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Feature StoriesMeet the Newest Patients Behind

Our My Scar Means Campaign

Also in this issue:IOH Receives

National Recognition

Eat Healthier. Spend Less!

New Physical TherapyFacility in Carmel

Winter 2014

Free Publication – Please Take One

2 | Winter 2014

Chief Executive Officer, OrthoIndy and IOHJane Keller

President of OrthoIndyTimothy Dicke, MD

EditorKasey Prickel, Director of Marketing

Graphic DesignerJackie Bilskie

Contributing WritersMishay EllisLindsay McClureRonald Miller, MDJudy M. Porter, RDKasey PrickelDavid Schwartz, MDMegan Skelly

Contributing PhotographersJackie BilskieZach Dobson

What doesyour scar mean?

Are you an OrthoIndy and IOH patient?

Tell us your story at MyScarMeans.com.

Letter from the CEO

At OrthoIndy and IOH, we are committed to our patients. That's why we have created the semi-annual publication, Beyond Your Bones. We hope that you find the information in this publication resourceful.

In this issue, meet our newest “My Scar Means” patients. We are so honored our patients are willing to share their stories about their experiences at OrthoIndy and IOH. Also in this issue, OrthoIndy physicians and IOH receive local and national recognition, IOH opens a new physical therapy facility and an ACL technique performed at IOH helps an athlete get back into the game.

We hope you find the information in this issue educational. We welcome suggestions and comments by emailing us at support@orthoindy.com.

Best wishes and good health,

Jane KellerChief Executive Officer

Insta

Want to know more?

Give us a call at:

(317) 802-2000or follow us on:

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Table of Contents 4. Following Dreams Former race car driver gets back behind the wheel

7. IOH Receives Press Ganey 2013 Guardian of Excellence AwardSM

8. Total Knee Replacement Helps Retired Sergeant Get Back to Active Lifestyle

10. Check Out Our Blog

11. Ask the White Coat

12. A New Life Without Pain After years of back pain, scoliosis patient is able to enjoy life again

14. Your Child and Scoliosis Q & A with Dr. Schwartz

16. Alter-G® Treadmill Helps patient train for the Olympics

18. IOH Nurses Save Patient’s Life While being prepped for hip replacement patient goes into cardiac arrest

21. Eat Healthier. Spend Less!

24. OrthoIndy Surgeon Saves Bone Cancer Patient’s Leg and Her Life

26. Back to Being a Kid Mother of two finds comfort in bringing her daughter to OrthoIndy

29. Indianapolis Monthly’s Top Doctors from OrthoIndy and the Indiana Orthopaedic Hospital (IOH)

30. IOH Builds Outpatient Physical Therapy in Carmel

32. ACL Technique Helps Athlete Get Back in the Game

34. Dreams Can Come True Cyclist completes 200-mile bike race from Seattle to Portland after ankle surgery

On The CoverMeet Reese, one of our newly featured patients in our “My Scar Means” campaign

4 | Winter 2014

Former race car driver, Davey Hamilton

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Following Dreams Former race car driver gets back behind the wheel after traumatic racing accident

As you walk through the crowded streets filled with coolers, food vendors and loud fans you start to see the pagoda in the distance. The piercing zing of the cars racing by begins to fill your ears while you squeeze through the cheering crowd to enter the world’s largest sporting facility. It is the Sunday of Memorial Day weekend and that only means one thing in Indianapolis, billed as ‘the greatest spectacle in racing’, the Indianapolis 500.

Considered to be the biggest one-day sporting event in the world, it is no surprise that nearly 250,000 fans pour through the gates beside you to enter the big-gest event in racing. The noise of the cars racing by is almost deafening now as you make your way to the bleachers. Upon finding your seat you anxiously await for the cars to come zooming by.

You can hear the loud engines before the cars even round the turn. Your seat begins to rumble and you can feel your heart beating in your chest. The first car rounds the turn, then all at once the rumbling cars fly by before your eyes and just like that the drivers are gone again. The crowd roars for their favorite drivers and you high-five your fellow race fan. It’s race day in Indianapolis!

Davey Hamilton, although retired from the series now, is a favorite driver of many racing fans. Davey has been racing for the majority of his life and has participated in many races. In fact, Davey can’t imagine doing much else with his time. But there was a moment when his favorite hobby was nearly taken away from him.

In 2001, Davey was racing in Texas when a fellow driver lost an engine during a turn. This caused the driver to lose control of his car and make contact with Davey’s car, which slammed into the wall and began to spin a number of times before coming to rest against the inside retaining wall.

“You know I looked at it a lot of different ways,” said Davey. “When you are young you think you are invincible. I have been in thousands of races with not even a scratch. It started off as another race, but timing was bad. Once my car went over the wall and hit the fencing and the poles I really felt the hit. I knew I had to do a lot of praying and hope for the best at that point.”

Medical professionals rushed to Davey’s car hoping he had minimal injuries. Davey was rushed to the infield medical center.

“They took me to the infield med center. I heard the call saying that it appeared to be a double amputee. At that time I thought someone got hurt bad in that accident. But after looking around I realized I was the only guy in the infield med center. That’s when I knew it was me and it was difficult to process those words.”Fortunately, Davey had the right physicians there that day to help him through his recovery and get him back to where he needed to be.

“Without any doubt in my mind if it wasn’t for OrthoIndy, I would be sitting here as a double amputee,” said Davey. “They’re the ones that saved my legs.”

By: Megan Skelly

MyScarMeans

Without any doubt in my mind if it wasn’t for OrthoIndy,

I would be sitting here as a double amputee. They’re the

ones that saved my legs.

6 | Winter 2014

After the crash, Davey was forced to take a break from driving. He spent the next year in and out of surgery to reconstruct his feet and legs. After five months, he could stand again but he still had to spend a lot of time in a wheelchair.

“IOH has been great for me,” said Davey. “Since the major surgeries early-on, there have been some minor ones that I have been able to come to IOH for and be an outpatient. IOH has become my family. I continue to do things with all the physicians that helped me. Not only are they my friends but they have also become my family. They were able to make my life great again.”

Davey was determined to get behind the wheel again and in 2005 he started taking small steps to return to racing. In 2007, Davey finished in nineth place at the Indianapolis race, proving to everyone he was back. He continued to race in the series for the next four years until he retired after the 2011 series was complete. However, Davey is still very active in the racing world.

Davey is the color commentator for the Indianapolis Motor Speedway Radio Network broadcasts. He also owns his own racing team, “Davey Hamilton Apex Racing” and participates in races here and there.

“Today I am still winning races, competing and having a great time.”

“My scar means…I can follow my dreams.”

Scan the QR code to watch Davey’s full story or visit MyScarMeans.com.

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The Indiana Orthopaedic Hospital (IOH) has been named a 2013 Guardian of Excellence Award winner by Press Ganey Associates, Inc. The Guardian of Excel-lence Award recognizes top-performing facilities that consistently achieve the 95th percentile of perfor-mance in Patient Satisfaction.

