Saxony_2015Annual_V13

“The coordination of care program
allows us to individualize care for
each patient, minimize errors and
provide an exceptional experience
to patients and their families”

– R. MICHAEL MENEGHINI, MD

Joint Replacement Program

Restoring active lifestyles through expertise and innovation

2015-2016 Annual Report

A Letter from Dr. Meneghini

I am honored to introduce the inaugural Indiana University Health Saxony Hospital Joint
Replacement Annual Report. In December 2016, IU Health Saxony Hospital celebrates its fifth
anniversary. We have been privileged to experience unprecedented growth in our hip and knee
replacement program. This annual report will highlight our ongoing commitment toward our
mission of excellence in patient care, research and education.

Our hip and knee joint replacement program has received regional and national acclaim. Our
unique patient care coordination, led by our perioperative medical physician Pete Caccavallo, MD,
was featured in the Indianapolis Business Journal for excellence in patient-centered outcomes
and cost-effective practices. Our team of therapists, nurses, operating room staff, pharmacists,
discharge planners, industry partners and physicians meet weekly to discuss each patient and
their specific medical and surgical needs. This unique coordination of care allows our team to
individualize care, minimize errors and provide a remarkable experience to the patient and their
family. Data shows this exceptional patient care is responsible for our 20 percent annual growth,
which is nearly five times the market growth of hip and knee arthroplasty nationally.

The clinical and biomechanical research program, under the direction of Mary Ziemba-Davis,
provides a unique opportunity to address clinical questions that will help future surgeons and
patients achieve better function and outcomes from their hip and knee replacements. Our basic
science research provides valuable insight into the performance of new implant designs, such
as cementless knee replacement. This research has been recognized as the gold standard of
joint replacement care through multiple presentations at national and international research
conferences, as well as publication in peer-reviewed orthopedic journals. We remain committed
to our vision of helping improve hip and knee replacement patients through innovation and
research excellence.

IU Health Saxony Hospital is home to the state’s only Hip and Knee Replacement Fellowship
program. Our educational priority attracts highly-skilled surgeons to spend a year of specialized
training focused exclusively on hip and knee replacement surgery upon completing their
orthopedic surgery residency. This fellowship has expanded alongside IU Health Saxony’s national
reputation from one position in 2011 to three positions for the 2017-2018 academic year. We
have been fortunate to attract surgeons from across the US interested in spending a year of
specialized training here to learn our advanced, innovative surgical techniques in hip and knee
replacement. We are also pleased to announce our first International Fellow from Switzerland,
who will study here at IU Health Saxony Hospital starting the summer of 2017.

With appreciation to all who are integral to the success of our hip and knee replacement program
here at IU Health Saxony Hospital, I present our annual report. The following pages offer only a
brief snapshot into the hard work, dedication and countless hours this team devoted to creating
a preeminent joint replacement program for our patients and our community. Welcome to the
IU Health Saxony Hospital Hip & Knee Joint Replacement program!

Warm Regards,

Joint Replacement Program R. Michael Meneghini, MD
Director of Orthopedic Surgery & Joint Replacement
Indiana University Health Saxony Hospital
Director, Indiana University Lower Extremity Adult Reconstruction Fellowship
Associate Professor of Orthopedic Surgery – IU School of Medicine

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Indiana University Health
Saxony Hospital

IU Health Saxony Hospital is located in heart of
Fishers, Ind, a northeast suburb of Indianapolis.
Just off of Interstate 69, we offer an ease of
access to expert healthcare in this growing
community. IU Health Saxony Hospital provides
assurance to patients and families by delivering
high-quality, evidence-based healthcare in a
patient-centered environment that preserves
the respect, dignity and empowerment of
our patients.
We leverage the latest advancements in
technology for patient education, information,
and proactive caregiver interactions and
create an environment that is paramount to
the healing process.
At IU Health Saxony Hospital, we value the relationships and sacred trust we build with our
patients and their families, which is a primary focus of each caregiver and staff member.
Partnering with the community we serve, IU Health Saxony Hospital is committed to lead the way
in promoting and preserving total wellness and holistic care−helping area residents to live fuller,
richer, healthier lives.

