ORTHOPEDIC SURGERY

STAFF

Professors Emeritus

Finsterbush, A., M.D.

Pogrund, H., M.C.Ch.B FRCS

Segal, D., M.D.

Professors

Liebergall, M., M.D.(Head of Orthopedic Department)

Milgrom, C., M.D.

Associate Professor

Mosheiff, R., M.D. (Head of Orthopedic Trauma Center)

Clinical Associate Professor

Porat, S., M.D., MchOrth. (Head of Pediatric Orthopedic Unit)

Clinical SeniorLecturer

Peyser, A., M.D. (Head of Orthopedic Hospitalization)

Lecturers

Safran, O., M.D.

Hasharoni, A., M.D.

Instructors

Barzilay, Y., M.D.

Beyth, S., M.D., Ph.D.

Eylon, S., M.D.

Friedman, A., M.D.

Kandel, L., M.D.

Khoury, A., M.D.

Leibner, E., M.D., Ph.D.

Lubovsky, O., M.D.

Weil, Y., M.D.

Physicians Participating in Teaching

Almog, G., M.D.                      Lamdan, R., M.D.

Amir, D., M.D.                         Lilling, M., M.D.

Ben-David, D., M.D.                London, E., M.D.

Bronstein, Y., M.D.                  Lowe, J., M.D.

Chaimsky, G., M.D.                 (Head of Arthroscopy and Sport

Constantini, N., M.D.               Injury Unit)

Danziger, A., M.D.                   Mattan, Y., M.D.

Eisenberg, O., M.D.                (Head of Reconstructive Joint

Elishoov, O., M.D.                   Arthroplasty Unit)

Goldman, V., M.D.                   Rivkin, G., M.D.

Husseini, N., M.D.                   Simanovsky, N., M.D.

Ilsar, Y., M.D.                           Sucher, E., M.D.

Jaber, S., M.D.                        Toybenshlak, M., M.D.

Kaplan, L., M.D. Head of Spine Unit)              

Clinical Research Coordinator

Anat Daskal, M.Sc.

INTRODUCTION

The combined orthopedic services at the Hadassah University Hospitals at Mount Scopus and Ein Karem have developed a multitude of sub-specialized teams with high expertise in several orthopedic fields such as orthopedic trauma, spine, pediatric and growth problems, total joint replacement and revision surgery, arthroscopy and sport-related injuries.

Despite a very high clinical work-load, many studies are conducted simultaneously in the department, both in clinical and basic research, aiming at integrating innovative technologies of tissue-engineering and Computer Assisted Surgery (CAS) in the clinical activity.

In the field of Trauma - we lead a multi-center study to investigate the performance of the different levels of trauma centers in Israel. The comparison is done prospectively evaluating the outcome of the treatment of high energy femoral fractures in young adults. Among other clinical studies in orthopedic trauma, we have recently begun a Phase I clinical trial  assessing the safety of a collar that simultaneously maintains cervical spine control and keeps an open airway in a non-invasive manner. The clinical studies focus on blast injuries and penetrating injuries in terror casualties.

Computer Assisted Surgery has become a routinely used technique and it has been integrated into the various surgical techniques we use, aiming at achieving minimal invasive surgery (MIS) and maximal accuracy. This field includes using Navigation Systems, already applied at Hadassah for several years, combining basic science and clinical research for the use of navigation and robotics in orthopedic surgery. The new generation of these systems which allows computer assisted fracture reduction is under investigation and evaluation in our department. The different aspects of combinations between these systems and other sophisticated systems such as the 3D image intensifier or the mini-robot are being tested.

The Arthroscopy and Sports Injury Unit is carrying out basic science research in tissue engineered ligaments for the replacement of injured ligaments in athletes, as well as methods for monitoring cartilage healing by synovial fluid assays. 

In the field of Tissue Engineering – the bone is a tissue that undergoes constant remodelling with stem cell differentiation into the formation of skeletal tissues. Nowadays, the ability to bring mesenchymal stem cells to areas of bone loss and achieve the repair of significant skeletal defects already exists. Recently, we have started a preclinical trial in collaboration with the  Institute of Gene Therapy and the Skeletal Biotech Laboratory. In this trial, we have found the most efficient  way of isolating mesenchymal cells from bone marrow samples. The next stage will be a prospective, controlled study to assess the safety and efficacy of implanted human mesenchymal stem cells (MSCs) for the repair of distal tibial fractures. Another trial is conducted to evaluate the different solutions for severe bone loss using a critical size defect model in rabbits.

A longitudinal research is devoted to the study of the biomechanics of bone and the effect of stress and strain on bone structure. Finite element analysis is employed to evaluate various fixation methods of fractures. 

RESEARCH AREAS

§         Bone repair (Liebergall, Mosheiff, Beyth, Safran)

§         Cartilage repair (Lowe, Friedman, Mattan, Kandel)

§         Ligaments (Milgrom, Safran, Lowe, Friedman)

§         Bone substitutes and tissue engineering (Liebergall, Mosheiff, Hasharoni, Beyth)

§         Biomechanics (Milgrom)

§         Bone tumors (Peyser)

§         Bone Growth (Porat, Simanovsky, Lamdan)

§         Computer Assisted Surgery and robotics (Liebergall, Mosheiff, Weil, Khoury)

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