Recent reporting on our limb lengthening and reconstruction service.
NEW! Downey, E.-A., Jaime, K. M., Reif, T. J., Makhdom, A. M., Rozbruch, S. R., and Fragomen, A. T. :Prophylaxis and treatment of infection in long bones using an antibiotic-loaded ceramic coating with interlocking intramedullary nails, J. Bone Joint Infect., 7, 101–107, https://doi.org/10.5194/jbji-7-101-2022, 2022.
NEW! Osseointegration Amputation Reconstruction. Curr Phys Med Rehabil Rep (2022). https://doi.org/10.1007/s40141-022-00344-9. Reif, T.J., Jacobs, D., Fragomen, A.T. et al.
NEW! Osseointegration Improves Outcomes for Amputees – From Hospital for Special Surgery, this 2021 report shows how our doctors and experts are advancing the fields of orthopaedics and rheumatology. HSS is leading the way in a new era of care for amputees, with fewer complications and more satisfied patients.
NEW! Attachment of a Myoelectric Prosthesis After Transulnar Osseointegration Implantation. THE JOURNAL OF BONE AND JOINT SURGERY. October-December 2021 – Volume 11 – Issue 4 – e21.00381. Kayla M. Jaime, MS, Taylor J. Reif, MD, Haris Kafedzic, MPO, CPO, Glenn Garrison, LPO, CPO, Jennifer Dhawan, MSOP, MScRS, and S. Robert Rozbruch, MD.
NEW! Osseointegration for Amputees, Current Implants, Techniques and Future Directions. THE JOURNAL OF BONE AND JOINT SURGERY. March 2020 – Volume 8 – Issue 3 – e.0043. Jason Shih Hoellwarth, MD, Kevin Tetsworth, MD, FRACS, S. Robert Rozbruch, MD, M. Brianne Handal, MS, Adam Coughlan, MBBS, Munjed Al Muderis, MBChB.
Soft Tissue Contouring at the Time of Osseointegrated Implant Reconstruction for Lower Extremity Amputation. Annals of Plastic Surgery. Volume 85, Supplement 1, July 2020. Andrew A. Marano, MD, Omeed Modiri, BS, S Robert Rozbruch, MD, and David M. Otterburn, MD.
Early Experience with Femoral and Tibia Bone-Anchored Osseointegration Prostheses. THE JOURNAL OF BONE AND JOINT SURGERY. Open Access – e21.00072. Taylor J. Reif, MD, Nathan Khabyeh-Hasbani, BS, Kayla M. Jaime, MS, Gerard A. Sheridan, MCh, FRCS, David M. Otterburn, MD, FACS, and S. Robert Rozbruch, MD, FAAOS.
Attachment of a Myoelectric Prosthesis After Transulnar Osseointegration Implantation – A 2-Patient Case Study. THE JOURNAL OF BONE AND JOINT SURGERY Case Connector – Volume 11 – Issue 4 – 2021;11:e21.00381. Kayla M. Jaime, MS, Taylor J. Reif, MD, Haris Kafedzic, MPO, CPO, Glenn Garrison, LPO, CPO, Jennifer Dhawan, MSOP, MScRS, and S. Robert Rozbruch, MD.
Percutaneous Osseointegration Prosthesis. Springer Nature Switzerland AG 2022 265. H. Özger et al. (eds.), Orthopedic Surgical Oncology For Bone Tumors, https://doi.org/10.1007/978-3-030-73327-8_26. Taylor J. Reif, Austin T. Fragomen, and S. Robert Rozbruch.
Attachment of a Myoelectric Prosthesis After Transulnar Osseointegration Implantation. THE JOURNAL OF BONE AND JOINT SURGERY. October-December 2021 – Volume 11 – Issue 4 – e21.00381. Kayla M. Jaime, MS, Taylor J. Reif, MD, Haris Kafedzic, MPO, CPO, Glenn Garrison, LPO, CPO, Jennifer Dhawan, MSOP, MScRS, and S. Robert Rozbruch, MD.
