Author Archives: James Hundley, MD

About James Hundley, MD

Dr. Hundley is a retired orthopaedic surgeon and an originator and co-founder of, a resource website for orthopaedic surgeons and related professionals.

11th International Conference on Arthroplasty 2018 Course Description

by Subashini G

Venue: London, UK

Date: September 24-25, 2018

Short name: Arthroplasty 2018

Link to more information and registration

Mail-id :

Time:  9:00 AM to 6:00 PM


Arthroplasty-2018 takes immense pleasure in welcoming all the participants from across the globe to attend “11th International Conference on Arthroplasty” during September 24-25, 2018 at London, UK. The conference comprises eminent personalities with their keynote presentations, verbal speeches, productive poster presentations and exhibitions along with a discussion forum providing the insights on the advances of the Arthroplasty.

Arthroplasty-2018 is an International gathering that unites all the innovators to glaze the entire field of Arthroplasty and to experience the advancements in the research and development of the Orthopedics. It is the platform for all the scholars, researchers, scientist, organizations and industries to exhibit the recent advancements in diagnosis, treatment and postoperative managements of Arthroplasty. The event comprises the various aspects of arthroplasty with discussion on causes and types of Arthroplasty with their rehabilitation methods. The new emerging prosthesis with applied technologies of biomaterials, nanotechnology and Tissue engineering in Orthopedics are comprised in the conference.

This conference provides scope and experience for all eminent participants to grab the advancements in the field of Arthroplasty and to expose their research work across the global network and expose an international gathering on life science.


About Conference:

Arthroplasty 2018 is an International Conference organized by Pulsus, welcomes all the eminent researchers and scholars around the globe to be the member of “11th International Conference on Arthroplasty” scheduled on September 24-25, 2018at London, UK. The Objective of the Conference is to reach the Advancement in the Field of Arthroplasty by the global gathering and meeting of peoples from various diversities to share the knowledge by paper presentations, poster presentation and by the delivery of speech & lectures on the research work. Arthroplasty 2018 is eagerly waiting in addressing all the participants, scholars, researchers and industrial expects to make the gathering more successful.

Arthroplasty is the field which has dramatic growth throughout these years. The development of artificial prosthesis that are more durable and biocompatible, brings new innovations each day in diverse field of Nanotechnology, Tissue engineering and in Ayurveda. This Conference provides the opportunity to combine all these diverse field in a single place to share and innovate ideas among the members of other countries. The development of Biomaterial has built many Industries, which contributes the major share of the global economy. It is stated that among all the field, Orthopedists are the one who earn an average salary of $443,000 annually. Since 2015, Orthopedics are at the top of Medscape physician compensation list, where Cardiology stands second in that list. The sub-specialists earning the highest in Orthopedics are Spine surgeries, Tumor surgeons and Joint replacement specialists.


Conference Highlights

1.              Arthroplasty

2.              Dimensions of Arthroplasty

3.              Fracture and its Classifications

4.              Complication of Fractures

5.              Rehabilitation of Fractures

6.              Injury to Joints

7.              Radial Head Arthroplasty

8.              Paediatric Orthopedics

9.              Total Shoulder Arthroplasty

10.           Total Elbow Arthroplasty

11.           Forearm and Wrist Arthroplasty

12.           CMC Joint Arthroplasty

13.           PIP Joint Arthroplasty

14.           Spine Arthroplasty

15.           Hip Arthroplasty

16.           knee Arthroplasty

17.           Ankle Arthroplasty

18.           Biomaterials in Arthroplasty

19.           Infections of Bones and Joints

20.           Advances in Arthroplasty



Who should attend?

•                Orthopedics Surgeons

•                Sports Medicine Doctors

•                Trauma Surgeons

•                Trauma Specialists

•                Orthopaedic Nurses

•                Spine Surgeons

•                Foot and Ankle Surgeons

•                Shoulder and Upper Limb Surgeons

•                Intensivists

•                Internists

•                Emergency Medicine Doctors

•                Orthopedics resident

•                Physiotherapists

•                Technicians

•                Pain Therapists

•                Medical Students

•                Rheumatologists

•                Manufacturing Medical Devices Companies

•                Business Entrepreneurs and Industry professionals


Why should attend?

