{"id":2453,"date":"2021-11-15T18:00:23","date_gmt":"2021-11-15T18:00:23","guid":{"rendered":"https:\/\/magazines.uthscsa.edu\/schools\/?p=2453"},"modified":"2021-11-17T17:59:28","modified_gmt":"2021-11-17T17:59:28","slug":"orthopaedics-we-wrote-the-book-on-it","status":"publish","type":"post","link":"https:\/\/magazines.uthscsa.edu\/schools\/2021\/11\/15\/orthopaedics-we-wrote-the-book-on-it\/","title":{"rendered":"Orthopaedics: We Wrote the Book on It"},"content":{"rendered":"<p>By Michael Seringer<\/p>\n<p>When orthopaedics started at then-The University of Texas Medical School at San Antonio, it was housed in a single office next to the urology and the ophthalmology departments. It was small, fairly nondescript but evolved into the epicenter for orthopaedics education in the United States. The first two hires of this tiny office would soon write a book on adult fractures that made the now-named Joe R. and Teresa Lozano Long School of Medicine at UT Health San Antonio one of the leading orthopaedic centers right from the start.<\/p>\n<p>After arriving in 1966, Charles A. Rockwood, Jr., MD, FAOA, professor and chairman emeritus of orthopaedics at UT Health San Antonio, was approached to write a book on fractures by a medical publisher who wasn\u2019t having much luck overcoming the inertia of such a large project. The publisher was told that if he wanted to get the book done, he would have to go to San Antonio and meet Dr. Rockwood.<\/p>\n<p>Dr. Rockwood realized that for the book to be successful, he needed the help of someone who could get into the \u201cnitty gritty.\u201d As the founder of what would become the Department of Orthopaedics, Dr. Rockwood chose his first hire, David Green, MD, to work with him on the two-volume \u201cFractures in Adults,\u201d now in its ninth edition and the go-to reference for bone fractures and joint injuries.<\/p>\n<p>\u201cRockwood is an ideas guy; he\u2019s a dreamer,\u201d Dr. Green said. \u201cI was kind of a nuts-and-bolts guy, and I really like writing and editing. We formed a very symbiotic relationship.\u201d<\/p>\n<p>Dr. Rockwood is a man who gets things done. His significant contributions to orthopaedics, emergency response and his community are only overshadowed by his larger-than-life personality. His legendary leadership skills not only defined orthopaedic education at UT Health San Antonio but also throughout the world.<\/p>\n<figure id=\"attachment_2492\" aria-describedby=\"caption-attachment-2492\" style=\"width: 400px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2492\" src=\"https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2021\/11\/Future2021_Ortho_Quinn.jpg\" alt=\"\" width=\"400\" height=\"293\" \/><figcaption id=\"caption-attachment-2492\" class=\"wp-caption-text\">Robert Quinn, MD, professor and chair of the Department of Orthopaedics at UT Health San Antonio, has led the department since 2012 and is an internationally renowned musculoskeletal tumor specialist.<\/figcaption><\/figure>\n<h3>Responding to a Crisis<\/h3>\n<p>In 1971, the American Academy of Orthopaedic Surgeons (AAOS) published \u201cEmergency Care and Transportation of the Sick and Injured,\u201d which became known as the \u201corange book\u201d and is the cornerstone of emergency response education in the United States. Dr. Rockwood contributed significantly to the first edition by editing and collecting information from a variety of experts on wide-ranging emergency response subjects.<\/p>\n<p>Years before, Dr. Rockwood had taken it upon himself to educate the San Antonio Fire Department on how to better care for trauma patients. During this time, Dr. Rockwood recruited and built relationships with physicians who were just starting to specialize in trauma care. The AAOS had taken note of Dr. Rockwood\u2019s community emergency medical system education efforts and tasked him with being the orange book\u2019s first editor, said Robert Quinn, MD, professor and chair of the Department of Orthopaedics at UT Health San Antonio.<\/p>\n<p>Dr. Quinn believes that Dr. Rockwood\u2019s role in establishing the emergency medical system in the United States is too often overshadowed by his other accomplishments. \u201cIt\u2019s not an exaggeration to say that Dr. Rockwood really invented the emergency medical system in this country as we know it,\u201d Dr. Quinn said. \u201cThe orange book really launched EMS as a coordinated national effort.