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84 ORTHOPEDIC SECTION Texas A&M Honors Dr. Richard Steadman: 5 Things to Know By Laura Dyrda J . Richard Steadman, MD, received the 2015 Distinguished Alumni Award from Texas A&M Univer- sity, according to an AAOS Now report. Here are five things to know about Dr. Steadman: 1. Dr. Steadman is known as a pioneer in sports medicine and orthopedic surgery. He is a founder of e Steadman Clinic in Vail, Colo., and the Steadman Philip- pon Research Institute. 2. He retired from clinical practice in 2014 but maintained his role consult- ing with colleagues at the practice and co-chairing the institute. His interests include evidence-based medicine and returning patients to an active life style. 3. roughout his career, Dr. Steadman has been an innovator and developed knee surgery procedures. He received the Arthroscopy Association of North America's award for an essay about us- ing his techniques for relieving knee pain. He is also known for creating the microfracture surgical technique to treat chondral defects of the knee. 4. Dr. Steadman has treated several professional athletes, including 45 NFL players, 23 professional baseball players, eight NBA players and 26 athletes from professional soccer. 5. Dr. Steadman earned his medical degree from the University of Texas Southwestern Medical School in Dallas and completed his residency in ortho- pedics at Charity Hospital in New Or- leans. He also spent time serving in the U.S. Army. n Spinal Fusion After 10 Years: 5 Key Notes on Adjacent Segment Disease By Laura Dyrda A new study published in Spine examines adjacent segment disease risk factors for patients 10 years or more aer posterior lumbar interbody fusion. e study authors ex- amined patients with disc degeneration and spinal stenosis on an MRI to identify risk factors for de- veloping early-onset radiographical adjacent seg- ment disease using the multivariate logistic regres- sion analysis. e researchers found: 1. Ten years aer surgery, the patients showed at the caudal-adjacent level: • Changes in disc height: 12 cases • Vertebral slip: 36 cases • Intervertebral angle on radiographs: 17 cases 2. At the cranial-adjacent level, increased disc de- generation was noticed in 62 cases and spinal ste- nosis worsened in 68 cases. 3. At the caudal-adjacent level, there was increased disc degeneration for 25 patients and worsening spinal stenosis in 12 cases 10 years aer surgery. 4. ere were 10 patients — 9.9 percent — who re- quired reoperations. Eighty percent of the revision surgeries were performed more than five years af- ter the initial surgery. 5. e researchers found high pelvic incidence was a risk factor for developing the early onset radio- graphical adjacent segment disease. "Obtaining appropriate lumbar lordosis in PLIF is important for preventing ASD," concluded the study authors. n Only from Ethicon Innovative solutions for optimal wound closure for orthopedic surgery DERMABOND® PRINEO® Skin Closure System (22 cm) • 2-component system conforms to the body's contours and remains secure and in place 9 • Providing strength and antimicrobial protection 9 STRATAFIX™ Knotless Tissue Control Devices • Multiple anchor designs and patterns provide more versatility and a unique combination of beneits 1 • Delivering security, more consistency,* and more e iciency 14,58 For more information, please contact your local Ethicon Representative. Strataix Dermabond 1. Data on ile, Ethicon, Inc.: STRATAFIX Claims Matrix SFX30812. 2013. 2. Eickmann T, Quane E. Total knee arthroplasty closure with barbed sutures. J Knee Surg. 2010;23(3):163167. 3. Vakil JJ, O'Reilly MP, Sutter EG, Mears SC, Belko SM, Khanuja HS. Knee arthrotomy repair with a continuous barbed suture: a biomechanical study. J Arthroplasty. 2011;26(5):710713. 4. Levine BR, Ting N, Della Valle CJ. Use of a barbed suture in the closure of hip and knee arthroplasty wounds. Orthopedics. 2011;34(9):e473-e475. doi: 10.3928/014774472011071435. 5. Moran ME, Marsh C, Perrotti M. Bidirectional- barbed sutured knotless running anastomosis v classic Van Velthoven suturing in a model system. J Endourol. 2007;21(10):11751178. 6. Rodeheaver GT, Pineros-Fernandez A, Salopek LS, et al. Barbed sutures for wound closure: in vivo wound security, tissue compatibility and cosmesis measurements. In: Transactions from the 30th Annual Meeting of the Society for Biomaterials; Mount Laurel, NJ; p. 232. 7. Einarsson JI, Chavan NR, Suzuki Y, Jonsdottir G, Vellinga TT, Greenberg JA. Use of bidirectional barbed suture in laparoscopic myomectomy: evaluation of perioperative outcomes, safety, and e icacy. J Minim Invasive Gynecol. 2011;18(1):9295. 8. Warner JP, Gutowski KA. Abdominoplasty with progressive tension closure using a barbed suture technique. Aesthet Surg J. 2009;29(3):221225. 9. Data on ile. Ethicon, Inc. DERMABOND PRINEO Claims. Matrix PRI04413. 2013. ©2015. All rights reserved. Ethicon US, LLC. 038832150818. *Compared to traditional sutures. For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert. ETHI15LINK0178_Ortho_Print_Ad_r5.indd 1 8/26/15 4:54 PM BECKER'S SPINE REVIEW E-WEEKLY subscribe today free • educational • up-to-date Visit beckersorthopedicandspine.com or call (800) 417-2035