•                10+ Eminent Keynote Speakers

•                50+ Erudite speaker faculty over 2 full days sharing evidence-based care practices

•                5+ Workshops

•                13 interactive sessions

•                Mixture of Health Care Units and Academia Delegates

•                Networking around the Globe

•                Best Poster Award for the Young Researchers

•                Present and Discuss the recent works in the International forum

•                The exotic experience in the world best tourist place


Why London?

London, the capital of United Kingdom is the largest city in Europe located around the famous River of Thames. London is the busiest city for both Business and tourist destination across the world, where million people visits annually. The city is fully packed with history of arts, cultures, finance, entertainment and research & development which resides 8.788 million peoples. The city of London is considered the eminent financial centres of the world for International finance. The transportation across the city is easily accessible through underground tubes, Buses and trams, aviation, cable car and through various rails.

The climate across the city is lovely at autumn and the weather is mild throughout with festival times. It ranks first in most visited cities across United Kingdom and be top in the everyone’s Wishlist. The most popular tourist icons of the city are Big Ben Clock Tower, ZSL London Zoo, Tower Bridge, British Museum, Buckingham Palace, London Eye, Tower of London, Trafalgar Square, St. Paul’s Cathedral, Palace of Westminster, Westminster Abbey.

“You find no man, at all intellectual, who is willing to leave London. No, Sir, when a man is tired of London, he is tired of life; for there is in London all that life can afford.”

                                                                                                      — Samuel Johnson

The city of London has maximal number of Educational institutes in Europe and known for the leading Education teaching and Research. The city comprises many global hospitals and research centres that are based on arthroplasty and its clinical development and research. The great city London includes, 11 Top Universities related to Orthopedics, 17 Top Hospitals with specialists on Arthroplasty Surgeries and 3 Top Ranked Industries sharing the world economy share. It’s just not the place only for Education and business, but also a great destination for entertainment and fun.

Protect Your Patient’s Non-Operative Leg with The Montgomery Knee Board

by Thomas Montgomery, M.D.

Helping O.R. Staff Regain Confidence in Patient Positioning

Your surgical team is doing all that they can to keep patients safe but they simply cannot see what is going on underneath surgical drapes. Circulating nurses and patient positioning teams must be thorough and efficient but positioning the well-leg during arthroscopic knee procedures is a serious challenge. Current devices do not get the job done; foam pads slip, bulky metal positioners are heavy and get in the surgeon’s way, rolled sheets flatten. The Montgomery Knee Board secures the non-operative leg easily, quickly and safely.

The Montgomery Knee Board is light, affordable and works easily with any foam pad to help your surgical team regain their confidence in your operating room. This is achieved in three simple steps:

  1. Slip The Montgomery Knee Board in between the bed cushion and the surgical bed
  2. Place any foam pad on top of the device
  3. Rest assured that the patient’s well-leg is secured throughout the procedure

“My surgical staff used to have a difficult time properly and safely positioning a patient’s well leg during arthroscopic knee procedures. Pads and various types of “holders” were stuffed underneath the well-leg in an attempt to provide support; however current technology seemed to adjust during surgery. Slippage can lead to all sorts of unforeseen issues with the well leg, that’s why we created The Montgomery Knee Board.”

– Thomas J. Montgomery, MD – Surgeon and Inventor

Learn more by clicking on The Montgomery Knee Board.



Benefits of Cold Therapy

As the team physician for all sports at a university for over twenty years, I had the opportunity to see athletic trainers perform.  They were very good at diagnosing injuries and knowing which ones could be managed with therapy and which ones needed additional studies and sometimes surgical treatment.  When injuries could be managed with therapy and modalities alone, they were able to accelerate recovery to bring athletes back to high levels of function at a rate that seemed magical.