The Press Ganey Guardian of Excellence Award is a health care industry symbol of achievement. Fewer than 5 percent of all Press Ganey clients reach this threshold and consistently maintain it for the one year reporting period. Press Ganey partners with more than 10,000 health care facilities, including more than half of all U.S. hospitals, to measure and improve the patient experience.

“We are proud to partner with IOH,” said Patrick

T. Ryan, CEO of Press Ganey. “Achieving this level of excel-lence reflects the organization’s com-mitment to deliver-ing outstanding service and quality.

IOH’s efforts benefit patients in Indianapolis

and will lead to improved patient experiences.”

According to Jane Keller, CEO of IOH, the award rep-resents an important recognition from the industry’s leader in measuring, understanding and improving the patient experience, Press Ganey.

“We are honored to receive this award,” said Keller. “Our physicians and staff are committed to providing the highest level of customer service and patient satisfac-tion that this award demonstrates; a physician-owned hospital model that provides the best outcomes, safety and high quality customer service to each patient and their family member.”

About Press Ganey Associates, Inc.Recognized as a leader in performance improvement for nearly 30 years, Press Ganey partners with more than 10,000 health care organizations worldwide to create and sustain high-performing organizations, and, ultimately, improve the overall health care experi-ence. The company offers a comprehensive portfolio of solutions to help clients operate efficiently, improve quality, increase market share and optimize reim-bursement. Press Ganey works with clients from across the continuum of care – hospitals, medical practices, home care agencies and other providers – including 50 percent of all U.S. hospitals. For more information, visit www.pressganey.com.

Awards By: Megan Skelly

IOH Receives Press Ganey® 2013 Guardian of Excellence AwardSM for Achieving 95th Percentile in Patient Satisfaction

8 | Winter 2014

Patient Journey By: Mishay Ellis

Most people think about slowing down and retiring when they are in their 60s. However, that’s not the case for 61-year-old Dan Surber, who believes in pushing himself to the limit even after a total knee replacement.

Dan’s right knee had degenerative arthritis and was missing the anterior cruciate ligament. Degenerative arthritis, or osteoarthritis, is the most common type of arthritis and is mostly related to aging. It is associated with a breakdown of cartilage in joints and can occur in almost any joint in the body. Degenerative arthritis causes the cartilage in a joint to become firm and lose its elasticity, making it more prone to damage. Over time, the cartilage wears away in some areas, greatly decreasing its ability to act as a shock absorber. As the cartilage deteriorates, tendons and ligaments stretch, causing pain.

Dan’s knee would lock up on stairs and pop out of place when he was sitting down. When exercising, he would hit a wall of pain because of the bone-on-bone grinding and therefore could not improve his fitness.

Dan currently teaches at IUPUI, is a retired US Army Sergeant and has been extremely active ever since his

retirement from the Army Reserve in 1998. Fitness is a huge part of Dan’s life, so when he could no longer maintain his active lifestyle, he knew it was time to do something about his knee.

“I should have had the operation sooner. I could have lived with a lot less pain and fear of having my knee collapse,” said Dan. “I had to quit playing golf because my knee would not take the forces of the rotation and swing. I quit water skiing and snow skiing, I could no longer parachute jump and I had to quit playing lacrosse.”

Dan has been working in a Systems Engineering area for over 30 years. He is an Expert Systems Engineering Professional through the International Council of Systems Engineering. Because of his engineering background, Dan did a lot of research. “I looked very carefully at the form, fit, function and safety approaches applied by the doctors, staff and physical therapists in the total knee replacement program,” said Dan.

“OrthoIndy convinced me that its program was the best and that I had the highest probability of a successful replacement and recovery by working with them,” said Dan.

Total Knee Replacement Helps Retired Sergeant Get

Back to Active Lifestyle

Dan had his knee replacement at the Indiana Orthopaedic Hospital (IOH) by Dr. Sanford Kunkel, an OrthoIndy surgeon, on September 15, 2009.

“Dr. Kunkel and his team were superb. Since I’m an engineer, I asked very detailed questions about the operation, the prosthetic knee, functionality and durability,” said Dan. “They were very patient oriented. Everyone was informative, helpful and patient.”

“I always tell my patients that the success of their surgery largely depends on their motivation,” said Dr. Kunkel. “Dan was the ideal patient because he was determined to recover quickly before he even walked into the clinic.”

Dan has been increasing his workouts ever since his stitches were removed three weeks after surgery. At six weeks, he could jump up and down on both legs. By seven weeks post-surgery, Dan was seeing a physical therapist twice a week and doing daily vigiorous workout regiments on his own.

By the end of six months, Dan was riding his bike outside on trails with steep hills and even conquered a trail by his home that he could never climb before due to his knee pain. Four years later, Dan has accomplished more than he could ever imagine.

“I squat twice my own weight, do an hour workout every day, ride my bike and hike with 50 pounds in my backpack,” said Dan. “For my 60th birthday I did a tandem free-fall parachute jump from 12,000 feet. I had not jumped since 1973 so it was great to do that again.”

“I whole-heartedly recommend OrthoIndy and Dr. Kunkel’s team for anyone thinking about getting a knee replacement. They did a fantastic job on mine and I am back to an activity level of a 40 year old, with the physiology and stamina to match it,” said Dan.

To learn more about total joint replacements, visit IndianaOrthopaedicHospital.com. To schedule an appointment with Dr. Kunkel, please call (317) 802-2845.

“OrthoIndy convinced me that its program was the best and that I had the highest probability of a successful replacement and recovery by working with them.”

10 | Winter 2014

Social Media By: Megan Skelly

Patient StoriesAre you or someone you know scared to visit an orthopaedic surgeon for a bone, joint, spine or muscle injury? Or do you want to learn more about how you might feel after an orthopaedic surgery? The ‘patient stories’ section of our blog shares recent patient experiences with a variety of different injuries, such as hip replacements, ACL tears, back pain and much more.

Ask the DocWant to learn more about a certain orthopaedic topic from an experienced orthopaedic surgeon? Our physicians answer frequently asked questions about a variety of orthopaedic topics in this section of our blog. You are welcome to comment and ask the physician additional questions and we will be sure you receive an answer.

Health TipsEvery month this section of our blog features unique health tips, such as healthy eating habits during the holidays, staying safe during the summer or getting active for the new year.

Company NewsThis section provides information on all the latest OrthoIndy and IOH news. Learn more about company updates, physician projects and events.

Get InvolvedOur campaign, ‘My Scar Means’ is all about sharing our patients’ stories. Each patient has a different story to tell and we found that each person is proud of his or her injury or surgical scar because of what it repre-sents. Visit MyScarMeans.com and fill out a question-naire to share your story and, with your permission first, you may be featured on our blog.

Also search for OrthoIndyIOH on Facebook, Twitter, Pinterest, Instagram and Youtube and follow us!

Scan this QR code to visit our blog.

OrthoIndyBlog.com

Check Out Our Blog!Visit OrthoIndyBlog.com for patient stories, physician Q&A’s, health tips and company news

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Ask the White Coat

Question: What is sciatica?

Answer: Many people have experienced back, buttock or leg pain and referred to this as sciatica, but what is this actually?

