The Center for Excellence in Limb Lengthening and Reconstruction employs unique multi-disciplinary approach where talented orthopedic surgeons at Texas Scottish Rite Hospital for Children in collaboration with other clinicians and researches of varying backgrounds and expertise work together to maintain the hospital’s position as a world leader in the field of limb reconstruction.
All clinical, research and educational activities of the Center are conducted as a team effort between clinicians and researches of various laboratories and departments.
The core structure of the Center is made up of four research divisions: The Division of Clinical Applications, the Division of Tissue Adaptation and Growth Modulation, the Division of Skeletal Fixation Systems Design, the Division of Clinical Implementation Outcome Studies and the Division of Education and Training.
Division of Clinical Applications
The Division of Clinical Applications and Training, directed by David Podeszwa, M.D., allows for efficient collaboration between research and clinical staff in the Center for Excellence in Limb Lengthening and Reconstruction. This division utilizes all the most recent achievements in the field of limb lengthening and reconstruction to develop surgical techniques and treatment methods to provide quality care for our patients.
Division of Tissue Adaptation and Growth Modulation
The Division of Tissue Adaptation and Growth Modulation, led by Marina Makarov, M.D., focuses on the areas of new bone formation under the influence of tensional stresses and soft tissue adaptation to gradual traction during distraction osteogenesis. This division manages all experimental and clinical studies and allows the hospital's researchers and physicians to analyze and better understand the fundamental biological mechanisms of bone growth and its modulation.
Division of Skeletal Fixation Systems Design
The Division of Skeletal Fixation Systems Design, directed by Mikhail Samchukov, M.D., coordinates the new design, development, testing and implementation of TRUE/LOK™ family of External Fixation Systems. One of the current goals of the division is to develop and improve new modular external fixation systems for acute fracture reduction, gradual deformity correction and lengthening.
Division of Clinical Implementation and Outcome Studies
Led by Alexander Cherkashin, M.D., the Division of Clinical Implementation and Outcome Studies coordinates all outcome studies involving computer-assisted collection, storage and analysis of clinical data. The division continues working on preoperative planning program, LegPERFECT®, which already proved to provide comprehensive planning and precise monitoring of surgical procedures. Under supervision of this division the new software was developed, to provide for the TL-Hex multi-axial deformity correction analysis and planning. All these advancements will help create a foundation for multicenter clinical studies with the goal to improve the effectiveness of pediatric limb reconstruction around the world.
Division of Education and Training
The Division of Education and Training, directed by John Birch, M.D., allows for efficient training of our orthopedic fellows and residents. This division supervises all clinical training in the field. It supports development of the state of the art training materials to help educate local and international surgeons on the techniques developed and implemented at the Center.