presidential address: “building the best . . . Lifelong learning”. Journal of the American Academy of Orthopaedic Surgeons, 15(9):515-8. No abstract available. PMID: 17761607

PresentationsJim Beaty, MDBeaty, Jim. Developing Teaching Skills to Enhance Learning. Presented at the American Academy of Orthopaedic Surgeons, San Diego, Calif., February 2011.Beaty, Jim. Elbow Fractures in Children: 2011 Update.  Visiting Professor , Presented at the University of Pittsburgh, May 2011.Beaty, Jim. Elbow Fractures in Children. Visiting Professor, Presented at St. Luke’s Roosevelt, New York, N.Y., June 2011.Beaty, Jim. Elbow Fractures:  Treatments and Complications – 2011 Update. Visiting Professor, Presented at the University of California, San Francisco, Calif., June 2011.Beaty, Jim. Elbow and Femur Fractures. Visiting Professor, Presented at the University of California (Journal Club – SCFE), San Francisco, Calif., June 2011.Beaty, Jim. The Orthopaedic Life and Career. Visiting Professor , Presented at the University of California, San Francisco, Calif., June 2011.Beaty, Jim. ICL; Fractures of the Lower Extremities in Children. Presented at the American Academy of Orthopaedic Surgeons, Annual Meeting, San Diego, Calif., February 2011.Beaty, Jim. ICL; The Art of The Orthopaedic Lecture. Presented at the American Academy of Orthopaedic Surgeons, Annual Meeting, San Diego, Calif., February 2011.Beaty, Jim. Elbow Fractures in Children: 2011 Update. Visiting Professor, Presented at the University of Pittsburgh, May 2011.Beaty, Jim. Elbow Fractures in Children: 2011 Update. Visiting Professor , Presented at St. Luke’s Roosevelt, New York, N.Y.,  June 2011.Beaty, Jim. Elbow Fractures: Treatments and Complications. Visiting Professor, Presented at the University of California, San Francisco, Calif., June 2011.Beaty, Jim. Journal Club – SCFE, Elbow and Femur Fractures. Visiting Professor, Presented at the University of California, San Francisco, Calif., June 2011.Beaty, Jim. The Orthopaedic Life and Career. Visiting Professor , Presented at the University of California, San Francisco, Calif., June 2011.Beaty, Jim. Sports Injuries of the Foot and Ankle in Children. Presented at the  Pediatric Orthopaedic Symposium, Le Bonheur Children’s Hospital, Memphis, Tenn., Nov. 5, 2011.Beaty, Jim. Legg Calve Perthes Disease: Treatment and Controversies. Presented at the  Pediatric Orthopaedic Symposium, Le Bonheur Children’s Hospital, Memphis, Tenn.,  Nov. 5, 2011.Beaty, Jim. The Orthopaedic Alphabet and Leadership 25 Annual Grice Day. Presented at Boston Children’s Hospital, Boston, Nov. 9, 2011. Beaty, Jim. Developing Teaching Skills to Enhance Learning. Presented at the American Academy of Orthopaedic Surgeons, San Diego, Calif., February 2011.Beaty, Jim. The Orthopaedic Lecture. Presented at the American Academy of Orthopaedic Surgeons, Annual Meeting, New Orleans, La., March 9-12, 2010.Beaty, Jim. Fractures of the Lower Extremity in Children - Staying out of Trouble. Presented at the American Academy of Orthopaedic Surgeons, Annual Meeting, New Orleans, La., March 9-12, 2010.Beaty, Jim. Fractures of the Shoulder in the Adolescent Athlete. Presented at theAmerican Academy of Orthopaedic Surgeons, Annual Meeting, New Orleans, La.,March 9-12, 2010.Beaty, Jim. Elbow Fractures in Children – What is Really New. Visiting Professor, Presented ge of Georgia, Augusta, Ga., Nov. 19-22, 2009.Beaty, Jim. Musculoskeletal Infections in Children and Adolescents: Current Concepts.Visiting Professor, Presented at the Medical College of Georgia, Augusta, Ga., Nov. 19-22, 2009.Beaty, Jim. Tarsal Coalition: Diagnosis and Treatment Visiting Professor. Presentedat the Medical College of Georgia, Augusta, Ga., Nov. 19-22, 2009.Beaty, Jim. Pediatric Fractures – What is Really New? Visiting Professor, Presented at the Philadelphia Orthopaedic Society – Howard Steele, Philadelphia, Pa., Oct., 5, 2009.Beaty, Jim. Fractures of the Hip in Children and Adolescents. Visiting Professor, Presented at the Drexel Department