Sciatica is a commonly used term to describe the sensation of pain, numbness or tingling that radi-ates from the buttock down the back of the leg. The term originates from the usual source of the pain, the sciatic nerve. The sciatic nerve is a large nerve formed from multiple nerve roots that leave the lumbar spine and come together to form a larger nerve that travels down the leg. It is responsible for much of the sensa-tion and muscle control of the posterior thigh and lower leg. Any irritation or compression of the sciatic nerve will cause the symptoms described above.Sciatica typically involves only one leg, and may or may not be associated with back pain as well. The symptoms are often dependent on one’s position such as sitting (most usual) or standing and may present acutely after an injury or have a slow and gradual onset.

The most common cause of sciatica is compression of one of the lumbar nerves as it exits the spine, before it joins the sciatic nerve. This can be due to a herniated disc that presses on or irritates the nerve, or due to a lack of space for the nerve to exit, a condition referred to as spinal stenosis. Due to the fact that the spinal

nerve travels down the leg as part of the sciatic nerve, a person will often feel symptoms as far as the foot, depending on which spinal nerve is involved. Although the nerve is compressed in the lumbar spine, back pain may not accompany the sciatica.

Sciatica can also be caused by direct compression of the sciatic nerve as it courses through the buttock and posterior thigh. This can be due to scar tissue, tight-ness of one of the deep muscles of the hip that the nerve runs through or a mass or tumor. Other condi-tions can also mimic the symptoms of sciatica such as sacroiliac dysfunction or muscle strains of the hip and buttock.

Sciatic pain often improves on its own with rest, gentle stretching and the use of anti-inflammatories. Should it fail to improve, imaging studies such as an MRI are quite helpful in diagnosing the source of the problem. Treatment for lumbar disc herniations, the most common cause of sciatica, may involve physical therapy, focal injections to relieve pressure and inflammation of the nerve or possibly surgery.

By: Ronald Miller, MD

Ronald Miller, MD

Specialties: Electrodiagnostics, Musculoskeletal, Non-Operative Spine, Pain Management and Interventional Pain Management

Located at: Fishers, Northwest and OrthoIndy at St.Vincent Carmel

To schedule an appointment with Dr. Miller, please call (317) 802-2871.

12 | Winter 2014

At 11 years old Audrey Symmes was diagnosed with scoliosis after she had a forward bend test done while at school. She was sent to a specialist who had her wear a back brace for one year. After the year was over she did not seek any further treatment.

“It turned out that I had a pretty decent S-curve with the lower curve being the worse of the two; however, my scoliosis was not causing me any pain and we had heard terrible things about corrective surgery,” said Audrey. “My only real issue with my scoliosis at the time was the physical appearance of my back.”

Audrey learned to hide the appearance of her back by wearing certain types of clothes. But, after high school passed, she started to have back pain from her scoliosis and the pain continued all the way through college.

“My back pain got so bad that I could not stand up for more than five minutes without being in so much pain that I was almost in tears,” said Audrey. “There were many times that I would have my husband push both my sides in as hard as he could to help hold me up. That way he could support me since my spine didn’t provide me any support.”

Occasionally, Audrey would wear a soft back brace but that only helped so much. She was unable to exercise and would have to lay down immediately following her work day. Anything that required standing in line was out of the question for Audrey. Something as simple as

A New Life Without PainAfter years of back pain, scoliosis patient is able to enjoy life againBy: Megan Skelly

MyScarMeans

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going to the grocery store became a major challenge for her.

“I tried going to a chiroprac-tor and a masseuse but neither one helped me,” said Audrey. “The last straw was when I started to have nerve pain down my leg.”

The pain was being caused by her spine pushing down on her nerves due to the S-curve of her back. At 22 years old, Audrey decided she didn’t want to deal with the pain for the rest of her life. She consulted her family physician who then referred her to Dr. David Schwartz, an OrthoIndy spine surgeon.

Dr. Schwartz took X-rays of Audrey’s spine and deter-mined that her scoliosis had progressed even in the last couple of years. At that point there was no other option; Audrey would need to have a spinal fusion to correct her scoliosis.

“After I found out that I needed surgery, Dr. Schwartz did everything possible to make me feel comfortable with the situation,” said Audrey. “He told me to take three months and think of any questions. Little did he know, I would come in with a typed sheet, front and back, full of questions. Dr. Schwartz took the time to answer every single one of them.”

A spinal fusion is fusing together the painful vertebrae so they heal into a single, solid bone; therefore, elimi-nating motion between the verterbrae. It also prevents the stretching of nerves and surrounding ligaments and muscles. A spinal fusion may take away some spinal flexibility, but most spinal fusions involve only small segments of the spine and do not limit motion very much.

“Surgery day finally came and I was so nervous,” said Audrey. “Upon arrival to IOH, we were greeted by a

kind lady at the front desk. Seeing how nice she was helped to calm my nerves right away. My husband and I were taken back to the surgery prep room and all of the doctors and nurses came in to introduce them-selves.”

While Audrey prepared for surgery, the IOH conceirge gave her family a tour of the facility. During the seven hour procedure, the conceirge kept Audrey’s family informed and updated on her progress.

“The thing I liked most about IOH was the one-on-one attention I received from my doctor and nurses,” said Audrey. “I really felt like everybody cared about me as a friend, not just a patient. The nurses even celebrated all of my small victories during my recovery with me and my husband. I couldn’t have asked for a better team to take care of me.”

After I found out that I needed surgery,

Dr. Schwartz did everything possible to make me feel

comfortable with the situation.

14 | Winter 2014

Audrey is now two and half inches taller and hardly has any curvature in her spine. The very next day after surgery she was able to walk and she has been im-

proving every day since. The nerve pain in her leg is gone as well.

“My quality of life has im-proved greatly since my surgery,” said Audrey. “The recovery was so much easier than I ever thought it would be. I very rarely experience

any back pain.”

Audrey is now able to swim, zumba, work and simply stand without pain. Over the summer she went to

several concerts and was able to stand the entire time. She even went on a trip to Washington D.C. and was able to walk around all day for a couple of days without any pain.

“I am so happy that I had the surgery and I am so thankful that Dr. Schwartz and the rest of the IOH team were able to help me,” said Audrey. “My back doesn’t hold me up anymore and I am so happy to have my life back.”

“My scar means...I can finally enjoy life.”

Scan the QR code below to watch Audrey’s full story or visit MyScarMeans.com.

Your Child and ScoliosisQ & A with Dr. SchwartzQ. What signs should a parent look for when checking a child for scoliosis?A. The easiest thing to do is look at your child’s back to make sure their shoulders are level, that the shoulder blades look the same and that the head is centered over the child’s buttocks crease. Another thing you can do is have them bend forward and look for any type of asymmetries.

