https://www.macspine.com/faculty daily 0.75 2024-07-11 https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/8f1f1aeb-2186-4190-ab08-38701622e3c5/Deep+Guha+Headshot+2024.jpg Faculty - Dr. Daipayan guha MD PhD FRCSC Dr. Khanna is a dual fellowship trained lower extremity arthroplasty surgeon. He completed his medical school at Dalhousie University and residency training at McMaster University. He then completed an Adult Hip and Knee Reconstruction fellowship at the University of Ottawa followed by an additional Adult Hip and Knee Reconstruction Fellowship at the University of Toronto, Mount Sinai campus. He recently completed his Master in Health Administration from the University of Regina. His current orthopaedic practice includes primary and revision total hip and knee arthroplasty as well as single limb trauma. He has a special interest in computer and robotic assisted surgery for alignment correction procedures around the hip and knee, as well as for partial and total knee replacement. His research interests include assessing the impact of technology such as navigation, robotics and virtual reality on surgical outcomes and training. He also has an interest in researching patient factors that impact outcomes after total joint replacement. He is currently the Program Director for the McMaster Orthopedic Residency Training Program. https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/5a7cd383-c972-47b6-a9d9-40d529412db7/IMG_9714.jpeg Faculty - Dr. Aleksa Cenic MD MSc FRCSC Dr. Ghert joined the Faculty at McMaster in 2005 and was promoted to Professor in 2017. She did her pre-medical studies at Stanford University and obtained her Medical Degree from Vanderbilt University. She did a combined clinical and research residency in Orthopaedic Surgery at Duke University and a 2-year clinical and research fellowship in Orthopaedic Oncology at the University of Toronto. Dr. Ghert’s research interests are multi-center international randomized trials and meta-research. Her practice covers bone and soft-tissue sarcoma with some management of benign neoplastic conditions of the musculoskeletal system. https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/d3393dc6-0f91-4277-89ea-05e3d202e434/brian-drew.jpg Faculty - Dr. Brian drew MD FRCSC Dr. Ghert joined the Faculty at McMaster in 2005 and was promoted to Professor in 2017. She did her pre-medical studies at Stanford University and obtained her Medical Degree from Vanderbilt University. She did a combined clinical and research residency in Orthopaedic Surgery at Duke University and a 2-year clinical and research fellowship in Orthopaedic Oncology at the University of Toronto. Dr. Ghert’s research interests are multi-center international randomized trials and meta-research. Her practice covers bone and soft-tissue sarcoma with some management of benign neoplastic conditions of the musculoskeletal system. https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/e3cacad5-e12a-4a8e-bf3b-f2a2a26f4d21/Pahuta+2024.jpg Faculty - Dr. Markian Pahuta MD PhD FRCSC Dr. Khanna is a dual fellowship trained lower extremity arthroplasty surgeon. He completed his medical school at Dalhousie University and residency training at McMaster University. He then completed an Adult Hip and Knee Reconstruction fellowship at the University of Ottawa followed by an additional Adult Hip and Knee Reconstruction Fellowship at the University of Toronto, Mount Sinai campus. He recently completed his Master in Health Administration from the University of Regina. His current orthopaedic practice includes primary and revision total hip and knee arthroplasty as well as single limb trauma. He has a special interest in computer and robotic assisted surgery for alignment correction procedures around the hip and knee, as well as for partial and total knee replacement. His research interests include assessing the impact of technology such as navigation, robotics and virtual reality on surgical outcomes and training. He also has an interest in researching patient factors that impact outcomes after total joint replacement. He is currently the Program Director for the McMaster Orthopedic Residency Training Program. https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/f102305a-3fda-42e8-a862-1a7e20056b08/Zarrabian.jpg Faculty - Dr. Mohammad Zarrabian DC, MD, FRCSC Dr. Mohammad Zarrabian is the current Head of Spine Surgery at Hamilton Health Sciences. He is a double fellowship-trained spine surgeon, having completed neurosurgical and orthopedic spine surgery fellowships at the Mayo Clinic and Toronto Western Hospital, University of Toronto. He completed medical school at Queen’s University and his residency at the University of