Medical Student Research Fellowship for Summer 2003

Mentor: Mark Perry, MD
PI: Adam Starr, MD

Department: Orthopaedic Surgery
Room Number: G7.206D
Mail Code: 8883
Phone Number: 89944
E-mail: Mark.perry@utsouthwestern.edu
PI: Adam.starr@utsouthwestern.edu

Project I

Project Title: Post Traumatic Stress Disorder in Pediatric Orthopaedic Trauma Patients
Human Subjects IRB approved project number (where applicable): 0303-151
Animal subjects IRB approved project number (where applicable): Not applicable
Project Type (patient-based research, animal-based research, or basic research; this characterization is only to permit a general classification for grouping similar
types of projects): Patient based research.

Brief Description of Project:
Pediatric patients who have sustained an orthopaedic injury or their guardian will be given a questionnaire that has been validated as a screening tool for posttraumatic stress symptoms. The patient or their guardian will complete the questionnaire during a visit to the orthopaedic clinic. These will be scored. Data regarding patient's non-orthopaedic injuries will be obtained from the Children's Medical Center Trauma Registry. The data will be used to determine if overall injury severity has any effect on the risk of developing symptoms of posttraumatic stress in the population of pediatric orthopaedic trauma patients.

Project II

Human Subjects IRB approved project number (where applicable): 0596-14300
Animal subjects IRB approved project number (where applicable): Not applicable
Project Type (patient-based research, animal-based research, or basic research; this characterization is only to permit a general classification for grouping similar types of projects): Review of patient records and radiographs.

Brief Description of Project:
The purpose of this research is to learn more about the outcome of people who have had knee replacement surgery. At this time it is not known which is better - to do knee replacement surgery on one knee now and another knee later or to do both knees now. Previous studies have shown that most patient with bilateral knee arthrosis will have both knees replaced. Preliminary studies indicate costs can be reduced and the patient can return to activity sooner with simultaneous bilateral total knee replacement surgery. Collection of information from medical records and hospital accounts of patients who have undergone knee replacement surgery including length of hospital stay, time in OR, duration of anesthesia, type of implant, weight and age of patients, time off work, outcome of surgery, outcome of physical therapy, knee function, activity level, discomfort and costs.

Project III

Project Title: Calcaneal Fracture Outcome Study
Human Subjects IRB approved project number (where applicable): 0300-160
Animal subjects IRB approved project number (where applicable): Not applicable
Project Type (patient-based research, animal-based research, or basic research; this characterization is only to permit a general classification for grouping similar
types of projects): retrospective review of charts and radiographs of patients.

Brief Description of Project:
This project is to review, document, and assess our experience with this severe injury. The information gained will provide insight into the magnitude of the injury, the scope of disability and salvage procedures warranted and will help us guide treatment and make appropriate predictions and recommendations at the time of initial injury. This project is retrospective. Records and radiographs have been analyzed for additional medical conditions, injuries other than calcaneus fractures, length of hospitalization, number and type of surgical procedures, complications and salvage including amputation, the rate of healing, as well as patient function at most recent recorded follow up visit including orthotic an/or assistive device use.

Project IV

Project Title: Magnetic Resonance Imaging (MRI) in the Classification of Pelvic Trauma
Human Subjects IRB approved project number (where applicable): 0303-152
Animal subjects IRB approved project number (where applicable): Not applicable
Project Type (patient-based research, animal-based research, or basic research; this characterization is only to permit a general classification for grouping similar
types of projects): patient based research

Brief Description of Project: To evaluate the performance of MRI is identifying ligamentous pelvic injury. MRI is currently a widely utilized imaging modality used to identify soft tissue injury. Subjects with suspected pelvic injury as a result of trauma will undergo routine MRI of the pelvis using sequences predetermined off of normal controls. The radiologist will provide a standard report of the results to any treating physician is necessary. The images will be provided to the sponsor to be analyzed to determine the staging of the pelvic injury. This data at the end of the project will be compared to current clinical staging methods. Based on the data from this clinical study, we may be able to establish a firm criteria for classifying pelvic injury and help physicians accurately determine the next step in treatment for patients with select injuries.

Previous Research Activities or Publication with Medical Students:
New faculty member - Not applicable

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