Dr. Robert Rozbruch, MD of Hospital for Special Surgery was recently a guest on the I’m Not Done Yet Foundation Podcast. Host Gabe Mollica speaks with Dr. Rozbruch about how new technological options for patients with deformities and trauma injuries can transform their lives.
Orthopedics This Week covers osseointegration, interviewing Dr. Reif. Read the article by clicking here.
Internal nail with resorbable calcium sulfate may address limb reconstruction pathologies – Austin T. Fragomen, MD and colleagues share their findings with OrthopedicsToday.
Bionic breakthrough: Kansas amputee to be among nation’s first to receive a mind-controlled bionic arm. Sondra Stieber shares her story of osseointegration.
Taylor J. Reif, MD, Julia Matthias, Austin T. Fragomen, MD, and S. Robert Rozbruch, MD. Limb Length Discrepancy and Angular Deformity due to Benign Bone Tumors and Tumor-like Lesions. J Am Acad Orthop Surg Glob Res Rev. 2021 Mar; 5(3): e00214.
Beth E. Shubin Stein, MD, and Austin T. Fragomen, MD contributed their perspective to Orthopedics Today. “Derotational distal femoral osteotomy for patellar dislocation yielded favorable outcomes” – OrthopedicsToday
“I Got Blown Up in Iraq. Years Later, Amputating My Leg Set Me Free.” Elana Duffy, The New York Times; September 10, 2020
A collection of articles edited by Dr. Rozbruch and Dr. Fragomen for the journal “Techniques in Orthopaedics” is now available online. You can read them here.
Comparison and Validation of Preoperative Planning Techniques for Distal Femoral Osteotomies and Proximal Tibial Osteotomies.” David T. Zhang, MD, Peter S. Principe, BS, Austin T. Fragomen, MD, S. Robert Rozbruch, MD.
Dr. Rozbruch quoted in article on upper extremity osseointegration and neuromuscular prosthetics from U.S.News & World Report.
Dabash S, Buksbaum JR, Fragomen A, Rozbruch SR. Distraction arthroplasty in osteoarthritis of the foot and ankle. World J Orthop 2020; 11(3): 145-157
Osseointegration for Amputees: Current Implants, Techniques, and Future Directions. Hoellwarth, Jason Shih MD; Tetsworth, Kevin MD, FRACS; Rozbruch, S. Robert MD; Handal, M. Brianne MS; Coughlan, Adam MBBS; Al Muderis, Munjed MBChB. JB & JS. March 2020, Volume 8, Issue 3.
A new publication by Dr. S. Robert Rozbruch and Dr. Austin T. Fragomen has been published in Essential Biomechanics for Orthopedic Trauma. The article covers Intramedullary Lengthening and Compression Nails.
“Why one precocious patient has followed the same path as her orthopedic surgeon” – The Pennsylvania Gazette
Our doctors, Dr. Robert Rozbruch and Dr. Austin Fragomen, have published an article about new techniques involving foot and ankle surgery: Subtalar distraction arthroplasty, the preliminary result of a new joint preservation technique combined with Bone marrow aspiration concentration (BMAC)
A former patient of Dr. Rozbruch’s was diagnosed at an early age with a rare bone disorder. After Amber Hamilton’s experience with orthopedic surgery and surgery to correct bowlegs, she is working to become an orthopedic surgeon. Read more: “Dr. S. Robert Rozbruch Inspires Patient Amber Hamilton to Seek a Medical Career” – Article from Weill Cornell Medicine
An article by Austin Fragomen, MD, Jason Teplensky, BS, and S. Robert Rozbruch, MD has been published in the HSS Journal, Carbon-Fiber-Reinforced Polymer Intramedullary Nails Perform Poorly in Long-Bone Surgery. HSS Journal, The Musculoskeletal Journal of Hospital for Special Surgery. Vol 15. No 2.