of Orthopaedics, Oct. 5, 2009.Beaty, Jim. Fractures About the Elbow in Children – Treatment and Complications 2009.Visiting Professor, Presented at the Carolina’s Medical Center, Charlotte, N.C.,June 19, 2009.Beaty, Jim. Changes in the Academic and Private Practice Arena. Presented at theAmerican Academy of Orthopaedic Surgeons, Board of Directors, Rosemont, Ill.,May 13-16, 2009.Beaty, Jim. The Asheville Forum Physician Perspective. Presented at the AmericanAcademy of Orthopaedic Surgeons, Board of Directors, New York, NY, May 2009Beaty, Jim. Leadership Qualities and Initiatives. Presented at the American Academy of Orthopaedic Surgeons, Rosemont, Ill, Oct. 15-17, 2009.Beaty, Jim. Pediatric Orthopaedic Trauma Now and the Futur.e Presented at the Pediatric Orthopaedic Society of North America Annual Meeting, Boston, Mass., April 29, 2009.Beaty, Jim. Elbow Fractures in Children. What have I learned? Presented at the Montreal Hospital, Montreal, Canada, Nov. 19-21, 2008.Beaty, Jim. Femur and Hip Fractures in Children. Presented at the Montreal Hospital,Montreal, Canada, Nov. 19-21, 2008.Beaty, Jim. Orthopaedic On-Call Crisis in the United States. Presented at the MontrealHospital, Montreal, Canada, Nov. 19-21, 2008.Beaty, Jim. Elbow Fractures in Children... What Have I Learned? Visiting Professor,Presented at the University of Montreal, Canada, November 2008.Beaty, Jim. Femur and Hip Fractures in Children... Horses and Zebras. Visiting Professor,Presented at the University of Montreal, Canada, November 2008.Beaty, Jim. SCFE. Current Treatment and Complications. Visiting Professor, Presented atthe University of Montreal, Canada, November 2008.Beaty, Jim. Orthopaedic On Call Crisis in the U.S. Visiting Professor, Presented at theUniversity of Montreal, Canada, November 2008.Beaty, Jim. AAOS Update. Presented to the British Orthopaedic Association,Sept. 16-25, 2008.Beaty, Jim. Fractures in Children – Update of Techniques and Procedures. Presented to the South African Orthopaedic Association, Cape Town, South Africa, Sept. 1-5, 2008.Beaty, Jim. American Academy of Orthopaedic Surgeons 2008 and Beyond. Presented at the American Bone and Joint Surgeons Meeting, Jackson Hole, Wyo., June 2008.Beaty, Jim. Emergency Call issues. Presented at the AOA Symposium: Current PediatricOrthopaedic Issues – A Small Window into Global Orthopaedic Issues, June 11 2009.Beaty, Jim. The Future of Orthopaedics. Presented at the Japanese OrthopaedicAssociation Meeting, Sapporo, Japan, May 2008.Beaty, Jim. Elbow Fractures in Children. Visiting Professor, Presented at the MedicalCollege of South Carolina, Charleston, S.C., April 24-27, 2008.Beaty, Jim. Fractures of the Hip and Femur. Visiting Professor, Presented at the MedicalCollege of South Carolina, Charleston, S.C., April 24-27, 2008.Beaty, Jim. AAOS update 2008. Visiting Professor, Presented at the Medical College ofSouth Carolina, Charleston, S.C., April 24-27, 2008.Beaty, Jim. President’s Address – American Academy of Orthopaedic Surgeons. Presented at the The Atlanta Orthopaedic Society, Atlanta, Ga., October 2007.Beaty, Jim. Fractures about the Elbow in Children 2007 – Treatment and Complications – What’s Really New. Presented at Emory University, Atlanta, Ga., October 2007.Beaty, Jim. President’s Address – American Academy of Orthopaedic Surgeons.Presented to the Scoliosis Research Society, Edinburgh, Scotland, September 2007.Beaty, Jim. Selection and Election of Leaders in Orthopaedics – Who and How?Presented at the Twentieth Century Orthopaedic Association Meeting, Brainerd, Minn., Aug. 15-18, 2007.Beaty, Jim. American Academy of Orthopaedic Surgeons, 2007. Presented at theTwentieth Century Orthopaedic Association Meeting, Brainerd, Minn., Aug. 15-18, 2007.Beaty, Jim. Update – American Academy of Orthopaedic Surgeons. Presented at theChicago Trauma Symposium, Chicago, Ill., August 10, 2007.Beaty, Jim. Complications in Slipped Capital Femoral Epiphysis. Presented at theInternational Pediatric Orthopaedic Symposium, Orlando, Fla.

