A board-certified orthopedic surgeon with over three decades of experience, Dr. Nabil Ebraheim serves as the chairman and a professor in the Department of Orthopedic Surgery at the University of Toledo Medical Center. Over the course of his career, Dr. Nabil Ebraheim has received many accolades for his work, including the Castle Connolly America’s Top Doctors award.
Administered by Castle Connolly Medical Ltd. (CCML), the America’s Top Doctors award program recognizes physicians who are leaders in their fields and dedicated to professional excellence. In addition to highlighting the work of outstanding medical professionals, the Top Doctors program helps connect consumers with the best health care available in their communities.
CCML bases its Top Doctors selections on an extensive survey process that invites thousands of physicians across the country to nominate their peers for the program. Each year, the organization’s physician-led research team reviews nearly 100,000 nominations through a process that examines each nominee’s education, training, certifications, and professional achievements.
CCML also reviews the nominees’ disciplinary and malpractice history before making its final selections. Those physicians whose records stand above the rest are included in CCML’s annual list of Top Doctors, which is published in the Castle Connolly Guides and on the organization’s website.
Since 1998, Dr. Nabil Ebraheim has served as the chairman of the University of Toledo Medical Center’s Department of Orthopedic Surgery. An involved medical professional, Dr. Nabil Ebraheim maintains memberships with several organizations, including the American Academy of Orthopaedic Surgeons (AAOS).
In its efforts to advance the knowledge and skills of orthopedic surgeons and other members of the medical community, AAOS oversees a variety of musculoskeletal education programs and activities, including webinars and online lectures, live courses, and conferences. The organization’s most popular education offering is the AAOS Annual Meeting, which attracts over 12,000 orthopedic surgeons from around the world each year.
More than 14,500 medical professionals attended the 2016 AAOS Annual Meeting, which was held March 1-5 in Orlando. Over the course of the five-day event, attendees had the opportunity to take part in an education program comprising symposia, lectures, paper presentations, and scientific exhibits on a range of topics. The meeting also featured networking activities and more than 700 technical exhibits showcasing the latest orthopedic products and services.
The next AAOS Annual Meeting will be held March 14-18, 2017, in San Diego. AAOS members can request a packet containing a registration form, housing information, and other details about the event on the AAOS website. For more information, visit www.aaos.org.
With almost thirty years of experience as an orthopedic surgeon, Dr. Nabil Ebraheim has made numerous contributions to his field, including over four hundred published papers and several significant refinements on surgical and therapeutic techniques. Recently, Dr. Nabil Ebraheim’s attention has been turned to the treatment of osteomyelitis, or infection of the bone. Osteomyelitis is the result of either a fungal or bacterial infection of the bone marrow, and can cause permanent damage to the bone without treatment.
These infections of the bone can be transmitted by the blood or can enter through a deep wound or surgical site. Staphylococcus bacteria is a particularly common cause of bone infections since it can be present on the skin without causing any problems. The age of the patient appears to be a factor, as children usually experience bone infections in the long bones in their arms and legs, while adults typically get infections in their hips, spine, or feet. Though the infection is in the bone, symptoms can be felt throughout the body, since abscesses are often produced in the surrounding tissues, and swollen bone marrow can cut off blood flow to the bone itself. Fevers, chills, and a general feeling of irritability can result, and redness, swelling, and soreness can occur in the skin and tissue surrounding the infection.
A doctor can diagnose a bone infection through the testing of blood as well as tissue samples, but detection may require an X-ray MRI scan, or bone biopsy. Once diagnosed, treatments may be as simple as antibiotics taken orally, though a severe infection may require injections. In the most extreme cases, surgery may be needed to remove infected tissue. In any event, treatment will likely be aggressive, because a bone infection can eventually become so serious as to require an amputation if treatment is begun too late.
Throughout his career, orthopedic surgeon Dr. Nabil Ebraheim has been credited with both encyclopedic knowledge of his field and contributions to its further advancement. Among these contributions is an improvement on the procedure known as fasciotomy, a surgery used to treat compartment syndrome, which in severe cases can cause irreversible muscle damage within a few hours of its occurrence. Fasciotomies are usually performed in operating rooms, but the difficulty in providing timely surgery for diagnosed patients led Dr. Nabil Ebraheim to develop the “bedside fasciotomy,” allowing a patient to receive critical treatment without the need for full surgical preparation.
Compartment syndrome is a situation in which blood flow expands muscle tissues during physical activity, but the fascia – the connective tissue binding the muscle fibers – doesn’t expand with them, creating pressure that can cut off blood flow and begin causing weakness and numbness as the muscle begins to die. The exact cause of compartment syndrome isn’t fully understood, but it is often associated with athletic exertion, and can frequently be confused with other painful athletic injuries, such as shin splints. Mild cases of compartment syndrome can be treated with therapy, but more serious cases require a fasciotomy, which treats the condition by cutting or removing the damaged fascia to relieve the pressure and restore normal blood flow.
The bedside fasciotomy simplifies the process as much as possible for the sake of expedience. Instead of a general anesthetic, the patient is given conscious sedation to prevent pain or reflexive movement while the patient remains awake, and a local anesthetic is administered at the site of the surgery. The surgery itself consists of a single long incision at one of several specific locations, allowing access to the muscle compartments of each limb, ensuring the doctor has ready access to the damaged fascia in need of removal.