Q. What are the different types of scoliosis that affect children?A. The most common type of scoliosis that we see is called adolescent idiopathic scoliosis. This is for children who have no type of neurologic disorders or diseases and no connective tissue diseases. It is a genetic disorder that causes scoliosis. We don’t know quite how the genes work but we know there are about 300 genes that can cause scoliosis

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Practice Focus:Minimally Invasive Spine SurgeryArthroscopic Spine SurgeryCervical Disc HerniationDisc HerniationSpinal StenosisSpondylolisthesisCervical Disc DiseaseCervical Disc Replacement Degenerative Disc DiseaseScoliosis - Children and AdultsKyphosisSpinal DeformitiesNeck and Arm PainCervical FracturesSpinal Trauma InjuriesLow Back Pain

Located At:OrthoIndy Fishers10995 N. Allisonville Rd.Suite 102Fishers, IN 46038

Contact: To schedule an appointment with Dr. Schwartz, please call (317) 802-2883.

David Schwartz, MD and depending on how many of these genes your child has determines whether or not they develop a curve and whether or not they will need to have surgery.

The second most common type of scoliosis we see is neurologic scoliosis, or paralytic scoliosis, where a child either with a type of neuromus- cular disease, such as cerebral palsy, or they have had a type of injury that has paralyzed them.

Q. What are the treatment options for children?A. The first thing the child needs to do is be seen by an orthopaedic spine surgeon who takes care of scoliosis. Once they have been seen by this surgeon they can decide whether or not they need to be followed clinically through regular check-ups, X-rays, bracing or if it will require surgery. We usually talk about bracing the child if the curve is between 25 and 30 degrees and we talk about surgery if the curve is between 45 and 50 degrees.

Q. What should a parent consider before deciding on surgery for a child with scoliosis?A. I think the most important thing is that they have a good relationship with their scoliosis surgeon, that they trust him or her and even look for a second opinion if they have any questions. Q. If a child with scoliosis goes untreated what health problems might occur as a result?A. The child may have incapacitating back pain in the future and if the curve gets over 90 degrees they can develop heart failure which will require a heart or lung transplant.

Q. Anything else you would like to add?A. The majority of kids who have scoliosis are pain-free. The prevalence of children who need surgery for scoliosis is more common in girls than boys. The nice thing to know is that kids that have scoliosis treated with a brace or those kids who are treated with surgery have completely normal lives in the future and usually are not limited on any activities.

16 | Winter 2014

Physical Therapy By: Mishay Ellis

Alter-G® Anti-Gravity Treadmill® Helps patient train for the Olympics

In 2010, the Indiana Orthopaedic Hospital (IOH) purchased the Alter-G® Anti-Gravity Treadmill®, designed to provide patients the opportunity to experi-ence rehab or training without pain, even while the patient is still recov-ering from surgery or an injury. Jackie Dikos is no exception.

Jackie is a registered dietitian who specializes in sports nutrition, a certified specialist in sports dietetics and owns a nutrition consulting business in Indianapolis.

Being active is second nature to Jackie, so it’s no surprise that she makes endurance running part of her everyday regimen. She started training for the 2012 Olympic Trials Marathon months before it began. Jackie thought she was unstoppable, but pain in her left foot would slow her down for the first time in her life.

“I suffered from significant plantar fasciitis, heel bursitis and tendinitis in my left foot about three months before participating in the Olympic Trials Marathon,” said Jackie.

All of the swelling and pain in her left foot significantly limited her ability to train for the upcoming Olympics. Luckily, she knew where to go. Jackie is married to Dr. Gregory Dikos, an orthopaedic trauma surgeon at OrthoIndy.

Jackie went to IOH for an MRI. After the diagno-sis, she primarily focused on the physical thera-py provided by senior physical therapist, James Gruesser. He suggested Jackie use the Alter-G so she could still train without all of the pain.

“In many cases the Alter-G will allow athletes with lower extremity injuries to maintain their elite fitness level without the negative effects and pounding from regular running,” said James. “Jackie only had a short time in physi-cal therapy before the Olympic trials, but she was always training on the Alter-G to keep her endurance level up.”

“Before I went to OrthoIndy, I could not run at all because my pain level was too high,” said Jackie. “Any running I attempted seemed to increase inflammation and cause more damage.”

Fortunately, running on the Alter-G treadmill allowed Jackie to run pain free and maintain her fitness.

“I was very excited to have the opportunity to train with the Alter-G,” said Jackie. “It allowed me to heal while maintaining cardiovascular fitness throughout the recovery process. It supported a quick return to high-level training and I would recommend this treadmill to any of my fitness friends with injuries.”

Since training on the Alter-G, Jackie earned qualification for the 2012 Olympic Trials, has two children and continues to maintain a high mileage and intense training regimen.

Scan this QR code to watch Jackie demonstrate how the AlterG works.

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18 | Winter 2014

OrthoIndy and IOH patient, Terry Yates.

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IOH Nurses Save Patient’s Life While being prepped for hip replacement patient goes into cardiac arrest

By: Megan Skelly

Terry Yates normally plays a round of golf at least once a week during the golf season. However, in 2010, Terry was unable to play even a single round of golf. In fact, Terry’s other favorite pastime, work-ing in his yard and landscap-ing, was also something he could barely manage because of the extreme pain that was developing in his right hip.

“As spring came in 2010 and golf season was here I was anxious to see if I could play. I attempted to hit golf balls one time at the driving range and quickly knew that I was not going to be able to enjoy golf as I always did.”

The pain in Terry’s right hip had become progressively worse as months went by. At first the pain was dull on a day-to-day basis. But as the pain got worse it even prevented Terry from getting a good night’s sleep on many nights every week.

“My work was in a management position so I was still able to work but walking during the day took a toll because of the pain. The pain in my right hip became constant daily and really impacted my life.”

After about a year of experiencing severe pain in his hip Terry decided to seek treatment from an ortho-paedic surgeon. In 1998 OrthoIndy surgeon, Dr. Frank Kolisek, had replaced Terry’s right knee so he decided to seek Dr. Kolisek’s evaluation and advice once again.

“Since I had such a wonderful experience previously with my knee, I had a very high trust in Dr. Kolisek and OrthoIndy to treat my hip pain,” said Terry.

20 | Winter 2014

Terry was scheduled for surgery with Dr. Kolisek that summer and everything was going as planned. On the day of surgery, Terry arrived on time and was looking forward to becoming pain-free again. However, while being prepped for surgery Terry went into sudden cardiac arrest.

“The nurses quickly responded and saved my life. As my wife tells me, they quickly arrived in my room like a swarm of bees and quickly administrated a lifesav-ing defibrillator shock to bring me back to life. The next day I had to have a six bypass open heart surgery. When I see my scar, I am reminded that IOH nurses saved my life. If I was not at IOH that very day,I would not be alive.”

Once Terry got to feeling better in the fall he was finally able to have his hip replaced by Dr. Kolisek. Everything went as planned and now Terry has two joints in his right leg successfully replaced by Dr. Kolisek.

“Dr. Kolisek is the best. I would and have recommended him to many of my friends for treatment. I have always appreciated that Dr. Kolisek gets right to the point with the cause of my pain and the treatment nec-essary. I like a doctor like that. I could not be more pleased with the outcome. My quality of life has changed and improved by these replacements, thanks to Dr. Kolisek and his excellent care.”

Terry has been treated by OrthoIndy since the late 1990’s. In his case, replacement of the knee and hip were the only option.

“My experience at OrthoIndy has always been first class. I appreciate that the staff and doctors at OrthoIn-dy always look for the least invasive option first before even considering the surgery options. The nurses were great. The surgery was short and very successful.

