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Monday, July 27, 2015
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8:30 PM Eastern 7:30 PM Central
6:30 PM Mountain 5:30 PM Pacific


As the demand for total joint arthroplasty continues to escalate, there is a push to increase quality, decrease cost and minimize risk. US healthcare reforms are currently being implemented in an attempt to reduce cost and improve the care of patients. This webinar, moderated by Ryan M. Nunley, MD, will focus on rapid recovery and short stay total joint replacement. Topics include:


The California Academy of Family Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The California Academy of Family Physicians designates this educational activity for a maximum of one AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Dr. Keith Berend, a native of Columbus, Ohio, graduated from Upper Arlington High School in 1988. He received his undergraduate from Florida Southern College with honors. He completed his medical doctorate and orthopaedic residency at Duke University in Durham, North Carolina. Dr. Berend completed a fellowship in Adult Reconstruction of the Hip and Knee at Joint Implant Surgeons, Inc., with Dr. Thomas H. Mallory, MD, and Adolph V. Lombardi, Jr., MD. He then joined that practice in 2003. Dr. Berend was a Hip Society-British Hip Society Traveling Fellow in 2004 and a John N. Insall Knee Society Traveling Fellow in 2005. Dr. Berend and Joint Implant Surgeons annually host over 200 visiting national and international surgeons at their center. Dr. Berend is the author of over 130 articles published in peer-reviewed medical journals, and frequently presents his work at medical conferences both domestically and internationally. Other memberships include The American Academy of Orthopaedic Surgeons, American Association of Hip and Knee Surgeons, and the Piedmont Orthopaedic Societies. He is also a member of the Knee Society and the Hip Society, the highest honors bestowed upon a surgeon with those respective specialties. His special interests include muscle-sparing total hip arthroplasty, less invasive total knee and partial knee arthropalsty, resurfacing hip replacement, rapid rehabilitation protocols for faster recovery after surgery and outpatient hip and knee replacements. In 2013 he received the award for Leaders in Total Joint Replacement: Generation Next. He has been named to the list of the Top 22 Knee Surgeons in North America wherein he is described as "a national leader in hip and knee replacement who has pioneered surgical techniques of anterior hip surgery and partial knee replacement. He has developed outpatient arthroplasty protocols and produced increased value through higher patient satisfaction and outcomes. He is a proven contributor in clinical research and teaching."

Carlos J. Lavernia., MD, FAAOS, orthopedic surgeon and biomedical engineer, is the Medical Director of the Center of Advanced Orthopedics at Larkin. He is also voluntary faculty of Orthopedic Surgery at the University Of Miami School Of Medicine. Dr. Lavernia is courtesy professor for the College of Engineering and Computing, Department of Mechanical and Materials Engineering as well as for the College of Nursing and Health Science, Department of Physical Therapy at Florida International University. In addition, Dr. Lavernia is a Clinical Professor at Nova Southeastern University College of Osteopathic Medicine in the Division of Orthopedic Surgery.

Dr. Lavernia graduated from Tulane University in New Orleans with a BS in Mathematics and an MS in Biomedical Engineering. He received his medical degree from the University of Puerto Rico Medical School and from the University of California. He also completed a General Surgery Internship, a Surgeon Scientist NHI Fellowship and an Orthopedic Surgery Residency at the University of California San Diego. Subsequently, Dr. Lavernia completed a Lower Extremity Reconstruction Fellowship at Johns Hopkins School of Medicine. He is certified by the American Board of Orthopedic Surgery.

Throughout his distinguished career, Dr. Lavernia has developed hip and knee implants and has conducted numerous studies in the field of orthopaedics. He has written many book chapters and has published over 300 abstracts and peer reviewed articles. These have been published in prestigious journals, including Clinical Orthopedics and Related Research, The Journal of Arthroplasty, Journal of Bone and Joint Surgery and International Orthopedics Dr. Lavernia has received numerous awards and recognitions. Dr. Lavernia has embarked on medical missions with Operation Walk, a private, non-profit, volunteer medical service organization, which provides free surgical treatment for patients in developing countries and the United States of America , that have no access to life-improving care for arthritis or other debilitating bone and joint conditions. Through his humanitarian efforts, Dr. Lavernia has performed numerous joint replacements and other orthopedic surgeries, improving the lives of underprivileged patients in Latin America and the United States.

Dr. Lavernia is developing a computerized application to perform Knee and hip surgery with a robot. As a consultant for MAKO Surgical Corp he is one of the developers for the Total Hip Replacement and Total Knee Replacement robotic software that will in the near future be utilized for precision surgery in arthroplasty of the hip and knee.

C. Lowry Barnes, M.D. is one of Arkansas' and the region's foremost joint replacement experts. He was named chair of the Department of Orthopaedic Surgery at the University of Arkansas for Medical Sciences (UAMS) in August, 2014 and holds the Carl L. Nelson, M.D. Chair in Orthopaedic Surgery.

Barnes graduated with honors from the UAMS College of Medicine in 1986. He went on to complete his internship and residency in orthopaedic surgery at UAMS. Barnes completed a fellowship in Adult Reconstruction Surgery and Arthritis Surgery at Harvard Medical School and Brigham and Women's Hospital in Boston.