INDIANA UNIVERSITY HEALTH SAXONY HOSPITAL
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Total joint replacement program

The experts at IU Health Saxony Hospital specialize in primary hip and knee replacements and
revision surgery. Our surgeons have extensive experience – performing a high volume of surgical
joint replacements procedures each year using leading edge therapies and treatment options to
speed patient recovery times and reduce pain. In 2015, over 630 patients came from not just
central Indiana, but across the state and beyond to receive a hip or knee replacement from us.

As a part of the growth of the IU Health Saxony Hospital program, along with the cutting edge
research we have accomplished, we have evolved from doing mostly primary joint replacements
to a program which excels at both primary and revision procedures. This evolution is a result of
our research program, our experience in these complex procedures and how we focus on the
patient’s individual needs and unique circumstances before, during and after the surgery.

Joint Replacement Program

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IU Health Saxony Hospital joint replacement surgeons

KHALID AZZAM, MD R. MICHAEL MENEGHINI, MD

Dr. Azzam earned his medical Dr. R. Michael Meneghini is the
degree from the University Director of Joint Replacement
of Cairo College of Medicine for IU Health Saxony Hospital
in Egypt and went on to and is also an Assistant
complete his residency at Professor of Clinical Orthopedic
the University of Nebraska Surgery at the Indiana University
Medical Center. There, he was School of Medicine. He received
nominated by his mentors his undergraduate degree in
for the American Orthopedic Civil Engineering from Rose-
Association Orthopedic Hulman Institute and then
Leaders Program and in 2012, he became Chief Resident attended IU School of Medicine. He received his residency
of Orthopedics, overseeing all educational activities in training from Rush University Medical Center in Chicago and
his department. Dr. Azzam is fellowship-trained in hip completed a fellowship in Adult Hip and Knee Reconstruction
and knee arthroplasty from the Rush University Medical at the Mayo Clinic in Rochester, MN. Dr. Meneghini is
Center in Chicago. certified by the American Board of Orthopedics and is a
recipient of numerous awards, including the IU School of
Medicine’s Early Career Achievement Award.

PHILIP IRELAND, MD LUCIAN WARTH, MD

Dr. Ireland graduated from Dr. Warth earned his
the Indiana University School medical degree from the
of Medicine and is board Northwestern University
certified in Orthopedic Feinberg School of Medicine.
Surgery by the American He went on to complete an
Board of Orthopedics. internship and residency in
He brings over 35 years of the Dept. of Orthopedics
orthopedic experience to and Rehabilitation at the
Saxony and is a participating University of Iowa and
faculty member for IU Adult then further specialized
Reconstruction Fellowship. Dr. Ireland’s clinical areas by completing The Adult Reconstruction and Joint
of specialty include primary hip and knee replacements Replacement Fellowship at the Hospital for Special
and revisions, minimally invasive surgical techniques and Surgery in New York City. He has published several
blood replacement strategies. articles and book chapters and has presented and
exhibited at multiple national meetings.

NATIONAL REPUTATION #2 in the US by UHC database for length of stay
Indianapolis Monthly Top Doctors 2012, 2013, 2014 and 2015
Castle Connelly Indianapolis “Top Doctor”
Orthopedics This Week, Top 22 Knee Surgeons in North America
Member, The Hip Society and The Knee Society

INDIANA UNIVERSITY HEALTH SAXONY HOSPITAL
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Patient care

With a patient-centered model of care, the surgeons at IU Health Saxony
Hospital provide high-quality, individualized care to every person who walks
through the doors. Internists, nurses, surgeons, the operating room team,
therapists and our anesthesiologists gather together weekly to discuss
and coordinate the care of each patient. Getting healthcare providers to
work closely pays off for joint replacement patients. “There are less errors,
there’s less confusion. So the patients are ready to go home faster,” says
R. Michael Meneghini, MD.

This healthcare model has set the hospital apart nationally and has
been featured in the Indianapolis Business Journal*, describing the
program’s efficiency and patient outcomes.

From the first appointment through surgery, rehabilitation and follow-up,
IU Health Saxony Hospital provides support every step of the way to help
patients return to their previous level of activity quickly and safely. This
unique, collective approach gets patients back to living the life they want.

*Indianapolis Business Journal, Vol. 35 No. 14, June 2-8, 2014

Innovative research

Under the leadership of Mary Ziemba-Davis (Director) and Evan Deckard (Engineering), the
surgeons at the Indiana University Health Saxony Joint Replacement Program are leading the way
with cutting-edge research leading to innovative hip and knee replacement development.