Manitoba. Additionally, he holds a chiropractic degree from the National University of Health Sciences and a degree in economics from the University of Toronto. His clinical focus includes complex spine cases such as degenerative conditions, minimally invasive procedures, and oncology. Dr. Zarrabian has been an invited guest speaker and has presented research at both national and international meetings in the fields of surgery and alternative and complementary medicine. https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1692806549891-SPT17U69SVB818TPFPI0/image-asset.jpeg Faculty - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/2bba46e9-6ed0-4e89-b2cb-1112daaead30/068-edward-kachur-2017.jpg Faculty - Dr. Edward kachur MD FRCSC Dr. Ghert joined the Faculty at McMaster in 2005 and was promoted to Professor in 2017. She did her pre-medical studies at Stanford University and obtained her Medical Degree from Vanderbilt University. She did a combined clinical and research residency in Orthopaedic Surgery at Duke University and a 2-year clinical and research fellowship in Orthopaedic Oncology at the University of Toronto. Dr. Ghert’s research interests are multi-center international randomized trials and meta-research. Her practice covers bone and soft-tissue sarcoma with some management of benign neoplastic conditions of the musculoskeletal system. https://www.macspine.com/fellowship-objectives daily 0.75 2022-06-11 https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046417494-BGO6E0I0J2EH6ZW1O3V6/javier-matheu-AHDeiqdiC7Q-unsplash.jpg Fellowship Objectives https://www.macspine.com/about-us daily 0.75 2022-08-23 https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/579c4d69-38ea-4909-a447-be4325996271/unsplash-image-2RJSzteEjsQ.jpg About us - About us The Combined Spine Program, Divisions of Neurosurgery and Orthopaedic Surgery, at McMaster University offers a one-year Clinical Fellowships to graduates of accredited Residency Programs to pursue further subspecialty training in spinal surgery. The fellowship is based at the Hamilton General Hospital (HGH) site of Hamilton Health Sciences (HHS) which is a busy academic tertiary center for Neurosciences serving a catchment population of over 2.75 million Ontarians. The McMaster Combined Spine Program is one of the busiest in the country. Six surgeons (3 neurosurgeons, and 3 orthopaedic surgeons) with fellowship training in spine surgery have extensive experience providing surgical care for the treatment of degenerative pathology; deformity; trauma; metastatic tumors; primary tumors; infections; and intradural pathology. Fellows are exposed to a wide variety of spinal pathology by provide clinical support to: https://www.macspine.com/fellowship-program daily 0.75 2024-06-17 https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046421837-WK51X4BF5ETZS9NGSVHY/burst-kUqqaRjJuw0-unsplash.jpg https://www.macspine.com/publications daily 0.75 2022-06-01 https://www.macspine.com/facilities daily 0.75 2022-06-11 https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/b1ef8c67-bd6d-46c3-b00b-a7dac1e93a00/hamilton-general-hospital.jpg Facilities - Hamilton General Hospital https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046427260-MCTS9J7WWRUPYTXLX9A6/Food-Shops-Juravinski-Hospital-and-Cancer-Centre.jpg Facilities - Juravinski Hospital https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046427253-DECD6ACD7F50YNKCCQSC/www.stjoes.ca.jpeg Facilities - St. Joseph’s Healthcare Hamilton https://www.macspine.com/oncology daily 0.75 2022-06-01 https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046432544-95TEVXDIFCQ3G9TRHYKZ/parity.png Oncology https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046432534-6YMM86E00TBQ4MKU1QVP/safety.png Oncology https://www.macspine.com/contact daily 0.75 2023-12-11 https://www.macspine.com/robotics daily 0.75 2022-06-01 https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046458713-A7YMSP026SS60SOWY0LX/external-content.duckduckgo.com.jpg Robotics - Furthermore, the Rio will provide real-time inter-operative visual, tactile and auditory feedback and can even allow for on-the-fly alterations to be made in the plan as dictated by each individual patient’s anatomy and soft tissue envelope. This enables a high level of precision and optimal positioning of the implants during surgery. As arthroplasty Fellows you will have the only exposure in the country currently to this rapidly growing technology that is advancing exponentially across the globe. Robotics has entered the world of hip and knee arthroplasty and shows no sign of ever leaving. The preciseness of robotic surgery cannot be argued, and it is expected that this will soon translate