 Among the most frequent modalities was cold therapy and they used it in multiple ways.  Naturally ice packs were a must on the sidelines and they always had them handy.  When someone was injured icing was begun immediately to reduce blood flow with bleeding into the tissues to try to keep the swelling to a minimum.

They also used cold therapy in accelerate recovery.  One of the favorite treatments was immersion of a limb in a bucket of ice-filled water.  They would then remove it and apply gentle heat, always being careful to not use cold too long or heat too high.  The hyperemic response to removal from cold also occurred without the application of heat.

Hyperemia is an increased blood flow that causes the skin to redden and ultimately warm.  You can see it in people’s faces when they come inside from the cold.  You can definitely see it when one removes ice packs from the skin.  So, not only do you get the benefit of cooling to reduce swelling but you also get the benefit of increased blood flow after removing the cooling device.

Our trainers made a convincing case for another benefit of this so-called “contrast” therapy.  They hypothesized that the change in reduced blood flow from cold followed by increased blood flow from warming caused the tissues to shrink and expand with a resulting pumping effect to help drive out swelling (edema).

A third benefit of cold therapy is pain relief.  Cold applied to an injured or painful area can reduce the pain.  That not only makes the person more comfortable but allows better rehabilitation by making it less painful to move an ankle or tighten a muscle.

In summary, the benefits of cold therapy are

  • Temporary reduction of blood flow to
    • Reduce bleeding to an area of acute injury
    • Possibly to transiently shrink tissues to help pump out edema
    • Hyperemia (representing increased blood flow) upon warming to help accelerate the healing process
    • Pain reduction

The biggest problem with cold therapy is inconvenience and risk of cold injury.

  • It’s not practical to carry around a bucket of ice slush so this sort of immersion therapy generally needs to be provided in a training room.
  • Ice packs alone are hard to keep in place and plastic bags of ice tend to leak and “sweat” wetting one’s clothing, etc.
  • Cold injury can occur if you treat with too much cold for too long.
  • Compression (another therapeutic modality for managing edema) is difficult to apply over ice packs.
  • Electrical cooling devices require (believe it or not) electricity, limiting mobility.

A convenient and useful way to provide both cold therapy and compression is provided with the ICE20 Compression Therapy Wraps.  You may click on ICE20 to see our list of their nice cold therapy devices.


James D. Hundley, MD; Orthopaedic Surgeon, Retired; Former Athletic Team Physician

Waterproof Cast Padding Enables High School Lacrosse Player to Compete

by AquaCast Liner

Carter has been playing lacrosse since the 3rd grade. Now a sophomore in the Baltimore area, Carter has plans to play in college. His ultimate goal, held since 4th grade, is to become class president and captain of the lacrosse team at Princeton University.

Just days before a major college lacrosse recruiting tournament, however, Carter broke the growth plate in his right arm in a school football game. He was directed to a local orthopaedic practice, and had his arm cast in a traditional, cotton padded cast. The doctor and cast technologist mentioned that if he tried to play lacrosse that weekend, it would be painful and the cast would end up becoming soaked in sweat, resulting in discomfort and a rather unpleasant odor. They also told Carter if he got it wet he would have to be recasted. More time. More costs.

That weekend Carter watched his teammates play tough – from the sidelines – while coaches from Johns Hopkins, North Carolina, Virginia and Princeton, among others, scribbled notes on their next wave of talent.

His competitive juices flowing, Carter wanted to get back on the field at the next tournament, held the weekend prior to Thanksgiving. A friend told Carter’s father, about a waterproof, breathable cast liner made by AquaCast, which allows patients to perform activities without worrying about keeping their cast dry. The father, a former college All-American lacrosse player, contacted Towson Orthopaedic Associates and Scott Tarantino, MD. They stocked the AquaCast Liner and Carter had his arm wrapped in the waterproof product, quickly becoming a fan.

“It’s been really great. I get sweaty, come home and shower, wash it out and it’s dry really quick. It doesn’t smell like the other one. And it doesn’t itch.” Carter played in the following tournament, amassing 5 goals and 8 assists in three games, drawing the attention of several scouts, including Princeton. “I’m glad Dr. Tarantino’s practice had AquaCast,” noted Craig’s father. “We certainly didn’t know it was available. It made a big difference for Carter – it’s made life a lot easier.”