Beaty, Jim. Orthopaedics On Call – Issues and Solutions. Presented at the AmericanOrthopaedic Association Meeting, Asheville, N.C., June 2007.Beaty, Jim. Surgical Management of Femoral Shaft Fractures in Children and Adolescents. Presented at the University of Texas, San Antonio, Texas, June 2007.Beaty, Jim. Complications of Elbow Fractures in Children and Adolescents. Presented at the University of Texas, San Antonio, Texas, June 2007.Beaty, Jim. Zebras and Horses - Pediatric Fractures of the Hip and Femur. Presented at the University of Texas, San Antonio, Texas, June 2007.Beaty, Jim. President’s Update – American Academy of Orthopaedic Surgeons. Presented at the University of Texas, San Antonio, Texas, June 2007.Beaty, Jim. American Academy of Orthopaedic Surgeons. Presented at the NationalAssociation of Orthopaedic Nurses, St. Louis, Mo., May 2007.Beaty, Jim. Presidents Update American Academy of Orthopaedic Surgeons. Presented a the National Orthopaedic Leadership Conference, Washington, DC, May 2007.Beaty, Jim. Neurovascular Injury with Supracondylar Humeral Fractures. Presented at the Pediatric Orthopaedic Society Meeting, Fort Lauderdale, Fla., May 2007.Beaty, Jim. Fractures about the Elbow in Children. Presented at the University ofWisconsin, Wis., April 26-28, 2007.Beaty, Jim. Orthopaedic Trauma On-Call. Controversy and Complexity. Presented at the University of Wisconsin, Wis., April 26-28, 2007.Beaty, Jim. Surgical Management of Femoral Shaft Fractures in Children. Presented at the University of Wisconsin, Wis., April 26-28, 2007.Beaty, Jim. Classics in Orthopaedics – Elbow Fractures in Children. Presented at the Mid-America Orthopaedic Association Meeting, Palm Beach, Fla., April 11-14, 2007.Beaty, Jim. American Academy of Orthopaedic SurgeonsUpdate State Society Presidents. Presented at the Mid-America Orthopaedic Association Meeting, Palm Beach, Fla., April 11-14, 2007.Beaty, Jim. Supracondylar Fractures of the Humerus in Children – Treatment and Complications, What’s Really New? Presented at the American Academy of Orthopaedic Surgeons, San Diego, Calif., February 2007.Beaty, Jim. Femoral Shaft Fractures in Children and Adolescents. Presented at the American Academy of Orthopaedic Surgeons, San Diego, Calif., February 2007.

