As community members, health care providers have the potential to influence thousands, even millions, of lives. Hawaii Pacific Health’s Bone & Joint team members regularly lend their expertise in the community, making a difference beyond their practice at local, national and global levels.
Here are some examples of how our providers are getting involved.
As the official partner of UH Athletics, the Hawaii Pacific Health Bone & Joint Center has been helping student athletes get back in shape - and back in the game - as quickly as possible.
But the Bone & Joint Center does more than just help athletes. The Sports Fellowship program takes doctors in training, or fellows, and puts them right into the action. Each fellow spends a year at Straub and at the University of Hawaii, learning about what it takes to provide the best care possible for athletes.
Dr. Justin Young is one of the doctors at Straub that works with the fellowship program.
"It's one of the favorite things that I love to do, to teach young doctors who are ready to learn about the Sports Medicine field how to be really good at what they do." said Dr. Young.
Through the partnership, athletes are able to get the best care, doctors at Straub are able to hone their skills, doctors in training learn from the experts, and the community as a whole benefits as well.
On September 26, 2017 Hawaii Pacific Health educated primary care physicians, advanced practice nurses, physician assistants, physical therapists and other professionals on common sports medicine conditions in children and adolescents. Speakers and topics included:
Dr. Jennifer King, “Ankle and foot injuries in children”
Dr. Robert Durkin & Jason Ishikawa, ATC, “Knee injuries in children – Functional assessment”
Dr. Christopher Lynch, “Return to sports – Sports performance in children”
The Backbones of Pediatric Musculoskeletal Conditions conference was offered as part of Hawaii Pacific Health’s ongoing commitment to sharing its expertise with other medical professionals for the benefit of their patients.
Wilcox Bone & Joint Center Orthopedic Surgeon Dr. David Rovinsky has been traveling around the country recently, speaking at medical conferences and serving as a course instructor sharing his expertise and experience in total hip and knee replacement.
Rovinsky served as a course chairman, moderator and presenter at the Contemporary Solutions in Joint Surgery Conference in Salt Lake City, Utah. He gave three lectures on various total hip and knee replacement procedures.
He also served as a session moderator and presented three lectures at the North American Hip and Knee Symposium in Scottsdale, Arizona. This meeting attracts an international audience with delegates from Canada, Japan, and Central and South America joining attendees from across the United States. He was invited specifically to share with the attendees the techniques and protocols in use at Wilcox Medical Center, including computer aided design and custom patient instrumentation for total knee replacement, fixed versus mobile bearing design for partial knee replacement, and patient selection and optimization for short stay total joint replacement.
In addition to speaking at conferences, Rovinsky also lends his expertise as an instructor. He recently led the first-ever course on the Journey II XR – Bi-cruciate Total Knee Replacement. Wilcox is the first in Hawaii to use this knee resurfacing implant and one of the first in the country.
After the training event, eight surgeons from North America requested to visit Wilcox to learn more about the orthopedic program. Surgeons from Japan also have requested a total knee course to be held on Kauai to teach them these best practices for use in their home country.
Wilcox is privileged to have surgeons who are performing cutting-edge orthopedic surgery normally only offered in select large, academic medical centers, and to have them share their expertise with other orthopedic surgeons from around the world.
On Saturday, May 20, Hawaii Pacific Health hosted its Sports Medicine Symposium 2017. Nearly 70 athletic trainers, physical therapists, physicians, nurses and other health care professionals attended to learn more about the latest advancements and trends in sports medicine.
“The field of sports medicine is constantly evolving and it’s important not only for physicians and therapists, but also athletic trainers, coaches and others who are directly involved with athletes to stay up-to-date on the latest advances,” said Dr. Nick Crawford, orthopedic surgeon at Straub Medical Center and symposium co-chair. “This symposium provides a great opportunity to hear from some of Hawaii’s leading experts in the field and meet others active in the local athletic community.”
Specific topics included management of high ankle sprains, vestibular rehabilitation and back to play evaluation protocols, sports nutrition, how to improve communication on and off the field, and adolescent back injury.
“Participating in sports is a popular activity for children of all ages here in Hawaii,” said Dr. Jennifer King, pediatric sports medicine physician at Kapiolani Medical Center for Women & Children and symposium co-chair. “Because they are still growing and developing, children are at high risk for certain types of injuries only seen in their age group.”
On April 5, 2017 Hawaii Pacific Health hosted the annual “Common Musculoskeletal Issues in the Aging Population” lecture for invited physicians, advanced practice nurses, occupational therapists, and physical therapists. The meeting took place at the Hawaii Prince hotel and included three informative presentations as well as a panel discussion. Speakers and topics included:
Dr. Sian Yik Lim, “Updates in Osteoporosis”
Dr. Kiran Vadada, “Evaluation and Management of Low Back Pain”
Dr. Joseph Varcadipane, “Current Trends & New Technologies in the Surgical Treatment of Hip & Knee Arthritis”
The lecture was offered as part of Hawaii Pacific Health’s ongoing commitment to sharing its expertise with other medical professionals for the benefit of their patients. Hawaii Pacific Health offered 2.0 hours of continuing medical education credits for this lecture, which was attended by 117 medical professionals.
In January 2016, big-wave surfer Garrett McNamara lost his footing on a massive 70-footer, plummeting several stories into the surf below. The wall of water broke into him, leaving McNamara with a four-part fracture of the humerus bone in his left arm.
Emergency surgery stabilized his shoulder, but a week later it blew apart again.
Straub Medical Center Orthopedic Surgeon Dr. Ed Weldon performed a second operation on McNamara. Weldon, who specializes in shoulder and elbow surgery, also monitored McNamara throughout his recovery, which required months of rehabilitation to break through scar tissue and to loosen the whole skeletal system.
Among the go-to surgeons for action-sports injuries, Weldon recommends a regular stretching routine to relieve pain, increase flexibility and regain motion.
"Getting people (into a) stretching routine is hard, but we have a great group of therapists at the Straub Bone & Joint Center who understand this cycle and understand how to get people to stretch," Weldon says.
Though not back to surfing giants, McNamara is back on his board.
Dr. Robert Durkin, pediatric orthopedic surgeon at Kapiolani Medical Center for Women & Children, spends much of his spare time giving back to the community.
He is a director of Ballet Hawaii and Ronald McDonald House Charities Hawaii as well as the team physician and consultant to the athletic training room at St Francis School, in Manoa.
Durkin's connection with academics extends to his work as clinical associate professor at the John A Burns School of Medicine at the University of Hawaii. There, Durkin teaches medical students and residents and is a research mentor to PhD students in the Department of Kinesiology.
Pictured here with his son Kai, Durkin has also lectured at Punahou School, teaching high school students who are interested in medicine about clinical decision making and other aspects of health care.
Dr. Cass Nakasone, orthopedic surgeon at Straub Medical Center, was invited to be a guest surgeon at Hamamatsu University Hospital in Japan in October 2016. During his visit, he taught the staff about his technique regarding direct anterior approach total hip replacement utilizing the HANA table. In addition, Nakasone guided the surgeons on the use of the Tribute hip stem. The Tribute stem, which he co-designed, is a relatively new hip stem designed specifically to fit all femur types and to be easier to implant from an anterior approach.
While at Hamamatsu, Nakasone had the opportunity to take part in a hip replacement surgery with one of the hospital’s top hip and knee replacement surgeons. The trip also afforded Nakasone a chance to learn more about the anterolateral supine approach for total hip replacement, which is more commonly used in Japan.
When asked to describe his biggest takeaway of the tour, Nakasone said “the most rewarding aspect of the trip was the chance to promote collegial fellowship and the exchange of ideas.”