In addition to playing in the lacrosse tournament, Carter was able to finish his football season in comfort. “Two other guys on the team broke their arms and I told them about Dr. Tarantino’s office and the AquaCast. They showed up at the next practice with the AquaCasts.”

As a side note, Carter has seen his dream of attending Princeton come true, formally committing to the Tigers and head coach Chris Bates. We at AquaCast wish Carter and his family the best of luck this season and in the future at Princeton.

Please click on AquaCast Liner to learn more about waterproof cast padding.

You Can Now Get Waterproof Casts

by AquaCast Liner

When you have a cast, it can make everyday tasks difficult and time consuming. Something that used to be simple, like taking a shower or bath, now becomes complicated and involves serious maneuvering to try to keep the cast dry. Now, there are options for casts to be waterproofed, eliminating the need to cover the cast while being around water as explained in this article.

Benefits of a Waterproof Cast

  • Makes bathing easier, facilitating better hygiene
  • Allows for participation in water sports
  • Reduces the odor of a traditional cast
  • Provides kids with a way to maintain their normal routine

Great for Young Children, Adults, and Seniors

Waterproof casts for children work well for those who are too young to understand the importance of keeping their cast dry. It also helps give parents peace of mind that you don’t have to constantly be beside your child when they are near water. Showering or bathing with a cast is very frustrating if you have to work around the cast to keep it dry.  Waterproof cast padding minimizes the lifestyle changes for anyone with a broken bone.  Vocations that require frequent hand washing, from restaurant servers to auto mechanics, can continue to maintain their hygiene even with a cast.  Seniors benefit from independence that may have been limited with a broken bone or cast. They need less help around the house to do simple tasks such as washing the dishes or taking a shower without a slippery plastic bag over one of their limbs.

Gives Older Kids More Independence

If you have a child who is old enough to bathe alone under normal circumstances, they’ll probably prefer to continue that practice, even while wearing a cast. The waterproof cast allows children the privacy they want while bathing or showering. Being able to continue with normal activities helps to lessen the burden felt when wearing a cast or the need to ask for help.

Warm Weather Fun

Having a cast during warm weather can be very disheartening for anyone who enjoys playing in the water or who is active in spring and summer sports. Swimming with a cast is nearly impossible as you can’t immerse a traditional cast in water due to damaging the cast padding or liner. Wearing a cast can put a damper on your family’s summer vacation if someone cannot play in the ocean or get in the pool. Being active in sports also is tough to do with a traditional cast as many wearers and family members of wearers want to keep the cast from getting sweaty and smelly. A waterproof cast allows more freedom with sports and extra-curricular activities during the warmer months.

Keep Life Easy with a Waterproof Cast

Waterproof casts can make life easier for everyone in the home. Paitents are able to better maintain their regular routine, while also keeping some independence. Showering, taking a bath or even washing ones hands and face with a traditional cast can prove to be a task that requires a lot of assistance from a parent to ensure the cast remains dry. Trying to wrap a cast to prevent water seepage is time consuming and not something kids or parents want to deal with. Swimming with a cast is also possible with a waterproof cast, so that a broken bone does not mean you have to miss out on summer fun.

Please click on AquaCast® Liner for information about waterproof cast liners.


Injury Prevention in Youth Sports

by Mark Wood, M.D.

Sports injuries are common in youth athletes who often suffer sprains, strains, bruises, or broken bones. The most common injuries are to the leg, ranging from a twisted knee or ankle to a direct blow from a collision.

Fifty percent of youth injuries are due to overuse or over-exertion, without proper rest and recovery.  The most common presentations include shin splints, patella or achilles tendinitis and stress injuries or fractures.