“The PRECICE Magnetic IM Compression Nail for Long Bone Nonunions: A Preliminary Report.” Austin Fragomen, MD, David Wellman, MD, and S. Robert Rozbruch, MD. Published in the Archives of Orthopaedic and Trauma Surgery. Arch Orthop Trauma Surg DOI 10.1007/s00402-019-03225-4.
Cost Comparison of Femoral Distraction Osteogenesis With External Lengthening Over a Nail Versus Internal Magnetic Lengthening Nail. Richardson, Shawn S. MD; Schairer, William W. MD; Fragomen, Austin T. MD; Rozbruch, S. Robert MD. Journal of the American Academy of Orthopaedic Surgeons: May 1, 2019 – Volume 27 – Issue 9.
“Knee Arthrodesis After Failed Total Knee Arthroplasty” Asim M. Makhdom, MD, MSc, FRCSC, Austin Fragomen, MD, and S. Robert Rozbruch, MD. Published in The Journal of Bone & Joint Surgery, Volume 101-A. 3 April 2019.
Our doctors have published a study in the Journal of Limb Lengthening and Reconstruction: A Magnetically Controlled Lengthening Nail: A Prospective Study of 31 Individuals (The PRECICE™ Intramedullary Nail Study)
An article, “Anesthesia for Removal of External Fixation with Hydroxyapatite-Coated Half Pins,” has been published in the Journal of Limb Lengthening and Reconstruction.
New article by our doctors on correction of genu varum published in HSS Journal: “Biomechanical and Functional Improvements Gained by Proximal Tibia Osteotomy Correction of Genu Varum in Patients with Knee Pain” Read or download the PDF here.
An article, written by Michael E. Steinhaus, MD, Joshua Buksbaum, BS, Avraham Eisenman, BA, Monal Kohli, MS, Austin T. Fragomen, MD, and S. Robert Rozbruch, MD has been published in The Journal of Knee Surgery. “New Agent Decreases Blood Loss in Osteotomy Surgery”
“A Preliminary Comparison Suggests Poor Performance of Carbon Fiber Reinforced Versus Titanium Plates in Distal Femur Osteotomy” Fragomen, MD., Austin T., McCoy, Jr., MD., Thomas H., Fragomen, MD, Fiona R. The Musculoskeletal Journal of Hospital for Special Surgery. Volume 14. Number 3. Pages 258-265.
“Assessment of Bone Healing during Antegrade Intermedullary Rod Femur Lengthening Using Radiographic Pixel Density” Vulcano E, Markowitz JM, Ali S, Nguyen J, Fragomen AT, Rozbruch SR. JAAOS: Journal of the American Academy of Orthopaedic Surgeons Volume 26 – Issue 18 – p e388–e394.
An article, written by Mitchell Bernstein, MD, FRCS(C), Austin Fragomen, MD, and S. Robert Rozbruch, MD, has been published in JBJS Essential Surgical Techniques: Tibial Bone Transport Over an Intramedullary Nail Using Cable and Pulleys
What’s New in Limb Lengthening and Deformity Correction 2018 Reggie C. Hamdy, MD, MSc, FRCS(C), Mitchell Bernstein, MD, FRCS(C), Austin T. Fragomen, MD, and S. Robert Rozbruch, MD. The Journal of Bone and Joint Surgery. J Bone Joint Surg Am. 2018; 100:1436-42
An article, written by Dr. Robert Rozbruch and others, has been published in the Journal of the American Academy of Orthopaedic Surgeons: Femoral Derotation Osteotomy in Adults for Version Abnormalities
Dr. Robert Rozbruch and Dr. Austin Fragomen named in the list of Castle Connolly Top Doctors 2018.
Reach Your Height Podcast by NuVasive, Inc. shares information for both patients and physicians about limb lengthening, reconstruction and treatment. Hosted by Dr. Mitchell Bernstein, head of Pediatric Orthopedic Trauma at Montreal Children’s Hospital and co-director of the limb deformity unit at Shriner’s Hospital for Children in Montreal. Available on SoundCloud and also on iTunes. Or, search for it in your podcast app!