Additionally the stay was short and I was able to leave the hospital the next day after surgery. I walked out of IOH without pain in my hip.”

Terry is now enjoying a pain-free life. After 37 years, he retired from the United States Postal Service. He enjoys taking care of his granddaughter, playing a round of golf and yardwork.

“My scar means...I’m alive.”

Scan the QR code to watch Terry’s full story or visit MyScarMeans.com.

If I was not at IOH that very day, I would not be alive.

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Nutrition By: Judy M. Porter, RD

Eat Healthier. Spend Less!We all have to eat. Most of us want to eat better, healthier and cleaner without increasing our grocery bill. According to the most recent Gallup poll, Ameri-cans spend on average $151 a week on groceries. Today, we spend an average of 13.3 percent of our total income on foods prepared at home and from restaurants. An interesting fact, is that the more Americans make, the less they spend on groceries. The bottom fifth of earners spend a whopping 12 percent of their yearly budget on food at home, compared to 9 percent for the middle fifth and 6 percent for the top fifth. So, where do you fall? Are you spending more or less than the average? Saving money while still pro-viding healthy meals can be quite the challenge with today’s rising food costs. Spending less on food means you’ll have more for the fun things in life like vacations and hobbies. If you want to improve in this area then try some of the following tips:

1. Get organized. Planning is the key to success in almost everything in life. Take a moment to do two things. • Compile your family’s top ten favorite healthy meals and snacks. Most of us consume the same meals and snacks over and over. • Create a master grocery list of all the ingredients required to prepare these meals. There are many new Apple and Android apps out there that can assist you with this and will even organize a list according to the aisle-by-aisle layout of grocery stores. (See apps listed on page 23.)

2. Take time on the weekend for food prep. I have found that by spending a little time prepping food on Sunday makes it easy to throw together quick, healthy meals during the week when I’m tired and don’t feel like cooking. In addition, I save money because convenience items cost more!

Here are a few staple items that will make it easy for you and your family to eat like a superstar all week long: • Quinoa, barley, brown rice, whole grain pasta, etc.: Cook one or two grains to use as side dishes for the week. Most cooked grains can be safely stored in the refrigerator in an airtight container for five days without losing quality.• Lentils: The great thing about lentils is they don’t need to be soaked and they cook in about 15 minutes. Lentils are a great source of folic acid,

magnesium and fiber, all of which support heart health. They are also high in iron and protein which can help supplement or replace the lean meat in a meal at a very low cost. I like to add lentils to my salads, soups and sides.

• Hard-boiled eggs: Eggs are a very economical protein source. Boil up a dozen so you can grab one for a snack or toss into a salad. • Soup: I love making a batch of soup on Sunday. I just throw whatever vegetables I have (or a bag of frozen veggies) in a pot with some vegetable broth then add some cooked lentils, quinoa and some spices. It’s a great way to use up extra greens or vegetables that I have leftover from the previous week. • Trail Mix: Try mixing up some almonds, pumpkin seeds, sunflower seeds, dried fruit and a few dark chocolate chips (>60 percent cocoa). Place in an air tight container and grab a small handful as a snack. You’ll feel like you’re getting a treat but what you’re really getting is a power punch of nutrients. • Preparing Fruit: Purchasing what’s in-season will cost you less. So, I look for sales and that will be our fruit selection for the week. I try to get a good variety of colors so we get a good mixture of anti oxidants and phytonutrients. Cut or wash fruit so it’s ready for eating. I make sure they are in a loca- tion that at eye level in the refrigerator because we’re more likely to grab them as a snack if they’re not hidden. • Chopped Veggies: Carrots, bell peppers, celery, cucumbers, etc. Spend time peeling and chopping them and then store them in tupperware containers so they’re easy to grab for lunch, dinner and snacks.

3. Shop in bulk for items that you use daily and in high quantities. This is where a membership to a warehouse club like Costco or Sam’s Club can come in handy. Make a list of toiletries, paper products, cleaners, medications, dietary supplements and pet items that you use routinely. Depending on your budget, purchase enough to last one to six months. For example, I discovered that we use approximately six rolls of toilet paper every two weeks in our household of two adults and two children. There- fore, I will purchase a 12-roll pack each month. The key to saving money in these wholesale supermarkets is making a list of items you will use over time and that will not perish. It’s important to go in with a plan and stick to it.

4. Stock up on sale items that have a long shelf life. Buy several and score big savings!

5. Think large. Single–serve items tend to be more expensive than larger serving sizes. Make your own single-serve snacks by buying large containers of yogurt, cottage cheese, cheese, cereal, etc. and portion them out in small plastic bags or containers.

6. Shop generic. Generic labels are not as fancy as brand-named products. Often times the same manufacture of a brand-named product makes a generic with the same ingredients. Some generics to try include: • Over-the-counter medication: The FDA requires the same active ingredients in the generic as the patented medication that they replace. • Cereal: Compare ingredients. You can often spend half as much on the generic version. • Sugar, flour, salt, spices: The government requires the same production safety and storage standards as they do for the brand-named products. • Frozen fruits and vegetables: Commonly made by same manufacturers of brand-named product just different labeling.

7. Use coupons. Clip coupons from the Sunday paper or print free online coupons. Do an Internet search of the stores that you shop most for digital and free printable coupons. In some cases you can load the coupons directly to your savings card. Using coupons in conjunction with sales can add up quickly so again load up if the product has a long shelf-life. Lastly, try loading one of the money saving apps on the next page to your smart phone.

22 | Winter 2014

| 23

Sports Injury? We’ll fix it.Official Orthopaedic

Provider of the Indiana Pacers

OrthoIndy.com

Money Saving Apps

Grocery IQ: This is my favorite grocery shopping app. This Apple and Android app allows you to make multiple lists and will save them in one place. This app finds coupons for the items on your list and allows you to input item cost so that you can see your savings. This feature works best for repeat purchases that you tend to buy every week.

Ziplist: This Apple and Android app creates a master list of groceries and organizes it accord-ing to the aisle-by-aisle layout of participating grocery stores. It will also send you pop-up recipes on a daily basis but you can opt to turn this feature off.

Cellfire: This Apple and Android app is a must-have app. Say you’re headed to the grocery store and you didn’t bring coupons and don’t have time to look at the circular. This app will send rel-evant discounts to your loyalty card at checkout. It only takes a few minutes to load in your loyalty card numbers into the app in advance and the savings are waiting for you.

Patient Journey By: Mishay Ellis

OrthoIndy Surgeon Saves Bone Cancer Patient’s Leg and Her LifeRhea Kutche was an executive sec-retary who enjoyed being outdoors. She liked to run, go on long walks and swim with friends. She thought that nothing would stop her from doing what she loved. However, it was during a hospital stay from a fall at work that Rhea received demoralizing news: she had bone cancer.

Rhea had sprained both of her ankles but had severe pain in her right leg. The physician ordered a nuclear bone scan, which came back positive for bone cancer inside her right tibia.

“I was told my leg may have to be removed at the hip because bone cancer spreads so quickly,” said Rhea. “I was devastated.”