\u201d<\/p>\n<p>The treatment of trauma was just starting to emerge in the early 1970s with the development of regional emergency response systems whose curricula were based on the orange book. In 1973, the federal Emergency Medical Systems Act was passed, and $300 million was spent on establishing EMS throughout the country. Dr. Rockwood\u2019s efforts just a few years prior were becoming common practice throughout the United States.<\/p>\n<h3>One Book Leads to Another<\/h3>\n<p>A marketing program at UT Health San Antonio recruits patients and students with the slogan \u201cWe Wrote the Book on Orthopaedics,\u201d promoting the fact that Drs. Rockwood and Green\u2019s seminal work on fractures had become the definitive orthopaedic reference guide worldwide.<\/p>\n<p>\u201cAll the previous books were very dogmatic\u2014this is the way you treat this particular fracture,\u201d said Dr. Green, who later left the medical school to become the first surgeon in San Antonio to devote his practice entirely to hand and upper extremity surgery. \u201cAs Dr. Rockwood and I discussed this book, we said there is really not one way to treat most fractures; there\u2019s a lot of different ways. So, we developed this new concept of listing all the other reasonable alternative methods of treatment and let the author write about their preferred method and why.\u201d<\/p>\n<p>In 1973, Kaye E. Wilkins, DVM, MD, became the third hire of UT Health San Antonio\u2019s young orthopaedics department. Like Dr. Green, Dr. Wilkins was motivated by Dr. Rockwood in 1984 to co-edit Drs. Rockwood and Green\u2019s \u201cFractures in Children,\u201d the standard reference for pediatric orthopaedics and the third volume in the series. The text became \u201cRockwood and Wilkin\u2019s Fractures in Children\u201d in 1994 and is currently in its ninth edition. With the addition of the pediatric text, Dr. Rockwood\u2019s comprehensive reference books are considered standard issue in any orthopaedic education to this day.<\/p>\n<figure id=\"attachment_2493\" aria-describedby=\"caption-attachment-2493\" style=\"width: 400px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2493\" src=\"https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2021\/11\/Future2021_Ortho_McCormick.jpg\" alt=\"\" width=\"400\" height=\"306\" srcset=\"https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2021\/11\/Future2021_Ortho_McCormick.jpg 400w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2021\/11\/Future2021_Ortho_McCormick-392x300.jpg 392w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption id=\"caption-attachment-2493\" class=\"wp-caption-text\">Sekinat K. McCormick, MD, associate professor\/clinical of orthopaedics, is a pediatric orthopaedic surgeon and serves as director for Medical Student Diversity in the Office for Inclusion and Diversity for the Long School of Medicine at UT Health San Antonio.<\/figcaption><\/figure>\n<p>The Rockwood textbooks are required material for every orthopaedic trainee over the past 30 years. \u201cThese books are where everyone in orthopaedics starts,\u201d said Sekinat K. McCormick, MD, associate professor\/clinical of orthopaedics and a pediatric orthopaedic surgeon at UT Health San Antonio. \u201cThe base is always the Rockwood and Green textbook; you build from there.\u201d<\/p>\n<p>The UT Health San Antonio orthopaedics department effectively dominated the reference book market and became widely known as a great teaching university. Dr. Rockwood, Dr. Green and Dr. Wilkins became trailblazers in orthopaedic education and trained physicians from all over the world. \u201cThat book launched the career of three pioneers in orthopaedics,\u201d Dr. Quinn said. \u201cIt\u2019s really quite amazing.\u201d<\/p>\n<p>Shouldering Community Needs<\/p>\n<p>In 2010, Dr. Green was working with SAMMinistries trying to raise money for education initiatives at the new Haven for Hope homeless shelter in San Antonio, and he wasn\u2019t getting very far.<\/p>\n<p>\u201cI was really struggling to raise money,\u201d Dr. Green said. \u201cI really hate to ask for money, and I was telling Dr. Rockwood about it, and he says, \u2018Well, I\u2019ll come and see your place.\u2019 \u201d<\/p>\n<p>After an informative tour led by a woman who personally had broken the cycle of homelessness in her life, Dr. Rockwood didn\u2019t say much, and Dr. Green didn\u2019t push him.