The majority of youth sports injuries may be preventable. Several ways to avoid injury include:

  • Using good equipment. Make sure your child has well-fitting cleats, helmets, mouth and shin guards, and other appropriate protective gear.
  • Staying hydrated. Kids need to be reminded and encouraged to drink plenty of water.
  • Staying in good condition. Athletes who are in better physical shape tend to have fewer injuries. If your child has been away from sports for a while, allow him or her to gradually progress with activities including strength, agility training, and aerobic conditioning.
  • Avoiding overuse injuries. Many young athletes participate in one sport year-round and tend to over train. It is important to allow time for rest and recovery as opposed to continuing to push through pain and discomfort. This leads to burnout and also increases the chance of injury.  Teach your child to listen to his or her body and pay attention to warning signs.

Research has proven that utilizing focused exercise training programs (strength, balance and plyometrics) will decrease the chance of minor and major athletic injuries by greater than 50%.  Coaches and parents can make a difference by encouraging proper warm-up and performing prevention techniques, especially for young female athletes participating in cutting, jumping and pivoting sports (soccer, basketball, lacrosse, etc). The programs are quite simple and require only 10-20 minutes twice a week.

Dr. Wood is Board Certified in Orthopaedic Sports Medicine and practices at Wake Orthopaedics in Raleigh, NC. For further educational information, including the Wake Ortho injury prevention screening program, please visit

PATRAN® Slide Sheets, an Inexpensive and Efficient Way to Safely Move Patients

By Stefanie Scott

Repositioning and transferring patients are among the most common tasks that lead to healthcare worker injuries, the U.S. Occupational Safety and Health Administration reports. A low-tech, low-cost slide sheet can assist in most of these patient-handling tasks, reducing the risk of injury to caregivers while increasing patient comfort.

With no installation or accessories required, PATRAN® slide sheets (sometimes referred to as friction-reducing devices, slips, glide sheets or lateral transfer devices) allow healthcare organizations to start a safe patient handling and mobility program with little financial investment and quickly prevent some of the most frequent and debilitating musculoskeletal injuries incurred by healthcare professionals.

Slide sheets are designed to slide, not lift a patient, so there is no weight limit to who can be moved with a PATRAN slide sheet. However, larger patients may require using a larger size or multiple slide sheets so the entire body fits.

PATRAN single-patient, multiple-use slide sheets can be used in just about every area of a hospital or health care setting. With the full-body size, log-rolling a patient is not required to insert the PATRAN under a patient, which can prevent pain, dislocation or further injury in orthopedic patients. From pre-hospital emergency response to radiology, surgery and orthopedic medical floors, slide sheets have a number of patient handling and mobility uses.

The following are just a few reasons why PATRAN slide sheets are the industry leader:

PATRAN slide sheets can be used 30+ times with the same patient before they lose their slip, which is generally more than sufficient for an acute care patient.

PATRAN moves in all directions, so one tube-shaped sheet can be used 20+ ways, including lateral transfer, repositioning/boosting in bed, getting slings on patients and even putting on compression hose.

PATRAN is inexpensive, especially based on its size. The original PATRAN at 72×36 fits most patients’ entire body. Smaller slide sheets, many at a higher price point, require additional caregivers to hold the head and feet of the patient or the body parts hanging off the slide sheet increase the friction and skin shear.

PATRAN helps prevent cross-infection. Patients get their PATRAN upon entering a healthcare facility and it stays with them throughout their stay. Then it’s disposed of upon discharge. It can be used in just about every area of a hospital. PATRAN is radio-translucent, is latex-free and contains an anti-stat.

PATRAN comes in more styles than any other single-patient-use (sometimes called disposable) slide sheet brand. In addition to the original PATRAN, smaller and larger (bariatric), as well as individually wrapped versions are available.

PATRAN doesn’t require log-rolling to get it under a patient. The size, flexibility and slipperiness give caregivers options about how to insert it and methods of use that allow them to take the patient’s medical condition into consideration.

Click on PATRAN SLIDE SHEET to see the PATRAN listing on

Stefanie Scott is President of Jamar Health Products, Inc., manufacturer of PATRAN® slide sheets. She is a Certified Safe Patient Handling Associate through the Association of Safe Patient Handling Professionals.