Her physician referred her to OrthoIn-dy surgeon, Dr. Bruce Rougraff, an orthopaedic surgeon specializing in bone tumors. Dr. Rougraff explained that she would have to have a bone graft, in which he would fill the hole in her right tibia with cadaver bone. Her surgery was the next week and afterwards she would be in the hospital for a couple of days to do physical therapy and recover.

Going into surgery, Rhea was nervous and scared.

“I was terrified when I went into the room because I saw a drill laying with other instruments on a table,” Rhea said. “I closed my eyes until they put me under. I just kept wondering if I was going to wake up with a leg or not. I never expected the emotional trauma that the surgery put me through.”

Thankfully, Rhea’s surgery went well and she began the healing process.

“I cannot say enough good things about Dr. Rougraff,” said Rhea. “He not only saved my leg, but my life as well.”

Life has definitely not been easy for Rhea. With over 30 staples on her knee, ankle and leg, she’s had a long recovery. Rhea went from using a walker, to crutches and has worn a boot.

In 2009, Rhea started experiencing pain in her right leg at the same place. She made another appoint-ment with Dr. Rougraff and had X-rays done. The cancer had returned. Rhea instantly thought that she was not going to beat this cancer.

24 | Winter 2014

“I thought the cancer was going to take my life,” said Rhea. “I knew what great pain I endured the first time and all the physical therapy I had been through already. I couldn’t imagine what it would be like a second time. I was afraid.”

Dr. Rougraff again replaced some of Rhea’s tibia with cadaver bone and inserted a titanium rod with hard-ware in her knee and ankle. At the time, he and his colleagues could not diagnose the biopsy. It was later discovered that Rhea had a very rare bone cancer called Adamantinoma. There have only been 200 cases of this type of bone cancer since 1913.

“At first I was in shock,” said Rhea. “I cried a lot and knew my life was going to change forever. At the time, there wasn’t much research I could find about it except for what was on the Internet, and what I read made me feel hopeless. There weren’t many people who had survived this disease. I felt the odds were not so good for me.”

The disease is so rare that when Rhea tells other doctors what she was diagnosed with, they don’t believe her.

“I have been practicing in my field for a long time and I have only seen three other patients with this disease,” said Dr. Rougraff. “Maybe one in ten million people get this type of cancer.”

Adamantinoma is one of the most rare, low-grade malignant bone tumors. It usually arises in the center of long bones, and 97 percent of all reported cases are in long tubular bones and mainly in the mid shaft of the tibia, like Rhea. Symptoms include swelling, red-ness, pain and sensitivity of the bone where the tumor is located. This tumor is insensitive to radiation and chemotherapy; therefore, treatment consists of either wide resection or amputation.

Rhea was in physical therapy for almost two years and she says it was the most painful experience she’s ever gone through.

“I have been seeing Dr. Rougraff every six months since 2009 to get my legs checked. If the bone cancer would return, I would go to OrthoIndy and IOH immediately.”

Rhea’s last few visits have been nothing but great news. She found out in January 2013 that she has beaten this cancer and her last appointment was in December.

“When Dr. Rougraff told me that I had beaten this cancer, I couldn’t believe it,” said Rhea. “It has been a long and painful four years, but I can honestly say that I ‘stood up to cancer’. It’s the greatest feeling in the world.”

Since her last surgery, Rhea is enjoying her life one day at a time. She is starting to find out what her new “normal” really means, and is looking forward to each new day. Rhea is taking back her role in the household by cleaning, getting groceries and other every day activities. Her new outlook on life is knowing every-thing that she has overcome, she is stronger than ever before.

“Bone cancer is not something you hear much about,” said Rhea. “I would love to see some type of ribbon made, like the one for breast cancer for those of us who have survived bone cancer. If my story could save a leg or life, then I think that is what my purpose is.”

Bruce Rougraff, MD

Specialties: Bone Tumor and Soft Tissue Oncology and Pediatrics

Located at: OrthoIndy Northwest and OrthoIndy South

To schedule an appointment with Dr. Rougraff, please call (317) 802-2824.

26 | Winter 2014

Reese and her mother, Kelly Coffey

| 27

It seems like every child experiences a broken bone at least one time before they reach their teenage years. Whether it’s a child falling off his bike onto the pave-ment or tripping over a soccer ball during his first intra-mural game, injuries are inevitable.

While it’s a scary and painful time for the child it is also a frightening time for the parent. Parents are forced to decide where to take their child and often don’t have time to look at many options. Children are often rushed to the nearest ER, splinted and sent to a specialist the next day or as soon as they can be seen.

Kelly Coffey is a mother of two children, Reese who is four and Luke who is one. Like most four-year-olds, Reese is energetic and has a wild imagination. One day while playing she jumped off the back of the couch and fell to the ground. Reese was in ex-treme pain and with no time to research, Kelly rushed Reese to the nearest ER.

Reese had a complete dislocation of her right elbow. After Reese’s arm was set and splinted, Kelly was told to follow up with a pediatric orthopaedic surgeon as soon as she could.

“Aside from feeling sad from seeing her in pain, I was scared, confused and a little frustrated,” said Kelly. “I knew we needed to focus on getting her to a pediatric orthopaedic surgeon and a plan for getting her elbow fixed. It was also challenging to explain to Reese what was going on in a way that she would understand.”

While elbow dislocations are not very common, they typically occur when a person falls onto an outstretched hand. When the hand hits the ground, the force is sent to the elbow. An elbow dislocation happens when the joint surfaces of an elbow are separated. Elbow disloca-tions can be complete, like in Reese’s case, or partial.“After little communication back from the hospital where I thought I should take Reese, I decided to give OrthoIndy a call,” said Kelly. “From the mom perspective I wanted her to be given the all clear and Reese wanted to know when she would be able to go back to pre-school. Okay, well she was also really more concerned

about when she could go back to gymnastics.”

That’s when Kelly made an appointment with Dr. Carlos Berrios, an OrthoIndy surgeon, who specializes in pediatrics.

“I thought worst case scenario is OrthoIndy won’t have any open-ings and I would just

have to keep trying other orthopaedic surgeons,” said Kelly. “The woman who took my call was so helpful and said she couldn’t promise anything, but she would see if any of the doctors could work Reese in that day.”

An hour later Kelly was called and notified that Dr. Berrios was able to work her into his afternoon schedule and to head on in to OrthoIndy.

“Every single person we encountered at OrthoIndy was so nice and helpful and we felt like the process flowed very quickly without sacrificing personal touch and quality care,” said Kelly. “Hours after Reese got her cast

Back to Being a KidMother of two finds comfort in bringing her daughter to OrthoIndyBy: Megan Skelly

Every single person we encountered at OrthoIndy was so nice and helpful and we felt like the process flowed very quickly without sacrificing personal touch and quality care.

28 | Winter 2014

she was still talking about how the cast tech was so funny and nice. I was amazed at his ability to interact with the patients and put them at ease.”

In the eyes of a four-year-old, Reese’s injury affected her entire life. She had to be very careful playing, she wasn’t able to swim in the pool and learning to write at preschool required a little bit of help.