Simultaneous Acute Femoral Deformity Correction and Gradual Limb Lengthening Using a Retrograde Femoral Nail: Technique and Clinical Results. Christopher A. Iobst, MD, S. Robert Rozbruch, MD, Scott Nelson, MD, Austin Fragomen, MD. J Am Acad Orthop Surg 2018;26: 241-250.
Dr. Rozbruch performs new osteointegration Amputation Reconstruction procedure. NY1 Spectrum News. FEB. 07, 2018.
“Predicting the Feasibility of Correcting Mechanical Axis in Large Varus Deformities with Unicompartmental Knee Arthroplasty.” Laura J Kleebad, MD, Jelle P. van der List, MD, Andrew D. Pearle, MD, Austin T. Fragomen, MD, S. Robert Rozbruch, MD. The Journal of Arthroplasty 33 (2018) 372-378.
An article, “The Long and Short of Limb Lengthening Surgery,” has been published featuring Dr. Robert Rozbruch and Dr. Austin Fragomen.
Metacarpal Lengthening in Adults With Brachymetacarpia Aaron Lam, Austin T. Fragomen, and S. Robert Rozbruch. American Association for Hand Surgery HAND 2017 1-7.
Retrograde Magnetic Internal Lengthening Nail for Acute Femoral Deformity Correcion and Limb Lengthening Austin T. Fragomen, MD, and S. Robert Rozbruch, MD. Expert Review of Medical Devices, 14:10, 811-820.
Lengthening and Deformity Correction About the Knee Using a Magnetic Internal Lengthening Nail Austin T. Fragomen, MD and S. Robert Rozbruch, MD. SICOT J 2017, 3, 25.
Distal Femoral Flexion Deformity from Growth Disturbance Treated with a Two-Level Osteotomy and Internal Lengthening Nail Austin T. Fragomen & Fiona R. Fragomen. Strat Traum Limb Recon, 2017.
“Humeral Lengthening with the PRECICE Magnetic Lengthening Nail” Ahmed I. Hammouda, MD & Shawn C. Standard, MD & S. Robert Rozbruch, MD & John E. Herzenberg, MD. The HSS Journal 2017 13:217-223.
“Total Hip Arthroplasty in Patients With Multifactorial Perceived Limb Length Discrepancy” Amgad M. Haleem, MD, Kevin F. Wiley, MD, Raul Kuchinad, MD, FRCS, S. Robert Rozbruch, MD. The Journal of Arthroplasty 32 2017; 3044-3051.
“What’s New in Limb Lengthening and Deformity Correction” Reggie C. Hamdy, MD, MSc, FRCS(C), Mitchell Bernstein, MD, FRCSC, Austin T. Fragomen, MD, and S. Robert Rozbruch, MD. The Journal of Bone and Joint Surgery. J Bone Joint Surg Am. 2017;99:1408-14
Dr. S. Robert Rozbruch and others presented at a PRECICE Symposium on August 31, 2017.
Dr. S. Robert Rozbruch gave a webinar about treating post-traumatic limb length discrepancies.
Does the Surgical Correction of Tibial Torsion with Genu Varum Produce Outcomes Similar to Those in Varus Correction Alone? Austin T. Fragomen, MD, Matthew Meade, OMS, Eugene Borst, BS, Joseph Nguyen, MPH, & S. Robert Rozbruch, MD, J Knee Surg 2017
Dr. Austin Fragomen gave a webinar about treating challenging fractures and nonunions.