Research study topics include:
■ Direct anterior approach hip replacement outcomes
■ Cementless fixation in knee replacements for younger, more active patients
■ Knee replacement motion (kinematics) that replicate normal knees
■ Outpatient and enhanced recovery for hip and knee replacement
■ Primary and revision hip and knee replacement patient functions and outcomes

More than 10 peer-reviewed research publications
in international orthopaedic journals this past year:
■ Journal of Bone and Joint Surgery
■ Journal of Arthroplasty
■ Journal of Knee Surgery
■ Surgical Technology International

More than 20 research podium and poster
presentations at national and international meetings:
■ American Association of Hip and Knee Surgeons (AAHKS)

Annual Meeting
■ American Academy of Orthopedic Surgeons (AAOS)
■ International Congress for Joint Reconstruction
■ The Hip Society
■ The Knee Society
■ Mid-America Orthopaedic Association Annual Meeting

Joint Replacement Program

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Education

The Indiana University Saxony Hospital Joint Replacement Program is a leader in teaching the
next generation of joint replacement specialists. Patients throughout the country come to
IU Health Saxony Hospital for routine first time replacements, as well as corrective surgeries for
procedures that were previously done and the device is not working as it should be. With the
high level of specialty in primary and revision hip and knee replacements, Dr. Meneghini states
that “if we are not performing those surgeries, we are doing research and leading the state’s only
joint replacement fellowship program. The program is growing with 80 applicants in 2015, from
all over the United States, vying for only two spots. The class of 2016-2017 will feature a fellow
from Switzerland who has chosen IU Health Saxony Hospital over Mayo Clinic, New York’s Hospital
for Special Surgery and Johns Hopkins—solidifying the growing national reputation of the joint
replacement program. Past fellows include:

Past Fellows at IU Health Saxony Hospital

RAHUL BIYANI, MD DANIEL SAGE, MD
Orthopedic ONE in Ohio Hampshire Orthopedics and Sports Medicine
Massachusetts
ADAM MADSEN, MD
Orthopedic Clinic, Vernal, Utah DAVID LICINI, MD
Indiana University Health Bloomington Hospital
MICHAEL FLEISCHMAN, DO
The Vancouver Clinic, Washington BRIAN KEYES, DO
Indiana University Health West Hospital
CHRISTOPHER GRAYSON, MD
Florida Orthopedic Institute

INDIANA UNIVERSITY HEALTH SAXONY HOSPITAL
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Rocky Schuh

Rocky battled knee pain for
years. When she couldn’t do
simple activities such as walk
up and down stairs or garden
without severe pain, she went to
see R. Michael Meneghini, MD,
the Director of Joint Replacement
at IU Health Saxony Hospital.

Not long ago, 68-year-old Rocky (Rosslyn) Schuh had a moment of shock after she found
herself running to hit a badminton birdie in a fitness class. “Wait a minute,” she said to herself.
“I don’t run.”
It’s true that running hadn’t been on her list of activities for decades, due to chronic knee pain
and stiffness. Her first symptoms began in her late 20s when she was in an exercise class doing
deep knee bends. From then on, Schuh’s knees steadily declined, and she grew more sedentary.
All of that changed last summer when she had her right knee replaced by R. Michael Meneghini,
MD, an orthopedic surgeon at Indiana University Health Saxony Hospital. Six months later, she
repeated the procedure on the left side.
After years of doing not much of anything, Schuh only wishes her knee replacements had come
sooner. “I find myself doing things I haven’t done for years because my body seems to remember,”
she says. She attributes much of her recovery to the re-education of her body by Jan George, PT,
DPT, OCS, a physical therapist at IU Health Saxony Hospital. George says Schuh’s motivation and
work ethic made the difference. “She works harder than a lot of patients who go home after
surgery and sit on the couch,” George says.
Having been through recovery twice, Schuh is eager to share what she learned with other people
who are considering knee replacement. If you’re curious about what joint replacement can do for
your lifestyle, visit iuhealth.org/joints.

13000 E. 136th St., Fishers, IN 46037
317.678.3627 | iuhealth.org/saxony/ortho