“A complete dislocation is extremely painful and usu-ally fairly obvious,” said Dr. Berrios. “The arm will look deformed and may have an odd twist at the elbow.”

An elbow dislocation can be treated nonsurgically or surgically. Luckily, Reese’s injury did not require sur-gery. The normal alignment of the elbow can usually be restored by keeping the elbow immobile in a splint or sling for two to three weeks, followed by early motion exercises.

“Thankfully Reese’s time in a cast was relatively short and since the cast has been off she practices bending and straightening her arm on a regular basis,” said Kelly. “Throughout all her visits she hasn’t been scared at all and I know it is thanks to the staff at OrthoIndy.”

“My scar means...that I can play.”

Scan the QR code to watch Reese’s full story or visit MyScarMeans.com.

To schedule an appointment with Dr. Berrios, please call

(317) 802-2847.

| 29

Every November Indianapolis Monthly compiles a Top Doctors list from the Indianapolis area. OrthoIndy physicians who made the list include:

Indianapolis Monthly’s Top Doctors list in the November 2013 magazine was compiled by Castle Connolly Medical Ltd., a healthcare research and information company founded in 1991 by a former medical college board chair and president to guide consumers to America’s top doctors and hospitals. Castle Connolly’s established survey and research process, under the direction of an MD, involves tens of thousands of doctors and the medical leadership of prominent hospitals.

Virgilio Chan, MD Renn Crichlow, MDTimothy Dicke, MDJohn Dietz, MDJack Farr II, MDDavid Fisher, MDEdward Hellman, MDTimothy Hupfer, MDFrank Kolisek, MD

Dean Maar, MDJohn McLimore, MDRonald Miller, MDEric Monesmith, MDMihir Patel, MDBruce Rougraff, MDDavid Schwartz, MDDavid Steinberg, DO

By: Megan Skelly

Jill is one BUSY mom!

Her to-do list is NEVER

ending.

She doesn’t have TIME

for...

But when injuries happen,

the UNEXPECTED!

grocerieslaundry

soccer practicedinner

she KNOWS where to go.

OrthoIndyWalk-InClinic.

INJURIES HAPPEN.Know where to go for bone, joint,

spine and muscle injuries.For more information, please visitOrthoIndy.com/WalkIn.

Awards

Indianapolis Monthly’s Top Doctors from OrthoIndy and the Indiana Orthopaedic Hospital (IOH)

30 | Winter 2014

Physical Therapy By: Mishay Ellis

The Indiana Orthopaedic Hospital (IOH) is pleased to announce the opening of its newest outpatient physical therapy facility in Carmel. The facility opened January 2014. “Planning for this outpatient therapy facility has been going on for over a year,” said Jeff Sorg, manager of the IOH’s Physical Therapy Department. “There is a high demand for medical care in Carmel. With OrthoIndy physicians already located in the area, we are pleased to offer specialty orthopaedic and sports medicine rehab to the community.” Hours of operation will be Monday and Thursday from 9 a.m. to 6 p.m. and Tuesday, Wednesday and Friday from 7 a.m. to 4 p.m. Upon opening, James Gruesser will be the senior physical therapist. Other staff will include physical

therapists Courtney Orsbon and Abigail Edwards. Some services will include treatment of all upper/lower extremity orthopaedic injuries, post-operative upper/lower extremity rehab, treatment of sports related injuries, joint mobilization, spinal stabilization and core strengthening programs. The Carmel location hopes to gain an AlterG® Anti-Gravity Treadmill® and Functional Capacity Evaluations at a later time. For a full list of services, please visit http://www.indianaorthopaedichospital.com

or scan the QR code.

IOH Builds Outpatient Physical Therapy in Carmel

Main St.

W. Carmel Dr.

116th St.

S. Guilford Rd.

Keystone Pkwy.

N. M

eridian St.

136th St.

31

| 31

Community Involvement By: Lindsay McClure

OrthoIndy and the Indiana Orthopaedic Hospital (IOH) invite you to our second annual Movement March with the Arthritis Foundation. Let’s raise funds to find a cure for arthritis, then come together to support each other and walk at the 2014 Indy Walk to Cure Arthritis.

Saturday, May 17th at 9 a.m.Military Park

100 N. West Street • Indianapolis, IN 46202

The event features a three-mile and one-mile course, along with activities for the entire family. Pet owners are encouraged to bring their dogs. The Walk to Cure Arthritis raises funds and awareness to fight the nation’s leading cause of disability. To join the OI/IOH Movement March team at no cost, please visit: http://indywalktocurearthritis.kintera.org. • Clickonthe“Register”buttonontheleft • Readandthenclickon“Iagree”forthe waiver/agreement • Next,clickon“JoinaTeam”andsearch for OI/IOH Movement March

• Select“OI/IOHMovementMarch” • Click“JoinTeam”andfollowthedirections If you do not have a username and password please create one and fill out the registration form. By participating, you will receive an Arthritis Walk T-shirt, a free T-shirt from OrthoIndy and IOH which can be picked up at the OI tent the day of the walk. We would like to get a group photo of everyone that is participating. Please be at the OrthoIndy tent by 8:30 a.m. For questions, please contact Lindsay McClure at (317) 802-2154 or lmcclure@orthoindy.com.

32 | Winter 2014

ACL Technique Helps Athlete Get Back in the GameColleen Gudeman is a normal teenage girl. She hangs out with her friends, loves Harry Potter and is part of her school’s student government. Out of five Gude-man children, Colleen is the only girl, so it’s no surprise that Colleen plays sports like the rest of her siblings.

Colleen, 17, plays golf and lacrosse for Center Grove High School. In the summer of 2012, Colleen was playing in a lacrosse scrimmage when she felt a pop in her knee.

“At first I didn’t think anything was wrong. I had no pain but it was hard to straighten my leg all the way or bend it completely because it was so stiff,” Colleen said. “After discovering that I had torn my ACL (ante-rior cruciate ligament), I was primarily concerned with recovering in time for the next lacrosse season.”

Colleen was immediately restricted from her active lifestyle.

“That summer was pretty boring due to my inability to participate in certain activities like swimming and golf,” said Colleen. “Fortunately, all of my friends and family were supportive and adapted to my injury by doing

things that I could still enjoy in order to avoid making me feel left out.”

Luckily, she knew where to go. Her dad is Dr. Scott Gudeman, an orthopaedic surgeon at OrthoIndy who specializes in knee injuries and sports medicine. However, it was Dr. Jack Farr, a fellow OrthoIndy surgeon who specializes in cartilage restoration, sports medicine and knee injuries that actually performed Colleen’s surgery.

“I see a lot of sports-related injuries and seeing my daughter go through surgery was definitely a different perspective than I’m used to,” Dr. Gudeman said.

Dr. Gudeman was confident in Dr. Farr’s abilities and trusted him with his daughter’s care.

“I’ve worked with Dr. Farr for nearly 20 years,” said Dr. Gudeman. “Therefore, I am very familiar with his high-level surgical skills and clinical expertise. I had no hesitation asking him to do my child’s ACL reconstruc-tion. It is a surgeon’s own preference when deciding to operate on their own child. I just felt it was more appropriate in this particular situation that one of my colleagues do the surgery.”