William C. Warner Jr., MDWCWarner, PKlimo, NAstur Neto, MMuhlbauer (2012) “Occipitocervical Fusion Using a Contoured Rod and Wire Construct in Children: A Reappraisal of a Vintage Technique” American Society of Pediatric Neurosurgeons, JNS: Pediatrics Warner, William. Medial epicondyle fracture. Presented at POSNA annual meeting.Waikola Hawaii, 2010.Warner, William. MRSA update. Presented at POSNA annual meeting. Albuquerque,N.M., 2008.Warner, William. Pediatric Hip. Orthopedic review course. Presented at AAOS annualmeeting, 2007.Warner, William. Instructional course lecture. Pediatric infection update. Presented atAAOS, 2007.Warner, William. Predicting the outcome of distal femoral epiphyseal fractures.Presented at POSNA, San Diego, Calif., 2006.Warner, William. Changing patterns of acute hematogenous osteomyelitis and septicarthritis: emergence of community acquired Methicillin resistance. Presented at American Academy of Orthopaedic Surgeons. Chicago, Ill., 2006.Warner, William. Predicting the outcome of distal femoral epiphpyseal fractures.Presented at American Academy of Orthopaedic Surgeons. Chicago, Ill., 2006.Warner, William. Changing patterns of acute hematogenouse ostepmyelitis and septicarthritis: emergence of community acquired Methicillin resistance. Presented at MidAmerica. San Antonio, Texas, 2006.Warner, William. OLC course, Trauma. Presented at POSNA, Chicago, Ill., 2006.Warner, William. Office Orthopedics, congenital knee dislocation ad raduigraphicevaluation of musculosketal infections. Presented at IPOS, Orlando, Fla.. 2006.Warner, William. Instructional course lecture. Back pain. Presented at AAOS, 2006.

Jeffrey R. Sawyer, MDSawyer JR, Kelly DM, Canale, ST, Brey, Jennifer, Conoley, J (May 2012): Salter Harris Ii Fractures of the Posterior Tibia Associated with Tibial Tuberosity Fractures:  A Marker for Potentially Serious Complications. Pediatric Orthopaedic Society of North America Sawyer JR, Kelly DM,Canale, ST, Brey, Jennifer, Conoley, J (February 2012): Salter Harris Ii Fractures of the Posterior Tibia Associated with Tibial Tuberosity Fractures:  A Marker for Potentially Serious Complications. American Academy of Orthopaedic Surgeons.Sawyer JR, Kelly DM, Warner Jr, WC, NAN, TCannon (2012): “Characterization of Radiation Exposure in Early Onset Scoliosis Patients treated with the Vertical Expandable Prosthetic Titanium Rib (VEPTR). Scoliosis Research Society. Sawyer JR, Kelly DM, Warner Jr, WC, Guevara BG, Thompson NB (2011) High Prevalence of Associated Injuries in Children with Spinal Fractures. American Academy of Orthopaedic Surgeons.Sawyer JR, Beaty JH (2011) Staying Out of Trouble in Pediatric Orthopaedics. American Academy of Orthopaedic Surgeons.Sawyer JR, Kelly DM, Warner Jr, WC, Beaty JH, Canale ST (2011) The Kickstand Technique to Promote Elevation and Wound Care in Pediatric Lower Extremity Injuries. American Academy of Orthopaedic Surgeons.Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr, WC (2011) High Prevalence of Associated Injuries in Children with Spinal Fractures. American Academy of Orthopaedic Surgeons.Sawyer JR, Beebe M, Thompson N, Creek A, Kelly DM, Warner Jr, WC, Beaty JH (2011) Age-Related Patterns of Spine Injuries Following ATV Accidents in Children. American Academy of Orthopaedic Surgeons.Sawyer JR, Warner Jr, WC, Kelly DM, Rachel JN, Williams JB (2011)  Is Radiographic Evaluation Necessary in Children with a Clinical Diagnosis of Calcaneal Apophysitis (Sever Disease)? American Academy of Orthopaedic Surgeons.Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr WC (2011) High Prevalence of Associated Injuries in Children with Spinal Fractures.  