“Adult Posttraumatic Reconstruction Using a Magnetic Internal Lengthening Nail,” S. Robert Rozbruch, MD, J Orthop Trauma, 2017;31:S14-S19
“Humerus Lengthening With the PRECICE Internal Lengthening Nail,” Anton M. Kurtz, MD, S. Robert Rozbruch, MD, J Pediatr Orthop, 2017;37:e296-e300
“Patellar Instability Treated with Distal Femoral Osteotomy,” Ishaan Swarup, Osama Elattar, S. Robert Rozbruch, The Knee, 2017; 608-614
“Opening Wedge High Tibial Osteotomy, Microfracture, and Bone Marrow Aspirate Concentrate for Treatment of Varus Deformity and Osteoarthritis of the Knee,” James EW, Corpus KT, Fragomen AT, Rozbruch SR, Ann Sports Med Res 4(2):1106
“Why Are We Special? Limb Deformity is More Than an Overlapping Subspecialty,” Rozbruch SR, J Limb Lengthen Reconstr, 2017; 3: 1-3
“Lengthening of the Femur with a Remote-Controlled Magnetic Intramedullary Nail: Retrograde Technique,” Fragomen AT, Rozbruch SR, JBJS Essent Surg Tech, 2016 May 11; 6 (2): e20
“Lengthening of the Femur with a Remote-Controlled Magnetic Intramedullary Nail- Antegrade Technique,” Rozbruch SR, Fragomen AT, JBJS Essent Surg Tech, 2016 Jan 13; 6 (1): e2
“Tibial/Femoral Osteotomy in Orthopaedic Postoperative Rehabilitation,” Rozbruch SR, Fragomen AT: Andrew Green, MD, and Roman Hayda, MD, American Academy of Orthopedic Surgeons, 2017
“Prophylactic Postoperative Antibiotics May Not Reduce Pin Site Infections After External Fixation,” Austin T. Fragomen, Andy O. Miller, Barry D. Brause, Vladimir Goldman & S. Robert Rozbruch, SS Journal ®, The Musculoskeletal Journal of Hospital for Special Surgery, 2016
“Ankle Distraction Arthroplasty: Indications, Technique, and Outcomes,” Mitchell Bernstein, MD, FRCSC Jay Reidler, MD, MPH, Austin Fragomen, MD and S. Robert Rozbruch, MD, Journal of the American Academy of Orthopaedic Surgeons, 2016
Dr. Rozbruch featured in Hospital for Special Surgery 2016 Annual Report.
“Neglected Patellar Tendon Rupture with Massive Proximal Patellar Migration Treated with Patellar Transport and Staged Allograft Reconstruction,” Osama Elattar, MD, Struan H. Coleman, MD, Russell F. Warren, MD, and S. Robert Rozbruch, MD, The Orthopaedic Journal of Sports Medicine, November 23, 2016
Dr. Rozbruch and Fragomen open the Limb Salvage and Amputation Reconstruction Center at Hospital for Special Surgery:
“Open Wedge Distal Femoral Osteotomy: Accuracy of Correction and Patient Outcomes,” Elattar O, Swarup I, Lam A, Nguyen J, Fragomen AT, Rozbruch SR, HSS Journal, 25 July 2016
“Oxygen consumption testing and self-reported outcomes following limb salvage with tibiocalcaneal or tibio-talo-calcaneal fusion,” Rozbruch SR, Buksbaum JR, Fragomen AT, Borst EW, DeMille P, J Limb Lengthening Reconstruction, 2016
“Gradual correction of knee flexion contracture using external fixation,” Vulcano E, Markowitz JS, Fragomen AT, Rozbruch SR, J Limb Lengthening Reconstruction, 2016
“Validation of a Modified Scoliosis Research Society Instrument for Patients with Limb Deformity: The Limb Deformity-Scoliosis Research Society (LD-SRS) Score,” Fabricant PD, Borst EW, Green SA, Marx RG, Fragomen AT, Rozbruch SR, J Limb Lengthening Reconstruction, Jul-Dec 2016
“The use of blocking screws with internal lengthening nail and reverse rule of thumb for blocking screws in limb lengthening and deformity correction surgery,” by Saravanaraja Muthusamy, S. Robert Rozbruch and Austin T. Fragomen, September 11, 2016, Springer Publishing’s Strategies in Trauma and Limb Reconstruction
Hospital for Special Surgery added a photo of Dr. Rozbruch and his patient, Gabrielle, to the hospital’s Instagram account: HSS on Instagram
LLCRS hosts first group of international traveling fellows at a dinner honoring our graduating fellows and visitors.