Barnes was a founding managing partner of Arkansas Specialty Orthopaedics in 1998, where he was president for more than a decade. He has long been active at St. Vincent Infirmary Medical Center, serving on the board of directors from 1997-2010 and as president of the St. Vincent Infirmary Physician Hospital Organization.

Barnes is a member of the prestigious Knee Society, the only Arkansas member since the death of Carl Nelson. He is immediate past president of the Arkansas Orthopaedic Society, the Southern Orthopaedic Association and the Society for Arthritic Joint Surgery. He serves as treasurer for The American Association of Hip and Knee Surgeons and has recently been named the Distinguished Southern Orthopaedist by the Southern Orthopaedic Association. Barnes has been active with the Arkansas Arthritis Foundation for many years, previously serving on its board of directors and earning many accolades, including the organization’s Person of the Year honor in 2000.

Barnes lectures nationally and internationally on total joint replacement surgery and has been active in research focusing on the hip and knee. He established HipKnee Arkansas Foundation, a non-profit research foundation and motion detection laboratory to further study patients with arthritis. He has published extensively and is on the editorial boards of peer-reviewed publications including the Journal of Arthroplasty and Clinical Orthopaedics and Related Research, and serves as Editor of the Journal of Surgical Orthopaedic Advances. He holds four patents for orthopaedic surgery devices that he developed and has designed numerous hip and knee implants. Barnes is also known nationally for his expertise in health care quality, efficiency and new payment structures that were ushered in with health system reform. He has participated in Operation Walk trips with chapters from Los Angeles, Boston, Maryland and Little Rock and considers this involvement as one of the most rewarding aspects of his career.

Ryan Nunley, MD
Associate Professor, Orthopaedic Surgery

Clinical Specialty
Joint Preservation, Resurfacing and Replacement.

Clinical Interests
Total joint replacement surgery (hip and knee), total hip resurfacing, minimally invasive hip replacement, osteotomies about the hip, hip joint debridement, hip osteoplasty procedures and arthroscopy of the hip, hip disorders of the adolescent and young adult including hip dysplasia, Perthes deformities, avascular necrosis, labral tears, and early arthritic hip joint problems.

Research Interests
Minimal incision joint replacement, image-guided surgery, total hip resurfacing, avascular necrosis, joint replacement outcomes in patients under age 65 years old, and joint preserving treatments for hip dysplasia using osteotomies and hip arthroscopy.

Dr. Nunley received his undergraduate degree from Vanderbilt University in Nashville, TN, and his medical degree from the University of North Carolina School of Medicine in Chapel Hill, North Carolina. He completed his residency at the Washington University School of Medicine. Dr. Nunley completed a Health Policy Fellowship from the American Academy of Orthopaedic Surgeons in Washington, DC as well as a fellowship in Joint Preservation, Resurfacing and Replacement at Washington University School of Medicine. He is the writer and supervising editor for the American Academy of Orthopedic Surgeons AAOS Now publication column titled "Ahead of the Curve".

James A. Rand Award (most outstanding Paper in arthroplasty surgery presented at American Association of Hip and Knee Surgeons) "Do Patients Return to Work Following Hip Arthroplasty Surgery?" (2010)

AAHKS Poster Award winner for 2010, "When to Release Patients to High Impact Activities Following Hip Resurfacing" (2010)

Marshall R. Urist Young Investigator Award, The Association of Bone and Joint Surgeons, "When to Release Patients to High Impact Activities Following Hip Resurfacing" (2011)

OREF/CUrrent Concepts in Joint Replacement Award, "Return to Sexual Function Following Hip Arthroplasty Surgery" (2011)

Harley and Betty Baxter Resident Research Award, mentor and co-author for paper, "Mid Term Survival of Head and Liner Exchange Revision for Well-Fixed Acetabular Components: the Effect of Cup Position and Polyethylene Type"

Best Doctors in America® list, 2011-present

Medical Degree
University of North Carolina at Chapel Hill School of Medicine

Orthopaedic Surgery, Barnes-Jewish Hospital / Washington University School of Medicine

Mark W. Pagnano, MD has advanced training in surgery of the knee and hip, is an internationally recognized expert in joint replacement surgery and sustains a busy surgical practice at Mayo Clinic. Recently recognized as one of the top 25 Knee surgeons in America his substantial intellectual contributions to the orthopedic community have demonstrably improved the care of knee and hip replacement patients in the areas of surgical technique, perioperative pain management, and techniques that limit blood loss and transfusion. Dr. Pagnano and his research team have won the most prestigious national awards in the areas of knee and hip surgery in 5 of the last 8 years. He is often asked for insight and analysis of contemporary orthopedic issues and has been featured in mainstream media outlets including The New York Times, The Wall Street Journal, National Public Radio, The Canadian Broadcasting Company, and Consumer Reports. Dr. Pagnano has focused his patient care, research, and educational endeavors to make knee and hip replacement increasingly reliable, reproducible and efficient both for patients at Mayo Clinic and worldwide.


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