<\/p>\n<p>\u201cA couple weeks later he calls me one night and says he wants to give some money to my fund,\u201d said Dr. Green. \u201c \u2018Great, how much?\u2019 I said, and he says, \u2018A million dollars.\u2019 \u201d It was the largest donation in the history of SAMMinistries at the time and established an endowment for emergency education and training services for the homeless.<\/p>\n<p>\u201cHe has lots of cash from all that prosthetic money,\u201d said Dr. Green. In the late 1980s, Dr. Rockwood worked closely with DePuy Orthopaedics in the development of the original Global\u2122 Shoulder Arthroplasty System and a postoperative home-based exercise rehabilitation program for the shoulder. Dr. Rockwood\u2019s shoulder prosthetic became the leading shoulder replacement system in the world. He led his team of investigators in developing a second prosthesis with DePuy specifically designed to treat fractures of the shoulder. Although Dr. Rockwood earned that money with his hard work and innovations, he has been very generous sharing it for many worthwhile philanthropic endeavors.<\/p>\n<p>\u201cDr. Rockwood really revolutionized shoulder implants,\u201d Dr. Quinn said. \u201cAnd, of course, he wrote a book about it.\u201d His third major textbook initiative was \u201cThe Shoulder\u201d and is now in its sixth edition.<\/p>\n<p>In 2016, Dr. Rockwood marked 50 years of service to UT Health San Antonio. For 30 years, his private practice was dedicated solely to the study and treatment of shoulder problems.<\/p>\n<p>Dr. Rockwood\u2019s early determination to educate people in the community on managing medical trauma is a model UT Health San Antonio employs today. There is renewed focus on community building and caregiving that is representative of the cultural diversity of the area.<\/p>\n<p>\u201cWe have been given the opportunity to really partner with the community,\u201d Dr. McCormick said. \u201cUT Health is not just a place where you come when you\u2019re sick, but UT Health is a place where you come because you want to learn, you want to grow.\u201d<\/p>\n<p>The new UT Health San Antonio Multispecialty and Research Hospital currently under construction will help meet the community-oriented goals of its orthopaedics department. The state-of-the-art facility will build on the incredible productivity of the first three physicians who occupied the department\u2019s first office more than 50 years ago\u2014a simple office where Dr. Rockwood\u2019s leadership transformed orthopaedics and emergency response education throughout the world.<\/p>\n<p>As it turns out, Dr. Green and Dr. Rockwood are next-door neighbors. Dr. Rockwood has been bedridden for several years, he said. A few times a week, Dr. Green walks next door to check on his friend. \u201cHe has his good days and bad,\u201d Dr. Green said.<\/p>\n<p>On a recent afternoon, Dr. Green checked in on one of Dr. Rockwood\u2019s caregivers. He is making sure those who care for Dr. Rockwood receive some of the best orthopaedic treatment available. After all, they are taking care of the man who wrote the book on it.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Department of Orthopaedics in the Long School of Medicine at UT Health San Antonio was founded by pioneering educators and surgeons who wrote the textbooks for the profession. Today&#8217;s orthopaedic surgeons and professors are still leading the way in their specialty areas. <\/p>\n","protected":false},"author":43,"featured_media":2494,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,11],"magazine":[22],"issue-year":[47],"featured-story":[],"class_list":["post-2453","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-academics","category-patient-care","magazine-future","issue-year-47"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Orthopaedics: We Wrote the Book on It - Magazines of the Schools at UT Health San Antonio<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/magazines.uthscsa.edu\/schools\/2021\/11\/15\/orthopaedics-we-wrote-the-book-on-it\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Orthopaedics: We Wrote the Book on It - Magazines of the Schools at UT Health San Antonio\" \/>\n<meta property=\"og:description\" content=\"The Department of Orthopaedics in the Long School of Medicine at UT Health San Antonio was founded by pioneering educators and surgeons who wrote the textbooks for the profession. 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