International Meeting on Advanced Spinal Techniques.Sawyer JR, Warner Jr WC, Freeman B, Jaquith BJ, Flinn PO, Chase A, Kelly DM (2011) Cost Comparison of Thoracic Pedicle Screw Fixation vs Hook Construct for Deformity Correction in Adolescent Idiopathic Scoliosis.  International Meeting on Advanced Spinal Techniques.Sawyer, Jeff. AO Basic Spinal Surgery for Operating Room Personnel. Houston, Texas, January 2011.Sawyer, Jeff. AAOS Orthopaedic Board Review:  Infections, Congenital, Miscellaneous.  San Diego, Calif., February 2011.Sawyer, Jeff. AAOS Instructional Course Lecture:  Staying out of Trouble in Pediatric Orthopaedics.  San Diego, Calif., February 2011.Sawyer, Jeff. POSNA Specialty Day: Hip Fractures in Children. San Diego, Calif., February 2011.Sawyer JR, Kelly DM, Warner Jr, WC, Beaty JH, Canale ST (2011) The Kickstand Technique to Promote Elevation and Wound Care in Pediatric Lower Extremity Injuries. American Academy of Orthopaedic Surgeons.Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr WC (2011) HighPrevalence of Associated Injuries in Children with Spinal Fractures. American Academy of Orthopaedic Surgeons.Sawyer JR, Beebe M, Thompson N, Creek A, Kelly DM, Warner Jr. WC, Beaty JH (2011)“Age-Related Patterns of Spine Injuries Following ATV Accidents in Children”. American Academy of Orthopaedic Surgeons Rachel JN, Williams JB, Sawyer JR, Warner Jr WC, Kelly DM (2011) Is Radiographic Evaluation Necessary in Children with a Clinical Diagnosis of Calcaneal Apophysitis (Sever Disease)? American Academy of Orthopaedic Surgeons. Sawyer JR, Kelly DM, Warner Jr, WC, Guevara BG, Thompson NB. (2011) High Prevalence of Associated Injuries in Children with Spinal Fractures. American Academy of Othopaedic Surgeons. Sawyer JR, Beaty JH. (2011) Staying Out of Trouble in Pediatric Orthopaedics. American Academy of Orthopaedic Surgeons.Sawyer JR, Kelly DM, Warner Jr, WC, Beaty JH, Canale ST (2011) The Kickstand Technique to Promote Elevation and Wound Care in Pediatric Lower Extremity Injuries. American Academy of Orthopaedic Surgeons.Sawyer JR, Guevara B, Thompson N, Dawkins R, Kelly DM, Warner Jr, WC. (2011) HighPrevalence of Associated Injuries in Children with Spinal Fractures. American Academy of Orthopaedic Surgeons.

Sawyer JR, Beebe M, Thompson N, Creek A, Kelly DM, Warner Jr, WC, Beaty JH. (2011)“Age-Related Patterns of Spine Injuries Following ATV Accidents in Children”. American Academy of Orthopaedic SurgeonsSawyer JR, Warner Jr, WC, Kelly DM, Rachel JN, Williams JB. (2011) Is RadiographicEvaluation Necessary in Children with a Clinical Diagnosis of Calcaneal Apophysitis(Sever Disease)? American Academy of Orthopaedic Surgeons.Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH. (2010) “Trends in Spine Injury Caused by All-Terrain Vehicle Accidents”. Orthopaedic Trauma Association.Sawyer JR, Ivie C, Shroeder J, Beaty JH, Kelly DM, Warner Jr, WC, Canale ST, Huff A.(2009) Unplanned Return to the Emergency Room Following Treatment in a BusyFracture Clinic. Orthopaedic Trauma Association.Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH. (2010) “Trends in Spine Injury Caused by All-Terrain Vehicle Accidents”. American Academy of Orthopaedic Surgeons.Sawyer J, Pershad J, Williams S, Wan J. (2010) “Closed Manipulation and CastImmobilization of Distal Radius Fractures by Pediatric Emergency Room Physicians.American Academy of Orthopaedic Surgeons.Sawyer JR, Rhodes L, Beaty JH, Canale ST, Kelly DM, Warner Jr, WC. (2010) Diagnosis and Treatment of Perthes Disease. American Academy of Orthopaedics – National Association of Orthopaedic Nurses Section.Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH: (2010) “Trends in Spine Injury Cause by All-Terrain Vehicle Accidents”. Pediatric Orthopaedic Society of North America.Sawyer J, Pershad J, Williams S, Wan J, (2010) “Closed Manipulation and CastImmobilization of Distal Radius Fractures by Pediatric Emergency Room Physicians.Pediatric Orthopaedic Society of North America.Sawyer JR, Beebe M, Thompson N, Creek A, Kelly DM, Warner Jr, WC, Beaty JH (2010)“Age-Related Patterns of Spine Injuries Following ATV Accidents in Children”. PediatricOrthopaedic Society of North America.Sawyer JR, Rhodes LN, Kelly DM, Messman L, Warner Jr, WC, (2010) Pediatric FractureClinics: Current Status and Future Directions. Pediatric Orthopaedic Practitioners Society.Sawyer JR, Rhodes L, Beaty JH, Canale ST, Kelly DK, Warner Jr, WC (2010) Classification, Diagnosis and Treatment of Perthes Disease. Pediatric Orthopaedic Practitioners Society.Sawyer JR, Smith JT, Wade J, D’Amato C, Campbell R, Vitale M (2010) Does Rib-BasedDistraction Control Curve Progression and Prevent Parasol Deformity of the Chest inScoliosis Associated with Congenital Myopathy? 4th International Congress onEarly Onset Scoliosis.Sawyer JR, Conoley J, Beaty JH, Warner Jr, WC, Canale ST (2009) “Surgically Treated Tibial Tuberosity Fractures in Adolescents”. Pediatric Orthopaedic Society of North America.Sawyer JR, Ivie C, Shroeder J, Beaty JH, Kelly DM, Warner Jr, WC, Canale ST, Huff A.(2009) Unplanned Return to the Emergency Room Following Treatment in a BusyFracture Clinic. Pediatric Orthopaedic Society of North America.Sawyer JR, Rudloff M, Shroeder J, Gehrig, J (2009) “Are Fracture Patterns Sustainedby Children Involved in Motor Vehicle Accidents Affected by Age or Obesity?” PediatricOrthopaedic Society of North America.Sawyer JR, Younas S, Benz CA, Warner Jr, WC, Kelly DM, (2009) “Factors InfluencingBlood Loss in Adolescent Idiopathic Scoliosis Patients Undergoing Posterior SpinalFusion with Instrumentation. International Meeting of Advanced Spinal Techniques.Sawyer JR, Crenshaw WC, Younas S, Kelly DM, Warner Jr, WC, Muhlbauer MS (2009)“Characterization of Spine Injuries from a Regional Trauma Center” InternationalMeeting of Advanced Spinal Techniques.Sawyer JR, Bernard M, Kelly DM, Warner Jr, WC, Beaty JH: (2009) “Trends in Spine Injury Caused by All-Terrain Vehicle Accidents 1997-2006”. International Meeting for Advanced Spinal Techniques.Sawyer JR, Conoley J, Beaty JH, Warner Jr, WC, Canale ST (2009) “Surgically Treated Tibial Tuberosity Fractures in Adolescents”. Orthopaedic Trauma Association.Sawyer JR, Mayfield ME, Warner Jr, WC, Beaty JH: (2008) “Long-Term Follow-up ofCongenital Hip Dislocations Treated with Open Reduction Through and AnteriorApproach”. Mid America Orthopaedic SocietySawyer J, Pershad J, Williams S, Wan J, (2008) “Closed Manipulation and CastImmobilization of Distal Radius Fractures by Pediatric Emergency Room Physicians.Orthopaedic Trauma AssociationSawyer JR, Kapoor M, (2008) “Heterotopic Ossification of the Hip in a Child as a Result of Non-Accidental Injury: Report of a Rare Case. Southern Medical Association.Sawyer JR, Rudloff M, Gehrig J (2008) “Injury Patterns in Children Involved in MotorVehicle Accidents: Role of Obesity”. American Academy of Pediatrics.Sawyer JR, Hicks J, Beaty JH, Warner Jr. WC, Canale ST (2008) “The Hammerlock Position for Treatment of Medial Epicondyle Fractures”. Mid America Orthopaedic Society.Sawyer JR, Kellum E, Creek A, Dawkins R: (2007) “Patterns of Injury in Children Injured in ATV accidents.” American Academy of Orthopaedic Surgeons.Sawyer JR, Kellum E, Creek, A, Dawkins R,: (2007) “ATV Injuries in Children.” ClinicalOrthopaedic Society.

