When the two physicians were working together at the Cleveland Clinic, Evarts asked DeHaven what he wanted his career focus to be. The first practical arthroscope—a thin, pencil-sized tube with a magnifying lens and light source—had been developed by Japanese orthopaedic surgeon Masaki Watanabe in the s. A Canadian surgeon, Robert Jackson, visited Tokyo during the Summer Olympics, where he met Watanabe and brought the idea of modern arthroscopic techniques to North America. We could see so much more.
When doctors had performed open knee surgery, it left patients with a six-inch scar, and often required a five-day hospital stay.
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Patients used crutches for three weeks and were fortunate to be running six months after surgery. With arthroscopy, only two small incisions were made—one for the arthroscope and one for the surgical instruments used in the knee cavity. It was much less invasive, vastly reducing recovery time.
It has improved greatly since. Surgeons now view the joint area on a video monitor and can diagnose and repair torn tissue in about one hour. A patient with a tear in the meniscus, the cartilage that cushions the knee joint, is often running within three weeks. He arrived in Rochester eager to spread the word about the groundbreaking technique. He appeared in hotel conference rooms from Rochester to San Francisco, representing the American Academy of Orthopaedic Surgeons and preaching the gospel about the advantages of arthroscopy versus traditional, more invasive open surgery.
DeHaven persevered. Part of the Department of Orthopaedics and Rehabilitation, its lineup includes 10 physicians and 12 advanced practice providers who provide medical and surgical care, and 32 athletic trainers who deliver services such as classes in spine and knee injury prevention and nutrition consultations in four medical offices in Rochester and the surrounding area. My injuries pushed me toward sports medicine. Zoric now practices at Sports Medicine North in Peabody, Massachusetts, where he specializes in sports medicine and arthroscopic reconstructive surgery of the hip, knee, shoulder, and elbow.
He was also part of the team of physicians for the United States ski and snowboard teams. He moved with his parents to their native Croatia when he was a year old, later lived in Sweden, and played for a youth club run by a professional soccer team until he was Igor wanted his son to have a college education and made contact with then Rochester soccer coach Mike Pilger, who recruited Bojan.
Bojan majored in molecular biology and played four years of soccer. After overcoming a fifth metatarsal fracture and a meniscus tear, both requiring surgery, he was finally injury-free his senior year and tied for the team lead in scoring, with 18 points. Zoric says that, among soccer players, injuries to the lower extremities are most common. Female athletes sustain noncontact tears at a rate five times higher than their male counterparts, largely as a result of different biomechanics.
Female knees tend to be more turned in toward the middle of the body, and less bent when jumping and landing. It was based on a two-year clinical prevention trial among 1, Division I female college athletes showing that increased flexibility, strength, proprioception, and agility can reduce the injuries by up to 88 percent. Rochester has made a powerful impact on sports medicine through its graduates. Alumni include team doctors at Major League Baseball, NCAA Division I, and Olympic ranks, while UR Medicine—Sports Medicine has become an invaluable resource in the region, handling more than 75, patient visits per year from high school and college athletes and recreational golfers, skiers, tennis players, and exercise enthusiasts.
DeHaven started and envisioned for care of the athlete. Maloney followed a similar path to Rochester as did DeHaven. DeHaven has been highly attuned to recruiting other physicians on the forefront of novel techniques. In the late s, he and Richard Burton, then chair of the orthopaedics department, brought Maloney to Rochester from the Kerlan-Jobe Orthopaedic Clinic in Los Angeles, where Maloney had learned a groundbreaking surgical technique from the late Frank Jobe, a pioneer in sports medicine who was the longtime team doctor for the Los Angeles Dodgers.
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