Craig Della Valle, M.D., a joint reconstruction and replacement surgeon at Midwest Orthopaedics at Rush, has just been named Chief of the Division of Adult Reconstructive Service at Rush University Medical Center in Chicago.
Craig Della Valle, M.D. New Chief of Adult Reconstruction at RUSH

As indicated in the January 21, 2016 news release, “Dr. Della Valle adds this appointment to a long list of accomplishments and responsibilities, including professor of Orthopedic Surgery at Rush University Medical Center, secretary for the Board of Directors of The Hip Society, member-at-large for the Board of Directors of The Knee Society and member-at-large for the Board of Directors of the Mid-America Orthopaedic Association. He also serves as Education Committee Chairman for the American Association of Hip and Knee Surgeons.”
Dr. Della Valle, who has more than 150 peer-reviewed publications to his name, specializes in primary and revision total joint arthroplasty.
Dr. Della Valle told OTW, “Our adult reconstructive division at Rush has a 40+ year history and it is a huge honor and responsibility to be directing the section. Things have changed over the past decade and moving forward some of our goals are to continue to engage in high quality research endeavors, to work with our group and hospital on bundled payment issues and to incorporate the collection of PROMS [Patient-Reported Outcome Measures] into our daily practice.”
Asked where he sees the adult reconstruction program being one year from now, Dr. Della Valle added, “It is very hard to see into the future, but I think all of us in the section believe we have some room to grow and we will be looking to possibly recruit additional high quality physicians to our section. We also hope to maintain our high quality fellowship training program and continue to produce top quality original research.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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