Research By: Mishay Ellis

| 33

Instead of a traditional ACL surgery, Dr. Farr opted for an alternative approach with the GraftLink™ All-Inside ACL Reconstruction. In the distant past, ACL patients had a long incision, were casted for six weeks and on crutches for even longer. Thankfully, ACL surgery has gradually evolved. The surgery has become more anatomic based and less invasive.Incisions are smaller and rehabilitation is earlier and more functional for patients.

“I used the new GraftLink™ All-Inside ACL Recon-struction technique for Colleen,” said Dr. Farr. “Her surgery was done completely through the scope. A recent study showed that the results are the same as more invasive ACL reconstructions, but there is less pain. A relatively unimportant side advantage is cosmesis—when the hamstring is used, there is no traditional scar, only small slit incisions that heal to the point that friends often don’t believe the patient even had an ACL reconstruction.”

The All-Inside technique modified the typical ACL reconstruction technique in two ways. First, the femoral bone tunnel is placed in a more anatomic location. It also encloses the bone tunnels, making it less invasive, minimizing soft tissue dissection. Bone and periosteum are also preserved, which helps reduce soft tissue swelling, making recovery easier for the patient.

Colleen slowly got back into playing lacrosse during the winter league with baby steps instructed by Dr. Farr. Six months later, Colleen was back on the field doing what she loves most.

“It’s almost as if nothing ever happened. I have a newfound respect for injured athletes because I know how much determination and drive it takes to recover.”

Since her surgery, Colleen has continued to improve in lacrosse. She was presented with the mental at-titude award at her team’s award ceremony because she never let her injury get in the way of her enthu-siasm for the sport. Colleen is looking forward to her senior year as team captain because there are no limits to what she and her team can do.

Scan this QR code to watch Dr. Farr performing the new GraftLink® All-Inside ACL Reconstruction surgical technique.

Practice Focus:Knee RestorationMeniscal Repair/Transplantation/Scaffolds and ImplantsCarticel (Autologous Chondrocyte Implantation)Allograft (Fresh Osteochondral Grafts)Ligament ReconstructionPatellar Transplantation/RealignmentKnee Arthroplasty/Partial Knee Replacement

Sports MedicineACL Reconstruction (option of all Arthroscopic)Patellar Instability and Cartilage SurgeryMeniscal RepairInjury Prevention

Industrial Medicine/Worker’s CompensationEvaluation and Management

ResearchSee OrthoIndy.com/research for current studies.

Located At:OrthoIndy South1260 Innovation Pkwy.Suite 100Greenwood, IN 46143

Contact: To schedule an appointment with Dr. Farr, please call (317) 884-5163.

Jack Farr II, MD

34 | Winter 2014

Dreams Can Come True Cyclist completes 200-mile bike race from Seattle to Portland after ankle surgeryBy: Megan Skelly

Last July one of Craig Thompson’s dreams came true when he completed the 200-mile bike race from Seattle to Portland. This an-nual ride attracts over 10,000 riders and was something Craig had on his bucket list for quite some time.

Along the way, Craig’s bike broke down and he was forced to sit around for two and a half hours waiting to get a new one. But that didn’t hold Craig back. He put his head down and went as hard as he possibly could for the last 150 miles to make sure he was able to cross the finish line on time.

Rewind 137 days and you would never guess that Craig was having ankle surgery at the Indiana Ortho-paedic Hospital (IOH). Seven months before his big race, Craig had torn his Achilles tendon during a quick pick-up game of basketball.

“From the very first second after the injury, I knew exactly what the injury was and immediately thought about the Seattle to Portland bike ride that I had already paid for and was going to be the high point for my summer’s athletic activities,” said Craig.

The Achilles tendon is the largest tendon in the body. It connects your calf muscles to your heel bone and is used every time you walk, run or jump. So it was no surprise that Craig, being as active as he is, wanted his injury fixed as soon as possible.

A rupture or tear of the Achilles tendon is a tearing and separation of the tendon fibers causing the tendon to no longer perform its normal function. Most ruptures occur four to six centimeters above the heel. The ten-don may also tear away from its insertion on the heel bone; when this occurs a fragment of the bone may be pulled away from the heel by the tendon.

Acute or sudden ruptures, like Craig’s, typically occur between the ages of 30 and 50. Most Achilles tears are sports-related. An athlete running forward may feel acute pain or a snap at the back of the ankle.

If you suspect an Achilles tendon injury apply ice and elevate the leg. You may experience swelling at the site of the injury or some discoloration. The injury may be tender or you may feel a gap where the ends of the tendons are separated. Although the Achilles tendon can withstand great stresses from running and jumping, it is vulnerable to injury.

Cyclist CraigThompson

| 35

Luckily, Dr. Michael Shea, OrthoIndy surgeon, was there to help. Dr. Shea fit Craig into his schedule the morning after his injury and had him in surgery the following day.

“Dr. Shea is funny and extremely easygoing yet experienced, confident and honest. He is exactly the kind of surgeon I wanted to work with.”

Fortunately, Dr. Shea was able to restore Craig’s ankle back to its original condition so Craig could get back to doing the things he loved.

Achilles tendon injuries can be treated non-operatively or operatively, like in Craig’s case. Non-operative treat-ment consists of immobilization or casting followed by physical therapy. Most surgeons recommend opera-tive treatment in a young or middle-aged athlete.

“Everyone that I dealt with at IOH was superb. Even the operating room technicians graciously took some pictures of the procedure for me so I could see what things looked like during surgery. The facilities are clean, modern and inspire confidence.”

During the outpatient procedure the two ends of the tendons are sutured together. After the procedure the leg is immobilized in a splint cast or walking boot. When the tendon has started to heal your, surgeon will recommend physical therapy. It usually takes four to six months after surgery before you are completely able to get back to an active lifestyle.

“I was able to get around fairly easy right away using crutches,” said Craig. “Of course everything took a lot longer than I was used to. I was back at the gym lifting and using the hand bike two days post-op.”

Once Craig was in a walking boot, rather than the cast, he felt like things were semi-normal for him again. He was able to be a little more active and even get in a pool and swim.

“I am an extremely active person and always have been. I am grateful to Dr. Shea and OrthoIndy for see-ing me the morning after my injury and performing surgery the following day. This quick response, as well as the experience and skill of Dr. Shea allowed me to get back to my active lifestyle as soon as possible, with the expectation of complete, rapid recovery. I will forever be indebted to them.”

Next year, Craig is seriously considering doing the Race Across America (RAAM), which would be 175 miles a day for nine days straight. Good luck Craig!

“My scar means...I can cycle.”

To schedule an appointment with Dr. Shea, please call (317) 802-2821.

Scan the QR code to watch Craig’s full story or visit MyScarMeans.com.

Dr. Shea is funny and extremely easygoing yet experienced, confident and honest. He is exactly the kind of

surgeon I wanted to work with.

Watch Terry’s story or tell us what your scar means

at MyScarMeans.com.#MyScarMeans

Terry Yates,OrthoIndy and IOH patient