External Fixator to Volar Plate

by Alejandro Badia, MD

It was not too long ago that the standard of care for a distal radius fracture with displacement was the application of an external fixator. Like the brief internment in a penal colony, the patient was left to deal with this cumbersome device for several months. I highly doubt that many of the little old ladies who had this device applied appreciated its “minimally invasive” nature.

Over 10 years ago, I remember my partner and I applying the standard volar plate from the synthes set to ALL distal radius fractures, regardless of direction of  displacement. I think neither Mrs. Smith nor Mrs. Colles cared about their Frykman classification but likely appreciated the fact that a small palmar based plate on the wrist, as an outpatient under regional anesthesia, could allow them to get right back to their daily routine simply using a small splint or fiberglass cast as protection.

I remember just a few years later lecturing on this very topic in Ho Chi Minh City, or even Buenos Aires, and realizing that this had very quickly become the standard of care worldwide. It was gratifying to be part of a revolution that truly improved patient care of this ubiquitous fracture.

Alejandro Badia, MD

Badia Hand to Shoulder Center

Miami, FL, USA

Energy Transfer: Be Additive.

 by James D. Hundley, MD

            If you’ve never been a patient with a serious problem yourself, you may not have considered this.  Having a medical problem not only drags down your body, it drags down your mind, too.  I’m sure someone taught you about it in medical school, but when we get wrapped up in the technical side of our profession, and it’s absolutely necessary that we do so, this is a lesson that some seem to forget.

Do you know people who are “buzz killers”?  Within a few seconds of being in their presence, you feel your emotional energy being drained and you can’t get away from those people quickly enough.  In contrast, those who are bright and energetic make you feel good and ready to tackle anything.

This is true in the doctor-patient relationship, and it’s serious.  I’ve been around doctors who act so down in the dumps that it seems that they are the ones who need help more than their patients.  Maybe they are tired from working so hard or maybe they are internalizing their worry about the patient, but they sure aren’t helping their patients tackle their problems.  Whatever the case may be, they are sucking needed emotional energy from their patients rather than filling their patients’ tanks with the fuel they need to deal with their problem.

I’m not suggesting that you not show concern.  To the contrary, I’m suggesting that you not only show concern for and interest in your patients, I’m suggesting that you be truly concerned and show it by transferring some of your own positive energy to your patients.

You can’t be silly or trivial.  That’s not what I’m suggesting.  It might take a little practice to find your own best way of approaching this and it’s hard to describe, but it’s about being positive and upbeat to the extent possible in any given situation.

Players play better for certain coaches.  You frequently hear about it.  I’ve seen it with teams that I’ve worked with.  The same players who were losing miraculously start winning.  Surely the reasons for the sudden success are many.  Maybe it’s conditioning or technique.  They’re important.  Without positive energy, however, I don’t think it happens.

Likewise, when you rod someone’s femur or replace someone’s hip, the technical aspects are critical, but that’s not enough.  You have to take care of the other physical needs as well, and I’m sure you do, but that’s still not enough.  You must also help that patient find the energy to get up and go again.  Equally as important, no matter how tired you are or what else is going on with other patients or in your life, you must dig down and find positive energy to share with your patient.

Many will dismiss this as insignificant and/or unrealistic.  I have no scientific studies to support it.  On the other hand, I have had many years of interaction with patients and truly believe that patients do better when they want to please their doctors.  It’s like a player wanting to please his coach.  You can’t fall into the trap of thinking it’s about you personally, of course, but if it’s useful to the patient, it’s certainly not harmful.

Worried that all of your energy will be drained by your patients?  Don’t be.  In fact, the gratification of seeing your patients happily improving or resolutely dealing with serious problems is in itself a source of energy for you.  It’s like heat reflecting off an object and back to you.  Try it.  You either already know that it’s true or you’ll be pleasantly surprised.

Dr. Hundley is a retired orthopaedic surgeon living in Wilmington.  He is the founder and president of a resource website for orthopaedic and other surgeons and related professionals.