to better patient outcomes. https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046458706-RUE91ZAJZRI7FYQULY06/1al-content.duckduckgo.com.jpg Robotics - MacOrtho Arthroplasty Fellowship Will Include Hands-On Experience with Robotic Assisted Total Joint Surgery St. Joseph’s Healthcare Hamilton (affiliated with McMaster University) is proud to be the first centre in Canada to have acquired the Stryker Mako Rio Surgical Robotic System. This powerful tool uses 3D reconstructive technology based upon a pre-operative CT scan to create a detailed plan prior to the surgery that can then be uploaded to the robotic unit such that the plan is carried out precisely in the OR via a robotic arm. https://www.macspine.com/research-projects daily 0.75 2022-06-01 https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046461532-5MYT47T3NZTY8OEBJN4Y/cbd-oil-5358403_1920.jpg Research Projects - TOPIKS trial Physicians and the public have become concerned about the amount of opioids being used in healthcare because of the risks of serious adverse effects including overdose, addiction, and death. We hypothesize that topical cannabidiol (CBD) in addition to standard pain management will result in better pain control and a reduction in opioid use compared to standard care alone and will have a preferable safety profile compared to other commonly used pain medications (e.g. opioids and oral NSAIDs). We also hypothesize that topical CBD and topical diclofenac together will have improved effects on pain relief over topical CBD or topical diclofenac alone. The TOPIKS Trial is a pilot randomized factorial trial of patients undergoing knee replacement surgery. We are assessing topical CBD, topical diclofenac, topical CBD+diclofenac, and placebo. We are partnering with the Centre for Medicinal Cannabis Research and the Institute for Pain Research and Care at McMaster to complete this trial. https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046461545-P4868XXJ6V031QT0895P/external-content.duckduckgo.com.jpg Research Projects - RoboKnees Trial St. Joseph’s Healthcare Hamilton is the first institution in Canada to obtain an orthopaedic surgical robot to assist with joint replacements. The RoboKnees Trial is a pilot randomized controlled trial of patients to give us preliminary evidence of whether we can use the robotic technology to perform better partial knee replacements to improve functional outcomes, return to activities, implant survival, and patient satisfaction in a cost-effective manner. https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046461554-DDZWFPP1425Z0L5D1YA4/Knee-Replacement-Surgery.jpg Research Projects - Bilateral Knee Replacement Trial The Bilateral TKA trial aims to determine whether patients with bilateral end-stage knee osteoarthritis benefit from replacing both knees at the same time (simultaneous) or replacing one at a time (sequential). Local Principal Investigator: Dr. Vickas Khanna https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046461550-PAFQLT7XYIKY7VY4NNTF/Screen+Shot+2020-10-15+at+11.07.27+PM.png Research Projects - OREOS Trial Opioid overuse is a major public health concern that can result in inadequate pain control, adverse events, addiction, overdose, and death. We are conducting a randomized cluster-crossover trial that will randomly assign total joint replacement patients to receive standard care or a novel pain management pathway that aims to minimize opioids used before, during, and after surgery. The goal of this study is to determine whether this pathway can improve patients’ satisfaction with pain management while improving safety and minimizing opioids. https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046461563-TQOM4BB79MQHQN305UVZ/yoga-posture-women-wellness.jpg Research Projects - FitJoints Trial The FitJoints Trial is investigating whether a multimodal fitness and nutrition program before joint replacement surgery helps frail elderly patients have better outcomes after surgery. Local Principal Investigators (HHS Juravinski Site): Dr. Justin de Beer, Dr. Mitch Winemaker, Danielle Petruccelli Local Principal Investigator (St. Joseph’s Site): Dr. Anthony Adili https://www.macspine.com/home daily 1.0 2023-07-05 https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654890110341-XQ7CX6YREWKKJ63HZKMI/unsplash-image-KrsoedfRAf4.jpg Home - spinal Fellowship https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654890286653-QU6D46EJSEQAN49KBOO6/unsplash-image-VIug0hNL4_A.jpg Home - Meet your mentors https://images.squarespace-cdn.com/content/v1/6296bec8051aeb4254b1b1fa/1654046468041-X8R8PW5OQZ739O714BRK/Food-Shops-Juravinski-Hospital-and-Cancer-Centre.jpg Home - Amenities Spanning 3 Hospitals