Derek Kelly, MDKelly, DM, Sawyer, JR., Canale, ST, Brey, Jennifer, Conoley, J (May 2012): Salter Harris Ii Fractures of the Posterior Tibia Associated with Tibial Tuberosity Fractures:  A Marker for Potentially Serious Complications. Pediatric Orthopaedic Society of North America Kelly, DM, Sawyer, JR., Canale, ST, Brey, Jennifer, Conoley, J (February 2012): Salter Harris Ii Fractures of the Posterior Tibia Associated with Tibial Tuberosity Fractures:  A Marker for Potentially Serious Complications. American Academy of Orthopaedic Surgeons.Kelly DM, Sawyer JR, , Warner Jr, WC, NAN, TCannon (2012): “Characterization of Radiation Exposure in Early Onset Scoliosis Patients treated with the Vertical Expandable Prosthetic Titanium Rib (VEPTR). Scoliosis Research Society. Kelly, Derek. Newborn Foot Deformities: Emerging Systems of Care for Children. Presented at the Etteldorf Symposium., Memphis, Tenn.,  May 21, 2011.Kelly, Derek. Five Pediatric Orthopedic Problems That Should Get You Out of Bed at Night. Septic Hip. Presented at the AAOS/POSNA Webinar, Oct. 18, 2011.Kelly, Derek. Pediatric Sports Injuries: Which Injuries Should Sideline Your Kids. Presented at the 10th Annual Update Acute and Emergency Care Pediatrics, Memphis, Tenn., Oct. 21-22, 2011.Kelly, Derek. Newborn Flatfeet: What to Treat and What to Refer. Presented at the Le Bonheur Pediatric Orthopedic Update, Memphis, Tenn., November 2011.Kelly, Derek. Hip Preservation in the Adolescent: Surgical Dislocation and Ganz Periacetabular Osteotomy. Presented at the Le Bonheur Pediatric Orthopedic Update, Memphis, Tenn., November 2011. Katz, D. E., Herring, J. A., Browne, R.H., Kelly, D. M., & Birch, J. G. Brace TreatmentControls Progression in Adolsecent Idiopathic Scoliosis. Best Clinical Paper Award.Presented at POSNA, Waikoloa, Hawaii, 2010.Herring, J. A., Sucato, D.J., Larson, A. N., DeLaRocha, A., Adolfsen, S., Kelly, D.M.,Martus, J.E., & Lovejoy, J.F. Prospective Multicenter Study of Legg-Calve- Perthes Disease: Functional and Radiographic Outcomes of Nonoperative Treatment in the Third Decade. Presented at POSNA, Waikoloa, Hawaii, 2010.Sawyer, J. R., Beebe, M. J., Creek, A. T., Thompson, N., Yantis, M. G., Kelly, D. M., &Warner, W. C. Age-Related Patterns of Spine Injury Following All-Terrain Vehicle Accidents in Children and Adolsecents (E-Poster). Presented at POSNA, Waikoloa, Hawaii, 2010.Kelly, Derek. Scoliosis. Presented at the National Meeting of the ASOPA/NAOT (American Society of Orthopedic Physician Assistants and National Association of Orthopedic Technicians). Memphis, Tenn., August 2009.Kelly, D. M., McCullough, F. L., Kelly, H.R., & McCarthy, R.E. Long-term Outcomes ofAnterior Spinal Fusion with Instrumentation for Thoracolumbar and Lumbar Curves inAdolescent Idiopathic. Scoliosis Scoliosis. Presented to the Research Society, Edinburgh,Scotland, Sept. 8, 2007.