“Prevention of pin site infection in external fixation: a review of the literature,” by Nikolas H. Kazmers, Austin T. Fragomen and S. Robert Rozbruch, May 3, 2016, Springer Publishing’s Strategies in Trauma and Limb Reconstruction
Gabrielle, a patient of Dr. Rozbruch, is authoring a blog for the HSS Playbook. Gabrielle’s blog offers an intimate look at life before, druing and post limb lengthening surgery. A must read for anyone considering surgery! Gabrielle’s Story
Dr. Rozbruch collaborates with international group to publish article on limb reconstruction for bone tumor treatment: “External Fixation Reconstruction of the Residual Problems of Benign Bone Tumours”
“Lengthening of Tibia after Trans-Tibial Amputation: Use of a Weight Bearing External Fixator-Prosthesis Composite,” by Aaron Lam, BA, Glenn Garrison, CPO and S. Robert Rozbruch, MD, February 2016, HSS Journal® The Musculoskeletal Journal of Hospital for Special Surgery, Volume 12, Number 1
Ellipse publishes Dr. Rozbruch’s Precice surgical cases:
JB & JS Essential Surgical Techniques, Volume 6, Issue 1, “Lengthening of the Femur with a Remote-Controlled Magnetic Intramedullary Nail: Antegrade Technique,” by S. Robert Rozbruch, MD and Austin T. Fragomen, MD, January 13, 2016
LLCRS Holiday Card
Drs. Rozbruch and Fragomen publish a major reference work with Springer Science+Business Media:
Limb Lengthening and Reconstruction Surgery Case Atlas, S.R. Rozbruch, R.C. Hamdy (Eds.), Springer Publishing, 2015
▶ Collates instructional cases from master surgeons in limb lengthening and reconstruction
▶ Covers pediatrics, upper & lower extremities, trauma & post-trauma, deformity correction and tumors
▶ Supports readers with a case-based approach, color figures and a consistent chapter structure
Consisting of case studies contributed by both domestic and international leaders in the field, this atlas is an invaluable resource for all orthopedic surgeons and researchers and practitioners of limb lengthening, deformity correction and the Ilizarov method. Comprehensive yet accessible, it covers pediatrics, foot and ankle, trauma and posttraumatic reconstruction, adult deformity, tumor and upper extremity interventions in dedicated sections. Each of the unique cases includes color photographs and radiographs from before, during and after surgery and follows a consistent chapter structure which outlines a brief clinical history of the case, preoperative problem list, treatment strategy, basic principles, technical pearls, and how to avoid and manage complications and subsequent problems. Suggested readings round out each case. A comprehensive presentation of techniques is featured, including external fixation, internal fixation, combination approaches and fully implantable limb lengthening nails. This case-based approach is an efficient and thorough way to learn this exciting new frontier in orthopedic surgery.
Drs. Rozbruch and Fragomen publish article on the science and enhancements of bone lengthening in the esteemed orthopedic journal, JBJS
Ankle Distraction Arthroplasty, Stryker Corporate Meeting, August 31, 2015
Heydenreich Still on the Mend – NC Motorsports Association Industry News Email
Silver Crown Sprints – Heydenreich is Anxious to Get Back to Racing – autochannel.com
Henry Louis Gates discusses his recent limb lengthening procedure on National Public Radio Talk of the Nation
Dr. Rozbruch quoted in the New York Post about bone growth stimulation
Dr. Rozbruch interviewed on 20/20, March 24, 2006 about his limb-saving treatment of a young boy from Africa after his leg was threatened by a snake bite.
“Operation’s Somewhat of a Stretch”
Dr. Rozbruch quoted in news article about limb lengthening in the Ottawa Sun Online
Dr. Rozbruch quoted as expert in “All To Be Tall” by Joe Kita
published in Men’s Health, January/February 2004
Knee Treatment Steps for Younger Patients
by Dr. Rock Positano
Russians Devise Technique for Lengthening Limbs
by Dr. Rock Positano